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Dedi, Blacius
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Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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PENGARUH PELAYANAN KEPERAWATAN BERBASIS THEORY OF HUMAN CARING TERHADAP MUTU PELAYANAN KEPERAWATAN Tetelepta, Norita Marici; Dedi, Blacius
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.48823

Abstract

Perawat sebagai profesi tenaga kesehatan dengan jumlah terbanyak mempunyai kontribusi besar dalam mewujudkan pelayanan kesehatan yang bermutu. Caring menjadi salah satu esensial penting dalam pelaksanaan pelayanan keperawatan yang bermutu.  Penelitian ini bertujuan untuk mengetahui pengaruh pelayanan keperawatan berbasis theory of human caring terhadap mutu pelayanan keperawatan. Penelitian ini menggunakan rancangan quasy experimental design dengan post test with control group design. Responden penelitian ini yaitu 126 perawat yang dibagi menjadi kelompok intervensi dan kelompok kontrol. Analisis statistik yang digunakan adalah uji Mann Whitney. Hasil penelitian menunjukkan bahwa pengukuran mutu pelayanan keperawatan yang dilakukan satu bulan setelah intervensi pelatihan terkait pelayanan berbasis teori human caring didapatkan perbedaan signifikan antara kelompok intervensi dengan kelompok kontrol dengan p = 0,000, dimana mutu pelayanan keperawatan pada kelompok intervensi lebih tinggi dengan skor nilai tengah 91, jika dibandingkan dengan skor pada kelompok kontrol sebesar 60. Pelatihan terkait pelayanan berbasis teori human caring kepada perawat dapat dijadikan salah satu strategi untuk meningkatkan perilaku caring dan mutu pelayanan keperawatan.
PENGARUH EVALUASI BERKALA KINERJA PERAWAT TERHADAP MUTU PELAYANAN KEPERAWATAN Rumadaul, Nur Samti; Dedi, Blacius
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.48825

Abstract

Kebutuhan masyarakat akan pelayanan kesehatan yang bermutu semakin meningkat setiap tahunnya. Perawat sebagai profesi tenaga kesehatan dengan jumlah terbanyak mempunyai kontribusi besar dalam mewujudkan pelayanan kesehatan yang bermutu. Salah satu metode untuk menjamin mutu pelayanan keperawatan yaitu melakakuan monitoring dan evaluasi yang berkelanjutan. Untuk mengetahui pengaruh evaluasi berkala kinerja keperawatan terhadap mutu pelayanan keperawatan. Penelitian ini menggunakan rancangan quasy experimental design dengan pre test and post test without control. Responden penelitian ini yaitu 108 perawat yang bertugas secara langsung memberikan asuhan keperawatan kepada pasien baik di Ruang Rawat Inap maupun Ruang Rawat Jalan. Analisis statistic yang digunkan adalah uji Wilcoxon. Hasil penelitian menunjukkan bahwa mutu pelayanan keperawatan mengalami peningkatan setelah dilakukan evaluasi berkala terhadap kinerja perawat, dimana pengukuran saat pretest menunjukkan skor nilai minimum 63, maksimum 97, median 72 dan setelah saat posttest menunjukkan skor meningkat dengan nilai minimum 67, maksimum 101 dan median 77. Uji statistik menunjukkan bahwa terdapat pengaruh yang signifikan antara evaluasi berkala kinerja perawat terhadap mutu pelayanan keperawatan dengan nilai p = 0,000. Evaluasi kinerja secara rutin terbukti menjadi strategi penting dalam mendorong perawat untuk memberikan pelayanan yang lebih profesional, terukur, dan sesuai standar, sehingga berdampak positif terhadap kualitas asuhan keperawatan yang diberikan kepada pasien.
The Effect of Case Reflection Discussions (DRK) on Improving Nursing Care Documentation According to 3S Standards (SDKI, SLKI, SIKI): a literature review Ekawaty, Andina Desiani; Dedi, Blacius
Journal of Social Science Vol. 5 No. 5 (2024): Journal of Social Science
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jss.v5i5.915

