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All Journal Jurnal Keperawatan Suaka Insan Jurnal Ners Indonesian Journal of Global Health research
Tri Ismu Pujianto
Universitas Karya Husada Semarang
Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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Pengaruh Penerapan Online Incident Reporting System dan Responsivitas Perawat Terhadap Keselamatan Pasien di Rskb Columbia Asia Pulomas Elisma Theresia Aritonang; Tri Ismu Pujianto; M. Jamaluddin
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.57103

Abstract

Keselamatan pasien merupakan prioritas utama dalam pelayanan kesehatan, yang salah satunya dipengaruhi oleh efektivitas sistem pelaporan insiden dan responsivitas perawat dalam pelaporan serta penanganan insiden keselamatan pasien. Online Incident Reporting System (OIRS) dikembangkan sebagai upaya untuk meningkatkan pelaporan insiden secara sistematis dan berkelanjutan. Penelitian ini bertujuan untuk menganalisis perbedaan tingkat responsivitas perawat dan keselamatan pasien sebelum dan sesudah intervensi, serta menganalisis pengaruh perubahan penerapan OIRS terhadap responsivitas perawat dan keselamatan pasien, termasuk peran responsivitas perawat sebagai variabel mediasi. Penelitian ini menggunakan desain quasi-eksperimental dengan kelompok intervensi dan kelompok kontrol. Sampel penelitian adalah perawat di RSKB Columbia Asia Pulomas yang dipilih sesuai kriteria inklusi. Intervensi yang diberikan berupa penerapan Online Incident Reporting System (OIRS). Data dikumpulkan menggunakan kuesioner terstruktur dan dianalisis menggunakan uji Wilcoxon Signed Rank Test, uji korelasi Spearman, serta analisis mediasi. Hasil penelitian menunjukkan bahwa terdapat perbedaan yang signifikan pada tingkat responsivitas perawat dan keselamatan pasien sebelum dan sesudah intervensi. Perubahan penerapan OIRS berpengaruh signifikan terhadap peningkatan responsivitas perawat dan keselamatan pasien. Selain itu, responsivitas perawat terbukti berperan sebagai variabel mediasi dalam pengaruh perubahan penerapan OIRS terhadap keselamatan pasien setelah intervensi. Penelitian ini menyimpulkan bahwa penerapan Online Incident Reporting System (OIRS) merupakan strategi efektif dalam meningkatkan keselamatan pasien melalui penguatan responsivitas perawat. Penguatan sistem pelaporan insiden berbasis teknologi perlu disertai dengan dukungan organisasi untuk memastikan keberlanjutan peningkatan mutu dan keselamatan pelayanan keperawatan.
Implementation of Betty Neuman's Systems Theory in Hospital Nursing Practice: A Systematic Review Umi Laila; Fery Agusman Motuho Mendrofa; Tri Ismu Pujianto
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6777

Abstract

Betty Neuman's system theory offers a holistic nursing approach that focuses on strengthening the patient's line of defense through the identification and management of stressors at the primary, secondary, and tertiary levels. Although this model has been widely applied in clinical practice, the consistency and effectiveness of its implementation in hospitals still require thorough evaluation. This study aims to systematically review empirical evidence on the application of Betty Neuman's theory in the field of nursing in hospitals. The method used in writing this article is a literature study with a systematic review method. The articles reviewed were obtained through searches on Google Scholar, Sematic Scholar, Proquest, and ScienceDirect in the period 2015-2025 with the search keywords implementation, nursing, hospital, betty neuman system Using PRISMA, from 946 articles found, 10 journal articles were obtained for review. A total of 10 articles were synthesized based on the findings of the effectiveness of implementing Betty Neuman's theory in nursing practice in hospitals, including Environmental Factors, Client System, Stressors, Lines of Defense and Resistance, Three Levels of Prevention, and Recovery. The results of the study indicate that the implementation of this theory is effective in strengthening the patient's defense system, reducing anxiety levels, and accelerating recovery in various conditions such as stroke, cancer, heart failure, and pre-operative anxiety. This model facilitates a multidimensional approach that includes the physiological, psychological, social, and spiritual aspects of the patient, while emphasizing the role of nurses as stressor managers and holistic recovery facilitators. However, practice in the field is still often limited to physical interventions only, so that the full potential of the theory has not been optimally utilized.
Effectiveness of Coping Through Audio Visual Education of J. Watson's Caring Concept Model on Reducing Anxiety Pre Percutaneous Coronary Intervention (PCI) of Cad Patients in the Hospital Endah Tri Rahayuningrum; Tri Ismu Pujianto; Rusnoto Rusnoto
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6888

