Implementasi Form Pendokumentasian SBAR terhadap Komunikasi Perawat saat Serah Terima Pasien
Abstract
This study aims to analyze the implementation of the SBAR documentation form on nurse communication during patient handover. The method used is quasi-experimental, using a research design in the form of pre and post-test without control. The results showed an effect of implementing the SBAR documentation form on nurse communication during patient handover in the Bunda Thamrin General Hospital Medan inpatient room with an Asymp—Sig (2-tailed) value of 0.015. In conclusion, there has been an increase in SBAR-based nurse communication after implementing the SBAR documentation form. Therefore, it is recommended that hospital management be able to stimulate and provide rewards for nurses dedicated to realizing SBAR documentation and communication during patient handover.
Keywords: Communication, Documentation, SBAR, Patient Handover
References
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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(5), 1413–1430. https://doi.org/10.1111/jan.15110
Coleman, R. (2018). Improving Nurse-to-Nurse Handover Through Implementation of Standardized SBAR. Gardner-Webb University. https://digitalcommons.gardner-webb.edu/cgi/viewcontent.cgi?article=1357&context=nursing_etd
Dahm, M. R., Slade, D., Brady, B., Goncharov, L., & Chien, L. (2022). Tracing Interpersonal Discursive Features in Australian Nursing Bedside Handovers: Approachability Features, Patient Engagement and Insights for ESP Training and Working with Internationally Trained Nurses. English for Specific Purposes, 66, 17–32. https://doi.org/10.1016/j.esp.2021.10.002
Dalky, H. F., Al-Jaradeen, R. S., & Abualrrub, R. F. (2020). Evaluation of the Situation, Background, Assessment, and Recommendation Handover Tool in Improving Communication and Satisfaction among Jordanian Nurses Working in Intensive Care Units. Dimensions of Critical Care Nursing, 39(6), 339–347. https://doi.org/10.1097/DCC.0000000000000441
Ernst, K., McComb, S., & Ley, C. (2019). Examining Medical-Surgical Nurse Shift-to-Shift Handoffs to Identify Process, Failures, and Effects. IISE Transactions on Healthcare Systems Engineering, 9(2), 120–130. https://doi.org/10.1080/24725579.2019.1570986
Festila, M. S., & Müller, S. D. (2021). Information Handoffs in Critical Care and Their Implications for Information Quality: A socio-Technical Network Approach. Journal of Biomedical Informatics, 122. https://doi.org/10.1016/j.jbi.2021.103914
Ghonem, N. M. E., & El-Husany, W. A. (2023). SBAR Shift Report Training Program and its Effect on Nurses’ Knowledge and Practice and Their Perception of Shift Handoff Communication. SAGE Open Nursing, 9, 1–18. https://doi.org/10.1177/23779608231159340
Ghosh, S., Ramamoorthy, L., & pottakat, B. (2021). Impact of Structured Clinical Handover Protocol on Communication and Patient Satisfaction. Journal of Patient Experience, 8, 1–10. https://doi.org/10.1177/2374373521997733
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Lake, S., Rudge, T., & West, S. (2022). Braided Identities in Acute Care Nurses’ Practices of Work: Professional, Clinician, Employee. Journal of Organizational Ethnography, 12(1), 16-30. https://doi.org/10.1108/JOE-04-2022-0004
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Nemati, S. M., Fathi, M., Nouri, B., & Valiee, S. (2022). Effects of an Specific Methodology (I Pass the Baton) on Quality of Handoff Information among Nurses: A Comparative Study. Journal of Healthcare Quality Research, 37(5), 268–274. https://doi.org/10.1016/j.jhqr.2022.02.011
