The Impact of ISBAR3 (Identity, Situation, Background, Assessment, Recommendation, Read-back, Risk) Implementation on Nursing Shift Handover Quality and Patient Satisfaction Improvement at Pariaman Regional Public Hospital
DOI:
https://doi.org/10.31674/mjn.2024.v16isupp1.015Abstract
Background: Effective communication among healthcare professionals is crucial for minimising medical errors and improving patient safety. ISBAR3 (Identity, Situation, Background, Assessment, Recommendation, Read-back, Risk) is a structured communication method designed to enhance the quality of information exchange in medical settings. Objective: This study aims to evaluate the impact of ISBAR3 implementation on nursing shift handover quality and patient satisfaction at Pariaman Regional Public Hospital. Methods: Using a quasi-experimental design with a pre-test and post-test approach, the sample consisted of 128 patients selected through purposive sampling. The sample was divided into two groups: 64 for the experimental group (handover using ISBAR3) and 64 for the control group (conventional handover). Nurses were trained to use the ISBAR3 for three months. Handover quality was assessed using a standardised observation sheet before and after the intervention. Nursing shift handover quality and patient satisfaction were measured using a validated questionnaire. Data were analysed using MANOVA (Multivariate Analysis of Variance) with a significance level of p<0.05. Results: Results showed significant improvements in nursing shift handover quality F(1, 126) = 9.635, p = 0.007, Partial Eta Squared = 0.812) and patient satisfaction (F(1, 126) = 11.684, p = 0.001, partial eta squared = 0.851). The effect size was large, with ISBAR3 explaining 81.2% of the variance in handover quality and 85.1% of the variance in patient satisfaction. Conclusion: The implementation of ISBAR3 method enhanced nursing handover quality and patient satisfaction. The findings highlighted the use of ISBAR3 as a standard tool for nursing handovers to improve the quality of patient care.
Keywords:
Healthcare Communication, ISBAR3, Nursing Handover Quality, Nursing Shift Handover, Patient SatisfactionDownloads
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