Date of Award


Document Type


Degree Name

Master of Science in Nursing (MScN)

First Supervisor/Advisor

Dr, Salma Rattani


School of Nursing and Midwifery, Pakistan


Background: The exchange of the shift changeover report of patient, from nurse to nurse at the patient's bedside is known as "bedside handover." Although this method is becoming more and more popular in the nursing sector, not many people genuinely practice it.
Purpose: To determine the different factors impacting nurses' compliance and to evaluate the compliance rate of nurses to comply with bedside handover guidelines.
Methods: A cross-sectional observational study was conducted in the medical surgical ward at the Aga Khan University Hospital, Karachi. During the study, the structured bedside handover technique known as "kardex," which adheres to SBAR (Situation, background, assessment, recommendations), that was already being used in the hospital setting was converted into binary scale checklist and was utilized. The clinical instructor and researcher at same time observed 26 participants together in order to improve reliability, and inter-rater agreement was computed. Cohen’s Kappa value (1.000) depicts perfect agreement between two raters. Regression, independent T-test, one-way ANOVA, and descriptive statistics were used to analyse the data.
Results: The observed data had a mean compliance of 69.1 and a standard deviation of 18.6. The mean compliance's 95% confidence interval (CI) spans from 65.9 to 72.3 (95% CI [65.9, 72.3]). A number of parameters were considered in the analysis of the compliance rates. Moderate adherence to protocols was seen in the age groups of 20–30 and 31–40 years, with 67.8% and 69.0%, respectively. There was a notable difference in adherence between the sexes, with women showing greater levels at 72.1% and men at 55.8%. There was no discernible influence of qualifications on compliance. At shift handovers, however, unique trends emerged, night shifts had the highest compliance (74.4%), followed by evening shifts (71.0%) and morning shifts (64.9%). Interestingly, at 77.1%, nurses with more than five years of experience showed the strictest adherence. These findings highlight a range of factors that affect compliance rates, demonstrating different adherence levels among nurses based on age, gender, shift schedules, and experience.
Conclusion: Key trends in compliance are shown by the data analysis comprising 131 nurses from an array of demographic backgrounds. Compliance is non-significant with age, while it is highly influenced by gender, with younger people and female adhering to more rules. Experience levels show a significant link that favours people with 6 to 15 years of experience, while qualifications have little bearing. Compliance is somewhat impacted by shift assignments; nurses working the night shift have the highest mean compliance. Additionally, there is no discernible impact of the selected handover technique on compliance. For healthcare facilities looking to enhance bedside handover procedures for better patient care and safety, these findings provide practical insights.

Included in

Nursing Commons