Jurnal Kepemimpinan dan Manajemen Keperawatan
Jurnal Kepemimpinan dan Manajemen Keperawatan (e-ISSN 2621-5047) diterbitkan oleh Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah. Jurnal ini terbit dua kali dalam setahun dan telah terindeks dalam database internasional. Jurnal Kepemimpinan dan Manajemen Keperawatan mempublikasikan artikel di bidang **kepemimpinan dalam keperawatan, manajemen pelayanan keperawatan, dan manajemen asuhan keperawatan.** Jurnal ini telah terakreditasi oleh Akreditasi Jurnal Nasional (ARJUNA) yang dikelola oleh Kementerian Riset, Teknologi, dan Pendidikan Tinggi, Republik Indonesia, dengan Peringkat 3 (SINTA 3), sesuai dengan Sertifikat Akreditasi.
Faktor-Faktor Yang Berhubungan Dengan Kinerja Perawat Di Ruang Rawat Inap
Kinerja perawat dalam memberikan pelayanan baik dalam pemberian asuhan keperawatan pada pasien atau yang lainnya sangat penting. Kinerja perawat dapat dipengaruhi oleh berbagai faktor, baik faktor individu, psikologis maupun organisasi. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kinerja perawat di ruang rawat inap Rumah Sakit Umum Mitra Anugerah Lestari (MAL) Cimahi. Metode penelitian menggunakan studi analitik dengan pendekatan cross-sectional. Jumlah sampel sebanyak 76 perawat pelaksana dengan teknik total sampling. Pengumpulan data menggunakan kuesioner yang dianalisis secara univariat, bivariat (chi square), dan multivariat (regresi logistik). Hasil penelitian menunjukkan dari 62 perawat sebanyak 84,2% dengan kinerja baik, 78,9% berpendidikan D3, 88,2% belum pernah mengikuti pelatihan, 51,3% dengan kemampuan kerja baik, 64,5% dengan komunikasi baik, 48,7% dengan kerja sama baik, 61,8% dengan tipe kepribadian introvert, 72,4% dengan motivasi tinggi, 61,8% dengan komitmen kerja tinggi dan 96,1% dengan kedisiplinan yang baik. Hasil uji statistik menunjukkan faktor yang berhubungan dengan kinerja perawat adalah motivasi (p 0,004), komitmen kerja (p 0,020), dan tipe kepribadian (p 0,041). Variabel pelatihan (p 0,104), kemampuan kerja (p 0,054), kerjasama (p 0,260), pendidikan (p 0,554), kedisiplinan (p 0,371), dan komunikasi (p 0,555) tidak berhubungan dengan kinerja perawat. Hasil analisis regresi menunjukkan motivasi merupakan variabel paling dominan yang berhubungan dengan kinerja perawat (OR 68,384). Disarankan agar pihak rumah sakit dapat lebih meningkatkan motivasi perawat sehingga perawat mempunyai komitmen kerja tinggi yang dapat meningkatkan kinerja perawat.
Hak Cipta (c) Wartini Setiawati, Iin Inayah, Setiawati Setiawati, Andria Pragholapati
Meningkatkan Keselamatan Pasien dalam Deteksi Dini Perburukan Kondisi Fisiologis Pasien Menggunakan National Early Warning Score (NEWS)
Early Warning System (EWS) adalah suatu sistem yang umumnya digunakan di unit medikal bedah untuk mengatasi masalah kesehatan pasien secara dini, didasarkan atas penilaian terhadap perubahan keadaan pasien melalui pengamatan yang sistematis terhadap semua perubahan fisiologi pasien dan merupakan konsep pendekatan proaktif untuk meningkatkan keselamatan pasien dan hasil klinis pasien yang lebih baik dengan standarisasi pendekatan asesmen dan menetapkan skoring parameter fisiologis yang sederhana. Tujuan studi ini adalah mengidentifikasi penerapan National Early Warning Score (NEWS) untuk deteksi dini perburukan kondisi pasien melalui kajian literatur. Kajian pustaka telah dilakukan melalui database jurnal PubMed, Proquest dan EBSCO. Kata kunci yang digunakan yaitu National Early Warning System AND Deterioration. Kriteria inklusi yang ditetapkan adalah artikel yang dipublikasikan dalam rentang 5 tahun terakhir, tipe artikel clinical trial, journal article, randomized controlled trial, human, best match, full text. Kriteria eksklusi dari sumber referensi yang diambil yaitu artikel yang isinya tidak lengkap, referensinya tidak jelas serta artikel yang tidak sesuai topik. Data dianalisis berisi judul, penulis, tahun, metodologi, dan hasil. Peneliti mengidentifikasi 44 judul dan disaring menjadi 5 artikel yang membahas NEWS untuk deteksi dini perburukan kondisi pasien. Hasil penelitian menunjukkan penerapan NEWS dapat meningkatkan monitoring vital sign 95 %, membantu perawat untuk mendeteksi perubahan kondisi pasien dan sebagai alat bantu dalam berkomunikasi dengan petugas kesehatan lainnya. NEWS merupakan sistem skoring yang sederhana, praktis dan terbukti dapat meningkatkan kewaspadaan dan respon terhadap tanda-tanda perubahan fisiologis yang buruk sehingga keselamatan pasien dapat dipantau secara optimal dan angka mortalitas dapat menurun
Hubungan implementasi manajemen penjadwalan dinas dengan kinerja perawat
Penjadwalan dinas perawat merupakan hal yang sangat penting bagi perawat pelaksana dalam meningkatkan kinerja dan kualitas pelayanan keperawatan. Pengaturan manjemen penjadwalan dinas perawat merupakan salah satu tugas kepala ruangan. Penelitian ini bertujuan untuk mengetahui hubungan antara implementasi manajemen penjadwalan dinas perawat dengan kinerja perawat di RSUD Arifin Achmad Provinsi Riau. penelitian ini merupakan studi kuantitatif dengan metode deskriptif korelasi dengan mengunakan pendekatan cross sectional. Â Populasi penelitian ini adalah perawat pelaksana di ruang rawat inap Surgikal di RSUD Arifin Achmad Provinsi Riau dengan jumlah sampel sebanyak 42 orang perawat yang diambil dengan teknik proportional random sampling. Instrumen penelitian ini mengunakan kuesioner. Analisa data mengunakan uji bivariat dengn uji chi square. Hasil uji chi square Â diperoleh PÂ value = 0,013 (< 0,05) yang berati ada hubungan antara implementasi manajeman penjadwalan dinas perawat dengan kinerja perawat di RSUD Arifin Achmad Provinsi Riau. Dengan hasil penelitian ini di harapkan kepada pihak manajemen keperawatan berkolaborasi dengan kepala ruangan untuk memperhatikan implementasi penjadwalan dinas perawat diruangan sehingga dapat meningkatkan kualitas kinerja perawat.
