Nursing Handover Quality and Safety Behaviors of Nurses in the Tertiary Hospital, the Democratic Republic of Timor-Leste
Keywords:
Nurses, Nursing handover quality, Safety behaviors, Tertiary hospitalAbstract
Nursing handover is one of the essential communication processes for transferring patients’ health conditions and information to another group of healthcare professionals. This descriptive correlation study aimed to examine the quality of nursing handover and safety behaviors, and the relationship between nursing handover quality and safety behaviors of nurses in the National Guido Valadares Hospital, Timor-Leste. Two hundred and ten participants were randomly selected from 12 units at the National Guido Valadares Hospital. The research instruments included a demographic data form developed by the researcher, the Handover Evaluation Scale (HES), and the Safety Behavior Scale (SBS), which were translated into the Timor-Leste language by the researcher following Brislin’s guidelines. The Cronbach’s alpha coefficient of the HES and SBS were .80 and .94, respectively. Descriptive statistics and Spearman's rank correlation were used to analyze the data.
The results revealed that nurses perceived nursing handover quality at a high level (M = 75.08, SD = 4.35) and perceived safety behaviors at a high level (M = 52.42, SD = 5.86). Nursing handover quality was significantly moderately correlated with safety behaviors (rs = .36, p < 0.01).
The findings of this study could be beneficial for nursing leaders and managers in maintaining nursing handover quality and nurses' safety behaviors in the National Guido Valadares Hospital, Timor-Leste, and protect patients from harm and injuries.
References
Brislin, R. W. (1986). The wording and translation of research instruments. In W. J. Lonner & J. W. Berry (Eds.), Field methods in cross-cultural research (137–164). Sage Publications.
Burgess, A., van Diggele, C., Roberts, C., & Mellis, C. (2020). Teaching clinical handover with ISBAR. BMC of Medical Education, 20(Suppl. 2), 459. https://doi.org/10.1186/s12909-020-02285-0
Chiew, L., Abu Bakar, S. B., Ramakrishnan, S., Cheng, P. L. C., Karunagaran, Y., & Bunyaman, Z. B. (2019). Nurse’s perception and compliance on identification, situation, background, assessment and recommendation (Isbar) tools for handoff communication in Tertiary Hospital, Dammam. Malaysian Journal of Medical Research, 3(4), 26-32. https://doi.org/10.31674/mjmr.2019.v03i04.004
Chung, K., Davis, I., Moughrabi, S., & Gawlinski, A. (2011). Use of an evidence-based shift report tool to improve nurses' communication. Medsurg Nursing, 20(5), 255-260, 268.
Coleman, R. (2018). Improving nurse-to-nurse handover through implementation of standardized SBAR. Nursing Theses and Capstone Projects. 356. https://digitalcommons.gardner-webb.edu/nursing_etd/356
Grove, S. K., Burns, N., & Gray, J. R. (2005). The practice of nursing research: Appraisal, synthesis, and generation of evidence (7th ed.). Elsevier Saunder. https://books.google.co.th/books?id=r32jPNVYIacC&printsec=frontcover&source=gbs_ge_summary_r&cad=0#v=onepage&q&f=false
Houck, N. M., & Colbert, A. M. (2017). Patient safety and workplace bullying: An integrative review. Journal of Nursing Care Quality, 32(2), 164-171. https://doi.org/10.1097/NCQ.0000000000000209
Liu, Y., Teng, W., Chen, C., & Zou, G. (2022). Correlation of safety behavior, handover quality, and risk perception: A cross-sectional study among Chinese psychiatric nurses. Front Psychiatry, 13, 1043553. https://doi.org/10.3389/fpsyt.2022.1043553
Losfeld, X., Istas, L., Schoonvaere, Q., Vergnion, M., & Bergs, J. (2021). Impact of a blended curriculum on nursing handover quality: A quality improvement project. BMJ of Open Quality, 10(1), e001024. https://doi.org/10.1136/bmjoq-2020-001024
Mirzaei Aliabadi, M., Aghaei, H., Kalatpour, O., Soltanian, A. R., & Nikravesh, A. (2020). Analysis of human and organizational factors that influence mining accidents based on Bayesian network. International Journal of Occupational Safety and Ergonomics, 26(4), 670-677. https://doi.org/10.1080/10803548.2018.1455411
Nagammal, S., Nashwan, A. J., Nair, S. L. K., & Susmitha, A. (2016). Nurses’ perceptions regarding using the SBAR tool for handoff communication in a tertiary cancer center in Qatar. Journal of Nursing Education and Practice, 7(4), 103-110. https://doi.org/10.5430/jnep.v7n4p103
National Guido Valadares Hospital (HNGV) (2020). Handover policy. National Guido Valadares Hospital.
