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Exploring staff and procedural factors affecting patient safety in the operating room Yahya, Yahya; Fadhillah, Harif; Widiastuti, Eni; Hadi, Muhammad; Nawangwulan, Rahayu
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 10 (2025): Volume 8 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i10.1466

Abstract

Background: Patient safety in the operating room is a critical concern in healthcare delivery. While the Surgical Safety Checklist (SSC) improves safety outcomes, variability persists due to workforce characteristics, work motivation, and adherence to Standard Operating Procedures (SOP). Purpose: To examine associations between staff characteristics, motivation, and SOP compliance with patient safety quality in the operating room, and to identify the most influential factor. Method: A cross-sectional study of all 42 operating room healthcare workers (total sampling). Data were collected through Likert-scale questionnaires and analyzed using Chi-Square tests and multiple logistic regression. Results: Education level (p = 0.024), motivation (p = 0.000), and SOP compliance (p = 0.000) were significantly associated with patient safety quality. SOP compliance was the strongest determinant (OR = 234.770; p = 0.001). Conclusion: Adherence to SOP—especially the SSC—is the dominant factor influencing patient safety quality. Interventions should prioritize continuous SOP education, oversight, and cultivation of a robust patient safety culture.
Effects of digitally delivered mindfulness-based interventions in reducing burnout in healthcare workers: a systematic review and meta-analysis of randomized controlled trials Riu, Silvia Dewi Mayasari; Hadi, Muhammad; Talibo, Norman Alfiat; Taplo, Yusti Muzdalifah; Tonapa, Santo Imanuel
Jurnal Ners Vol. 21 No. 1 (2026): VOLUME 21 ISSUE 1 (FEBRUARY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i1.79809

Abstract

Introduction: This review aimed to synthesize the evidence on the effectiveness of dMBIs in reducing burnout, depression, and mindfulness among healthcare workers. Methods: A systematic review and meta-analysis of randomized controlled trials (RCTs) were conducted according to the PRISMA 2020 guidelines. Six databases were searched through June 25, 2025. Eligible studies evaluated dMBIs among healthcare workers with burnout as a primary or secondary outcome. Standardized mean differences (SMDs) were pooled using a random-effects model. The risk of bias was assessed using the Cochrane Risk of Bias tool, version 2.0. Results: Nine RCTs were included, with 1,603 participants contributing to the analyzable data. dMBIs reduced emotional exhaustion (SMD = −0.34; 95% CI: −0.60 to −0.07) and depersonalization (SMD = −0.31; 95% CI: −0.55 to −0.07), and increased personal accomplishment (SMD = 0.48; 95% CI: 0.16 to 0.80). The dMBIs also improved mindfulness (SMD = 0.44; 95% CI: 0.07 to 0.82) and reduced depressive symptoms (SMD = −0.20; 95% CI: −0.37 to −0.03). The heterogeneity was moderate to high, and most studies were at a high risk of bias. Conclusions: dMBIs may improve burnout, mindfulness, and depression in healthcare workers, and their flexible digital format may support their use in workplace wellness programmes. However, the heterogeneity was moderate to high, and most trials were at a high risk of bias; therefore, the findings should be interpreted cautiously. Further high-quality trials are needed to confirm these effects and to identify the best delivery formats and engagement strategies.
Co-Authors Agung, Rizki Nugraha Agustiany Dumeva Putri, Agustiany Dumeva Agustria Wijaksono, Azhar Ahmad Nasir Pulungan AHMADI Alland Kelana, Bagus Alvis, Zacky Alwahidin Alwahidin Angelina, Marchel Arofiati, Fitri Audi, Ajeng Asri Dayastri, Zibril Khaidir Dian Rosdiana, Dian Dina Rahmawati Dodi Pramana Endri, Gunawan Eni Widiastuti, Eni Fadhillah, Harif Fadilah, Harif Fadillah, Harif Fitri Haryanti Hari Purwanto Haryanto, Rohadi Hasanah, Idyatul Hasibuan, Muhammad Irvan Heny Purwati, Nyimas Husyairi, Khoirul Aziz Iyonu, Mentari Ariesta Junifa Layla Sihombing, Junifa Layla Kartika, Rini Fatma Khoiriyah Khoiriyah Khusaeni, Agus Kurniati, Tri La Hadisi, La Li Yoong , Tang Lisna Efiyanti Luthfyah Mawaddah, Siti Mahmudah, Laili Marwan, Aji Meliani, Eti Meliani Munawaroh, Meihati Nabila, Najha Naryati, Naryati Natashia, Dhea Nawangwulan, Rahayu Nellyta Neneng Kurwiyah Notoatmojo, Notoatmojo Novia Sari, Asih Novianti, Rika Astri Nur Ainun, Tina Nursalam Nursalam Nursanti, Irna Okiyana, Soviyani Oktafiona, Fani P Mustafa, P Pardede, Muliadi Prabawati, Dewi Pratami, Arifa Prihandoko . Prihandoko Prihandoko Prima Astuti Handayani Purwati, Nyimas Heny Puspitasari, Nia Ayu Radiamoda, Anwar M. Rahayu Rahayu Rahim Kamil, Abdu Riu, Silvia Dewi Mayasari Riza Agustiani, Riza Romawati, Pita Rum, Jalaluddin Safira, Juni Safira Santo Imanuel Tonapa, Santo Imanuel Saputri, Anggun Meylani Saputri, Rosaliana Ayu Saragih, Desvita Sasteri Yuliyanti Satinah, Satinah Simanjuntak, Janter Pangaduan Slametiningsih, Slametiningsih Sodiman Sodiman, Sodiman Solehah, Asna Markhotun Sopani, Ahmad Sri Mulyani Subekti, Siti Rohmah Suhendar Suhendar, Suhendar Sulaeman, Suhendar Sumartini, Tini Suminarti, Tini Sunandar, Mas Asep Syamsul Anwar, Syamsul Talibo, Norman Alfiat Taplo, Yusti Muzdalifah Threesnaldy, Muhammad Rezky Tintin Sukartini Sukartini, Tintin Sukartini Tonasa , Muh Tuti Nuraini Wahyu Hidayati Wahyudin Maguni, Wahyudin Widiastuti , Eni Wiramukthi, Supangkat Yani Sofiani Yanny Trisyani Yunus, Syarifudin Zahra, Atika