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Implementation of The Tiered Supervision as a Supervision Function Retno Wahyu Nugrahini; Vivi Yosafianti Pohan
South East Asia Nursing Research Vol 2, No 1 (2020)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.2.1.2020.33-39

Tiered supervision that supports improving the quality of nursing services in the field of nursing at Sultan Agung Islamic Hospital has not been carried out in a structured and documented manner. Baitul Izzah 1 room as a disease treatment room in class III, the head of the room has not yet supervised the Person in Charge of Care (PPJA) and so on PPJA to the Associate Nurse (PP). The supervision that has been carried out so far is only to ask directly about existing problems to the head of the room and directly observe the activities of implementing nursing care by PPJA and PP. Tiered supervision does not go well, because there are no references and standards for its implementation. The purpose of this study was to determine Implementation of The Tiered Supervision as a Supervision Function. It was found that the implementation of tiered supervision instruments improved the performance of the head of the room, PPJA and PP, then the patient's medical record document increases in completeness chargingespecially the patient's Islamic education document. In conclusion, tiered supervision instruments are very helpful in the implementation of the supervisory function as well as monitoring and evaluation in nursing management in the implementation of nursing care in the inpatient room. The recommendation for the role of the nursing field that is most important in controlling the quality of nursing care is to actively involve staff to jointly ensure the continuity of the implementation of tiered nursing supervision.

Gambaran Penerapan Model Delegasi Keperawatan Relactor (MDK'R') pada Perawat Kepala Ruang Vivi Yosafianti Pohan; Herda Syahvira Faozah
Prosiding University Research Colloquium Proceeding of The 10th University Research Colloquium 2019: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (572.288 KB)

Model Delegasi Keperawatan Relactor (MDK’R’) adalah suatu alat untuk memastikan atau menjamin penyelesaian tugas sesuai dengan tujuan dan standar asuhan keperawatan. MDK’R’ memiliki prinsip yaitu adanya keseimbangan antara komponen tanggung jawab (Responsibility), kemampuan (Accountability) dan wewenang (Authority). Penelitian ini bertujuan untuk mengetahui gambaran penerapan komponen delegasi tanggung jawab (Responsibility), mengetahui gambaran penerapan komponen delegasi kemampuan (Accountability), mengetahui gambaran penerapan komponen delegasi wewenang (Authority) dan mengetahui gambaran penerapan model delegasi keperawatan relactor (MDK’R’) pada perawat kepala ruang. Metode penelitian yang digunakan adalah deskriptif kuantitatif, tempat penelitian RS Roemani Semarang dengan jumlah sampel 20 responden. Hasil penelitian menunjukkan penerapan komponen responsibility dengan kategori baik sebesar 100%, accountability dengan kategori baik sebesar 90% dan cukup sebesar 10%, dan komponen authority dengan kategori baik sebesar 80% dan kategori cukup sebesar 20% dan penerapan MDK’R’ di RS Roemani Semarang perawat kepala ruang tergolong baik sebanyak 100%. Penerapan MDK’R’ komponen responsibility, accountability, dan authority menunjukkan perawat kepala ruang memiliki tanggung jawab yang baik, kemampuan yang baik, dan wewenang yang baik. Hal ini menunjukkan MDK’R di RS Roemani Semarang telah diterapkan dengan baik.

Determinant Factors of Nurse Job Satisfaction in Hospital Ward Dirgahayu Vega Amalia; Arief Yanto; Tri Hartiti; Vivi Yosafianti Pohan
Jurnal Kepemimpinan dan Manajemen Keperawatan Vol. 6 No. 1 (2023)
Publisher : Persatuan Perawat Nasional Indonesia Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jkmk.v6i1.2384

