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Improving interprofessional handover on labor and delivery: A needs assessment study.

Wynne I Leung1, Crystal Emery2, Rylan Egan2

  • 1Faculty of Medicine, Department of Obstetrics and Gynecology, University of Calgary, Calgary, AB, Canada.

Journal of Interprofessional Care
|June 15, 2021
PubMed
Summary

Improving interprofessional labor and delivery handover meetings enhances team communication and situational awareness. Findings suggest a need for defined processes, reduced intimidation, and greater inclusivity for midwives to optimize clinical information transfer.

Keywords:
Interprofessional handoverinterprofessional communicationmidwiferynursingobstetricssituational awareness

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Area of Science:

  • Healthcare Management
  • Clinical Communication
  • Patient Safety

Background:

  • Effective clinical handover is crucial for patient safety and care continuity.
  • Interprofessional collaboration in labor and delivery requires efficient information exchange.
  • Current handover practices may present challenges impacting team dynamics and information accuracy.

Purpose of the Study:

  • To assess the needs and perceptions of interprofessional labor and delivery handover.
  • To identify opportunities for improving current handover meetings.
  • To explore participant experiences with team communication and situational awareness during handover.

Main Methods:

  • A constructivist paradigm guided the needs assessment.
  • 28 semi-structured interviews were conducted with healthcare providers.
  • Inductive thematic analysis was used to interpret qualitative data.

Main Results:

  • Interprofessional handover positively impacts situational awareness, relationships, and communication.
  • A more defined process is needed to enhance handover effectiveness.
  • Participants reported feelings of intimidation during handover meetings.
  • Increased inclusivity of midwives in labor and delivery handover is recommended.

Conclusions:

  • Formalizing the scope and process of interprofessional handover meetings is essential.
  • Strategies to reduce intimidation and enhance midwife integration are necessary.
  • Continued focus on improving interprofessional relationships is vital for optimal labor and delivery care.