Abstract: Objective To explore the facilitators and barriers in structured handover from ICU to general ward based on theoretical domain framework (TDF). Methods Twenty-six nurses from a tertiary grade-A hospital were selected conveniently for semi-structured interviews, and the interview outline and content analysis were formulated based on TDF. Results This study summarized the barriers and facilitators related to seven domains in TDF. Facilitators included the use of tools such as handover process and handover orders, and the participation of fixed transporters and nursing team leaders. Barriers included that handover ability of new nurses, interdisciplinary nursing knowledge and communication skills, patient participation and intelligent information system. Conclusion There are diverse factors affecting the structured handover of ICU patients transferred to general wards, and improved knowledge and skills of evidence implementers, more patient participation, and strengthened intelligent construction of information system are beneficial to promoting the implementation of structured handover.

Key words: ICU patient, structured handover, facilitators, barriers