Beban Kerja dengan Kualitas Pendokumentasian Asuhan Keperawatan sesuai SNARS
Pendokumentasian merupakan suatu tindakan pencatatan untuk dapat digunakan sebagai bukti tertulis yang akurat dilakukan oleh perawat pada sebuah tindakan asuhan keperawatan. Beban kerja merupakan faktor yang mempengaruhi pendokumentasian asuhan keperawatan. Penelitian ini bertujuan untuk mengetahui hubungan beban kerja dengan kualitas pendokumentasian asuhan keperawatan sesuai SNARS di RSD Idaman Kota Banjarbaru. Desain penelitian mengggunakan crosss sectional melibatkan 22 perawat penanggung jawab asuhan (PPJA) dengan teknik total sampling dan 84 perawat pelaksana dengan teknik stratified random sampling. Instrumen penelitian menggunakan kuesioner dan lembar observasi. Data dianalisis menggunakan uji Fisher Excat untuk PPJA dan uji Chi Square (Continuity Corretion) untuk perawat pelaksana. Hasil penelitian ini terdapat hubungan antara beban kerja PPJA dengan kualitas pendokumentasian asuhan keperawatan PPJA sesuai SNARS (p-value = 0,02), dan tidak ada hubungan antara beban kerja perawat pelaksana dengan kualitas pendokumentasian asuhan keperawatan perawat pelaksana sesuai SNARS (p-value = 1,00). Beban kerja PPJA yang berat dapat mempengaruhi kualitas pendokumentasian asuhan keperawatan PPJA, sedangkan beban kerja berat dan ringan perawat pelaksana tidak mempengaruhi kualitas pendokumentasian asuhan keperawatan. Adanya peran PPJA sebagai supervisi membuat kualitas pendokumentasian asuhan keperawatan perawat pelaksana baik. Beban kerja yang sesuai dapat berdampak baik terhadap kualitas pendokumentasian asuhan keperawatan perawat.
Hak Cipta (c) Nadila Nadila, Herry Setiawan, Ichsan Rizany
Pelaksanaan Perencanaan Pulang Oleh Perawat
Pelaksanaan discharge planning dilakukan dengan tahapan pengkajian, penetapan diagnosa, intervensi, implementasi, dan evaluasi pada pasien mulai masuk rumah sakit sampai pulang. Discharge planning belum optimal mengakibatkan adanya pasien batal pulang karena ketidaksiapan untuk perawatan di rumah dan terjadinya perawatan ulang. Tujuan penelitian ini untuk menggambarkan pelaksanaan discharge planning oleh perawat di Paviliun Parahyangan RSUP Dr. Hasan Sadikin Bandung. Metode yang digunakan deskriptif kuantitatif dengan teknik total sampling, sampel berjumlah 39 responden, data yang dikumpulkan dengan cara observasi langsung dan observasi dokumentasi. Analisa data univariat untuk mengetahui frekuensi dan persentasi. Hasil menunjukan secara umum pelaksanaan discharge planning pada kategori baik 45,9%. Terdapat perbedaan data hasil observasi kategori baik 44,6% dengan dokumentasi kategori baik 47,2%, data tersebut menunjukkan hasil pelaksanaan pendokumentasian discharge planning lebih baik daripada hasil observasi. Supervisi, Standar Prosedur Operasional (SPO), lembar checklist dokumentasi, pengetahuan dan pelatihan berdampak terhadap kualitas pelaksanaan discharge planning. Rumah sakit dapat menjadikan hasil penelitian sebagai bahan untuk evaluasi, data dasar untuk melakukan penelitian lanjutan, serta menjadi informasi untuk memperkaya mata kuliah manajemen keperawatan.
