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Faktor-Faktor yang Berperan pada Penerapan Safewards Terhadap Tindakan Seklusi dan Restrain di Ruang Rawat INAP RS Jiwa DR. Soeharto Heerdjan Jakarta Mahmudah, Laili; Hadi, Muhammad; Naryati, Naryati; Fadillah, Harif; Satinah, Satinah
MAHESA : Malahayati Health Student Journal Vol 4, No 6 (2024): Volume 4 Nomor 6 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i6.14695

ABSTRAK Perubahan kebijakan yang mangarah pada penerapan WHO quality right dimana pasien dengan gangguan jiwa juga memiliki hak-hak diperlakukan dengan baik, sehingga diperlukan juga perubahan sistem pelayanan keperawatan. Safewards merupakan pendekatan multifaset untuk mengurangi konflik dan penggunaan praktik seklusi atau restrain dengan mengalihkan fokus staf kembali ke perawatan langsung dan membangun hubungan terapeutik dengan pasien. Faktor-faktor yang berperan menjadi pendukung dan dapat menjadi hambatan jika tidak dilakukan pada penerapan safewards dalam upaya menurunkan praktik seklusi dan restrain tersebut. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berperan pada penerapan Safewards terhadap tindakan seklusi dan restrain di RS Jiwa dr. Soeharto Heerdjan Jakarta.Desain penelitian survei postinterventional cross-sectional dengan jumlah sampel 132 responden. Analisis menggunakan regresi logistik berganda. Hasil analisis ditemukan dari 13 variabel yang diuji terdapat 3 variabel berhubungan bermakna dengan tindakan seklusi adalah variabel kebijakan (p=0,045, OR 2,952), struktur (p=0.031, OR 3.452) dan pengetahuan (p = 0,001, OR 3,526) Variabel yang paling besar pengaruhnya adalah pengetahuan tentang penerapan safewards terhadap kejadian tindakan seklusi. Sedangkan dari 13 variabel yang diuji terdapat 3 variabel variabel berhubungan bermakna dengan tindakan restrain adalah variabel adaptabilitas (p=0,000, OR 88,619), pengetahuan (p = 0,006, OR 4,026), dan kemampuan (p=0.040 OR 2,731). Variabel terbesar pengaruhnya adalah adaptabilitas penerapan safewards terhadap kejadian tindakan restrain.Kesimpulannya dari penelitian ini didapatkan variabel kebijakan, struktur dan pengetahuan berperan pada penerapan safewards terhadap tindakan seklusi dan variabel adaptabilitas, pengetahuan dan kemampuan berperan pada penerapan safewards terhadap tindakan restrain di ruang rawat inap RS Jiwa dr. Soeharto Heerdjan Jakarta. Kata Kunci: Safewards, Faktor-Faktor yang Berperan, Seklusi, Restrain ABSTRACT Policy changes that lead to the implementation of WHO quality rights where patients with mental disorders also have the rights to be treated well, so changes in the nursing service system are also needed. Safewards is a multifaceted approach to reducing conflict and the use of seclusion or restraint measures by shifting staff focus back to direct care and building therapeutic relationships with patients. There are factors that contribute in supporting and can be an obstacle if not done in implementing safewards in an effort to reduce the practice of seclusion and restraint. This study aimed to determine the contributing factors in the application of Safewards to seclusion and restraint measures at dr. Soeharto Heerdjan Mental Hospital Jakarta. Cross-sectional postinterventional survey research design with a sample of 132 respondents. The analysis used multiple logistic regression. The results of the analysis found that from 13 variables analyzed there were 3 variables significantly corelated to seclusion measure were policy (p = 0.045, OR 2.952), structure (p = 0.031, OR 3.452) and knowledge (p = 0.001, OR 3.526) The variable that had the greatest influence was knowledge about the safewards implementation to the seclusion measures. While of the 13 variables analyzed, there were 3 variables that were significantly corelated to the restraint measures were adaptability (p = 0.000, OR 88.619), knowledge (p = 0.006, OR 4.026), and ability (p = 0.040 OR 2.731). The greatest influencing variable of the model was the adaptability of the safewards implementation to the restraint measures. The conclusion of this study was that policy variables, structure and knowledge played a role in the application of safewards to exclusion measures and adaptability variables, knowledge and ability played a role in the application of safewards to restrain actions in the inpatient room of Dr. Soeharto Heerdjan Mental Hospital Jakarta. Keywords: Safewards, Contributing Factors, Seclusion, Restraint

