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Penerapan Kepemimpinan Transformasional dalam Menurunkan Burnout Perawat Pelaksana Nur Wahyu Puspitasari; Madya Sulisno; Luky Dwiantoro; Tri Nur Kristina; Tri Hartiti
Jurnal Smart Keperawatan Vol 6, No 2 (2019): Desember 2019
Publisher : Sekolah Tinggi Ilmu Kesehatan (STIKes) Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (108.377 KB) | DOI: 10.34310/jskp.v6i2.289

Abstract

Penelitian di Indonesia dan di luar negeri menunjukkan semakin meningkatnya burnout pada perawat yang merupakan gejala kelelahan fisik, emosional dan mental serta munculnya perasaan rendah diri akibat stres yang berkepanjangan. Penelitian ini bertujuan untuk membuktikan bahwa penerapan kepemimpinan transformasional dapat menurunkan burnout perawat pelaksana.Metode yang digunakan dalam penelitian ini adalah quasi eksperiment yang dilakukan di dua rumah sakit pemerintah di Karesidenan Surakarta terhadap 25 perawat pelaksana yang telah mengalami burnout dan pada 2 kepala ruang pada masing-masing rumah sakit sebagai kelompok intervensi dan kontrol. Data dibandingkan dengan independent t test dan paired t tes.Kelompok intervensi menunjukkan rerata skor burnout perawat pelaksana sebelum intervensi adalah 71.96 dan setelah intervensi menurun menjadi 49.52 dengan nilai p 0,00 sedangkan pada kelompok kontrol rerata skor burnout perawat pelaksana sebelum intervensi  63,7 dan setelah intervensi 63,8 dengan nilai p 0,81. Berdasarkan rumus Cohen, efektivitas penerapan kepemimpinan transformasional masuk dalam kategori tinggi (1,8). Simpulan dari penelitian ini penerapan kepemimpinan transformasional kepala ruang terbukti efektif dalam menurunkan burnout perawat pelaksana.Kata Kunci: burnout; kepemimpinan transformasional; perawat pelaksana
Pelaksanaan discharge planning di Rumah Sakit: Literature review Nurisda Eva Irmawati; Luky Dwiantoro; Agus Santoso
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 7, No 2 (2021): Desember
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.7.2.181-185

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Pendahuluan: Discharge planning merupakan bagian dari proses keperawatan yang berkesinambungan dimulai dari pasien masuk rumah sakit sampai pasien meninggalkan rumah sakit. Discharge planning merupakan kegiatan perawat yang beerjasama dengan keluarga secara berkesinambungan untuk mendapatkan manfaat yang efektif dan tingkat kesehatan yang optimal. Literatur review ini bertujuan mengidentifikasi pelaksanaan discharge planning yag dilakukan perawat di rumah sakit. Metode: Penelusuran data pada Science Direct, Google Scholar, Pub Med, dan Psyc Info untuk mendapatkan artikel yang relevan dengan kata kunci. 672 artikel ditemukan membahas tentang pelasanaan discharge planning dirumah sakit. Efektifitas penerapan discharge planning di rumah sakit memilki manfaat untuk menurunkan angka readmissions, meningkatkan kemandirian pasien dan memperpendek Alos. Hasil: Pelaksanaan discharrge planning memiliki hambatan dan faktor faktor yang mempengaruhi efektivitas pelaksanaannya. pelaksanaan discharge planning memiliki faktor internal dan eksternal untuk mendukung keberhasilannya discharge planning menjadi salah satu strategi untuk mendapatkan kesehatan yang optimal dengan mengidentifikasi hambatan pada pelaksanaannya. Simpulan: Pelaksanaan discharge planning dipengaruhi oleh banyak faktor.
Pengaruh Kompetensi Sosial Perawat terhadap Kepuasan Kerja Perawat Mooniek Setyowati; Luky Dwiantoro; Bambang Edi Warsito
Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia Vol 8, No 1 (2020): Februari 2020
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jkj.8.1.2020.61-68

