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Penerapan relaksasi genggam jari terhadap penurunan nyeri post operasi apendiktomi Suharjiman Suharjiman; Risya Fariha; Muhammad Budi Santoso; Egi Komara; Tria Firza Kumala; Asep Badrujamaludin
Holistik Jurnal Kesehatan Vol. 18 No. 10 (2024): Volume 18 Nomor 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i10.591

Background: Pain is a common symptom often found in appendicitis patients. One of the managements of appendicitis cases is appendicectomy. The main problem that arises in appendicectomy patients is acute pain due to the presence of a surgical wound. One of the non-pharmacological measures that can be taken to manage pain is through the application of finger grip relaxation techniques. One of the goals of finger grip relaxation is to reduce pain in appendicectomy postoperative patients. Purpose: To determine the effect of finger grip relaxation, one of which is to reduce pain in post-appendectomy patients. Method: Descriptive case report research through a nursing care approach by implementing evidence-based practice nursing interventions in patients treated with a medical diagnosis of post-appendectomy surgery with acute pain nursing problems by implementing finger-holding techniques to reduce pain which is carried out for 10-15 minutes per meeting. This study was conducted in the Asoka I room of Dustira II Hospital, Cimahi, West Java on November 4-6, 2023. Results: Laboratory examinations included hemoglobin, erythrocytes, leukocytes, hematocrit, platelets, MCV, MCH, MCHC, RDW, basophils, eosinophils, segmented neutrophils, lymphocytes, and monocytes with normal results. The application of finger-holding relaxation for 3 days showed that Mrs. A experienced a decrease in pain from a scale of 7 (severe pain) to a scale of 1 (mild pain). Conclusion: The finger-holding relaxation technique is effective in reducing the pain scale in post-appendectomy patients treated in this application. Clients experienced a decrease from a severe pain scale to a mild pain scale. Keywords: Appendicectomy; Finger Grip Relaxation; Pain. Pendahuluan: Nyeri adalah gejala umum yang sering ditemukan pada pasien apendisitis. Salah satu penatalaksanaan dari kasus apendisitis adalah apendiktomi. Masalah utama yang muncul pada pasien apendiktomi adalah nyeri akut karena adanya luka operasi. Salah satu langkah non-farmakologi yang dapat dilakukan untuk mengatasi nyeri adalah melalui penerapan teknik relaksasi genggam jari. Tujuan: Untuk mengetahui pengaruh relaksasi genggam jari salah satunya adalah untuk mengurangi rasa nyeri pada pasien post operasi apendiktomi. Metode: Penelitian case report deskriptif melalui pendekatan asuhan keperawatan dengan mengaplikasikan intervensi evidence based practice nursing pada pasien kelolaan dengan diagnosis medis post operasi apendiktomi masalah keperawatan nyeri akut dengan menerapkan teknik genggam jari untuk menurunkan nyeri yang dilakukan selama 10-15 menit tiap pertemuan. Penelitian ini dilaksanakan di ruang Asoka I Rumah Sakit TK II Dustira Cimahi, Jawa Barat pada tanggal 4-6 November 2023. Hasil: Pemeriksaan laboratorium yang meliputi, pemeriksaan hemoglobin, eritrosit, leukosit, hematocrit, trombosit, MCV, MCH, MCHC, RDW, basofil, eosinofil, neutrofil segmen, limfosit, dan monosit dengan keterangan hasil normal. Penerapan relaksasi genggam jari selama 3 hari menunjukkan bahwa Nn. A mengalami penurunan nyeri dari skala 7 (nyeri berat) menjadi skala 1 (nyeri ringan). Simpulan: Teknik relaksasi genggam jari efektif dalam menurunkan skala nyeri pada pasien post operasi apendiktomi yang terlibat dalam penerapan ini. klien mengalami penurunan dari skala nyeri berat menjadi skala nyeri ringan. Kata Kunci: Apendiktomi; Relaksasi Genggam Jari; Nyeri.