Validasi Konstruksi Faktor Model Spirituality and Spiritual Care Rating Scale Versi Bahasa Indonesia (SSCRS-BI) pada Mahasiswa Program Ners
Pemenuhan kebutuhan spiritual pasien telah hampir ditinggalkan oleh perawat. Respon subjekti perawat terhadap isu spiritualtias dicurigai berkontribusi terhadap tidak adekuatnya asuhan spiritual. Oleh karena itu penelitian terhadap persepsi perawat terhadap isu spiritual ini perlu dikaji, sayangnya alat ukur untuk persepsi spiritual dan asuhan spiritual masih perlu kajian lebih dalam. Penelitian ini bertujuan untuk menguji apakan SSCRS BI sama atau berbeda dengan versi aslinya. Penelitian ini menggunakan pendekatan cross-sectional yang dilakukan untuk mengkaji persepsi 131 mahasiswa Program Ners yang sedang praktik profesi di beberapa rumah sakit di Jawa Tengah. Confirmatory Factor Analysis diaplikasikan untuk menguji struktur model SSCRS satu faktor dan dua faktor. Reliabilitas SSCRS RS-Bahasa Indonesia juga diukur dari nilai koefisien Â Alpha.Cronbach. Hasil penelitian menunjukkan Nilai CMNI/DF, CFI, TLI, RMSEA setiap model adalah sebagai berikut: Model 1 Original: 1.43, 0.875,0.844,0.875; Model 2, satu factor 17 items: 2.225, 0.420, 0.38125, 0.097; Model 3, satu Factor 15 items: 1.924, 0.728, 0.683, 0.84; Model 4 dua factor model 15 items:1.851, 0.753, 0.78, 0.081. Struktur model dua faktor dengan 15 item terlihat lebih baik dibandingkan dengan yang 17 item (original). Meskipun demikian, Koefisien Alfa Cronbach masih dibawah nilai yang dapat diterima. Tapi Â MIIC dapat diterima.
Pengembangan Supervisi Refleksi “Gibbsâ€� untuk Peningkatan Kepatuhan Kebersihan Tangan Petugas Kesehatan
Supervision is an actuating part of the management function to achieve the goals of the organization. Supervision of hand hygiene compliance 94 health workers conducted by infection, prevention, & control link nurse (IPCLN) using direct supervision methods. The purpose of developing indirect supervision is because direct supervision is not effective to be carried out, so the development of supervision reflection "Gibbs Reflective Cycle" to assess the compliance of nurses in doing hand hygiene. The method used is the Pilot Study involving internal and external reform agents. Sample selection using purposive sampling as many as 30 respondents consisting of nurses, doctors, and caregivers. The implementation of the study concluded that the compliance of officers in performing hand hygiene was 72.33%, and then Fish Bone analysis was conducted to determine the main problem. The problem was solved by developing the organization using the Kurt Lewin method and using plan, do, check and action (PDCA). The program is carried out by making manuals and operational procedures standard (OPS) for the supervision of reflection. The recommendation given is to propose a draft reflection supervision manual and the OPS that has been prepared should be endorsed by the President Director and disseminating information to the Nursing Manager, the head of the room, and / IPCLN.
Hak Cipta (c) Muhammad Fandizal, Hanny Handiyani
Hubungan Burnout Dengan Motivasi Kerja Perawat Pelaksana
Perawat merupakan tenaga kesehatan yang senantiasa berada 24 jam bersama pasien. Hal ini dapat menguras stamina dan emosi, serta menimbulkan tekanan yang mengakibatkan perawat mengalami kejenuhan kerja atau burnout. Burnout berdampak pada kehilangan minat terhadap pekerjaan dan motivasi menurun yang pada akhirnya menyebabkan kualitas kerja dan kualitas hidup menurun. Penelitian ini bertujuan untuk mengetahui hubungan burnout perawat dengan motivasi kerja perawat pelaksana di RSUD Wangaya Denpasar. Jenis penelitian ini adalah deskriptif kuantitatif, dengan pendekatan cross sectional. Penelitian ini menggunakan teknik total sampling, dengan sampel perawat pelaksana yang berjumlah sebanyak 165 orang. Hasil penelitian menunjukkan bahwa motivasi kerja kuat sebanyak 95 orang (57,6%), sebagian besar perawat mengalami burnout sedang sebanyak 85 orang (51,5%) dan ada hubungan burnout dengan motivasi kerja perawat pelaksana (p=0,000). Nilai kekuatan korelasi 0,406 (kekuatan sedang) dan arah korelasi negatif yang artinya apabila tingkat burnout rendah maka motivasi kerja kuat. Disarankan kepada pihak Rumah Sakit memperhatikan tingkat burnout yang dirasakan oleh perawat untuk mencegah terjadinya penurunan motivasi kerja perawat dalam memberikan asuhan keperawatan.
