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Journal : International Journal of Public Health Science (IJPHS)

The effect of empowerment to improve patient safety culture among hospital nurses Rusdi, Rusdi; Said, Faridah Mohd; Umar, Nur Syazana
International Journal of Public Health Science (IJPHS) Vol 13, No 4: December 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i4.24418

Abstract

A decline in the quality of services provided to patients and an increase in patient care costs are caused by a decline in their ability to work. Patient safety culture is a product of individual and group values, attitudes, competencies, and behavioral patterns that determine the commitment, style, and capabilities of a health service organization towards patient safety programs. This study examined the effects of empowerment on patient safety culture and employed descriptive, cross-sectional, analytical methodology. Proportionate random sampling was the sample method used at a hospital in Samarinda, Indonesia, with 119 respondents. Hospital surveys regarding patient safety culture and empowerment were used to gather data. Partial least squares and structural equation modeling were used for data analysis. Regarding opportunity indications for activities, the empowerment average had the highest score, 15.8 (SD=2.987). For teamwork within the unit, the patient safety culture had the highest average score of 13.3 (SD=1.777). The initial sample estimate value of 0.677 indicated that empowerment had a positive impact on patient safety culture. The T-Test result was 15.180, indicating that the value was greater than 1.98. Nurses’ autonomy in their work can be supported through empowerment. The stronger the empowerment, the more patient-safety culture the hospital will have.
Cross-cultural adaptation, validity, and reliability of the Indonesian version of the Hill-Bone high blood pressure therapy compliance scale Eldawati, Eldawati; Said, Faridah Mohd; Umar, Nur Syazana
International Journal of Public Health Science (IJPHS) Vol 14, No 3: September 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i3.23685

Abstract

Hypertension is a long-term condition that enables individuals to take an active role in managing their health care— inadequate adherence to medication regimens is a major factor contributing to treatment failure. We translated and updated the Hill-Bone high blood pressure therapy compliance scale for use in Indonesia, where systemic hypertension is becoming increasingly prevalent.  This study aims to evaluate the validity and reliability of the Indonesian version of the Hill-Bone high blood pressure therapy compliance scale. The descriptive cross-sectional research was conducted in East Java, Indonesia, during June and July 2021. For the purpose of selecting 144 persons who had hypertension, a convenience sample was utilized. The Hill-Bone high blood pressure therapy compliance instrument was translated from English into Indonesian using a forward-backward translation method, followed by evaluation by an expert panel and pilot testing. To assess its reliability, the Cronbach's alpha coefficient and item-total correlation were utilized. A Kaiser-Meyer-Olkin (KMO) value of 0.945 confirmed the adequacy of the sample for the study. Additionally, the Bartlett’s test yielded a significant result (X² = 132.41; p < 0.001), supporting the appropriateness of conducting a factor analysis. Using factor analysis, the Hill-Bone high blood pressure therapy compliance scale revealed a single factor with an eigenvalue >1 that explained 42.13% of the total variation. The Cronbach alpha coefficient of the Hill-Bone high blood pressure therapy compliance scale was 0.901. The Hill-Bone high blood pressure therapy compliance instrument has been successfully translated and tailored for the Indonesian population, with consideration of their cultural context. In order to provide an accurate prediction regarding the impact that this intervention would have on patients' adherence, the Hill-Bone high blood pressure therapy compliance scale could be of assistance.