Abstract

Coronary Heart Disease (CHD) is the leading cause of death globally, including in Indonesia. One of the procedures to treat CHD is Percutaneous Coronary Intervention (PCI), but this action often causes significant anxiety in patients. Unmanaged anxiety can worsen the physical and mental condition of patients. This study aims to analyze the effectiveness of audio-visual education based on the Caring Jean Watson concept in reducing anxiety in pre-PCI patients at Dr. Loekmonohadi Hospital, Kudus. The study design was a quasi-experiment with a "nonequivalent control group design", involving 40 patients divided into two groups: intervention (Watson's audio-visual caring education) and control (conventional education). Anxiety levels were measured using the Hospital Anxiety and Depression Scale (HADS) before and after the intervention. The data obtained before being analyzed was tested using the Shapiro-Wilk test to ensure that the data was normally distributed, then a parametric paired T-test was carried out to see the difference in anxiety between before and after being given education. The results showed a significant decrease in anxiety in the intervention group, where 45% of patients reached normal anxiety levels and only 10% still experienced severe anxiety. In contrast, in the control group, 70% of patients remained at severe anxiety levels. The paired T-test statistical test produced a p-value of 0.000 (p < 0.05 ), indicating a significant difference before and after education. Caring-based audio-visual education has been shown to be effective in reducing pre-PCI patient anxiety.
Studi Kualitatif Penerapan Model Komunikasi Terapeutik Berbasis Hildegard E Peplau Teori Pada Mutu Pelayanan Keperawatan Gawat Darurat Gunawan Gunawan; Blacius Dedi; Tri Ismu Pujianto; Ali Muhlasin
JURNAL KEPERAWATAN SUAKA INSAN (JKSI) Vol. 11 No. 1 (2026): Jurnal Keperawatan Suaka Insan (JKSI)
Publisher : Institut Kesehatan Suaka Insan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51143/jksi.v11i1.944

Abstract

Nursing services in the Emergency Department (ED) require fast and accurate actions, demanding effective communication amid high work pressure. This study aimed to explore nurses’ experiences, identify ideas, challenges, and suggestions in implementing a therapeutic communication model based on Hildegard E. Peplau’s theory, and examine its impact on the quality of nursing services in the ED of RSUD dr. Loekmonohadi Kudus. This qualitative study employed an Action Research design and involved eight ED nurses selected through purposive sampling. Data were collected using a Focus Group Discussion (FGD) module and were analyzed through thematic analysis, following workshops and expert consultations. The results indicated that nurses maintained effective communication despite high mobility demands by strategically tailoring their approach to patient conditions, fostering trust, and integrating holistic nursing care principles. Communication effectiveness was further strengthened through soft skills training and leadership support. The study recommends ongoing training, the development of standardized communication modules, and systemic support to reinforce therapeutic communication practices. These findings contribute to advancing humanistic and patient-centered nursing practices in high-acuity emergency care settings.
Co-Authors Ali Muhlasin Blacius Dedi Elisma Theresia Aritonang Endah Tri Rahayuningrum Fery Agusman Motuho Mendrofa Gunawan Gunawan M. Jamaluddin Rusnoto Rusnoto Umi Laila