Pengaruh Pelatihan Komunikasi ISOBAR (Identify, Situation, Observations, Background, Assesment, Recomendation) Terhadap Pengetahuan dan Kualitas Pelaksanaan Operan Di RSUD Padang Pariaman

Candra Deni Mairosa, Rizanda Machmud, Jafril Jafril

Abstract

Komunikasi operan merupakan transfer informasi terkait pasien untuk kesinambungan asuhan yang diberikan. Kesalahan dalam transfer informasi pasien dapat mengakibatkan kelalaian pengobatan, asuhan tidak tepat dan kematian, untuk itu perlu kerangka komunikasi agar informasi yang disampaikan cepat, tepat dan akurat. ISOBAR merupakan kerangka komunikasi operan yang lebih terstruktur, lengkap dan akurat sehingga menunjang keselamatan pasien. Penelitian ini bertujuan untuk mengidentifikasi pengaruh pelatihan komunikasi ISOBAR terhadap pengetahuan dan kualitas pelaksanaan operan di RSUD Padang Pariaman. Penelitian ini adalah penelitian kuantitatif dengan desain Quasy Experimental Pre – Post Test With control Group. Teknik pengambilan sampel denga systematik random sampling. Yang menjadi sampel pada penelitian ini adalah ketua tim dan penanggung jawab shift dengan jumlah 23 kelompok intervensi dan 18 kelompok kontrol. Pengumpulan data dilakukan dengan kuisioner dan observasi. Analisa data yang digunakan adalah uji statistik Man-Whitney untuk melihat perbedaan kelompok intervensi dan kontrol. Hasil penelitian ini membuktikan bahwa terdapat pengaruh pelatihan komunikasi ISOBAR terhadap pengetahuan (p=0,000) dan kualitas pelaksanan operan (p=0,000) pada kelompok intervensi. Diharapkan pihak Rumah Sakit dapat menggunakan komunikasi ISOBAR dalam operan untuk meningkatkan kualitas SDM dan membuat kebijakan tentang penerapan komunikasi ISOBAR dalam upaya meningkatkan keselamatan pasien

References

DAFTAR PUSTAKA

B., & VanGraafeiland, B. (2019). Improving Education and Communication in an Assisted Living Facility to Reduce Avoidable Emergency Department Transfers: A Quality Improvement Project. Journal of Gerontological Nursing, 45(5), 23–29. https://doi.org/10.3928/00989134-20190404-01

Abdurrahman, M., & Garcia, C. (2016). Safe clinical handover. In On-Call Geriatric Psychiatry: Handbook of Principles and Practice (pp. 87–97). https://doi.org/10.1007/978-3-319-30346-8_9

Agency for Healthcare Research and Quality (AHRQ). (2014). Hospital Survey on Patient Safety Culture. https://doi.org/10.1097/PTS.0b013e3181b53f6e

Arsanam, P., & Yousapronpaiboon, K. (2014). The Relationship between Service Quality and Customer Satisfaction of Pharmacy Departments in Public Hospitals. International Journal of Innovation, Management and Technology, 5(4), 261–265. https://doi.org/10.7763/IJIMT.2014.V5.524

Australian Commission on Safety and Quality in Healthcare. (2012). Clinical Handover Standard 6. Natl. Saf. Qual. Heal. Serv. Stand.

Beament, T., Ewens, B., Wilcox, S., & Reid, G. (2018). A collaborative approach to the implementation of a structured clinical handover tool (iSoBAR), within a hospital setting in metropolitan Western Australian: A mixed methods study. Nurse Education in Practice, 33, 107–113. https://doi.org/10.1016/j.nepr.2018.08.019

Blyth, C., Bost, N., & Shiels, S. (2017). Impact of an education session on clinical handover between medical shifts in an emergency department: A pilot study. EMA - Emergency Medicine Australasia, 29(3), 336–341. https://doi.org/10.1111/1742-6723.12717

Compton, J., Copeland, K., Flanders, S., Cassity, C., Spetman, M., Xiao, Y., & Kennerly, D. (2012). Implementing SBAR across a large multihospital health system. Joint Commission Journal on Quality and Patient Safety, 38(6), 261–268. https://doi.org/10.1016/S1553-7250(12)38033-1

Eggins, S., & Slade, D. (2015). Communication in Clinical Handover: Improving the Safety and Quality of the Patient Experience. J Public Health Res, 4. https://doi.org/doi: 10.4081/jphr.2015.666

Febrianti, P. Y. (2015). Analisis Pengaruh Pelatihan Terhadap Peningkatan Kemampuan PNS Di Balai PU Wilayah I Medan. http://repository.usu.ac.id/handle/123456789/57747.

