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Pengaruh Pelatihan dan Video Keselamatan Pasien terhadap Penerapan Keselamatan Pasien pada Perawat Asih Devi Rahmayanti; Ni Putu Emy Darma Yanti; Kadek Cahya Utami
Coping: Community of Publishing in Nursing Vol 8 No 1 (2020): April 2020
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (357.913 KB)

Keselamatan pasien merupakan sistem di rumah sakit yang membuat asuhan pasien lebih aman meliputi pengkajian risiko, pelaporan, analisis insiden, tindak lanjut, implementasi solusi untuk meminimalkan risiko dan mencegah cedera. Membangun keselamatan pasien harus didukung oleh pengetahuan dan sikap perawat dalam mengenal masalah dan melakukan perbaikan. Program pengembangan staf melalui pelatihan yang dikombinasikan dengan video reminder dipilih untuk meningkatkan pengetahuan dan sikap perawat lebih cepat dan secara terus menerus. Tujuan dari penelitian ini adalah untuk menganalisis pengaruh pelatihan dan video keselamatan pasien terhadap penerapan keselamatan pasien pada perawat di Rumah Sakit Balimed Karangasem. Penelitian ini merupakan penelitian kuantitatif dengan metode pre-experimental one group pretest-posttest design yang dilakukan terhadap 40 responden dengan teknik pengambilan sampel purposive sampling. Pengambilan data menggunakan kuesioner pengetahuan dan sikap perawat tentang keselamatan pasien. Hasil uji Wilcoxon untuk pengetahuan perawat dengan p value 0,000, artinya ada pengaruh pelatihan dan video keselamatan pasien terhadap pengetahuan perawat. Sikap perawat dengan uji dependent t-test didapatkan p value 0,000, artinya ada pengaruh pelatihan dan video keselamatan pasien terhadap sikap keselamatan pasien pada perawat di Rumah Sakit Balimed Karangasem. Berdasarkan hasil penelitian ini pelatihan dan video keselamatan pasien dapat dijadikan standar untuk penerimaan perawat baru di rumah sakit sebelum terjun ke pasien. Kata kunci: keselamatan pasien, pelatihan, video reminder ABSTRACT Patient safety is a system at the hospital make care safer covering study risk, reporting, analysis incident, follow-up, the implementation of a solution to decrease the risks and prevent injury. Build patient safety must be supported by knowledge and attitude nurse in know problems and make improvements. Staff development program through training that combined with video reminder chosen to increase knowledge and attitude nurses faster and continuously. The purpose of this research is to analyze the effect of training and video patient safety on nurses implementation of patient safety at Balimed Karangasem Hospital. The research is quantitative research with the pre-experimental one group pre test-post test design was done with 40 respondents by applying the purposive sampling technique. To receipt of the result knowledge and attitude use of questionnaires nurse about patient safety. Wilcoxon test shows for knowledge nurse with p value 0,000, that mean patient safety training and video effects on nurses knowledge. Nurse attitude test by dependent t-test obtained p value 0,000, that mean there are the influence of training and video patient safety to the nurses attitudes of patient safety at Balimed Karangasem hospital. Based on the results of this research training and video patient safety could become standard for the new nurses in the hospital before into patients. Keywords: patient safety, training, video reminder

THE CORRELATION AVAILABILITY NURSES AND EQUIPMENT WITH ACUTE MISSED NURSING CARE AT HOSPITALS Kuswantoro Rusca Putra; Fajar Mulia Dewi; Asih Devi Rahmayanti; Ani Budiati
Indonesian Journal of Health Administration Vol. 9 No. 2 (2021): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v9i2.2021.150-160

Background: One of the nurse’s roles is to provide nursing care regards of patient safety, consistently and timely. The availability of nurses and equipment can be considered as a primary constraint contributing to acute missed nursing care.Aims: This study aimed to determine the correlation between the availability of nurses and equipment with incidences of acute missed nursing care in medical and surgical wards at hospitals.Methods: This study used quantitative research with a cross sectional approach. This research was conducted at six private hospitals in Malang from October 2020 to November 2020. The population in this study were selected using consecutive sampling, and the study sample consisted of 206 nurses. The acute MISSCARE Survey was used to collect data. The relationship between the availability of the number of nurses and equipment with acute missed nursing care was analyzed by applying SPSS version 26 with the Spearman test.Results: The relationship between the availability of nurses and acute missed nursing care yielded results of ρ = 0.016 (<0.05) and R = -0.168. Equipment availability and acute missed nursing care had values of ρ = 0.026 (<0.05), and R = -0.155. This shows correlation between the availability of the number of nurses and equipment with incidences of acute missed nursing care.Conclusion: The availability of the number of nurses and equipment are the reasons for the incidence of acute missed nursing care. Therefore, nursing managers are needed in managing and allocating the necessary number of nurses and equipment.Keywords: equipment, missed nursing care, nurse

Availability of Human Resources, Facilities, Communications and Missed Nursing Care Putra, Kuswantoro Rusca; Budiati, Ani; Dewi, Fajar Mulia; Rahmayanti, Asih Devi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 2: June 2021
Publisher : Universitas Aisyah Pringsewu

