SBAR Communication (Situation, Background, Assessment, Recomendation) On Attitude And Nursing Behavior In Improving Patient Safety

Abstract

AbstrakBackground:Sikap dan perilaku perawat dalam memberikan asuhan keperawatan kepada pasien harus menerapkan keselamatan pasien, perawat harus melibatkan kognitif, afektif, dan tindakan yang mengutamakan keselamatan pasien. salah satu solusi untuk meningkatkan keselamatan pasien yaitu dengan komunikasi efektif salah satu metode komunikasi yang efektif saat serah terima adalah komunikasi SBAR. Komunikasi SBAR (Situation, Backgroud, Assesment, Recomendation) merupakan alatinformasiyang menyediakan metode terstruktur dan formal dari komunikasi antara staf, SBAR memiliki potensi untuk meningkatkan kemampuan staf untuk menyusun dan menyampaikan informasi penting, meningkatkan keselamatan pasien dengan mengurangi kesalahan yang terjadi selama tindakan.Purpose:Tujuan penelitian adalah untuk mengetahui pengaruh komunikasi SBAR terhadap sikap dan perilaku perawat dalam meningkatkan keselamatan pasien.Methods:Jenis penelitian yang digunakan quasi experiment dengan desain yang digunakan pre-posttest with control group design, hasil penelitian diolah dengan uji paired sample t test untuk sampel yang berhubungan dan independent samples t test untuk sample yang tidak berhubungan, instrument komunikasi SBAR menggunakan observasi, instrument sikap dan perilaku perawat menggunakan kuesioner. Populasi pada penelitian seluruh perawat yang bertugas di ruang rawat inap kelas 3 yaitu ruang gading 1, gading 2, flamboyan, dahlia RSUD RAA Soewondo Pati sebanyak 48 perawat, tehnik sampling dalam penelitian adalah total sampling jumlah sampel 48 perawat terbagi menjadi kelompok intervensi diruang gading 1, gading 2 sebanyak 24 perawat, kelompok kontrol diruang flamboyan, ruang dahlia sebanyak 24 perawat.Results: Terdapat perbedaan yang bermakna sikap perawat sesudah diberikan pelatihan komunikasi SBAR pada kelompok intervensi dengan nilai p value 0,000 dibandingkan kelompok kontrol dengan nilai p value 0,103 (uji paired sample t test). Terdapat perbedaan yang bermakna perilaku perawat sesudah diberikan pelatihan komunikasi SBAR pada kelompok intervensi dengan nilai p value 0,000 dibandingkan kelompok kontrol dengan nilai p value 0,198 (uji paired sample t test). Conclusion: Penelitian ini menemukan bahwa komunikasi SBAR dapat meningkatkan sikap dan perilaku perawat dalam meningkatkan keselamatan pasien. Keywords: Komunikasi SBAR; Sikap dan Perilaku Perawat; Keselamatan pasien

The Effect Of Sbar Communication On Nurse Attitude In Increasing Patient Safety In Krmt Wongsonegoro Hospital, Semarang

“…Meanwhile, there was no significant differences in the comparison of nurses' attitudes in the control group. These results are in accordance with Sukesih's study where there are significant differences in attitudes in the intervention group (p-value = 0.000) and not significant in the control group (p-value = 0.103) (Sukesih, 2020). This result is also in accordance with Diniyah's study where effective communication skills have increased after getting effective communication training with the SBAR method, from 34.5% to 62.07% (Diniyah, 2017).…”

“…Nurses are a group that can sensitively recognize and manage problems related to patient safety. Nursing personnel are the main targets to improving patient safety competences such as knowledge, skills, and attitudes to protect patients from harm or injury (Jeong and Kim, 2020).Attitudes and behaviors of nurses who do not maintain patient safety contribute to patient safety incidents, one solution to improve patient safety is by effective communication on nurses' attitudes and behavior (Sukesih, 2020). Poor communication is found in many different healthcare settings and is especially prominent in patient hand-offs and and telephone communication, where these nursing activities really require fast and effective communication (Müller et al, 2018).…”

The Effect of SBAR Communication on Nurse Attitude and Behavior in Increasing Patient Safety in KRMT Wongsonegoro Hospital, Semarang

“…These results are in accordance with Sukesih's study where there are signi cant differences in attitudes and behavior in the intervention group (p-value = 0.000) and not signi cant in the control group (p-value = 0.103) (Sukesih, 2020). This result is also in accordance with Diniyah's study where effective communication skills have increased after getting effective communication training with the SBAR method, from 34.5% to 62.07% (Diniyah, 2017).…”

“…Attitudes and behaviors of nurses who do not maintain patient safety contribute to patient safety incidents, one solution to improve patient safety is by effective communication on nurses' attitudes and behavior (Sukesih, 2020). Poor communication is found in many different healthcare settings and is especially prominent in patient hand-offs and and telephone communication, where these nursing activities really require fast and effective communication (Müller et al, 2018).…”

Assessing Safety Status of Pediatric Intensive Care Units of Tehran, Iran according to the World Health Organization’s Safety Standards

“…In addition, personnel’s attitude towards quality patient hand-over is one of the factors in standard patient hand-over. 45 Moreover, using the Situation-Background-Assessment-Recommendation (SBAR) tool for patient hand-over attenuates the risk of error. 46 The tool is one of the safety standards for patient hand-over.…”