An unmanaged nurse performance satisfaction could reduce productivity, motivation, organisational commitment, and performance, increasing absenteeism and work turnover. Nurse performance satisfaction could be affected by needs, aspirations, allowance, behaviour, income, leadership style, job, workload, work environment, facility, leadership, promotion, work partner, supervisor, productivity, work efficacy, policy, and work condition. This study aims to determine the factors related to Inpatient Ward Nurse Performance Satisfaction at KRMT Wongsonegoro Hospital. It is an associative quantitative study using a cross-sectional approach. The research subject was an hospital ward nurse with criteria such as practitioner nurse with a diploma, bachelor's, or professional degree with a minimum of a year of working experience. One hundred forty-eight respondents were chosen using proportionate simple random sampling. The research focuses on measuring determinant factors that affect nurses' performance satisfaction using analysis of multiple linear regression tests with a backward method. The research finding shows the determinant variable of nurse performance satisfaction are nurse perception toward the leadership of the chief nurse (X1), nurse perception toward work (X2), and nurse perception toward workload (X3). The variables show significant positive relationships that simultaneously affect nurse performance satisfaction (Y) at 83.3%. The dominant variable that affects nurse performance satisfaction (Y) is nurse perception toward work (X2). It is because the knowledge owned by nurse make them happy and positively impact their responsibility. The unity between knowledge, feeling, and responsibility signifies accomplished nurse work satisfaction.

Analysis of Home Care Needs in Children with Leukemia Mariyam Mariyam; Erna Sulistyawati; Vivi Yosafianti Pohan
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Children with leukemia often experience physical and psychological problems caused by the disease or side effects of treatment. In addition to care the child is in the hospital while at home, the child also needs treatment related to the problems faced. The need for care at home in children with leukemia to be known so that health workers are able to meet the needs of care while the child is at home and able to improve the ability of parents to meet the needs of care at home. This study aims to analyze the need for home care in children with leukemia. The design of this study used a qualitative method with a descriptive phenomenological approach. This research is a form of formative research that uses certain techniques to get answers about what the target audience thinks and feels. In this study, researchers need to understand the need for home care in children with leukemia. The study was conducted on parents and children with leukemia living in a halfway house in Semarang. Data collection was carried out by interviews and focus group discussions on participants. The data that had been obtained was carried out. Analysis was carried out to determine the theme included physical care needs, nutritional needs, emotional needs, and social needs. Abstrak: Anak dengan leukemia sering mengalami masalah fisik maupun psikologis yang disebabkan dari penyakit maupun efek samping pengobatan. Selain perawatan selama anak di rumah sakit, saat di rumah anak juga membutuhkan perawatan berkaitan dengan masalah yang dihadapi. Kebutuhan perawatan di rumah pada anak leukemia perlu diketahui agar tenaga kesehatan mampu memenuhi kebutuhan perawatan selama anak di rumah dan mampu meningkatkan kemampuan orang tua dalam memenuhi kebutuhan perawatan di rumah. Penelitian ini bertujuan untuk menganalisis kebutuhan perawatan di rumah pada anak leukemia. Rancangan penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi deskriptif. Penelitian ini merupakan salah satu bentuk penelitian formatif yang menggunakan teknik-teknik tertentu untuk mendapatkan jawaban tentang apa yang dipikirkan dan dirasakan oleh khalayak sasaran. Pada penelitian ini peneliti perlu memahami kebutuhan perawatan di rumah pada anak leukemia. Penelitian dilakukan pada orang tua dan anak leukemia yang tinggal di rumah singgah Semarang. Pegambilan data dilakukan dengan wawancara dan focus group discussion pada partisipan. Data yang sudah didapatkan dilakukan analisis untuk menentukan tema. Hasil penelitian ini menunjukkan kebutuhan perawatan di rumah pada anak leukemia meliputi kebutuhan perawatan fisik, kebutuhan nutrisi, kebutuhan emosional dan kebutuhan sosial.