Hak Cipta (c) Ni Putu Raka Wirati, Ni Made Nopita Wati, Ni Luh Gede Intan Saraswati
Pengaruh Discharge Planning Model LIMA terhadap Kesiapan Pulang pada Pasien dengan Diabetes Melitus
Discharge planning atau perencanaan pulang bertujuan untuk mempertahankan kontinuitas perawatan lanjutan di rumah setelah pasien dipulangkan dari rumah sakit. Discharge planning yang efektif mampu menjamin pasien dan keluarga melakukan tindakan perawatan paliatif lanjutan yang aman dan realistis setelah meninggalkan rumah sakit. Tujuan penelitian ini adalah untuk mengetahui apakah ada pengaruh penggunaan discharge planningmodel LIMA terhadap kesiapan pasien dengan penyakit diabetes melitus dan keluarga dalam menghadapi pemulangan. Metode penelitian yang digunakan dalam penelitian ini adalah studi korelasi dengan pendekatan quasi eksperimental yang dilakukan di dua ruang rawat inap pada RS X Palembang. Sebanyak 31 pasien diabetes melitus dinilai skor kesiapan pulang sebelum dan setelah intervensi discharge planning model LIMA dengan menggunakan kuesioner RHDS. Hasil penelitian menunjukkan bahwa ada perbedaan yang signifikan dalam skor rata-rata kesiapan pulang pre-test dan post-test, yang berarti bahwa ada pengaruh discharge planningmodel LIMA terhadap kesiapan pulang di antara pasien dengan diabetes melitus.Â
Upaya Pencapaian Angka Kelulusan Uji Kompetensi Profesi Ners Melalui Pendekatan Metode Peer-Teaching
Angka kelululusan Uji Kompetensi Ners di Indonesia belum optimal. Peer teaching merupakan metode pembelajaran dengan menggunakan teman sebaya sebagai fasilitator. Hubungan antara teman sebaya lebih dekat dan lebih aktif dibandingkan dengan hubungan antara fasilitator lain. Penelitian ini bertujuan untuk meningkatkan pencapain kelulusan uji kompetensi profesi Ners dengan pendekatan Peer Teaching. Jenis penelitian adalah quasi eksperimen. Penelitian dilaksanakan di STIKES Yarsi Mataram dengan subjek penelitian yang didapatkan melalui tehnik purposive sampling. Hasil penelitian telah menunjukkan bahwa pendekatan peer teaching mempunyai efektivitas dalam peningkatan kelulusan uji kompetensi dengan nilai p value=0,000 dengan tingkat kekuatan pengaruh sebesar 73,8%. Peran teman sebaya sebagai strategi peningkatan kemampuan pemahaman uji kompetensi sangat berpengaruh terhadap peningkatan kelulusan uji kompetensi.
Hubungan Penjadwalan Dinas Perawat dengan Kepuasan Kerja Perawat di Instalasi Rawat Inap
Kepuasan kerja perawat di Rumah Sakit Idaman Banjarbaru masih rendah. Salah satu faktor yang mempengaruhi kepuasan kerja adalah penjadwalan. Penelitian ini bertujuan untuk mengetahui hubungan penjadwalan layanan keperawatan dengan kepuasan kerja perawat di Rumah. Metode penelitian ini menggunakan non-eksperimen dengan pendekatan cross-sectional. Subjek penelitian ini adalah 91 pelaksana perawat di instalasi layanan rawat inap di Rumah Sakit Idaman Banjarbaru, yang didapatkan melalui stratified random sampling. Hasil penelitian menemukan bahwa terdapat Â hubungan positif antara penjadwalan layanan keperawatan dengan kepuasan kerja perawat di Rumah Sakit Idaman Banjarbaru (p-value = 0,008; r = 0,274). Jadwal layanan keperawatan dapat memengaruhi kepuasan kerja perawat. Nilai penjadwalan layanan keperawatan masih rendah, sedangkan kepuasan kerja perawat tidak mencapai standar minimum. Penjadwalan layanan keperawatan yang baik dapat meningkatkan kepuasan kerja perawat.
Inovasi Pengembangan Sistem Infomasi untuk Meningkatkan Kepatuhan Perawat dalam Pencegahan Pasien Jatuh
Kepatuhan perawat dalam pencegahan pasien jatuh sangat diperlukan untuk meminimalkan terjadinya kejadian yang tidak diinginkan di rumah sakit. Rendahnya kepatuhan perawat akan menyebabkan kejadian pasien jatuh yang dapat disertai cedera. Upaya untuk meningkatkan kepatuhan perawat dapat dilakukan dengan menggunakan teknologi informasi. Penelitian ini bertujuan untuk mengembangkan sistem informasi untuk meningkatkan kepatuhan perawat dalam pencegahan pasien jatuh. Metode yang digunakan adalah penelitian dan pengembangan. Hasil penelitian ini adalah pengembangan sistem informasi pencegahan pasien jatuh (SIPENJA) sebagai inovasi untuk meningkatkan kepatuhan perawat dalam pencegahan pasien jatuh.
Hak Cipta (c) christiana nindya timur, Septo Pawelas Arso, muhammad hasib ardani
Peningkatan Kompetensi Mahasiswa Keperawatan Melalui Strategi Pembelajaran Berbasis Virtual Reality
Nursing higher education has new challenges to prepare nursing students as agents of change in the era of the industrial revolution 4.0. Nursing students today are millennial and Z generation with unique needs and ways of learning. Students more interested in digital-based learning media. Digital-based learning methods were an urgent need to be developed to provide solutions to the learning needs of the millennial generation. The systematic review aimed to discuss the use of VR technology for educating the nursing student. The databases searched included: PubMed, Springerlink and Proquest from the years 2015 to 2019 with the keywords virtual reality, virtual simulation, simulation technology, immersive learning. The inclusion criteria included: articles published in the English language, student respondents and randomized controlled trial (RCT) research methods. The results of article was identified and reviewed by 3 researchers. Researchers approved 158 titles of article that match the keywords without duplicates and 5 articles that match the inclusion criteria. Four articles discuss the students' competencies when using virtual simulations compared with the manikin simulated. The results showed an increase in psychomotor skills, communication, and knowledge. Self-confidence increases, learning satisfaction and anxiety levels decrease. Two articles discuss the analysis of the unit cost, which states that the virtual simulation has cost utility ratio more profitable compared with the Manikin simulations. The results of the systematic review showed that virtual reality was relevant method as a learning strategy to enhance students’ competencies and have more profitable costs compared to conventional methods.
