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Self-Efficacy as Determinant of Interest Becoming Intensive Care Nurse Metalita, Eva; Handiyani, Hanny; Kuntarti, Kuntarti; Afriani, Tuti; Nurdiana, Nurdiana
JOSING: Journal of Nursing and Health Vol 2 No 2 (2022): JOSING: Journal of Nursing and Health
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/josing.v2i2.3440

Abstract

This study aims to identify the factors that influence interest in becoming an intensive nurse. The design of this study used a cross-sectional approach. The results showed self-efficacy, appreciation, work unit, age, family support and supervisor support (p=<0.001), years of service (p=0.005), gender (p=0.002), career level (p=0.004), and experience. Training (p=0.003) affected the interest of intensive nurses. On the other hand, knowledge and level of education were not influenced by the pull of intensive nurses. The results of multiple linear regression analysis found that the most influential interest factors in becoming an intensive nurse were self-efficacy, followed by rewards, work units, and gender. These four factors contributed 57.4% in influencing the interest in becoming an intensive nurse. In conclusion, what most determines interest in becoming an intensive nurse is self-efficacy. Keywords: Determinants, Interests, ICU Nurse
Pengalaman Perawat dalam Program Peningkatan Pendidikan Formal Agnes Rini Eka Wulandari; Rr. Tutik Sri Hariyati; Kuntarti Kuntarti; Hanny Handiyanti; Titiek Muhaeriwati
Jurnal Keperawatan Silampari Vol 6 No 2 (2023): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (338.468 KB) | DOI: 10.31539/jks.v6i2.4344

Abstract

This study aims to explore nurses' experiences in improving formal education at X Lampung Selatan Hospital. The method used is a phenomenological qualitative research design using a descriptive approach. The research results show that there are five themes for nurses' experience, namely: 1) Understanding of the importance of formal education for nurses; 2) Support for nurses in continuing their studies; 3) Obstacles in increasing formal education; 4) Satisfaction with the manager's efforts to support education improvement; 5) Impact of formal education improvement program. In conclusion, the nursing staff development program must be a priority in efforts to improve service quality. The role and function of the nursing manager are significant so that formal education improvement programs can run well and in line with expectations. The need for managers to provide policies and planning related to improving formal education in the form of SK, Guidelines, Guidelines, SPO, and Programs. Keywords: Formal Education, Nursing, Planning
Optimalisasi Pendokumentasian Asuhan Keperawatan Wahyuni, Tyas; Hariyati, Rr. Tutik Sri; Kuntarti, Kuntarti; Afriani, Tuti; Nasri, Khairul
Journal of Telenursing (JOTING) Vol 6 No 2 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i2.13607

Abstract

This study aims to identify and analyze problems in the implementation of freezing documentation using the role and function of freezing management approach, as well as problem-solving options. The research method uses case studies through interviews, observations, problem analysis with fishbone diagrams and then compiling innovations. The results of the study showed that documentation of accommodation in the inpatient room of Hospital X before implementation was 45% and after implementation it became 55%, there was an increase especially in the preparation of the closing diagnosis and protection action plan. In conclusion, the documentation process increased by 10% through the Flipbook SAK (Nursing Care Standards) innovation, this shows that the implementation carried out is quite effective in improving the quality of protection documentation. Keywords: Nursing Management, Nursing Care Documentation, Nursing Care Standards
Overview of Nurses’ Perceptions of the Headroom Management Function in Hospitals during the Covid-19 Pandemic Galleryzki, Annisa Rahmi; Hariyati, Rr. Tutik Sri; Kuntarti
Journal of Global Research in Public Health Vol. 6 No. 2 (2021): December
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jgrph.v6i2.342

