Factors Influencing the Implementation of SISBAR Communication for Nurse and Doctor Handovers in a West Java Hospital
Communication is essential in performing nursing care and in improving patient safety. Communication problems can cause incidents leading to disability or death. In Indonesia, Salam Introduction Situation Background Assessment and Recommendation (SISBAR) communication is carried out, but in practice, nurses often forget to greet and introduce themselves. Therefore, communication needs to be improved to accommodate the SISBAR method. The objective of this study was to determine whether the implementation of efforts to improve nurse and doctor handover communication has a relationship with the characteristics of gender, age, and length of work at Santosa Hospital in Bandung Central. This study collected data through a survey and observations, and participants included 32 nurses who worked in the medical-surgical nursing wards. Univariate and bivariate analyses were carried out. The majority of the respondents were female, were graduates with diploma three, and had work experience of more than five years. Work experience was significantly associated with effective communication (p-value = 0.006), while no correlation was found between gender or education level and effective communication (p-value > 0.05). Effective communication using SISBAR was related to work experience. This communication method can be appropriately applied if a template is used and the institution creates a policy in the form of communication rules or standard operating procedures. It is recommended that researchers of future studies examine more respondents from different types of wards and various hospitals.
Keywords: effective communication, SISBAR, handover, nurses and docors
 Anderson JG, Abrahamson K. Your health care may kill you: Medical errors. Student Health Technology Informa; Unites States. 2017.
 Stewart K, Choudry MI, Buckingham R. Learning from hospital mortality. Clinical Medicine (Northfield Il). United States. 2016;16(6):530-534.
 Shen JJ, Cochran CR, Mazurenko O et al. Racial and insurance status disparities in patient safety indicators among hospitalized patients. Ethn Dis. 2016;26(3):443-452.
 Piccardi C, Detollenaere J, Vanden BP, Willems S. Social disparities in patient safety in primary care: A systematic review. Internatonal Journal Equity Health. 2018;17(1):1– 9.
 Riesenberg LA, Leisch J, Cunningham JM. Nursing handoffs: A systematic review of the literature. American of Journal Nursing. 2010;110(4):24–34.
 Alvarado D, Evans TA, Sharma R, Lemmon MA, Duffy JB. Argos mutants define an affinity threshold for spitz inhibition in vivo. Jpurnal Biology Chemistry. 2006;281(39):28993–9001.
 Hou Y, Lu L, Lee P, Chang I. Positive impacts of electronic handoff systems designs on nurses’ communication effectiveness. Journal Nursing Management. 2019;27(5):1055–63.
 Aldrich R, Duggan A, Lane K, Nair K, Hill K. ISBAR revisited: Identifying and solving barriers to effective clinical handover in inter-hospital transfer – Public report on pilot study. Newcastle Hunter New England Health. 2009; 1(1):1-24
 Ramasubbu B, Stewart E, Spiritoso R. Introduction of the identification, situation, background, assessment, recommendations tool to improve the quality of information transfer during medical handover in intensive care. Journal intensive care Society. 2017;18(1):17–23.
 Handayani F. Factors influencing obedience of nurse on effective communication (SBAR) in patient handover at hospital X and Y. Jurnal Kesehatan STIKes IMC Bintaro. 2018;2(1):22-34.
 Badrujamaludin A, Kumala TF. Implemetation of introduction, situation, background, assessment and recommendation (ISBAR) for effective communication between nurse and doctor in Cibabat Hospital. Cimahi. Holistik Jurnal Kesehatan. 2020;13(4):306–17.
 Simamora RH, Fathi A. The influence of training handover based SBAR communication for improving patients safety. Indian Journal Public Healty Research Development. 2019;10(9):915-405.
 Badrujamaludin A, Supriadi D, Yesayas O et al. Application of “SISBAR” for effective communication between nurses and doctors at private hospital in Indonesia. Jurnal Keperawatan Komprehensif (Comprehensive Nurs Journal). 2021;7:179-186(Special Edition).
 Badrujamaludin A, Rudhiati F, Fitriani H et al. Training of Sisbar communication for handover between nurse and doctor in Santosa Hospital Bandung Central (SHBC). Jurnal Kreativitas Pengabdi Kepada Masyarakat. 2021;4(5):1089–96.
 Abadi HQ, Hassan HB. Instruction program for nurses knowledge about applying the communication strategies (SBAR) in critical care units. Indian J Forensic Med Toxicol. 2021;15(4):3299-3305.