Namibia as a
country is not an exception to adverse events due to inadequately managed
beside handover. The country has similar contributing factors which may cripple
the inefficiency of patient handover, for instance high patient turnover in
wards, lack of specific handover guidelines in public hospital settings.
Bedside handover are overlooked in its importance as in the case of Namibia
where it can be regarded as the possible cause of death (that is still under
investigation). From this study support this phenomenon as 60% of the
respondents indicated that they are neutral on such a high-risk matter where
they were supposed to be highly alerted. Currently, bedside handover in public
hospitals is a day-to-day communication event by the health professionals.
However, in Namibia information conveyed is not structured and the patient
participation is not stressed. There is a constant outcry of the implications
of inadequate bedside handover in the public health facilities. A recent
example which ended up in litigation is where a registered nurse was involved
with a high risk pregnant woman who was admitted to a public hospital for an
elective caesarean section for the following day, but since it was a public
holiday (May 1), the operation was not performed. Subsequently the patient died
(New Era, 29 April 2014). This case is possibly a result of miscommunication
during the handover process and shows a lack of accountability.
American Medical Association. Opinion 10.05 Potential patients. Code of
Medical Ethics. Available at: Potential Patients. Accessed April 24, 2006.
Bomba DTPR. A description of handover processes in an Australian public
hospital. Aust Health Rev 2005; 29:68–79.
Qual Saf Health Care. 2008 Feb; 17(1):6-10. doi: 10.1136/qshc.2006.019273. Adequacy
of information transferred at resident sign-out (in hospital handover of care):
a prospective survey. Borowitz SM1, Waggoner-Fountain LA, Bass EJ, Sledd
Chaboyer W, McMurray A, Johnson J, Hardy L, Wallis M, Chu FY. Bedside Handover:
Quality Improvement Strategy to "Transform Care at the Bedside". (in
press). Journal of Nursing Care Quality (prepublication print).
Alvarez, G., & Coiera, E. (2006). Interdisciplinary communication: An
uncharted source of medical error? Journal of Critical Care, 21(3),
McKenna L and Walsh K. (1997) Changing handover practices: one private
hospital’s experiences. Int J Nurs Pract; 3(2): 128-32.
Manse T. (2013) Fragmentation of patient safety research: a critical reflection
of Current human factors approaches to patient handover, Journal of Public
Health Research Vol23:e233
Thurgood, Graham (1995) Verbal handover reports: what skills are needed? British
journal of nursing, 4 (12). pp. 720-722. ISSN 0966-0461
Alvarado, K. (2007). Transfer of Accountability: Advancing Patient Safety
Through Shift-to-Shift Communication Standards. Paper presented at the
Improving clinical handover: sharing the lessons learnt, Sydney, N.S.W.,
Pothier D, Monteiro P, Mooktiar M, Shaw A. (2005) Pilot study to show the loss
of important data in nursing handover. Br J Nurs; 14(20): 1090-3.
Hughes RG 2008 Handoffs: Implications for Nurses - Patient Safety and Quality
www.ncbi.nlm.nih.gov › NCBI › Literature › Bookshelf
Kaur H, Kaur JS, Sharma K (2014) A Study to Assess the Knowledge Regarding
Legal Responsibilities in Nursing Vol. 2, Issue 1, (50-53),
Pfaff K. A; Baxter, P.E ; Jack, S; Ploeg MJ; 2014 Exploring new graduate nurse confidence in interprofessional
collaboration: A mixed methods study
Cresswell, K. M., Fernando, B., McKinstry, B., & Sheikh, A.
(2007). Adverse drug events in the elderly.British Medical Bulletin, 83(1),
Parker J, Gardner G, Wiltshire J. Handover: the collective narrative of nursing
practice. Australian Journal of Advanced Nursing 1992; 9: 31-37.
Joint Commission International: WHO Collaborating Centre for Patient Safety and
High 5s Initiative.
Wood K, Crouch R, Rowland E, Pope C (2014) Clinical handovers between
prehospital and hospital staff: literature review. Emerg Med J. 2014 Sep 1.
pii: emermed-2013-203165. doi: 10.1136/emermed-2013-203165.
Brixey JJ, Robinson DJ, Tang Z, Johnson TR, Zhang J, Turley JP (2005):86-90.
Interruptions in workflow for RNs in a Level One Trauma Center. AMIA Annu Symp
Jeffcott, S.A., Evans, S.M., Cameron, P.A., Chin, G. & Ibrahim, J.E. 2009.
Improving measurement in clinical handover. Quality & Safety in Health
McCann, L., McHardy, K. & Child, S. 2007. Passing the buck: clinical
handovers at a tertiary hospital. New Zealand Medical Journal. 120(1264):U2778-U2778.
McMurray, A., Chaboyer, W., Wallis, M. & Fetherston, C.
2010. Implementing bedside handover: strategies for change management. Journal
of Clinical Nursing. 19(17):2580-2589.
O'Connell, B. & Penney, W. 2001. Challenging the handover
ritual: recommendations for research and practice. Collegian. 8(3):14-18.
O'Connell, B., Macdonald, K. & Kelly, C. 2008.
Parker, J. 1996. Handovers in a changing health care climate. Nursing
Webster, J. 1999. Practitioner-centred research: an evaluation of the
implementation of the bedside hand-over. Journal of Advanced Nursing. 30(6):1375-1382.
Wilson, M.J. 2007. A template for safe and concise handovers. MEDSURG
Med J Aust. 2009 Jun 1;190(11 Suppl):S157-60. Examining communication and team
performance during clinical handover in a complex environment: the private
sector post-anaesthetic care unit.
Bucknall T, Cameron P, Johnstone MJ, Redley B, Evans S, Jeffcott S Sherlock, C.
(1995). The patient handover: A study of its form, function and efficiency. Nursing
Standard, 9(52), 33-36. Case study Applying the workload indicators of
staffing need (WISN) method in Namibia: challenges and implications for human
resources for health policy Pamela
Riitta-Liisa Kolehmainen-Aitken 2 and
Norbert Forster Human Resources for Health 2013, 11:64
doi:10.1186/1478-4491-11-64 The electronic version of this article is the
complete one and can be found online at: http://www.human-resources-health.com/content/11/1/64
Chaboyer W, McMurray A, Wallis M. Bedside nursing handover: A case study. International
Journal of Nursing Practice 2010; 16:27-34.
Kerr MP. A qualitative study of shift handover practice and function from a
socio-technical perspective. Journal of Advanced Nursing. 2002;37(2):125-34
Wolf Z. Learning the professional jargon of nursing during change of shift
report. Holistic Nursing Practice. 1989;4:78-83.