Pengaruh Implementasi Budaya Patient Safety Terhadap Efektifitas Pencegahan Adverse Event Subekti, Siti Rohmah; Hadi, Muhammad; Naryati, Naryati; Kurniati, Tri; Sumartini, Tini
MAHESA : Malahayati Health Student Journal Vol 4, No 6 (2024): Volume 4 Nomor 6 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i6.14356

ABSTRACT Patient safety is a framework of organized activities to reduce the occurrence of avoidable harms and mitigate their impact when they occur. Many factors influence the prevention of adverse events in hospital patients. Hospitals must implement a service based on patient safety by every health worker to maintain and improve the quality of nursing care. This research aims to determine effectivenessimplementation of patient safety culture on the effectiveness of preventing unwanted events (adverse events).The method used in this research is Generalized Linear Model Repeated Measure (GLM-RM) which is used to analyze the effectiveness ofimplementation of patient safety culture on the effectiveness of preventing adverse events in inpatient settingsin the control and intervention groups. From the results of the generalized linear model repeated measure (GLM-RM), a comparison of the prevention of adverse events in the intervention group and the control group after the implementation of patient safety culture was obtained with a mean difference =66.8 with a p-value = 0.000. The results of the General Linear Model Repeated Measure showed that Mauchly's test of sphericity showed a significance value of 0,00, and the test of between-subjects effects showed that there was a difference in the prevention of adverse events with a p-value = 0.000 between the two groups. Based on the estimated parameter test, there is a difference in the prevention of adverse events from time to time with a p- value = 0.000.The conclusion from this research is that there is effectivenessimplementation of patient safety culture on the effectiveness of preventing adverse events in inpatient care. Keywords: Adverse Event, Patient Safety Culture ABSTRAK Keselamatan pasien adalah kerangka kerja kegiatan terorganisir untuk mengurangi terjadinya bahaya yang dapat dihindari dan mengurangi dampaknya ketika hal itu terjadi. Banyak faktor yang mempengaruhi pencegahan kejadian tidak diharapkan (adverse event) pada pasien di rumah sakit. Rumah sakit harus menerapkan suatu pelayanan berbasiskan keselamatan pasien oleh setiap tenaga kesehatan untuk menjaga dan meningkatkan kualitas asuhan keperawatan. Penelitian ini bertujuan untuk mengetahui efektifitas implementasi budaya patient safety terhadap efektifitas pencegahan kejadian tidak diinginkan (adverse event). Metode yang digunakan dalam penelitian ini adalah Generalized Linear Model Repeated Measure (GLM-RM) yang dimana untuk menganalisia efektifitas implementasi budaya patient safety terhadap efektifitas pencegahan kejadian tidak diinginkan (adverse event) di Rawat Inap pada kelompok kontrol dan intervensi. Dari hasil generalized linear model repeated measure (GLM-RM) didapatkan perbandingan pencegahan kejadian tidak diharapkan (adverse event) pada kelompok intervensi dan kelompok kontrol sesudah penerapan budaya patient safety dengan nilai mean difference=66,8 dengan p-value=0,000. Hasil General Linier Model Repeated Measure didapatkan nilai mauchly’s test of sphericity didapatkan nilai signifikansi 0,000, dan uji test of between –subjects effects didapatkan hasil bahwa terdapat perbedaan pencegahan kejadian tidak diharapkan (adverse event) dengan nilai p-value=0,000 antara kedua kelompok. Berdasarkan uji parameter estimates, terdapat perbedaan pencegahan kejadian tidak diharapkan (adverse event) dari waktu ke waktu dengan nilai p-value =0,000. Kesimpulannya dari penelitian ini adalah terdapat efektifitas implementasi budaya patient safety terhadap efektifitas pencegahan kejadian tidak diinginkan (adverse event) di Rawat Inap. Kata Kunci: Adverse Event, Budaya Patient Safety

Kinerja Pelaksanaan Ronde Keperawatan Metode 8p Terhadap Kualitas Pelayanan Keperawatan di Rumah Sakit Premier Jatinegara Jakarta Khusaeni, Agus; Hadi, Muhammad; Naryati, Naryati; Suminarti, Tini
MAHESA : Malahayati Health Student Journal Vol 5, No 12 (2025): Volume 5 Nomor 12 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i12.19916