Abstract

Perawat merupakan sumber daya manusia yang penting dirumah sakit. Kompetensi perawat akan mempengaruhi kualitas pekerjaan. Kompetensi sosial harus dimiliki perawat dalam memberikan asuhan keperawatan. Kompetensi sosial berdampak pada kepuasan kerja perawat.Desain penelitian menggunakan Quasy Experimental dengan pre post test with control group. Jumlah sampel 18 kelompok intervensi dan 18 kelompok kontrol. Penggumpulan data penelitian menggunakan kuesioner komptensi sosial dan kuesioner kepuasan kerja Minesotta. Rerata usia responden kelompok intervensi nilai mean 28,8bulan dan kelompok kontrol adalah 29,2, kelompok intervensi mayoritas memiliki pendidikan Diploma III Keperawatan sebanyak  83,3% dan kelompok kontrol mayoritas berpendidikan Diploma III Keperawatan sebesar 88,9%. Nilai rata-rata lama kerja kelompok intervensi adalah 4,22 dan standar deviasi 1,39 dan nilai minimal-maksimal 1-6. Pada kelompok kontrol, nilai rata-rata lama kerja adalah  4. Uji analisis pada kelompok intervensi menggunakan Paired t-testdidapatkan hasil p-value sebesar 0,000, hasil tersebut <alpha sehingga dinyatakan terdapat pengaruh intervensi kompetensi sosial terhadap kepuasan kerja perawat. Kata kunci: kompetensi sosial, kepuasan kerja  THE EFFECT OF NURSING SOCIAL COMPTENCE ON NURSING SATISFACTION ABSTRACTNurses are important human resources in hospitals. Nurse competence will affect the quality of work. Social competence must be possessed by nurses in providing nursing care. Social competence has an impact on job satisfaction of nurses. Research design uses Quasy Experimental with pre-post test with control group. The number of samples was 18 intervention groups and 18 control groups. Research data collection using social competency questionnaire and Minesotta job satisfaction questionnaire. The mean age of respondents in the intervention group mean value was 28.8 months and the control group was 29.2, the majority intervention group had a Diploma III Nursing education of 83.3% and the majority control group had a Diploma III Nursing education of 88.9%. The average length of work of the intervention group was 4.22 and the standard deviation was 1.39 and the minimum-maximum value was 1-6. In the control group, the average value of length of work was 4. Discussion: The analysis test in the intervention group using the Paired t-test obtained a p-value of 0,000, the results were <alpha so that it was stated that there was an influence of social competence interventions on nurse job satisfaction. Keywords: social competence, job satisfaction
Hubungan Kelengkapan Isi Asesmen Awal Pasien dan Tema Komplain Pasien Mahabara Yang Putra; Luky Dwiantoro; Septo Pawelas Arso
Jurnal Manajemen Kesehatan Indonesia Vol 10, No 1 (2022): April 2022
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.10.1.2022.43-48

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ABSTRACTBackground: The hospital is a plenary individual health service with one of the service standards in the form of patient assessment. The incomplete rate of filling out the initial medical assessment of patients in April 2018 at the inpatient polyclinic reached 37.35% from the standard which should have been 0% incomplete in 1x24 hours. The purpose of this study was to analyze the relationship between the level of completeness of the patient's initial assessment with the patient's complaint theme area.  Method: This research is an analytical descriptive study used total sampling. Data were collected from December 2020 to February 2021. The research variable used was the level of completeness of the initial patient assessment as an independent variable with the patient's complaint theme field as the dependent variable. Data analysis was performed using a frequency distribution table and relationship analysis using the chi-square test.Results: The most (67.2%) complaints were made by patients or their families with incomplete initial assessments. The highest complaints with incomplete initial assessment were found in the medical field (75.0%). There was no relationship between the level of completeness of the patient's initial assessment and the patient's complaint theme area (p-value = 0.680). Evaluation of the hospital is needed to improve the quality of service. Further research can be conducted to determine the factors causing the high number of complaints in the medical field.Keywords: patient assessment, complaint, hospital
Literature Review: Peran Kepemimpinan Transformasional dalam Meningkatkan Persepsi Perawat terhadap Handover febria rizky aulia; Luky Dwiantoro
Jurnal Manajemen Kesehatan Indonesia Vol 8, No 3 (2020): Desember 2020
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.8.3.2020.178-183

Abstract

Nurses' perceptions of the implementation of handovers is various. The wrong perception of the implementation of handovers can affect the communication process that threatens patient satisfaction and safety. The head of space as a transformational leader has an important role in influencing nurses' perceptions in the implementation of handovers. The method used in this paper is study literature from several journal articles. The author analyses and synthesizes to describe the role of transformational leadership in increasing nurses' perceptions of the implementation of the handover from the literature study that has been done, the four elements of transformational leadership have a positive role in influencing factors affecting nurses' perceptions. The more positive the impact of transformational leadership on perception factors, the more will have a positive impact on nurses' perceptions. Through the application of transformational leadership, nurses' perceptions and the quality of handovers can improve. It can be concluded that transformational leadership has a positive role in increasing the perception of nurses. This transformational leadership style can be used as a solution and is highly recommended for use by managers / heads of space as one solution to improve nurses' perceptions
Meningkatkan Kemandirian Perawatan Diri Ibu Postpartum Melalui Transformational Leadership: Literature Review Steffy Putri Amanda; Luky Dwiantoro
Journal of Health (JoH) Vol 6 No 1 (2019): Journal of Health - Januari 2019
Publisher : LPPM STIKES Guna Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (630.921 KB) | DOI: 10.30590/vol6-no1-p40-45