Perbedaan efektivitas pemberian jus wortel dan jus tomat terhadap penurunan tekanan darah pada penderita hipertensi derajat 1 Badrujamaludin, Asep; Inayah, Iin; Afrilia, Putri; Musri, Musri; Rohayani, Lilis
Holistik Jurnal Kesehatan Vol. 19 No. 1 (2025): Volume 19 Nomor 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i1.635

Background: Hypertension is known as "the silent disease" because it often occurs without obvious symptoms. High blood pressure causes the heart to work harder, which can ultimately cause enlargement and stiffness of the heart muscle. Prevention of complications can be done through pharmacological or non-pharmacological approaches. Non-pharmacological management to control blood pressure includes increasing consumption of nutritious vegetables and fruit, such as papaya, Ambon banana, melon, noni, star fruit, carrots and tomatoes. Purpose: To determine the difference in the effectiveness of administering carrot juice and tomato juice in reducing blood pressure in sufferers of grade 1 hypertension. Method: Quasi-experimental research with a non-equivalent control group research design. This study used a purposive sampling technique with a sample size of 32 respondents. The statistical analysis used was the T-Independent test. The study was conducted on March 1, 2024 at the integrated coaching post in the working area of the Kalijati health center regional technical implementation unit, Subang Regency. Results: The average systolic and diastolic blood pressure before giving carrot juice was 156.68 mmHg and 96.68 mmHg, after the intervention it dropped to 126.18 mmHg and 82 mmHg. The average systolic and diastolic blood pressure before giving tomato juice was 156.5 mmHg and 97.06 mmHg, after the intervention it dropped to 132 mmHg and 84.31 mmHg. Conclusion: There is a difference in the effectiveness of carrot juice and tomato juice in lowering blood pressure in hypertensive patients. Carrot juice therapy is considered more effective than tomato juice therapy in lowering blood pressure. Keywords: Blood Pressure; Carrot Juice; Hypertension; Tomato Juice. Pendahuluan: Hipertensi dikenal sebagai “the silent disease” karena sering terjadi tanpa gejala yang jelas. Tekanan darah yang tinggi menyebabkan jantung bekerja lebih keras, yang pada akhirnya dapat menyebabkan pembesaran dan kekakuan pada otot jantung. Pencegahan komplikasi dapat dilakukan melalui pendekatan farmakologi dan nonfarmakologi. Penatalaksanaan non-farmakologi untuk mengendalikan tekanan darah meliputi peningkatan konsumsi sayuran dan buah yang berkhasiat, seperti pepaya, pisang ambon, melon, mengkudu, belimbing, wortel, dan tomat. Tujuan: Untuk mengetahui perbedaan efektivitas pemberian jus wortel dan jus tomat terhadap penurunan tekanan darah pada penderita hipertensi derajat 1. Metode: Penelitian quasi eksperiment dengan desain non-equivalent control group. Pengumpulan sampel menggunakan teknik purposive sampling dan didapat sebanyak 32 partisipan. Analisis statistik yang digunakan adalah uji T-Independent. Penelitian dilakukan pada tanggal 1 maret 2024 di Posbindu Gg Mangga di RW 04 Kelurahan Kalijati Barat, wilayah kerja UPTD Puskesmas Kalijati, Kabupaten Subang. Hasil: Rata-rata tekanan darah sistolik dan diastolik sebelum pemberian jus wortel adalah 156.68 mmHg dan 96.68 mmHg, setelah intervensi turun menjadi 126.18 mmHg dan 82 mmHg. Rata-rata tekanan darah sistolik dan diastolik sebelum pemberian jus tomat adalah 156.5 mmHg dan 97.06 mmHg, setelah intervensi turun menjadi 132 mmHg dan 84.31 mmHg. Simpulan: Terdapat perbedaan efektivitas pemberian jus wortel dan jus tomat terhadap penurunan tekanan darah pada penderita hipertensi. Terapi jus wortel dinilai lebih efektif daripada terapi jus tomat dalam menurunkan tekanan darah. Kata Kunci: Hipertensi; Jus Tomat; Jus Wortel; Tekanan Darah.

