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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.
Optimizing the Role and Function of Managers in Nurse Performance Assessment or Ongoing Professional Practice Evaluation Wildan, Wildan; Wilda, Andi Amalia; Dewi, Sarvita
Indonesian Journal of Global Health Research Vol 7 No 2 (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.v7i2.5330

Abstract

The success of healthcare organizations depends heavily on the quality of human resources, particularly nurses, who play a critical role in the organization's growth and sustainability. Performance evaluation, such as Ongoing Professional Practice Evaluation (OPPE), is essential to assess nurses' contributions, productivity, and competencies. Objective: This study aims to optimize the role and function of managers in nurse performance evaluation through the OPPE approach.Methods: The study employed a case study method with a pilot study approach involving 21 nurses at RSAB Harapan Kita. Data collection was conducted through interviews, observations, and questionnaires. Problems were analyzed using the Ishikawa diagram, followed by problem prioritization, action planning, and implementation based on the POSAC method (Planning, Organizing, Staffing, Actuating, Controlling). Results : The analysis revealed that performance evaluation was not optimal, with outdated guidelines, the absence of standard operating procedures (SOPs), and irrelevant assessment tools. Current OPPE evaluations showed behavior scores at 48.5%, clinical performance at 93.5%, and professional development at 55.5%. Interventions included developing updated guidelines, SOPs, and relevant assessment tools. Conclusion: Optimizing managers' roles through updated guidelines, SOP development, and improved assessment tools significantly enhanced the effectiveness of performance evaluations. The implementation of tiered supervision and periodic evaluations is expected to improve nursing service quality and support the sustainable achievement of organizational vision and mission.