Table 3 The 32 themes identified that facilitate or hinder the use of the EDWHAT in the ISLHD
Barriers | TDF domain |
|---|---|
Not supported by manager to complete handover | Reinforcement |
Not being face to face for handover means things get missed | Beliefs about consequences |
Doesn't make a difference to the handover I get | Beliefs about consequences |
ED staff don't use properly and don't like using it | Social influence |
Ward staff don't want to use it | Social influence |
Can't click out of the from to other part of the notes | Environment |
Duplication of processes | Environment |
Results in a focus on tick boxes and not the whole patient story | Environment |
Irrelevant content within the form | Environment |
Cumbersome | Environment |
Difficult to locate form in eMR | Environment |
Time restrictions—it takes too long | Environment |
Pt in transfer before hand over starts | Environment |
Unavailability or difficult location of computer | Environment |
Structure/flow is not intuitive | Environment |
More information is required than listed in the form | Environment |
Time pressure to move patients does not support handover | Environment |
Hard to remember to use | Memory |
Usefulness is user dependent | Skills |
Minimal use means unfamiliarity | Skills |
Has to be mutual agreement between ward and ED to complete | Social/professional role |
ED don't know their patient | Social influences |
Facilitators | |
Ensures completion of tasks | Beliefs about consequences |
Important for patient safety | Optimism |
Improves communication between ED and ward | Beliefs about consequences |
Improves continuity of care | Beliefs about consequences |
Provides evidence of handover | Beliefs about consequences |
Good systematic tool that ensures everything completed | Beliefs about consequences |
Prompts identification of issues | Beliefs about consequences |
Prompts sharing of the information needed for handover | Beliefs about consequences |
It's just part of what we do | Social/professional role |