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Enhancing Nursing Care through Electronic-Based Handover in Hospital Settings: A Systematic Review Enniq Mazayudha; Daviq Ayatulloh; Diah Priyantini; Nursalam Nursalam
Fundamental and Management Nursing Journal Vol. 9 No. 1 (2026): APRIL 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v9i1.56501

Abstract

Introduction: Handover is a critical nursing responsibility involving the structured transfer of essential patient information, accountability, and continuity of care between healthcare providers. In nursing practice, ineffective or unstructured handover communication has been consistently associated with sentinel events, adverse outcomes, and preventable medical errors, thereby compromising patient safety. Methods: The systematic review approach uses the Cochrane approach and journal sources from several databases including Scopus, Pubmed, BMJ, BMC, NCBI, ProQuest, Science Direct in the last 5 years. This article searched using keyword handover, electronis, SBAR and nursing care. Boolean operators in the search process using AND and OR. Data analysis of review using narrative analysis based on The Joanna Briggs Instritute for Critical Appraisal Tools. Results: Overall, the reviews consist of 15 articles. In this review, this electronic-based handover makes the delivery of information more structured, efficient and effective so that it can reduce ME (Medication Error), improve patient safety. Conclusions: The application of this electronic-based handover makes the delivery of information more effective, efficient and structured, to reduce sentinel events, medical errors, improve patient safety and improve the quality of nursing care.
Democratic Head Nurse Leadership and Interprofessional Collaboration in Hospital Settings: A Cross-Sectional Study Nur Mukarromah; Berliana Hanifah Alisya; Abdul Aziz Alimul Hidayat; Puji Rahayu; Diah Priyantini
Fundamental and Management Nursing Journal Vol. 9 No. 1 (2026): APRIL 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v9i1.65758

Abstract

Introduction: Effective nurse–doctor collaboration is fundamental to delivering high-quality hospital care. However, interprofessional collaboration often remains suboptimal due to hierarchical dynamics and limited managerial competence among nurse leaders. This study examined the influence of head nurses’ leadership style, particularly democratic leadership, on nurse–doctor collaboration in hospital settings. Methods: a cross-sectional correlational study was conducted at a regional general hospital in Indonesia, with data collected in April 2023. A total of 49 respondents were recruited using purposive sampling. Leadership style was assessed using the Multifactor Leadership Questionnaire (MLQ–5X Rater Form, 45 items), while nurse–doctor collaboration was measured with the Jefferson Scale of Attitudes toward Physician–Nurse Collaboration (JSAPNC, 15 items). Content validity was established through expert judgment (CVI = 0.87), and reliability testing demonstrated good internal consistency (Cronbach’s α = 0.82 for MLQ; α = 0.85 for JSAPNC). Data were analyzed using the Chi-square test with a significance level of p < 0.05. Results: In major (69.4%) respondents perceived their head nurse’s leadership style as democratic. Additionally, 61.2% reported good nurse–doctor collaboration. Statistical analysis revealed a significant association between democratic leadership style and nurse–doctor collaboration (p < 0.001). Conclusion: Democratic leadership among head nurses is significantly associated with stronger nurse–doctor collaboration. Enhancing democratic leadership competencies may promote more effective interprofessional teamwork and contribute to improved quality of care in hospital settings.
Level of Family Depression as Caregivers of Patients in the Intensive Care Room Wibowo, Nugroho Ari; Wahyuningsih, Dian Puji; Priyantini, Diah; Ananditha, Aries Chandra
Indonesian Academia Health Sciences Journal Vol 5 No 2 (2024): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v5i2.31355

