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Journal : Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran

Hubungan Motivasi dan Kepatuhan Penilaian Risiko Jatuh dengan Kejadian Jatuh di Ruang Rawat Inap Anak RS QIM Batang Khairun Nisak; Nopi Nur Khasanah; Kurnia Wijayanti
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i4.2315

Abstract

Patient safety is one of the main components in determining the quality of hospital services. Every hospital is required to minimize incidents that may harm patients. Among various patient safety incidents, falls in children rank second after medication errors, making them a serious issue that requires attention. This study aims to evaluate the relationship between nurses’ motivation and compliance in conducting fall risk assessments with the incidence of falls among pediatric patients in the inpatient ward of QIM Hospital Batang. This study employed a descriptive quantitative design with a correlational approach. A total of 44 nurses who met the inclusion criteria were recruited as respondents. Research instruments included a motivation questionnaire, an observation sheet on compliance, and records of patient fall incidents. Data were analyzed using the Spearman Rank test to measure the strength of the relationship between variables. The findings showed that most respondents (84.1%) had a high level of motivation, and all nurses (100%) demonstrated full compliance in performing fall risk assessments according to standard operating procedures. During the study period, no cases of pediatric falls were reported in the inpatient ward, indicating the effectiveness of fall risk assessment implementation. Statistical analysis produced a p-value of 0.011, indicating a significant relationship between motivation and nurses’ compliance. These findings emphasize that work motivation plays an important role in maintaining nurses’ consistency in adhering to safety procedures. Motivation can be enhanced through managerial support, continuous training, and the establishment of a strong patient safety culture, thereby reducing the risk of falls and improving the overall quality of healthcare services.
Hubungan Kepatuhan Penerapan Pediatric Early Warning Score (PEWS) dengan Kepatuhan Menjaga Keselamatan Pasien di RSUI Harapan Anda Kota Tegal Devi Apriliyani; Nopi Nur Khasanah; Kurnia Wijayanti
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 4 (2025): Oktober : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i4.2322

Abstract

In order for hospitals to detect and intervene early, pediatric patient care must be of high quality. When making clinical decisions, assessing the risk of clinical deterioration, and providing appropriate emergency and critical care, the Pediatric Early Warning Score (PEWS) can be an excellent tool for nurses. This study aims to determine how Harapan Anda Hospital in Tegal City applies patient safety compliance and adherence to PEWS implementation. A cross-sectional approach was used in this quantitative study. A complete sampling approach was used to generate a sample size of 88 nurses from various healthcare facilities, including pediatric inpatient wards, PICU, NICU, and the emergency department. Patient safety surveys and PEWS compliance surveys were used to collect data. Spearman's test was used to analyze the data. The results showed that the majority of individuals (45 out of 63) were categorized as compliant in the implementation of the Pediatric Early Warning Score (PEWS). Meanwhile, the majority of nurses, 41 out of 106, or 46.6%, were compliant in their efforts to ensure patient safety. There was a significant relationship between the compliance of PEWS implementation and patient safety at RSU Islam Harapan Anda Tegal City with a p-value of 0.000. The results of this study are expected to be applied by healthcare workers to implement PEWS according to procedure, in order to ensure pediatric patient safety quickly and accurately.