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All Journal Jurnal Keperawatan Indonesia Jurnal Keperawatan Jiwa (JKJ): Persatuan Perawat Nasional Indonesia JKG (Jurnal Keperawatan Global) Jurnal Keperawatan Silampari Jurnal Keperawatan Muhammadiyah Nursing Current : Jurnal Keperawatan Jurnal Keperawatan Abdurrab Jurnal Kepemimpinan dan Manajemen Keperawatan Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) International Journal of Nursing and Health Services (IJNHS) Jurnal Keperawatan Respati Yogyakarta Poltekita : Jurnal Ilmu Kesehatan Health Information : Jurnal Penelitian Jurnal Bahana Kesehatan Masyarakat (Bahana of Journal Public Health) Jurnal Kesehatan Panrita Husada Jurnal Ners Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Journal of Telenursing (JOTING) Indonesian Journal of Global Health research Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences Caring : Indonesian Journal of Nursing Science Jurnal Kesehatan Tambusai JOSING: Journal of Nursing and Health DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Holistik Jurnal Kesehatan Indonesian Journal of Global Health Research
Tuti Afriani
Department Basic Science & Fundamental Nursing, Faculty Of Nursing, Universitas Indonesia
Religion Arts Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary

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Digital Transformation of Borrowing System and Returning Medical Equipment Dian Eka Resty; Rr. Tutik Sri Hariyati; Tuti Afriani; Sudaryati Sudaryati
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.5758

Abstract

Medical equipment is an important element in health services, however, inadequate maintenance and management leads to a decrease in the efficiency and effectiveness of equipment operations. The purpose of this study was to determine the effectiveness of a digital equipment loan and return system. The method used is a pilot project with the Kurt Lewin approach. The unfreezing stage was carried out by identifying problems through interviews, observations, questionnaires to inpatient nurses at X Hospital. The movement stage, the implementation of the plan of action (plan of action) prepared with the hospital. The refreezing stage cannot be carried out because the implementation process is still ongoing. The results of the implemented solution are the use of G-forms as a medium for recording the borrowing and returning of medical devices between inpatient rooms and testing web applications. Recommendations for RS X are the establishment of regulations for borrowing and returning medical devices, socialisation of web applications as a medium for borrowing and returning medical devices, the need for logistics training for nursing staff.
Skill Mix Management in Nursing Services; A Mini Project in A Public Hospital in Jakarta Yuni Azizah; Rr. Tutik Sri Hariyati; Tuti Afriani; Nurdiana Nurdiana; Wahyu Kusumadi Retnoningtyas
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6489

Abstract

Skill mix includes the nurse workforce size, education level, and clinical experience, nursing hours per patient day, the ratio of nurses to patients (qualified and unqualified), and the various skills and training required to fulfil patient care needs. The aim of this study was to optimally manage the skill mix management system in nursing by allocating various skills and roles within the nursing team to provide safe, effective, and efficient care. This study used a mini-project and analysed the results and implementation gaps through a literature review. Problems were assessed using fishbone diagrams, with alternative solutions developed in a Plan of Action (POA) framework consisting of implementation, Evaluation, and Follow-up phases. Participants were nursing staff, consisting of 2 head nurses and 63 nurses (Primary Nurses and Associate Nurse). The implementation of this study began with the preparation and workshop of technical guidelines on skill mix management in nursing. Data were collected through interviews, questionnaires, field observations, and document reviews conducted from April 22 to May 16, 2024, involving nursing managers and staff on the 3rd and 6th floors of Inpatient Building A. The data were then analyzed descriptively using the nursing management function framework, which includes planning, organizing, staffing, directing, and controlling.Evaluation, through observation and interviews, showed that 80% of the technical guidelines were well structured. There was a focus on care planning patterns, patient delegation models, and preparation of service schedules. Effective nursing skill mix management requires risk mitigation strategies, such as the FMEA approach, as well as close supervision and improved staff competence
Implementation of Early Warning System (EWS) by Nurses in the Emergency Department and the Impact to Prevention Incident No Expected: Systematic Review Rio Verdiansyah; Hening Pujasari; Hanny Handiyani; Tuti Afriani
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6640