Abstract

Intensive Care Unit (ICU) is a hospital inpatient room for observation, care and therapy of patients who need treatment and who are life threatening and have complex needs, supported by special equipment. When a patient is in the ICU, the risk of death is higher, giving rise to problems with feelings of physical, psychological, social and spiritual stress. The aim of this study was to identify the level of depression in the families of patients undergoing treatment in the Intensive Care Room at Haji Hospital, East Java province. The research used a quantitative design with a descriptive approach to the families of patients treated in the Intensive Care ward of the Haji Hospital, East Java Province. A total of 85 respondents were recruited using purposive sampling. The research instrument used to identify the level of family depression experienced by respondents was the Beck Depression Inventory II (BDI II) questionnaire sheet. The results of the study showed that the level of depression in the families of patients in the Intensive Care room was 37 respondents (43.53%) experienced mild depression, 31 respondents (36.4%) experienced minimal depression, 11 respondents (12.94%) experienced moderate depression and 6 respondents (7.06%) experienced severe depression. Health workers provide comprehensive health services by helping patients and their families meet their biological, psychological and social needs, as well as providing support to always improve their spirituality by praying to God and always thinking positively in all events they experience in the hope of preventing depression during the treatment period. patient.
The Relationship Between Patient Nutritional Status and Mortality Rates in The Intensive Care Unit Wibowo, Nugroho Ari; Sugiarto, Arif Zahid; Priyantini, Diah; Ananditha, Aries Chandra
Critical Medical and Surgical Nursing Journal Vol. 15 No. 1 (2026): APRIL 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction: Mortality among ICU patients remains high and is influenced by multiple factors, including nutritional status. Malnutrition may worsen clinical outcomes and increase the risk of death. This study aimed to examine the relationship between nutritional status and mortality in ICU patients. Method: A retrospective correlational study was conducted among adult patients (≥18 years) admitted to the ICU of a hospital in Surabaya between May and December 2023. A total of 185 patients were selected using a total sampling technique. Nutritional status was assessed using Malnutrition Universal Screening Tool (MUST) scores and disease severity was measured using APACHE II. Mortality outcomes were determined based on patient status at ICU discharge and categorized into predefined mortality risk levels. Data were analyzed using the Spearman rank correlation test. Results: Increasing age was significantly associated with higher mortality, with patients aged >65 years showing the highest proportion of high mortality (55.2%; r = 0.62; p < 0.001). Gender was also significantly associated with mortality (r = 0.21; p = 0.041), with males demonstrating a higher proportion of high mortality than females (40.4% vs 29.6%). Nutritional status showed a moderate positive correlation with mortality (r = 0.55; p < 0.001), with higher malnutrition risk associated with increased mortality. Conclusion: Nutritional status is significantly associated with mortality among ICU patients. Early nutritional assessment and appropriate management are essential to improve clinical outcomes and support evidence-based critical care practice.
Deep breathing relaxation with guided imagery on pain intensity and vital signs of post-caesarean section patients with a Comfort Theory approach Priyantini, Diah; Ayatulloh, Daviq; Nursalam, Nursalam
Majalah Obstetri & Ginekologi Vol. 34 No. 1 (2026): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V34I12026.1-8