Abstract

Background: Self-care for postpartum mothers is very necessary, based on Orem's theory that humans basically have the ability to care for themselves. The way to improve mother's independence is by the influence of a leader (health worker). Transformational leadership is a leadership style that can motivate subordinates to be able to do better, in this case can be applied in improving the independence of postpartum mothers. Objective: Provide an overview of how to improve self-care of postpartum mothers through transformational leadership. Method: The method used in the search process using the PubMeds website, Nursing Journal Bina Husada, Diponegoro Nursing Journal. Search keywords are independence, postpartum mothers, self care. Result: Idealized / Charismatic Influence: the influence of a leader is needed to create an ideal influence, the experience of childbirth supports the ability of postpartum mothers to perform postpartum care. Inspirational Motivation: motivation and inspiration that can provide encouragement, independent family development affects the level of mother's independence. Individualized Consideration: a nurse must be able to respect the patient's background and environment in order to create a harmonious relationship and increase the patient's confidence. Intellectual Stimulation: transformational leadership style that encourages subordinates to solve problems carefully, the higher the level of knowledge the easier it is to receive information. Conclusion: Postpartum mother independence can be improved through transformational leadership
Roles of Infection Prevention and Control Nurses (IPCNs) in Preparing for Emerging Infectious Diseases Erna Tsalatsatul Fitriyah; Meidiana Dwidiyanti; Luky Dwiantoro
Holistic Nursing and Health Science Vol. 1, No. 1 (2018): June
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.1.1.2018.46-54

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Background: Infectious diseases have become one of the world’s serious problems including in Indonesia. Infectious diseases can originate from the community and hospital environment. Health workers performing inappropriate medical procedures could also be a cause of transmission of infectious diseases. Infection prevention and control nurses (IPCNs) as the pioneers of prevention and infection control in hospitals have not optimally played their roles.   Purpose: This study aimed to explore the roles of IPCNs and their constraints in preparing for emerging infectious diseases. Methods: The present study employed a qualitative design with the hermeneutic phenomenological approach. The samples were seven IPCNs for the primary participants, and two Infection Prevention and Control Officers (IPCOs) and 13 Infection Prevention and Control Link Nurses (IPCLNs) as the triangulation participants. The data were collected using in-depth semi-structured interviews analyzed using a content analysis technique.   Results: The results identified two themes: (1) IPCNs played roles as clinical practitioners, activity coordinators, administrators, and educators, and (2) the roles of IPCNs had not been optimal due to the lack of support from the hospital management, insufficient infrastructure, weak monitoring and evaluation, and the unavailability of appropriate rewards and  punishment.Conclusion: The majority of participants in this study agreed that IPCNs had tried well to play their roles. However, various obstacles were encountered, which hindered the IPCNs in performing their roles.
EFFORTS TO IMPROVE NURSING COMMUNICATION: A NARRATIVE REVIEW Ariefatun Nisa Nisa; Luky Dwiantoro; Bambang Edi Warsito
Nurse and Health: Jurnal Keperawatan Vol 10 No 2 (2021): Nurse and Health: Jurnal Keperawatan July-December 2021
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v10i2.266