Abstract

The Emergency Department is a high-intensity clinical setting that manages critically ill patients who are highly susceptible to sudden clinical deterioration. Early detection through the implementation of the Early Warning System plays a crucial role in preventing unexpected adverse events, with nurses serving as the primary implementers of this system. This review aims to evaluate current evidence on the implementation of the Early Warning System by nurses in the Emergency Department and its impact on the prevention of unexpected adverse events. This study employed a systematic review approach by applying the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines during the article selection process and using the 2023 edition of the Joanna Briggs Institute (JBI) Critical Appraisal Tool to assess the quality of included studies. Search for articles through the ScienceDirect, ProQuest, PubMed, BMJ Journal, and EBSCO databases from 2020 to 2025. and 10 articles were analyzed. The majority of studies reported that the use of the Early Warning System consistently enhances the early detection of patient deterioration, accelerates clinical response, improves triage accuracy, and assists in predicting the need for advanced care such as admission to intensive care units. Implementation by nurses was also associated with improved compliance in vital signs monitoring and a reduction in patient mortality.
Roles and Functions of Nursing Management in Strengthening the Healthy Nurse Program for Nurses at Hospital Rio Verdiansyah; Rr. Tutik Sri Hariyati; Tuti Afriani; Hanny Handiyani; Krisna Yetti
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.152

Abstract

Nurse well-being is a critical foundation for ensuring the quality of healthcare services. However, the high prevalence of physical fatigue, occupational stress, and biopsychosocial-spiritual (BPSS) imbalances among nurses indicates an urgent need for strategic interventions rooted in nursing management. This residency project aimed to develop and implement the Healthy Nurse Program as an innovative initiative to holistically enhance nurse well-being at X Hospital. The program adopted Kurt Lewin’s planned change theory, encompassing the stages of unfreezing, changing, and refreezing. Implementation began with problem identification through interviews, observations, and BPSS-based questionnaires, followed by the formulation of a Plan of Action, socialization, and interventions such as workplace stretching, ergonomic education, MBCA monitoring, and spiritual reflection sessions.The study involved 32 newly hired nurses (≤1 year experience) selected through purposive sampling, with data analyzed using a fishbone diagram. Initial evaluation revealed a high prevalence of muscle fatigue, work-related stress, and over-fat conditions among nurses, along with strong support for program implementation. The Healthy Nurse initiative strengthened core nursing management functions and fostered a culture of sustainable workplace wellness. These findings provide a critical foundation for integrating occupational health promotion into hospital systems based on evidence-based practice.
Development of Guidelines and Continuing Professional Development (CPD) Program for Nursing Mahmul Rivai Siregar; Tuti Afriani; La Ode Abd Rahman; Krisna Yetti; Dyah Fitri Wulandari
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.335

Abstract

Professional development of nurses plays a crucial role in improving the quality of nursing services. The implementation of continuing competency development programs has not been optimal due to the absence of structured guidelines and programs at Hospital This lack of structure results in low consistency and uniformity in program implementation across nursing units. This study aims to develop a structured and sustainable professional development guideline and program for nurses that can serve as a reference for systematic and targeted implementation within the hospital environment. The study was conducted through a nursing management residency program held from May 27 to June 30, 2025. Data were collected through interviews, observations, and questionnaires distributed to nursing staff and nursing leadership. The questionnaire used the Q-PDN to measure various aspects of Continuing Professional Development (CPD) among nurses, with a Cronbach’s alpha reliability value of 0.89. Data analysis involved the Ishikawa diagram approach, SWOT analysis, and problem prioritization using the USG method. The analysis identified the absence of CPD guidelines and programs as the main problem, with the highest priority score. A draft guideline and CPD program were developed, covering staffing standards, facilities, implementation procedures, quality control, reporting, and follow-up mechanisms. Initial evaluation showed that 91% of stakeholders had a strong understanding of the document and provided positive feedback on its usefulness. The development of CPD guidelines and programs is a strategic step to strengthen the implementation of continuous professional development for nurses.
Optimization of the Role and Function of Head Nurse Management in the Handover Process Between Shifts Endah Ratna Samapty Winarsih; Tuti Afriani; Andi Amalia Wildani; Tenti Ariyanti
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.448

