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PREVALENCE OF BURNOUT SYMPTOMS IN NURSES HOSPITAL ASSIGNED TO COVID-19 ISOLATION ROOMS Sylvia Jessy Kurniawan; Kuswantoro Rusca Putra; I Gusti Agung Gede Utara Hartawan
Indonesian Journal of Health Administration Vol. 10 No. 1 (2022): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i1.2022.60-69

Abstract

Background: Burnout is a health problem that may happen to nurses and may impact patient safety and organization in any situations, especially during the second wave of COVID-19 pandemic. Aims: This study aimed to identify the prevalence of burnout among nurses in charge of isolation rooms and its relationship to their demographics factor. Methods: This research design is descriptive-analytic quantitative and cross-sectional. It involved 124 nurses assigned to isolation rooms for COVID-19 patients admitted to the first referral hospital in Bali. Data were collected using a questionnaire adopted from the Maslach Burnout Inventory to identify burnout symptoms. Demographic questionnaire was administered to garner respondents' demographics. Results: High category of burnout was related to emotional exhaustion found in 66.1% of the respondents, depersonalization in 33.1%, and reduced personal accomplishment in 0.8%. Age, marital status, education, and gender were not related to burnout. Nurses who worked in non-ICU experienced higher burnout than ICU (p < 0.05). Conclusions: The prevalence of burnout symptoms in the nurses who were in charge in COVID-19 isolation rooms is in the high category. Hospital management must consider demographic factors to improve the work environment, recruit new employees, conduct routine health checks, and provide mental health treatments consistently.
OPTIMIZATION OF DISCHARGE PLANNING FOR COVID-19 PATIENTS THROUGH INTEGRATED EDUCATION SYSTEM COVID NURSE ASSISTANT (CNA) TO PREVENT TRANSMISSION AND IMPROVING PATIENT SELF-CARE ABILITY IN RSSA Evi Harwiati Ningrum; Ike Nesdia Rahmawati; Linda Wieke Noviyanti; Annisa Wuri Kartika; Ahmad Hasyim Wibisono; Ahsan Ahsan; Kuswantoro Rusca Putra
Caring : Jurnal Pengabdian Masyarakat Vol 1, No 3 (2021): CARING Jurnal Pengabdian Masyarakat (Desember 2021)
Publisher : Caring : Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (824.266 KB) | DOI: 10.21776/ub.caringjpm.2021.001.03.1

Abstract

The high number of COVID-19 cases was not balanced by the number of nurses assigned to the Covid isolation room with limited PPE availability. This causes many of the duties of nurses, especially health education, could not be performed completely. Thus, it is necessary to renew the Discharge Planning procedure for Covid 19 patients according to the characteristics of Covid-19 transmission. The purpose of this community service is to increase the effectiveness of the discharge planning for the COVID-19 patients to improve self-care and prevent infection transmission at home. This community service activity consists of 4 (four) stages, namely: 1) Preparation stage for coordination with the hospital; 2) Application development phase, consisting of application design, collection of educational media; 3) Implementation, launching and socialization of applications in the hospital environment; 4) Evaluation and monitoring stage. The results of the evaluation showed that as many as 58.7% of patients had used the CNA. About 62.7% patients experience an increase of their knowledge after accessing the CNA. There were 61.6% patients stated that the CNA had increased their knowledge on home care procedure post-Covid treatment. There are 62.3% of patients feel that the CNA supports patient care at home. The benefits of the CNA were expressed by 82 patients (87.2%) with increased self-care and as many as 76 patients (80.9%) stated that the CNA educational media was more attractive and easy to understand. The conclusion of this activity is that the CNA application can be implemented as a medium of health education for patients and families to improve their ability to take care of themselves.
UPAYA PENINGKATAN KEMAMPUAN PERAWAT DALAM IMPLEMENTASI MODEL ASUHAN KEPERAWATAN PROFESIONAL (MAKP) DI RUANG RAWAT INAP RUMAH SAKIT UNIVERSITAS BRAWIJAYA MALANG Ike Nesdia Rahmawati; Ahsan Ahsan; Kuswantoro Rusca Putra; Linda Wieke Noviyanti; Evi Harwiati Ningrum
Caring : Jurnal Pengabdian Masyarakat Vol 1, No 1 (2021): CARING Jurnal Pengabdian Masyarakat (April 2021)
Publisher : Caring : Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1072.93 KB) | DOI: 10.21776/ub.caringjpm.2021.001.01.2

