Hubungan Fungsi Manajemen Kepala Ruangan dengan Pelibatan Pasien (Patient Engagement) dalam Asuhan Keperawatan di Masa Pandemi Covid-19
DOI:
https://doi.org/10.32584/jkmk.v4i2.1230Keywords:
Asuhan keperawatan, keterlibatan pasien, pandemi COVID-19, patient engagement, pelibatan pasienAbstract
Rumah sakit harus menetapkan regulasi dan proses untuk mendukung pelibatan pasien dalam proses asuhan sebagai upaya memfasilitasi keterlibatan pasien secara aktif. Adanya keterbatasan interaksi antara perawat dan pasien secara aktif menjadi sebuah tantangan tersendiri di masa pandemi Covid-19. Penelitian ini bertujuan mengetahui hubungan fungsi manajemen kepala ruangan dengan pelibatan pasien dalam asuhan keperawatan di masa pandemi Covid-19. Penelitian ini menggunakan desain penelitian cross sectional terhadap 238 perawat dengan menggunakan kuesioner online. Hasil analisis bivariat menggunakan korelasi Pearson menunjukan terdapat hubungan yang signifikan antara fungsi manajemen kepala ruangan dengan pelibatan pasien (p < 0,001). Kepala ruangan memiliki peranan penting dalam meningkatkan pelibatan pasien dalam asuhan keperawatan di masa pandemi Covid-19 dengan melakukan perencanaan, pengorganisasian, ketenagaan, pengarahan, dan pengawasan secara optimal.
References
Abbasi-moghaddam, M. A., Zarei, E., Bagherzadeh, R., Dargahi, H., & Farrokhi, P. (2019). Evaluation of service quality from patients ’ viewpoint. BMC Health Services Research, 19(170), 1–7. https://doi.org/https://doi.org/10.1186/s12913-019-3998-0
Abrams, E. M., Shaker, M., Oppenheimer, J., Davis, R. S., & Bukstein, D. A. (2020). The Challenges and Opportunities for Shared Decision Making Highlighted by COVID-19. Elsevier, 8(8), 2475–2480. https://doi.org/munology https://doi.org/10.1016/j.jaip.2020.07.003
Al-hussami, M., Al-momani, M., Hammad, S., Maharmeh, M., & Darawad, M. (2017). Patients ’ perception of the quality of nursing care and related hospital services. Journal Health and Primary Care, 1(2), 1–6. https://doi.org/10.15761/HPC.1000110
Arya, R. S. R. (2018). Faktor Karakteristik Yang Mempengaruhi Keterlibatan Pasien Rawat Inap Di Rumah Sakit Bersalin Puri Bunda. Universitas Brawijaya. https://doi.org/SKR/FK/2018/354/051808369
Ball, L. K., George, C. A., Duval, L., & Hedrick, N. N. F. (2016). Reducing blood stream infection in patients on hemodialysis: Incorporating patient engagement into a quality improvement activity. Hemodialysis International, 20, S7–S11. https://doi.org/10.1111/hdi.12463
Boniol, M., McIsaac, M., Xu, L., Wuliji, T., Diallo, K., & Campbell, J. (2019). WHO | Gender equity in the health workforce: Analysis of 104 countries. In World Health Organization (Issue March). http://apps.who.int/bookorders.
