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All Journal Journal of Telenursing (JOTING) Indonesian Journal of Global Health research
Harpendewisasmita, Harpendewisasmita
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Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health

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Inisiasi Pengelolaan Metode Pemberian Asuhan Keperawatan Primer di RS X Tulende, Alfani; Handiyani, Hanny; Wildani, Andi Amalia; Harpendewisasmita, Harpendewisasmita
Journal of Telenursing (JOTING) Vol 6 No 2 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i2.13044

Abstract

This study aims to analyze and design the implementation of change through the initiation of management of primary nursing care delivery methods. The method used is a case report with interviews, observations, document reviews, and questionnaire surveys as well as problem analysis using fishbone diagrams. The results of the analysis showed that the method of providing nursing care in the inpatient room was not optimal, so through a change approach using the Kurt Lewin;s Change Model, the initiation of management of primary nursing care delivery methods was carried out. In conclusion, optimizing nursing care delivery methods through the implementation of primary nursing care management methods with a systematic and structured management approach has the potential to improve the quality of nursing services. Keywords: Initiation Of Management, Kurt Lewin's Change Model, Primary Nursing Method
Initiation of the Development of a Bedside Handover Guideline in the Emergency Department of Hospital X Joaquin, Hinoveva Natalia; Handiyani, Hanny; Wilda, Andi Amalia; Harpendewisasmita, Harpendewisasmita
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6869

Abstract

Emergency Department (ER) services are highly complex and carry significant risks to patient safety. Effective communication during the handover process is critical to improving patient safety and care quality. Bedside handover is a strategic form of communication between healthcare workers, ensuring that vital patient information—such as vital signs and urgent care needs—is conveyed accurately and directly, with involvement from both patients and families. The ISBAR communication tool provides a clear structure that helps reduce the risk of miscommunication. Objective to develop a guideline that serves as a consistent reference for nurses in performing bedside handover, fostering a culture of safety and high-quality care at Hospital X. Method: This study used a case report approach with both qualitative and quantitative methods to examine the nursing service system at Hospital X. Data were collected through interviews, document reviews, observations, and questionnaires, and analyzed using the nursing management function approach: planning, organizing, directing, and controlling. Questionnaires were distributed to unit leaders, unit coordinators, and all staff nurses working in Room X, with a total of 48 respondents with total sampling. In the Unfreezing Phase, many ER nurses resisted the bedside handover method, perceiving it as time-consuming and burdensome. Observations revealed continued reliance on traditional handover methods. In the Changing Phase, a Plan of Action (POA) was developed, including drafting supervision guidelines, conducting socialization, and evaluating bedside handover implementation. In the Refreezing Phase, bedside handover was expected to become standard practice, though implementation was limited by time constraints. The implementation of bedside handover in the ER, guided by Lewin’s Change Theory and structured through ISBAR, is a strategic step to ensure care continuity and improve patient safety.
Co-Authors Hanny Handiyani Joaquin, Hinoveva Natalia Tulende, Alfani Wilda, Andi Amalia Wildani, Andi Amalia