Abstract

AbstractThe increasing public demand for quality nursing services require Nurse managers to improve the quality of nursing services. The professional Model of Nursing Care or Model Asuhan Keperawatan Profesional (MAKP) is a strategy to improve the quality of nursing care. Therefore, nursing services become more structured, organized, professional and comprehensive. The implementation of this community service activity consists of three stages, namely the MAKP training stage for nurses, the MAKP implementation assistance stage in inpatient wards, and the evaluation of MAKP implementation. The results of this community services were shown by The increase of nurses’ knowledge by 84.2% before and after training. As many as 79.4% of participants were active during the discussion of MAKP. The results of the evaluation of MAKP implementation assistance were 82.5% rate of Standard Operational Procedure (SOP) on the these following activities: handover, pre-conference, post-conference, discharge planning, and nursing rounds. MAKP training is able to increase the effectiveness of nursing services in the hospital. It is highly expected that training to improve other nurses' abilities can continue to be carried out as a form of collaboration between nurse academics and practitioners. This community service is also expected to bridge the implementation of nursing theories and concepts in clinical settings.AbstrakPermintaan masyarakat terhadap pelayanan keperawatan yang bermutu yang semakin meningkat menuntut  pembenahan dalam manajemen keperawatan untuk peningkatan mutu layanan keperawatan.  Model Asuhan Keperawatan Profesional (MAKP) merupakan strategi peningkatan mutu asuhan keperawatan. Sehingga pelayanan keperawatan menjadi lebih terstruktur, terorganisir, profesional dan komprehensif. Pelaksanaan kegiatan pengabdian masyarakat ini terdiri dari tiga tahap yaitu tahap pelatihan MAKP bagi perawat, tahap pendampingan implementasi MAKP di ruang rawat, dan evaluasi implementasi MAKP. Hasil evaluasi kegiatan ini pengetahuan perawat yang meningkat adalah sebesar 84,2% dari sebelum dan sesudah pelatihan.  Sebanyak 79,4% peserta aktif dalam diskusi. Hasil evaluasi pendampingan implementasi MAKP didapatkan 82,5% sesuai dengan SOP meliputi operan, preconference, postconference, discharge planning, dan ronde keperawatan. Pelatihan MAKP mampu meningkatkan efektifitas pelakasanaan pelayanan keperawatan di rumah sakit. Diharapkan pelatihan peningkatan kemampuan perawat yang lain dapat terus dilaksanakan sebagai bentuk Kerjasama antara perawat akademisi dan praktisi. Kegiatan pengabdian masyarakat ini juga diharapkan menjembatani implementasi teori dan konsep keperawatan secara teknis di layanan Kesehatan.
Neonatal Resuscitation Preparedness Among Healthcare Provider: A Systematic Review Ika Rizki Anggraini; Kuswantoro Rusca Putra; Setyoadi
International Journal of Science and Society Vol 2 No 3 (2020): International Journal of Science and Society (IJSOC)
Publisher : GoAcademica Research & Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (722.254 KB) | DOI: 10.54783/ijsoc.v2i3.157

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Neonatal asphyxia is a form of gravity that occurs in neonates. It is a condition when the baby cannot breathe spontaneously and regularly after birth. The management of neonatal resuscitation is carried out by the health team. It is provided by nurses, midwives, and physicians. To identify the evidence of health team readiness in administering neonatal emergencies is useful to succeed neonatal resuscitation. The selection was conducted by following PRISMA flow diagram. It was also criticized by JBI tool. The search keywords were “Readiness Factor” and “Neonatal Resuscitation”. The steps consisted of making questions, identifying, eligibility, article inclusion selection, screening, and appraisal. After 11 relevant articles were collected, they were analyzed in a systematic review. The finding shows that readiness in carrying out neonatal resuscitation requires preparation from both the health team that administers these actions. It consists of six dimensions. These dimensions are knowledge, clinical skills, self-efficacy, handling algorithms, facilities, and medicine. They are interrelated with one another towards a successful neonatal resuscitation.
Hubungan Kerja Tim dengan Missed Nursing Care dalam Perawatan Pasien di Rumah Sakit rahani ayu amalia; Kuswantoro Rusca Putra; Ike Nesdia Rahmawati3
Jurnal Perawat Indonesia Vol. 5 No. 2 (2021): August 2021
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (508.308 KB)

