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All Journal International Journal of Public Health Science (IJPHS) Jurnal Keperawatan Jurnal Kedokteran Brawijaya Jurnal Administrasi Kesehatan Indonesia MEDISAINS Majalah Kesehatan FKUB JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Journal Of Nursing Practice Jurnal Perawat Indonesia Jurnal Riset Kesehatan Poltekkes Depkes Bandung Jurnal Aisyah : Jurnal Ilmu Kesehatan Babali Nursing Research Jurnal Health Sains FUNDAMENTAL AND MANAGEMENT NURSING JOURNAL Caring : Jurnal Pengabdian Masyarakat International Journal of Science and Society (IJSOC) Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) Journal of Community Health and Preventive Medicine (JOCHAPM) DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Journal of Psychiatry Psychology and Behavioral Research (JPPBR)
Kuswantoro Rusca Putra
Universitas Brawijaya
Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Journal : Babali Nursing Research

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Introduction Situation Background Assessment Recommendation (ISBAR) Checklist to Improve Nurses’ Handover Quality Yulianti, Lena; Putra, Kuswantoro Rusca; Lilik Supriati; Utami, Yulian Wiji; Aat Djanatunisah; Winda Yuniarsih
Babali Nursing Research Vol. 6 No. 2 (2025): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.62476

Abstract

Background: Patient transfer between hospital units, especially from the Emergency Department (ED) to the High Care Unit-Intensive Care Unit (HCU-ICU), carries a high risk of adverse events due to communication failures during handover. The Introduction, Situation, Background, Assessment, Recommendation (ISBAR) checklist is a structured communication tool designed to enhance handover quality but is underutilized in written patient transfer. This study aimed to evaluate the effectiveness of the ISBAR checklist in improving the quality of nurse handovers during ED to HCU-ICU patient transfers. Method: A pre-experimental study with a one-group pre-posttest design was conducted, in which ED nurses used the ISBAR checklist during patient handovers. Forty HCU-ICU nurses assessed the quality of the ED nurse handovers using the Handover Evaluation Scale (HES) questionnaire. A paired sample t-test was used to analyze the differences in handover quality before and after implementation. Result: The ISBAR checklist significantly improved nurses’ handover quality, with a p-value of 0.000 (p < 0,05). The effectiveness of the ISBAR checklist was analyzed using an N-gain score, resulting in a moderate improvement level of 0.34 (0.3 ≤ g ≥ 0.7). Conclusion: The ISBAR checklist is an effective tool for improving nurse handover quality in patient transfers. Hospitals should adopt ISBAR as a standardized handover protocol to enhance patient safety and continuity of care and establish a minimally interruptive environment during handover. Further research should explore long-term implementation and integration into electronic health records.
Co-Authors Aat Djanatunisah Achir Yani S. Hamid agus, Muharami Ahmad Hasyim Wibisono Ahsan Ahsan , Ahsan Ahsan Ahsan Akhmad Fauzi Alfrina Hany Alfrina Hany, Alfrina Amalia Rizki, Nurul Ani Budiati Ani Budiati Anwar, Mochamad Saiful Asih Devi Rahmayanti Asih Devi Rahmayanti Asih Devi Rahmayanti Budiati, Ani Dewa Gede Sanjaya Putra Dewi, Fajar Mulia Dhelya Widasmara Dinda Amalia Okvie Putri djauhari, thantowi Ekwantoro Ekwantoro Eriprianto, Kukuh Fa Rizki Bayu Perdana Bayu Perdana Fa Rizki Bayu Perdana Bayu Perdana, Fa Rizki Bayu Perdana Fajar Mulia Dewi Fajar Mulia Dewi Feorentina, Ivo Hardiyanto . Hardiyanto . Heriandi Sutadi I Gusti Agung Gede Utara Hartawan Ika Rizki Anggraini Ike Nesdia Rahmawati Ike Nesdia Rahmawati, Ike Nesdia Ike Nesdia Rahmawati3 Irwan Subekti Irwan Subekti, Irwan Istiqomah, Ratri Jamilatus Syamsiah Anwar Kartika, Annisa Wuri Kumoro Asto Lenggono Kuncoro, Wahyudi Kurniawan, Sylvia Jessy Laily Yuliatun Lilik Supriati Lilik Zuhriyah LInda WIeke Noviyanti Lisajidin, Muhamad Mifetika Lukitasari Moch. Gandung Satriya Mustikasari Mustikasari Ningrum, Evi Harwiati Noorhamdani AS noviyanti, linda wieke Nurdiana, Sevia Nurul Muslihah Pawestri, Frilian Niken Pratama, I Wayan Agus Wirya rahani ayu amalia Rahmayanti, Asih Devi Rani Rakhmawati Rani Rakhmawati, Rani Rinik Eko Kapti, Rinik Eko Rita Yuliana Sari Rr. Tutik Sri Hayati Rustiana Tasya Ariningpraja Setyoadi Setyoadi Setyoadi Setyoadi Setyoadi Setyowati Setyowati Sri Andarini Sri Andarini Suryanto Suryanto Susanti, Fitria Dewi Susilowati, Ratna Syadilla, Iryne Putri Sylvia Jessy Kurniawan Tinggogoy, Meitha Vatmasari, Ratih Arum Wibisono, Ahmad Hasyim Winda Yuniarsih Wisnasari, Shila Wulandari, Isti Yulian Wiji Utami Yulianti, Lena Yuniati, Wahyu