Hak Cipta (c) Ike Puspitaningrum, Rr. Sri Endang Pujiastuti, Kurniati Puji Lestari
Optimalisasi Pendidikan Kesehatan Kepada Remaja Melalui Aplikasi Android Profoteen
The adolescent is at risk of having unhealthy behaviors such as premarital sex, which will result in the occurrence of pregnancies, abortions, and sexually transmitted diseases (STDs). One of these technological advances is information technology (IT) which has applied in various aspects of human life. Technology information is important for the millennial generation, one of which is inseparable from the use of smartphones. Â The objectives of this review are identifying and develop an android-based educational application so that teenagers can use the technologies to knowledge especially about the reproductive health of girls in an attractive manner with existing features. The literature review refers to 5 articles obtained from e Pubmed, Undip E-journal, and Google Scholar databases over the past 5 years. Keywords in article search are mobile application, education, reproductive health, adolescent knowledge, health, and smartphone applications. Data analysis techniques that have been done are compare, contrast, criticize, syntesize and summarize. Inclusion criteria for articles are scientific articles with the last 5 years publication period, reliable and accredited articles, types of original research articles, and case studies. The exclusion criteria are undergraduate student research articles. From the literature study shows that those applications are much helpful in reducing problems that often occur in adolescents, for example: The Girl Talk application significantly increases the knowledge of adolescent girls (35.3% vs. 94.1%; p <0.001) respectively. Each application has a positive impact on improving adolescent health.
Hak Cipta (c) Sudiarto Sudiarto, Fayruz Zahrotin Niswah, Rizka Eka Putri Pranoto, Iffah Hanifah, Aprilia Aldila Enggardini, Zumrotul Masruroh, Hayyan Nazri Adlani Muhammad
Hubungan Pengetahuan Kepemimpinan Dengan Motivasi Perawat Dalam Hal Penugasan Dan Pelatihan Di Rumah Sakit
Motivation is not always obtained from a leader, but a nurse is able to be a leader in him/herself and in terms of caring for patients. This is very different from what happens in the field. Based on the findings in the field, it was found that there were still many leadership styles that did not focus on motivation in nurses' performance which had an impact on health services. Data supporting based on research conducted by the Directorate of Nursing at the Ministry of Health of the Republic of Indonesia found that 70% of nurses during the last 3 years had never attended training, 39.8% were still doing cleaning tasks, 47.4% nurses and midwives did not have job descriptions and not developed monitoring and performance evaluation of nurses and midwives especially regarding skills, attitudes, discipline and work motivation. Based on the results of research from several journals, namely motivation that gives influence to the performance of nurses, especially in terms of employment, shows that there is similarity in the terms of leadership knowledge relations with low nurse motivation in terms of assignments and training. Lack of motivation in terms of assignments and training that can lead to a lack of nurse knowledge in terms of health services
Hak Cipta (c) Maria Hariyati Oktaviani, Bambang Edi Warsito
Diagnosa Keperawatan Yang Sering Ditegakkan Perawat Pada Pasien Tuberkulosis Paru Di Rumah Sakit
Tuberculosis is one of the biggest health problems in the world. This disease is also the highest cause of death and morbidity in developing countries, such as Indonesia. Most nurses do not carry out treatment plans for pulmonary tuberculosis patients because there is no standard structure even though there are guidelines for nursing management of pulmonary TB patients. The purpose of this study was to determine nursing diagnoses that are often enforced by nurses in pulmonary tuberculosis patients. The study was conducted in the inpatient hospital. This study used descriptive observational and descriptive explorative approaches. The samples were the documentation of the TB patients by using nonprobability sampling, namely purposive sampling saturation. Data analysis used univariate analysis with frequency distribution. The results of the study show that the formulation of nursing diagnosis is ineffective airway clearance(52%), the writing of 1 (one) diagnosis of ineffective airway clearance into 13 different diagnostic names. The nurse wrote the diagnosis of ineffective breathing patterns into 7 forms of diagnosis. Nurses also wrote diagnosis of acute pain into 5 forms of nursing diagnosis, and hyperthermy diagnosis into 2 forms of nursing diagnosis. The research recommendation is that hospital management is expected to improve nurses' skills in writing the latest nursing diagnoses, monitoring and evaluating both qualitatively and quantitatively Â in the writing of nursing diagnoses, applying the latest standards of nursing diagnoses. Nurses are expected to apply the latest nursing diagnoses in accordance with the use of NANDA.
Hak Cipta (c) Muhamad Rofii, Bambang Edi Warsito, Agus Santoso, Sarah Ulliya
Komunikasi Interprofesional Sebagai Upaya Pengembangan Kolaborasi Interprofesi Di Rumah Sakit: Systematic Review
Interprofessional communication is very important in today's health services, where it can expand the population of health services especially in providing care in health services. Effective interprofessional communication is an important skill that can improve the function of high-quality teams in the care of patients by involving several scientific disciplines such as doctors, nurses and other health teams (interprofessional collaboration). The purpose of systematic review is to find out whether interprofessional communication can develop interprofessional collaborative efforts in hospitals. The method used was a systematic review. The articles were searched through Google Scholar, Proquest, Science Direct, are done using advanced in accordance with the keywords Professional, Communication, Collaboration. There were 3 articles in which each article produced that interprofessional communication can develop interprofessional collaboration in hospitals, with effective interprofessional communication, nurses, doctors and other health teams can respect each other and have the same vision and mission in providing services to clients to improve service quality and satisfaction for the clients themselves.