Abstract

Perawat memiliki peran penting dalam memberikan asuhan keperawatan tanpa terlewat. Kejadian missed nursing care dapat mengakibatkan permasalahan yang dapat menurunkan kualitas kepuasan pasien. Kualitas ini dapat dipertahankan dengan kerja tim yang efektif. Tujuan penelitian ini untuk mengetahui hubungan antara kerja tim dengan missed nursing care dalam perawatan pasien di rumah sakit. Penelitian Cross-sectional ini dilakukan secara online kepada 93 perawat. Data dikumpulkan menggunakan kuesioner MIISSCARE survey untuk mengukur kejadian missed nursing care dan nursing teamwork survey (NTS) untuk mengukur kerja tim. Teknik sampling yang digunakan penelitian ini adalah nonprobability sampling dengan pendekatan consecutive sampling. Data dianalisis melalui statistik deskriptif dan uji Spearman’s-Rho dengan alpha <0,05. Hasil penelitian ini yaitu mean missed nursing care 1.33, mean kerja tim 4.61, dan uji korelasi menunjukkan nilai p value= 0,000 r= -0,548 bahwa ada hubungan antara kerja tim dengan missed nursing care. Sehingga, diharapkan perawat mampu mempertahankan kerja tim dengan baik dan dapat mengikuti pelatihan kerja tim perawat. Kata Kunci: Missed Nursing Care, Kerja Tim, Perawat
The Effect of Clinical Learning Environment on Nursing Student Satisfaction in East Java Province Kuswantoro Rusca Putra; Alfrina Hany; Rustiana Tasya Ariningpraja
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 6, No 1 (2021): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (268.544 KB) | DOI: 10.24990/injec.v6i1.393

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Introduction: The clinical learning environment is a situation for the implementation of student practical learning. Satisfaction with the clinical learning environment is very important to foster a positive learning experience. This study aims to analyze the influence of the clinical learning environment on nursing student satisfaction. Methods: The study design used was an observational analysis with a cross-sectional approach to clinical nursing students in East Java Province with 451 student respondents. A consecutive sampling method was conducted. The Clinical Learning Environment Supervision Teacher (CLES T) instrument was used to assess learning environment variables and Clinical Learning Environment Inventory (CLEI), in particular, the satisfaction dimension was used to assess the satisfaction variable. Data analysis used the Spearman rank test and multiple linear regression. Results: There is a relationship between the clinical learning environment (pedagogic learning, leadership style, nursing care in the ward, the relationship of supervision, the role of nurse teacher) and the satisfaction of nursing clinic students (p = 0.000). Multiple linear regression analysis showed that the dimensions of pedagogic learning (t = 3.261; p = 0.001) and the role of the nurse teacher (t = 2.693; p = 0.007) had an effect on nursing student satisfaction. Conclusion: Student satisfaction is an important factor in the implementation of student clinical learning, so it is necessary to carry out good management by educational institutions and practice fields regarding the learning environment and improving the pedagogic atmosphere and the role of nurse teachers in clinical learning.
Availability of Human Resources, Facilities, Communications and Missed Nursing Care Putra, Kuswantoro Rusca; Budiati, Ani; Dewi, Fajar Mulia; Rahmayanti, Asih Devi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 2: June 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1344.223 KB) | DOI: 10.30604/jika.v6i2.503

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Missed Nursing Care (MNC) is a phenomenon that occurs in many hospitals globally and has an impact on the quality of nursing services. MNC describes the elements of nursing care that patients need but is missed or delayed in the implementation. MNC can be divided into 2 Acute Care Missed Nursing Care (AMNC) and Activity Daily Living (ADL) Omission. This study aims to determine the relationship of Human resources, Facilities and Communication with AMNC and ADL Omission. This study used a descriptive correlational design using a cross-sectional approach,  a sample of 228 nurses, using the Misscare survey instrument and analyzed the data using Pearson Correlation. The results of this study indicate a relationship a relationship between human resources and AMNC (p = .005, r = -.185) and ADL Omissions (p = .001, r = -.220); facilities with AMNC (p = .050, r = -.130) and ADL Omissions (p = .046, r = -.132); communication with AMNC (p = .017, r = -.158) and ADL Omissions (p = .002, r = -.201). Human resources, facilities and communication are related to AMNC and ADL Omissions, so that effective nursing management is needed to improve the quality of nursing services.Abstrak: Missed Nursing Care (MNC) merupakan fenomena yang  banyak terjadi di  rumah sakit di dunia dan berdampak pada  mutu pelayanan keperawatan. MNC menggambarkan elemen asuhan keperawatan yang dibutuhkan pasien namun terlewatkan atau tertunda pelaksanaannya.  MNC dibedakan menjadi 2 Acut Care Missed Nursing Care  (AMNC) dan Activity Dayli Living (ADL)  Omission. Penelitian ini bertujuan mengetahui hubungan  Suber daya manusia (SDM), fasilitas dan  komunikasi dengan  AMNC dan ADL  Omission. Penelitian ini merupakan penelitian deskriptif korelational, menggunakan pendekatan cross sectional. Sampel    sebanyak 228 perawat, menggunakan instrumen Misscare survey, analisis data menggunakan Pearson Correlation. Terdapat hubungan SDM dengan AMNC  (p = .005, r = -.185) dan ADL Omissions (p = .001, r = -.220);  fasilitas dengan AMNC (p = .050, r = -.130) dan ADL Omissions (p = .046, r = -.132);  komunikasi dengan AMNC (p = .017, r = -.158) dan ADL Omissions  (p = .002, r = -.201). Kesediaan SDM, fasilitas dan komunikasi berdampak pada kejadian AMNC  dan  ADL Omissions sehingga diperlukan manajemen keperawatan  yang efektif untuk dapat meningkatkan mutu pelayanan keperawatan.
The Correlation of Nurse's Work Environment with Missed Nursing Care in Hospital Dinda Amalia Okvie Putri; Kuswantoro Rusca Putra; Mifetika Lukitasari
Fundamental and Management Nursing Journal Vol. 5 No. 2 (2022): VOLUME 5 ISSUE 2 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmnj.v6i1.49063