Brown, A. (2020). Will Covid-19 affect the delivery of compassionate nursing care? Nursing Times [Online], 116(10), 32–35. https://www.nursingtimes.net/clinical-archive/communication/measuring-body-temperature-using-a-tympanic-thermometer-14-09-2020/
Carman, K. L., Dardess, P., Maurer, M., Sofaer, S., Adam, K., Bachtel, C., & J, S. (2013). Patient and Family Engagement: A Framework For Understanding The Elements And Developing Interventions And Policies. HEALTH AFFAIRS, 32(2), 223–229. https://doi.org/10.1377/hlthaff.2012.1133
Contreras, C. M., Metzger, G. A., Beane, J. D., Dedhia, P. H., Ejaz, A., & Pawlik, T. M. (2020). Telemedicine: Patient-Provider Clinical Engagement During the COVID-19 Pandemic and Beyond. Journal of Gastrointestinal Surgery, 24(7), 1692–1697. https://doi.org/10.1007/s11605-020-04623-5
D’Agostino, T. A., Atkinson, T. M., Latella, L. E., Rogers, M., Morrissey, D., DeRosa, A. P., & Parker, P. A. (2017). Promoting patient participation in healthcare interactions through communication skills training: A systematic review. Patient Education and Counseling, 100(7), 1247–1257. https://doi.org/10.1016/j.pec.2017.02.016
Deyo, P., Swartwout, E., & Drenkard, K. (2016). Nurse manager competencies supporting patient engagement. Journal of Nursing Administration, 46(3), S19–S26. https://doi.org/10.1097/NNA.0000000000000318
Dishman, L., & Schroeder, V. (2020). A COVID-19 patient’s experience: Engagement in disease management, interactions with care teams and implications on health policies and managerial practices. Patient Experience Journal, 7(2), 33–38. https://doi.org/10.35680/2372-0247.1487
Fauziyah, N., Tutik, R., Hariyati, S., & Fatmawati, U. (2020). Penerapan Metode Pelibatan Pasien melalui Feedback Pasien Dan Edukasi Speak-Up Di Ruang Rawat Inap Rumah Sakit X Jakarta : Pilot Study. Dunia Keperawatan: Jurnal Keperawatan Dan Kesehatan, 8(3), 442–451. https://doi.org/10.20527/dk.v8i2.8859
Flott, K., Darzi, A., Gancarczyk, S., & Mayer, E. (2018). Improving the Usefulness and Use of Patient Survey Programs : National Health Service Interview Study Corresponding Author : Journal of Medical Internet Research, 20(4). https://doi.org/10.2196/jmir.8806
Giesbers, S. A. P. M. (2017). How feedback on quality measurements affects nurses’ well-being and quality improvement. ProefscriftMaken. https://repository.ubn.ru.nl/bitstream/handle/2066/175893/175893.pdf?sequence=1
Groene, O., Sunol, R., Klazinga, N. S., Wang, A., Dersarkissian, M., Thompson, C. A., Thompson, A., Arah, O. A., & Of, O. N. B. (2014). Involvement of patients or their representatives in quality management functions in EU hospitals : implementation and impact on patient-centred care strategies. International Journal for Quality in Health Care, 26(March), 81–91. https://doi.org/10.1093/intqhc/mzu022
Handayani, S., Fannya, P., & Nazofah, P. (2018). Faktor Yang Berhubungan Dengan Kinerja Tenaga Kesehatan Di Rawat INAP RSUD Batusangkar. Jurnal Endurance, 3(3), 440. https://doi.org/10.22216/jen.v3i3.3005
Harrison, R., Wai, A., & Cohen, S. (2015). Patient safety and quality of care in developing countries in Southeast Asia : a systematic literature review. 27(June), 240–254. https://doi.org/10.1093/intqhc/mzv041
Higgins, T., Larson, E., & Schnall, R. (2017). Unraveling the meaning of patient engagement: A concept analysis. Patient Education and Counseling, 100(1), 30–36. https://doi.org/10.1016/j.pec.2016.09.002
Houchens, N., & Tipirneni, R. (2020). Compassionate communication amid the COVID-19 pandemic. Journal of Hospital Medicine, 15(7), 437–439. https://doi.org/10.12788/jhm.3472
Huber, L. D. (2014). Leadership and Nursing Care Management. Elsevier Saunders.
Hwang, J. I., Kim, S. W., & Chin, H. J. (2019). Patient Participation in Patient Safety and Its Relationships with Nurses’ Patient-Centered Care Competency, Teamwork, and Safety Climate. Asian Nursing Research, 13(2), 130–136. https://doi.org/10.1016/j.anr.2019.03.001
Johansen, M. B. (2018). Organizing Patient Involvement: An Ethnographic Study. Copenhagen Business School.
Kaharuddin, A. T. (2014). Perbandingan kualitas patient engagement pada empat pelayanan spesialis dasar di RSUD Haji Provinsi Sulawesi Selatan. Jurnal Al Hikmah, XV(1), 43–53. https://doi.org/10.7748/cnp2011.07.10.6.9.p5836
KARS. (2018). Standar Akreditasi Rumah Sakit. In Standar Akreditasi Rumah Sakit. https://doi.org/https://doi.org/362.11
Käsbauer, S., Cooper, R., Kelly, L., & King, J. (2017). Barriers and facilitators of a near real-time feedback approach for measuring patient experiences of hospital care. Health Policy and Technology, 6(1), 51–58. https://doi.org/10.1016/j.hlpt.2016.09.003
Khoiriyah, I. M., & Rizal, alfi A. F. (2020). Hubungan Fungsi Perencanaan Kepala Ruangan dengan Kinerja Perawat dalam Memberikan Pelayanan Keperawatan di Ruang Rawat Inap RSUD Samarinda. Borneo Student Research (BSR), 1(1), 520–523. https://doi.org/eISSN-2721-5725
Li, M., Huang, C., Lu, X., Chen, S., Zhao, P., & Lu, H. (2015). Evaluation of medical staff and patient satisfaction of Chinese hospitals and measures for improvement. BioScience Trends, 9(3), 182–189. https://doi.org/10.5582/bst.2015.01043
Mahoney, D., Bogetz, A., Hirsch, A., Killmond, K., Phillips, E., Bhavaraju, V., McQueen, A., Orlov, N., Blankenburg, R., & Rassbach, C. E. (2019). The Challenges of Multisource Feedback: Feasibility and Acceptability of Gathering Patient Feedback for Pediatric Residents. Academic Pediatrics, 19(5), 555–560. https://doi.org/10.1016/j.acap.2018.12.002
Marquis, B. L., & Huston, C. J. (2015). Leadership Role and Management Functions in Nursing. Williams & Wilkins.
