Nursing management strategies for optimizing SBAR-based bedside handover implementation in an inpatient unit
- 1Eka Hospital Corporate, Indonesia
- 2Rumah Sakit Ibu dan Anak Bunda, Jakarta, Indonesia
- 3Fakultas Ilmu Keperawatan, Universitas Advent Indonesia, Bandung, Indonesia
Abstract
Background: Bedside handover is a clinical communication strategy that supports continuity of care, patient safety, and patient involvement. The initial assessment in the inpatient unit showed an implementation rate of 68%, nurse–patient interaction during handover of only 33%, non-standardized documentation, and the absence of an SBAR-based bedside handover SOP that consistently involved patients.
Objective: This article aimed to evaluate nursing management strategies for optimizing SBAR-based bedside handover implementation in an inpatient unit at a hospital in Jakarta.
Methods: This quality improvement study used a pre–post evaluation approach and involved 20 inpatient nurses, including 13 diploma-prepared nurses and 7 professional nurses. The initial assessment included observation, brief interviews, document review, and one FGD with unit nurses. The intervention was implemented through baseline assessment, development of an SBAR-based SOP and documentation format, socialization, training and simulation, appointment of handover champions, supervision, and three monthly audit cycles from August to October 2025. Data were analyzed descriptively.
Results: Bedside handover implementation increased from 68% in August to 77% in September and 90% in October. At baseline, patient interaction during handover was 33%, form uniformity was 82%, 50% of nurses reported documentation difficulties, and leadership during handover was documented in 27% of observations. The background and assessment components improved but remained inconsistently communicated.
Conclusion: Nursing management strategies involving procedure standardization, training, documentation, handover champions, supervision, and continuous audit contributed to improved SBAR-based bedside handover. Further strengthening of background, assessment, and patient involvement is required to ensure that improved compliance is accompanied by better clinical communication quality.
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BibTeX
@article{netrawati2026nursing,
title = {{Nursing management strategies for optimizing SBAR-based bedside handover implementation in an inpatient unit}},
author = {I Dewa Ayu Rai Netrawati and Frieda Panjaitan and Ratri Ermawati and Samuel M Simanjuntak},
journal = {Lentera Perawat},
year = {2026},
month = jul,
doi = {10.52235/lp.v7i3.783},
url = {https://doi.org/10.52235/lp.v7i3.783},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Nursing management strategies for optimizing SBAR-based bedside handover implementation in an inpatient unit
AU - I Dewa Ayu Rai Netrawati
AU - Frieda Panjaitan
AU - Ratri Ermawati
AU - Samuel M Simanjuntak
PY - 2026
DA - 2026/07/01
JO - Lentera Perawat
DO - 10.52235/lp.v7i3.783
UR - https://doi.org/10.52235/lp.v7i3.783
AB - Background: Bedside handover is a clinical communication strategy that supports continuity of care, patient safety, and patient involvement. The initial assessment in the inpatient unit showed an implementation rate of 68%, nurse–patient interaction during handover of only 33%, non-standardized documentation, and the absence of an SBAR-based bedside handover SOP that consistently involved patients. Objective: This article aimed to evaluate nursing management strategies for optimizing SBAR-based bedside handover implementation in an inpatient unit at a hospital in Jakarta. Methods: This quality improvement study used a pre–post evaluation approach and involved 20 inpatient nurses, including 13 diploma-prepared nurses and 7 professional nurses. The initial assessment included observation, brief interviews, document review, and one FGD with unit nurses. The intervention was implemented through baseline assessment, development of an SBAR-based SOP and documentation format, socialization, training and simulation, appointment of handover champions, supervision, and three monthly audit cycles from August to October 2025. Data were analyzed descriptively. Results: Bedside handover implementation increased from 68% in August to 77% in September and 90% in October. At baseline, patient interaction during handover was 33%, form uniformity was 82%, 50% of nurses reported documentation difficulties, and leadership during handover was documented in 27% of observations. The background and assessment components improved but remained inconsistently communicated. Conclusion: Nursing management strategies involving procedure standardization, training, documentation, handover champions, supervision, and continuous audit contributed to improved SBAR-based bedside handover. Further strengthening of background, assessment, and patient involvement is required to ensure that improved compliance is accompanied by better clinical communication quality.
SN - 2722-2837
SN - 2830-1846
ER -