Abstract

HIGHLIGHTS The combination of deep breathing relaxation therapy with guided imagery is an effective non-pharmacological therapy for post-caesarean section patients. The combined intervention of deep breathing relaxation with guided imagery based on the Comfort Theory approach has an impact on the pain intensity of post-caesarean section patients.   ABSTRACT Objective: The aim of this study was to analyze the effect of a combination of deep breathing relaxation techniques with guided imagery on pain intensity and vital signs in patients after caesarean section surgery. Materials and Methods: A quasi-experimental study was conducted on mothers undergoing caesarean section surgery. A total of 40 respondents were divided into 20 intervention groups and 20 control groups, recruited using purposive sampling. The independent variable was breath relaxation in combination with guided imagery based on comfort theory and the dependent variable was pain intensity which was measured using a numerical rating scale and TTV which consists of blood pressure, pulse and respiratory frequency measured using an examination and observation sheet. Data analysis used paired t-test and independent t-test. Results: In the intervention group, there was a significant effect of the intervention on systolic blood pressure, diastolic blood pressure, pulse rate, and pain intensity (p<0.05). The largest change was observed in systolic blood pressure, with a delta value of Δ=15.75, followed by diastolic blood pressure (Δ=4.25), pulse rate (Δ=3.80), and pain intensity (Δ=2.40). The results of data testing between groups after the intervention showed significant changes in systolic blood pressure (p=0.000), pulse rate (p=0.009), respiratory frequency (p=0.004), and pain intensity (p=0.000), while diastolic blood pressure showed no significant difference between groups (p=0.126). Conclusion: Breath relaxation techniques in combination with guided imagery based on comfort theory can reduce the pain intensity of patients after caesarean section surgery. This is shown by the decrease in pain intensity from a scale of 5-7 to a scale of 1-3. Likewise with the patient's vital signs, there was a decrease in systolic, diastolic blood pressure and pulse.
Co-Authors Abdul Aziz Alimul Hidayat Achmad Zakaria Achmad Zakaria Ade Faiz Ahmadi Ahmadi, Ade Faiz Anandhita, Aries Chandra Andayani, Evi Anis Fauziah Anis Rosyiatul Husna, Anis Rosyiatul Aries Chandra Anandita Aries Chandra Ananditha Aries Chandra Ananditha, Aries Chandra Aries Chandra Anindhita Asri asri Aviari, Vira Aulia Ayatulloh, Daviq Azahra, Yasmin Basri, Ahmad Hasan Beni, Kornelis Nama Berliana Hanifah Alisya Daviq Ayatulloh Daviq Ayatulloh Daviq Ayatulloh Dessy Era Puspitasari Dewi, Arum Puspita Dian Istanti Dianis Wulan Sari Dimas Hadi Prayoga Dluha Maf’ula Elok Faradisa Elsi Dwi Hapsari Enniq Mazayudha Erna Melastuti, Erna Fahmi Rizka Laily, Nurul Fathiya Lutfil Yumni Fathiya Lutfil Yumni Fatin Lailatul Badriyah Fatin Lailatul Badriyah, Fatin Lailatul Fiani, Putri Ohkta Firdaus, Dhiyah Aini Nissa Fuad, Abdullah Ghaliza, Galuh Mutia Hasan Basri, Ahmad Hidayat Arifin Husna Ardiana Ifada Nur Rohmaniah Ilya Krisnana, Ilya Indarti Indarti Indarwati , Retno Kartikaratri, Erinda Sari Khalifatus Zuhriyah Alfianti Khatijah Lim Abdullah Khatijah Lim Lim Abdullah Kiptiyah, Mariyatul Koesoemo, Rizki Fitryasari Patra Kondwani Joseph Banda Kristin Kristin Kun Arifi Abbas Kurniawati, Ninuk Dian Lestari, Nanik Dwi M Yusuf Marini, Gita Martini Sri Wulaningsing Masruri Masruri Masruro, Wiwi Septa Hakim Mawardi, Moch Fachmi Misutarno Misutarno Misutarno Misutarno, Misutarno Moch Masruri Moecharom Moecharom Mukarromah, Nur Musrifatul Uliyah Nanik Dwi Lestari Ni Luh Putu Inca Buntari Agustini Novelia, Ranty Dwi Nugroho Ari Wibowo Nugroho Ari Wibowo, Nugroho Ari Nur Mukarromah Nurfiyatul Jannah, Gangga Kristin Nursalam Nursalam Nursalam, Nursalam Nurul Chayatin Prabawati, chlara Yuanita Puji Rahayu Putri, Dwi Whisnu Artanti Eka Rachma Wati Reliani Reliani, Reliani Retno Sumara Retno Twistiandayani Rifky Octavia Pradipta Rio Ady Erwansyah Rizki Dwi Prameswari Rochman, Diana Rofiqi, Erfan Rusdi, Ainur Saputro, Suyatno Hadi Septian Galuh Winata Setiawan Setiawan Setiawan Setiawan Setiyowati, Indah Sevia Ofarisma N Sila, Nissa Aruming Silvia Farhanidiah Sirikanok Klankhajhon Siswanto Agung Wijaya Siswanto Agung Wijaya Siswanto Agung Wijaya Siti Aisyah Sugiarto, Arif Zahid Sulistyorini Sulistyorini Supatmi , Supatmi Supatmi Supatmi Susanti, Inta Tanti Dwi Cahyani Tintin Sukartini Sukartini, Tintin Sukartini Triharini, Mira Ulfa, Ariana Wahyuningsih, Dian Puji Widiyowati, Kristin Wijaya, Siswanto Agung Wikan Purwihantoro Sudarmaji Wiwin Yuli Triana Yuanita Wulandari, Yuanita Yumni, Fathiya Lutfil Yunita Prabawati, Chlara