Abstract

The inter-shift handover is a critical process that significantly impacts patient safety. Communication failures during handover are identified as a major cause of safety incidents. In a referral hospital in Jakarta, the managerial role in handover remains suboptimal, indicated by inconsistent supervision and lack of standard practice. To optimize the role and function of nursing management in the handover process to enhance communication and patient safety. This case report employed a descriptive qualitative approach. Data were collected through interviews, observations, and questionnaires involving staff nurses in the GP2 inpatient unit. Interventions included the development of a standardized operating procedure (SOP) for shift handovers, simulation of bedside handovers using the SBAR format, and strengthened head nurse supervision through structured monitoring. The intervention improved understanding and acceptance of the SOP (100% of respondents found it understandable and logical) and enhanced communication quality (83–87% of respondents reported information was complete, accurate, and interactive). Head nurse supervision was perceived as strong (over 90%). However, only 33.3% consistently performed bedside handovers, and documentation in the electronic medical record (EMR) system was not optimal. Key challenges included time constraints, workload, and the lack of integrated documentation systems. The application of Kotter's change model contributed to the success of the intervention by establishing a sense of urgency, forming a guiding coalition, and reinforcing the role of management as change agents. Optimizing managerial functions has proven effective in improving communication and patient safety. Continued monitoring of bedside handover practices and sustained clinical supervision are recommended to maintain the quality of nursing services.
Optimization of Medical Equipment Inventory Management Through Barcode-Based Digitalization Maria Indah Septirini; Tuti Afriani; La Ode Abdul Rahman; Krisna Yetti; Dyah Fitri Wulandari
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.526

Abstract

Digital transformation in medical equipment logistics is a vital part of healthcare reform, aiming to enhance efficiency, accuracy, and patient safety. One of the main challenges at hospital is the manual documentation system for borrowing and returning medical equipment, which results in low accountability, service delays, and a high risk of equipment loss. : Case report area focused on the HCU/PICU unit. This study aims to describe the implementation process of a barcode-based digital medical inventory system through a managerial approach and planned change intervention based on Kurt Lewin's theory. A case report was conducted using Kurt Lewin’s planned change approach (unfreezing, moving, and refreezing), data analysis through observation, questionnaires, interviews, and implementation evaluation. The Assessment of Medical Equipment Management (MEM) questionnaire administered to 103 nurses revealed that 87.4% of units still use manual recording and 50.98% reported suboptimal coordination in equipment returns, with reliability  0.86 and validity loading factor ±0.5; content validity 85%. The intervention involved developing Standard Operating Procedures (SOPs) and technical guidelines for the "MedScan-KISA" barcode system, conducting simulation trials using Google Forms and barcode scanners, and directly supervising the implementation process. The implementation of a barcode-based digital inventory system in the HCU/PICU unit of hospital was carried out through a gradual change process based on Kurt Lewin’s theory. In the unfreezing phase, problems with the manual inventory system were identified through interviews, observations, and cross-unit discussions, leading to the design of a simple digital inventory system for the HCU/PICU unit. In the moving phase, an SOP was developed, simulations using barcodes and Google Forms were conducted, and intensive socialization and mentoring were provided to staff. Finally, in the refreezing phase, the new system was consistently practiced and integrated into daily routines in the HCU/PICU unit, thereby facilitating inventory recording and the return of medical equipment.
Development of A New Nurse Orientation Program in the Intensive Care Unit Masitho Masitho; Rr Tutik Sri Haryati; Hanny Handiyani; Krisna Yetti; La Ode Abdul Rahman; Tuti Afriani
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.593