Oxelmark, L., Whitty, J. A., Ulin, K., Chaboyer, W., Gonçalves, A. S. O., & Ringdal, M. (2020). Patients Prefer Clinical Handover at the Bedside; Nurses Do Not: Evidence from a Discrete Choice Experiment. International Journal of Nursing Studies, 105, 1–16. https://doi.org/10.1016/j.ijnurstu.2019.103444
Patel, S. J., & Landrigan, C. P. (2019). Communication at Transitions of Care. Pediatric Clinics of North America, 66(4), 751–773. https://doi.org/10.1016/S0031-3955(19)30009-4
Powell, M., Brown, D., Davis, C., Walsham, J., Calleja, P., Nielsen, S., & Mitchell, M. (2020). Handover Practices of Nurses Transferring Trauma Patients from Intensive Care Units to the Ward: A Multimethod Observational Study. Australian Critical Care, 33(6), 538–545. https://doi.org/10.1016/j.aucc.2020.03.004
Raurell-Torredà , M., Rascón-Hernán, C., Malagón-Aguilera, C., BonmatÃ-Tomás, A., Bosch-Farré, C., Gelabert-Vilella, S., & Romero-Collado, A. (2021). Effectiveness of a Training Intervention to Improve Communication between/Awareness of Team Roles: A Randomized Clinical Trial. Journal of Professional Nursing, 37(2), 479–487. https://doi.org/10.1016/j.profnurs.2020.11.003
Steinhauser, K., Beliveau, J., Hendricks, A., & Lakis, K. (2020). Improving Palliative Care Chaplain Communication with the Interdisciplinary Care Team Through Implementation of the SBAR Technique (QI606). Journal of Pain and Symptom Management, 59(2), 502–503. https://doi.org/10.1016/j.jpainsymman.2019.12.215
Wiklund, I., Sahar, Z., Papadopolou, M., & Löfgren, M. (2020). Parental Experience of Bedside Handover during Childbirth: A Qualitative Interview Study. Sexual and Reproductive Healthcare, 24, 14–17. https://doi.org/10.1016/j.srhc.2020.100496
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
Campbell, D., & Dontje, K. (2019). Implementing Bedside Handoff in the Emergency Department: A Practice Improvement Project. Journal of Emergency Nursing, 45(2), 149–154. https://doi.org/10.1016/j.jen.2018.09.007
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(5), 1413–1430. https://doi.org/10.1111/jan.15110
Coleman, R. (2018). Improving Nurse-to-Nurse Handover Through Implementation of Standardized SBAR. Gardner-Webb University. https://digitalcommons.gardner-webb.edu/cgi/viewcontent.cgi?article=1357&context=nursing_etd
Dahm, M. R., Slade, D., Brady, B., Goncharov, L., & Chien, L. (2022). Tracing Interpersonal Discursive Features in Australian Nursing Bedside Handovers: Approachability Features, Patient Engagement and Insights for ESP Training and Working with Internationally Trained Nurses. English for Specific Purposes, 66, 17–32. https://doi.org/10.1016/j.esp.2021.10.002
Dalky, H. F., Al-Jaradeen, R. S., & Abualrrub, R. F. (2020). Evaluation of the Situation, Background, Assessment, and Recommendation Handover Tool in Improving Communication and Satisfaction among Jordanian Nurses Working in Intensive Care Units. Dimensions of Critical Care Nursing, 39(6), 339–347. https://doi.org/10.1097/DCC.0000000000000441
Ernst, K., McComb, S., & Ley, C. (2019). Examining Medical-Surgical Nurse Shift-to-Shift Handoffs to Identify Process, Failures, and Effects. IISE Transactions on Healthcare Systems Engineering, 9(2), 120–130. https://doi.org/10.1080/24725579.2019.1570986
Festila, M. S., & Müller, S. D. (2021). Information Handoffs in Critical Care and Their Implications for Information Quality: A socio-Technical Network Approach. Journal of Biomedical Informatics, 122. https://doi.org/10.1016/j.jbi.2021.103914
Ghonem, N. M. E., & El-Husany, W. A. (2023). SBAR Shift Report Training Program and its Effect on Nurses’ Knowledge and Practice and Their Perception of Shift Handoff Communication. SAGE Open Nursing, 9, 1–18. https://doi.org/10.1177/23779608231159340