ABSTRACT Nursing is a profession with a professional function to help identify and address the immediate needs of patients and provide assistance to meet those needs. Hourly Rounds are performed using the “8P” method, which includes: Pain, Potty (bathroom needs), Position (patient position), Pump (infusion pump), Periphery (environment), Plan (action plan), Possessions (patient belongings security), and Parting (rechecking patient needs before leaving the room). This method is expected to identify patient needs. This study aims to identify the direct and indirect relationships between the performance of nursing rounds using the 8P method and the quality of nursing services at Premier Jatinegara Hospital.The method used in this study is descriptive analytic to analyze the direct and indirect relationships between the performance of nursing rounds using the 8P method and the quality of nursing services. The path analysis results found that out of five independent variables, four variables had significant relationships with the implementation of the 8P round: workload (p-value = 0.033), supervision (p-value = 0.008), leadership style (p-value = 0.013), and teamwork (p-value = 0.038). However, reward and punishment had no significant relationship with the implementation of the 8P round (p-value = 0.612). Based on the path analysis, it was found that workload and leadership style had both direct and indirect relationships with the quality of nursing services through the implementation of the 8P nursing round (p-value < 0.05).The conclusion of this study is that there is a direct and indirect relationship between the nurse's workload and the leadership style used toward the quality of nursing services through the implementation of the 8P nursing round. Keywords: Nursing Service Quality, Nursing Rounds, Performed, 8P Method. ABSTRAK Keperawatan adalah suatu profesi yang mempunyai fungsi profesional yaitu membantu mengenali dan menemukan kebutuhan pasien yang bersifat segera dan memberikan bantuan untuk pemenuhannya. Hourly Round yaitu ronde yang dilakukan dengan menggunakan “8 P” yaitu Pain (nyeri), Potty (kebutuhan ke kamar mandi), Position (posisi pasien), Pump ( alat infus yang terpasang), Periphery (lingkungan), Plan (rencana tindakan), Possesions (keamanan barang milik pasien) dan Parting (tanyakan kembali kebutuhan pasien sebelum meninggalkan ruangan) diharapkan dapat menemukan kebutuhan pasien. Penelitian ini dilakukan untuk mengidentifikasi hubungan langsung dan tidak langsung kinerja pelaksanaan ronde keperawatan metode 8p terhadap kualitas pelayanan keperawatan di Rumah Sakit Premier Jatinegara. Desain penelitian ini menggunakan deskriptif analitik untuk menganalisia hubungan langsung dan tidak langsung kinerja pelaksanaan ronde keperawatan metode 8p terhadap kualitas pelayanan keperawatan. Dari hasil path analysis jumlah sample 110 perawat ditemukan lima variabel independent, empat variabel diantaranya memiliki hubunganyang signifan terhadap pelaksanaan ronde 8P yaitu bebn kerja (p-value = 0,033), Supervisi (p-value = 0,008), gaya kepemimpinan (p-value = 0,013), dan teamwork (p-value = 0,038). Sedangkan reward dan punishment tidak memiliki hubungan yang bermakna terhadap pelaksanaan ronde 8P(p-value = 0,612). Berdasarkan hasil Analisa Jalur didapatkan beban kerja dan gaya kepemimpinan memiliki hubungan langsung dan tidak langsung dengan kualitas pelayanan keperawatan melalui pelaksanaan ronde keperawatan 8P (p-value < 0,05). Terdapat hubungan langsung dan tidak langsung beban kerja perawat dan gaya kepemimpinan yang digunakan terhadap kualitas pelayanan keperawatan melalui pelaksanaan ronde keperawatan dengan metode 8P. Kata Kunci: Kinerja, Kualitas Pelayanan Keperawatan, Metode 8P, Ronde Keperawatan.