Hak Cipta (c) Yunis Veronika Purba, Anggorowati Anggorowati
Komunikasi Interprofesional Dalam Peningkatan Keselamatan Pasien: Systematic Review
Background: Interprofessional communication is an important element in providing health services to patients. Failure in communication between health workers can lead to adverse events that occur in hospitals. Research Objectives: To determine the effectiveness of interprofessional communication to improve patient safety. Method & Source of data: The method used was a systematic review. Data sources obtained from the journal Ebsco, PubMed, and Google Scholar. Inclusion & exclusion criteria: Journal related to the form of interprofessional communication development, English-language journals, year of publication between 2011-2016, journal full-text pdf. Results: from four journal articles reviewed, the results show that interprofessional communication is effective to improve patient safety at the hospital. Conclusion: Interprofessional communication is effective to improve patient safety and reduce the incidence of patient safety at the hospital.
Hak Cipta (c) Hirza Ainin Nur, Agus Santoso
Faktor-Faktor Yang Menghambat Perawat Dalam Pengisian Logbook Kompetensi Di Rumah Sakit
Background: The logbook by the Nursing Committee is one of the methods used to ensure that nurses are competent to carry out the clinical authority given to them. The use of the nurse logbook is proven useful as a monitoring tool and evaluation of the clinical competencies implementation and nurses' accountability tools for the clinical assignments given to them. Objective: To identify the completeness of nurses' competency logbook documents at the Hospital. Method: This study used mixed methods, which is a method that combines quantitative and qualitative approaches with a sequential explanatory model, with 136 respondents in the first stage by observing 136 nurses log book, and in the second stage conducting in-depth interviews involving 9 main participants and 6 triangulation participants to find out the inhibiting factors for implementing the nurses' competency logbook. Results: From 136 log book of administrators nurses obtain 13 complete logbook (9.5%), 41 (30.1%) logbook completeness is sufficient, and 82 (60.3%) logbook completeness is less. The results of the In-depth Interview obtain 8 themes, namely the function of the logbook, the completeness of the logbook documentation, the timing of filling, the filling factor, the supporting / driving factors of the filling, and the impact of not carrying out the logbook filling on time. Conclusion: The need for re-socialization to all nurses in order to improve understanding of the correct logbook method, the need to increase nurse motivation through gradual and continuous supervision and the need to establish clear rewards related to the implementation of filling out the nurse logbook.
Hak Cipta (c) Komsiyah Komsiyah, Suhartono Suhartono, Muhamad Rofi'i
Pendidikan Keperawatan Berkelanjutan Dan Perencanaan Karir: Strategi Meningkatkan Komunikasi Interprofesional Yang Efektif
Interprofessional collaboration will be realized if two or more people from different professions interact to produce a shared understanding that would not have been possible if those professions worked independently. How each profession views the meaning of collaboration must be understood by both parties so that the same perception can be obtained. The application of collaboration between professions is currently limited to traditional or multiprofessional collaboration models. A high level of knowledge is needed by the nursing profession to be able to provide nursing services independently and collaborate with other health workers. This level of education and knowledge gap will hinder the effective communication process among health professionals. Continuous nursing education can be used as a strategy to eliminate the knowledge and education gaps between professions so that it will improve the effective communication process among health professionals. Collaboration is a complex process that requires special attention accompanied by high knowledge in exchanging ideas in discussing patients. Nurses who always try to improve their knowledge and skills to achieve their desired career will have an impact on their ability to exchange ideas (communicate) with other professions or collaborate with other professions. Continuous nursing education and career planning are two strategies that can increase nurses’ knowledge and skills to improve nurses' confidence in exchanging ideas with other professions.
Hak Cipta (c) Nunung Rachmawati, Luky Dwiantoro, Agus Santoso
Peningkatan Etos Kerja Perawat Pelaksana Melalui Pelatihan Self-Leadership
Self-leadership is a power that is inherent in individuals to influence, direct, control, and push themselves to achieve the desired goals. Self-leadership training is very important to improve work behavior in hospitals. The purpose of this study was to determine the effect of self-leadership training on nurses’ work ethic at the government hospital. The research method uses a quasi-experimental method with nonequivalent control two groups with pre-post test design. The research sample was taken using consecutive sampling with a total of 98 nurses, 49 nurses as the control group and 49 nurses as the intervention group. In the intervention group, self-leadership training was given, whereas the control group was not. The results of the Wilcoxon Signed Ranks test in the intervention group found that there were significant differences in work ethic before and after training (p = 0.00, pË‚0.05) while in the control group there were no significant differences in work ethic before and after training (p=0,317, pËƒ0,05). Spearman's Rho test results showed that there was an effect of self-leadership training on nurses’ work ethic at the government hospital (p = 0.00 <0.05). Self-leadership training can improve nurses’ work ethic at hospitals so it is recommended to conduct training on an ongoing basis to maintain consistency of work ethics in hospitals.
Hak Cipta (c) Martha Pitta Uli marpaung
Penurunan Resiko Jatuh Pasien Melalui Supervisi Kepala Ruang Perawatan
Errors that may be made by nurses associated with the action of reducing the fall risk can be minimized, one way is by supervision. The fall risk in patients if occured can cause various impacts such as injuries, disability, and even death. The objective of this research is finding out the relationship between supervision by head nurse with reduction of fall risk in in-patient room. This research was a descriptive correlational study with cross sectional approach. The number of samples was 49 nurses. This study used chi-square test. Data were gathered by means of questionnaires, supervision by head nurse, and reduction of fall risk. The result showed that there was relationship between supervision by head nurse with reduction of the fall risk with Ï� value = 0,015 (Ï� value α < 0,05). There was a relationship between supervision by head nurse with reduction of risk of falling. It is necessary to do a periodic evaluation in reducing the fall risk through supervision and making a standard guideline for supervision about fall risk.