Ghosh, S., Ramamoorthy, L., & pottakat, B. (2021). Impact of Structured Clinical Handover Protocol on Communication and Patient Satisfaction. Journal of Patient Experience, 8, 1–10. https://doi.org/10.1177/2374373521997733
Gungor, S., Akcoban, S., & Tosun, B. (2022). Evaluation of Emergency Service Nurses’ Patient Handover and Affecting Factors: A Descriptive Study. International Emergency Nursing, 61. https://doi.org/10.1016/j.ienj.2022.101154
Hashish, E. A. A., Asiri, A. A., & Alnajjar, Y. K. (2023). Shift Handover Quality in Saudi Critical Care Units: Determinants from Nurses’ Perspectives. BMC Nursing, 22(1). https://doi.org/10.1186/s12912-023-01348-z
Khan, A., Ali, S., Bhatti, J., & Hayat, N. (2022). Ineffective Transition of Patients during Shift Handover Process of Nurses in Private Sector Tertiary Care Hospital of Peshawar, Pakistan. Pakistan Armed Forces Medical Journal, 72(2), 572–575. https://doi.org/DOI: https://doi.org/10.51253/pafmj.v72i2.3736
Lake, S., Rudge, T., & West, S. (2022). Braided Identities in Acute Care Nurses’ Practices of Work: Professional, Clinician, Employee. Journal of Organizational Ethnography, 12(1), 16-30. https://doi.org/10.1108/JOE-04-2022-0004
Lindayani, L., & Yetti, K. (2021). The Effectiveness of an Appreciated Inquiry-Based Intervention to Improve Nursing Handover Process : A Queasy Experimental Study. Jurnal Pendidikan Keperawatan Indonesia, 7(1), 17–24. https://doi.org/10.17509/jpki.v7i1.30964
Monti, M. C., Maiandi, S., Rossi, L., Villani, M., & Garofalo, C. (2022). Nurse Handover with SBAR Method: A Quasi-Experimental Study. Dissertation Nursing, 1(1), 3–11. https://doi.org/10.54103/dn/17691
Nemati, S. M., Fathi, M., Nouri, B., & Valiee, S. (2022). Effects of an Specific Methodology (I Pass the Baton) on Quality of Handoff Information among Nurses: A Comparative Study. Journal of Healthcare Quality Research, 37(5), 268–274. https://doi.org/10.1016/j.jhqr.2022.02.011
Oxelmark, L., Whitty, J. A., Ulin, K., Chaboyer, W., Gonçalves, A. S. O., & Ringdal, M. (2020). Patients Prefer Clinical Handover at the Bedside; Nurses Do Not: Evidence from a Discrete Choice Experiment. International Journal of Nursing Studies, 105, 1–16. https://doi.org/10.1016/j.ijnurstu.2019.103444
Patel, S. J., & Landrigan, C. P. (2019). Communication at Transitions of Care. Pediatric Clinics of North America, 66(4), 751–773. https://doi.org/10.1016/S0031-3955(19)30009-4
Powell, M., Brown, D., Davis, C., Walsham, J., Calleja, P., Nielsen, S., & Mitchell, M. (2020). Handover Practices of Nurses Transferring Trauma Patients from Intensive Care Units to the Ward: A Multimethod Observational Study. Australian Critical Care, 33(6), 538–545. https://doi.org/10.1016/j.aucc.2020.03.004
Raurell-Torredà , M., Rascón-Hernán, C., Malagón-Aguilera, C., BonmatÃ-Tomás, A., Bosch-Farré, C., Gelabert-Vilella, S., & Romero-Collado, A. (2021). Effectiveness of a Training Intervention to Improve Communication between/Awareness of Team Roles: A Randomized Clinical Trial. Journal of Professional Nursing, 37(2), 479–487. https://doi.org/10.1016/j.profnurs.2020.11.003
Steinhauser, K., Beliveau, J., Hendricks, A., & Lakis, K. (2020). Improving Palliative Care Chaplain Communication with the Interdisciplinary Care Team Through Implementation of the SBAR Technique (QI606). Journal of Pain and Symptom Management, 59(2), 502–503. https://doi.org/10.1016/j.jpainsymman.2019.12.215
Wiklund, I., Sahar, Z., Papadopolou, M., & Löfgren, M. (2020). Parental Experience of Bedside Handover during Childbirth: A Qualitative Interview Study. Sexual and Reproductive Healthcare, 24, 14–17. https://doi.org/10.1016/j.srhc.2020.100496
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
