Clinical handover practices in maternity services in Ireland: A qualitative descriptive study.
OBJECTIVE
the objective was to examine and describe clinical handover practices in Irish maternity services.


METHODS
the study design incorporated interviews and focus group discussions with a purposive sample of healthcare practitioners working in Irish maternity services.


METHODS
five maternity hospitals and fourteen co-located maternity units.


METHODS
midwives, obstetricians and other healthcare professionals, specifically physiotherapists and radiologists, midwifery students and health care assistants working in maternity services.


RESULTS
the study participants provided nuanced and differentiated accounts of clinical handover practices, which indicated a general absence of formal policy and training on clinical handover and the practice of midwifery and medical teams holding separate clinical handovers based on their separate, respective needs for transferring information and clinical responsibility. Participants spoke of barriers to effective clinical handover, including unsuitable environments, lack of dedicated time and fatigue during duty shift clinical handover, lack of supportive information technology (IT) infrastructure, and resistance of some staff to the adoption of new technologies to support clinical handover.


CONCLUSIONS
whether internal and external to clinical handover events, the barriers to effective clinical handover represent threats to patient safety and quality of care, since effective clinical handover is essential to the provision of safe quality care.


CONCLUSIONS
clear and effective communication between collaborating professionals within maternity teams is essential.
UCD School of Nursing, Midwifery and Health Systems, University College Dublin, Ireland. Electronic address: gerard.fealy@ucd.ie.
Gerard
G
Fealy
School of Nursing and Midwifery, University of Limerick, Ireland.
Deirdre
D
Munroe
Department of Epidemiology and Public Health, University College Cork, Ireland.
Fiona
F
Riordan
Health Service Executive, Dublin, Ireland.
Eilish
E
Croke
Ireland East Hospital Group, Donnybrook, Dublin 4, Ireland.
Celine
C
Conroy
UCD School of Nursing, Midwifery and Health Systems, University College Dublin, Ireland.
Martin
M
McNamara
Institute of Leadership, Royal College of Surgeons in Ireland, Bahrain Campus, Ireland.
Michael
M
Shannon
D000328:Adult; D001291:Attitude of Health Personnel; D003142:Communication; D003266:Continuity of Patient Care / Q000592:standards; D005260:Female; D017144:Focus Groups; D006291:Health Policy; D006801:Humans; D007400:Interprofessional Relations; D007494:Ireland; D008297:Male; D008427:Maternal Health Services / Q000592:standards*; D008875:Middle Aged; D062209:Patient Handoff / Q000592:standards*; D061214:Patient Safety / Q000592:standards; D011247:Pregnancy; D036301:Qualitative Research
Care; Clinical; Focus group; Handover; Interview; Ireland; Maternity; Practice