Analisis Pelaksanaan Rekredensial dan Adaptasi Budaya Kerja Baru terhadap Kinerja Perawat RS Bina Husada Khoiriyah, Khoiriyah; Hadi, Muhammad; Naryati, Naryati; Suminarti, Tini
MAHESA : Malahayati Health Student Journal Vol 5, No 12 (2025): Volume 5 Nomor 12 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i12.19917

ABSTRACT Re-credentialing is a re-evaluation process for nursing staff who already have clinical authority to determine the appropriateness of granting clinical authority. Implementing the new work culture acquired by the hospital, which includes caring, respect, empathy, innovativeness, and teamwork, is expected to influence the performance of nurses in providing services at the hospital. This research was conducted to analyze the relationship between recruitment and adaptation to a new work culture on the performance of nurses at Bina Husada Cibinong Hospital. This research design uses descriptive analytics with a cross-sectional approach. The total sample for this research was 79 respondents. The multiple logistic regression test found that credentials and work culture were most related to nurse performance with a new work culture p-value of 0.018 and OR 461.878, and credentials p-value of 0.018 and OR 2.090. Based on the results of multiple logistic regression, it was found that the work culture variable was the factor most related to the performance of nurses at Bina Husada Cibinong Hospital. The majority of nurses' performance is good, with the most significant variables related to performance being re-credentials and work culture adaptation. Keywords: Nurse Performance, Re-credentials, Work Culture Adaptation. ABSTRAK Rekredensial adalah proses re-evaluasi terhadap tenaga keperawatan yang telah memiliki kewenangan klnis untuk menentukan kelayakan pemberian kewenangan klnis. Pelaksanaan budaya kerja baru yang mengakuisisi RS, yang meliputi caring, respect, empathy, innovative dan Teamwork diharapkan dapat mempengaruhi kinerja perawat dalam memberikan pelayanan di Rumah sakit. Penelitian ini dilakukan untuk menganalisis hubungan rekredensial dan adaptasi budaya kerja baru terhadap kinerja perawat di RS Bina Husada Cibinong. Desain penelitian ini menggunakan deskriptif analitik dengan pendekatan cross sectional. Jumlah sampel penelitian ini adalah 79 responden. Dari uji regresi logistik ganda didapatkan rekredensial dan budaya kerja yang paling berhubungan dengan kinerja perawat dengan budaya kerja baru p-value 0,018 dan OR 461,878, serta rekredensial p-value 0,018 dan OR 2,090. Berdasarkan hasil regresi logistik berganda didapatkan hasil variabel budaya kerja merupakan faktor yang paling berhubungan dengan kinerja perawat di RS Bina Husada Cibinong. Mayoritas kinerja perawat baik, dengan variabel yang paling signifikan dengan kinerja adalah rekredensial dan adaptasi budaya kerja. Kata Kunci: Adaptasi Budaya Kerja, Kinerja Perawat, Rekredensial.

Relationship Between Knowledge and Perception with HIV/AIDS Prevention Efforts in Key Populations Latipah, Siti; Naryati, Naryati
JKG (JURNAL KEPERAWATAN GLOBAL) (JKG) Jurnal Keperawatan Global Volume 10 Number 1 Year 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkg.v10i1.1234

Background: HIV transmission often occurs through unsafe sex, particularly with sex workers, making key populations crucial in the spread of HIV/AIDS. One key strategy to reduce HIV/AIDS morbidity and mortality is implementing prevention programs targeting at-risk groups. The study aims to examine the relationship between knowledge and perception and HIV/AIDS prevention efforts among key populations in Tangerang City. Method: Quantitative with cross-sectional analytical correlation. A sample of 69 people was conducted by snowball technic sampling. This study used the HIV-KQ-18, HIV perceptions statements referring to the six components of the Health Belief Model theory and Behavioral Surveillance Survey (BSS). Data analysis was performed using the Chi-Square Test of Independence to assess the relationship between knowledge level, perception level. Results: respondent characteristics Age ≥ 21 years 59.4%, high school education 69.7%, length of work ≥ 3 years 59.3%. Relationship between knowledge level and HIV/AIDS prevention efforts: p-value 0.002. Relationship between perception level and HIV/AIDS prevention efforts: p-value 0.002. Relationship between knowledge and perception and HIV/AIDS prevention efforts: p-value < 0.001. Conclusion: The study found that knowledge and perception significantly influence HIV/AIDS prevention among female sex workers. However, consistent prevention is hindered by personal, social, and structural barriers, including negotiation difficulties, economic dependence, stigma, and limited-service access. Effective interventions must be comprehensive, combining knowledge improvement with skills training, stigma reduction, barrier removal, and supportive policies.