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Introduction: Missed nursing care is caring aspect needed for patients who have intentionally or not been eliminated or significantly postponed. One of the factors that can affect missed nursing care is the work environment of the nurse. This study aims to examine the correlation of nurse’s work environment with missed nursing care in a regional general hospital in Indonesia. Method: This research study is used correlational analysis and a cross sectional design approach which was carried out on 56 nurses as respondents using two instruments: Misscare survey and Practice environment scale- nursing work index (PES-NWI) questionnaire. Descriptive and inferential statistics tests were applied. The level of significancy was set at p value = <0.05. Results: Nurse work environment data including staffing and resources; quality of basic nursing care; nurse-doctor relationship; nurse participation in hospital affairs; nurse manager abilities, leadership, and nurse support. The statistical test showed study using Spearman Rank test showed that there was a significant relationship between the work environment of nurses and missed nursing care (ρ <0.05). Conclusions: Professional nursing environments determine the quality of care and patient outcomes. Assessing the quality of environments is essential to improve and obtain better health outcomes. Simplifying and shortening the way to evaluate environments reliably is also essential to help nurses better understand the strengths and weaknesses of their work. Identifying elements of nursing environments would allow the construction of better health services as a whole.
Inovation for Nurses Burnout Intervention: A Systematic Review Asih Devi Rahmayanti; Kuswantoro Rusca Putra
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (678.482 KB) | DOI: 10.30604/jika.v6i3.571

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Burnout was defined as a critical problem found in nurses which could deliver a though impact on their life quality and decrease of nursing quality that was proven by the existence of economic problem within the healthcare system. However, a variety of nursing interventions which were aimed to reduce this nurse problem varied and aimed to define this issue. This research was aimed to examine and conclude the study and discussion of nurse burnout in order to improve nursing performance output. This research was categorized into a systematic review which exerted Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines which was aimed to identify the researches on intervention taken for nurse burnout case. The researcher has independently searched these following scientific databases: ProQuest, Science Direct, and EBSCO for the preliminary researches that have been published between 2015-2020 in order to analyze and evaluate those researches which suited to the recent inclusion criteria. Based on the databases search of about 1273 articles, 12 researches have met to the criteria and were involved in this review. From the total of 12 researches, 8 researches have used randomized controlled testing, thus, the result should be deduced with carefully. According to the previous researches, the intervention on nurse burnout was conducted to improve the result of nursing performance through different programs as education, mindfulness therapy session, support, and increased involvement, also communication. Based on the selected researches in this recent review, it showed that an effective intervention for nurse burnout could be either performed individually or in groups and should consider some possible causes, so it could combine to several therapeutic instruments. This review suggested that the future intervention should concern on a more holistic approach by exerting the broader range of intervention techniques.
The Effect of Professionalism and Structural Empowerment on Job Satisfaction of Inpatient Nurse Rita Yuliana Sari; Kuswantoro Rusca Putra; Nurul Muslihah
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (653.333 KB) | DOI: 10.30604/jika.v8i1.1669

