Analisis Pelaksanaan Handover Perawat di Bangsal Al – Ikhlas Menggunakan Metode Fishbone Diagram

Abstract

Patient handover is an important process in ensuring the continuity of nursing care and patient safety. This study aims to analyze the implementation of nurse handover in the Al-Ikhlas Ward of PKU Muhammadiyah Hospital Bantul and identify the influencing factors using the fishbone diagram method. This study uses a qualitative approach with data collection techniques through interviews and observations of nurses involved in the handover process. The results of the study show that the implementation of handover in general has gone well and uses the SBAR communication method which is carried out in a structured, concise, and clear manner. However, there are still several obstacles that affect the effectiveness of handovers, including interruptions due to doctor visits, a less conducive environment, delegation of duties from other professions, delays of nurses during shift changes, and limited facilities and infrastructure such as interference in computer systems. These factors have the potential to cause suboptimal communication and increase the risk of miscommunication. The conclusion of this study is that the implementation of handover is quite good but not optimal because it is still influenced by human factors, methods, time, and facilities. Therefore, improvement efforts are needed through improving time discipline, strengthening structured communication, workload management, and providing adequate supporting facilities so that the handover process can run more effectively, safely, and support the improvement of the quality of nursing services