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Communication, Safety Culture, and Supervision: Pathways to Better Nursing Handover Quality Tiara Regina Beatriks Sigar; Kemala Rita Wahidi; Nofierni Nofierni
Global Management: International Journal of Management Science and Entrepreneurship Vol. 3 No. 3 (2026): August: Global Management: International Journal of Management Science and Entr
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/globalmanagement.v3i3.570

Abstract

Nurse handover is a critical process in ensuring patient safety and the continuity of nursing care, as failures during this transition frequently lead to adverse events and medical errors. Despite growing awareness of its importance, gaps in effective communication practices, patient safety culture internalization, and structured supervision by head nurses remain prevalent challenges in hospital settings, including at Cinta Kasih Tzu Chi Cengkareng Hospital, where a preliminary study revealed that 34.4% of nurses did not always receive complete patient information during handover, 33.3% felt unable to clarify information, and 38.7% reported that supervisors did not model good communication during handover. This study aimed to analyze the simultaneous and partial effects of effective communication and patient safety culture on the quality of nurse handover, as well as the mediating role of supervision techniques in those relationships. A quantitative cross-sectional design was employed with a total sampling technique involving 110 implementing nurses in inpatient wards. Data were collected using a four-point Likert scale questionnaire and analyzed through Partial Least Square Structural Equation Modeling (PLS-SEM). The results demonstrated that effective communication, patient safety culture, and supervision techniques simultaneously had a significant effect on handover quality (F = 323.88 > F-table 2.665). Effective communication had the most dominant direct positive effect on handover quality, while patient safety culture showed a significant but negative direct effect, indicating that its impact on handover quality is optimally realized only when mediated through supervision techniques. Supervision techniques significantly mediated both pathways, confirming their role as a key structural bridge between the independent variables and handover quality outcomes.
Co-Authors Afraimansyah, Afraimansyah Agnes Nathania Yostin Agnesia Agusdini Agusdini Agusdini Banun Saptaningsih Aini Nadhifah Alkatiri, Fauzi Ahmad Anandaputri, Elisabet Anastina Tahjoo Anastina Tahjoo Arham Irzan Arief Suwandi Arrozi, Muhammad Fachrudin Aunurrofiq, Fadli Christever, Christever Clarisa Clarisa Dewi Sandra Duta Liana Dwi Meutia Julyta Dwi Yanti Elok Palupi Erry Yudhya Mulyani Ester Lidia Paseki Eva Khodijah Febrian Pramana Putra Fernando Pausoan Gultom, Doddy Fetiana Pristianti Gracesia kwannandar Gultom, Doddy Fernando Pausoan Gumilang, Dicky Han, Dji Bui Hartanto, Antonius Ferdie Hasyim Hasyim Herlinawati Herlinawati Heru Agusman Hilmy, M Reza Hilmy, Mohammad Reza Hilmy, Reza Iis Istifaiyatuddianah Jus'at, Idrus Kemala Rita Kemala Rita Wahidi Kustiawan, Unggul Kusumapradja, Rokiah Kusumapradja, Rokiah Laelani, Sofi Nur Eka April M Derajat Amperajaya M.Natsir Nugroho MF. Arrozi Adhikara Moch. Ilfan Gunadi Mohamad Reza Hilmy Monica Monica, Monica Muliawan, Marjono Munawar Mus Aida NINGSIH, RYLLA Nodya Melinda Noori Nurrohman Hardiansyah Pajriani, Nia Yunia Pamungkas, Rian Patmawati, Debby Rahman, Alfian Raudani Rasipin Rasipin Rian Adi Pamungkas Ridwan, Saepul Riny Tri Yuliandita Rita, Kemala Roesfiansjah Rasjidin Royyadi Chandra Rudyanto Rudyanto Samatha Amelia Putri sandra dewi Sandra Dewi Saptaningsih, Agusdini Banun Shanro Mayra Vega Sugino Kesuma Karo Karo Samura Supriyantoro Supriyantoro Susanti Sugianto Syina, Ibnu Tahjoo, Anastina Tantri Yanuar Rahmat Syah Tiara Regina Beatriks Sigar Tri Handoko Ulfa, Zuriyati Venera, Gaby Wahidi, Kemala Rita Wongso, Erni Suryani Yanuar Ramadhan Yaputra, Steven Kristianto Zuriyati Ulfa