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All Journal International Journal of Public Health Science (IJPHS) Jurnal Keperawatan Jurnal Kedokteran Brawijaya Jurnal Administrasi Kesehatan Indonesia MEDISAINS Majalah Kesehatan FKUB JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Journal Of Nursing Practice Care : Jurnal Ilmiah Ilmu Kesehatan Jurnal Perawat Indonesia Jurnal Riset Kesehatan Poltekkes Depkes Bandung Jurnal Aisyah : Jurnal Ilmu Kesehatan Babali Nursing Research Jurnal Health Sains FUNDAMENTAL AND MANAGEMENT NURSING JOURNAL Caring : Jurnal Pengabdian Masyarakat Journal of Applied Nursing and Health International Journal of Science and Society (IJSOC) Journal of Nursing Science Update Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) Journal of Community Health and Preventive Medicine (JOCHAPM) DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Journal of Psychiatry Psychology and Behavioral Research (JPPBR)
Kuswantoro Rusca Putra
Universitas Brawijaya
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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The Correlation of Nurse's Work Environment with Missed Nursing Care in Hospital Putri, Dinda Amalia Okvie; Rusca Putra, Kuswantoro; Lukitasari, Mifetika
Fundamental and Management Nursing Journal Vol. 5 No. 2 (2022): OCTOBER 2022
Publisher : Universitas Airlangga

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

Abstract

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.
Nurse Competence, Work Environment, and Patient Safety: The Mediating Role of Bedside Handover in Indonesia: A Cross-Sectional Study Kaparang, Sova Nova; Putra, Kuswantoro Rusca; Kapti, Rinik Eko
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.484

Abstract

Background: Patient safety remains a major global concern, especially in low- and middle-income countries (LMICs) where resource limitations and communication gaps contribute to preventable harm. Although bedside handover is recognized as a strategy to enhance transparency and safety culture, few studies have examined its mediating role between nurse competence, work environment, and patient safety. Methods: This cross-sectional study, conducted in accordance with STROBE guidelines, involved 258 inpatient nurses selected through proportionate stratified random sampling from four hospitals in North Sulawesi, Indonesia. Eligible participants had at least one year of experience and were actively involved in bedside handover. Validated instruments the Nurse Competence Scale (NCS), Area of Worklife Survey (AWS), Nursing Handoff Competency Scale (NHCS), and Safety Care Activity Scale (SCAS), were used. Structural Equation Modeling with Partial Least Squares assessed measurement validity and structural relationships. Results: All instruments met recommended validity and reliability standards, and the sample primarily comprised early-career female nurses. Structural modeling showed that both nurse competence and the work environment were positively associated with bedside handover, which in turn demonstrated a strong relationship with patient safety. Bedside handover partially mediated the influence of nurse competence and fully mediated the influence of the work environment on patient safety. Conclusion: Bedside handover serves as a central mechanism linking individual capabilities and organizational conditions to safer patient outcomes. Strengthening competency development, promoting fairness and teamwork, and standardizing bedside handover practices may offer practical, low-cost pathways to improve patient safety in LMIC contexts
Implementation Of Ideal Discharge Planning To Improve Patients’ Discharge Readiness At Panti Waluya Sawahan Hospital Agustina, Clara; Kuswantoro Rusca Putra; Maria Magdalena Sri Widiastuti
Caring: Jurnal Pengabdian Masyarakat Vol. 5 No. 3 (2025): CARING Jurnal Pengabdian Masyarakat (Desember 2025)
Publisher : Department of Nursing, Faculty of Health Sciences, Universitas Brawijaya.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.caringjpm.2025.005.03.3

Abstract

Effective discharge planning is a key component in ensuring that patients and families are prepared to continue care after hospital discharge. Limited use of educational media and the inconsistent application of methods that ensuring patients’ have been identified as challenges in the discharge planning process in the Placida Paviliun Ward of Panti Waluya Sawahan Hospital. This community service activity aimed to implement IDEAL Discharge Planning as a structured approach developed by the Agency for Healthcare Research and Quality to improve patient discharge readiness. The activity was conducted from October to November 2025 and involved six patients. The method consisted of three stages: preparation, implementation, and evaluation. The preparation stage included the development of an educational module, standard operating procedures, assessment instruments, and educational media based on six major diagnoses. The implementation stage involved initial assessment of patients’ educational needs, delivery of personalized daily education, and education provided prior to discharge. Evaluation was conducted using a discharge readiness instrument covering home care ability, caregiver identification, medication management, recognition of warning signs, and follow-up planning. The results showed that all patients demonstrated improved discharge readiness following the implementation of IDEAL Discharge Planning. This activity demonstrates that applying IDEAL Discharge Planning supported by needs-based educational media and family involvement can strengthen patients’ readiness to perform self-care at home. This model has the potential to be implemented in other inpatient units to improve quality of care transitions.
The Association Between Nurses’ Caring Behaviors with Patient Satisfaction and Loyalty at Panti Waluya Hospital Regina Hege; Kuswantoro Rusca Putra; Rinik Eko Kapti
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 2 (2026): EDITION JULY 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i2.8414

