Peningkatan Fungsi Manajer Keperawatan dalam Optimalisasi Komunikasi Efektif saat Handover
Abstract
This research aims to describe the planned change process using Kurt Lewin's theory to optimize effective communication during ward handovers by improving the nursing manager's function. The method used is a case study including assessment activities, problem analysis, preparation of planning of action (POA), implementation, and evaluation. The research results show that in the unfreezing phase, problems were found that the performance of effective communication during the handover was not optimal, so the priority strategy for solving the problem was optimizing the planning function for handover activities. In the movement phase, a POA was prepared with indicators that were successfully achieved, namely the preparation of a revised handover SPO draft and socialization of the revised SPO draft with the nursing sector, Head Nurse, and Clinical Care Manager. In contrast, this could not be done in the refreezing phase due to time constraints, so a follow-up plan was prepared and agreed with the PIC of the activity. In conclusion, the planned change process towards optimizing effective communication during handover requires an increase in the function of nursing managers, especially in the planning function. Managers must provide policies, one of which is SOP handover, and must review and revise policies to remain new and can be applied.
Keywords: Nursing Manager Function, Handover, Effective Communication, SBAR Method
References
Anggraini, D., Novieastari, E., Nuraini, T., Swakarsa, A. K., Keperawatan, F. I., & Indonesia, U. (2019). Peningkatan Kemampuan Timbang Terima Pasien Melalui Budaya Komunikasi Situation, Background, Assessment, Recommendation (SBAR) di RS di Bekasi. Jurnal Persatuan Perawat Nasional Indonesia (JPPNI), 4(2), 91–97. http://dx.doi.org/10.32419/jppni.v4i2.182
Brown-Deveaux, D., Kaplan, S., Gabbe, L., & Mansfield, L. (2022). Transformational Leadership Meets Innovative Strategy: How Nurse Leaders and Clinical Nurses Redesigned Bedside Handover to Improve Nursing Practice. Nurse Leader, 20(3), 290–296. https://doi.org/10.1016/j.mnl.2021.10.010
Burgess, A., Diggele, C. Van, Roberts, C., & Mellis, C. (2020). Teaching Clinical Handover with ISBAR. BMC Medical Education, 20(Suppl 2), 1–8. https://doi.org/10.1186/s12909-020-02285-0
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(November 2021), 1413–1430. https://doi.org/10.1111/jan.15110
Damayanti, M., Afriani, T., Erwin, E., & Suminarti, T. (2021). Supervisi dan Sosialisasi sebagai Upaya Optimalisasi Pelaksanaan Serah Terima Pasien Antar Shift dengan Metode SBAR. Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan, 9(2), 257–267. https://doi.org/10.20527/dk.v9i2.7769
Dewi, R., Rezkiki, F., & Lazdia, W. (2019). Studi Fenomenology Pelaksanaan Handover Dengan Komunikasi SBAR. Jurnal Endurance : Kajian Ilmiah Problema Kesehatan, 4(2), 350–358. https://publikasi.lldikti10.id/index.php/endurance/article/view/1422
Felipe, T. R. L., Spiri, W. C., Juliani, C. M. C. M., & Mutro, M. E. G. (2022). Nursing Staff's Instrument for Change-of-Shift Reporting - SBAR (Situation-Background-Assessment-Recommendation): Validation and Application. Revista Brasileira de Enfermagem, 75(6), e20210608. https://doi.org/10.1590/0034-7167-2021-0608
