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Indasah Indasah
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Associations of Communication, Work-Related Distractions, and Workload with Patient Safety Incidents among Nurses: Communication, Distractions, and Patient Safety Della Fatma Sari; Indasah Indasah; Agustin
Innovative Approaches in Health Science Journal Vol. 3 No. 2 (2026): Innovative Approaches in Health Science Journal
Publisher : CV. Paperhome Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64871/g315rw03

Abstract

Background: Patient safety incidents remain a problem in the delivery of primary health care because they can reduce the quality of care and endanger patients. Various factors suspected of contributing to patient safety incidents at community health centers include communication, work interruptions, and the workload of health care workers. The purpose of this study was to analyze the determinants of patient safety practices in relation to patient safety incidents at community health centers in Kediri Regency. Methods: The study design used in this research was a quantitative, analytical, cross-sectional study. The population consisted of all nurses at community health centers in Kediri Regency, totaling 321 respondents. The study sample comprised 178 respondents. Proportional cluster sampling was used. The independent variables were communication, work-related interruptions, and patient safety incidents, while the dependent variable was patient safety incidents. Results: The results of the study showed that communication had a significant effect on patient safety incidents (p=0.000; r=0.507), work-related interruptions had a significant effect (p=0.000; r=0.529), and workload also had a significant effect (p=0.000; r=0.553). Multiple linear regression analysis showed that communication was the most dominant factor influencing patient safety incidents (β=2.536; p=0.012), followed by work-related interruptions (β=2.308; p=0.022) and workload (β=2.067; p=0.040). Collectively, communication, work-related interruptions, and workload had a significant effect on patient safety incidents (p=0.000) with an Adjusted R² value of 0.276, indicating that these three variables account for 27.6% of the variation in patient safety incidents, while 72.4% is influenced by other factors outside the research model. Discussion: Strengthening effective communication, controlling work-related interruptions, and managing workload appropriately are necessary to improve the patient safety culture and the quality of health services at community health centers.
Analysis of Factors Affecting Outcomes for Patients with Acute Shortness of Breath in the Emergency Department of Syekh Yusuf Regional General Hospital, Gowa Regency Ambo Anto; Sentot Imam Suprapto; Reni Yuli Astutik; Indasah Indasah; Yenny Puspitasari
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.62972

Abstract

Acute dyspnea is an emergency condition requiring rapid and accurate assessment because it may progress to clinical deterioration and death. This study aimed to analyze factors affecting the outcomes of patients with acute dyspnea in the Emergency Department of Syekh Yusuf Regional General Hospital, Gowa Regency. An analytical observational study with a cross-sectional approach was conducted involving 81 patients with acute dyspnea selected according to the inclusion criteria. Data were collected through medical record observation and assessment forms and analyzed using univariate and bivariate analyses. Patient outcomes were categorized as improved/discharged, hospitalized, or deceased. The results showed that among 81 respondents, 43 patients (53.1%) had an improved outcome and were discharged, 32 patients (39.5%) were hospitalized, and 6 patients (7.4%) died. Factors associated with patient outcomes included oxygen saturation, respiratory rate, level of consciousness, and emergency severity at triage. Patients with low oxygen saturation, increased respiratory rate, decreased consciousness, and higher emergency severity tended to have poorer outcomes. These findings indicate that initial respiratory and clinical conditions play an important role in determining the prognosis of patients with acute dyspnea. In conclusion, outcomes among patients with acute dyspnea in the Emergency Department are influenced by initial clinical conditions, particularly oxygenation status, respiratory rate, level of consciousness, and emergency severity. Rapid assessment, continuous monitoring, and appropriate emergency interventions are essential to improve patient safety and clinical outcomes. Early identification of high-risk patients should therefore become an important component of emergency nursing management.
Co-Authors Agustin Ambo Anto Della Fatma Sari Reni Yuli Astutik Sentot Imam Suprapto Yenny Puspitasari