The Relationship Between the Implementation of the SBAR Communication Model and Patient Safety in the Inpatient Ward of Koja Hospital, Jakarta
DOI:
https://doi.org/10.54832/phj.v8i2.1570Keywords:
SBAR Communication, Patient Safety, Nursing Handover, International Patient Safety Goals, Inpatient WardAbstract
Background: Patient safety is a fundamental component of nursing care that is significantly influenced by the quality of communication among healthcare professionals. Communication failures during patient handovers are a primary cause of patient safety incidents. The SBAR (Situation, Background, Assessment, Recommendation) structured communication model was designed to standardize the exchange of clinical information and prevent medical errors.
Objective: This study aims to analyze the relationship between the implementation of the SBAR communication model by nurses and patient safety in the inpatient wards of Koja Regional General Hospital, North Jakarta.
Methods: This was a quantitative study with a cross-sectional design. The study population consisted of all staff nurses and head nurses in the inpatient wards of Koja Regional General Hospital (N=750). Sampling was conducted using a probability sampling technique with a two-stage cluster sampling approach, resulting in the selection of 97 nurses from 15 inpatient wards. The research instruments comprised an SBAR implementation questionnaire (17 items) and a patient safety questionnaire based on the International Patient Safety Goals (IPSG) (20 items). Both instruments demonstrated established validity (calculated r > 0.361) and very high reliability (Cronbach’s alpha = 0.967 for SBAR and 0.971 for IPSG). Data analysis involved frequency distribution tests (univariate) and Chi-Square tests (bivariate).
Results: The majority of nurses demonstrated good implementation of the SBAR communication model (74.2%, n=72), and most patient safety outcomes fell into the “good” category (76.3%, n=74). Bivariate Chi-Square test results indicated a significant relationship between SBAR communication implementation and patient safety (p-value = 0.001; p < 0.05). Among nurses who implemented SBAR well, 70.1% (n=68) achieved good patient safety outcomes, whereas the majority of nurses with poor SBAR implementation resulted in patient safety outcomes categorized as poor (19.6%, n=19).
Conclusion:
There is a significant positive relationship between the implementation of the SBAR communication model and patient safety in the inpatient wards of Koja Regional General Hospital (RSUD Koja), Jakarta. Increased discipline and consistency among nurses in applying SBAR communication directly contribute to improving the quality of patient safety.
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References
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