Functioning of Care Teams during Clinical Handover in the Reference Maternity Wards of Ouagadougou in Burkina Faso

Mariguetou Compaore; Ziemlé Clément Meda; Noelie W Zoungrana; Seraphin Nikiema; Romaric Toe; Blandine Thieba; Maxime K Drabo

doi:10.14710/jphtcr.v9i2.31678

DOI: https://doi.org/10.14710/jphtcr.v9i2.31678

Functioning of Care Teams during Clinical Handover in the Reference Maternity Wards of Ouagadougou in Burkina Faso

Mariguetou Compaore¹

, Ziemlé Clément Meda², Noelie W Zoungrana³, Seraphin Nikiema⁴, Romaric Toe⁴, Blandine Thieba¹, Maxime K Drabo⁵

¹Joseph Ki Zerbo University, Ouagadougou, Burkina Faso, Burkina Faso

²Department of Public Health at INSSA/UNB , Burkina Faso, Burkina Faso

³Department of Public Health, Tengandogo University Hospital, Ouagadougou, Burkina Faso,, Burkina Faso

⁴ Captain Halassane COULIBALY Military Hospital, Ouagadougou, Burkina Faso, Burkina Faso

⁵ Institute of Health Sciences Research, CNRST, Ouagadougou, Burkina Fas, Burkina Faso

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Received: 28 Mar 2026; Revised: 12 Aug 2026; Accepted: 12 Aug 2026; Available online: 31 Aug 2026; Published: 31 Aug 2026.

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

BibTex Citation Data :

@article{JPHTCR31678,
author = {Mariguetou Compaore and Ziemlé Meda and Noelie Zoungrana and Seraphin Nikiema and Romaric Toe and Blandine Thieba and Maxime Drabo},
title = {Functioning of Care Teams during Clinical Handover in the Reference Maternity Wards of Ouagadougou in Burkina Faso},
journal = {Journal of Public Health for Tropical and Coastal Region},
volume = {9},
number = {2},
year = {2026},
keywords = {Clinical handover, patient safety, care teams, maternity, Burkina Faso},
abstract = { Introduction: Clinical handover refers to the transfer of responsibility for patient care from one provider or team to another through the exchange of essential information. Assessments of its implementation and evaluation have highlighted several shortcomings in the program. This study examined how healthcare teams conduct clinical handovers in three referral maternity hospitals in Ouagadougou, Burkina Faso. Methods: This cross-sectional study was conducted from August to November 2023 among healthcare workers in the maternity wards of three tertiary hospitals: Yalgado Ouedraogo, Tengandogo, and Bogodogo University Hospitals. Exhaustive sampling with consecutive recruitments was performed. Data were collected using an interviewer-adminstered questionnaire. Epi Info version 7.1.6 was used for data analysis. Variables were described using the mean and proportion. Results: Overall, 53.31% of the eligible healthcare workers participated in the study. The mean age was 41±6 years, and length of professional experience was 12.9±4.3 years. Midwifery staff accounted for 81.06% of the participants. Written communication is the most common method of information exchange between healthcare professionals. However, the quality of the written information was inadequate in more than half of the cases, creating potential risks for patient safety. Team functioning during clinical handover was suboptimal, characterized by limited interaction between teams and informal overlapping handover periods, with 49.70% of scheduled overlaps not being respected. Conclusion: The functioning of care teams during shift changes showed several deficiencies related to team dynamics, composition, and activities. The development and implementation of standardized procedures are needed to improve clinical communication between healthcare professionals in referral maternity units.},
issn = {2597-4378}, pages = {124--132} doi = {10.14710/jphtcr.v9i2.31678},
url = {https://ejournal2.undip.ac.id/index.php/jphtr/article/view/31678}
}

Citation Format:

Abstract

Introduction: Clinical handover refers to the transfer of responsibility for patient care from one provider or team to another through the exchange of essential information. Assessments of its implementation and evaluation have highlighted several shortcomings in the program. This study examined how healthcare teams conduct clinical handovers in three referral maternity hospitals in Ouagadougou, Burkina Faso.

Methods: This cross-sectional study was conducted from August to November 2023 among healthcare workers in the maternity wards of three tertiary hospitals: Yalgado Ouedraogo, Tengandogo, and Bogodogo University Hospitals. Exhaustive sampling with consecutive recruitments was performed. Data were collected using an interviewer-adminstered questionnaire. Epi Info version 7.1.6 was used for data analysis. Variables were described using the mean and proportion.

Results: Overall, 53.31% of the eligible healthcare workers participated in the study. The mean age was 41±6 years, and length of professional experience was 12.9±4.3 years. Midwifery staff accounted for 81.06% of the participants. Written communication is the most common method of information exchange between healthcare professionals. However, the quality of the written information was inadequate in more than half of the cases, creating potential risks for patient safety. Team functioning during clinical handover was suboptimal, characterized by limited interaction between teams and informal overlapping handover periods, with 49.70% of scheduled overlaps not being respected.

Conclusion: The functioning of care teams during shift changes showed several deficiencies related to team dynamics, composition, and activities. The development and implementation of standardized procedures are needed to improve clinical communication between healthcare professionals in referral maternity units.