Self Management Education terhadap Pengetahuan dan Perilaku dalam Pengendalian Kadar Gula Darah Penderita Diabetes Melitus Musdalipa, Musdalipa; Nurhalinah, Nurhalinah; Badrujamaludin, Asep; Kosasi, Cecep Eli; Bangun, Argi Virgona
Journal of Telenursing (JOTING) Vol. 7 No. 2 (2025): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v7i2.14671

This study aims to analyze the effect of diabetes self-management education on knowledge and behavior in controlling blood sugar levels in diabetes mellitus patients. The method used is a quasi-experiment with a two-group pretest post-test design; namely, the intervention group was given self-management education using video media and booklets, and the control group self-management education using leaflets. The results showed that the intervention group obtained a knowledge variable with a mean rank of 17.50 with a value (Z-5.097), and behavior had a mean rank of 18.42 (Z-4.993). The control group obtained a knowledge variable with a mean rank of 14.15 with a value (Z-4.131). Meanwhile, behavior has a mean rank of 19.50 (Z-4.992) with significant results. In conclusion, through video and booklet media, the intervention group substantially affects diabetes self-management education and knowledge and behavior in controlling blood suzgar levels in diabetes mellitus patients through both video media and leaflets. Keywords: Diabetes Mellitus, Blood Sugar, Self Management Education

Comparison the use of pure jelly lubricant with xilocain gel in the installation of urine chateters for the patient’s level Kumala, Tria Firza; Oyoh; Asep Badrujamaludin; Yully Yanny
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 7 No. 3 (2021): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v7iSpecial Edition.257

Aims : This research aims to compare the use of pure jelly with xilocain gel in the installation of urine catheter for the patient’s pain level. Design : The research design used was a quasy experiment using a post test only control group design technique. Methods : This method compared two intervention groups without a pretest. Sample collection using purposive sampling technique. A sample of 60 respondent. The instrument used is numeric ratting scale. Data analysis using Mann Withney test. Results : The results of the research pure jelly mean rank is 44.18 and xilocain gel mean rank is 16.82, with result p-value 0.001 this shows there is a difference in thelevel of pain of patients on the use of pure jelly with xilocain gel in the installation of urinary catheter in General Hospital Soreang Conclusions : It is expected that the result of this study can be considered as one form of development of science based on the evidance of based practice in the management of catheter insertion than the use of xilocain gel can be input into the SPO ( Standard Operating Procedure) in order to reduce pain in patients who have urine catheter, and can be inserted in the one pain management carried out by nurses.

Application of “SISBAR” for effective communication between nurses and doctors at private hospital in Indonesia. Asep Badrujamaludin; Dedi Supriadi; Oktovina Yesayas; Fauziah Rudhiati; Hemi Fitriani; Tria Firza Kumala; Sri Wahyuna
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 7 No. 3 (2021): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v7iSpecial Edition.258

Aims : Effective communication is the main elements of patient safety goals because communication is the first cause of patient safety problems. Effective communication must be built on aspects of clarity, accuracy, in accordance with the context of language and information, systematic flow, and culture. This study looks at whether there is an effect of SISBAR communication than SBAR on effective communication between nurses and doctors during consultations or handovers Design : Observational study to 20 nurses as Nurse incharge at Ruby Barat and Timur in SHBC (Santosa Hospital Bandung Central), with Observational Chart of SISBAR in 1 month observation. Methods : This research method uses a quasi-experimental pre and post by using an observational study. The statistical analysis test using the Wilcoxon non-parametric test. Results : The results of the statistical analysis test using the Wilcoxon non-parametric test obtained p-Value: 0.002 (< 0.05), meaning that there was an significant effect of SISBAR communication on effective communication than SBAR between nurses and doctors in SHBC Bandung. Conclusions : The results of this study indicate that SISBAR communication is more effective to be applied than SBAR. In SBAR even though there is an element of the introduction, but because it is not mentioned in the abbreviation, nurses often forget about the introduction (aspects of introducing themselves and who is speaking). Therefore, SISBAR can be an alternative in handover communication between nurses and doctors in hospitals. SISBAR communication with the development of SBAR, ISBAR to SISBAR can be developed in others hospitals and in Indonesia generally