Factors and Interventions Influencing Nurses Caring Behavior: A Systematic Review Zulkifli Zakaria; Vivi Yosafianti Pohan; Tri Hartiti
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47771

Abstrak Perilaku caring berperan langsung dalam meningkatkan kualitas pelayanan dan kepuasan pasien. Caring behavior perawat dipengaruhi oleh berbagai faktor internal dan eksternal, serta dapat ditingkatkan melalui pelatihan berbasis teori. Oleh karena itu, diperlukan kajian sistematik untuk mengevaluasi faktor yang memengaruhi perilaku caring serta intervensi yang efektif. Systematic review ini disusun mengikuti pedoman Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Pencarian artikel melalui database Google Scholar, ProQuest, PubMed, ScienceDirect, dan SpringerLink dalam rentang tahun 2018 hingga 2025. Kata kunci yang digunakan antara lain: "nurse caring behavior" AND "factors" OR "interventions" OR "training" OR "Watson's theory". Sebanyak 11 artikel memenuhi kriteria inklusi dan dianalisis. Hasil review menunjukkan bahwa perilaku caring perawat dipengaruhi oleh faktor demografis (usia, jenis kelamin, pengalaman kerja), karakter personal (spiritualitas, sensitivitas etis), dan faktor lingkungan (lingkungan kerja, beban kerja, dukungan organisasi, serta kepuasan kerja). Beberapa intervensi yang terbukti efektif meliputi pelatihan berbasis Watson’s Theory of Human Caring, program etika keperawatan, pelatihan kepemimpinan berbasis kecerdasan emosional, serta program mentoring. Kesimpulannya, intervensi tersebut memberikan dampak positif yang signifikan terhadap peningkatan skor perilaku caring perawat. Kata Kunci: Perilaku caring, perawat, faktor yang memengaruhi, intervensi, pelatihan, teori Watson. Abstract Caring behavior plays a direct role in improving the quality of care and patient satisfaction. Nurses’ caring behavior is influenced by various internal and external factors and can be enhanced through theory-based training. Therefore, a systematic review is needed to evaluate the factors that influence caring behavior and identify effective interventions.This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Article searches were performed through the databases Google Scholar, ProQuest, PubMed, ScienceDirect, and SpringerLink, covering the years 2018 to 2025. Keywords used included: "nurse caring behavior" AND "factors" OR "interventions" OR "training" OR "Watson's theory". A total of 11 articles met the inclusion criteria and were analyzed. The review findings indicate that nurses’ caring behavior is influenced by demographic factors (age, gender, work experience), personal characteristics (spirituality, ethical sensitivity), and environmental factors (work environment, workload, organizational support, and job satisfaction). Effective interventions include training based on Watson’s Theory of Human Caring, nursing ethics programs, emotional intelligence-based leadership training, and mentoring programs. In conclusion, these interventions have a significant positive impact on improving nurses’ caring behavior scores. Keywords: caring behavior, nurses, influencing factors, interventions, training, Watson’s theory.

Determinant Factors of Nurse Job Satisfaction in Hospital Ward Dirgahayu Vega Amalia; Arief Yanto; Tri Hartiti; Vivi Yosafianti Pohan
Jurnal Kepemimpinan dan Manajemen Keperawatan Vol. 6 No. 1 (2023)
Publisher : Persatuan Perawat Nasional Indonesia Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jkmk.v6i1.2384

An unmanaged nurse performance satisfaction could reduce productivity, motivation, organisational commitment, and performance, increasing absenteeism and work turnover. Nurse performance satisfaction could be affected by needs, aspirations, allowance, behaviour, income, leadership style, job, workload, work environment, facility, leadership, promotion, work partner, supervisor, productivity, work efficacy, policy, and work condition. This study aims to determine the factors related to Inpatient Ward Nurse Performance Satisfaction at KRMT Wongsonegoro Hospital. It is an associative quantitative study using a cross-sectional approach. The research subject was an hospital ward nurse with criteria such as practitioner nurse with a diploma, bachelor's, or professional degree with a minimum of a year of working experience. One hundred forty-eight respondents were chosen using proportionate simple random sampling. The research focuses on measuring determinant factors that affect nurses' performance satisfaction using analysis of multiple linear regression tests with a backward method. The research finding shows the determinant variable of nurse performance satisfaction are nurse perception toward the leadership of the chief nurse (X1), nurse perception toward work (X2), and nurse perception toward workload (X3). The variables show significant positive relationships that simultaneously affect nurse performance satisfaction (Y) at 83.3%. The dominant variable that affects nurse performance satisfaction (Y) is nurse perception toward work (X2). It is because the knowledge owned by nurse make them happy and positively impact their responsibility. The unity between knowledge, feeling, and responsibility signifies accomplished nurse work satisfaction.