Abstract

Patient satisfaction and loyalty are important indicators of healthcare quality and hospital sustainability, and may be influenced by patients' perceptions of nurses' caring behaviors. This study aimed to analyze the association between nurses’ caring behaviors and patient satisfaction and loyalty at Panti Waluya Sawahan Hospital, Malang, Indonesia. A correlational study with a cross-sectional design was conducted involving 202 inpatients from July to September 2025. Eligible participants were patients aged ?18 years, hospitalized for at least three days, fully conscious, and able to communicate effectively. Participants were selected using proportional quota sampling across inpatient wards. Data were collected using the Caring Assessment Tool Version V (CAT V-27), the Public Service Satisfaction Questionnaire based on PERMENPAN-RB No. 14/2017, and a patient loyalty questionnaire adapted from Meesala and Paul (2018). Data were analyzed using Spearman's rho. Significant positive associations were found between nurses' caring behaviors and patient satisfaction (r? = 0.160; p = 0.023), nurses’ caring behaviors and patient loyalty (r? = 0.163; p = 0.020), patient satisfaction and patient loyalty (r? = 0.469; p 0.001). Nurses' caring behaviors were weakly associated with patient satisfaction and loyalty, whereas patient satisfaction showed a stronger association with patient loyalty. These findings highlight the importance of strengthening caring interactions as part of patient-centered nursing care while supporting continuous quality improvement to enhance  healthcare experiences. Future studies should employ longitudinal or analytical designs to examine additional factors influencing patient satisfaction and loyalty.
Faktor yang Berhubungan dengan Aktivitas Manajemen Keselamatan Pasien oleh Perawat Klinis Agustina, Clara; Putra, Kuswantoro Rusca; Fevriasanty, Fransiska Imavike; Kusumaningsih, Amalia
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 18 No 1 (2026): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v18i1.3224

Abstract

Background: Nurses play a critical role in preventing patient safety incidents through the implementation of patient safety management activities. However, evidence on the individual and organizational factors related to these activities among clinical nurses in Indonesian hospitals remains limited. Objective: This study aimed to identify factors associated with patient safety management activities among clinical nurses. Methods: This cross-sectional study was conducted in three hospitals in Malang Raya, East Java, Indonesia, involving 225 nurses recruited using proportional quota sampling. Data were collected using the Nurse Professional Competence Scale, the Practice Environment Scale of the Nursing Work Index, the Safety Motivation Tool, and the Safety Care Activity Scale. Data analysis included descriptive statistics, bivariate analysis (Mann-Whitney test, Kruskal-Wallis test, and Spearman correlation), and multiple linear regression. Results:  The final regression model indicated that motivation (β = 0.762, p < 0.001) and work environment (β = 0.161, p < 0.001) were significantly associated with patient safety management activities, explaining 68.9% of the variance. Conclusion: These findings highlight the importance of nurse motivation and supportive work environments in strengthening patient safety practices, while providing empirical evidence on the combined role of individual and organizational factors in Indonesian hospital settings.
Co-Authors Aat Djanatunisah Achir Yani S. Hamid agus, Muharami agustina, clara Ahmad Hasyim Wibisono Ahsan Ahsan , Ahsan Ahsan Ahsan Akhmad Fauzi Alfrina Hany Alfrina Hany, Alfrina Amalia Rizki, Nurul Ani Budiati Ani Budiati Asih Devi Rahmayanti Asih Devi Rahmayanti Budiati, Ani Dewa Gede Sanjaya Putra Dewi, Fajar Mulia Dhelya Widasmara 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 Fransiska Imavike Fevriasanty Hardiyanto . Hardiyanto . Heriandi Sutadi I Gusti Agung Gede Utara Hartawan Ika Rizki Anggraini Ike Nesdia Rahmawati Ike Nesdia Rahmawati, Ike Nesdia Ike Nesdia Rahmawati3 Irwan Subekti Irwan Subekti, Irwan Istiqomah, Ratri Jamilatus Syamsiah Anwar Kaparang, Sova Nova Kartika, Annisa Wuri Kumoro Asto Lenggono Kuncoro, Wahyudi Kurniawan, Sylvia Jessy Kusumaningsih, Amalia Laily Yuliatun Lilik Supriati Lilik Supriati, Lilik Lilik Zuhriyah LInda WIeke Noviyanti Lisajidin, Muhamad Lukitasari, Mifetika Maria Magdalena Sri Widiastuti Moch. Gandung Satriya Mochamad Saiful Anwar Mustikasari Mustikasari Ningrum, Evi Harwiati Noorhamdani AS Nurdiana, Sevia Nurul Muslihah Pawestri, Frilian Niken Pradini, Septi Wahyu Pratama, I Wayan Agus Wirya Putri, Dinda Amalia Okvie rahani ayu amalia Rahmayanti, Asih Devi Rani Rakhmawati Rani Rakhmawati, Rani Regina Hege Rinik Eko Kapti Rinik Eko Kapti, Rinik Eko Rita Yuliana Sari Rr. Tutik Sri Hayati Rustiana Tasya Ariningpraja Setyoadi Setyoadi Setyoadi Setyoadi Setyoadi Setyowati Setyowati Sri Andarini Sri Andarini Suryanto Suryanto Susanti, Fitria Dewi 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