Pengaruh Bermain Playdough Terhadap Kemampuan Motorik Halus Anak Tunagrahita Sedang Di SLBN A Citeureup Kota Cimahi Rahmayanti, siti dewi; Permatasari, Resti; Badrujamaludin, Asep; Nurjanah, Nunung; Maharani, Monna
JURNAL KESEHATAN KARTIKA Vol. 20 No. 1 (2025): Jurnal Kesehatan Kartika
Publisher : Faculty of Health Science and Technology, University of Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26874/jkkes.v20i1.436

Background: Children with moderate intellectual disabilities exhibit characteristics of stiff and uncoordinated movements, as well as problems in the development of fine motor skills. Fine motor skills in children with moderate intellectual disabilities who are not trained will hinder their fine motor skills. Playdough is a stimulus for improving the fine motor skills of children with moderate intellectual disabilities. Objective: This study aims to determine the effect of playdough on the fine motor skills of children with moderate intellectual disabilities at SLBN A Citeureup, Cimahi City, in 2024. Method: The research design used a pre-experiment with a one-group pretest-posttest approach. The study population consisted of 26 children from grades 1 to 5, selected using purposive sampling. The playdough intervention was conducted four times over two weeks, using an observation sheet for fine motor skills in children with moderate intellectual disabilities as the instrument. Results: The median pretest score was 4.00, while the median posttest score was 7.00, with the lowest score being 0 and the highest score being 9. Bivariate analysis showed a p-value of 0.0001. Conclusion: There is an effect of playdough play on the fine motor skills of children with moderate intellectual disabilities at SLBN A Citeureup, Cimahi City.

Penerapan teknik relaksasi genggam jari untuk mengurangi nyeri pada pasien dengan post operasi appendectomy Badrujamaludin, Asep; Rismayanti, Rismayanti; Ismafiaty, Ismafiaty; Bangun, Argi Virgona
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 3 (2025): July Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i3.1114

Background: Pain management treatments can be performed using pharmacological and non-pharmacological methods. Non-pharmacological therapies are used as support for pharmacological therapies to reduce the duration of pain episodes that are short in nature, lasting for a few seconds or minutes. Some forms of non-pharmacological treatment are through deep breath relaxation techniques, changes in body position, massage, hot-cold therapy, and finger grip relaxation. Purpose: To determine the effectiveness of the application of finger grip relaxation in reducing pain intensity in patients with acute pain after appendectomy surgery. Method: This study uses descriptive research with a case report design in the form of nursing care, by applying EBN (evidence based nursing) to one subject. The research subject was a 21-year-old man who experienced acute pain due to postoperative appendectomy. Data was collected through interview & observation methods. Results: After three interventions with a frequency of 1x/day, there was a significant decrease in pain intensity from 7 to 2. Conclusion: This shows that there is an effective application of finger grip relaxation to reduce pain intensity in patients post appendectomy surgery. With this study, it is hoped that it can increase knowledge and be used as a useful reference source regarding finger grip relaxation interventions in acute pain problems in postoperative appendectomy patients. Keywords: Appendectomy; Finger Grip Relaxation; Pain. Pendahuluan: Penanganan pengelolaan nyeri dapat dilakukan dengan menggunakan metode farmakologis dan nonfarmakologis. Terapi non-farmakologis digunakan sebagai dukungan bagi terapi farmakologis guna mengurangi durasi episode nyeri yang bersifat singkat, berlangsung selama beberapa detik atau menit. Beberapa bentuk penanganan non farmakologi adalah melalui teknik relaksasi nafas dalam, perubahan posisi tubuh, pijatan, terapi panas-dingin, dan relaksasi genggam jari. Tujuan: Untuk mengetahui efektifitas penerapan relaksasi genggam jari dalam menurunkan intensitas nyeri pada pasien dengan nyeri akut post operasi apendiktomi. Metode: Penelitian deskriptif dengan desain case report dalam bentuk asuhan keperawatan dengan mengaplikasikan EBN (evidence based nursing) pada satu subjek. Subjek penelitian merupakan seorang laki-laki berusia 21 tahun yang mengalami nyeri akut akibat post operasi appendiktomi. Data dikumpulkan melalui metode wawancara dan observasi. Hasil: Setelah dilakukan intervensi selama tiga kali dengan frekuensi 1x/hari, terdapat adanya penurunan intensitas nyeri yang signifikan dari 7 ke 2. Simpulan: Ada efektifitas penerapan relaksasi genggam jari terhadap penurunan intensitas nyeri pada pasien post operasi appendiktomi. Saran: Penelitian ini diharapkan dapat meningkatkan pengetahuan dan dijadikan sebagai sumber referensi yang bermanfaat mengenai intervensi relaksasi genggam jari pada masalah nyeri akut pada pasien post operasi apendiktomi. Kata kunci : Appendektomi; Nyeri; Relaksasi Genggam Jari.