Ghosh, S., & Ramamoorthy, L. (2021). Impact of Structured Clinical Handover Protocol on Communication and Patient Satisfaction. Journal of Patient Experience, 1–6. https://doi.org/10.1177/2374373521997733
Haddeland, K., Marthinsen, G. N., Söderhamn, U., Flateland, S. M. T., & Moi, E. M. B. (2022). Experiences of Using the ISBAR Tool after An Intervention: A Focus Group Study Among Critical Care Nurses and Anaesthesiologists. Intensive and Critical Care Nursing, 70. https://doi.org/10.1016/j.iccn.2021.103195
Hadinata, D., Widaningsih, & Anwar, S. (2019). Peran, Fungsi Kepala Ruangan terhadap Komunikasi Efektif dan Kualitas Handover. Jurnal Keperawatan dan Kesehatan Medisina Akper YPIB Majalengka, V(1), 1–14. https://ejournal.akperypib.ac.id/wp-content/uploads/2019/03/MEDISINA-Jurnal-Keperawatan-dan-Kesehatan-AKPER-YPIB-MajalengkaVolume-V-Nomor-9-Feb-2019.pdf
JCI. (2020). Joint Commission International Accreditation Standards for Hospitals. Joint Commission Resources. https://www.jointcommissioninternational.org/-/media/jci/jci-documents/accreditation/hospital-and-amc/jci-errata-standards-only_7th-ed-hospital.pdf
Kemenkes RI. (2022). Standar Akreditasi Rumah Sakit. Kementerian Kesehatan RI (Issue December)
Nasiri, E., Lotfi, M., Muhammad, S., Mahdavinoor, M., & Rafiei, M. H. (2021). The Impact of a Structured Handover Checklist for Intraoperative Staff Shift Changes on Effective Communication, OR Team Satisfaction, and Patient Safety : A Pilot Study. Patient Safety in Surgery, 15(25), 1–10. https://doi.org/10.1186/s13037-021-00299-1
Nasrianti, N., Mulyati, M., Setiawati, S., Asmirajanti, M., & Irianto, G. (2022). Pelaksanaan Handover Perawat dengan Komunikasi SBAR pada Pelayanan Keperawatan. Jurnal Keperawatan Silampari, 6(1), 356-365. https://doi.org/10.31539/jks.v6i1.4222
Paramitha, D. S., Amaliah, N., & Ariadi, H. (2022). Optimalisasi Nursing Handover di Rumah Sakit Swasta Banjarmasin. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 5(1), 14–23. https://doi.org/DOI: https://doi.org/10.33024/jkpm.v1i1.5227
Partini, P., Kurniati, T., & Sulaeman, S. (2022). Pengaruh Pelatihan Komunikasi SBAR terhadap Pemahaman Hand Over Keperawatan di Rumah Sakit X. Jurnal Keperawatan, 14(3), 609–614. Retrieved from https://journal2.stikeskendal.ac.id/index.php/keperawatan/article/view/426
Pun, J. (2021). Factors Associated with Nurses’ Perceptions, Their Communication Skills and the Quality of Clinical Handover in the Hong Kong Context. BMC Nursing, 20(1). https://doi.org/10.1186/s12912-021-00624-0
Putri, D. S. R., Pertiwiwati, E., & Setiawan, H. (2023). Fungsi Kepala Ruang Saat Handover dengan Pelaksanaan Handover. Nerspedia, 5(1), 23–33. https://www.nerspedia.ulm.ac.id/index.php/nerspedia/article/view/148
Rahmatulloh, G., Yetti, K., Wulandari, D. F., & Ahsan, A. (2022). Manajemen Handover Metode SBAR (Situasion, Background, Assesment, Recommendation) dalam Meningkatkan Komunikasi Efektif. Journal of Telenursing (JOTING), 4(1), 153–159. https://doi.org/10.31539/joting.v4i1.3321
Saragih, A. M. L., & Noviestari, E. (2022). Optimalisasi Penerapan Komunikasi SBAR Serah Terima PAsien antar Shift Keperawatan. Jurnal Keperawatan Silampari, 6(3), 36–43. https://doi.org/10.31539/jks.v6i1.3755