Abstract

Background: The Covid-19 pandemic has occurred all over the world and has had a significant impact on patient care. The headroom is the first-line nursing manager, who has an essential role in providing care. The headroom has vital role in directing staff to work according to standards during a pandemic. Purpose: To analyze nurses' perceptions of the management function of the headroom during the Covid-19 pandemic. Methods: This study uses a descriptive correlation research design with a cross-sectional approach. The sample consisted of 250 participants. Collecting data using questionnaires on respondents' demographic data and nurse perception of the headroom management function using the Managerial Competencies of Head Nurse Tool instrument Result: The analysis results showed that most respondents were female nurses, had a vocational nursing education, were married, had attended patient safety training, and worked in inpatient rooms. The results of the analysis management function of the headroom in the hospitals are 89.59 (69.59%), staffing and actuating function have the highest presentation of 69.50% from the three hospitals. At the same time, the lowest in the planning function of 43.31%. Conclusion: Based on the results, the function with the lowest implementation is the planning function. Meanwhile, staffing and actuating have the best performance. Non-optimal management function can be because of a lack of management support.
Efektifitas mindfullness dalam menurunkan burnout perawat pelaksana: A systematic review Uminah, Uminah; Handiyani, Hanny; Pujasari, Hening; Kuntarti, Kuntarti
Holistik Jurnal Kesehatan Vol. 19 No. 2 (2025): Volume 19 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i2.839

Abstract

Background: Nurse burnout can reduce performance and quality of service. Nurses who experience burnout syndrome will lose motivation for work due to prolonged responses to emotional, physical, and mental exhaustion. Purpose: To analyze the effectiveness of mindfulness in reducing burnout in implementing nurses. Method: Systematic review using protocols and rules in accordance with the Preferred Reporting Items for Systematic Review (PRISMA), using databases from Scopus, Proquest, Pubmed, SAGE, and Science Direct in 2019-2024, found 220 articles and 8 selected articles. Results: Mindfulness training reduces fatigue levels, produces lower scores for emotional exhaustion and depersonalization, and is higher for personal achievement. Conclusion: Mindfulness in implementing nurses is an effective effort to choose what nurses will think and maintain the attention needed to maintain awareness of current experiences or in providing nursing care, thereby helping implementing nurses reduce stress due to burnout in the long term. Suggestions: This review has the potential to be biased due to the lack of studies and high heterogeneity. Practical mindfulness techniques for nurses still need further research and should be guided by professionals to be effective.   Keywords: Burnout Syndrome; Mindfulness; Implementing Nurses.   Pendahuluan: Burnout perawat dapat menurunkan kinerja dan mutu layanan. Perawat yang mengalami sindrom burnout akan kehilangan motivasi terhadap pekerjaan karena respon yang berkepanjangan terhadap kelelahan emosional, fisik, dan mental. Tujuan: Untuk menganalisis efektifitas mindfullness dalam menurunkan burnout perawat pelaksana. Metode: Sistematik review menggunakan protokol dan kaidah yang sesuai dengan Preferred Reporting Items for Systematic Review (PRISMA). Pencarian literatur berasal dari database, Scopus, Proquest, Pubmed, SAGE, dan Sciencedirect tahun 2019-2024, ditemukan 227 artikel dan sebanyak 8 artikel terpilih. Hasil: Pelatihan mindfulness mengurangi tingkat kelelahan, menghasilkan skor yang lebih rendah untuk kelelahan emosional dan depersonalisasi, serta lebih tinggi untuk pencapaian pribadi. Simpulan: Mindfulness pada perawat pelaksana merupakan upaya yang efektif untuk memilih apa yang akan perawat pikirkan dan mempertahankan atensi yang dibutuhkan untuk menjaga kesadaran terhadap pengalaman saat ini atau dalam melakukan asuhan keperawatan, sehingga membantu perawat pelaksana menurunkan stress akibat burnout dalam jangka waktu yang lama. Saran: Tinjauan ini berpotensi bias karena minimnya studi dan tingginya heterogenitas. Teknik mindfulness yang praktis bagi perawat masih perlu diteliti lebih lanjut dan sebaiknya dipandu profesional agar efektif.   Kata kunci: Burnout Syndrome; Mindfulness; Perawat Pelaksana.
Technostress pada perawat dan instrumen pengukurannya: Tinjauan sistematis Enggriani, Yesica Tria; Handiyani, Hanny; Kuntarti, Kuntarti
Holistik Jurnal Kesehatan Vol. 19 No. 2 (2025): Volume 19 Nomor 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i2.863

