Student Name Capella University NURS-FPX 6212 Health Care Quality and Safety Management Prof. Name Date Planning for Change: A Leader’s Vision Respected leaders and stakeholders of (mention your organization), my name is Grace. I am presenting a strategic proposal focused on strengthening patient safety and care quality by resolving communication breakdowns during nursing handoffs. Effective transfer of patient information between outgoing and incoming nurses is essential for continuity of care, reduction of preventable harm, and improved organizational performance. This proposal outlines evidence-based actions to close existing communication gaps and build a sustainable safety culture. Presentation Objectives This presentation addresses the following objectives: Background of the Organizational Problem Ineffective nursing handoffs remain a critical operational and patient safety concern in (mention your organization). Internal performance dashboards indicate that communication failures contribute to approximately 25 adverse events per 1,000 patient days. These incidents may lead to delayed treatment, repeated interventions, incomplete care plans, medication errors, and lower patient satisfaction. Research shows that inaccurate transfer of clinical information significantly increases the risk of patient harm and resource waste (Kim et al., 2021). Within the organization, these issues are largely linked to inconsistent handoff methods, lack of standardized procedures, environmental interruptions, and variation in the quality of information shared between staff members. A formal improvement initiative is therefore necessary. What Is the Proposed Quality and Safety Improvement Plan? The proposed strategy uses three integrated interventions designed to improve consistency, efficiency, and reliability during nursing handoffs. Intervention Description Expected Impact Standardized Communication Protocols Introduce SBAR (Situation, Background, Assessment, Recommendation) for all nursing handovers. Reduces omitted information and improves clarity (Putri & Afandi, 2023). Technology Integration Add electronic handoff tools and checklists into the EHR system. Enhances real-time access to patient data and reduces documentation gaps (Panda, 2020). Interruption-Free Handoffs Establish designated times and quiet spaces for handovers. Improves concentration, accuracy, and patient safety (Alcalá et al., 2023). When implemented together, these interventions can reduce preventable errors, strengthen teamwork, and improve continuity of care. Which Organizational Functions and Behaviors Affect Current Performance? Several internal systems and workplace behaviors currently influence the quality and safety of patient care. Organizational Feature Current Condition Effect on Outcomes Handoff Processes Practices differ between units and staff members. Increases inconsistency and risk of missed information (Cruchinho et al., 2023). EHR Functionality Existing EHR lacks structured handoff templates. Limits efficiency and creates documentation gaps (Panda, 2020). Reporting Culture Staff may view incident reporting as punitive. Reduces transparency and learning opportunities (Abuosi et al., 2022). Environmental Interruptions Frequent distractions during shift changes. Reduces communication quality and accuracy. What Knowledge Gaps Need Further Attention? The organization should also assess unresolved operational questions, including: What Outcome Measures Should Be Used? To evaluate the success of the improvement plan, measurable indicators should be tracked before and after implementation. NURS FPX 6212 Assessment 4 Planning for Change: A Leader’s Vision Outcome Measure Purpose Strengths Limitations Adverse Events Measures safety incidents linked to communication failures. Direct indicator of patient harm reduction. Underreporting may affect accuracy (Khalaf, 2023). Patient Satisfaction Scores Measures patient perception of care coordination. Reflects communication impact on care experience. Influenced by unrelated service issues (Kim et al., 2021). Staff Compliance Rates Tracks adherence to handoff protocols. Encourages accountability and standardization. Requires audits and ongoing monitoring (Ali, 2023). How Can Improved Outcomes Be Achieved? Standardized Handoff Protocols A consistent communication model should be selected and implemented across all departments. Technology Integration Technology should support rather than complicate handoffs. NURS FPX 6212 Assessment 4 Planning for Change: A Leader’s Vision Interruption-Free Handoff Environment Environmental controls are essential for communication quality. What Is the Future Vision for the Organization? The future vision for (mention your organization) is a healthcare environment where safe communication is embedded into daily nursing practice. Handoffs should become standardized, efficient, and supported by technology. Staff should feel psychologically safe to report errors, suggest improvements, and participate in shared learning. This vision includes: What Role Do Nurse Leaders Play? Nurse leaders are central to successful transformation. Their responsibilities include: Leadership Responsibility Strategic Value Promote standardized protocols Ensures organization-wide consistency. Support technology adoption Improves workflow efficiency and data