Studi Fenomenologi : Pelaksanaan Komunikasi SBAR pada saat Timbang Terima di Bangsal Bedah dan Interne RSUP Dr. M. Djamil Padang

Sandra Hardini, Harmawati harmawati, Fatma Sri Wahyuni

Abstract


ABSTRAK

Peningkatan komunikasi efektif merupakan sasaran keselamatan pasien yang kedua. Komunikasi efektif menggunakan teknik SBAR merupakan kerangka teknik komunikasi yang disediakan untuk berkomunikasi antar petugas kesehatan. Kesalahan komunikasi menjadi tiga penyebab utama centimental event . Angka kejadian tidak diharapkan (KTD) 0,003% (SPM 0 %) di RSUP Dr. M. Djamil Padang. Tujuan penelitian ini adalah mengekplorasi pengalaman perawat melaksanakan komunikasi SBAR pada saat timbang terima (handover) di di bangsal Bedah dan Interne RSUP Dr. M. Djamil Padang. Penelitian ini menggunakan pendekatan deskriptif dengan desain penelitian kualitatif dan pendekatan fenomenologi. Teknik pengambilan sampling yang digunakan snowball sampling dan cara pengambilan data ke partisipan melalui wawancara mendalam/ indept interview. Partisipan dalam penelitian ini berjumlah 6 orang. Analisa data denganmetode collaizi. Hasil penelitian 1) Pelaksanaan komunikasi SBAR pada saat timbang terima sudah optimal 2) Waktu pelaksanaan komunikasi SBAR saat timbang terima, 3) Pelaksanaan komunikasi SBAR pada saat timbang terima dilakukan di nurse station dan ruang pasien, 4) Perawat merasakan manfaat yang baik dalam menggunakaan komunikasi SBAR, 5) harapan perawat terhadap pelaksanaan komunikasi SBAR saat timbang terima agar selalu diterapkan dan di tingkatkan, 6) Faktor pendukung dalam komunikasi SBAR berupa adanya SPO, pembekalan dan sosialisasi 7) Hambatan dalam melaksanakan komunikasi SBAR saat timbang terima berupa kondisi pasien yang berubah – ubah dan kendala waktu. Saran sebagai pelaksanaan komunikasi SBAR di lakuakan disetiap timbang terima walupun tanggal merah dan dilakukan setiap shift, sebaiknya timbang terima dilakukan di konter perawat dan ruangan rawat pasien dengan menjaga privasi pasien rawatan. Memanfaatkan Komunikasi SBAR dalam pelaporan lisan

 

Kata kunci: Komunikasi SBAR; Timbang Terima

 

ABSTRACT

The Effective communication improved a second target  of patient safety. Effective communication used a technique SBAR communication techniques was the framework provided to communicate between health workers. Misscommunication was causes centimental events . In RSUP Dr. M. Djamil Padang the centimental events was 0,003 % (0 % ) .The purpose of this research  explorated experience of nurse weared SBAR communication at the  handover  surgeon and interne department in RSUP Dr.M.Djamil. This study used descriptive approach with the design and phenomenology. Qualitative research approach mean techniques of sampling used snowball sampling with indepth interviews. The Participants in this study were 6 people. The analysts data  was collaizy method. The research results are 1 ) Applied sbarcommunication 2 ) the time of implementation communication SBAR 3) implementation of the communication SBAR was nurse station and patient rooms , 4 ) the benefit of SBAR communication , 5 ) nurses have hoped implementation of the SBAR communication, 6 SBAR comunication  7 ) the weigh of SBAR communication. the sugests of the research will the hospital  open recruirment news staff, hive them workshop abaout patient safety.

