ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2023
Effectiveness of handover practices between emergency department and intensive care unit nurses.
Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Intrahospital handovers before and after an educational intervention: a quality improvement study among ICU nurses.BMC nursing · 2026Article
- Assessing Postoperative Handover Quality Among Nurses Across Surgical and Recovery Units: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- Communication handover barriers among nurses and paramedics in emergency care settings.BMC nursing · 2025Article
- Comparison of the SBAR method and modified handover model on handover quality and nurse perception in the emergency department: a quasi-experimental study.BMC nursing · 2024Article
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Authors and funding
4 authors.
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Abstract
Background: Nurses from the emergency department (ED) and the intensive care unit (ICU) must interact during the handover procedure. Factors such as unit boundaries, the interaction between different specialities, patient acuities, and treatment adjustments generate specific negotiating and teamwork problems during the transition of patients from ED to ICU. Objective: This study aimed to describe the opinions of nurses regarding the effectiveness of handover practices between nurses in the ED and ICU in a major academic hospital in Gauteng province, South Africa. Method: An analytical cross-sectional survey design was used. Data were collected using a 16-item handover evaluation tool. It comprises two sections (1) biographical details and (2) 16 statements about handover quality divided into five constructs, namely information transfer, shared understanding, working atmosphere, overall handover quality, and circumstances of handover. Data analysis was done utilising descriptive and non-parametric statistics. Results: The majority (51.8%; n = 115) of the handovers occurred during the day. Out of 171 nurses, there were specialist practice emergency (19.2%; n = 33) and intensive care (28.0%; n = 48) nurses. There was statistical significance in information transfer between the ED and ICU nurses. (Me = 4.0, p < 0.05), compared to ICU nurses (Me = 3.0). Nurse specialist and non-specialist nurses' handovers differed statistically significantly on 12 of the 16 items on the rating scale, compared to 10 for non-specialist nurses' handovers. Conclusion: The study showed that ED and ICU nurses have significantly different requirements and expectations for handover procedures. In addition to completed documentation, subtle interpretations of the information provided and received also impact the need. The ED and ICU nurses would need to agree on the contents of a structured handover framework because different specialities and departments have varied expectations to achieve an effective handover.
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