Yetti Krisna, Dewi Nani Asna, Wigiarti Sri Herni, Warashati Dina
Faculty of Nursing, Universitas Indonesia, Indonesia.
Belitung Nurs J. 2021 Apr 29;7(2):113-117. doi: 10.33546/bnj.1293. eCollection 2021.
Nursing handover is an essential part of nursing practice to safe patient care, which occurs among nurses between shifts for transferring professional responsibility and accountability. However, there is limited information about the implementation and evaluation of nursing handover in Indonesian hospitals.
This study aimed to describe the structures, processes, and barriers of the nursing handover in the Indonesian hospital context.
This study employed a case study design in five inpatient units, especially in the medical-surgical wards of a referral hospital in Indonesia. The study was conducted from August to November 2018. A total of 100 handovers and 76 nurses were included. Focus group discussions were conducted in head nurses, nurse team leaders, and registered nurses. Observations were implemented to capture the handover process, including the number of the nurses in and out and the content of the information covered situation, background, assessment, and recommendations (SBAR). Data were analyzed using content analysis and fishbone analysis.
The nursing handover consisted of three phases: before, during, and after. The handover barriers were divided into manpower, material, money, method, environment, and machine. The content of handover varied according to nurses' familiarity with the patients and their complexity. The nurses also actively participated during the handover process, although some nurses were absent in the handover time. About 75% of nurses had sufficient knowledge about the shift handover process using SBAR. The SBAR was adopted as a standard for handover, but no specific guideline or standard operating procedure.
The results of this study can be used as basic information to develop a guideline of nursing handover and supervision in the context of hospitals in Indonesia and beyond.
护理交接班是保障患者安全护理的护理实践的重要组成部分，它发生在护士轮班期间，用于交接专业责任和职责。然而，关于印度尼西亚医院护理交接班的实施和评估的信息有限。
本研究旨在描述印度尼西亚医院背景下护理交接班的结构、流程和障碍。
本研究采用案例研究设计，选取了五个住院科室，特别是印度尼西亚一家转诊医院的内科-外科病房。研究于2018年8月至11月进行。共纳入100次交接班和76名护士。对护士长、护士团队负责人和注册护士进行了焦点小组讨论。进行观察以记录交接班过程，包括进出的护士人数以及所涵盖信息的内容，即情况、背景、评估和建议（SBAR）。使用内容分析和鱼骨分析对数据进行分析。
护理交接班包括三个阶段：交接前、交接中、交接后。交接障碍分为人力、物力、财力、方法、环境和设备。交接内容因护士对患者的熟悉程度及其病情复杂程度而异。护士们在交接过程中也积极参与，尽管有些护士在交接时间缺席。约75%的护士对使用SBAR的轮班交接过程有足够的了解。SBAR被用作交接的标准，但没有具体的指南或标准操作规程。
本研究结果可作为制定印度尼西亚及其他地区医院背景下护理交接班指南和监督的基础信息。