Praktik Budaya Dalam Menyusui: Tinjauan Literatur Naratif Berbasis Prisma Sri Adriani; Machmudah Machmudah; Sri Rejeki; Vivi Yosafianti Pohan; Rahayu Astuti
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55451

Praktik menyusui dipengaruhi oleh berbagai faktor budaya, sosial, dan keluarga, yang dapat memengaruhi keberlanjutan pemberian Air Susu Ibu (ASI) eksklusif. Pemahaman terhadap praktik budaya menyusui penting untuk mendukung intervensi yang efektif dalam promosi ASI. Tujuan untuk menyajikan gambaran komprehensif dan sintesis konseptual terkait praktik budaya dalam menyusui berdasarkan literatur ilmiah terkini periode 2021–2025. Metode desain Literature Review naratif dengan pendekatan PRISMA. Pencarian literatur dilakukan pada basis data PubMed, ScienceDirect, dan Google Scholar dengan strategi kombinasi kata kunci yang mencakup “breastfeeding” OR “exclusive breastfeeding” AND “cultural practices” OR “sociocultural factors”. Proses seleksi studi mengikuti pendekatan PRISMA versi naratif. Kriteria inklusi meliputi artikel peer-reviewed, tahun publikasi 2021–2025, teks lengkap, bahasa Inggris atau Indonesia, serta fokus pada praktik menyusui dan pengaruh budaya. Dari 1.410 artikel awal, 9 artikel memenuhi kriteria inklusi dan dianalisis. Mayoritas studi menggunakan pendekatan kualitatif dan mixed-method, dengan konteks penelitian di Indonesia (Sumba, Sumatera, Riau, Jawa, NTT, Nias) dan negara lain seperti Ghana. Kualitas metodologi dan risiko bias dinilai menggunakan Critical Appraisal Skills Programme (CASP), sedangkan data dianalisis secara deskriptif dan tematik. Hasil sintesis tematik mengidentifikasi tiga kelompok tema utama: (1) praktik perawatan payudara dan penggunaan herbal tradisional, termasuk pijat payudara, konsumsi jamu, serta pantangan makanan; (2) norma dan kepercayaan sosial-budaya, seperti pemberian makanan prelakteal, persepsi tentang kolostrum, dan konstruksi sosial mengenai kesehatan bayi; serta (3) peran keluarga dan komunitas, khususnya pengaruh nenek, ibu mertua, tokoh agama, serta tenaga kesehatan dalam pengambilan keputusan menyusui. Faktor norma dan nilai budaya terbukti menjadi determinan penting praktik ASI eksklusif, baik sebagai pendukung maupun penghambat. Kesimpulan praktik budaya memainkan peran penting dalam keberlanjutan ASI eksklusif. Promosi ASI yang efektif perlu mempertimbangkan nilai-nilai budaya, keyakinan, dan dukungan sosial di komunitas.