Abstract

Background: The use of information technology is increasingly widespread in the health sector, especially for nurses. The intensity of the use of this technology has created a new phenomenon called technostress. The European Risk Observatory categorizes technostress as an increasing occupational health risk caused by the negative psychosocial effects of the use of information technology. These problems are correlated with decreased job satisfaction, productivity, and work-life balance that have the potential to threaten patient safety. Purpose: To analyze the dimensions, measurement instruments, and research results of technostress in nurses. Method: A systematic review was conducted by searching the literature related to technostress in nurses using PubMed, ScienceDirect, EBSCO, Proquest, and Scopus databases. Studies that met the inclusion criteria were assessed using the JBI Critical Appraisal Checklist for Cross-sectional Studies. Results: A total of seven relevant studies were identified with five high-quality studies and two moderate-quality studies. Five main dimensions of technostress were identified: techno-overload, techno-invasion, techno-complexity, techno-insecurity, and techno-uncertainty. Six measurement instruments were identified with moderate levels of technostress in nurses. Conclusion: Based on the results of the study review, six main instruments were obtained that were used to measure technostress in nurses and five main dimensions of technostress in nurses, including techno-overload, techno-invasion, techno-complexity, techno-insecurity, and techno-uncertainty, as well as moderate levels of technostress to impacts that include emotional exhaustion, work-privacy conflict, burnout, decreased job satisfaction, desire to move, and physical and mental health problems.   Keywords: Measurement Instruments; Nurses; Technostress.   Pendahuluan: Penggunaan teknologi informasi semakin meluas di sektor kesehatan, terutama pada perawat. Intensitas penggunaan teknologi ini telah menciptakan fenomena baru yang disebut technostress. European Risk Observatory mengategorikan technostress sebagai risiko kesehatan kerja yang terus meningkat yang diakibatkan efek psikososial negatif dari penggunaan teknologi informasi. Permasalahan tersebutlah yang berkorelasi dengan penurunan kepuasan kerja, produktivitas, dan keseimbangan kehidupan kerja yang berpotensi mengancam keselamatan pasien. Tujuan: Untuk menganalisis technostress  pada perawat dan instrumen pengukurannya. Metode: Penelitian tinjauan sistematis terkait technostress pada perawat, pencarian literatur berasal dari database antara lain PubMed, ScienceDirect, EBSCO, Proquest, dan Scopus. Studi yang memenuhi kriteria inklusi dinilai menggunakan JBI Critical Appraisal Checklist for Cross-sectional Studies. Hasil: Sebanyak tujuh studi relevan diidentifikasi dengan lima studi berkualitas tinggi dan dua studi berkualitas sedang. Lima dimensi utama technostress teridentifikasi: techno-overload, techno-invasion, techno-complexity, techno-insecurity, dan techno-uncertainty. Enam instrumen pengukuran teridentifikasi dengan tingkat technostress  moderat pada perawat. Simpulan: Berdasarkan hasil tinjauan studi, diperoleh sebanyak enam instrumen utama yang digunakan untuk mengukur technostress pada perawat dan lima dimensi utama technostress pada perawat yang meliputi, techno-overload, techno-invasion, techno-complexity, techno-insecurity, dan techno-uncertainty, serta tingkat technostress  moderat hingga dampak yang meliputi kelelahan emosional, konflik kerja-privasi, burnout, penurunan kepuasan kerja, keinginan berpindah, serta masalah kesehatan fisik dan mental.   Kata Kunci: Instrumen Pengukuran; Perawat; Technostress.
The relationship between mindfulness, job satisfaction, and personality with burnout in nurses in hospitals: A descriptive analytical study Uminah Uminah; Hanny Handiyani; Kuntarti Kuntarti
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 5 (2025): Volume 8 Number 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i5.1188

Abstract

Background: Burnout is characterized by emotional exhaustion, depersonalization, and decreased personal accomplishment, often occurring in workers with intense social interactions, such as healthcare workers. Nursing is a profession vulnerable to burnout, given the high job demands, long working hours, and significant responsibility in patient care. Burnout can cause physical, emotional, and mental exhaustion, impacting the quality of healthcare services and nurses' well-being. Purpose: To determine the relationship between mindfulness, job satisfaction, and personality factors with burnout among nurses in hospitals. Method: A descriptive-analytical method with a cross-sectional design was applied. The target population included all 1,989 nurses employed at Central Hospitals in Indonesia, from which a sample of 328 respondents was drawn. Data collection was carried out using a questionnaire. For data analysis, the chi-square test was employed in the bivariate analysis, while multiple logistic regression was used for the multivariate analysis. The variable most strongly associated with the outcome was job satisfaction (OR = 17.874), whereas mindfulness showed the weakest association (OR = 4.932). Results: The logistic regression analysis revealed a significant relationship between mindfulness, job satisfaction, and personality factors with work-related fatigue (burnout) among hospital nurses, indicated by a p-value of 0.001. Conclusion: There is a relationship between mindfulness, job satisfaction, and personality factors with work fatigue (burnout) among hospital nurses.
Pentingnya Persiapan dalam Pendidikan Kesehatan pada Pasien di Rumah Sakit Febriani, Nelly; Handiyani, Hanny; Kuntarti, Kuntarti
Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Vol 11 No 2 (2019): JIKM Vol. 11, Edisi 2, Mei 2019
Publisher : Public Health Undergraduate Program, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (406.886 KB) | DOI: 10.52022/jikm.v11i2.28

