Nursing handover in the Indonesian hospital context: Structure, process, and barriers

Background: 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 I...

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Autores principales: Krisna Yetti, Nani Asna Dewi, Sri Herni Wigiarti, Dina Warashati
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Lenguaje:EN
Publicado: Belitung Raya Foundation 2021
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Acceso en línea:https://doaj.org/article/6ee6907ead18488e9b3f226cc74de624
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spelling oai:doaj.org-article:6ee6907ead18488e9b3f226cc74de6242021-12-02T15:28:22ZNursing handover in the Indonesian hospital context: Structure, process, and barriers2477-407310.33546/bnj.1293https://doaj.org/article/6ee6907ead18488e9b3f226cc74de6242021-04-01T00:00:00Zhttps://belitungraya.org/BRP/index.php/bnj/article/view/1293https://doaj.org/toc/2477-4073Background: 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.  Objective: This study aimed to describe the structures, processes, and barriers of the nursing handover in the Indonesian hospital context.  Methods: 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. Results: 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. Conclusion: 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.  Funding: This study was funded by the Department of Nursing, Universitas Indonesia, Indonesia.Krisna YettiNani Asna DewiSri Herni WigiartiDina WarashatiBelitung Raya Foundationarticlecase studyclinical handovernursing handoverpatient handoffindonesiahospitalNursingRT1-120ENBelitung Nursing Journal, Vol 7, Iss 2, Pp 113-117 (2021)
institution DOAJ
collection DOAJ
language EN
topic case study
clinical handover
nursing handover
patient handoff
indonesia
hospital
Nursing
RT1-120
spellingShingle case study
clinical handover
nursing handover
patient handoff
indonesia
hospital
Nursing
RT1-120
Krisna Yetti
Nani Asna Dewi
Sri Herni Wigiarti
Dina Warashati
Nursing handover in the Indonesian hospital context: Structure, process, and barriers
description Background: 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.  Objective: This study aimed to describe the structures, processes, and barriers of the nursing handover in the Indonesian hospital context.  Methods: 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. Results: 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. Conclusion: 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.  Funding: This study was funded by the Department of Nursing, Universitas Indonesia, Indonesia.
format article
author Krisna Yetti
Nani Asna Dewi
Sri Herni Wigiarti
Dina Warashati
author_facet Krisna Yetti
Nani Asna Dewi
Sri Herni Wigiarti
Dina Warashati
author_sort Krisna Yetti
title Nursing handover in the Indonesian hospital context: Structure, process, and barriers
title_short Nursing handover in the Indonesian hospital context: Structure, process, and barriers
title_full Nursing handover in the Indonesian hospital context: Structure, process, and barriers
title_fullStr Nursing handover in the Indonesian hospital context: Structure, process, and barriers
title_full_unstemmed Nursing handover in the Indonesian hospital context: Structure, process, and barriers
title_sort nursing handover in the indonesian hospital context: structure, process, and barriers
publisher Belitung Raya Foundation
publishDate 2021
url https://doaj.org/article/6ee6907ead18488e9b3f226cc74de624
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AT sriherniwigiarti nursinghandoverintheindonesianhospitalcontextstructureprocessandbarriers
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