Implementasi modifikasi emergency severity index (ESI) terhadap outcome tatalaksana pasien dengan hipertensi emergensi Ardiansyah, Diki; Badrujamaludin, Asep; Fadhilah, Najwa Hilmia; Ardianto, M. Dwi
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 5 (2025): October Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i5.1602

Background: Hypertensive crises account for 27.5% of all emergency cases, with 1-2 cases per 100,000 patients considered a hypertensive emergency. Blood pressure >180/120 mmHg requires a gradual reduction of >10-15% within the first hour, reaching 160/100 mmHg within 2-6 hours to prevent breathless hyperfusion in target organs. Therefore, a rapid response time is required to prevent target organ damage. Implementing the modified Emergency Severity Index (ESI) accelerates the response time through assessment and categorization of emergency room patients. Purpose: To understand the impact of the implementation of the modified Emergency Severity Index (ESI) on the outcomes of nursing care for hypertensive emergency patients. Method: This case report study included patients with blood pressure >180/120 mmHg and evidence of target organ damage. The ESI Emergency Department triage assessment form from Cibabat Regional Hospital was used as a research instrument to assess the implementation of ESI on the outcomes of hypertensive emergency patient management. Nursing care began upon patient arrival in the Emergency Department and lasted for 6 hours. Results: Conclusion: Accurate response time supports the success of nursing care for hypertensive emergency patients. Understanding the ESI triage process, and teamwork are essential to achieving the stated objectives. Keywords: Nursing Care; Emergency Severity Index (ESI); Hypertensive Emergency; Implementation; Response Time. Pendahuluan: Krisis hipertensi mengambil 27.5% keseluruhan kasus emergensi 1-2 kasus per 100.000 pasien. Kondisi tekanan darah >180/120 mmHg memerlukan penurunan tekanan darah bertahap >10-15% dalam 1 jam pertama dan 160/100 mmHg dalam 2-6 jam untuk mencegah breakthrough hyperfusion pada organ target. Sehingga diperlukan response time yang cepat untuk mencegah kerusakan organ. Target implementasi modifikasi Emergency Severity Index (ESI) memberikan percepatan response time melalui pengkajian kondisi dan pengkategorian pasien IGD. Tujuan: Untuk memahami gambaran implementasi modifikasi Emergency Severity Index (ESI) terhadap outcome tatalaksana asuhan keperawatan pasien hipertensi emergensi. Metode: Penelitian case report atau studi kasus dengan kriteria inklusi pasien tekanan >180/120 mmHg disertai dengan adanya bukti kerusakan organ target. Form asesmen triase UGD ESI RSUD Cibabat digunakan sebagai instrumen penelitian. Hasil: Asuhan keperawatan yang diberikan memperoleh hasil bahwa kesadaran meningkat delirium GCS 10 (E3 V2 M5), tekanan darah membaik 152/107 mmHg, pola nafas regular, RR 24x/menit, penggunaan otot bantu nafas menurun, dan kedalaman nafas membaik. Masalah ketidakseimbangan kadar glukosa darah tidak teratasi dikarenakan pasien tidak melakukan implementasi dan dirujuk ke rumah sakit lain untuk menerima perawatan intensif. Simpulan: Adanya ketepatan respon time yang menunjang keberhasilan asuhan keperawatan pasien hipertensi emergensi dalam proses pemahaman proses triase ESI dan kerjasama tim. Kata Kunci: Asuhan Keperawatan; Emergency Severity Index (ESI); Hipertensi Emergensi; Implementasi; Response Time.

