Description of Nursing Shift Handover Implementation in One of Provincial Public Hospitals in DKI Jakarta Province

The nursing handover has important consequences in the quality of nursing care to ensure continuity of care and patient safety. The purpose of this study was to describe the phenomenon related to nursing shift handover process in one of the provincial public hospitals in DKI Jakarta province. The method was descriptive study. Data collection was done by interview, documentation study, questionnaires and observation of the handover. This study began with initial assessment in 8 inpatient wards using planning, organizing, staffing, actuating, and controlling (POSAC) approach, problem identification by using fishbone analysis, problem priority and gab analysis by using literature review. The result obtained from the planning function was no available guide and standard operating procedure (SOP) on nursing shift handover yet, from the organizing function was wide span of control of the head nurse, from the staffing function was lack of understanding and commitment of nurses in delivering effective communication during the handover, from the actuating function was no periodic supervision of nursing shift handover process, and from the controlling function was constraint related to shift handover procedure in which it was different per shift. The main problem was from the planning function in which there was no available guide, and SOP on nursing shift handover yet. Nurses require an effective communication technique in the standardized handover to communicate the patient's information adequately. The recommendation of the hospital is to be able to develop a guide and SOP for nursing shift handover to make the process of nursing shift handover more effective, efficient and structured.