Dampak Penggunaan Metode Komunikasi ISBAR terhadap Pelaksanaan Keselamatan Pasien di Rumah Sakit: Literature Review

The Impact of Using the ISBAR Communication Method on the Implementation of Patient Safety in Hospitals: Literature Review

  • Sabrina Tria Damayanti Fakultas Kesehatan Masyarakat, Universitas Airlangga
  • Inge Dhamanti Fakultas Kesehatan Masyarakat, Universitas Airlangga
Keywords: ISBAR, Keselamatan Pasien, Rumah Sakit

Abstract

Latar belakang: Komunikasi yang tidak memadai merupakan faktor utama yang berkontribusi pada kejadian yang tidak diinginkan, termasuk kejadian sentinel yang menyebabkan bahaya atau kematian bagi pasien. ISBAR (Introduction, Situation, Baground, Assesment, Recommendation) adalah salah satu metode komunikasi yang efektif dalam pelaksanaan keselamatan pasien.

Tujuan: Mengidentifikasi dampak penggunaan metode komunikasi ISBAR terhadap pelaksanaan pasien di rumah sakit.

Metode: Pelurusuran artikel melalui 3 database yaitu PubMed, ScienceDirect, dan Google Scholar dengan kata kunci “ISBAR” AND “patient safety” AND “hospital”. Total temuan artikel adalah sebanyak 239 artikel dengan 8 artikel memenuhi kriteria inklusi. Adapun kriteria inkulusi dalam penelitian ini yaitu batasan publikasi pada tahun 2019-2023, artikel berbentuk open access, original article, dan full text.  

Hasil: Studi kajian pada lokasi penelitian rumah sakit di 8 negara menunjukkan adanya dampak penggunaan metode komunikasi ISBAR terhadap pelaksanaan keselamatan pasien. ISBAR berdampak terhadap peningkatan komunikasi spesifik dan efektif serta kerja sama antar tim profesi. Meskipun ditemukan beberapa hal yang perlu diperhatikan dalam penerapan ISBAR, tetapi pelaksanaan komunikasi ISBAR terbukti efektif pada pelaksanaan keselamatan pasien di rumah sakit. 

Kesimpulan: Terdapat beberapa komponen yang berdampak terhadap penerapan ISBAR di rumah sakit seperti meminimalkan terjadinya miskomunikasi dan kesalahpahaman antar perawat serta adanya peningkatan dalam iklim keselamatan pasien, kepuasan kerja, persepsi manajemen, dan kondisi kerja. Diperlukan adanya pelatihan dan praktik metode komunikasi ISBAR secara efektif dan keberlanjutan untuk mendukung keberhasilan komunikasi yang terstruktur, efektif, dan efisien dalam pelaksanaan keselamatan pasien.

References

Patient safety curriculum guide: multi-professional edition. World Health Organization; 2011.

Crossing the Global Quality Chasm [Internet]. Washington, D.C.: National Academies Press; 2018. Available

from: https://www.nap.edu/catalog/25152.

Nurislami S, Pramesona BA, Wintoko R, Oktarlina RZ. Faktor-Faktor yang Mempengaruhi Pelaporan Insiden

Keselamatan Pasien: Literature Review. Penelitian Perawat Profesional. 2023 May;5(2):552–8.

Kohn LT, Corrigan J, Donaldson MS. To err is human: building a safer health system. L.T K, J.M C, M.S D,

editors. National Academies Press (US); 2000. 312.

Undang-Undang RI No.17 tahun 2023 tentang Kesehatan. Jakarta; 2023.

Stewart J, Snowden V. Promoting Communication and Safety Through Clear and Concise Discharge Orders.

The Journal for Nurse Practitioners. 2021;17(7):874–8.

Abu HO, Anatchkova MD, N E, D.D M, C.I K, H.P S. Are We “Missing the Big Picture” in Transitions of Care?

Perspectives of Healthcare Provider Managing Patients with Unplanned Hospitalization. Appl Nurs Res.

;44:60–44.

Join Commission Center. Join Commission Resources Hot Topics in Health Care “ Transitions of Care: The

Need for a More Effective Approach to Continuing Patient Care.” 2012.

Burgess A, van Diggele C, Roberts C, Mellis C. Teaching clinical handover with ISBAR. Vol. 20, BMC Medical

Education. BioMed Central Ltd; 2020.

Mackay P. Australian Commission on Safety and Quality in Health Care-Medical Devices Incidents Workshop.

