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All Journal Journal of Health and Nutrition Research
Prawesti Priambodo, Ayu
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Medicine & Pharmacology Nursing Public Health

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Analysis of Handoff Communication Using SBAR (Situation, Background, Assessment, Recommendation) in Emergency Department and Intensive Care Unit: A Scoping Review Azmi, Nur; Prawesti Priambodo, Ayu; Nuraeni, Aan
Journal of Health and Nutrition Research Vol. 4 No. 2 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i2.400

Abstract

Communication between health workers is crucial in providing nursing care and improving patient safety. Communication problems can cause incidents that lead to disability or death. This study aimed to identify the implementation of handoff communication using sbar in the emergency department and intensive care unit. This review used a scoping review design that uses the Arksey and O'Malley framework. Article searches through two databases, namely Sciencedirect and Pubmed, and the search engine, Google Scholar. The keywords used were "Health workers or Healthcare professionals AND SBAR implementation or SBAR or Handoff Communication AND Emergency rooms or Emergency departments AND Intensive Care Unit". There were nine articles that fulfilled the inclusion criteria and were analyzed in this study. The results of the review showed that the description of the implementation of handoff or SBAR communication, studies showed variations in the effectiveness of its implementation in various countries and health settings. There are several factors that influence the implementation of SBAR and the implementation of handoff, namely work experience, attitudes, knowledge, and formal training. Implementation of handoff communication and SBAR still shows substansial challenges, both in terms of effectiveness and quality. Although SBAR has been widely recognized as an effective tool to improve communication, its implementation is uneven across countries and health settings. SBAR implementation is often disrupted by factors such as external interference, lack of training, or incomplete information conveyed during the handover process, which ultimately affects patient safety.
Construct Validity of Perceived Behavioral Control Instrument Among Patients with Coronary Artery Disease Nuraeni, Aan; Sulistiani, Eka; Sutini, Titin; Mirwanti, Ristina; Prawesti Priambodo, Ayu; Sugiharto, Firman
Journal of Health and Nutrition Research Vol. 4 No. 3 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i3.503

Abstract

Perceived Behavioral Control (PBC) is a key construct in the Theory of Planned Behavior (TPB) that plays an important role in predicting adherence to lifestyle changes among patients with coronary artery disease (CAD). Although the role of PBC has been widely discussed in health behavior research, no instrument has been specifically developed and validated to measure PBC in patients with cardiovascular disease (CVD), particularly CAD. This study used the Rasch analysis approach to evaluate the construct validity and reliability of the Perceived Behavioral Control Scale Related to Cardiovascular Disease (PBCCVD). This was a cross-sectional study involving 92 post-hospitalization CAD patients selected through convenience sampling. The PBCCVD instrument consists of 22 items using a 4-point Likert scale, developed based on TPB theory and previous studies and validated by experts. Data analysis was conducted using Winsteps software, covering reliability, separation, fit statistics, and unidimensionality. The instrument demonstrated high reliability (Cronbach's alpha = 0.86; item reliability = 0.94; person reliability = 0.86). The item and person separation indices were 4.18 and 2.74, respectively. All items met the fit criteria. The explained variance was 34.9%, and the eigenvalue of the first contrast was 2.6054, indicating a possible additional subdimension. The PBCCVD is a reliable and reasonably valid instrument for measuring perceived behavioral control in CAD patients. Although there is an indication of another underlying dimension, the instrument can still be effectively used in both clinical and research settings.
Co-Authors Aan Nuraeni Nur Azmi, Nur Ristina Mirwanti, Ristina Sugiharto, Firman Sulistiani, Eka Titin Sutini, Titin