 

keywords: SBAR communication , handover


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References


DAFTAR PUSTAKA

Aebersold, Tschannen and sculli (2013). Improving nursing student communication skills using crew esource management strategies. Journal of Nursing Education, Vol. 52(3). doi:10.3928/01484834-20130205-01

Agarwal, Saville, Slayton, Donahue, Daves, Christian, Bichell, Harris. (2012). Standardized posstoperative handover process improves outcome in the intensive care unit : A model for operational sustainability and improved team performance

Ajzen, Icek. Attitudes, Personality and Behavior : second edition. England : Open University Press

ASASKI, (2017). Buku Panduan Praktikum 18 Kompetensi Asisten Keperawatan. Jakarta : In Medika

Borkowski, Nancy. (2013). Organizational Behavior in Health Care. Jones and Barlett Publisher : Sudbury

Bangun, Wilson. 2012. Manajemen Sumber Daya Manusia. Bandung : Erlangga

Chaboyer, Wendy et al. (2010). Bedside nursing handover : a case study. International Journal of Nursing Practice 2010; 16: 27–34 doi:10.1111/j. 1440-172X.2009.01809.x

Chesnay, Mary De. (2015). Nursing Research Using Phenomenology :Qualitative Design and Method in Nursing. New York : Springer Publishing Company ISBN: 978-0-8261-2686-3 e-book ISBN: 978-0-8261-2687-0

Compton, J., Copeland, K., & Flanders, S. (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

Cornell.et al (2014). Impact of SBAR on Nurse Shift Reports and Staff Rounding.Medsurg Nursing,23(5),334-342. doi:10.1097/01.NURSE.0000 454965.49138.79

Cormack, N. M and Cotter, C . (2013). Managing Burnout in the Workplace.1 st Edition a Guide for Information Profesional. Australian Library Jurnal Vol 63 No. 4

Creswell, John W. 2012. Research design: pendekatan kualitatif, kuantitatif, dan mixed. Yogyakarta : Pustaka Belajar

Eberhardt, S. (2014). Improve handoff communication with SBAR. Nursing, 44(11), 17–20. https://doi.org/10.1097/01.NURSE.0000454965.49138.79

Faisal, F. dkk (2018). Pemdampingan Handover pasien dengan metode Situation, Background, Assesment, Recommendation (SBAR) pada Perawat Di RSUD Barru Kabupaten Barr Sulewesi Selatan. Jurnal Teparan Abdimas. Volume 4, Nomor 1, Januari 2019, hlm. 43-51

Febrina, W,. Stevani, R (2017) Pengetahuan Perawat Terhadap Pelaksanaan Timbang Terima pasien sesuai SPO. Real in Nursing Journal (RNJ). Volume 1, No. 2 Agustus 2018, hlm : 60-66, http://ojs.fdk.ac.id/index.php/Nursing/index

Field, Terry. S. (2011). Randomized Trial of a Warfarin Communication Protocol for Nursing Homes: an SBAR-based Approach. The American Journal of Medicine Vol. 124. No. 2, February 2011. Doi:10.1016/j.amjmed. 2010.09.017

Gurung, Nimanjali. (2016). level of Workplace Stress among Staff Nurses Working at PICU in Selected Tertiary Care Hospital, Bangalore. International Journal of Health Sciences and Research (IJHSR). 2016; 6(10): 151-155.

Hanneke, M. Sanne, L. Wagtendonk, P. Cordula, W. (2011). Patient safety in elderly hip fracture patients: design of a randomised controlled trial. Merten et al. BMC Health Services Research.

Hilda. Dkk. (2017). Faktor-Faktor yang Mempengaruhi Penerapan Komunikasi Efektif oleh Perawat di Ruang Rawat Inap. Mahakam Nursing Journal Vol 2, No. 1, Mei 2017 : 09-17

Horwitz, L. i., Dombroski, J., Murphy, T.e., Farnan, J. M., Johnson, J. K& Arora, V.M (2013) Validation of a handoff assesment tool : the handoff CEX. Journal of Clinical Nursing, 22 (9-10), 1477-1486. http://doi.org/10.1111/j.1365-2702.2012.04131.x

Istanti, Y. P. (2015). The 2 nd University Research Coloquium 2015 ISSN 2407-9189 peningkatan patient safety dengan komunikasi s bar Hospital patient safety is a system where hospitals make patient care safer . The system includes : risk assessment , identification and treatmen, 177–183.