O'Connell, B., Macdonald, K., & Kelly, C. (2008). Nursing handover: It's time for a change. Contemporary Nurse, 30(1), 2-11. https://doi.org/10.5172/conu.673.30.1.2
O'Connell, B., Ockerby, C., & Hawkins, M. (2013). Construct validity and reliability of the handover evaluation scale. Journal of Clinical Nursing, 23(3-4), 560-570. https://doi.org/10.1111/jocn.12189
Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Wolters Kluwer.
Rani, N. S. A., Pa’wan, F., Musa, N. C., & Tajudin, M. M. (2008). Malaysian employees’ preference of their manager's leadership style. International Review of Business Research Papers, 4(5), 97-108. https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=c86eb3a26165b2941c07fb6cef12c3523ffe4227
Roche, M., Diers, D., Duffield, C., & Catling-Paull, C. (2010). Violence toward nurses, the work environment, and patient outcomes. Journal of Nursing Scholarship, 42(1), 13-22. https://doi.org/10.1111/j.1547-5069.2009.01321.x
Ruhomauly, Z., Betts, K., Jayne-Coupe, K., Karanfilian, L., Szekely, M., Relwani, A., McCay, J., & Jaffry, Z. (2019). Improving the quality of handover: Implementing SBAR. Future Healthcare Journal, 6(Suppl. 2), 54. https://doi.org/10.7861/futurehosp.6-2s-s54
Rusyda, H. M., & Aziz, S. F. A. (2021). The development of safety behavior: A 30-year review. International Journal of Academic Research in Economics and Management Sciences, 10(1), 42-65. https://dx.doi.org/10.6007/IJAREMS/v10-i1/9212
Shih, C. P., Chang, L. Y., Chen, J. C., & Ng, C. J., Reinfeld, W., & Hsu, K. H. (2008). The factor influencing safety behavior of medical staff in emergency room of a medical center in Taiwan. Journal of Management, 25(4), 451-465. https://jom.management.org.tw/upload/alistfs141109413074152.pdf
Sim, J., Joyce-McCoach, J., Gordon, R., & Kobel, C. (2019). Development of a data registry to evaluate the quality and safety of nursing practice. Journal of Advanced Nursing, 75(9), 1877-1888. https://doi.org/10.1111/jan.13967
Utami, H. N. (2020). Improving safety behavior in the workplace. Advances in Economics, Business and Management Research, 154, 142-146. https://www.atlantis-press.com/proceedings/aicobpa-19/125946313
Vatankhah, S. (2021). Does safety motivation mediate the effect of psychological contract of safety on flight attendants’ safety performance outcomes? A social exchange perspective. Journal of Air Transport Management, 90, 101945. https://www.sciencedirect.com/science/article/pii/S0969699720305287
Wang, B., Zou, G., Zheng, M., Chen, C., Teng, W., & Lu, Q. (2022). Correlation between the quality of nursing handover, job satisfaction, and group cohesion among psychiatric nurses. BMC Nursing, 21(1), 86. https://doi.org/10.1186/s12912-022-00864-8
Wilson, J. L. (2016). An exploration of bullying behaviors in nursing: A review of the literature. British Journal of Nursing, 25(6), 303-306. https://doi.org/10.12968/bjon.2016.25.6.303
World Health Organization. (2009). The conceptual framework for the international classification for patient safety. https://www.who.int/publications/i/item/WHO-IER-PSP-2010.2
World Health Organization. (2019). Needs assessment on quality in Timor-Leste: Step 2 of the Twinning Partnership for Improvement between Timor-Leste and Macao SAR China. https://www.who.int/publications-detail-redirect/9789241515474
Yang, S., Chen, B., & Tian, S. (2017). Mediation effect of patient safety culture cognition between job stress and safety behavior among nurses. Journal of Nursing Science, 32, 72-74.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Nursing Journal CMU

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลสาร
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยเชียงใหม่ และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว