Introduction: Improving patient handover is currently considered as a patient safety goal and one of the top five WHO priorities. So, the aim of this study was to explore the perspectives of patient handover among paramedics and emergency department staff. Methods: This is a descriptive exploratory study with a qualitative content analysis approach. Twenty five paramedics and emergency department staff were selected through purposeful sampling. The data were collected through semi-structured interviews in 2015 and Qualitative Content Analysis was used to analyze the data. Result: One main theme and two major categories emerged through the data analysis. In general, data analysis indicated that patient handover is a sophisticated process, which is an encounter between two separate peninsulas with different extrinsic (different environments and different equipment) and intrinsic factors (different manpower and different expectations). Conclusion: Designing an appropriate environment, providing adequate equipment, recruiting appropriate manpower, and clarifying the expectations are some strategies for improving patient handover conditions.
Jensen SM, Lippert A, Ostergaard D. Handover of patients: a topical review of ambulance crew to emergency department handover. Acta Anasthesial scand 2013;57:964-70.
Evans SM, Murray A, Patrick I, Fitzgerald M, Smith S, Cameron P. Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team member. Qual saf health care 2010:2-6.
Thakore S, Morrison W. A survey of the perceived quality of patient handover by ambulance staff in the resuscitation room. Emergency medicine journal : EMJ. 2001;18(4):293-6.
Horwitz LI, Meredith T, Schuur JD, Shah NR, Kulkarni RG, Jenq GY. Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Annals of emergency medicine. 2009;53(6):701-10 e4.
Dawson S, King L, Grantham H. Review article: Improving the hospital clinical handover between paramedics and emergency department staff in the deteriorating patient. Emergency medicine Australasia : EMA. 2013;25(5):393-405.
Murray SL, Crouch R, Ainsworth-Smith M. Quality of the handover of patient care: a comparison of pre-Hospital and Emergency Department notes. International emergency nursing. 2012;20(1):24-7.
Bruce K, Suserud BO. The handover process and triage of ambulance-borne patients: the experiences of emergency nurses. Nursing Critical Care. 2005;10(4):201-9.
Carter AJE, Davis KA, V. EL, C. CD. Information loss in emergency medical services handover of trauma patients prehospital emergency care 2009;13(3):280-5.
Bost N, Crilly J, Wallis M, Patterson E, Chaboyer W. Clinical handover of patients arriving by ambulance to the emergency department - a literature review. International emergency nursing. 2010;18(4):210-20.
Owen C, Hemmings L, Brown T. Lost in translation: maximizing handover effectiveness between paramedics and receiving staff in the emergency department. Emergency medicine Australasia : EMA. 2009;21(2):102-7.
Evans SM, Murray A, Patrick I, Fitzgerald M, Smith S, Andrianopoulos N, et al. Assessing clinical handover between paramedics and the trauma team. Injury. 2010;41(5):460-4.
Speziale HS, Carpenter DR. Qualitative research in nursing Forth ed. Lippincott Williams & Wilkins: Lippincott Williams & Wilkins; 2007.
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse education today. 2004;24(2):105-12.
Polit DF, Beck CT. Nursing Research: Generating and Assessing Evidence for Nursing Practice. 9th ed. Lippincott Williams & Wilkins: Lippincott Williams & Wilkins; 2008.
Meisel ZF, Shea JA, Peacock NJ, Dickinson ET, Paciotti B, Bhatia R, et al. Optimizing the patient handoff between emergency medical services and the emergency department. Annals of emergency medicine. 2015;65(3):310-7.
McDonagh M. Clinical Handover at the Emergency Department- A two way process. RESUS conference; 27 April 2013; University of Lumeric2013.
Manser T, Foster S. Effective handover communication: an overview of research and improvement efforts. Best practice & research Clinical anaesthesiology. 2011;25(2):181-91.
Sabet Sarvestani R, Moattari M, Nasrabadi AN, Momennasab M, Yektatalab S. Challenges of nursing handover: a qualitative study. Clinical nursing research. 2015;24(3):234-52.
Bost N, Crilly J, Patterson E, Chaboyer W. Clinical handover of patients arriving by ambulance to a hospital emergency department: a qualitative study. Internatinal Emergency Nursing. 2012;20(3):133-41.
Medicine Acfe. Emergency department design guidelines Australasian college for emergency Medicine; 2014. p. 1-77.
Day D. Keeping patients safe during intrahospital transport. Critical care nurse. 2010;30(4):18-32; quiz 3.
Joyce CM, Wainer J, Piterman L, Wyatt A, Archer F. Trends in the paramedic workforce: a profession in transition. Australian health review : a publication of the Australian Hospital Association. 2009;33(4):533-40.
Woollard M. The Role of the Paramedic Practitioner in the UK Journal of Emergency Primary Health Care 2006;4(1):3-9.
Fairbanks RJ, Bisantz AM, Sunm M. Emergency department communication links and patterns. Annals of emergency medicine. 2007;50(4):369-406.
Delupis FDD, Pisanelli P, Luccio GD, Kennedy M, Tellini S, Nensi N, et al. Communication during handover in the pre-hospital/hospital interface in Italy: from evaluation to implementation of multidisciplinary training through high-fidelity simulation. Intern Emerg Med. 2014;9:575-82.