Abstract

The transition of newly graduated nurses into high-intensity environments such as Intensive Care Units (ICU) presents significant challenges, often resulting in psychological stress and a gap between theoretical knowledge and clinical practice. To bridge this gap, a structured and systematic orientation approach is essential. One proven method is preceptorship, in which senior nurses act as clinical mentors to support new nurses in their professional adaptation. This approach facilitates the development of professional identity, enhancement of clinical competence, and gradual internalization of a patient safety culture. Objective: To evaluate and strengthen the roles of head nurses and primary nurses in mentoring newly graduated nurses to optimize ICU orientation and enhance patient safety.  A pilot project method was applied, beginning with problem identification, problem analysis, priority setting, development of a Plan of Action, implementation, and evaluation. The implementation of a preceptorship-based orientation program, supported by clear guidelines and checklists, improved the effectiveness of clinical mentoring by Primary Nurses in the ICU. Through a systematic change approach, the program successfully strengthened the role of preceptors, accelerated the adaptation of new nurses, and fostered a sustainable clinical learning culture. The preceptorship-based orientation program effectively facilitated the transition of newly graduated nurses into the ICU setting by enhancing clinical competence, confidence, and professional adaptation. Strengthening the role of preceptors and implementing structured guidelines fostered a supportive learning environment, reduced the theory–practice gap, and promoted a sustainable culture of patient safety and continuous professional development.
Daily Competency Notes as a Strategy to Observe the Development of Clinical Competence of NICU Nurses at Hospital X Ratna Meilina; Tuti Afriani; La Ode Abdul Rahman; Rr Tutik Sri Hariyati; Melissa Selviany; Herawani Herawani
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.644

Abstract

The daily competency log represents an innovative strategy to enhance nurses’ clinical competency development, particularly in the high-complexity environment of the Neonatal Intensive Care Unit (NICU). This initiative aims to implement and evaluate the daily competency log as a structured tool for monitoring, reflection, and strengthening nursing professionalism at X Hospital. A quality improvement case report approach was applied, encompassing observation, interviews, questionnaires, implementation, and evaluation phases. This study involved 29 NICU nurses selected through total sampling to evaluate the implementation of a Daily Nursing Competency Log. The instrument showed good validity (r > 0.514) and high reliability (Cronbach’s Alpha = 0.87), supporting its effectiveness in improving documentation, reflection, and professional accountability among nurses. Prior to its introduction, no structured competency documentation system existed, not all NICU nurses were certified, and nurse placement was not fully aligned with competency levels. Through pilot testing, socialization, and ongoing mentorship, the daily competency log was successfully introduced and gradually adopted. Digital evaluation indicated that nurses perceived the tool as beneficial for recording daily nursing practices, despite technical limitations such as suboptimal formatting and inefficient competency search features. Conducted collaboratively with the Assistant Manager of Nursing Care, the initiative also established a follow-up plan to refine the system and its content. In conclusion, the daily competency log contributes positively to the advancement of NICU nurses’ clinical competencies and holds significant potential for sustainable integration into the hospital’s nursing human resource quality management system.
Effectiveness of Monitoring and Evaluation in Enhancing the Quality of Nursing Care Documentation in Inpatient Baskoro Abdiansyah; Rr Tutik Sri Hariyati; Andi Amalia Wildani; Tuti Afriani; Sudaryati Sudaryati
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.652