ANZCA Bulletin. 2009;18(2):46.

Chiew L, Abu Bakar SB, Ramakrishnan S, Cheng Cheng P Lo, Karunagaran Y, Bunyaman ZB. NURSE’S

PERCEPTION AND COMPLIANCE ON IDENTIFICATION, SITUATION, BACKGROUND,

ASSESSMENT AND RECOMMENDATION (ISBAR) TOOLS FOR HANDOFF COMMUNICATION IN

TERTIARY HOSPITAL, DAMMAM. Malaysian Journal of Medical Research. 2019 Oct 1;03(04):26–32.

Fahajan Y, Albelbeisi A, Shnena YA, Emad OJ, Kweik DA, Kakemam E, et al. Effect of ISBAR Clinical

Handover Application on Nurses’ Perception of Communication and Attitudes toward Patient Safety at Emirates

Maternity Hospital in Gaza Strip, Palestine. Ethiop J Health Sci [Internet]. 2023 Sep 21;33(5):769–80. Available

from: https://www.ajol.info/index.php/ejhs/article/view/255807.

Gadea-Company P, Angulo CC, Navarro CH. Impact of the implementation of Identification-SituationBackground- Assessment-Recommendation (ISBAR) tool to improve quality and safety measure in a lithotripsy

and endourological unit. PLoS One. 2023 Jun 1;18(6 June).

Gnanarani J, Satchi NS. EFFECTIVENESS OF ISBAR HANDS OFF PROTOCOL ON SAFE HAND OVER

COMPETENCE AMONG NURSE INTERNS [Internet]. Available from: www.tjprc.org.

Haddeland K, Marthinsen GN, Söderhamn U, Flateland SMT, Moi EMB. Experiences of using the ISBAR tool

after an intervention: A focus group study among critical care nurses and anaesthesiologists. Intensive Crit Care

Nurs. 2022 Jun 1;70.

Pakcheshm B, Bagheri I, Kalani Z. The impact of using “ISBAR” standard checklist on nursing clinical handoff

in coronary care units. Nursing Practice Today. 2020;7(4):266–74.

Pun J. Using a simulation-based approach to promote structured and interactive nursing clinical handover: a preand post-evaluation pilot study in bilingual Hong Kong. BMC Nurs. 2023 Dec 1;22(1).

Toren O, Lipschuetz M, Lehmann A, Regev G, Arad D. Improving Patient Safety in General Hospitals Using

Structured Handoffs: Outcomes From a National Project. Front Public Health. 2022 Mar 16;10.

Moi EB, Söderhamn U, Marthinsen GN, Flateland SM. The ISBAR tool leads to conscious, structured

communication by healthcare personnel. Sykepleien Forskning. 2020 Aug 3;(74699):e-74699.

Narayan MC. Using SBAR Communications in Efforts to Prevent Patient Rehospitalizations. . Home Healthc

Nurse. 2013;31(9):504–15.

Leonardsen AC, Moen EK, Karlsøen G, Hovland T. A quantitative study on personnel’s experiences with patient

handovers between the operating room and the postoperative anesthesia care unit before and after the

implementation of a structured communication tool. Nurs Rep. 2019;9(1).

Haddeland K, Marthinsen GN, Söderhamn U, Flateland SMT, Moi EMB. Experiences of using the ISBAR tool

after an intervention: A focus group study among critical care nurses and anaesthesiologists. Intensive Crit Care

Nurs. 2022 Jun 1;70.

Raeisi A, Rarani MA, Soltani F. Challenges of patient handover process in healthcare services: A systematic

review. 2019; Available from: www.jehp.net.

The Joint Commission. Sentinel Event Data Root Causes by Event Type 2004 – June 2013 [Internet]. 2004.

Available from: www.jointcommission.org/self_report_form/.

Noh YG, Lee I. Effects of a stepwise handovers ISBARQ programme among nursing college students. Nurs

Open. 2020 Sep 1;7(5):1551–9.

Published
2024-05-01
How to Cite
Sabrina Tria Damayanti, & Inge Dhamanti. (2024). Dampak Penggunaan Metode Komunikasi ISBAR terhadap Pelaksanaan Keselamatan Pasien di Rumah Sakit: Literature Review: The Impact of Using the ISBAR Communication Method on the Implementation of Patient Safety in Hospitals: Literature Review . Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 7(5), 1080-1088. https://doi.org/10.56338/mppki.v7i5.4974