reliability. Model transformational leadership Builds trust, motivation, and accountability (Ystaas et al., 2023). Encourage collaboration Strengthens teamwork across disciplines (Jerab & Mabrouk, 2023). Sustain improvement efforts Prevents regression after implementation. Strong nursing leadership is necessary to move the organization from reactive problem-solving to proactive quality management. Conclusion Communication failures during nursing handoffs represent a significant threat to patient safety and organizational performance in (mention your organization). However, these risks can be substantially reduced through standardized protocols, EHR-supported communication tools, and interruption-free handoff environments. Tracking adverse events, patient satisfaction, and staff compliance will help determine whether interventions are producing measurable gains. Most importantly, nurse leaders must champion accountability, innovation, and collaboration to ensure these improvements are sustained over time. A high-performing healthcare organization is built on reliable communication, continuous learning, and leadership commitment. Strengthening nursing handoffs is therefore not only an operational priority but also a strategic investment in safer patient care. References Abuosi, A. A., Poku, C. A., Attafuah, P. Y. A., Anaba, E. A., Abor, P. A., Setordji, A., & Nketiah-Amponsah, E. (2022). Safety culture and adverse event reporting in Ghanaian healthcare facilities: Implications for patient safety. PLOS ONE, 17(10), e0275606. https://doi.org/10.1371/journal.pone.0275606 Alcalá, P. J., Garau, A. D., Fernández, M. J. S., Reina, C. C., Pernas, P. D., Hernández, A. A., & Marrodán, B. R. (2023). Safe handoff practices and improvement of communication in different paediatric settings. Anales de Pediatría (English Edition), 99(3), 185–194. https://doi.org/10.1016/j.anpede.2023.08.008 NURS FPX 6212 Assessment 4 Planning for Change: A Leader’s Vision Ali, A. Q. (2023). Nurses’ compliance with handover practices in adult medical surgical units at a tertiary care hospital in Karachi, Pakistan. Aga Khan University. https://ecommons.aku.edu Cruchinho, P., Teixeira, G., Lucas, P., & Gaspar, F. (2023). Influencing factors of nurses’ practice during the bedside handover: A qualitative evidence synthesis protocol. Journal of Personalized Medicine, 13(2), 267. https://doi.org/10.3390/jpm13020267 Jerab, D. A., & Mabrouk, T. (2023). The role of leadership in changing organizational culture. Social Science Research Network. https://doi.org/10.2139/ssrn.4574324 Khalaf, Z. (2023).

Student Name Capella University NURS-FPX 6212 Health Care Quality and Safety Management Prof. Name Date Outcome Measures, Issues, and Opportunities Communication breakdowns during nursing handovers remain a significant quality and safety concern in (mention your organization). This report is designed for executive leaders and key stakeholders to evaluate current risks, review measurable outcomes, and identify realistic opportunities for improvement. Strengthening handoff communication can improve patient safety, decrease avoidable incidents, and reinforce organizational accountability. Effective handovers are essential to continuity of care because they ensure that accurate and timely patient information is transferred between outgoing and incoming staff. When communication is incomplete, delayed, or inconsistent, the likelihood of medication errors, treatment delays, duplicated tasks, and patient dissatisfaction increases. For this reason, examining the current handover system within (mention your organization) is necessary to support a structured performance improvement strategy. Analysis of High-Performing Settings High-performing healthcare organizations consistently demonstrate stronger patient outcomes because they rely on structured systems, disciplined communication practices, and a culture of continuous improvement. These organizations prioritize teamwork, clarity, accountability, and evidence-based decision-making (Sinnaiah et al., 2023). What practices are common in high-performing healthcare organizations? Practice Area Description Expected Benefit Standardized Handoff Protocols Use of formal handover tools that are routinely reviewed and updated Greater consistency and fewer communication errors Leadership Accountability Leaders promote transparency, learning, and non-punitive reporting systems Increased staff trust and error reporting Ongoing Staff Education Regular competency training and refresher sessions Improved communication skills and protocol adherence Interdisciplinary Collaboration Team meetings involving multiple disciplines to discuss care transitions Better coordination and reduced fragmentation Leaders in these settings often create psychologically safe environments where employees can report mistakes without fear of blame, allowing the organization to learn from incidents and improve processes (van Baarle et al., 2022). In addition, interdisciplinary rounds and collaborative meetings improve coordination during transitions of care (Leykum et al., 2023). What gaps still exist in high-performing settings? Although these organizations perform well, some unresolved issues remain: Further research in these areas may strengthen long-term handoff effectiveness. Organizational Functions, Processes, Behaviors, and