Fungsi Pengarahan Kepala Ruangan Meningkatkan Pelaksanaan Serah Terima Antar Shift

  • Eva Riyani Universitas Indonesia
  • Enie Novieastari Universitas Indonesia
  • Hanny Handiyani Universitas Indonesia
  • Sarvita Dewi RSAB Harapan Kita

Abstract

This study aims to improve the implementation of the handover between shifts through the direction of the head of the room such as motivation, communication, delegation and supervision in two maternity wards consisting of one room head and fifteen nursing staff. The study was conducted for five weeks at X Hospital with data obtained through interviews, observations and surveys. The method used is a case study through problem analysis using a fishbone diagram and then making innovative changes using Lewin's 3-step model approach. Implementation is carried out for one week at the time of handing over the morning shift. The results showed that the program was still in the movement stage, the handover time was adequate according to Standard Operating Procedures, the head of the room supervised two wards alternately, surveys of nursing staff related to the function of directing the head of the room increased by 6.7%. In conclusion, the implementation of the briefing function carried out by the head of the room in the handover process between shifts in the two maternity rooms of X Hospital has increased based on the results of the questionnaire distributed to the nursing staff. The results of the implementation of supervision show that the time required in the handover process is more adequate and in accordance with the existing SPO. The recommendation is that the hospital needs to continue this program to the next stage, the nursing sub-services need to make regulations on nursing handover guidelines and carry out tiered supervision in the wards.

 

Keywords: Directional function, head of room, maternity ward, handover

References

Bukoh, M. X., & Siah, C. J. R. (2019). A systematic review on the structured handover interventions between nurses in improving patient safety outcomes. Journal of Nursing Management, 2020(28), 744–755. https://doi.org/10.1111/jonm.12936

Deborah, O. K. (2018). Lewin’s theory of change: Applicability of its principles in a contemporary organization. Journal of Strategic Management, 2(5), 1–12. https://stratfordjournals.org/journals/index.php/journal-of-strategic-management/article/view/229

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-e20210608. https://dx.doi/10.1590/0034-7167-2021-0608

Fibriansari, R. D., Nursalam, & Yuwono, S. R. (2017). The relationship between nurse empowerment and quality of nursing work life in hospital. 3Rd International Confrence: Community Health Empowerment: Step Up Action Attaining Sustainable Development Goals, 121–127. https://jurnal.unej.ac.id/index.php/prosiding/article/download/7203/5206

Gunawan, D., Hariyati, R. T. S., Afifah, E., & Afriani, T. (2021). The relationship between the roles and management function of the head nurse and handover implementation. Enfermeria Clinica, 31, S157–S160. https://doi.org/10.1016/j.enfcli.2020.12.013

Gunawan, D., Hariyati, R. T. S., & Fitri, D. (2019). Supervisi meningkatkan pelaksanaan serah terima di Rumah Sakit X di Jakarta: Fishbone analysis. Jurnal Penelitian Kesehatan Suara Forikes, 11(April), 6–15. https://doi.org/10.33846/sf11nk102

Hughes, M., Kirk, R., & Dixon, A. (2017). How and why nurses’ direction and delegation skills should be improved. Kai Tiaki Nursing New Zealand, 23(9), 29–31. https://www.proquest.com/openview/ec7f5d3a8515198126cb3a8e002710e2/1?pq-origsite=gscholar&cbl=856343

Imallah, R. N., & Khusnia, A. F. (2019). Fungsi pengarahan kepala ruang dalam pelaksanaan discharge plannning perawat di RS PKU Muhammadiyah Yogyakarta. Health Sciences and Pharmacy Journal, 3(1), 21–28. https://doi.org/10.32504/hspj.v3i1.94

Kantanen, K., Kaunonen, M., Helminen, M., & Suominen, T. (2017). Leadership and management competencies of head nurses and directors of nursing in Finnish social and health care. Journal of Research in Nursing, 22(3), 228–244. https://doi.org/10.1177/174498711770269

Karmila, R., Handiyani, H., & Adiningtyaswati, E. (2018). Description of Nursing Shift Handover Implementation in One of Provincial Public Hospitals in DKI Jakarta Province. International Journal of Medicine and Pharmaceutical Sciences, 8(2), 39–48. https://doi.org/10.24247/ijmpsapr20187

Kilic, S. P., Ovayolu, N., Ovayolu, O., & Ozturk, M. H. (2017). The Approaches and Attitudes of Nurses on Clinical Handover. International Journal of Caring Sciences, 10(1), 136–145. https://search.proquest.com/docview/1896833025?accountid=25704

Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing theory and application (9th ed). Wolters Kluwer Health.