Abstract

Latar belakang: pelaksanaan pendidikan kesehatan penting dilaksanakan rumah sakit. Tujuan penelitian ini untuk mengetahui faktor-faktor yang hubungan dengan pelaksanaan pendidikan kesehatan di rumah sakit. Metode: analisis multivariat terhadap 81 perawat pelaksana, dipilih dengan cosecutive sampling. Pengukuran faktor yang mempengaruhi pendidikan kesehatan menggunakan kuesioner ( Cronbach= 0,953; 0,870).Hasil: Faktor yang mempengaruhi pelaksanaan pendidikan kesehatan yang baik di antaranya persiapan, lingkungan dan sumber daya, serta sikap pasien (p=0,008; p=0,004; p= 0,023). Faktor yang paling dominan berpengaruh yaitu persiapan pendidikan kesehatan (p=0,013; OR=3,87).Kesimpulan: Persiapan pelaksanaan pendidikan kesehatan meningkatkan perawat pelaksana untuk melaksanakan pendidikan kesehatan dengan baik sebesar 3, 87 kali lebih tinggi dibanding pendidikan kesehatan yang tidak dipersiapakan dengan baik. Rekomendasi yang muncul dari penelitian ini agar meningkatkan pemahaman perawat akan perannya dalam melaksanakan pendidikan kesehatan, dengan melakukan persiapan dan menggunakan sumber daya yang ada. Background: the implementation of health education at hospital is important. Objective this research to determine the factors most related to implementation of health education at hospital.Methods: descriptive cross sectional analytic to 81 nurses, chosen by cosecutive sampling. Measurement of factors that affect the implementation of health education using questionnaires.Results: Factors that influence health education is going well including preparation, environment and resources, and patient’s attitudes (p=0.008; p=0.004; p= 0.023). Among the three factors that affect the implementation of health education, found that the most dominant factor is preparation to implementation of health education (p=0.013; OR=3.87).Conclusion: preparation to implementation of health education would give 3.87 times greater chance for nurses to conduct health education are well compared with preparation are not do well. Recommendation from this study is increase the understanding of its role and nurse will carry out health education, the preparation and use of available resources.
Optimalisasi fungsi actuating kepala ruangan dalam supervisi dokumentasi asuhan keperawatan di rumah sakit Perdana, Riska Rusfita; Afriani, Tuti; Wirdani, Andi Wilda; Hariyati, Rr Tutik Sri; Harpendewisasmita, Harpendewisasmita; Kuntarti, Kuntarti
Holistik Jurnal Kesehatan Vol. 19 No. 11 (2026): Volume 19 Nomor 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i11.1751