JCI. 2017. Standar Akreditasi Rumah Sakit

Kementrian Kesehatan RI. (2014). Peraturan Menteri Kesehatan Republik Indonesia nomor 56 tentang Klasifikasi dan perizinan Rumah Sakit

Kemenkes RI. (2011). Standar akreditasi rumah sakit edisi 1. Standar Akreditasi Rumah Sakit, 1–175. https://doi.org/362.11

Kementrian Kesehatan Kesehatan RI. (2008). Peraturan Menteri Kesehatan Republik Indonesia nomor : 129/Menkes/SK/II/2008. Standar Pelayan Minimal (SPM).

Kesrianti, A, M,. Noor, N. B,. Maidin, A. (2013). Faktor-faktor yang Mempengarusi Komunikasi pada saat handover di ruang rawat Inap rumah sakit Universitas Hasanuddin. Tesis Fakultas Kesehatan Masyarakat, Bagisn MARS, Universitas Hassanuddin

Köksal, O., ARSLAN, C., & BAKLA, A. (2014). an Investigation Into Foreign Language Learning Anxiety, Stress and Personality in Higher Education. International Journal on New, 5(2), 199–208. Retrieved from https: //s3.amazonaws.com/academia.edu.documents/37784816/IJONTE-_Koksal_ Arslan-_Bakla-_AN_INVESTIGATION_INTO_ FOREIGN_ LANGUAGE _LEARNING_ANXIETY_.pdf?AWSAccessKeyId=AKIAIWOWYYGZ2Y53UL3A&Expires=1516659345&Signature=fu%2BQn%2BtNKtWshoa%2BB97w2rAf5n0%3D&resp

Komisi Akreditasi Rumah Sakit. (2017). Standar Nasional Akreditasi Rumah Sakit Edisi 1.

Komite Keselamatan Pasien Rumah Sakit. (2015). Pedoman Pelaporan Insiden Keselamatan Pasien (IKP). Diganti Pmk 11, 25.

Kurnawati, I, D., (2013) Masa Kerja dengan Jobengagement pada Karyawan. Jurnal ilmiah Psikologi Terapan. volume 02, no, 02 Januari 2014, ISSN : 2301-8267

Lawton, R., Mceachan, R. R. C., Giles, S. J., Sirriyeh, R., Watt, I. S., & Wright, J. (2012). Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings : a systematic review, (March). https://doi.org/10.1136/bmjqs-2011-000443

Lawton, Rebecca, et all. (2015). Development of an evidence-based frame work of factors contributing to patient safety incidents in hospital settings: a systematic review. Produced by BMJ Publishing Group Ltd under Licence https://doi.org/10.1136/bmjqs-2011-000443

Manopo VJ. (2014). Peran Komunikasi Dalam Membentuk Efektivitas Kerja Karyawan. cv. Magnum Sign and Print Advertising Samarinda.

Manser, T.,Foster, S., Flin. R& Patey (2013) Team Communication During Patient Handover From The Operating Room : More Than Facts and Figures. Human Factors : The Juornal Of the Human Factors and Ergonomics Society, 55(1), 138-156.http://doi.org/10.1177/0018720812451594

Mcshane, S. L., & Glinow, M. A. Von. (2016). M:Organizational Behavior 3/e.

Milutinovici, et al. (2012). Profesional stress and health among critical care nurse in Serbia. doi: 10.2478/10004-1254-63-2012-2140

Moleong, Lexy, 2012. Moleong, Lexy J. 2013. Metodologi Penelitian Kualitatif. Bandung: PT. Remaja Rosdakarya.