Masahuddin, L., Rachmawaty, R., & Bahar, B. (2020). Hubungan Pelaksanaan Fungsi Manajemen Kepala Ruangan Dengan Penerapan Patient Safety Di Ruang Perawatan Rsud Kota Makassar. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 6(1), 57–65. https://doi.org/10.33023/jikep.v6i1.442
Meyer, M. A. (2020). COVID-19 Pandemic Accelerates Need to Improve Online Patient Engagement Practices to Enhance Patient Experience. Journal of Patient Experience, 7(5), 657–664. https://doi.org/10.1177/2374373520959486
Moy, M. L., Blackstock, F., & Nici, L. (2020). Enhancing Patient Engagement in Pulmonary Healthcare The Art and Science (S. I. S. Rounds, A. Dixon, & L. M. Schnapp (eds.)). Springer Nature Switzerland AG. https://doi.org/https://doi.org/10.1007/978-3-030-44889-9 ©
Murphy, E., Tierney, E., Nà Shé, É., Killilea, M., Donaghey, C., Daly, A., Roche, M., Mac Loughlin, D., & Dinneen, S. (2020). COVID-19: Public and patient involvement, now more than ever. HRB Open Research, 3(35), 1–9. https://doi.org/10.12688/hrbopenres.13067.1
Ningsih, D. R. ., & Rizal, A. A. . (2019). Hubungan Fungsi Ketenagaan Kepala Ruang dengan Kinerja Perawat dalam Memberikan Layanan Keperawatan di Ruang Rawat Inap Rumah Sakit Daerah Kota Samarinda. Borneo Student Research, 204–209.
Ree, E., Wiig, S., Manser, T., & Storm, M. (2019). How is patient involvement measured in patient centeredness scales for health professionals? A systematic review of their measurement properties and content. BMC Health Services Research, 19(1), 1–13. https://doi.org/10.1186/s12913-018-3798-y
Richards, T., Montori, V. M., Godlee, F., Lapsley, P., & Paul, D. (2013). Let the patient revolution begin. BMJ (Online), 346(7908), 1–2. https://doi.org/10.1136/bmj.f2614
Riyani, S. U., & Rizal, A. A. F. (2020). Hubungan Fungsi Pengorganisasian Kepala Ruangan dengan Kinerja Perawat dalam Memberikan Pelayanan Keperawatan di Ruang Rawat Inap RSUD Samarinda. Borneo Student Research (BSR), 1(1), 520–523. https://doi.org/eISSN-2721-5725
Rohmawati, T. (2016). Hubungan fungsi manajemen kepala ruangan menurut persepsi perawat pelaksanan dan karakteristik individu dengan pelaksanaan asuhan keperawatan diRuang Rawat Inap RSUD Sumedang Tesis. Tesis PPS FIK – UI, 1–2.