Comparison the use of pure jelly lubricant with xilocain gel in the installation of urine chateters for the patient’s level Kumala, Tria Firza; Oyoh; Asep Badrujamaludin; Yully Yanny
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 7 No. 3 (2021): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v7iSpecial Edition.257

Aims : This research aims to compare the use of pure jelly with xilocain gel in the installation of urine catheter for the patient’s pain level. Design : The research design used was a quasy experiment using a post test only control group design technique. Methods : This method compared two intervention groups without a pretest. Sample collection using purposive sampling technique. A sample of 60 respondent. The instrument used is numeric ratting scale. Data analysis using Mann Withney test. Results : The results of the research pure jelly mean rank is 44.18 and xilocain gel mean rank is 16.82, with result p-value 0.001 this shows there is a difference in thelevel of pain of patients on the use of pure jelly with xilocain gel in the installation of urinary catheter in General Hospital Soreang Conclusions : It is expected that the result of this study can be considered as one form of development of science based on the evidance of based practice in the management of catheter insertion than the use of xilocain gel can be input into the SPO ( Standard Operating Procedure) in order to reduce pain in patients who have urine catheter, and can be inserted in the one pain management carried out by nurses.

Application of “SISBAR” for effective communication between nurses and doctors at private hospital in Indonesia. Asep Badrujamaludin; Dedi Supriadi; Oktovina Yesayas; Fauziah Rudhiati; Hemi Fitriani; Tria Firza Kumala; Sri Wahyuna
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 7 No. 3 (2021): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v7iSpecial Edition.258

Aims : Effective communication is the main elements of patient safety goals because communication is the first cause of patient safety problems. Effective communication must be built on aspects of clarity, accuracy, in accordance with the context of language and information, systematic flow, and culture. This study looks at whether there is an effect of SISBAR communication than SBAR on effective communication between nurses and doctors during consultations or handovers Design : Observational study to 20 nurses as Nurse incharge at Ruby Barat and Timur in SHBC (Santosa Hospital Bandung Central), with Observational Chart of SISBAR in 1 month observation. Methods : This research method uses a quasi-experimental pre and post by using an observational study. The statistical analysis test using the Wilcoxon non-parametric test. Results : The results of the statistical analysis test using the Wilcoxon non-parametric test obtained p-Value: 0.002 (< 0.05), meaning that there was an significant effect of SISBAR communication on effective communication than SBAR between nurses and doctors in SHBC Bandung. Conclusions : The results of this study indicate that SISBAR communication is more effective to be applied than SBAR. In SBAR even though there is an element of the introduction, but because it is not mentioned in the abbreviation, nurses often forget about the introduction (aspects of introducing themselves and who is speaking). Therefore, SISBAR can be an alternative in handover communication between nurses and doctors in hospitals. SISBAR communication with the development of SBAR, ISBAR to SISBAR can be developed in others hospitals and in Indonesia generally

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