Gambaran Pelaksanaan Supervisi Kepala Ruang Terhadap Perawat Pelaksana Dalam Keselamatan Pasien
The implementation of supervising the head of a room in one hospital in Semarang has not been optimal due to the absence of a schedule, assessment instruments, guidance, documentation of supervision results, and standard operating procedures (SOP) supervision. Supervision activities are incidental in accordance with needs and have not been implemented in a structured and well-documented manner. The writing of this article aims to find out the description of the implementation of head supervision in a hospital in Semarang. This study uses descriptive research design. The subjects in this study were all heads of inpatient rooms. The object of this research is the implementation of the supervision of the head of the room according to the SOP and the results of documentation of the implementation of supervision. The instrument in this study used a draft sheet for evaluation of the superficial room leader evaluation. Shows that there is a change in the implementation of supervision based on the SOP before and after the dissemination of supervision is carried out to the head of the room. Documented supervision results can help the head of the room to see the extent of the ability of staff and can jointly improve capabilities, correct errors in improving the quality of nursing care services. The implementation of supervising the head of a room in one of the Semarang hospitals needs to be improved, especially in terms of post-supervision documentation, development of thematic supervision themes, and structured supervision scheduling.
Hak Cipta (c) Maria Hariyati Oktaviani, Muhamad Rofii
Gambaran Kebutuhan Keluarga Pasien di Ruang Instalasi Gawat Darurat
The patient's condition and the environment of the Emergency Installation (ER) that are unique can affect the psychological condition of the patient's family. This causes the emergence of psychological problems in the patient's family, such as anxiety, stress, and depression, these problems can affect the role of the family as a supporting system of patients in the process of handling actions while in the ER. These problems can be minimized by fulfilling family needs while in the ER to accompany the patient. The purpose of this study is to find out the description of the patient's family needs in the emergency room. This research is a descriptive quantitative study with a survey approach, with the research instrument in the form of a CCFNI-ED questionnaire. Respondents numbered 96 patient families obtained through convenience sampling techniques. The results of this study indicate that family needs which according to the family are important to fulfill are communication needs followed by understandable needs, support needs, comfort needs and needs close to the patient. Communication needs are considered the most important needs needed by the patient's family while in the emergency room. This research is expected to be a source of reference for the nursing profession in meeting family needs while in the emergency room, so it is expected to increase the family's role in healing patients.
Hak Cipta (c) I Putu Krisna Widya Nugraha, Dody Setyawan
Gambaran Pelaksanaan Indikator Mutu Syariah Perawat di Rumah Sakit Islam Yogyakarta PDHI
Sharia is the standard quality indicators in Islamic hospitals consisting of indicators of minimum service standard (SPM) Quality Indicators and the compulsory Islamic Sharia. Indicators of the quality of the Sharia has a purpose in an effort to standardize the measurement and documentation of application of Islamic values in the service of the patient. Indicators Quality Syariah consists of 8 quality indicators Sharia SPM which consist of reading basmalah in administering drugs and action, hijab mandatory training for patients, for patients, educational fqih Islami, ECG examination according to gender, the wearing of a hijab nursing mothers , the wearing of hijab in the operating room and scheduling operations outside of prayer time. Indicators of the quality of the sharia is another indicator of the quality of compulsory Shariah which consists of mentoring talqin patients breathe death, reminiscent of the time of prayers and the installation of appropriate gender DC. This research aims to know the description of the implementation of the Sharia quality indicators conducted by nurses in inpatient PDHI Yogyakarta Islamic hospital which reflects the implementation of spiritual services to the patient. This research uses descriptive quantitative research design. The population in this study are all the nurses in inpatient care. The respondents of the research as much as 63 respondents obtained with the Total Sampling techniques by observing the exclusion criteria in research. Instrument research using questionnaires. Analysis of univariate data by using a percentage. The results showed of 63 respondents, a total of 6.3% of the respondents the implementation of Sharia in the category quality indicators are lacking, 38.1% of respondents in the category is good enough and as much as 55, 6% in the category either. The conclusion that can be drawn from this study is the implementation of a quality indicator of the Sharia Islamic in PDHI Yogyakarta Hospital in the category of good.
Hak Cipta (c) Arlina Dhian Sulistyowati, Sri Handayani, Kasih Nursanti
Hubungan Beban Kerja Perawat Dengan Perilaku Caring Di Instalasi Rawat Inap Ruang Bedah
Workload is a mirror of nursing actions that can be carried out in quantity and quality by a nurse to a person or group of patients who are his/her responsibility. Routine questions that often arise are which patients are treated by which nurse, how many patients can be treated, whether the nurse's burden is maximum or optimum. This study aims to analyze the correlation between nurses' workload and caring behavior at the surgical ward. The design in this study was descriptive correlative with a cross-sectional approach. The population in this study were all nurses of the surgical ward at Ungaran Hospital as many as 30 nurses. Data collection was done by using questionnaires and forms. The data were taken by using purposive sampling technique, the results were analyzed descriptively and statistical tests used Chi-Square test. The results show nurses with light workload as many as 17 people (56.6%), while those with moderate workload as many as 8 people (26.6%) and those with a heavy workload as many as5 people (16.6%). Nurses with good caring behavior as many as 22 people (73.3%) and nurses with poor caring behavior as many as 8 people (26.7%). From the results of statistical tests with Chi-square test show there is Â no correlation between nurse workload and caring behavior, it is known that x2 count = 0.191 <x2 table = 5.991 or based on the probability Asymp-Sig = 0.909> 0.05 (α) then H0 failed to be rejected, so it can be concluded that there is no correlation between nurse workload and caring behavior.
