Open AccessThe Identification of Factors Contributing to Negative Handover Experiences of Pre-Hospital Emergency Care Personnel in Johannesburg, South Africa
Author(s) -
Andrew William Makkink,
Christopher Stein,
Stevan R. Bruijns
Publication year - 2021
Publication title -
australasian journal of paramedicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.177
H-Index - 15
ISSN - 2202-7270
DOI - 10.33151/ajp.18.829
Subject(s) - handover , descriptive statistics , medical emergency , medicine , qualitative research , emergency department , descriptive research , coding (social sciences) , emergency response , nursing , engineering , sociology , telecommunications , social science , statistics , mathematics
The handover of a patient in the pre-hospital setting is different to other handover settings and therefore requires a different definition and description to that of other patient handover environments. Identifying those factors that affect the efficacy of handover could provide useful for formulating improvement strategies.AimThis research set out to describe the negative experiences of pre-hospital emergency care personnel handing over in the emergency centre in Johannesburg, South Africa, with a view to identifying potential areas for improvement. This paper reports on responses to an open-ended question that formed part of a purpose-designed, paper-based questionnaire that formed part of a mixed-methods study.MethodsData were collected from pre-hospital emergency care personnel within Johannesburg, South Africa. Responses from 140 participants were captured verbatim into Atlas.ti® for coding, analysis and interpretation using a qualitative descriptive methodology. Two themes were generated from a qualitative descriptive analysis of the data: communication barriers, and process barriers to emergency centre handover. These were confirmed by the categories and codes that made up these themes.ConclusionThis study identifies some of the factors perceived by pre-hospital emergency care personnel to negatively affect emergency centre handover. It provides insights into how communication and process within the emergency centre have the potential to negatively impact emergency centre handover efficacy.