Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ)
| Autor: | J. Bryan Sexton, Michael Block, Shelley B. Saber, Desiree Sokoli, Njoki Ng’ang’a, Milija Milic, Virginia M. Cuce, Mark D. Schlesinger, Jacqueline Weinbach, Jean F. Ehrenworth, Judith A. Urgo |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Psychometrics Quality Assurance Health Care Leadership and Management media_common.quotation_subject Burnout Job Satisfaction Cronbach's alpha Pregnancy Surveys and Questionnaires Medicine Humans Operations management Prospective Studies Obstetric nursing Burnout Professional media_common Patient Care Team Teamwork Labor Obstetric New Jersey business.industry Patient Handoff Reproducibility of Results Continuity of Patient Care Delivery Obstetric Handover Job satisfaction Female Health Services Research business Quality assurance |
| Zdroj: | Joint Commission journal on quality and patient safety. 39(5) |
| ISSN: | 1553-7250 |
| Popis: | Article-at-a-Glance Background A prospective, nonblinded intervention study was conducted (1) to evaluate the psychometric properties of a new questionnaire, the CHEQ (Coordination of Handoff Effectiveness Questionnaire) for measuring the quality of handoff interactions in labor and delivery (L&D) and (2) to demonstrate the utility of the CHEQ in evaluating the effectiveness of a previously described intervention, the tangible handoff, for standardizing handoffs in L&D. Methods The CHEQ incorporates three existing handoff-related scales: teamwork climate, job satisfaction, and burnout. Two new scales—information quality and process quality—were developed, refined, and evaluated. The CHEQ was administered to 56 eligible L&D nurses pre- and post-implementation of the tangible handoff intervention. Results Baseline and postintervention response rates for the CHEQ were 98% and 84%, respectively. Overall, the teamwork climate scale significantly improved from 57.17% to 68.35% ( t = −2.84, p=.006), and the burnout scale significantly decreased from 49.70% to 36.21% ( t = −2.56, p = .012) following implementation of the tangible handoff. Job satisfaction improved, although not at a statistically significant level. Cronbach's alpha results ranged from .68 to .96 for all scales, both pre- and post-intervention. Conclusions The CHEQ is psychometrically sound for evaluating handoff quality, is practical to administer, achieves high response rates, and is amenable to straightforward statistical analysis. The CHEQ is useful for evaluating handoff quality and gauging the responsiveness to a unit-level intervention in the scope of unit-level climate. The CHEQ may be replicated or adapted for other clinical areas to investigate handoffs and inform the design and evaluation of handoff interventions. |
| Databáze: | OpenAIRE |
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