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Nurses are one of the health workers who provide primary health services. Apart from being a large number in hospitals, its presence and role are strongly associated with patient safety and quality of care. Nurse job satisfaction has become one of the benchmarks for the quality of patient care. Research on the effects of professionalism and structural empowerment simultaneously on job satisfaction has never been done before. This study examines the impact of professionalism and structural empowerment on job satisfaction among inpatient nurses. This study is in the form of a cross-sectional survey. As many as 129 nurses from Bengkayang Regional Hospital and Landak Regional Hospital participated in this study. To collect data, Hall Professionalism Scale, Conditions for Work Effectiveness Questionnaire II, and Job Satisfaction Survey were delivered to respondents. Data were then analyzed using multiple linear regression. According to analysis, there is a significant effect of professionalism and structural empowerment on the job satisfaction of inpatient nurses.Abstrak: Perawat adalah salah sat dari tenaga Kesehatan yang menyediakan pelayanan kesehatan pertama. Selain dari jumlahnya yang besar di rumah sakit, keberadaan dan perannya juga sangat berkaitan dengan keamanan pasien dan kualitas pelayanan. Kepuasan kerja perawat telah menjadi salah satu tolak ukur dari kualitas pelayanan. Penelitian terhadap pengaruh profesionalisme dan pemberdayaan struktural terhadap kepuasan kerja belum pernah dilakukan sebelumnya. Penelitian ini berupaya untuk menjelaskan pengaruh profesionalisme dan pemberdayaan struktural terhadap kepuasan kerja perawat rawat inap. Penelitian ini berbentuk survey cross-sectional. Sebanyak 129 perawat dari Rumah Sakit Daerah Kabupaten Bengkayang dan Rumah Sakit Daerah Kabupaten Landak berpartisipasi di dalam penelitian. Untuk mengumpulkan data, kuisioner Hall Professionalism Scale, Conditions for Work Effectiveness Questionnaire II, and Job Satisfaction Survey diberikan kepada responden. Data kemudian dianalisis menggunakan regresi linier berganda. Berdasarkan hasil analisis tersebut, terdapat pengaruh signifikan profesionalisme dan pemberdayaan struktural secara simultan terhadap kepuasan kerja perawat rawat inap.
Co-Authors Aat Djanatunisah Achir Yani S. Hamid agus, Muharami Ahmad Hasyim Wibisono Ahsan Ahsan , Ahsan Ahsan Ahsan Alfrina Hany Alfrina Hany, Alfrina Amalia Rizki, Nurul Ani Budiati Ani Budiati Anwar, Mochamad Saiful Asih Devi Rahmayanti Asih Devi Rahmayanti Asih Devi Rahmayanti Budiati, Ani Dewa Gede Sanjaya Putra Dewi, Fajar Mulia Dhelya Widasmara Dinda Amalia Okvie Putri djauhari, thantowi Ekwantoro Ekwantoro Eriprianto, Kukuh Fa Rizki Bayu Perdana Bayu Perdana Fa Rizki Bayu Perdana Bayu Perdana, Fa Rizki Bayu Perdana Fajar Mulia Dewi Fajar Mulia Dewi Feorentina, Ivo Hardiyanto . Hardiyanto . Heriandi Sutadi I Gusti Agung Gede Utara Hartawan I Wayan Agus Wirya Pratama Ika Rizki Anggraini Ike Nesdia Rahmawati Ike Nesdia Rahmawati, Ike Nesdia Ike Nesdia Rahmawati3 Irwan Subekti Irwan Subekti, Irwan Istiqomah, Ratri Jamilatus Syamsiah Anwar Kartika, Annisa Wuri Kumoro Asto Lenggono Kuncoro, Wahyudi Kurniawan, Sylvia Jessy Laily Yuliatun Lilik Supriati Lilik Zuhriyah LInda WIeke Noviyanti Lisajidin, Muhamad Mifetika Lukitasari Mustikasari Mustikasari Ningrum, Evi Harwiati Noorhamdani AS Nurdiana, Sevia Nurul Muslihah Pawestri, Frilian Niken rahani ayu amalia Rahmayanti, Asih Devi Rani Rakhmawati Rani Rakhmawati, Rani Rinik Eko Kapti, Rinik Eko Rita Yuliana Sari Rr. Tutik Sri Hayati Rustiana Tasya Ariningpraja Setyoadi Setyoadi Setyoadi Setyoadi Setyoadi Setyowati Setyowati Suryanto Suryanto Syadilla, Iryne Putri Sylvia Jessy Kurniawan Tinggogoy, Meitha Vatmasari, Ratih Arum Wibisono, Ahmad Hasyim Winda Yuniarsih Wisnasari, Shila Yulian Wiji Utami Yulianti, Lena Yuniati, Wahyu