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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 Journal of Applied Nursing and Health International Journal of Science and Society (IJSOC) Journal of Nursing Science Update 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 Chemistry 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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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.
The Correlation of Nurse's Work Environment with Missed Nursing Care in Hospital Putri, Dinda Amalia Okvie; Rusca Putra, Kuswantoro; Lukitasari, Mifetika
Fundamental and Management Nursing Journal Vol. 5 No. 2 (2022): OCTOBER 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v6i1.49063

Abstract

Introduction: Missed nursing care is caring aspect needed for patients who have intentionally or not been eliminated or significantly postponed. One of the factors that can affect missed nursing care is the work environment of the nurse. This study aims to examine the correlation of nurse's work environment with missed nursing care in a regional general hospital in Indonesia. Method: This research study is used correlational analysis and a cross sectional design approach which was carried out on 56 nurses as respondents using two instruments: Misscare survey and Practice environment scale- nursing work index (PES-NWI) questionnaire. Descriptive and inferential statistics tests were applied. The level of significancy was set at p value = <0.05. Results: Nurse work environment data including staffing and resources; quality of basic nursing care; nurse-doctor relationship; nurse participation in hospital affairs; nurse manager abilities, leadership, and nurse support. The statistical test showed study using Spearman Rank test showed that there was a significant relationship between the work environment of nurses and missed nursing care (ρ <0.05). Conclusions: Professional nursing environments determine the quality of care and patient outcomes. Assessing the quality of environments is essential to improve and obtain better health outcomes. Simplifying and shortening the way to evaluate environments reliably is also essential to help nurses better understand the strengths and weaknesses of their work. Identifying elements of nursing environments would allow the construction of better health services as a whole.
Nurse Competence, Work Environment, and Patient Safety: The Mediating Role of Bedside Handover in Indonesia: A Cross-Sectional Study Kaparang, Sova Nova; Putra, Kuswantoro Rusca; Kapti, Rinik Eko
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.484

Abstract

Background: Patient safety remains a major global concern, especially in low- and middle-income countries (LMICs) where resource limitations and communication gaps contribute to preventable harm. Although bedside handover is recognized as a strategy to enhance transparency and safety culture, few studies have examined its mediating role between nurse competence, work environment, and patient safety. Methods: This cross-sectional study, conducted in accordance with STROBE guidelines, involved 258 inpatient nurses selected through proportionate stratified random sampling from four hospitals in North Sulawesi, Indonesia. Eligible participants had at least one year of experience and were actively involved in bedside handover. Validated instruments the Nurse Competence Scale (NCS), Area of Worklife Survey (AWS), Nursing Handoff Competency Scale (NHCS), and Safety Care Activity Scale (SCAS), were used. Structural Equation Modeling with Partial Least Squares assessed measurement validity and structural relationships. Results: All instruments met recommended validity and reliability standards, and the sample primarily comprised early-career female nurses. Structural modeling showed that both nurse competence and the work environment were positively associated with bedside handover, which in turn demonstrated a strong relationship with patient safety. Bedside handover partially mediated the influence of nurse competence and fully mediated the influence of the work environment on patient safety. Conclusion: Bedside handover serves as a central mechanism linking individual capabilities and organizational conditions to safer patient outcomes. Strengthening competency development, promoting fairness and teamwork, and standardizing bedside handover practices may offer practical, low-cost pathways to improve patient safety in LMIC contexts
Implementation Of Ideal Discharge Planning To Improve Patients’ Discharge Readiness At Panti Waluya Sawahan Hospital Agustina, Clara; Kuswantoro Rusca Putra; Maria Magdalena Sri Widiastuti
Caring: Jurnal Pengabdian Masyarakat Vol. 5 No. 3 (2025): CARING Jurnal Pengabdian Masyarakat (Desember 2025)
Publisher : Department of Nursing, Faculty of Health Sciences, Universitas Brawijaya.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.caringjpm.2025.005.03.3

Abstract

Effective discharge planning is a key component in ensuring that patients and families are prepared to continue care after hospital discharge. Limited use of educational media and the inconsistent application of methods that ensuring patients’ have been identified as challenges in the discharge planning process in the Placida Paviliun Ward of Panti Waluya Sawahan Hospital. This community service activity aimed to implement IDEAL Discharge Planning as a structured approach developed by the Agency for Healthcare Research and Quality to improve patient discharge readiness. The activity was conducted from October to November 2025 and involved six patients. The method consisted of three stages: preparation, implementation, and evaluation. The preparation stage included the development of an educational module, standard operating procedures, assessment instruments, and educational media based on six major diagnoses. The implementation stage involved initial assessment of patients’ educational needs, delivery of personalized daily education, and education provided prior to discharge. Evaluation was conducted using a discharge readiness instrument covering home care ability, caregiver identification, medication management, recognition of warning signs, and follow-up planning. The results showed that all patients demonstrated improved discharge readiness following the implementation of IDEAL Discharge Planning. This activity demonstrates that applying IDEAL Discharge Planning supported by needs-based educational media and family involvement can strengthen patients’ readiness to perform self-care at home. This model has the potential to be implemented in other inpatient units to improve quality of care transitions.
Co-Authors Aat Djanatunisah Achir Yani S. Hamid agus, Muharami agustina, clara Ahmad Hasyim Wibisono Ahsan Ahsan , Ahsan Ahsan Ahsan Akhmad Fauzi Alfrina Hany Alfrina Hany, Alfrina Amalia Rizki, Nurul Ani Budiati Ani Budiati Asih Devi Rahmayanti Asih Devi Rahmayanti Budiati, Ani Dewa Gede Sanjaya Putra Dewi, Fajar Mulia Dhelya Widasmara 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 Kaparang, Sova Nova 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 Lukitasari, Mifetika Maria Magdalena Sri Widiastuti Moch. Gandung Satriya Mochamad Saiful Anwar 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 Putri, Dinda Amalia Okvie 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