Sudrajat, D. A., Islamiati, M., & Lindayani, L. (2021). Tinjauan Pelaksanaan Handover di Rumah Sakit: Tinjauan Pustaka. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 7(1), 70–76. https://doi.org/10.33023/jikep.v7i1.664
Vallabhaneni, K., Hazan, J., Donaldson, L., & Johansson, F. (2022). Improving the Handover Process in a Psychiatry Liaison Setting. BMJ Open Quality, 11(1). https://doi.org/10.1136/bmjoq-2021-001627
Wigiarti, S. H., Yetti, K., & Mashudi, D. (2020). Optimalisasi Pelaksanaan Supervisi Handover Keperawatan pada Rumah Sakit di Jakarta Selatan. Jurnal Keperawatan Komprehensif, 6(2), 70–80. https://journal.stikep-ppnijabar.ac.id/index.php/jkk/article
Yetti, K., Dewi, N. A., Wigiarti, S. H., & Warashati, D. (2021). Nursing Handover in the Indonesian Hospital Context: Structure, Process, and Barriers. Belitung Nursing Journal, 7(2), 113–117. https://doi.org/10.33546/bnj.1293
Brown-Deveaux, D., Kaplan, S., Gabbe, L., & Mansfield, L. (2022). Transformational Leadership Meets Innovative Strategy: How Nurse Leaders and Clinical Nurses Redesigned Bedside Handover to Improve Nursing Practice. Nurse Leader, 20(3), 290–296. https://doi.org/10.1016/j.mnl.2021.10.010
Burgess, A., Diggele, C. Van, Roberts, C., & Mellis, C. (2020). Teaching Clinical Handover with ISBAR. BMC Medical Education, 20(Suppl 2), 1–8. https://doi.org/10.1186/s12909-020-02285-0
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(November 2021), 1413–1430. https://doi.org/10.1111/jan.15110
Damayanti, M., Afriani, T., Erwin, E., & Suminarti, T. (2021). Supervisi dan Sosialisasi sebagai Upaya Optimalisasi Pelaksanaan Serah Terima Pasien Antar Shift dengan Metode SBAR. Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan, 9(2), 257–267. https://doi.org/10.20527/dk.v9i2.7769
Dewi, R., Rezkiki, F., & Lazdia, W. (2019). Studi Fenomenology Pelaksanaan Handover Dengan Komunikasi SBAR. Jurnal Endurance : Kajian Ilmiah Problema Kesehatan, 4(2), 350–358. https://publikasi.lldikti10.id/index.php/endurance/article/view/1422
Felipe, T. R. L., Spiri, W. C., Juliani, C. M. C. M., & Mutro, M. E. G. (2022). Nursing Staff's Instrument for Change-of-Shift Reporting - SBAR (Situation-Background-Assessment-Recommendation): Validation and Application. Revista Brasileira de Enfermagem, 75(6), e20210608. https://doi.org/10.1590/0034-7167-2021-0608
Ghosh, S., & Ramamoorthy, L. (2021). Impact of Structured Clinical Handover Protocol on Communication and Patient Satisfaction. Journal of Patient Experience, 1–6. https://doi.org/10.1177/2374373521997733
Haddeland, K., Marthinsen, G. N., Söderhamn, U., Flateland, S. M. T., & Moi, E. M. B. (2022). Experiences of Using the ISBAR Tool after An Intervention: A Focus Group Study Among Critical Care Nurses and Anaesthesiologists. Intensive and Critical Care Nursing, 70. https://doi.org/10.1016/j.iccn.2021.103195
Hadinata, D., Widaningsih, & Anwar, S. (2019). Peran, Fungsi Kepala Ruangan terhadap Komunikasi Efektif dan Kualitas Handover. Jurnal Keperawatan dan Kesehatan Medisina Akper YPIB Majalengka, V(1), 1–14. https://ejournal.akperypib.ac.id/wp-content/uploads/2019/03/MEDISINA-Jurnal-Keperawatan-dan-Kesehatan-AKPER-YPIB-MajalengkaVolume-V-Nomor-9-Feb-2019.pdf