The Nutritional Status And The Role Of Supervisor In Swallowing Drugs In Pulmonary Tuberculosis Patients Dewi Wijayanti Wijayanti; Siti Aisah; Much Nurkharistna Al Jihad; Vivi Yosafianti Pohan
South East Asia Nursing Research Vol 7, No 4 (2025)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar

Tuberkulosis paru merupakan penyakit infeksi menular yang banyak ditemukan di masyarakat. Pasien tuberkulosis paru dapat mengalami perburukan kondisi dikarenakan adanya faktor risiko yang dapat mempengaruhi kondisi pasien yaitu status gizi dan peran pengawas menelan obat. Penelitian ini bertujuan untuk mengetahui gambaran status gizi dan peran pengawas menelan obat pada pasien tuberkulosis paru di Puskesmas Kota Semarang. Metode yang digunakan adalah deskriptif kuantitatif dengan pendekatan crossectional. Teknik pengambilan sampel purposive sampling dengan jumlah sampel sebanyak 43 pasien tuberkulosis paru dan 43 orang pengawas menelan obat. Hasil penelitian menunjukkan status gizi pasien tuberkulosis paru pada kelompok toddler berada pada kategori seimbang antara gizi baik dan gizi buruk yaitu masing-masing 50%, status gizi tertinggi pada kelompok anak usia sekolah dan remaja berada pada kategori gizi baik dan gizi buruk masing-masing 40%. Status gizi pasien tuberkulosis paru dewasa sebagian besar berada pada kategori gizi normal sebanyak 53,3%. Status gizi pasien tuberkulosis paru pra lansia berada pada kategori tertinggi yaitu 66,7%. Status gizi pasien tuberkulosis paru lansia sebagian besar berada pada kategori normal 66,7%. Pengawas menelan obat sebagian besar memiliki peran baik 53,5%. Peran baik meliputi peran pelaksanaan strategi pengobatan jangka pendek DOTS dan peran pemberian semangat. Peran yang masih kurang meliputi peran menjamin ketersediaan obat sesuai kebutuhan dan peran menjamin ketepatan pemeriksaan dahak.

Efektivitas Monitoring EWS Terintegrasi Berbasis Elektronik Terhadap Deteksi Risiko Mortality di RS Bendan Kota Pekalongan Himawati; Vivi Yosafianti Pohan; Tri Hartiti; Masrukhi; Yunie Armiyati
Bioscientist : Jurnal Ilmiah Biologi Vol. 13 No. 4 (2025): December
Publisher : Department of Biology Education, FSTT, Mandalika University of Education, Indonesia.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33394/bioscientist.v13i4.18115

This study aimed to determine the effectiveness of an integrated electronic-based Early Warning Score (EWS), known as TeBar, compared with a paper-based EWS form in detecting mortality risk at Bendan Regional General Hospital, Pekalongan City. A quasi-experimental study with a pretest–posttest control group design was employed. The sample consisted of 60 inpatient ward nurses selected using purposive sampling. The inclusion criteria were staff nurses working in the Jlamprang and Truntum wards, while nurse managers and nurses on leave, permission, or ward transfer during the study period were excluded. The intervention involved monitoring patients using the electronic integrated EWS (TeBar) in the intervention group, whereas the control group used the conventional paper-based EWS form. Data were collected using web-based observation sheets. Statistical analysis was performed using the Wilcoxon Signed Rank Test and the Mann–Whitney U Test. The results showed that before implementing the electronic EWS, most mortality risk detections in the intervention group were inaccurate (80%); however, after implementation, all detections were accurate (100%). In the control group, mortality risk detection using the paper-based EWS remained largely inaccurate both before (66.7%) and after (60%) the intervention. The Wilcoxon test revealed a significant difference in mortality risk detection before and after the use of the electronic EWS (TeBar) in the intervention group (p = 0.000), whereas no significant difference was found in the control group using the paper-based EWS (p = 0.346). Furthermore, the Mann–Whitney U test indicated a significant effect of electronic EWS (TeBar) monitoring on mortality risk detection compared to the paper-based EWS (p = 0.000). In conclusion, the electronic EWS (TeBar) is effective in detecting early mortality risk in inpatient wards at Bendan Regional General Hospital, Pekalongan. The use of electronic EWS improves the accuracy of clinical documentation, accelerates clinical decision-making, and enhances patient safety as part of efforts to improve the quality of nursing care.