Outcome Measures Operational systems, workforce behaviors, and communication standards directly influence organizational performance indicators such as adverse events, patient satisfaction, and compliance with protocols. Organizations that promote teamwork, process reliability, and continuous quality improvement usually report better outcomes (Sinnaiah et al., 2023). How can (mention your organization) improve results? Improvement Strategy Operational Effect Expected Outcome Standardized Handoff Protocols Creates consistency during shift changes Fewer preventable incidents Blame-Free Reporting Culture Encourages open reporting of risks and errors Improved learning and compliance Staff Training Programs Builds communication competency Better handover accuracy Interdisciplinary Collaboration Enhances teamwork across departments Improved continuity of care A combination of regular education, clear leadership expectations, and staff engagement can improve handoff quality and patient experience. However, successful execution depends on sufficient staffing, leadership sponsorship, and resource availability. Identification of Quality and Safety Outcomes and Measures Tracking measurable indicators is necessary to determine whether communication improvement efforts are effective. (mention your organization) currently monitors several core performance measures. Current Performance and Target Goals Outcome Measure Current Status Target Goal Adverse Events (per 1000 patient days) 25 15 Patient Satisfaction (%) 70 85 Staff Compliance with Protocols (%) 65 90 Which interventions can help achieve these targets? Intervention Target Compliance Purpose SBAR Communication Model 90% Standardizes transfer of critical information EHR Handoff Integration 90% Improves access to patient data and continuity Interruption-Free Handover Zones 90% Reduces distractions during communication Training, Audits, and Checklists 85–100% Reinforces accountability and skill development Structured tools such as SBAR (Situation, Background, Assessment, Recommendation) improve the clarity and completeness of handoff communication (Chien et al., 2022). Likewise, integrating checklists into electronic health records can support reliable information exchange (Panda, 2020). Minimizing interruptions during shift transitions can also reduce communication failures (Teigné et al., 2023). These recommendations are supported by internal dashboards, audit findings, and peer-reviewed evidence, making them appropriate for evidence-based implementation. Performance Issues or Opportunities Ineffective handover communication remains a priority concern in (mention your organization) because inconsistent practices create unnecessary risk. What problems are currently affecting handovers? What are the consequences of these problems? Risk Area Impact Patient Safety Increased chance of adverse events Patient Experience Lower satisfaction scores Compliance Reduced adherence to internal protocols Staff Efficiency Rework, delays, and frustration These findings align with evidence showing that communication inconsistency and interruptions negatively affect safety outcomes (Chien et al., 2022; Teigné et al., 2023). What opportunities exist for improvement? Potential barriers may include resistance to change, budget constraints, and entrenched workplace habits. Addressing these barriers early can improve adoption rates. Strategy for Outcome Measurement and Knowledge Sharing The Plan-Do-Study-Act (PDSA) model offers a practical framework for implementing and evaluating communication improvements through continuous testing and refinement (Kay et al., 2022). NURS FPX 6212 Assessment 3 Outcome Measures, Issues, and Opportunities How should the PDSA model be applied? Phase Actions Plan Identify handoff risks, develop protocols, assign responsibilities, define metrics Do Pilot the process in selected units and train staff Study Review outcomes, audit compliance, collect employee feedback Act Refine the process and scale implementation across the organization How should knowledge be shared across the organization? Knowledge-Sharing Method Purpose Interdisciplinary Meetings Discuss challenges and best practices Digital Learning Platforms Share protocols, updates, and training tools Mentorship Programs Support peer learning and skill transfer Cross-Department Improvement Teams Promote enterprise-wide learning Mentorship and peer review systems can also strengthen workforce capability and communication confidence (Hookmani et al., 2021). A structured knowledge-sharing model supports long-term sustainability of handoff improvements. Conclusion Improving nursing handover communication in (mention your organization) represents a strategic opportunity to strengthen safety, operational reliability, and patient experience. By standardizing handoff procedures, promoting a just culture, leveraging technology, and continuously measuring results, the organization can reduce preventable harm and improve care continuity. Executive leadership commitment will be essential for sustaining these improvements. References Abuosi, A. A., Poku, C. A., Attafuah, P. Y. A., Anaba, E. A., Abor, P. A., Setordji, A., & Nketiah-Amponsah, E. (2022). Safety culture and adverse event reporting in Ghanaian healthcare facilities: Implications for patient safety. PLOS ONE, 17(10), e0275606. https://doi.org/10.1371/journal.pone.0275606 Chien, L. J., Slade, D.,

