A rushed or unclear handover can undo hours of good care in minutes.
Nurses pass on more than just tasks during a shift change. They share patient updates, safety concerns, and care plans. If this step is skipped or done poorly, it can lead to serious mistakes.
According to CRICO Strategies, communication failures were a factor in 30% of malpractice cases, including 1,744 deaths over five years in hospitals.
This is why the importance of handover in nursing can’t be ignored — it’s the safety net before anything else begins.
In this blog, we’ll explain why handover matters, what makes it effective, common problems, and how hospitals and staff can improve the process.
What is a Nursing Handover?
A nursing handover is the exchange of patient-related information between nurses when shifts change or when a patient moves to a different ward or department. It helps the incoming nurse understand what’s been done and what needs attention next.
This isn’t a quick chat. It often includes notes on the patient’s condition, medication times, recent updates, and any risks or warnings. A clear handover avoids repeating tasks or missing something urgent.
Handovers can be verbal, written, or both. Some hospitals follow set formats, while others depend on the team’s experience. Either way, the goal stays the same: to give the next nurse a full picture.
Without this handoff, care can become scattered. Timely decisions may be delayed. That’s why handovers are seen as a routine that actually holds a lot of weight in patient care.
Why Is Handover Important in Nursing?
Nursing handover is not just routine. It’s the link between one shift and the next, where patient safety hangs on the quality of the information shared.
Here’s why this step is crucial:
- Avoids repeating tasks like double medication or skipped observations
- Helps catch warning signs early by keeping the next nurse aware of recent changes
- Supports legal documentation by keeping care records consistent
- Improves teamwork, as everyone knows their role and responsibilities
Even a small gap in the update can lead to delays or risks. A missed allergy note or unclear medication instructions can affect recovery.
A good handover helps nurses plan their shift better. It tells them what’s urgent, what’s pending, and what’s under control.
The importance of handover in nursing lies in these details. Small updates, when shared well, protect patients and support better care.
What Should Be Included in an Effective Handover?
An organised handover helps avoid missed steps and repeated work. Many hospitals follow a nursing handover checklist to make sure important details aren’t skipped.
Below is a sample checklist that can guide nurses during shift changes:
- Patient Identification: Confirm full name, age, hospital number, and location. Helps prevent mix-ups, especially in busy wards.
- Diagnosis and Reason for Admission: Share the main medical issue and any past medical history that may affect current care.
- Vital Signs and Observations: Note temperature, blood pressure, oxygen levels, and other recent readings. Mention any trends or unusual values.
- Medications and Treatments: List current medications, times given, and any recent changes. Also include IV fluids, oxygen therapy, or wound care.
- Pending Tasks or Investigations: Flag anything that is scheduled but not yet done, like scans, lab work, or specialist reviews.
- Allergies and Risk Factors: Clearly mention known allergies, fall risk, pressure sore risk, or infection control needs.
- Patient Behaviour and Mental Status: Any confusion, mood changes, or aggression should be noted to prepare the next team.
- Family Communication: Include updates given to relatives and any concerns raised by them.
- Discharge Planning Notes: If discharge is coming up, share the expected date and any support needed after leaving the hospital.
Using a clear nursing handover checklist brings structure and reduces room for error. It also saves time when nurses need to act quickly.
Common Nursing Handover Problems and What Actually Works
Handover problems are not always due to a lack of effort. Often, it’s about small habits or gaps that go unnoticed. Here’s a look at common issues and what actually helps fix them:
- Unclear or rushed communication: Nurses sometimes give updates too fast or use vague language.
- What works: Keep the language simple. Speak clearly and focus on the facts that matter.
- Inconsistent handover methods: Different staff use different styles, leading to missed or repeated information.
- What works: Stick to one standard method across the team. Tools like SBAR or a printed checklist help maintain flow.
- No protected time or space: Interruptions during handover are common, especially in busy wards.
- What works: Hospitals should set aside 10–15 minutes of quiet, uninterrupted time for each handover.
- Not updating notes in real-time: If the outgoing nurse hasn’t written down the latest updates, key info can be lost.
- What works: Encourage quick updates to charts or notes during the shift, not just at the end.
- Passive handover style: When the incoming nurse just listens without asking anything, things can be missed.
- What works: Make it active. Ask questions, repeat back key points, and confirm understanding.
- Too much or too little detail: Overloading with minor points or skipping major updates both cause trouble.
- What works: Focus on what’s changed, what’s critical, and what needs close watch.
Role of Hospital Policies and Training in Effective Handover in Nursing
Hospitals that take handover seriously usually have clear policies in place. These rules guide what to include, how to document it, and when it should happen.
Training also plays a big role. When nurses are taught how to give and receive handovers properly, the risk of missed details goes down.
Some facilities use checklists, while others use digital tools. What matters most is that everyone on the team follows the same process.
If you’re looking to improve nursing standards or streamline shift changes, working with a well-organised team helps. A trusted nursing agency in Wolverhampton can provide qualified staff who are trained in safe and structured handover practices. Contact us to find out how we can support your care team.