Nguyen, Phung Kim. (2016). The Use of SBAR Communication Tool During Warm Hand-Of In Integrated. In Partial Fulfillment Of The Requirements

For The Degree Of Doctor Of Nursing Practice In The Graduate College The University Of Arizona

Noe, Raymond. A, Hollenbeck. John B, Gerhat, Barry and Wright, Patrick M. (2013). Manajemen Sumber Daya Manusia : Mencapai Keunggulan Ber saingan edisi 6 – Buku 1. Jakarta: Salemba Empat

Nursalam. (2015). Manajemen Keperawatan: Aplikasi dalam Praktik Keperawatan Profesional edisi 5. Jakarta: Salemba Medika

Oz, H. (2014). Big Five Personality Traits and Willingness to Communicate Among Foreign Language Learners in Turkey. Social Behavior and Personality : An International Journal, 42(9), 1473–1482. https://doi.org/ 10. 2224/sbp.2014.42.9.1473

Parmante, K. (2011). SBAR technique for communication :a situational briefing model. Colorado (USA) : Evergreen

Parry, 2012 Parry, J. (2012). SBAR: Tools for Improvement. Www. 1000 Lives plus.Wales.Nhs.Uk, 22.

Permenkes RI No.11, (2017). Peraturan menteri kesehatan RI Nomor 11 Tahun 2017 tentang keselamatan pasien. Peraturan Menteri Kesehatan Republik Indonesia Nomor 11 Tahun 2017 Tentang Keselamatan Pasien Dengan, 5–6.

Perwitasari. D dan A.R. Tualeka, (2014). Faktor yang Berhubungan dengan Kelelahan Kerja Subjektif pada Perawat di RSUD DR Mohammad Soewandhi Surabaya. The Indonesian Journal of Safety Health and Environment, 1 (1): 15-23

Rachmah (2018). Optimalisasi Keselamatan Pasien melalui Komunikasi SBAR dalam Handover. Idea Nursing Journal. ISSN : 2087-2879, e-ISSN : 2580-2445. Vol. IX No. 1 2018

Rahayu, Sri Yulia, dkk. Gambaran Penerapan Handover anatar Shift oleh Perawat dengan Menggunakan Metoda SBAR di Gedung Kemuning RSUP Dr. Hasan Sadikin Bandung. Jurnal Ilmu Kesehatan Volume 10, Nomor 1 Juni 2016 ISSN 1410-234X

Randmaa, M., Mårtensson, G., Swenne, C. L., & Engström, M. (2014). SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: A prospective intervention study. BMJ Open, 4(1), 1–9. https://doi.org/10.1136/bmjopen-2013-004268

Report, C., Karacı, M., Arıkan, E. E., Yüksel, Ö. H., & Özkaya, O. (2017). Henoch-Schonlein Purpura in A Patient with Behcet ’ s Disease Presenting with Penile Ulcer. Arch Pediatr, J118(DOI:10.29011/2575-825X. 100018), 0–4. https://doi.org/10.29011/2575-825X.

Rikandi, M. (2014) Pelatihan Komunikasi Situation, Background, Assesment, Recommendation Perawat terhadap pengetahuan dan Penerapan Timbang Terima di Instalasi Rawat Inap Anak RSUP Dr. M. Djamil Padang Tesis Fakultas Keperawatan Universitas Andalas

Robbins, Stephen P and Judge, Timothy A. (2015). Organizational Behavior: fifteenth edition. New Jersey: Pearson Education

Rockville, Westat, et al. (2016). AHRQ Hospital Survey on Patient Safety Cultute : User’s Guide. Agency for Healthcare Research and Quality U.S. Department of Health and Human Services

Sa’diah, Chalimatus dan Hermin Endartno. (2013) Pengaruh Pengalaman Kerja, Motifasi Instrinsik dan Kepuasan Kerja Karyawan tarhadap Kinerja Karyawan Depo Pelita Satria Perkasa Sokaraja. Jurnal bisnis dan mana jemen, vol.1, no 1. 2013

Safe Work Australia. (2013). Fatigue Management a Worker’s Guide. Australia : ISBN 978-1-74361-262-0

Safitri, R. (2012). Pengaruh Teknik Komunikasi SBAR terhadap motivasi dan Kepuasan Perawat dalam Melakukan operan di Ruang Rawat Inap RSUP Dr. M. Djamil Padang Tesis Fakultas Keperawatan Universitas Andalas

Senja, Nonong Tri, (2014). Pengaruh Kolaborasi Teknik SBAR Terhadap Komunikasi Efektif dalam Keselamatan Pasien di Ruangan Rawat Inap HCU RSUD Sawah Lunto. Tesis Fakultas Keperawatan Universitas Andalas

