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Journal : FUNDAMENTAL AND MANAGEMENT NURSING JOURNAL

The Effect of Clinical Pathway Socialization with Explicit Instruction Methods on Nurse Compliance in the Implementation of the COVID-19 Clinical Pathway Retno Twistiandayani; Daviq Ayatulloh; Meli Candra Kinarti
Fundamental and Management Nursing Journal Vol. 5 No. 1 (2022): VOLUME 5 ISSUE 1 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v5i1.37987

Abstract

Introduction: Clinical pathway is an integrated concept in the form of preventing unnecessary care, medication errors or other harmful incidents. Strategies to improve nurse compliance on clinical pathways have widely implemented. However, the effectiveness was found to be inconsistent. This study aimed to determine the effect of the socialization of the explicit instruction method on nurse compliance in the implementation of the COVID-19 clinical pathway. Method: This research method applied a pre-experimental research design with one group pretest-posttest design. The sampling technique used total sampling with a sample of 24 respondents from September to November 2021. The dependent variable was the socialization of the clinical pathway with the explicit instruction method.The independent variable was nurse compliance in the implementation of the COVID-19 clinical pathway. Data was taken by means of observation using a clinical pathway checklist instrument which was then analyzed using the Wilcoxon Signed Ranks Test with sig p <0.05. Results: the results of this study prove that there was a significant effect of providing socialization. Explicit instruction method on nurse compliance showed a significant impact on the implementation of the COVID-19 clinical pathway with a value (p = 0.008) with a compliance rate of 83%. Conclusions: Compliance with the established clinical pathway increase quality of health care service. This study found explicit instruction method effectively increase nurse compliance on the COVID-19 clinical pathway. Studies measuring explicit instruction in combination with other methods that strengthen nurse compliance with clinical pathway are crucial to be conducted.
The Determinants Factors of Personal Mastery Among Clinical Nurse Practitioners in Indonesia Beni, Kornelis Nama; Nursalam, Nursalam; Hasinuddin, M; Priyantini, Diah; Ayatulloh, Daviq
Fundamental and Management Nursing Journal Vol. 7 No. 2 (2024): VOLUME 7 ISSUE 2 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v7i2.46185

Abstract

Introduction: Human resources of nursing who have low personal mastery have an impact on the quality and productivity of nursing services. Several factors have been studied to be associated with the low personal mastery of nurses. The purpose of this study was to analyze the factors that’s influencing personal mastery improvement of clinical nurse practitioners in a hospital. Methods: This study applied cross sectional design with 120 respondents through cluster sampling technique in one of Surabaya Hospital. Data were collected using the personal mastery factors questionnaire that has been tested for validity and reliability. The variable included training and development, leadership, attitudes, competencies, motivation, personal values, job design and personal mastery of nurses. Data were analyzed using multiple linear regression. Results: The result showed that competence, personal values and job design factors partially influenced the personal mastery (p = 0.006), (p = 0.001), (p = 0.005). Training and development, leadership, attitude and motivation have not influenced on personal mastery (p = 0.871), (p = 0.352), (p = 0.900), (p = 0.312). Simultaneously development and training, leadership, attitudes, competencies, motivation, personal values and job design factors was influenced the personal mastery of nurses' (p = 0.000). The influenced independent’s variable on personal mastery of clinical nurse practitioners is 58.1%. Conclusions: Personal mastery of clinical nurse practitioners was increased by improving the competence, strengthening of the personal values and design a good job. Further studies are warrant to examine other factors that can improve nurses' personal mastery such as organizational culture, reward systems that affect the performance of clinical nurse practitioners.