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Factors Associated to Basic Emergency Obstetric Neonatal Care (BEONC) Nurses' Decision Making Skill Ahsan, Ahsan; Dewi, Ni Luh Diah Ayu Sita; Haedar, Ali; Rahmawati, Ike Nesdia
Jurnal Keperawatan Soedirman Vol 13, No 2 (2018)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2018.13.2.732

Abstract

Neonatal mortality rate (NMR) is an indicator to measure health degree of an area, health problem which involves some institutions to take a decision. The postponement of emergency condition recognition, attaining health facilities, and treatment are three theories of neonatal emergency postponement. The prominent problem of postponement of emergency condition recognition is nurse's ability to think critically to take a decision to determine emergency condition in neonatal. Critical thinking skill is an obligation competence for neonatal emergency nurses. Some theories reveal that characteristic of age, gender, educational background, training and tertiary education, working experience, and employment status influence nurses's decision making skill in treating neonatal emergency case. Different curriculum for introduction to critical thinking in treating neonatal emergency is a basis problem to be a neonatal emergency competent nurse. This research aims to analyze age, gender, education, advance training, experience, and employment status towards decision making skill neonatal emergency implementation at community health care center PONED. This research used cross sectional with purposive sampling. One hundred fifty three (153) nurses were invoked to be the subjects of this research. Besides, this research used Closed Ended Instrument. Based on the results of cross table, p value p>0.05 age, training, working experience and employment status were not related to decision making skill in emergency. Furthermore, male and bachelor of nursing science (p<0.05) is decision making skill of nurses in neonatal emergency. It is concluded that gender and nurse's educational background related to situation awareness. The results of this research are expected to encourage on service quality enhancement of neonatal emergency treatment.
Relationship between head nurses' transformational leadership style and attitudes toward reporting patient safety incidents in Hospitals Pamela, Cyrilla Ayu; Ahsan, Ahsan; Wardhani, Viera
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 13, No 2 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(2).213-225

Abstract

Background : Patient safety is a top priority in healthcare services to prevent avoidable incidents and reduce the risk of medical errors. The World Health Organization (WHO) reports that patient safety incidents are among the top ten leading causes of death and disability worldwide. However, the reporting rate for patient safety incidents remains low, reflecting a weak safety culture in hospitals. One factor influencing healthcare professionals' attitudes toward reporting patient safety incidents is leadership style. Transformational leadership is believed to enhance motivation, proactive behavior, and strengthen the safety culture in hospital settings.Objectives : This study aims to analyze the relationship between head nurses' transformational leadership style and attitudes toward reporting patient safety incidents in the inpatient wards of Kanjuruhan Regional General Hospital, Malang.Methods : This study employed an analytical observational design with a cross-sectional approach. The sample consisted of 154 nurses working in inpatient wards, selected through purposive sampling. The research instruments included the Multifactor Leadership Questionnaire (MLQ) to assess transformational leadership and a questionnaire on attitudes toward patient safety incident reporting. Data analysis was conducted using the Spearman Rank correlation test, with a significance level of p < 0.05.Results : The findings revealed that transformational leadership had a mean score of 4.03 (SD = 0.504), while attitudes toward patient safety incident reporting had a mean score of 3.94 (SD = 0.429). Spearman Rank correlation analysis showed a significant positive relationship between transformational leadership and attitudes toward patient safety incident reporting (p = 0.000, r = 0.523). This indicates that the higher the implementation of transformational leadership by the head nurse, the more positive the nurses' attitudes toward reporting patient safety incidents.Conclusions : Transformational leadership plays a crucial role in improving attitudes toward patient safety incident reporting and fostering a stronger safety culture in hospitals. Therefore, leadership training for head nurses and the reinforcement of a non-punitive incident reporting system are necessary to enhance healthcare professionals' engagement in incident reporting.