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Abstract：
OBJECTIVE: To study nurses\' perceptions of patient handoffs in tertiary care hospitals in Kelantan, Malaysia, and to identify predictors of these perceptions.
METHODS: Cross-sectional study.
METHODS: Three tertiary care hospitals in Kelantan, Malaysia, February-March 2023.
METHODS: The study\'s inclusion criteria were nurses who were Malaysian citizens, working in shifts and possessing a minimum of 6 months of work experience. Nurses holding administrative positions and those unavailable during the study period were excluded from participation. A stratified proportionate random sampling method was employed, and a 100% response rate was achieved, with all 418 selected nurses participating in the study.
METHODS: Nurses\' perceptions of patient handoffs were assessed using the validated Hospital Patient Handoff Questionnaire. Predictors of these perceptions were identified through multiple linear regression analysis.
RESULTS: The study revealed an overall positive perception of handoffs, with a mean score of 3.5 on a 1-5 scale. Receiving formal in-service training on handoff practices (regression coefficient 0.089, 95% CI: 0.016 to 0.161) and expressing satisfaction with the handoff process (regression coefficient 0.330, 95% CI: 0.234 to 0.425) were positively associated with nurses\' perceptions. Working in the paediatric department was associated with a lower perception of handoffs (regression coefficient -0.124, 95% CI: -0.195 to -0.053).
CONCLUSIONS: Formal in-service training, satisfaction and working in the paediatric department were significantly associated with nurses\' perceptions of patient handoffs in Kelantan. These findings suggest the need for tailored interventions to improve handoff processes and enhance patient safety. Further research could explore the effectiveness of specific training programmes targeting these identified predictors.
METHODS: Cross-sectional study.
METHODS: Three tertiary care hospitals in Kelantan, Malaysia, February-March 2023.
METHODS: The study\'s inclusion criteria were nurses who were Malaysian citizens, working in shifts and possessing a minimum of 6 months of work experience. Nurses holding administrative positions and those unavailable during the study period were excluded from participation. A stratified proportionate random sampling method was employed, and a 100% response rate was achieved, with all 418 selected nurses participating in the study.
METHODS: Nurses\' perceptions of patient handoffs were assessed using the validated Hospital Patient Handoff Questionnaire. Predictors of these perceptions were identified through multiple linear regression analysis.
RESULTS: The study revealed an overall positive perception of handoffs, with a mean score of 3.5 on a 1-5 scale. Receiving formal in-service training on handoff practices (regression coefficient 0.089, 95% CI: 0.016 to 0.161) and expressing satisfaction with the handoff process (regression coefficient 0.330, 95% CI: 0.234 to 0.425) were positively associated with nurses\' perceptions. Working in the paediatric department was associated with a lower perception of handoffs (regression coefficient -0.124, 95% CI: -0.195 to -0.053).
CONCLUSIONS: Formal in-service training, satisfaction and working in the paediatric department were significantly associated with nurses\' perceptions of patient handoffs in Kelantan. These findings suggest the need for tailored interventions to improve handoff processes and enhance patient safety. Further research could explore the effectiveness of specific training programmes targeting these identified predictors.
摘要：
目的：研究吉兰丹三级医院护士对病人交接的看法，马来西亚,并确定这些感知的预测因素。
方法：横断面研究。
方法：吉兰丹的三家三级医院，马来西亚,2023年2月-3月。
方法：该研究的纳入标准是马来西亚公民的护士，轮班工作，至少有6个月的工作经验。担任行政职务的护士和在研究期间无法担任的护士被排除在参与之外。采用分层比例随机抽样方法，达到了100%的反应率，所有418名选定的护士都参与了这项研究。
方法：使用经过验证的医院患者交接问卷评估护士对患者交接的看法。通过多元线性回归分析确定了这些感知的预测因子。
结果：该研究揭示了对切换的总体积极看法，在1-5量表上平均得分为3.5。接受关于交接实践的正式在职培训（回归系数0.089，95％CI：0.016至0.161）和表达对交接过程的满意度（回归系数0.330，95％CI：0.234至0.425）与护士的认知呈正相关。在儿科工作与较低的交接感知相关（回归系数-0.124，95％CI：-0.195至-0.053）。
结论：正式在职培训，在吉兰丹,儿科的满意度和工作与护士对患者交接的看法显著相关.这些发现表明需要量身定制的干预措施来改善切换过程并提高患者安全性。进一步的研究可以探索针对这些确定的预测因素的特定培训计划的有效性。
方法：横断面研究。
方法：吉兰丹的三家三级医院，马来西亚,2023年2月-3月。
方法：该研究的纳入标准是马来西亚公民的护士，轮班工作，至少有6个月的工作经验。担任行政职务的护士和在研究期间无法担任的护士被排除在参与之外。采用分层比例随机抽样方法，达到了100%的反应率，所有418名选定的护士都参与了这项研究。
方法：使用经过验证的医院患者交接问卷评估护士对患者交接的看法。通过多元线性回归分析确定了这些感知的预测因子。
结果：该研究揭示了对切换的总体积极看法，在1-5量表上平均得分为3.5。接受关于交接实践的正式在职培训（回归系数0.089，95％CI：0.016至0.161）和表达对交接过程的满意度（回归系数0.330，95％CI：0.234至0.425）与护士的认知呈正相关。在儿科工作与较低的交接感知相关（回归系数-0.124，95％CI：-0.195至-0.053）。
结论：正式在职培训，在吉兰丹,儿科的满意度和工作与护士对患者交接的看法显著相关.这些发现表明需要量身定制的干预措施来改善切换过程并提高患者安全性。进一步的研究可以探索针对这些确定的预测因素的特定培训计划的有效性。
