Turkish Validation and Reliability Study of the 'HANDOFF-CEX' Patient Handover Scale

Abstract

Giriş: Hastaneler, 24 saat boyunca kesintisiz sağlık hizmeti sunan kuruluşlardır. Sağlık hizmetlerinin kesintisiz bir şekilde sunulabilmesi, hemşirelerin 24 saat boyunca çalışması ile mümkündür. Hemşireler arasında nöbet değişimi sırasında bilginin etkili bir şekilde aktarılması, hemşirelik bakımının devamlılığını sağlamak için kritik öneme sahiptir. Yöntem: Bu çalışmanın amacı, hemşirelerin nöbet devir işlemlerinin kalitesini nesnel olarak değerlendirmek için "Handoff CEX" devir teslim ölçeğinin Türkçe versiyonunun geçerlilik ve güvenilirliğini değerlendirmektir. Dahiliye, cerrahi tıp ve yoğun bakım ünitelerinde görev yapan hemşireler tarafından toplamda 99 devir teslim anketi gerçekleştirilmiştir. Her bir devir teslim işlemi, bağımsız olarak iki gözlemci tarafından değerlendirilmiş ve toplamda 396 devir teslim değerlendirmesi yapılmıştır. Veriler SPSS 25.0 kullanılarak analiz edilmiş; sosyodemografik bilgiler, devir teslim süreçlerinin değerlendirilmesi, memnuniyet puanları, madde analizi, açıklayıcı faktör analizi ve Cronbach alfa kullanılarak güvenilirlik testine odaklanılmıştır. Bulgular: Handoff CEX ölçeğinin Türkçe versiyonu, giden hemşire için 0.925 ve gelen hemşire için 0.914 Cronbach alfa değerleri ile yüksek güvenilirlik göstermiştir. İçerik geçerliliği, 0.96 CVI ile doğrulanmıştır. Faktör analizi, 0.745 ile 0.935 arasında değişen yüksek faktör yüklemeleri göstermiştir. Gözlemciler arası güvenilirlik için Kappa istatistikleri düşük çıkmış olup, gözlemci eğitiminde iyileştirmelere ihtiyaç olduğunu göstermektedir. Sonuç: Türkçeye uyarlanan Handoff CEX ölçeği, hasta devir teslim süreçlerini değerlendirmek için geçerli ve güvenilir bir ölçüm aracıdır. Sağlık kurumlarında sürekli kullanımı, hemşirelerin iletişim becerilerinin ve hasta bakım kalitesinin uzun vadede gelişimine katkıda bulunacaktır.

Keywords

• Devir teslim
• Hemşirelik
• Geçerlilik
• Güvenilirlik
• Ölçek

Supporting Institution

none

Ethical Statement

Ethical Aspect of the Study Prior to the research, approval from Hasan Kalyoncu University Non-Interventional Research Ethics Committee (decision no: 2023/19) and institutional permission from the hospital where the research would be conducted (Number: 19) were obtained. In addition, permission was obtained via e-mail from the author of the original scale for the validity and reliability analyses. Written and verbal consent was also obtained from the nurses who agreed to participate in the study. The study adhered to the Declaration of Helsinki on Human Rights.

Thanks

Acknowledgements The authors would like to thank all the nurses who participated in this study for their time and valuable contributions. We also extend our gratitude to the experts who provided insightful feedback during the scale adaptation process.

Turkish Validation and Reliability Study of the 'HANDOFF-CEX' Patient Handover Scale

Abstract

Abstract Aim: Hospitals operate continuously, providing healthcare services around the clock. The seamless delivery of health services relies on nurses working 24 hours a day. Ensuring the effective transfer of information between shifts is crucial for maintaining the continuity of nursing care. Methods: This study aims to assess the validity and reliability of the Turkish version of the "Handoff CEX" handoff scale to gauge the quality of nurses' handoff practices objectively. A total of 99 handoff surveys were carried out by participating nurses in internal medicine, surgical medicine, and intensive care units. Each handoff was independently assessed by two observers, resulting in 396 handoff evaluations. Data were analyzed using SPSS 25.0, focusing on sociodemographic information, evaluations of handoff processes, satisfaction scores, item analyses, explanatory factor analysis, and reliability testing through Cronbach’s alpha. Results: The Turkish version of the Handoff CEX scale showed high reliability with Cronbach’s alpha values of 0.925 for the outgoing nurse and 0.914 for the incoming nurse. Content validity was confirmed with a CVI of 0.96. Factor analysis indicated high factor loadings, with values ranging from 0.745 to 0.935. Kappa statistics for inter-rater reliability were low, indicating a need for further refinement in observer training. Conclusion: The Handoff CEX scale adapted into Turkish is a valid and reliable measurement tool for evaluating patient handoff processes. Its continuous use in health institutions will contribute to the long-term development of nurses' communication skills and the quality of patient care.

Keywords

• Handoff
• Nursing
• Validation
• Reliability
• Scale

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