Student Name Capella University NURS-FPX 6212 Health Care Quality and Safety Management Prof. Name Date Executive Summary Adverse events remain a persistent concern across healthcare settings and are closely tied to breakdowns in communication during clinical transitions, particularly nursing handoffs. Within [Insert Organization Name], the absence of a unified handoff framework, combined with frequent workflow interruptions and inconsistent information transfer, has created a measurable gap in care continuity and patient safety. These communication deficiencies negatively influence both clinical outcomes and organizational performance. Ineffective handoffs increase the likelihood of preventable harm, disrupt care coordination, and reduce patient confidence in services. Addressing this gap is therefore not only a clinical priority but also a strategic necessity for improving safety outcomes and operational efficiency. Quality and Safety Outcomes Measures What are the critical quality and safety outcome measures to evaluate ineffective handoff communication? Ineffective handoff communication is strongly associated with preventable clinical complications, including medication errors, redundant interventions, extended hospital stays, and increased mortality risk (Kim et al., 2021). To evaluate the impact of communication breakdowns, healthcare organizations rely on structured outcome indicators that reflect both safety and service quality. Adverse Events Adverse event frequency is a direct indicator of patient safety performance. At [Insert Organization Name], the current rate is 25 events per 1,000 patient days. Strengthening handoff communication is expected to improve accuracy in clinical information transfer, thereby reducing preventable harm (Khalaf, 2023). However, underreporting due to fear of punitive action remains a recognized limitation in interpreting this measure. Patient Satisfaction Scores Patient satisfaction reflects the perceived quality of care, including communication effectiveness, responsiveness, and overall experience. Current data indicates a satisfaction rate of 70%. While improved handoff communication can enhance patient experience, satisfaction scores may also be influenced by unrelated factors such as waiting times, environment, and staff interaction quality (Ghosh et al., 2021). Staff Compliance with Protocols Compliance with standardized handoff procedures is essential for ensuring consistency in care delivery. The current compliance level among nursing staff is 60% (Ali, 2023). Although structured communication tools can improve adherence, ongoing monitoring requires significant administrative effort and continuous auditing mechanisms. Table 1. Summary of Outcome Measures Outcome Measure Current Status Desired Status / Target Strengths Limitations Adverse Events 25 per 1,000 patient days 15 per 1,000 patient days Direct reflection of patient safety outcomes Potential underreporting due to fear or organizational culture Patient Satisfaction Score 70% satisfied 85% satisfied Captures patient-centered experience and perceived quality Influenced by external non-clinical factors Staff Compliance with Protocols 60% compliance 95% compliance Promotes standardized and safe communication practices Requires continuous monitoring and resource investment Strategic Value of Outcome Measures in the Organization Why are these outcome measures strategically important for the organization? Outcome measures provide [Insert Organization Name] with actionable insights into system performance, enabling leadership to identify safety risks and prioritize quality improvement initiatives. Monitoring adverse events supports early detection of systemic failures and facilitates targeted corrective interventions, strengthening overall patient safety frameworks (Vikan et al., 2023). Patient satisfaction metrics are strategically significant because they influence institutional reputation, patient retention, and financial performance. Higher satisfaction levels are often associated with improved trust and perceived quality of care (Ghosh et al., 2021). Similarly, compliance with standardized protocols ensures consistency in clinical practice, reduces variability in care delivery, and enhances operational efficiency (Ali, 2023). When integrated, these indicators allow organizations to develop a data-driven quality management system that aligns clinical outcomes with strategic goals. The Relationship Between Problem and Outcome Measures How does ineffective handoff communication affect outcome measures? Ineffective handoff communication has a direct and measurable impact on safety, experience, and compliance indicators within [Insert Organization Name]. Additional data sources such as incident reporting systems, staff surveys, and patient feedback collected during handoff periods provide deeper insight into recurring system failures. Integrating these datasets strengthens organizational understanding of communication-related risks and supports targeted improvement strategies (Umberfield et al., 2019; Ali, 2023). Outcome Measures and Strategic Initiatives What strategic initiatives can improve handoff communication and associated outcomes? Improving handoff communication requires structured, technology-supported, and