Abstract

Background: Communication is an interaction process that is highly essential in building nurse-patient interpersonal relationships. Good nurse communication-patient will have a good impact on the treatment plan and recovery for the patient. Improper communication can lead to mistaken nursing care provision and even lead to injury and death. Objective: This literature review aimed to know the efforts to improve nurse-patient communication. Design: This literature review used narrative review design. Data Sources: The databases used in narrative review are Scopus, Science Direct, ProQuest, and PubMed. The journal is limited to the publication year 2016 - 2020 with the area of ​​the nursing medicine journal, full text Portable Document Format (PDF) journal. This literature review uses 4 articles appropriate the inclusion criteria. The study of articles and data extraction were carried out separately by the researcher, if there were differences, the results were taken by consensus. Review Methods: The review method for this literature review using a narrative method by classifying the similar extracted data according to the research findings. Results: The databases used in the literature review are Science Direct, Scopus, PubMed and ProQuest. The journal is limited to the 2016 – 2020 publication year with the area of ​​nursing medicine journals, improving nurse communication, full text open access pdf journals, research designs. This literature review was identified with the number of science direct: 45, Scopus: 242, PubMed: 36 and ProQuest: 492, then screened and found 4 articles that matched the inclusion criteria. The study of articles and data extraction were carried out separately by the researcher, if there were differences, the results were taken by consensus. Conclusion: Nurse communication training has a positive impact where nurses have skills in developing knowledge and capability in improving nurse communication performance. Good communication nurse-patient can increase the patient's cure rate.
MEASURING USABILITY TESTING BY THE ONLINE APPLICATION START EBNP QUESTIONNAIRE Anggit Prasetyo Mituhu; Tri Nur Kristina; Luky Dwiantoro
Nurse and Health: Jurnal Keperawatan Vol 10 No 2 (2021): Nurse and Health: Jurnal Keperawatan July-December 2021
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v10i2.272

Abstract

Background: Evidence-Based Nurse Practice (EBNP) is used to enhance the quality of nursing by considering internal evidence, external evidence, and patient assessment. In reality, applying EBNP has many problems such as knowledge level, lack of time, facilities, and management support such as training and seminar. The development of technology gives chances for the massive promotion of EBNP. Objective: This application is newly made and its pilot study aims at finding the answer to the usability and accessibility of online application START EBP. Design: This study used a cross-sectional study method. The target population in this study was 112 clinical nurses. The sampling technique used was purposive sampling. The sample size in the pilot study was 12 respondents. This research is a kind of research and development study. The new application is Online START EBP that uses seven levels of applying EBP. The data analysis carried out was usability test. Results: The results of 12 respondents selected from 112 populations by purposive sampling shows that the users are easier to learn and memorize the interface of the application START EBP in total averaged scored 3.24 point. The reliability results show an alpha value of 0.920, so the reliability is in the perfect category. Conclusion: The START EBP online application is easy to use because it is easy to understand by users.
THE INFLUENCE OF TRANSFORMATIONAL LEADERSHIP ON NURSE PERFORMANCE IN TUBERCULOSIS TREATMENT: A NARRATIVE REVIEW Ayu Afriani Panyuwa; Luky Dwiantoro
Nurse and Health: Jurnal Keperawatan Vol 10 No 2 (2021): Nurse and Health: Jurnal Keperawatan July-December 2021
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v10i2.280

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Background: World Health Organization (WHO) has established a Directly Observed Treatment Short-Course (DOTS) strategy. Carrying out the DOTS strategy, the public health center is running the TB Prevention and Treatment program, in Indonesia it is called prevention and countermeasures of tuberculosis (P2TB) but in reality, the P2TB program has not been effectively implemented. Health workers who play an important role in carrying out their roles and duties in society are nurses. One of the efforts to improve the performance of nurses in TB treatment is the application of transformational leadership. The purpose of this literature review is to examine the results of the past 10 years of research related to the influence of transformational leadership on nurse performance in tuberculosis treatment. Design: This study design is a literature review to search and review article from database and theory underlying this study or guidance in this literature review using Preferred Reporting Items for Systematic Reviews and PRISMA. Data Sources: The data base used in the article searches used include: Science Direct, PubMed, Google scholar, EBSCO using the keywords transformational leadership, nurse performance, tuberculosis treatment. The articles used are those between the years 2009-2019. Review Methods: The review method for this literature review using a narrative method by classifying the similar extracted data according to the research findings. Results: The main component of transformational leadership to improve The performance of nurses to play a more optimal role in an effective and efficient TB treatment effort is an idealized influence, which is that nurses have charismatic, in the fact that nurses in providing nursing care in the community must provide good paragons and become role models in the field of good health to individuals, families, groups and communities about how to live clean and healthy as behavior that can be imitated by the community, inspirational motivation for nurses as health teacher educators or health counselling which is a part of health promotion, the nurse's intellectual stimulation empowers communities to solve health problems in the community through small group discussions, and individual consideration, in this case the nurse's duty is as an advice provider and counseling is highly important and beneficial for the community. In order to achieve the fulfillment of the roles and responsibilities of nurses, there must be inner motivation among nurses in order that they can provide decent motivation to the community. Conclusion: Transformational leadership can be applied to improve the performance of nurses in TB treatment efforts.