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Maman Suparman
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Journal : journal of qualitative health research

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Kepatuhan komunikasi SBAR dalam pelaksanaan transfer pasien ruang rawat inap ke ruang intensif oleh PPJA di ruang rinjani: Studi kasus Wanda, Ira Purba; Asmaningrum, Nurfika; Faradisa, Elok; Suparman, Maman
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 6 No 2 (2026): February Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v6i2.2461

Abstract

Background: Communication failure during critical patient transfer is a leading cause of patient safety incidents globally. Despite available standards, implementation gaps frequently occur due to high workloads and dynamic clinical situations. Purpose: To analyze the compliance level of SBAR communication during patient transfer from inpatient wards to the intensive care unit. Method: This research is a case study with a descriptive observational design conducted in November 2025. The population included Primary Nurses (PPJA) in the Rinjani Ward. A sample of 14 respondents was selected via accidental sampling. Data were collected through direct observation using a checklist adopted from the hospital's Standard Operating Procedures (SPO). Results: The overall compliance level of SBAR communication was high, averaging 92%, supported by the dominance of nurses with over 5 years of experience and Ners education background. However, a critical gap was found in the read-back verification element (TBAK), which only reached 60%. Conclusion: While a safety culture is established, the closed-loop communication cycle remains incomplete, particularly in the verification aspect.   Keyword: Adherence; SBAR communication; Transfer Patient.   Pendahuluan: Kegagalan komunikasi selama transfer pasien kritis merupakan penyebab utama insiden keselamatan pasien secara global. Meskipun standar baku tersedia, kesenjangan implementasi komunikasi sering terjadi akibat beban kerja tinggi, dan situasi klinis yang dinamis. Tujuan: Untuk menganalisis tingkat kepatuhan komunikasi SBAR dalam pelaksanaan transfer pasien dari ruang rawat inap ke ruang intensif. Metode: Penelitian ini merupakan studi kasus dengan pendekatan deskriptif observasional. Populasi penelitian adalah Perawat Penanggung Jawab Asuhan (PPJA) di Ruang Rinjani dengan sampel sebanyak 14 responden yang diambil menggunakan teknik accidental sampling pada bulan November 2025. Pengumpulan data dilakukan melalui observasi langsung menggunakan lembar checklist sesuai SPO rumah sakit. Hasil: Kepatuhan komunikasi SBAR secara umum tergolong tinggi dengan rata-rata 92%, didukung oleh dominasi perawat dengan masa kerja <5 tahun dan latar belakang pendidikan Ners. Namun, ditemukan kesenjangan kritis pada elemen verifikasi ulang (read-back) yang hanya mencapai 60%. Simpulan: Meskipun budaya keselamatan telah terbentuk, siklus komunikasi tertutup (closed-loop) belum sempurna akibat faktor situasional.   Kata kunci: Kepatuhan; Komunikasi SBAR; Transfer Pasien.
Shift kerja dan burnout perawat di unit pediatric: Studi kasus analitis Andiny, Aliya Nuri; Asmaningrum, Nurfika; Purwandari, Retno; Suparman, Maman; Listyaningrum, Desy; Wibowo, Suhendra Agung
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 6 No 4 (2026): April Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v6i4.2464

Abstract

Background: Burnout is a critical occupational issue among nurses, affecting their well-being and the quality of patient care. It is characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment. Nurses working rotating or night shifts are particularly vulnerable due to high workload and limited recovery time. Purpose: To examine burnout levels among nurses. Method: A descriptive quantitative design was used, involving nurses on morning, afternoon, and night shifts. Data were collected using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) and analyzed to determine overall burnout and its dimensions across shifts. Results: 53.3% of respondents experienced burnout, while 46.7% did not. Most nurses across all shifts exhibited moderate levels of burnout. Emotional exhaustion was the most dominant dimension, followed by depersonalization, which was higher among nurses on rotational shifts or in understaffed units. Personal accomplishment remained high for morning and afternoon shifts, but moderated for night shifts, indicating a negative effect of shift instability on perceived professional competence. Conclusion: Burnout is prevalent among nurses with varying impacts across its dimensions. Interventions that target emotional exhaustion, increase personal accomplishment, and reduce depersonalization, particularly for night and rotating shift nurses, are crucial for supporting nurse well-being and maintaining quality of care.   Keywords: Burnout Levels; Nurse; Work Shift.   Pendahuluan: Burnout merupakan masalah pekerjaan yang kritis di kalangan perawat, yang memengaruhi kesejahteraan mereka dan kualitas perawatan pasien. Burnout ditandai dengan kelelahan emosional, depersonalisasi, dan penurunan pencapaian pribadi. Perawat yang bekerja dengan sistem rotasi atau shift malam sangat rentan karena beban kerja yang tinggi dan waktu pemulihan yang terbatas. Tujuan: Untuk meneliti tingkat burnout di kalangan perawat. Metode: Desain kuantitatif deskriptif digunakan, yang melibatkan perawat pada shift pagi, siang, dan malam. Data dikumpulkan menggunakan Maslach Burnout Inventory-Human Services Survey (MBI-HSS) dan dianalisis untuk menentukan burnout secara keseluruhan dan dimensinya di seluruh shift. Hasil: Sebanyak 53.3% responden mengalami burnout, sedangkan 46.7% tidak. Sebagian besar perawat di semua shift menunjukkan burnout tingkat sedang. Kelelahan emosional merupakan dimensi yang paling dominan, diikuti oleh depersonalisasi yang lebih tinggi di antara perawat dengan sistem rotasi atau di unit yang kekurangan staf. Pencapaian pribadi tetap tinggi untuk shift pagi dan siang, tetapi moderat untuk shift malam, menunjukkan efek negatif dari ketidakstabilan shift terhadap kompetensi profesional yang dirasakan. Simpulan: Burnout lazim terjadi di kalangan perawat dengan dampak yang bervariasi pada dimensinya. Intervensi yang menargetkan kelelahan emosional, meningkatkan pencapaian pribadi, dan mengurangi depersonalisasi, terutama untuk perawat shift malam dan shift bergilir, sangat penting untuk mendukung kesejahteraan perawat dan menjaga kualitas perawatan.   Kata Kunci: Burnout; Perawat; Shift Kerja.
Co-Authors Adi Ganda Putra Anda Lusia, Anda Andi Achmad Zulkarnaen Andiny, Aliya Nuri Desy Listyaningrum, Desy Diah Yulinda wulandari Fahlevie, Rinaldi Agusta Faradisa, Elok Hengki Siahaan Herman, KMS Hery Widijanto Mukhfid Nanang Herdiana Nurfika Asmaningrum Nurmawati, Bernadete Pandji Pratama panji pratama Retno Purwandari Sahwalita Sahwalita Sudirman, Dodi Toto Triantoro Wahyuni Damayanti Wanda, Ira Purba Wibowo, Suhendra Agung Zaenal Arifin