behaviorally reinforced interventions. Key initiatives include standardized communication protocols, electronic health record (EHR) integration, and minimizing environmental interruptions during shift transitions. Table 2. Strategic Initiatives and Outcome Alignment Initiative Outcome Measure Impact Expected Benefit Standardized Handoff Protocols Reduces adverse events and improves staff compliance Ensures consistent, structured information exchange EHR Integration Decreases adverse events and improves patient satisfaction Enhances accuracy and accessibility of clinical data Interruption-Free Environment Improves staff compliance Supports focused communication and reduces cognitive errors Current performance benchmarks include: These initiatives align with evidence-based strategies that emphasize structured communication, digital support tools, and workflow optimization to improve safety outcomes (Chien et al., 2022; Panda, 2020; Teigné et al., 2023). Leadership Role in Supporting Proposed Changes What is the role of leadership in implementing practice changes? Leadership plays a central role in driving sustainable improvements in communication practices by establishing expectations, allocating resources, and promoting a culture of safety and accountability (Musaigwa, 2023). Effective leadership ensures that staff receive appropriate training, have access to necessary digital tools, and operate within clearly defined communication protocols. A key leadership responsibility involves fostering interprofessional collaboration. Successful implementation of handoff improvements requires coordination among nurses, physicians, IT professionals, and administrative teams. Regular interdisciplinary meetings, structured training sessions, and continuous feedback loops support shared accountability and consistent practice adoption (Samardzic et al., 2020). Through active engagement and organizational support, leadership ensures that communication improvements are embedded into daily workflows rather than treated as isolated interventions. References Ali, A. Q. (2023). Nurses’ compliance with handover practices in adult medical surgical units at a tertiary care hospital in Karachi, Pakistan. Aga Khan University. https://ecommons.aku.edu/cgi/viewcontent.cgi?article=3086&context=theses_dissertations Chien, L. J., Slade, D., Dahm, M. R., Brady, B., Roberts, E., Goncharov, L., Taylor, J., Eggins, S., & Thornton, A. (2022). Improving patient‐centred care through a tailored intervention addressing nursing clinical handover communication in its organizational and cultural context. Journal of Advanced Nursing, 78(5), 1413–1430. https://doi.org/10.1111/jan.15110 NURS FPX 6212 Assessment 2 Executive Summary Ghosh, S., Ramamoorthy, L., & Pottakat, B. (2021). Impact of structured clinical handover protocol on communication and patient satisfaction. Journal of Patient Experience,

Student Name Capella University NURS-FPX 6212 Health Care Quality and Safety Management Prof. Name Date Quality and Safety Gap Analysis Adverse events in healthcare are often not the result of a single mistake but rather arise from broader system-level weaknesses such as fragmented workflows, insufficient staff preparation, and breakdowns in communication. In the selected practice setting, one of the most persistent concerns is poor coordination among healthcare professionals, particularly during nursing shift handoffs. When critical patient information is not transferred accurately or completely, patient safety is directly compromised. Ineffective handoff communication has been repeatedly identified as a major contributor to preventable clinical errors. Strengthening this process is therefore essential to improving care quality, reducing harm, and building a stronger safety culture within the organization. Organizational Problem and Knowledge Gaps/Areas of Uncertainty What are the key problems associated with ineffective handoff communication among nurses? Breakdowns in nursing handoffs commonly lead to missing or incomplete patient information. This can result in medication errors, delays in treatment, duplication of diagnostic tests, and deterioration in patient outcomes. Evidence indicates that communication failures during transitions of care significantly contribute to adverse events, with studies reporting that a substantial proportion of patient safety incidents are linked to ineffective handoff processes (Kim et al., 2021). In the current practice setting, inconsistent communication practices are often driven by workload pressures, time limitations, lack of standardized procedures, and insufficient formal training in structured communication techniques. As a result, nurses tend to rely on individual approaches rather than a unified system, increasing variability and the likelihood of errors. Contributing Factors Impact on Care Delivery Lack of standardized handoff protocol Inconsistent and incomplete patient information transfer High workload and time pressure Rushed communication and missed details Frequent interruptions Loss of critical clinical information Limited communication training Reduced clarity and structure in reporting Uncontrolled interruptions during handoffs further disrupt the flow of communication and reduce accuracy. If these issues remain unresolved, they may lead to unnecessary readmissions, increased