Abstract

Background: Electronic Medical Records (EMR) plays a crucial role in nursing care, serving as legal evidence, a means of interprofessional communication, and a benchmark for service quality. Ward heads, as first-line managers, hold a crucial responsibility in ensuring documentation is carried out according to standards. Purpose: To optimize the ward head's driving function in overseeing nursing care documentation in hospitals. Method: This study used a case study approach conducted in the Intermediate Ward of Jantung dan Pembuluh Darah Harapan Kita Hospital. Data were collected through observation, interviews with ward heads and nurses, and questionnaires distributed to 30 nurses. The analysis was based on Marquis & Huston's 2021 management function theory and Kurt Lewin's theory of change. Problems were analyzed using the fishbone method and Priority Setting Guidelines (PSG) assessment to determine priority interventions. Results: Nurses' compliance with EMR documentation standards improved after socialization. Furthermore, ward heads' understanding of the importance of reflection-based clinical supervision also improved. 28.9% of respondents stated that ward heads always supervise nursing care documentation, 27.7% stated that supervision is frequent, 20.5% stated that supervision is rare, and 22.9% stated that ward heads never supervise documentation. Conclusion: Interventions through educational and reflective supervision have proven effective in improving the quality of EMR-based nursing documentation. Suggestion: Ongoing training for ward heads and integration of supervision forms into the hospital's digital system are needed to ensure the sustainability of the intervention.   Keywords: Driving Function; Hospital; Nursing Care Documentation; Supervision; Ward Head.   Pendahuluan: Dokumentasi asuhan keperawatan elektronik/ Electronic Medical Record (EMR) memiliki peran krusial dalam pelayanan keperawatan, baik sebagai bukti legal, media komunikasi antarprofesi, maupun tolak ukur mutu layanan. Kepala ruangan sebagai manajer lini pertama memegang tanggung jawab penting dalam memastikan dokumentasi dilakukan sesuai standar. Tujuan: Untuk mengoptimalisasi fungsi actuating kepala ruangan dalam supervisi dokumentasi asuhan keperawatan di rumah sakit. Metode: Penelitian ini menggunakan pendekatan case study yang dilaksanakan di ruang Intermediate Ward Rumah Sakit Jantung dan Pembuluh Darah Harapan Kita (RSJPDHK). Data dikumpulkan melalui observasi, wawancara kepala ruangan, dan perawat, serta penyebaran kuesioner kepada 30 perawat pelaksana. Analisis dilakukan berdasarkan teori fungsi manajemen Marquis & Huston tahun 2021 dan teori perubahan Kurt Lewin. Masalah dianalisis menggunakan metode fishbone dan scoring Priority Setting Guideline (PSG) untuk menentukan intervensi prioritas. Hasil: Terdapat peningkatan kepatuhan perawat terhadap standar dokumentasi EMR setelah sosialisasi dilaksanakan. Selain itu, pemahaman kepala ruangan terhadap pentingnya supervisi klinis berbasis refleksi juga meningkat. Didapatkan 28.9% responden menyatakan bahwa kepala ruangan selalu melakukan supervisi dokumentasi asuhan keperawatan, 27.7% menyatakan bahwa supervisi dilakukan sering, 20.5% menyatakan bahwa supervisi hanya jarang dilakukan, dan 22.9% menyatakan bahwa kepala ruangan tidak pernah melakukan supervisi dokumentasi Simpulan: Intervensi melalui supervisi edukatif dan reflektif terbukti efektif dalam meningkatkan kualitas dokumentasi keperawatan berbasis EMR. Saran: Diperlukan pelatihan berkelanjutan bagi kepala ruangan dan integrasi formulir supervisi ke dalam sistem digital rumah sakit untuk menjamin keberlanjutan intervensi.   Kata Kunci: Dokumentasi Asuhan Keperawatan; Fungsi Actuating; Kepala Ruangan; Rumah Sakit; Supervisi.
Analisis Determinan Efektivitas Supervisi Klinik Terhadap Kepala Ruang di Rumah Sakit:Systematic Review Suryati Suryati; Hanny Handayani; Kuntarti Kuntarti
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.44741

Abstract

Latar belakang supervisi klinis oleh kepala ruangan memiliki dampak signifikan terhadap kualitas kinerja perawat pelaksana, sementara keberhasilan supervisi manajer keperawatan bergantung pada keterampilannya dalam melakukan supervisi. Riset ini bertujuan untuk mengidentifikasi faktor-faktor yang mempengaruhi supervisi klinis kepala ruangan. Metode yang digunakan adalah pendekatan tinjauan sistematis dengan daftar periksa JBI serta pedoman PRISMA (Preferred Reporting Items for Systematic and Meta-Analysis). Hasil penelitian menunjukkan bahwa faktor yang mendukung pelaksanaan supervisi oleh perawat senior meliputi ketersediaan waktu, kesediaan kepala ruangan untuk mendiskusikan hasil supervisi, dukungan dari perawat, keterampilan supervisi, kesiapan, serta dukungan terhadap peran dan kemampuan kepemimpinan yang memadai. Kesimpulan yang didapat ialah keterampilan supervisi klinik kepala ruangan efektif memerlukan pelatihan yang kontinu. Rekomendasi pelatihan keterampilan supervisi klinik dapat dillakukan secara kontinu terutama kepala ruangan baru untuk menjaga dan meningkatkan keterampilan supervisi kepala ruanagan.