Hak Cipta (c) Rodi Hartawan, Priyanto Priyanto, Imron Rosyidi
Hubungan Beban Kerja Dengan Tingkat Stres Perawat Ruang Intensive Care Unit dan Instalasi Gawat Darurat
The workload in the room is not always a cause of stress on nurses, the workload will be a source of stress if the number of workloads is not proportional to the ability of both the physical or expertise and the time available to nurses. Besides, nurses are faced with patients who trigger an increasing stress on nurses. This research was conducted at Siaga Medika General Hospital in Pemalang. The research design used quantitative associative analytic through cross-sectional approach. The sample of this study was 45 nurses who served in the Intensive Care Unit and Emergency Departments because the nurses' stress levels were higher than the nurses’ stress levels in the other treatment rooms (ward) obtained through total sampling because the population was less than 100, so that all population used as research samples. The Work Stress research instrument used the standard Depression Anxiety Stress Scale questionnaire, while the workload questionnaire adopted the previous research and was modified. The results showed that there was a correlation between workload and stress level of Intensive Care Unit nurses and stress of Emergency Departments nurses. This showed that nurses who have a heavy workload that is not comparable to the duties of nurses with the average number of patients, the number of types of work that must be done. If this is not managed properly, it will cause increased stress.H This is what becomes the workload of Intensive Care Unit and Emergency Departments nurses in Siaga Medika General Hospital in Pemalang which can cause an increase of stress.
Hubungan Lama Kerja Perawat Dengan Kepatuhan Pengisian Surgical Safety Checklist di Instalasi Bedah Sentral
The use of the Surgical Safety Checklist reduces mortality and surgical complication. Nurse obedience in documenting the surgical safety checklist is still low. It is showed that there is a lack of nurses awareness about the importance of surgical safety checklist in an operation. This research aims to know about the relationship between the years of service of the nurse and compliance with filling surgical safety checklist at Central Operating Theatre. Design of this study uses cross-sectional approach. Sampling technique uses total sampling technique, samples taken for study as many as 23 respondents who met the inclusion and exclusion criteria. The data are described in table form and a Fisher test was conducted with spss 21. The highest work period are they who have light of work ≥ 3 years as many as 15 respondent (65,2%) and respondents who have length of work < 3 years as many as 8 respondent (34,8%), for nurses obedience 18 respondents (78,3%) who did not complete the surgical safety checklist while 5 respondents (21,7%) complete the surgical safety checklist correctly. Fisher statistic test obtained p-value data is 0,586 > 0,05. There is no relationship between the years of service of the nurse and compliance with filling surgical safety checklist at Central Operating Theatre
Hak Cipta (c) Maria Karolina Selano, Maria Karolina Selano
Hubungan Supervisi dan Motivasi Dengan Kepatuhan Perawat Mencuci Tangan Di RSUD
Health-care Associated Infection (HAIs) is a serious health problem and impact the country's economic burden. The efforts of hand wash is to prevent HAIs. Head of Space supervision and nurse’s motivation factors are affect hand washing compliance that remain poor among nurses. This research was conducted to determine the relationship between Head of Space supervision and nurse’s motivation with hand washing compliance in RSUD Y in 2018. This research was descriptive correlation with cross sectional design. The samples were 33 associate nurse through total sampling. The data was collected by questionnare and observation sheet. This research showed there is relationship between Head of Space supervision with hand washing compliance (p-value = 0.014, r = 0.423) and there is relationship between nurse’s motivation with hand hygiene compliance (p- value = 0.012, r = 0.433). This research concluded were Head of Space supervision by doing bad will decreased hand hygiene compliance and if nurse’s motivation increases will increased hand hygiene compliance among nurses in X room RSUD
Peningkatan Budaya Keselamatan Pasien Melalui Peningkatan Motivasi Perawat dan Optimalisasi Peran Kepala Ruang
A poor patient safety culture will have an impact on increasing the incident rate or the risk of an incident. The patient safety culture is an important matter that needs to be considered by the hospital. The objectives of this research are finding out the relationship among nurse motivation, role of head nurse, and patient safety culture. This was a descriptive correlational study with cross sectional approach. The number of samples was 49 nurses. This study used chi-square test. Data were gathered by means of questionnaires about nurse motivation, role of head nurse, and patient safety culture. Results of this research describe 25 respondents (51%) had good motivation, 27 respondents (55.1%) had good role of head nurse, and 26 respondents (66.7) had good patient safety culture. The results showed that there was a relationship between nurse motivation and patient safety culture whith p value of 0.003 (p value < α 0,05) and there was a relationship between role of head nurse and patient safety culture with p value of 0.003 (p value < α 0,05). There was a relationship between nurse motivation and patient safety culture and there was a relationship between role of head nurse and patient safety culture. Nurse’s motivation needs to be improved so that the quality of health workers is better and the efforts of the head nurse in carrying out his/her role in his/her unit need to be made more affective to optimize the patient safety culture.