healthcare costs, and avoidable harm (Chien et al., 2022). Despite recognition of the issue, uncertainty remains regarding the most effective communication models, optimal integration of digital tools, and adaptability across different clinical environments. Proposed Practice Changes within the Organization How can the organization address the handoff communication gap? To improve communication reliability and patient safety in the organization, several evidence-based interventions are proposed: Practice Change Description Expected Outcome Supporting Evidence Standardized SBAR handoff framework Implementation of Situation, Background, Assessment, Recommendation structure Ensures completeness and reduces communication gaps Chien et al., 2022 Electronic handoff systems Integration of EHR-based structured handoff tools Improves data accuracy and accessibility Panda, 2020 Protected handoff time and environment Designated quiet periods for shift reporting Reduces interruptions and improves focus Teigné et al., 2023 Standardization through SBAR ensures that essential patient details are consistently communicated. Digital tools strengthen documentation accuracy, while structured time allocation reduces environmental distractions that often disrupt clinical communication. Prioritization of the Proposed Practice Changes The recommended interventions should be implemented in a staged approach to maximize effectiveness: This sequence ensures that both behavioral and technological aspects of communication are aligned before enforcing environmental controls. Quality and Safety Culture and its Evaluation How do the proposed changes foster a culture of safety? The integration of structured communication tools, digital systems, and interruption-free environments promotes consistency and shared accountability among nursing staff. These interventions encourage teamwork, improve trust in shared information, and reinforce a collective commitment to patient safety (Gaing et al., 2024). Leadership involvement further strengthens this culture by demonstrating organizational commitment to safety priorities and continuous improvement (Teigné et al., 2023). However, potential barriers such as resistance to change, varying levels of technological literacy, and hierarchical communication patterns may affect adoption. Continuous training and leadership reinforcement are therefore essential to ensure long-term success. NURS FPX 6212 Assessment 1 Quality and Safety Gap Analysis Criteria to Evaluate the Culture Change Evaluation Criterion Method of Assessment Supporting Reference Compliance with SBAR protocol Audit of handoff documentation Panda, 2020 Effectiveness of digital tools System analytics and staff feedback Panda, 2020 Reduction in communication-related errors Incident report comparison (pre/post) Kim et al., 2021 Team collaboration and communication quality Surveys and observational assessment Gaing et al., 2024 These evaluation measures provide both quantitative and qualitative insights into improvements in communication practices and patient safety outcomes. Culture Affecting Quality and Safety Outcomes Organizational culture plays a central role in shaping communication patterns and patient safety performance. In the current setting, hierarchical structures may support order and clarity in roles but can also discourage open communication and innovation (Chalmers & Brannan, 2023). Informal communication practices may persist, which can hinder consistent adoption of standardized protocols. Organizations that successfully integrate structured systems with strong leadership support generally report fewer errors and improved safety performance (Braun et al., 2020). Therefore, aligning cultural expectations with formal communication standards is essential for sustainable improvement. Justification of Necessary Changes in an Organization Successful implementation of improved handoff practices requires coordinated organizational change across several domains: Further research is needed to identify the most effective training strategies and to evaluate the long-term impact of digital handoff systems across diverse healthcare settings. References Braun, B. I., Chitavi, S. O., Suzuki, H., Soyemi, C. A., & Puig-Asensio, M. (2020). Culture of safety: Impact on improvement in infection prevention process and outcomes. Current Infectious Disease Reports, 22(12). https://doi.org/10.1007/s11908-020-00741-y Chalmers, R., & Brannan, G. D. (2023, May 22). Organizational culture. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK560543/ NURS FPX 6212 Assessment 1 Quality and Safety Gap Analysis Chien, L. J., Slade, D., Dahm, M. R., Brady, B., Roberts, E., Goncharov, L., Taylor, J., Eggins, S., & Thornton, A. (2022). Improving patient-centred care through a tailored intervention addressing nursing clinical handover communication in its organizational and cultural context. Journal of Advanced Nursing, 78(5), 1413–1430. https://doi.org/10.1111/jan.15110 Gaing, S., Shirley, A., Abdullah, B. F., & Dioso, R. I. (2024). Enhancing teamwork through effective handover practices among nurses in elder care setting. The Malaysian Journal of Nursing, 15(4), 100–108. http://dx.doi.org/10.31674/mjn.2024.v15i04.012 Hilverda, J. J., Roemeling, O., Smailhodzic, E., Aij, K. H., Hage, E., & Fakha, A. (2023). Unveiling the impact