Street, Eustace, Livingston, Craike, Kent and Patterson. (2011). Communication at the bedside to enhance patient care : A survey of nurses' experience and perspective of handover

Sudresti, N,. Mustriwati, K. A,. Kamayani, M, O, A (2015) Hubungan Penggunaan Komunikasi SBAR dengan Kualitas Pelaksanaan Bedside Handover. Community of Publishing in Nursing, ISSN : 2303-1298, Volume 5, Nomor 2, Agustus 2017

Sukesih dan Istanti, Yuni Permata (2015). Peningkatan Patient Safety dengan Komunikasi SBAR. The 2nd University Research Coloqium 2015. ISSN 2407-9189

Suma’mur, (2009). Higien Perusahaan dan Kesehatan Kerja (hiperkes). Jakarta : Sagung Seto

Syafaruddin, Alwi. (2008). Manjemen Sumber Daya Manusia Strategi Keunggulan Kompettif. Yogyakarta : BPFE

Ting, Wan- Hua., Peng, Fu-Shiang,.Lin Ho-Hsiung,. Hsiao, Sheng-Mou. (2017) The impact of situation-backgroud-assesmenr-recommendation (SBAR) on safety attitdes in the obsetricts department. Taiwanese Journal Of Obstetrics and Gynecology 56 (2017) 171-g4. (http://creativecommons.org/licenses/by-nc-nd/4.0/)

Tribowo, Cecep dan Mitha Erlisya Pusphandani. (2013). Kesehataan Lingkungan dan K3. Yogyakarta : Nuha Medika

Tutiany, dkk. (2017). Bahan Ajar Keperawatan : Manajemen Keselamatan Pasien. Kementerian Kesehatan Republik Indonesia : Pusat Pendidikan Sumber Daya Manusia Kesehatan Badan Pengembangan dan Pemberdayaan Sumber Daya Manusia Kesehatan

Undang- Undang RI. (2009). Nomor 44 tentang Rumah Sakit.

Undang- Undang RI. (2014). Nomor 36 tentang trenaga kesehatan.

Vincent. (2010). Patient Safety (2nd Edition). Wiley-Blackwell: London, UK

Wahyuni (2014). Efektifitas Pelatihan Komunikasi SBAR dalam Meningkatkan Mutu operan Jaga di Bangsal Wardah RS PKU Muhammadiyah Yogyakarta Unit II . Tesis. Program Pascsarjana Universitas Muhammadiyah Yogykarta

WHO. (2009). Human Factors in Patient Safety Review of Topics and Tools. A World Allience For Safer Health Care. WHO/IOR/PSP 2009.05

WHO. (2016). Medication Errors : Technical Series on Safer Primary Care. ISBN 978-92-4-151164-3

WHO. (2017). Patient Safety : Making Health Care Safer. Switzerland : Avenue Appia 20 CH -1211 Geneva 27

Wirawan. (2017). Kepemimpinan Teori, Psikologi, Perilaku Organisasi, Aplikasi Dan Penelitian ; Contoh Aplikasi untuk Kepemimpinan Wanita, Organisasi Bisnis, Pendidikan, Militer Dan Kepemimpinan Racun Pemerintahan Sipil Edisi Kedua. Jakrta : Rajawali Pers

Wirawan. (2015). Manajemen Sumber daya manusia indonesia : teori, psikologi, hukum ketenaga kerjaan, aplikasi dan penelitian : aplikasi dalam pemerintahan, bisnis dan pendidikan. Jakarta : Raja Grafindo Persada.

Zuraida and Ho Hwi Chie. (2014). Pengujian Skala Pengukuran Kelelahan (spk) pada Responden Indonesia. ComTech Vol. 5 No. 2 1012-1020

https://www.bps.go.id/istilah/index.html?Istilah_page=4

duane p. schultz and sydney ellen. 2017. Theories nof personality eleventh edition. USA : chengane learning ISBN : 978-1-305-65295-8




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