Fereshteh, F., Hossein, E. A., & Shayan, H. (2016). Evaluating of Training and Internship Programs of University Hospitals. Health, 8(4), 658–663. https://doi.org/10.4236/health.2016.87069

Geddes, F., Della, P., Stewart-Wynne, E., & Jones, D. (2016). 10. iSoBar: An innovative framework and checklist for clinical rounds in an interprofessional student training ward. In Effective Communication in Clinical Handover. https://doi.org/10.1515/9783110379044-018

Güneş, Ü. Y., Gürlek, Ö., & Sönmez, M. (2016). A survey of the patient safety culture of hospital nurses in Turkey. Collegian, 23(2), 225–232. https://doi.org/10.1016/j.colegn.2015.02.005

KARS. (2017). Efektif 1 Januari 2018. Standar Nasional Akreditasi Rumah Sakit (Vol. 1).

Lee, J. Y. (2015). Effective communication for patient safety. Journal of the Korean Medical Association, 58(2), 100–104. https://doi.org/10.5124/jkma.2015.58.2.100

Lilis, S. (2015). The Effectivenes of Role Play in Teaching Speaking. ELTIN Journal, 3(October), 106–109.

Maharani, L., Masya, H., & Janah, M. (2018). Peningkatan Keterampilan Sosial Peserta Didik SMA Menggunakan Layanan Bimbingan Kelompok Dengan Teknik Diskusi. KONSELI: Jurnal Bimbingan Dan Konseling (E-Journal), 5(1), 65. https://doi.org/10.24042/kons.v5i1.2658

Mardis, M., Davis, J., Benningfield, B., Elliott, C., Youngstrom, M., Nelson, B., … Riesenberg, L. A. (2015). Shift-to-Shift Handoff Effects on Patient Safety and Outcomes: A Systematic Review. American Journal of Medical Quality : The Official Journal of the American College of Medical Quality. https://doi.org/10.1177/1062860615612923

McGowan, M., McClean, A., Verma, R., & Anandarajan, M. (2014). Improving Patient Safety In Paediatric Handovers. Archives of Disease in Childhood, 99(Suppl 2), A571.1-A571. https://doi.org/10.1136/archdischild-2014-307384.1596

Merten, H., van Galen, L. S., & Wagner, C. (2017). Safe handover Hanneke Merten researcher in quality and safety in healthcare. BMJ, 359. https://doi.org/10.1136/bmj.j4328

National Clinical Effectiveness Commitee. (2014). Communication (Clinical Handover) in Maternity Services. Department of Health.

Neupane, B. (2019). Effectiveness of Role Play in Improving Speaking Skill. Journal of NELTA Gandaki, 1, 11–18. https://doi.org/10.3126/jong.v1i0.24454

Porteous, J., Stewart-Wynne, E., Connolly, M., & Crommelin, P. (2009). iSoBAR — a concept and handover checklist: the National Clinical Handover Initiative | Medical Journal of Australia. Med J Aust, 190(11), 152. Retrieved from https://www.mja.com.au/journal/2009/190/11/isobar-concept-and-handover-checklist-national-clinical-handover-initiative%5Cnhttps://www.mja.com.au/system/files/issues/190_11_010609/con11210_fm.pdf

Potter, P. A., & Perry, A. G. (2016). Fundamental ofnursing concept, process and practice (9th ed). Christ Church University Canterbury: St Louis: Mosby Company.

Putra, A. J. (2013). Analisa Faktor-Faktor yang Berhubungan dengan Keselamatan Pasien (Patient Safety) di Ruang Perawatan Rumah Sakit Haji Jakarta. Kesehatan Masyarakat, 1–17.

Robbins, S. P., & Judge, T. A. (2008). Perilaku Organisasi Jilid II. Salemba Empat. https://doi.org/10.1097/ACM.0b013e31821db670

Sohi, D., Scotney, E., Sowerbutts, H., Barber, T., & V Rao2. (2015). Significantly improving the efficiency of communication in paediatrics. BMj, 96(1). https://doi.org/doi.org/10.1136/adc.2011.212563.210

Sudiarta, I. K., Tarigan, E., & Supardi, S. (2019). Effect of Nursing Training on Improving Knowledge, Skills, and Attitudes of Clinical Nurses. Indonesian Journal of Health Research, 2(1), 31–38. https://doi.org/10.32805/ijhr.2019.2.1.42

Triwibowo, C., Yuliawati, S., & Amri Husna, N. (2016). Handover Sebagai Upaya Peningkatan Keselamatan Pasien ( Patient Safety) di Rumah Sakit. Jurnal Keperawatan Soedirman, 11, 5.

Wheeler, K. K. (2015). Effective handoff communication. Nursing Critical Care, 10(6), 13–15. https://doi.org/10.1097/01.CCN.0000472849.85679.c4

DOI: https://doi.org/10.25077/njk.15.2.92-102.2019

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