Fishbone Analysis Method of Communication Handover in the Emergency Installation in Jakarta Army Hospital

Abstract

Background: The handover and transfer of identification often experience a weakness in its implementation and become global problems at the hospital.Objective: This paper focuses on the cause of less optimal implementation of Identification Situation Background Assessment Recommendation (ISBAR) method when conducting handover of nurses among shifts at Army Hospital in Jakarta. Methods: This study employed situation study analysis with a fishbone diagram approach that includes 5M and 1E.Literature review and analysis were utilized to produce recommendation for improving the quality of the ISBAR method implementation when conducting handover of nurses among shifts. Data were obtained from the existing-secondary data, previous research data and data sources from Jakarta Military Hospitals.
 Results: Data were analyzed using fishbone, data obtained for the cause was not optimal ISBAR method when nursing handover between shifts. causes the problems identified can be prioritized are no tools monitoring evaluation, there is no definitive monitoring evaluation team, monitoring evaluation implementation of nurse handover within shift, hospital has not been a paperback book about ISBAR, components in the handover format not optimal, and the nurse has not been understood properly ISBAR method.
 Conclusion: The research result reveals six causes of the problem. They are: (1) the absence of evaluation monitoring tools, (2) the absence of definite evaluation monitoring team, (3) non optimal handover evaluation monitoring of nurses among shifts,(4) the absence of a pocket book on ISBAR delivery method, (5) non optimal components in the handover format, and (6) nurses’ inability to conduct ISBAR method correctly.Recommendation: propose the ISBAR method of monitoring and evaluating the handover of nurses between shifts, the establishment of an ISBAR method evaluation monitoring team to hand over nurses between shifts, a draft evaluation monitoring tool, making a pocket book about the ISBAR method, the ISBAR component in the nurse handover format, and provide education and roleplay of the ISBAR method when handover of nurses between shifts

Nursing Handover: Experiences and Perspectives in the Critical Care Unit at Murang’a County Referral Hospital

“…The practice of handover is at times dismally performed with critical data omitted and inappropriate data included where there is no use of structured and standardized frameworks such as SBAR that is recommended by the WHO as it improves patient outcomes (Burgess et al, 2020). The lack of a tool or nurses' inability to utilize a standardized tool is a major cause of ineffective handover (Gunawan et al, 2019). Unique to lack of a standardized handover was the report by the participants that being the first CCU in the county and operationalized in the year 2020 as necessitated by the global COVID-19 pandemic, majority of staff felt that the existence of the disease and the circumstances in which the unit was established had dragged the operations of the unit including the handing over with more emphasis has been on care provision activities while adopting a temporary handing over format that could be utilized by all nurses.…”

“…Establishment of handover monitoring and evaluation teams is necessary to address handover challenges (Gunawan et al, 2019). Improving the nurse-patient ratios through employment of more staff and timely payment of salaries were prominent strategies fronted by the participants to ease fatigue, workload and demotivation.…”