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Nurses’ Experience of Dealing With Patients’ Aggressive Behaviour in Psychiatric Emergency Ward of Hospital in South Sulawesi Hasnah Hasnah; Hapsah Hapsah; Silvia Malasari; Ariyanti Saleh; Akbar Harisa
Indonesian Contemporary Nursing Journal Volume 3 No. 1 Agustus 2018
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (6677.745 KB) | DOI: 10.20956/icon.v3i1.3982

Abstract

Introduction: The high level of risk emergency psychiatry nurse becomes the target of aggressive behavior in patients both physically and psychologically, providing a special experience for nurses. Positive and negative impacts felt more likely a psychological effect on the nurse. Objective: Identifying the experiences of nurses dealing with patient of aggressive behavior in Emergency Psychiatric of Rumah Sakit Khusus Daerah Provinsi Sulawesi Selatan. Methods: The phenomenological approach to decision informants using purposive sampling with the informant as much as 9 informants who have experienced aggressive behavior from patients. Results: There were 7 themes obtained by the feelings of nurses with aggressive behavior patients, nurses experienced different kinds of aggressive behavior,  nurses identified about the causes of the patient's aggressive behavior, nurse found some signs of the patient while being aggressive, nurses perceived impact of agresive behavior after getting the incident of it, the way nurses treated patients aggressive behavior, and nurses found obstacle to overcome aggressive behavior's patient. The positive experience of nurses in dealing with patient of aggressive behavior was nurse know the proper ways, causes and signs of the patient while being aggressive so the nurse was able to anticipate the action will be carried out. On the other hand the negative experience felt by the nurse due to the impacts of the aggressive behavior patients. Conclusions and:  The experience felt by nurses in dealing with patients in Psychiatric Emergency Unit of Rumah Sakit Khusus Daerah Provinsi Sulawesi Selatan there were positive and negative. Therefore, we need a way to reduce aggressive behavior and provide management training for nurses in dealing with aggressive behavior in order to keep patients safely.
KEPEMIMPINAN YANG MEMOTIVASI DI ERA PERUBAHAN PARADIGMA PELAYANAN KESEHATAN: Motivating Leadership in An Era of Changing Paradigms of Health Care Yenny Sima; Ariyanti Saleh; Sudirman Nasir
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 9 No. 1 (2023): JIKep | Februari 2023
Publisher : LPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v9i1.1419

Abstract

Pendahuluan: Pasien sebagai sentra utama dalam perubahan paradigma pelayanan kesehatan membutuhkan kepemimpinan yang memiliki visi dan menginspirasi sehingga dapat meningkatkan motivasi kerja perawat ke tingkat yang lebih tinggi, Beberapa hasil penelitian yang dilakukan oleh peneliti lainnya di bidang keperawatan menunjukkan bahwa tinggi rendahnya motivasi kerja perawat dipengaruhi oleh faktor interpersonal dan faktor dukungan organisasi dalam hal pemberdayaan dan kesiapan sarana yang dibutuhkan. Tujuan: Memperoleh gambaran peran kepemimpinan yang dapat meningkatkan motivasi kerja perawat. Dilakukan di dua rumah sakit yang berbeda dalam hal karakteristiknya, yaitu pada RS. Bhayangkara Tingkat II Mappaodang dan RSUD Kota Makassar. Metode: Menggunakan desain cross sectional dengan jumlah sampel sebanyak 141 orang perawat pelaksana yang dipilih secara proportional stratified sampling serta memenuhi kriteria inklusi. Hasil: Gaya kepemimpinan di RS Bhayangkara Tingkat II Mappaodang memiliki hubungan yang signifikan dengan nilai p <0,05 terhadap motivasi kerja perawat pelaksana sedangkan di RSUD Kota Makassar tidak berhubungan secara signifikan dengan motivasi kerja perawat di ruang rawat inap dengan nilai p 0,060. Kesimpulan: Peran kepemimpinan perawat dapat lebih direalisasikan melalui transformasi visi organisasi sehingga visi tersebut menjadi visi bersama, memberikan dukungan dan pendampingan dalam setiap penyelesaian masalah melalui peningkatan kompetensi perawat sehingga dapat meningkatkan kepercayaan perawat terhadap seorang pemimpin dan organisasi.