JCI. (2020). Joint Commission International Accreditation Standards for Hospitals. Joint Commission Resources. https://www.jointcommissioninternational.org/-/media/jci/jci-documents/accreditation/hospital-and-amc/jci-errata-standards-only_7th-ed-hospital.pdf
Kemenkes RI. (2022). Standar Akreditasi Rumah Sakit. Kementerian Kesehatan RI (Issue December)
Nasiri, E., Lotfi, M., Muhammad, S., Mahdavinoor, M., & Rafiei, M. H. (2021). The Impact of a Structured Handover Checklist for Intraoperative Staff Shift Changes on Effective Communication, OR Team Satisfaction, and Patient Safety : A Pilot Study. Patient Safety in Surgery, 15(25), 1–10. https://doi.org/10.1186/s13037-021-00299-1
Nasrianti, N., Mulyati, M., Setiawati, S., Asmirajanti, M., & Irianto, G. (2022). Pelaksanaan Handover Perawat dengan Komunikasi SBAR pada Pelayanan Keperawatan. Jurnal Keperawatan Silampari, 6(1), 356-365. https://doi.org/10.31539/jks.v6i1.4222
Paramitha, D. S., Amaliah, N., & Ariadi, H. (2022). Optimalisasi Nursing Handover di Rumah Sakit Swasta Banjarmasin. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 5(1), 14–23. https://doi.org/DOI: https://doi.org/10.33024/jkpm.v1i1.5227
Partini, P., Kurniati, T., & Sulaeman, S. (2022). Pengaruh Pelatihan Komunikasi SBAR terhadap Pemahaman Hand Over Keperawatan di Rumah Sakit X. Jurnal Keperawatan, 14(3), 609–614. Retrieved from https://journal2.stikeskendal.ac.id/index.php/keperawatan/article/view/426
Pun, J. (2021). Factors Associated with Nurses’ Perceptions, Their Communication Skills and the Quality of Clinical Handover in the Hong Kong Context. BMC Nursing, 20(1). https://doi.org/10.1186/s12912-021-00624-0
Putri, D. S. R., Pertiwiwati, E., & Setiawan, H. (2023). Fungsi Kepala Ruang Saat Handover dengan Pelaksanaan Handover. Nerspedia, 5(1), 23–33. https://www.nerspedia.ulm.ac.id/index.php/nerspedia/article/view/148
Rahmatulloh, G., Yetti, K., Wulandari, D. F., & Ahsan, A. (2022). Manajemen Handover Metode SBAR (Situasion, Background, Assesment, Recommendation) dalam Meningkatkan Komunikasi Efektif. Journal of Telenursing (JOTING), 4(1), 153–159. https://doi.org/10.31539/joting.v4i1.3321
Saragih, A. M. L., & Noviestari, E. (2022). Optimalisasi Penerapan Komunikasi SBAR Serah Terima PAsien antar Shift Keperawatan. Jurnal Keperawatan Silampari, 6(3), 36–43. https://doi.org/10.31539/jks.v6i1.3755
Sudrajat, D. A., Islamiati, M., & Lindayani, L. (2021). Tinjauan Pelaksanaan Handover di Rumah Sakit: Tinjauan Pustaka. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 7(1), 70–76. https://doi.org/10.33023/jikep.v7i1.664
Vallabhaneni, K., Hazan, J., Donaldson, L., & Johansson, F. (2022). Improving the Handover Process in a Psychiatry Liaison Setting. BMJ Open Quality, 11(1). https://doi.org/10.1136/bmjoq-2021-001627
Wigiarti, S. H., Yetti, K., & Mashudi, D. (2020). Optimalisasi Pelaksanaan Supervisi Handover Keperawatan pada Rumah Sakit di Jakarta Selatan. Jurnal Keperawatan Komprehensif, 6(2), 70–80. https://journal.stikep-ppnijabar.ac.id/index.php/jkk/article
Yetti, K., Dewi, N. A., Wigiarti, S. H., & Warashati, D. (2021). Nursing Handover in the Indonesian Hospital Context: Structure, Process, and Barriers. Belitung Nursing Journal, 7(2), 113–117. https://doi.org/10.33546/bnj.1293