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Keywords: Clinical handover, patient safety, care teams, maternity, Burkina Faso

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Language : EN

In Vol 9, No 2 (2026): Journal of Public Health for Tropical and Coastal Region

Bris V Le, Tirilly G, Toupin C. Le rôle de l’expérience et du collectif en situation de relève de poste. Pistes. 2015;17(2)
Desmedt M, Ulenaers D, Grosemans J, Hellings J, Bergs J. Clinical handover and handoff in healthcare: a systematic review of systematic reviews. Int J Qual Heal Care. 2020;33(1)
Larter Consulting. Practical guide for clinical handover in residential aged care facilities. Australia: Larter Consulting Pty Ltd. Presses universitaires Saint-Louis Bruxelles; 2020
Ministère de la Santé. Guide de gestion des événements indésirables associés aux soins au Burkina Faso. Burkina Faso Ministère la Santé. 2021;
CRICO Strategies. Malpractice risks in communication failures: 2015 annual benchmarking report. Bost CRICO Strateg. 2015;
American College of Obstetricians and Gynecologists. Communication strategies for patient handoffs. Obs Gynecol. 2012;119(2):408–11
Schalck C. Les transmissions médicales: un temps pour la reconnaissance au travail. Fassier C, Lhuilier D, Ed Trav Transm Toulouse Octarès Éditions. 2021;211–25
Schalck C. Les transmissions médicales, un temps pour la reconnaissance. 2023;
Chin GSM, Warren N, Kornman L CP. Transferring responsibility and accountability in maternity care: clinicians defining their boundaries of practice in relation to clinical handover. BMJ Open. 2012;2(5):e000734
Ministère de la Santé du Burkina Faso. Stratégie nationale qualité des soins et sécurité des patients 2019-2023. Ouagadougou Ministère la Santé du Burkina Faso. 2019;
Fealy G, Munroe D, Riordan F, Croke E, Conroy C, McNamara M, et al. Clinical handover practices in maternity services in Ireland: A qualitative descriptive study. Midwifery. 2016;39:20–6
Patterson ES, Wears RL. Patient Handoffs: Standardized and Reliable Measurement Tools Remain Elusive. Jt Comm J Qual Patient Saf. 2010;36(2):52–61
Rickard F, Lu F, Gustafsson L, MacArthur C, Cummins C, Coker I, et al. Clinical handover communication at maternity shift changes and women’s safety in Banjul, the Gambia: a mixed-methods study. BMC Pregnancy Childbirth. 2022;22(1)
The Joint Commission. Inadequate hand-off communication. Sentin Event Alert. 2017;58:1–6
Fealy G, Donnelly S, Doyle G, Brenner M, Hughes M, Mylotte E, et al. Clinical handover practices among healthcare practitioners in acute care services: A qualitative study. J Clin Nurs. 2018;28(1–2):80–8
Kerr D, Lu S, McKinlay L. Towards patient‐centred care: Perspectives of nurses and midwives regarding shift‐to‐shift bedside handover. Int J Nurs Pract. 2014;20(3):250–7
Assistance Publique-Hôpitaux de Paris. Transmissions. Paris AP-H. 2016;
Kerr D, Lu S, McKinlay L, Fuller C. Examination of current handover practice: Evidence to support changing the ritual. Int J Nurs Pract. 2011;17(4):342–50
National Clinical Effectiveness Committee. Communication (clinical handover) in maternity services. Natl Clin Guidel No 5 Dublin Dep Heal. 214AD;
Abraham J, Kannampallil T, Brenner C, Lopez KD, Almoosa KF, Patel B, et al. Characterizing the structure and content of nurse handoffs: A Sequential Conversational Analysis approach. J Biomed Inform. 2016;59:76–88
Berridge EJ, Mackintosh NJ, Freeth DS. Supporting patient safety: Examining communication within delivery suite teams through contrasting approaches to research observation. Midwifery. 2010;26(5):512–9
Jithesh V, Gupta SK, Kumar P, Vij A. Who is More Hands on with Hand-offs? A Comparative Study of Clinical Handovers among Doctors and Nurses in a Tertiary Care Center in India. Int J Res Found Hosp Healthc Adm. 2015;3(1):33–40
Siemsen IMD, Madsen MD, Pedersen LF, Michaelsen L, Pedersen AV, Andersen HB, et al. Factors that impact on the safety of patient handovers: An interview study. Scand J Public Health. 2012;40(5):439–48
Meneses-La-Riva ME, Fernández-Bedoya VH, Suyo-Vega JA, Ocupa-Cabrera HG, Grijalva-Salazar RV, Ocupa-Meneses G di D. Enhancing Healthcare Efficiency: The Relationship Between Effective Communication and Teamwork Among Nurses in Peru. Nurs Reports. 2025;15(2):59
Halm MA. Nursing Handoffs: Ensuring Safe Passage for Patients. Am J Crit Care. 2013;22(2):158–62
Joint Commission-accredited organizations. Inadequate hand-off communication. 2017
Riesenberg LA, Leitzsch J, Little BW. Systematic Review of Handoff Mnemonics Literature. Am J Med Qual [Internet]. 2009;24(3):196–204
Haute Autorité de Santé. Saed: un guide pour faciliter la communication entre professionnels de santé. Saint-Denis La Plaine Haute Autorité Santé. 2014;
Payung A, Dedi B, Sunarno RD. Comparative study of SBAR-based handover evaluation from primary and associate nurses at the Regional Public Hospital Lakipadada Tana Toraja. World J Adv Res Rev. 2022;16(1):209–17
Nagammal S, Nashwan AJ, Nair SLK, Susmitha A. Nurses’ perceptions regarding using the SBAR tool for handoff communication in a tertiary cancer center in Qatar. J Nurs Educ Pract. 2016;7(4)
Nyikuri M. Handover among nurses working in selected newborn units in Kenya; its purpose and structure. Heliyon. 2020;6(2):e03500
Pilcher L, Kurian M, MacArthur C, Singh S, Manaseki-Holland S. Obstetric shift-to-shift handover in Kerala, India: A cross-sectional mixed method study. PLoS One. 2022;17(5):e0268239
Mairestika S, Setiawan H RI. Faktor-Faktor Yang Mempengaruhi Pelaksanaan Timbang Terima. J Kepemimp dan Manaj Keperawatan. 2021;4(1)

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