Abstract

Nursing documentation is a means of communication between medical personnel aimed at restoring patient health. Documentation is nursing work that can facilitate nursing management, improve continuity of care, coordinate care, and evaluate patient interventions. DThe completeness and suitability of nursing care documentation in accordance with the 3S nursing care process standards (SDKI, SLIKI, SIKI) in several hospitals is still low. Implementing case reflection discussions can help improve a nurse's ability to carry out good and effective planning in improving the quality of nursing. This research is to determine the influence of case reflection discussions (drk) on improving nursing care documentation according to 3s standards (SDKI, SLKI, SIKI). This article was written using a literature study method which was analyzed from several journals related to the topic taken, journals were searched through Proquest, Pubmed, Google Scholar, Garuda, Sinta, which were then selected according to the topic, literature searches were carried out within the publication period journal from 2018 to 2024. The results of the discussion of the analysis of 20 literature reviews with hypothesis testing for each journal show that there is an influence of DRK on the quality of nursing care. DRK has the benefits of increasing knowledge, solving service problems, increasing awareness of quality practices and critical thinking. Nurses' knowledge influences the documentation of nursing care according to 3S standards (SDKI, SLKI, SIKI). One way to increase nurses' knowledge is with Case Reflection Discussions (DRK).
Pengaruh kepemimpinan transformasional terhadap kinerja perawat di RSUD Suradadi Kabupaten Tegal Riyanto, Agus; Pujiyanto, Tri Ismu; Dedi, Blacius
Jurnal Keperawatan Muhammadiyah Vol 10 No 3 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i3.27145

Abstract

Objective: Transformational leadership is known as a leadership approach capable of motivating and inspiring subordinates to achieve higher performance through empowerment and a shared vision. This study aims to examine the effect of transformational leadership intervention on improving nurses' performance. Methods: The research design used is quantitative with a quasi-experimental approach, employing a pretest-posttest with control group design. The research sample consisted of nurses participating in the transformational leadership intervention program, with 15 respondents in the intervention group and 15 respondents in the control group over a specific period. Data collection was carried out by measuring performance before and after the intervention using a nurse performance questionnaire, and the data were then analyzed using univariate tests for respondent characteristics, followed by bivariate tests using the non-parametric Wilcoxon test and the Mann-Whitney U test. Results:The analysis results showed a p-value of 0.001 < 0.05, indicating that the null hypothesis (Ho) was rejected and the alternative hypothesis (Ha) was accepted. The findings reveal a significant effect of transformational leadership intervention on improving nurses' performance. Conclusion: The conclusion of this study suggests that the implementation of transformational leadership can serve as an effective managerial strategy to enhance nurses' performance. The practical implication of this research recommends transformational leadership training and development for nurse managers or head nurses in healthcare facilities.
Mother’s Compliance in Providing Basic Immunization for Infants Aged 0–12 Months Hemelka, Teresia; Dedi, Blacius; Badi’ah, Atik
Journal La Medihealtico Vol. 6 No. 5 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i5.2583

Abstract

Basic immunization is an important health intervention to prevent dangerous infectious diseases in infants. However, the coverage of basic immunization in Sungai Raya Village, Pinoh Utara Sub-District, Melawi Regency, West Kalimantan Province is still low, at only 67.8%, far below the national target of 95%. The low compliance of mothers in providing basic immunization is influenced by various internal and external factors. This study aims to explore mothers’ experiences in complying with basic immunization for infants aged 0–12 months, as well as to identify the supporting and inhibiting factors of such compliance. This research used a qualitative method with a phenomenological approach. Informants were selected using purposive sampling, namely mothers who have infants aged 0–12 months and who reside in Sungai Raya Village. Data were collected through in-depth interviews using an interview guide, and were then analyzed thematically. The study revealed several main themes, namely: Mothers' Perceptions of Disease Risk and Immunization Benefits; Level of Compliance and Mothers' Experience in Immunization; Barriers in Fulfilling Basic Immunization; Supporting Factors for Mother’s Compliance; and the Influence of Social Environment and Information. Compliance with basic immunization is influenced by a complex interaction between internal factors (knowledge, attitude, beliefs) and external factors (family support, access to health services, culture). Community-based interventions are needed to strengthen health education, improve service access, and involve community leaders to overcome cultural barriers.
The Effectiveness of I-CARE-based Self-Efficacy Nurses Training for the Development of Organizational Commitment at Panti Rapih Hospital Yogyakarta Sihaloho, Martha; Susilo, Wilhelmus Hary; Dedi, Blacius
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 2 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i2.661