Missed Nursing Care (MNC) is a phenomenon that occurs in many hospitals globally and has an impact on the quality of nursing services. MNC describes the elements of nursing care that patients need but is missed or delayed in the implementation. MNC can be divided into 2 Acute Care Missed Nursing Care (AMNC) and Activity Daily Living (ADL) Omission. This study aims to determine the relationship of Human resources, Facilities and Communication with AMNC and ADL Omission. This study used a descriptive correlational design using a cross-sectional approach, a sample of 228 nurses, using the Misscare survey instrument and analyzed the data using Pearson Correlation. The results of this study indicate a relationship a relationship between human resources and AMNC (p = .005, r = -.185) and ADL Omissions (p = .001, r = -.220); facilities with AMNC (p = .050, r = -.130) and ADL Omissions (p = .046, r = -.132); communication with AMNC (p = .017, r = -.158) and ADL Omissions (p = .002, r = -.201). Human resources, facilities and communication are related to AMNC and ADL Omissions, so that effective nursing management is needed to improve the quality of nursing services.Abstrak: Missed Nursing Care (MNC) merupakan fenomena yang banyak terjadi di rumah sakit di dunia dan berdampak pada mutu pelayanan keperawatan. MNC menggambarkan elemen asuhan keperawatan yang dibutuhkan pasien namun terlewatkan atau tertunda pelaksanaannya. MNC dibedakan menjadi 2 Acut Care Missed Nursing Care (AMNC) dan Activity Dayli Living (ADL) Omission. Penelitian ini bertujuan mengetahui hubungan Suber daya manusia (SDM), fasilitas dan komunikasi dengan AMNC dan ADL Omission. Penelitian ini merupakan penelitian deskriptif korelational, menggunakan pendekatan cross sectional. Sampel sebanyak 228 perawat, menggunakan instrumen Misscare survey, analisis data menggunakan Pearson Correlation. Terdapat hubungan SDM dengan AMNC (p = .005, r = -.185) dan ADL Omissions (p = .001, r = -.220); fasilitas dengan AMNC (p = .050, r = -.130) dan ADL Omissions (p = .046, r = -.132); komunikasi dengan AMNC (p = .017, r = -.158) dan ADL Omissions (p = .002, r = -.201). Kesediaan SDM, fasilitas dan komunikasi berdampak pada kejadian AMNC dan ADL Omissions sehingga diperlukan manajemen keperawatan yang efektif untuk dapat meningkatkan mutu pelayanan keperawatan.

Inovation for Nurses Burnout Intervention: A Systematic Review Asih Devi Rahmayanti; Kuswantoro Rusca Putra
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Burnout was defined as a critical problem found in nurses which could deliver a though impact on their life quality and decrease of nursing quality that was proven by the existence of economic problem within the healthcare system. However, a variety of nursing interventions which were aimed to reduce this nurse problem varied and aimed to define this issue. This research was aimed to examine and conclude the study and discussion of nurse burnout in order to improve nursing performance output. This research was categorized into a systematic review which exerted Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines which was aimed to identify the researches on intervention taken for nurse burnout case. The researcher has independently searched these following scientific databases: ProQuest, Science Direct, and EBSCO for the preliminary researches that have been published between 2015-2020 in order to analyze and evaluate those researches which suited to the recent inclusion criteria. Based on the databases search of about 1273 articles, 12 researches have met to the criteria and were involved in this review. From the total of 12 researches, 8 researches have used randomized controlled testing, thus, the result should be deduced with carefully. According to the previous researches, the intervention on nurse burnout was conducted to improve the result of nursing performance through different programs as education, mindfulness therapy session, support, and increased involvement, also communication. Based on the selected researches in this recent review, it showed that an effective intervention for nurse burnout could be either performed individually or in groups and should consider some possible causes, so it could combine to several therapeutic instruments. This review suggested that the future intervention should concern on a more holistic approach by exerting the broader range of intervention techniques.

Mind-body training and progressive muscle relaxation therapy on nurse with burnout syndrome Rahmayanti, Asih Devi; Putra, Kuswantoro Rusca; Yuliatun, Laily
MEDISAINS Vol 19, No 2 (2021)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v19i2.11011

Background: Nurse burnout could affect nurse's professional competence. Either physical or emotional burnout was related to an ineffective individual coping and emotional intelligence. The nurse burnout could be coped with a direct intervention on the individuals who practically focused on the mind and body system.Purposes: This research was aimed to identify the effects of mind and body-based therapies (MBT and PMR) for nurse burnout.Methods: This research was quasi-experimental with two groups pretest-posttest design. The sample of this study was 50 nurses in the medical-surgical wards who were divided into intervention MBT and PMR with a simple random sampling technique. Collecting data using burnout syndrome measurements on nurses applied pre and post-intervention, which was analyzed by Wilcoxon and Mann-Whitney test.Results: The mean value of the burnout subscale decreased significantly (emotional exhaustion and depersonalization) and increased (personal accomplishment) after the MBT and PMR programs (p<0.05). The comparison of effect between the two intervention groups on nurse burnout syndrome found no significant positive difference in the mean scores (p>0.05). Conclusions: Mind body-based therapies (MBT and PMR) could reduce burnout syndrome significantly.

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