Pengaruh Edukasi Audiovisual Pasien Pasca Operasi Strabismus Terhadap Kemampuan Koordinasi Penglihatan Saputri, Rosaliana Ayu; Hadi, Muhammad; Naryati, Naryati; Suminarti, Tini
MAHESA : Malahayati Health Student Journal Vol 6, No 1 (2026): Volume 6 Nomor 1 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i1.20024

ABSTRACT Strabismus, commonly known as crossed eyes, is a condition in which both eyes are misaligned when focusing on the same object. One or both eyes may deviate inward (esotropia), outward (exotropia), upward (hypertropia), or downward (hypotropia). This condition results from an imbalance in the neuromuscular system that controls eye movement, impaired brain-eye coordination, and abnormal binocular vision. This study aims to analyze the effect of audiovisual-based education on visual coordination in patients after strabismus surgery. The study employs theGeneralized Linear Model Repeated Measure (GLM-RM) method to examine differences in the effects of audiovisual education between the intervention and control groups. Results: The GLM-RM analysis indicated a significant difference between the intervention and control groups after receiving audiovisual education, with a mean difference of 97.78 and a p-value of 0.000. The Greenhouse-Geisser test showed a significance value of 0.000, while the test of between-subjects effects revealed a statistically significant difference between the two groups (p-value = 0.000). Additionally, the parameter estimates test confirmed a significant effect of audiovisual education on patients’ visual coordination over time (p-value = 0.000). Conclusion: Audiovisual-based education has a significant positive impact on improving visual coordination in patients following strabismus surgery. Keywords: Audiovisual Education, Visual Coordination, Strabismus. ABSTRAK Strabismus atau mata juling merupakan kondisi di mana kedua mata tidak sejajar saat melihat suatu objek. Salah satu atau kedua mata dapat mengalami deviasi ke dalam (esotropia), ke luar (eksotropia), ke atas (hipertropia), atau ke bawah (hipotropia). Kondisi ini disebabkan oleh ketidakseimbangan sistem neuromuskular yang mengatur pergerakan bola mata, gangguan koordinasi otak dan mata, serta kelainan penglihatan binokular. Penelitian ini bertujuan untuk menganalisis pengaruh edukasi berbasis audiovisual terhadap koordinasi penglihatan pada pasien pascaoperasi strabismus. Desain penelitian ini menggunakan metode Generalized Linear Model Repeated Measure (GLM-RM) untuk menganalisis perbedaan efek edukasi audiovisual antara kelompok kontrol dan intervensi. Hasil analisis GLM-RM menunjukkan adanya perbedaan yang signifikan antara kelompok intervensi dan kontrol setelah diberikan edukasi audiovisual, dengan nilai mean difference = 97,78 dan p-value = 0,000. Uji Greenhouse-Geisser menunjukkan signifikansi sebesar 0,000, sedangkan uji test of between-subjects effects mengindikasikan adanya perbedaan signifikan antara kedua kelompok dengan p-value = 0,000. Selain itu, berdasarkan uji parameter estimates, terdapat perbedaan yang signifikan dalam pengaruh edukasi audiovisual terhadap koordinasi penglihatan pasien pascaoperasi dari waktu ke waktu (p-value = 0,000). Edukasi berbasis audiovisual berpengaruh secara signifikan dalam meningkatkan koordinasi penglihatan pasien setelah menjalani operasi strabismus. Kata Kunci: Edukasi Audiovisual, Koordinasi Penglihatan, Strabismus.

Penerapan Supervisi Model 4s terhadap Pendokumentasian Asuhan Keperawatan Berbasis Emr di Rumah Sakit An-Nisa Tangerang Munawaroh, Meihati; Hadi, Muhammad; Naryati, Naryati; Suminarti, Tini
MAHESA : Malahayati Health Student Journal Vol 6, No 1 (2026): Volume 6 Nomor 1 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i1.20009

