Clinical Handover Standard for Midwifery Students: Improving Safety Attitudes in Maternity Services

Mumtihana Muchlis, Merlita Indriasih

Abstract


Background: Midwifery students sometimes are not involved during the clinical handover in maternal health services, so they potentially get the negative impact on patient safety. This study was to assess the effect of the implementation of clinical handover standard for midwifery students as an effort to improve safety attitudes in maternity services. Method: A quasi-experimental with post test only design was conducted on 30 midwifery students at Amanda Maternity Services. Clinical handover standard with Situation, Background, Assessment and Recommendation (SBAR) Framework was used as a guideline. Results: Observation checklist was completed by Clinical Instructor (CI) while student and CI completed safety attitude questionnaire. A semi-structured interview was also conducted with midwifery student and clinical instructor. The result of this study showed that CI observation that 93.3% of students were competent in the application of clinical handover. Students’ safety attitudes also changed significantly after implementation of clinical handover standards (p= 0.0005). Conclusion: Majority of the students and clinical instructor stated that the application of clinical handover help students to reduce the confusion of the patients' problem to prevent errors in maternity care. 


Keywords


clinical handover standard; maternity services; midwifery students; safety attitudes

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References


Jones D. OSSIE Guide to Clinical Handover Improvement. Quality In Health Care. 2010. 56 p.

Wong MC. An exploration of shift-to-shift clinical handover and clinical handover improvement using a user-centred approach at the Royal Hobart Hospital, Tasmania, Australia. 2011;(November).

Australian Commission on Safety and Quality in Healthcare (ACSQHC). Safety and Quality Improvement Guide Standard 6: Clinical Handover. 2012. 1-31 p.

Smyth T, Manning V, Wilson J, Boyages S, Dunn H. Improving JMO clinical handover at all shift changes Implementation Toolkit. 2010;34.

Sandars J, Bax N, Mayer D, Wass V, Vickers R. Educating undergraduate medical students about patient safety: Priority areas for curriculum development. Medical Teacher. 2007;29(1):60–1.

Collins G. Using simulation to develop handover skills. Nursing times. 2014;110(8):12–4.

Zimmermann N, Küng K, Sereika SM, Engberg S, Sexton B, Schwendimann R. Assessing the safety attitudes questionnaire (SAQ), German language version in Swiss university hospitals - a validation study. BMC Health Services Research. 2013;13(1):347.

Physicians RC of, uk www rcplondon ac. Acute care toolkit 1: Handover. 2011;1–4.

World Health Organization. Patient safety curriculum guide. Multi-Professional Edition. Paitent Safety. 2011;1–272.

WHO. Patient Safety Curriculum Guide for Medical Schools -PART A: TEACHER’S GUIDE. 2009;

World Health Organization. Patient Safety: Improving medication safety. 2012;1–5.

Gore A, Leasure AR, Carithers C, Miller B. Integrating hand-off communication into undergraduate nursing clinical courses. Journal of Nursing Education and Practice. 2015;5(4):70.

Plunkett AR. The Use of a Standardized System of Communication to Change the Perception of Handoff Communication in a Psychiatric Setting. 2015;69 p.

Change I. Standard Key Principles for Clinical Handover. NSW Health. 2014;PD2009_060:1–8.

Activity P, Division Q, of Health DW. WA Health Clinical Handover Policy. WA Health Clinical Handover Policy Perth: Department of Health. 2013;

AMA. Safe Handover: Safe Patients; Guidelines on Clinical Handover for Clinicians and Managers. Australian Medical Association. 2006;47.

Davey N, Cole A. Safe Communication - Design, implement and measure : A guide to improving transfers of care and handover. 2015;(August):1–60.

Eggins S, Slade D. Communication in clinical handover: improving the safety and quality of the patient experience. Journal of Public Health Research. 2015;4(3):197–9.

World Health Organization. Patient Safety Solutions Preamble-May 2007. World Health Organization. 2007;(May).

Wahyuni R. Efektifitas pelatihan komunikasi S-BAR dalam meningkatkan mutu operan jaga (handover) di bangsal wardah RS PKU Muhammadiyah Yokyakarta Unit II. Universitas Muhammadiyah Yogyakarta. 2014;

Thomas V, Dixon A. Improving safety in maternity services: a toolkit for teams. London: Kings Fund. 2012;

Popovich D. 30-second head-to-toe tool in pediatric nursing: Cultivating safety in handoff communication. Pediatric nursing. 2011;37(2):55.

Committee on Patient Safety and Quality Improvement. Communication Strategies for Patient Handoffs. The American College of Obstetricians & Gynecologists. 2012;517(517):1–4.

Kitch BT, Cooper JB, Zapol WM, Marder JE, Karson A, Hutter M, et al. Handoffs causing patient harm: A survey of medical and surgical house staff. Joint Commission Journal on Quality and Patient Safety. 2008;34(10):563–70.

Dewi M. Pengaruh Pelatihan Timbang Terima Pasien Terhadap Penerapan Keselamatan Pasien Oleh Perawat Pelaksana di RSUD Raden Mattaher Jambi. Jurnal Health and Sport. 2012;5(03).

Didwania A, Kriss M, Cohen ER, McGaghie WC, Wayne DB. Internal Medicine Postgraduate Training and Assessment of Patient Handoff Skills. Journal of Graduate Medical Education. 2013;5(3):394–8.




DOI: http://dx.doi.org/10.12928/kesmas.v12i1.2222

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Kes Mas: Jurnal Fakultas Kesehatan Masyarakat 
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