Abstract

Effective nursing care documentation is a fundamental component of improving service quality, ensuring patient safety, and supporting professional accountability. This study aimed to evaluate the effectiveness of monitoring and evaluation in enhancing the quality of nursing documentation in an inpatient ward of a hospital in South Jakarta. This pilot study employed a management function framework, with activities conducted through planning, organizing, implementing, and controlling phases. Monitoring and evaluation interventions using digital tools were carried out by head nurses and primary nurses for 10 staff nurses. This study used a total sampling technique involving 10 nurses, with data analyzed through descriptive quantitative and qualitative methods to compare pre- and post-feedback documentation quality and identify factors influencing monitoring and evaluation effectiveness. The results showed an increase of 40.7% in the average documentation score after monitoring-evaluation feedback was provided. Significant improvements were found in the areas of nursing diagnoses and interventions. Structured monitoring and direct feedback were effective in improving documentation consistency and accuracy. Monitoring and evaluation should be institutionalized as a routine program supported by standard operating procedures, continuous training, and supervision to ensure the sustainability of high-quality nursing documentation.
Co-Authors Aat Yatnikasari Aat Yatnikasari Aat Yutnikasari ade herawati Ade Irma Dahlia Agustina, Frima Ulfa Ali Ahmad Keliobas ANDI AMALIA WILDANI Andi Nur Indah Sari Anika Kartika Annisa Rahmi Galleryzki Arhamsyah Arhamsyah Azizah, Yuni Baskoro Abdiansyah Cori Tri Suryani Cori Tri Suryani Dadan Bardah Dadan Bardah Dahlia, Ade Irma Damayanti, Mira Dewi Gayatri Dian Eka Resty Dina Warashati Dudi Mashudi Dudi Mashudi Dwi Suratmini Dyah Fitri Wulandari Dyah Fitri Wulandari Dyah Fitri Wulandari Dyah Fitri Wulandari Dyah Fitri Wulandari Dyah Fitri Wulandari Eka Budiarto Eka Pujiyanti Elisabet Herlyani Bota Koten Endah Ratna Samapty Winarsih Enie Novieastari Erwin Erwin Erwin Eva Metalita Fahmi, Ismail Fani Hestiana Sari Frima Ulfa Agustina Frima Ulfa Agustina Frima Ulfa Agustina Hana Mutiasari Hanny Handiyani Hariyati, Roro Tutik Sri Harpendewisasmita, Harpendewisasmita Harwina, Harwina Hening Pujasari Herawani Herawani Herawani, Herawani I Wayan Gede Saraswasta Istiqomah Istiqomah Joan Xaveria Mahulae Kartika, Anika Khairul Nasri Khairul Nasri Krisna Yetti Krisna Yetti Krisna Yetti Kuntarti La Ode Abd Rahman La Ode Abdul Rahman La Ode Rahman Laras Adythia Pratiwi Lilis Rayatin Lusia Dian Wahyu Winarti Lusianus Demon Kehi Mahmul Rivai Siregar Manumba, Ruliyani Marbun, Yusniaty Maria Indah Septirini Masfuri - Mashudi, Dudi Masitho Masitho Melissa Selviany Mery Anglelia Sirait Metalita, Eva Mira Damayanti Mu'minah Mu'minah Nanang Miftakhul Wakhdi Nasri, Khairul Novieastari Novieastari Nurdiana Nurdiana Nurdiana Nurdiana Nurdiana Nurdiana Oktaviarini, Eva Perdana, Riska Rusfita Pina Pudiyanti Putri Nilasari Rachmi, Shanti Farida Ratna Meilina Reidha Fitri Nurbaeti Resty, Dian Eka Rezky Mulyana Rio Verdiansyah Rita Herawati Rizka Fadhila Rizky Indriasari Rosari Tarigan Rr Tutik Sri Hariyati RR Tutik Sri Hariyati Rr Tutik Sri Hariyati Rr Tutik Sri Hariyati Rr Tutik Sri Haryati Rr. Tutik Hariyati Rr. Tutik Sri Hariyati Rr. Tutik Sri Hariyati Rr. Tutik Sri Hariyati Rr. Tutik Sri Hariyati Rr. Tutik Sri Hariyati Rr.Tutik Sri Hariyati Sarvita Sarvita Dewi Sarvita Dewi Sarvita Dewi Setyowati Setyowati Setyowati Setyowati Silitonga, Ester Mutiara Indah Siti Indriani Situmeang, Widiya Yulian Sudaryati Sudaryati Sudaryati Sudaryati Sudaryati Sudaryati Sudaryati Sudaryati Sudaryati Sudaryati Suminarti, Tini Sunarti, Arni Suryati Suryati Tanlain, Susana Helen Tatik Wahyuni Tenti Ariyanti Tini Suminarti Tomy Suganda Vergeina Ayu Viesca Septianata Wahyu Kusumadi Retnoningtyas Wahyuni, Tyas Wildani, Andi Amalia Wirdani, Andi Wilda Wulandari, Dyah Fitri Yuliana Yuliana Yuni Azizah Yunita Yunita