Abstract

Aims: This research aims to analyze the effectiveness of I-CARE-based self-efficacy nurses training for the development of organizational commitment at Panti Rapih Hospital Yogyakarta. Methods: The research has been designed as a quasi-experiment one group pretest and posttest. The respondents are 143 nurses, mostly from D3 (associate degree) in Nursing (82.5%), female (88.1%), and young adult age or generation X (48.8%). Most of them have also been working for 6-15 years (51.8%). Ordinal regression discrimination test and SEM Smart PLS.4 with path analysis were also conducted. The data is analyzed by using software SPSS.25 and Wilcoxon pretest and posttest on I-CARE-based self-efficacy training and organizational commitment. Results: I-CARE-based self-efficacy has been found “high” (55.9%). Nurses’ organizational commitment is “high” (77.6%), “average” (18.2%) and “low” (4.2%). It is also found that I-CARE-based self-efficacy does not have a significant relation with organizational commitment, which P value is >0.005. The variables like age, gender and length of working have also been insignificant to the enhancement of organizational commitment, which P value is >0.005. The level of education gives a significant influence to organizational commitment, which P value is 0.02 (<0.005). The enhancement of education level will reinforce organizational commitment. Conclusion: I-CARE-based self-efficacy training is effective in enhancing organizational commitment, but for significant impact, it should be supported by a higher level of education. This research recommends increasing formal education levels to enhance staff organizational commitment.
Health Care Functions of Elderly Families with Hypertension Who Live Alone Life in Bandung District (Phenomenological Study) Budiman, Budiman; Dedi, Blacius; Mendrofa, Fery Agusman Motuho; Hastuti, Witri; Hani, Umi
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 2 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i2.687

Abstract

Aims: The aim of this research is to explore the health care function of families of elderly people with hypertension who live their lives alone in Bandung Regency. Methods : This research design uses a qualitative method with an exploratory phenomenological approach. The number of participants was 7 people who conducted a focus group discussion (FGD). Results : The results of this research obtained 5 themes, namely recognizing internal and external health problems based on reflex response, making decisions based on personal needs and complaints of the elderly, caring for oneself by preventing and strengthening positive energy, maintaining environmental health through dividing tasks and joint financial responsibility, and increasing optimization utilization of health services. Conclusions : Research on elderly hypertension families reveals five main themes: understanding hypertension through psychological and physical responses, making decisions based on personal needs, self-prevention and positive energy, dividing environmental health and joint financial responsibility, and optimizing health facility use through PKM and Health Services.
Construction of Validity and Reliability of The SBAR-Based Assessment Scale among Nurses Dedi, Blacius; Sunarno, Rita Dewi; Aris Payung
JURNAL INFO KESEHATAN Vol 23 No 1 (2025): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol23.Iss1.1900

Abstract

Situation, Background, Assessment, Recommendation (SBAR) is a communication tool used to convey information clearly and in a structured manner, especially in the context of health services. The implementation of this assesment scale consideration has not been carried out optimally for nurses in the hospital. This study aims to analyze the validity and reliability of the SBAR-based weighing evaluation instrument from primary nurses and associate nurses. Multivariate validity and reliability test using the Exploratory Factors Analysis (EFA) test. The results aim to validate the instrument content. The numbers in the table show the loading factor values for each statement item which have been sorted from the largest value to the smallest value for each component. Statement items are valid and have an important correlation in the handover implementation instrument if they have a factor loading value of <0.40. Of the 25 statement items, 8 items were invalid, namely item numbers 2,3,4,6,10,12,17,19 while the other 17 items were declared valid and formed 4 components (Component 1; Situation indicator, Component 2; Backgound indicator, Component 3; Assessment indicator, Component 4; Assesment) which were used as indicators for compiling the SBAR-based handover implementation instrument. CFA test results were the relative chi-square value (CMIN/df) shows a fairly good fit with a ratio <5, the comparative fit index (CFI) value indicates marginal fit because it is in the range 0.80<CFI <0.90, The root mean square error (RMSEA) value indicates a reasonable agreement with a value of <0.08, the goodness-of-fit (GoF) value indicates a good fit because it is >0.80. It can be interpreted that based on the results of the CFA analysis it has fulfilled the construct feasibility test so that in general it can be said that the handover evaluation instrument by primary nurses and associate nurses is fit to be used in measuring handover implementation.       
Implications Of The Implementation Of Clinical Authority On Improving The Quality Of Nursing Services Pujianti, Rosalia; Bandur, Agustinus; Dedi, Blacius
Enrichment: Journal of Multidisciplinary Research and Development Vol. 2 No. 7 (2024): Enrichment: Journal of Multidisciplinary Research and Development
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/enrichment.v2i7.167