Ruben, M. A., Blanchâ€Hartigan, D., & Hall, J. A. (2020). Communication Skills to Engage Patients in Treatment. In A. Hadler, S. Sutton, & L. Osterberg (Eds.), The Wiley Handbook of Healthcare Treatment Engagement (First, pp. 274–296). Jhon Wiley & Sons Ltd. https://doi.org/10.1002/9781119129530.ch15
Sieck, C. J., Walker, D. M., Retchin, S., & McAlearney, A. S. (2019). The Patient Engagement Capacity Model: What Factors Determine a Patient’s Ability to Engage? NEJM Catalyst, 1–10. https://catalyst.nejm.org/patient-engagement-capacity-model/
Singh, S., Evans, N., Williams, M., Sezginis, N., & Baryeh, N. A. K. (2018). Influences of Socio-Demographic Factors and Health Utilization Factors on Patient-Centered Provider Communication. Health Communication, 33(7), 917–923. https://doi.org/10.1080/10410236.2017.1322481
Srinivasan, M., Phadke, A. J., Zulman, D., Thadaney, S., Nelligan, I., Artandi, M., & Sharp, C. (2020). Enhancing patient engagement during virtual care: A conceptual model and rapid implementation at an academic medical center. NEJM Catalyst, 09, 1–10. https://doi.org/10.1056/CAT.20.0262
Sun, N., Wei, L., Shi, S., Jiao, D., Song, R., Ma, L., Wang, H., Wang, C., Wang, Z., You, Y., Liu, S., & Wang, H. (2020). A qualitative study on the psychological experience of caregivers of COVID-19 patients. American Journal of Infection Control, 48(6), 592–598. https://doi.org/10.1016/j.ajic.2020.03.018
Sun, R., Wu, L., Barnett, S., Deyo, P., & Swartwout, E. (2019). Socio-demographic predictors associated with capacity to engage in health care. Patient Experience Journal, 6(2), 35–41. https://doi.org/10.35680/2372-0247.1355
Surahmat, R., Fitriah, N., Sari, S. M., Surahmat, R., Fitriah, N., Sari, S. M., Studi, P., Keperawatan, I., Tinggi, S., Kesehatan, I., Husada, B., Sakit, R., Bahar, E., Sumatera, P., Surahmat, R., Fitriah, N., & Sari, S. M. (2019). HUBUNGAN STATUS KEPEGAWAIAN DENGAN OLEH PERAWAT PELAKSANA Keselamatan tujuan utama pasien pelayanan merupakan kesehatan maupun sumber daya manusia dan Aktivitas keseharian perawat dalam melaksanakan keselamatan pasien masih terdapat berbagai kendala yaitu. Jurnal Ilmiah Multi Science Kesehatan, 10(1).
Susanty, F., Arif, Y., & Ariati, N. (2018). Hubungan penerapan jenjang karor perawat dengan kinerja perawat pelaksana di ruang rawat inap RSUD Palembang Bari [Universitas Andalas]. http://scholar.unand.ac.id/35334/7/FILE 1 FERA COVER DAN ABSTRAK.pdf
Ulfa, M., & Sarzuli, T. (2016). Faktor yang berhubungan dengan kepatuhan perawat Dalam menjalankan Protap pemasangan Kateter Uretra Di ruang perawatan bedah dan interna RSUD Syekh Yusuf Gowa. Jurnal Medicoeticolegal Dan Manajemen Rumah Sakit, 5(1), 49–55. https://doi.org/10.18196/jmmr.5106.Pengaruh
Walukow, P. A., Mandagi, C. K. F., Kesehatan, F., Universitas, M., & Ratulangi, S. (2018). Hubungan Masa Kerja Dan Kepemimpinan Dengan Kinerja Perawat Di Ruang Rawat Inap Rumah Sakit Umum Daerah (Rsud) Minahasa Selatan. Kesmas, 7(3).
Wasserteil, N., Nun, A. Bin, Mimouni, F. B., & Kasirer, Y. (2020). Handover of patients: the challenges of COVID-19. Journal of Perinatology, 40(10), 1453–1454. https://doi.org/10.1038/s41372-020-00792-y
WHO. (2016). Patient Engagement: Technical Series on Safer Primary Care. In World Health Organization. World Health Organization. https://doi.org/10.1016/j.pop.2019.07.007
Wong, E. L., Xu, R. H., Lui, S., Cheung, A. W., & Yeoh, E.-K. (2018). Development of Conceptual Framework from the View of Patients and Professionals on Patient Engagement: A Qualitative Study in Hong Kong SAR, China. Open Journal of Nursing, 08(05), 303–316. https://doi.org/10.4236/ojn.2018.85026
Wulandari, D., & Purnamasari, V. (2019). Hubungan Kinerja Perawat Dengan Tingkat Kepuasan Pasien BPJS Rawat Inap di RS PKU Muhammadiyah Yogyakarta. Naskah Publikasi Universitas ’Aisyiyah Yogyakarta. http://digilib.unisayogya.ac.id/4590/1/NASKAH PUBLIKASI.pdf
Xu, R. H., Cheung, A. W. L., & Wong, E. L. Y. (2018). Development and validation of an instrument to measure patient engagement in Hong Kong special Administrative region, China. Patient Preference and Adherence, 12, 1667–1675. https://doi.org/10.2147/PPA.S171026
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