ABSTRACT Nursing documentation is a series of documentation of activities carried out by the implementer, both manually and electronically, starting with assessment, making a diagnosis, action plan, implementation and evaluation, and must be the responsibility of the nurse. This study aims to determine the effectiveness of the 4S model supervision on EMR-based nursing care documentation. The method used in this study is the Generalized Linear Model Repeated Measure (GLM-RM) which is to analyze the effect of the 4S supervision model on EMR-based nursing care documentation in the control and intervention groups. From the results of the Generalized Linear Model Repeated Measure (GLM-RM), a comparison was obtained between the intervention group and the control group after the implementation of the 4S supervision model with a mean difference value = 33.56 with a p-value = 0.000. The results of the Generalized Linear Model Repeated Measure obtained the Greenhouse Geisser value obtained a significance value of 0.000, and the test of between-subjects effects showed that there was a difference in EMR-based nursing care documentation p-value 0.000 between the two groups. Based on the parameter estimates test, there was a difference in EMR-based nursing care documentation over time with a p-value = 0.000.The conclusion of this study is that there is an influence of the 4S supervision model on the documentation of EMR-based nursing care at An-Nisa Hospital, Tangerang. Keywords: Nursing Documentation, 4S Supervision. ABSTRAK Dokumentasi keperawatan merupakan rangkaian pendokumentasian kegiatan yang dilakukan pelaksana, baik secara manual maupun elektronik, diawali pengkajian, membuat diagnosa, rencana tindakan, pelaksanaan dan evaluasi, dan harus menjadi tanggung jawab perawat. Penelitian ini bertujuan untuk mengetahui efektifitas supervise model 4S terhadap pendokumentasian asuhan keperawatan berbasis EMR. Metode yang digunakan dengan penelitian ini adalah Generalized Linear Model Repeated Measure (GLM-RM) yang dimana untuk menganalisa pengaruh model supervise 4S terhadap pendokumentasian asuhan keperawatan berbasis EMR pada kelompok kontrol dan intervensi. Dari hasil generalized Linear Model Repeated Measure (GLM-RM) didapatkan perbandingan pada kelompok intervensi dan kelompok kontrol sesudah penerapan model supervise 4S denga nilai mean difference = 33,56 dengan p-value = 0,000. Hasil Generalized Linear Model Repeated Measure didapatkan nilai Greenhouse Geisser didapatkan nilai signifikansi 0,000, dan uji test of between-subjects effects didapatkan hasil bahwa terdapat perbedaan pendokumentsasuhan keperawatan berbasis EMR p-value 0,000 antara dua kelompok. Berdasarkan uji parameter estimates terdapat perbedaan pendokumentasian asuhan keperawatan berbasis EMR dari waktu ke waktu dengan nilai p-value = 0,000. Kesimpulannya dari penelitian ini adalah terdapat pengaruh model supervise 4S terhadap pendokumentasian asuhan keperawatan berbasis EMR di RS An-nisa Tangerang. Kata Kunci: Dokumentasi Keperawatan, Supervisi 4S.

Penerapan Manajemen Risiko Pelayanan Keperawatan di Poliklinik RS An-Nisa Novianti, Rika Astri; Hadi, Muhammad; Naryati, Naryati; Suminarti, Tini
MAHESA : Malahayati Health Student Journal Vol 6, No 1 (2026): Volume 6 Nomor 1 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i1.20010

ABSTRACT Hospital services are services that specifically serve the needs of the community, especially in the nursing section. Nursing services are services based on the science and procedures of nursing, which consist of bio-psycho-sicio-spiritual.Risk management is a systematic process of identifying, analyzing, evaluating, controlling and supervising and communicating risks related to all activities. This study aims to analyze. Implementation of nursing service risk management at An-nisa Polyclinic Tangerang. The method used is descriptive analytic with a cross-sectional approach. The number of samples in this study was 48 people. From the multiple logistic regression test, it was found that the factors most related to the implementation of risk management were supporting factors with a p-value of 0.050 with an OR value of 7.542 and driving factors (attitude) with a p-value of 0.028 with an OR value of 5.103. The conclusion of this study is that there is a relationship between supporting variables and the implementation of risk management at the An-Nisa Hospital Polyclinic, Tangerang. Keywords: Health Belief Model, Risk Management, Nursing Services. ABSTRAK Pelayanan Rumah Sakit merupakan pelayanan yang khusus melayani kebutuhan masyarakat, terutama di bagian keperawatan. Pelayanan keperawatan merupakan pelayanan berdasarkan pada keilmuan dan tata cara keperawatan, yang terdiri dari bio-psiko-sisio-spritual. Manajemen risiko adalah proses sistematis identifikasi, analisa, evaluasi, pengendalian dan pengawasan serta komunikasi risiko yang ada hubungannya dengan segala kegiatan. Penelitian ini bertujuan untuk menganalisis Penerapan manajemen risiko pelayanan keperawatan di Poliklinik An-nisa Tangerang. Metode yang digunakan adalah deskriptif analitik dengan pendekatan cross sectional. Jumlah sampel penelitian ini adalah 48 orang. Dari uji regresi logistik ganda didapatkan faktor yang paling berhubungan dengan penerapan manajemen risiko adalah faktor pendukung dengan p-value 0,050 dengan nilai OR 7,542 dan faktor pendorong (sikap) dengan p-value 0,028 dengan nilai OR 5,103. Kesimpilannya dari penelitian ini adalah terdapat hubungan antara variabel pendukung dengan penerapan manajemen risiko di Poliklinik RS An-nisa Tangerang. Kata Kunci: Health Belief Model, Manajemen Risiko, Pelayanan Keperawatan.

