Transformation of Patient Safety Culture through Clinical Communication: A Critical Analysis of Implementing ISBAR3 on Nursing Literature

Novriani Husna; Faridah Binti Mohd Said; Nisha Nambiar

doi:10.59653/jhsmt.v3i02.1663

Authors

Novriani Husna Lincoln University College, Malaysia
Faridah Binti Mohd Said Lincoln University College, Malaysia
Nisha Nambiar Lincoln University College, Malaysia

DOI:

https://doi.org/10.59653/jhsmt.v3i02.1663

Keywords:

ISBAR3, clinical communication, patient safety

Abstract

Effective clinical communication is a fundamental element in ensuring patient safety. ISBAR3 (Identification, Situation, Background, Assessment, Recommendation, Read-back, Risk) as a structured communication method has the potential to transform the culture of patient safety in nursing practice. This study critically analyzes the implementation of ISBAR3 in the Indonesian nursing literature for the 2018-2023 period through a qualitative methodology based on a literature study. The results of the analysis revealed the multidimensional impact of ISBAR3 on improving the quality of nursing handover, patient satisfaction, and reducing safety incidents. Factors supporting and inhibiting implementation include teamwork, organizational learning, workload, and management support. Implementation optimization requires a comprehensive approach including contextual adaptation, capacity building, system integration, policy support, and continuous evaluation. The transformation of patient safety culture through ISBAR3 represents a fundamental shift from a reactive to a proactive paradigm in Indonesian healthcare.

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References

Christina, L. V., & Susilo, A. P. (2021). Use of SBAR Method for Effective Communication between Health Workers in a Clinical Context. KELUWIH: Journal of Health and Medicine, 3(1), 57–63. https://doi.org/10.24123/kesdok.v3i1.4584

Fourianalistyawati, E. (2020). Relevant and effective communication between doctors and patients. Journal of Psychogenesis, 1(1), 82–87.

Stuart, A., & Nuraeni, T. (2020). The Use of Electronic-Based ISBAR3 Model in an Effort to Improve Patient Safety: A Literature Study. Health Science Communication Media, 11(3), 9–15.

Husna, N., Binti, F., Said, M., & Nambiar, N. (2025). Effect of ISBAR3 Training on Improving Communication among Nursing Team in Inpatient Unit of Pariaman Hospital. International Journal of Multidisciplinary Approach Research and Science, 3(01), 239–253. https://doi.org/https://doi.org/10.59653/ijmars.v3i01.1396

Husna, N., Rahman, W., Ayuni, D. Q., Mohd Said, F. B., & Nambiar, N. (2024). The Impact of ISBAR3 (Identity, Situation, Background, Assessment, Recommendation, Read-back, Risk) Implementation on Nursing Shift Handover Quality and Patient Satisfaction Improvement at Pariaman Regional Public Hospital. Malaysian Journal of Nursing, 16(October), 150–165. https://doi.org/10.31674/MJN.2024.V16ISUPP1.015

Iriviranty, A. (2020). Analysis of Organizational Culture and Patient Safety Culture as a Step in Patient Safety Development. Journal of Indonesian Hospital Administration, 1(3). https://doi.org/10.7454/arsi.v1i3.2184

Irwanti, F., Guspianto, G., Wardiah, R., & Solida, A. (2022). The Relationship of Effective Communication with the Implementation of Patient Safety Culture at Raden Mattaher Hospital, Jambi Province. Journal of Jambi Health Sciences, 6(1), 32–41. https://doi.org/10.22437/jkmj.v6i1.15551

Karmila, R., & Hananto, S. (2020). The Use of Electronic ISBAR 3 Format for Nursing Handover to Improve Effective Communication. Idea Nursing Journal, VIII(3), 1–7.

Ministry of Health of the Republic of Indonesia. (2017). REGULATION OF THE MINISTER OF HEALTH OF THE REPUBLIC OF INDONESIA NUMBER 11 OF 2017 CONCERNING PATIENT SAFETY.

Lark, M. E., Kirkpatrick, K., & Chung, K. C. (2020). Patient Safety Movement: History and Future Directions. Journal of Hand Surgery, 43(2), 174–178. https://doi.org/10.1016/j.jhsa.2017.11.006

Nugraheni, S. W., Yuliani, N., & Veliana, A. D. (2021). Literature Study: Patient Safety Culture and Patient Safety Incidents in Hospitals. Proceedings of the National Health Information Seminar (SIKesNas), 2018, 290–295.

Puspitasari, S. A., & Afifi, S. (2022). Analysis of Dental Health Clinic Crisis Communication Strategy during the COVID-19 Pandemic. Journal of Communication Students, 2(1), 63–80. https://doi.org/10.20885/cantrik.vol2.iss1.art6

Ramdhan, A. S. S., Zulfikar, M., Hasanah, U., Agustin, D. I., & Pramudita, S. (2024). Interpersonal Communication and Work Culture in Improving Relationships with Employees at Pelangi Bunda Medika Clinic. Professional: Journal of Communication and Public Administration, 11(1), 301–310. https://doi.org/10.37676/professional.v11i1.6129

Sulahyuningsih, E., Tamtomo, D., & Joebagio, H. (2020). Analysis of Patient Safety Management in Committee for Quality Improvement and Patient Safety at Sumbawa Hospital, West Nusa Tenggara. Journal of Health Policy and Management, 02(02), 147–156. https://doi.org/10.26911/thejhpm.2017.02.02.06

Wianti, A., Setiawan, A., Murtiningsih, M., Budiman, B., & Rohayani, L. (2021). Characteristics and Culture of Patient Safety to Patient Safety Incidents. Silampari Journal of Nursing, 5(1), 96–102. https://doi.org/10.31539/jks.v5i1.2587

Yanriatuti, I., Nursalam, N., & M, R. S. (2020). Supporting and Inhibiting Factors of Patient Safety Culture in Hospitals: A Systematic Review. Journal of Health Research "Forikes Voice", 11(4), 367. https://doi.org/10.33846/sf11408