Effects of perceived nursing delivery type, errors in handover, and missed nursing care on the nursing performance of hospital nurses 

Abstract

Background In clinical practice, the prioritization of task-oriented care over patient-centered care, due to nursing staff shortages, highlights the need for an effective handover process to prevent adverse patient outcomes. This study aims to assess the current state of the nursing delivery system, focusing on handover errors, missed nursing activities, and their effect on nursing performance—including turnover intention. Methods This study performed a survey involving 300 clinical nurses. The survey, conducted using both online and paper questionnaires, comprised a structured self-reporting tool covering various aspects, including nursing delivery system type, turnover intention, and nursing performance. SPSS 25.0 software was used for the analysis. Results Factors influencing turnover intention included high labor intensity, low wages, and workplace relationships. Missed nursing activities negatively affected performance, while higher education and advanced positions demonstrated positive effects. Handover errors emerged as a significant factor impacting turnover intention, with module nursing exerting the most significant influence. Conclusions Based on the findings, this study recommends nursing management interventions to address missed activities and enhance overall performance. The findings provide valuable insights for managers to identify causes of poor performance and nurses’ turnover, and implement targeted strategies to lay the groundwork for future research on the intricate relationship between the type of nursing delivery system and nursing performance. This study contributes to the ongoing discourse on optimizing nursing care in the face of staffing challenges, emphasizes the critical role of effective handovers, and suggests practical avenues for improvement in nursing service quality.