Edukasi dan Skrining Kesehatan bagi Lansia untuk Pencegahan Komplikasi Penyakit Kronis Latipah, Siti; Naryati, Naryati; Widakdo, Giri; Nurenah, Nurenah; Zhafirah, Hafizhah Diyanah; Nabillah Hassanah; Saputra, Muhammad Fakhrian
Pelita: Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 4 (2025): Pelita: Jurnal Pengabdian kepada Masyarakat
Publisher : Perkumpulan Kualitama Edukatika Indonesia

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

The community service activity entitled “Healthy Living in Facing Chronic Diseases in Elderly: Towards Healthy and Active Elderly” was conducted at Posyandu Lansia Cendana, RW 04, Sumur Batu Village, Kemayoran, Central Jakarta. This program aimed to enhance the knowledge and awareness of elderly individuals regarding chronic disease management through structured health education and basic health screening. The activity employed a participatory and educational approach, including interactive counseling, healthy lifestyle training, elderly exercise sessions, and simple health assessments (blood pressure, random blood glucose, body mass index, and waist circumference). A total of 100 elderly participants took part, supported by healthcare professionals, local cadres, and community leaders. The results showed that most participants were women (87%) aged between 61 and 79 years. Screening data revealed that the majority of participants had a body mass index in the overweight category (48%) and waist circumference above the normal limit, indicating a high risk of metabolic disorders. Moreover, random blood glucose results suggested that many participants were in the prediabetic range. Statistical analysis demonstrated a significant improvement in knowledge scores before and after the educational intervention (p = 0.014), indicating the effectiveness of the program in improving elderly participants’ understanding of chronic disease prevention and management. This activity proved effective in promoting awareness, healthy lifestyle adoption, and early detection of chronic disease complications among the elderly. Furthermore, it positively influenced psychosocial well-being by enhancing confidence and social engagement. It is recommended that similar programs be conducted regularly and integrated into community-based elderly health initiatives, such as Posyandu Lansia, with active involvement of local health cadres to ensure program sustainability.

Challenges in clinical training for professional nurse students: A qualitative study Naryati, Naryati; Muhammad Hadi; Rizki Nugraha Agung; Melati Fajarini
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2700

Introduction: Clinical training is a cornerstone of nursing education, equipping students with the practical competencies required for professional practice. However, professional nursing students often face significant obstacles, including limited supervision, communication barriers, emotional strain, and resource constraints that hinder their clinical learning. Despite these concerns, few studies in Indonesia have systematically explored these challenges, creating a gap in understanding the specific contextual factors shaping clinical training experiences. Objective: This study aimed to explore the challenges experienced by professional nursing students during clinical training in Indonesia. Methods: A qualitative descriptive study was conducted using semi-structured interviews with 25 professional nursing students from accredited nursing programs in Indonesia. Data collection occurred between March and June 2025 to provide temporal context. Participants were purposively sampled to ensure diverse experiences. Thematic analysis followed Braun and Clarke’s six-step framework, and NVivo software supported data management. Trustworthiness was ensured through credibility, dependability, confirmability, and transferability strategies. Results: Analysis revealed five central themes: (1) Inadequate clinical supervision, characterized by limited instructor availability and insufficient feedback; (2) Communication barriers, including hierarchical dynamics, medical jargon, and language differences; (3) Emotional and psychological strain, stemming from high workloads and performance anxiety; (4) Resource constraints, such as limited access to modern tools and simulation facilities; and (5) Interpersonal challenges, involving peer competition and difficulties in collaborative learning. These issues were further influenced by Indonesia’s cultural and institutional context. Conclusion: Overcoming these barriers requires a holistic strategy encompassing improved student-to-instructor ratios, enhanced communication training, stress management initiatives, investment in educational resources, and fostering positive peer relationships. Institutional dedication to these interventions is critical to advancing clinical training outcomes and cultivating competent nursing professionals.

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