National Council of State Boards of Nursing, Alexander, M., Connelley, R., Corazzini, K., Gardiner, S., Haebler, J., Hagan, P., Hampton, Q., Joyner, J. C., Krewer, C. N., Meadows, M. T., Moore, O., Mueller, C., Richmond, S., Siegel, E., Silvestre, J. H., Spector, N., Seaman, K., Talarico, L., … Young, L. (2016). National guidelines for nursing delegation. Journal of Nursing Regulation, 7(1), 5–14. https://doi.org/10.1016/S2155-8256(16)31035-3

Orgev, C., & Demir, H. (2019). Toxi̇c leadershi̇p in a publi̇c uni̇versi̇ty hospi̇tal. Journal of International Health Sciences and Management, 5(8), 48–63. https://dergipark.org.tr/en/pub/jihsam/issue/44910/527428

Patarru’, F., Weu, B. Y., Handini, F. S., & Heryyanoor, H. (2020). The Role of the Nurse Unit Manager Function on Nursing Work Performance: A Systematic Review. Jurnal Ners, 14(3), 231–235. https://doi.org/10.20473/jn.v14i3.17108

Pay, J. R., & Sundari, S. (2022). The influence of nursing skills learning media through video on the achievement of student competencies in the installation of infusions. JOSING: Journal of Nursing and Health, 3(1), 35–41. https://doi.org/10.31539/josing.v3i1.4090

Pryby, F. K. (2016). Improving the Charge Nurse’s Leadership Role: A Collaborative Learning Forum. 1–104. https://scholarworks.waldenu.edu/dissertations/2457/

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), 1–9. https://doi.org/10.1186/s12912-021-00624-0

Radhakrishnan, G., & Anuchithra, S. (2016). Nursing Empowerment for Quality Improvement. International Journal of Advances in Nursing Management, 4(3), 317. https://doi.org/10.5958/2454-2652.2016.00071.8
Rahman, T., Pertiwiwati, E., & Setiawan, H. (2020). Hubungan fungsi manajemen kepala ruang dengan Motivasi perawat dalam melakukan Discharge Planning. Jurnal Keperawatan Raflesia, 2(2), 71–80. https://doi.org/10.33088/jkr.v2i2.510

Robbins, S. P., & Judge, T. A. (2019). Organizational Behavior (18th ed.). Pearson.

Sfantou, D. F., Laliotis, A., Patelarou, A. E., Sifaki-Pistolla, D., Matalliotakis, M., & Patelarou, E. (2017). healthcare Importance of Leadership Style towards Quality of Care Measures in Healthcare Settings: A Systematic Review. Healthcare, 5(4), 73. https://doi.org/10.3390/healthcare5040073

Suryani, L., & Said, F. B. M. (2020). Empowering the implementation of patient handover with increasing nurse knowledge and attitude at X general hospital Indonesia. Malaysian Journal of Medicine and Health Sciences, 16(10), 63–66. http://mymedr.afpm.org.my/publications/93815

Triana, Y., Hariyati, R., Nuraini, T., Sukihananto, S., & Herawati, R. (2015). Analisis faktor-faktor yang mempengaruhi kompetensi kepala ruangan dalam pelaksanaan fungsi pengarahan di Rumah Sakit Umum Daerah Provinsi Banten. Universitas Indonesia. https://lib.ui.ac.id/detail?id=20415597&lokasi=lokal

Wahyudi, A., Linayani, P., & Apriani, R. (2022). Pentingnya pelaksanaan timbang terima di ruangan pelayanan keperawatan. Jurnal Keperawatan Dan Kesehatan, 13(2), 29–32. https://doi.org/10.54630/jk2.v13i2.216
Published
2023-09-02
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