Pengaruh Penerapan Bundle Know terhadap Pengetahuan dan Kepatuhan Perawat dalam Pencegahan Phlebitis Eka Puji Hastuti; Chanif Chanif; Edy Soesanto; Vivi Yosafianti Pohan; Rahayu Astuti
MAHESA : Malahayati Health Student Journal Vol 6, No 5 (2026): Volume 6 Nomor 5 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i5.22278

ABSTRACT Phlebitis remains a major concern in nursing care as it reflects the quality of hospital services. Low knowledge and compliance of nurses are the main causes of phlebitis, thus efforts to improve nurses’ understanding and compliance in the management of peripheral intravenous catheters are essential. to determine the effect of implementing Bundle Know on nurses’ knowledge and compliance in preventing phlebitis. a quasi-experimental pretest-posttest with control group design was conducted on 99 nurses. The intervention group (n=50) received Bundle Know training (module and workshop) consisting of four components: Keep it Clean, Need for Device, Observe and Secure, Work Together. The control group (n=49) only received standard IM bundle socialization. Instruments included a knowledge questionnaire and a compliance observation checklist. Wilcoxon test showed an increase in the median knowledge score in the intervention group from 24 to 26 (p=0.000), and in the control group from 23 to 24 (p=0.000). Friedman test revealed improved compliance in the intervention group from a median of 9 to 13 (mean rank 1.21 to 4.10;χ²=159.85; p=0.000), and in the control group from 8 to 10 (mean rank 1.82 to 3.93; χ²=79.63; p=0.000). Mann-Whitney tests showed significant differences in posttest knowledge (p=0.001) and compliance (p=0.000) favoring the intervention group. The implementation of Bundle Know effectively improved nurses’ knowledge and compliance in preventing phlebitis. Keywords: Bundle Know, Phlebitis, Knowledge, Compliance Nursing. ABSTRAK phlebitis masih menjadi perhatian utama dalam pelayanan keperawatan karena mencerminkan mutu pelayanan rumah sakit. Rendahnya pengetahuan dan kepatuhan perawat menjadi penyebab utama phlebitis, sehingga upaya peningkatan pemahaman dan kepatuhan perawat dalam manajemen kateter intravena perifer menjadi sangat penting. Mengetahui pengaruh penerapan Bundle Know terhadap pengetahuan dan kepatuhan perawat dalammencegah phlebitis. kuasi-eksperimental pretest-posttest with control group pada 99 perawat. Kelompok intervensi (n=50) mendapat pelatihan Bundle Know (modul dan workshop) dengan 4 komponen: Keep it Clean, Need for Device, Observe and Secure, Work Together. Kelompok kontrol (n=49) hanya menerima sosialisasi bundle IM standar.Instrumen: kuesioner pengetahuan dan lembar observasi kepatuhan. Uji Wilcoxon menunjukkan peningkatan median pengetahuan kelompok intervensi dari 24 ke 26 (p=0,000), kontrol dari 23 ke 24 (p=0,000). Uji Friedman pada kelompok intervensi: kepatuhan meningkat dari median 9 ke 13 (mean rank 1,21 ke 4,10; χ²=159,85; p=0,000). Pada kontrol: meningkat dari 8 ke 10 (mean rank 1,82 ke 3,93; χ²=79,63; p=0,000). Uji Mann-Whitney: pengetahuan intervensi (median=2; IQR=2,25; mean rank=59,29) signifikan lebih tinggi dari kontrol (p=0,001). Kepatuhan juga lebih tinggi (median=30,8 dibandingkan dengan 20,0;p=0,000). Penerapan Bundle Know berpengaruh meningkatkanpengetahuan dan kepatuhan perawat dalam mencegah phlebitis. Kata Kunci: Bundle Know, Phlebitis, Pengetahuan, Kepatuhan Perawat.

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