Impact of Video-based Handover Training on Nursing Students' Teamwork Attitude: A Mixed-Methods Study

Generation Z nursing students, accustomed to text and video communication, face challenges in direct interaction, relationship building, and clinical adaptation. This study aims to investigate the effects of handover training using video-based debriefings on nursing students' teamwork attitudes. This mixed-methods study employed a sequential exploratory design. The study was conducted from March to October 2024. Handover training using video-based debriefings was administered to 37 fourth-year nursing students. Pre-test and post-test surveys assessing teamwork attitudes were conducted, and 15 participants engaged in individual interviews. Teamwork attitudes were analyzed using a paired t-test, and the qualitative data were analyzed using content analysis. Teamwork attitudes significantly improved from 4.28 to 4.58 out of 5. Three themes emerged: (1) recognizing handover-related challenges that hinder patient care provision; (2) learning the power of collaboration to support continuity of care; and (3) achieving patient-centered care through effective teamwork. Handover training using video-based debriefings effectively enhances communication, collaboration, and nursing students' understanding of teamwork by fostering both self-reflection and peer reflection. These improvements are anticipated to ultimately support the delivery of safer, high-quality, and patient-centered care.