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Journal : Journal of Nursing Science Update

Integrating Swanson’s Caring Theory into Discharge Planning Education: Effects on Patient Satisfaction in Postoperative Care Pradini, Septi Wahyu; Putra, Kuswantoro Rusca; Kapti, Rinik Eko
Journal of Nursing Science Update (JNSU) Vol. 13 No. 2 (2025): November
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2025.013.02.03

Abstract

The patient's beliefs have been shown to influence their ability to perform self-care in a manner that minimizes post-operative complications. Patient satisfaction with the quality of discharge planning education is also a factor that can influence patient acceptance to undergo post-operative care at home. Patients who are dissatisfied with the nurses' information and instructions are likely to demonstrate noncompliance postoperatively. The integration of the Swanson Theory of Caring approach into discharge planning education has the potential to enhance patient satisfaction. The objective of this study was to analyze the effect of discharge planning education utilizing the Swanson Theory of Caring approach on increasing patient satisfaction in post-operative care. The quasi-experimental study employed a non-randomized pretest-posttest control group design. The study's participants were 78 patients, who were divided into two groups: a control group and an intervention group. The control group received discharge planning education according to standard operating procedures. The intervention group received discharge planning education with the Swanson Theory of Caring approach. The results of the Wilcoxon signed-rank test demonstrate a p-value of 0.00, indicating a high degree of statistical significance. The mean increase in satisfaction for the treatment group was 6.06, with a p-value of 0.00. The mean increase in satisfaction for the control group was 3.16, with a p-value of 0.00. The findings suggest that patient satisfaction levels in the treatment group surpassed those observed in the control group. The present study finds that education on discharge planning utilizing the Swanson Theory of Caring approach is associated with increased patient satisfaction in postoperative care.
Handover Using the Introduction, Situation, Background, Assessment, and Recommendation (ISBAR) Checklist Improves Nurses’ Self-Efficacy Yulianti, Lena; Putra, Kuswantoro Rusca; Supriati, Lilik; Utami, Yulian Wiji
Journal of Nursing Science Update (JNSU) Vol. 13 No. 2 (2025): November
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jik.2025.013.02.04

Abstract

Handover is a crucial aspect of patient transfer to ensure patient safety and reduce adverse events. The Introduction, Situation, Background, Assessment, and Recommendation (ISBAR) method is a standardized communication approach recommended to improve handover quality. Nurses require adequate self-efficacy not only to deliver handover information but also to receive it effectively to ensure continuity of care. Continuity of patient treatment is associated with improved patient outcomes and reduced length of hospital stay. This study aimed to evaluate the effectiveness of a modified ISBAR checklist, adapted from the existing patient transfer form and developed by the researcher, in improving nurses’ self-efficacy during patient transfers from the Emergency Department (ED) to the High Care Unit and Intensive Care Unit (HCU–ICU). A pre-experimental study using a one-group pretest–posttest design was conducted. Ten ED nurses applied the modified ISBAR checklist during handovers to HCU–ICU nurses. A total of 40 nurses working in HCU and ICU settings participated as respondents. Nurses’ self-efficacy was measured using the General Self-Efficacy Scale before and after implementation of the ISBAR checklist. The results showed a statistically significant improvement in nurses’ self-efficacy following the use of the ISBAR checklist (p = 0.000; p < 0.05), based on Wilcoxon test analysis. The effectiveness analysis yielded an N-gain score of 0.388, indicating a moderate level of effectiveness. In conclusion, the ISBAR checklist effectively enhances nurses’ self-efficacy during inter-unit handover, supporting structured communication, continuity of care, and safer patient transfers in high-acuity clinical settings.
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 Supriati, Lilik 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 Pradini, Septi Wahyu 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