Abstract

Literature studies indicate that implementing clinical authority can enhance the quality of nursing care. However, many hospitals still have not fully applied clinical authority aligned with nurses' career paths. This research explores the impact of clinical authority on nurses' performance, both directly and indirectly, through situational leadership in Hospital X. Using a mixed-method approach with a parallel concurrent triangulation model, the study collected quantitative data via questionnaires from 300 nurses using total sampling. Descriptive crosstab analysis revealed no significant differences in perceptions of clinical authority, performance, and situational leadership based on individual characteristics. Structural Equation Modeling showed that clinical authority positively and significantly affects nurse performance. Qualitative data were gathered through focus group discussions with 13 nurses and semi-structured interviews with senior nursing managers. Thematic analysis identified six key themes: positive impacts on performance, the role of situational leadership styles, strategies to optimize nursing services, encountered obstacles, competitive challenges, and motivation to enhance care. The qualitative findings indicated that clinical authority fosters nurses' responsibility, adherence to standards, mutual trust, teamwork, and improved communication and caring attitudes. The corroboration of quantitative and qualitative analyses demonstrated alignment, confirming that clinical authority significantly influences nurse performance. To improve nursing care quality, hospitals are encouraged to implement structured career paths for nurses, ensuring that clinical authority is supported at every level
Literature Review Teori Transcultural Nursing Madeleine Leininger Lasmaida, Susi Agustina; Dedi, Blacius
Journal of Social Research Vol. 3 No. 2 (2024): Journal of Social Research
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Transcultural nursing is the study and practice of nursing that focuses on the similarities and differences in cultural values, beliefs, and actions, both individuals and groups. The goal is to provide nursing actions that are based on universal culture and specific culture, both in providing health promotion, and helping patients deal with unpleasant conditions, illness, death where culturally meaningful. This research uses a literature study method analyzed from several journals, research results, using internet media related to the topic taken. The results showed that transcultural nursing is a nursing care process that is focused on individuals and groups to maintain, improve healthy behavior according to cultural background. The study of nursing care in a cultural context is needed to bridge the differences in knowledge possessed by nurses with patients or clients. Transcultural nursing diagnoses can identify actions needed to maintain a culture that matches health goals, form a new culture that is appropriate to health, or even replace a culture that is not appropriate to health into a new culture. The planning and implementation of the transcultural nursing process is made after the nurse understands the cultural background of the patient or client, so that the actions carried out can be in accordance with the client's culture and health goals are achieved. The evaluation of transcultural nursing care is closely attached to the planning and implementation of the transcultural nursing care process. This theory can be used in providing nursing care by considering aspects of culture, values, norms, and religion. This theory can be used to complement other conceptual theories in nursing care.
Co-Authors Agus Riyanto Ahmad Jaelani Amalia, Aam Aris Payung Asep Setiawan Badi’ah, Atik Bandur, Agustinus Budiman Budiman Ekawaty, Andina Desiani Ezra Novyanauli, Utrecht Fery Agusman Motuho Mendrofa Gunarmi Gunarmi, Gunarmi Hani, Umi Hemelka, Teresia Irianto, Gunawan Kario, Nofly Bethoven Kristina Antoh, Dina Lasmaida, Susi Agustina Lestari Puji Astuti, Lestari Puji Mailoa, Christian Mardianah, Fitri Mauliku, Novie E. Nurhidayati, Susi Pujianti, Rosalia Rita Dewi Sunarno Rumadaul, Nur Samti rusnoto rusnoto Salni Saharman Santoso, Erny Kristiana Setiawati Setiawati setiyowati, widyah Sihaloho, Martha Susi Nurhayati Tape, Wihelmus Zacharias Tetelepta, Norita Marici Tri Ismu Pujiyanto Trihapsari, Shindi Wilhelmus Hary Susilo, Wilhelmus Hary Witri Hastuti Yuni Rustianawati