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"Berdasarkan bukti yang ada menyebutkan bahwa serah terima di samping tempat tidur atau bedside handover dapat mengurangi pasien jatuh, waktu pemulangan, dan biaya lembur, sekaligus meningkatkan kolaborasi tim. Metode penulisan yang digunakan adalah Case Report, tahapan-tahapan yang dilakukan yaitu menemukan fenomena, melakukan observasi dan wawancara, mengidentifikasi masalah, menerapkan evidence-based practice dan penulisan laporan kasus. Fenomena yang ditemukan yaitu di ruang rawat inap Rumah Sakit X melakukan handover hanya di nurse station, sehingga dilakukanlah penerapan langkah-langkah bedside handover berdasarkan evidence-based practice. Hasil dari penerapan evidence-based practice tersebut masih kurang optimal dikarenakan sosialisasi tentang penerapan evidence- based practice baru dilakukan dua kali.

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Based on evidence, bedside handover can reduce patient falls, discharge time, and overtime costs, and also increasing team collaboration. The writing method uses Case Report, the stages that used are finding phenomena, conducting observations and interviews, identifying problems, applying evidence-based practice and writing case reports. The phenomenon that was found is the ward of X Hospital, handovers were only carried out at the nurse's station, so that bedside handover steps were implemented based on evidence-based practice. The results of the application of evidence-based practices are still less optimal due to the socialization of the application of evidence-based practices has only implemented twice."

"Phlebitis merupakan komplikasi paling umum akibat pemasangan infus. Perawat berperan penting dalam pencegahan phlebitis akibat pemasangan infus. Namun, belum semua primary nurse menjalankan peran dan fungsinya dengan baik. Studi ini bertujuan untuk menganalisis peran dan fungsi primary nurse dalam pencegahan phlebitis di ruang rawat inap. Data didapatkan melalui wawancara, observasi dan telusur dokumen. Hasil wawancara menunjukkan bahwa primary nurse memiliki pengetahuan yang baik mengenai pencegahan phlebitis, tetapi data observasi menunjukkan bahwa terdapat ketidaksesuaian antara pendokumentasian VIP score dengan kondisi infus pasien. Hasil penelusuran regulasi ditemukan tidak adanya SPO monitoring iv line dengan menggunakan instrumen VIP score. Kurang optimalnya fungsi perencanaan pencegahan phlebitis menyebabkan kurang maksimalnya implementasi yang dilakukan dalam pencegahan infeksi. Peran informasional PN dalam monitoing risiko phlebitis berpengaruh terhadap kejadian infeksi pada area infus. Peningkatan peran dan fungsi PN sebagai manajer terdepat di ruang perawatan dalam pencegahan kejadian phlebitis pada pasien.

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Phlebitis is the most common complication of IV insertion. Nurses play an important role in the prevention of phlebitis due to infusion. However, not all primary nurses carry out their roles and functions properly. This study aims to analyze the role and function of primary nurses in the prevention of phlebitis in the inpatient room. Data were obtained through interviews, observations and document searches. The interview results showed that the primary nurse had good knowledge about phlebitis prevention, but observation data showed that there was a mismatch between VIP score documentation and the condition of the patient's infusion. The results of regulatory searches found the absence of SPO monitoring iv line using the VIP score instrument. The less than optimal function of phlebitis prevention planning leads to less than optimal implementation in infection prevention. The informational role of the PN in monitoing the risk of phlebitis affects the incidence of infection in the infusion area. Improving the role and function of PN as the fastest manager in the treatment room in preventing phlebitis in patients."

"Penerapan discharge planning yang efektif terbukti dapat memberikan manfaat, baik pada pasien maupun rumah sakit seperti dapat mengurangi risiko readmisi. Discharge planning merupakan bagian dari proses keperawatan. Peran perawat dalam pelaksanaan discharge planning ini sangat penting. Pada ibu postpartum, penerapan discharge planning sangat perlu dilakukan. Hal ini dikarenakan pada ibu postpartum mengalami perubahan peran sehingga pengetahuan, keterampilan, dan perilaku dalam perawatan di rumah perlu dimiliki. Namun, beberapa penelitian menyatakan bahwa masih banyak perawat yang tidak menerapkan discharge planning. Selain tidak menerapkan, perawat juga seringkali tidak melakukan proses discharge planning secara menyeluruh dan kontinu. Metode penulisan yang digunakan yaitu case report¸dimana pada tahap awal penulis mengidentifikasi masalah dengan observasi dan wawancara langsung. Kemudian, penulis mencari evidence based practice berupa model IDEAL dalam discharge planning untuk diterapkan dan menganalisis evaluasi setelah model ini diterapkan. Lalu, penulis menyusun pembahasan dan rekomendasi ke pihak ruangan berdasarkan hasil studi kepustakaan. Hasil laporan pada kasus ini mengidentifikasi bahwa penerapan discharge planning pada ibu postpartum di ruangan masih belum optimal. Beberapa perawat masih belum memahami terkait proses discharge planning. Salah satu hal yang menyebabkan masalah ini yaitu belum adanya aturan yang mengatur tentang discharge planning di ruangan sehingga diperlukan penerapan model IDEAL sebagai acuan untuk discharge planning di rumah sakit.

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Implementing effective discharge planning has been proven to provide benefits, both for patients and hospitals. Discharge planning is part of the nursing process and the role of nurses in discharge planning is significant. In postpartum mothers, the implementation of discharge planning is essential because postpartum mothers experience a change in their role so knowledge, skills, and behavior in-home care need to be possessed. However, several studies state that there are still nurses who do not implement discharge planning. In addition to not implementing it, nurses also often do not carry out the discharge planning process comprehensively and continuously. The writing method used is a case report, where in the initial stage the author identifies problems through direct observation and interviews. Then, the author looks for evidence-based practice in the form of an IDEAL model in discharge planning to be applied and analyzes the evaluation after this model is applied. Then, the author compiles a discussion and recommendations to the ward based on the results of a literature study. The results of the report in this case identify that the implementation of discharge planning in postpartum mothers in the ward is still not optimal. Some nurses still do not understand the discharge planning process. One of the things that causes this problem is the absence of regulations governing discharge planning in the room, so it is necessary to apply the IDEAL model as a reference for discharge planning in hospitals. "

"Serah terima belum optimal di beberapa rumah sakit di Indonesia dan ditemukan masih banyak kejadian tak terduga dan insiden nyaris celaka. Pentingnya komunikasi yang efektif dalam serah terima, khususnya dalam penggunaan metode SBAR untuk memastikan keselamatan pasien dan kualitas perawatan. Penerapan serah terima antar shift menggunakan metode SBAR di ruang rawat inap Rumah Sakit X belum optimal. Sosialisasi, role play, dan supervisi terbukti dapat mengoptimalkan pelaksanaan serah terima keperawatan sehingga perlu diterapkan pada ruang rawat inap Rumah Sakit X. Tujuan penulisan ini yaitu menganalisis gambaran serah terima dan upaya pengoptimalan serah terima antar shift dengan metode sosialisasi, role play, dan supervisi. Metode penulisan yang digunakan adalah case report dengan pendekatan teori perubahan terencana Kurt Lewin. Tahapan yang dilakukan yaitu mengidentifikasi gambaran situasi, mengidentifikasi masalah, mengumpulkan data, menganalisis masalah, menerapkan serta mengevaluasi solusi sesuai evidence-based practice, dan penulisan laporan kasus. Hasil dari penerapan intervensi evidence-based practice menunjukkan tingkat pengetahuan tentang serah terima menggunakan SBAR sebesar 85% dan persentase capaian pelaksanaan serah terima 63%. Sosialisasi dan role play berkala dapat dilakukan sebagai upaya optimalisasi pelaksanaan serah terima. Temuan ini juga menyoroti pentingnya pelaksanaan supervisi untuk mendukung proses timbang terima yang optimal di ruangan.

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Handover has not been optimal in several hospitals in Indonesia and it was found that there were still many unexpected events and near-accident incidents. The importance of effective communication in handover, especially in the use of the SBAR method to ensure patient safety and quality of care. The application of handover between shifts using the SBAR method in the inpatient room of Hospital X has not been optimal. Socialization, role play, and supervision are proven to optimize the implementation of nursing handover so that it needs to be applied to the inpatient room of Hospital X. The purpose of this writing is to analyze the handover picture and efforts to optimize handover between shifts with socialization, role play, and supervision methods. The writing method used is a case report with Kurt Lewin's planned change theory approach. The stages carried out are identifying the situation picture, identifying problems, collecting data, analyzing problems, implementing, and evaluating solutions according to evidence-based practice, and writing case reports. The results of the implementation of evidence-based practice interventions show the level of knowledge about handover using SBAR is 85% and the percentage of achievement of handover implementation is 63%. Periodic socialization and role play can be carried out as an effort to optimize the implementation of handover. These findings also highlight the importance of implementing supervision to support an optimal weighing process in the room."

"Penggunaan metode komunikasi dalam pelaksanaan di Ruang Rawat Inap Rumah Sakit X mengacu pada SOP yang berlaku yaitu komunikasi SBAR dalam format SOAP. Hasil karya tulis ini bertujuan untuk menganalisis penerapan K-ISBAR tool dalam pelaksanaan handover di ruang rawat inap Rumah Sakit X. Metode penulisan yang digunakan pada karya tulis ini yaitu case report dengan hasil analisis yang didapatkan dari observasi, wawancara, dan telusur dokumen. Hasil analisis pada karya tulis ini menunjukkan bahwa penyampaian informasi dalam pelaksanaan handover belum efektif sehingga diterapkan evidence-based practice berupa metode komunikasi K-ISBAR. Hal ini berkaitan dengan fungsi pengarahan dan peran interpersonal pada head nurse dan primary nurse yang belum optimal. Evaluasi penerapan komunikasi K-ISBAR masih belum maksimal. Hasil karya tulis ini merekomendasikan head nurse dan primary nurse untuk melakukan pengarahan dalam bentuk adaptasi serta evaluasi penerapan metode komunikasi yang terstruktur dalam pelaksanaan handover.

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Communication method that used during handover in inpatient room at X hospital refers to the SOP, which is SBAR communication in the SOAP format. This study aims to analyze the implementation of K-ISBAR tool during handovers in inpatient rooms at X Hospital. Case report research with the result of the analysis obtained through observations, interviews, and document research method. The results of the analysis in this paper show that the delivery of information in the handover implementation has not been effective so that evidence-based practice is applied in the form of the K-ISBAR communication method. This is related to the function of directing and interpersonal roles in the head nurse and primary nurse which are not optimal. Evaluation of the application of K-ISBAR communication is still not optimal. It is recommended for head nurse and primary nurse to conduct briefings in the form of adaptation and evaluation of the application of structured communication methods in carrying out handovers."