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Optimalisasi fungsi manajemen kepala ruangan dalam supervisi klinik menggunakan alat bantu Google form di rumah sakit di Jakarta Neni Triana; Enie Novieastari; Satinah Satinah
Holistik Jurnal Kesehatan Vol 14, No 2 (2020)
Publisher : Program Studi Ilmu Keperawata Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (406.555 KB) | DOI: 10.33024/hjk.v14i2.2703

Abstract

Utilization of digital technologies as a strategy to optimizing management functions in nursingBackground: Nursing services need a good management of Nurse Managers to achieve a standardized service quality. Clinical supervision nursing has generally been implemented in hospitals, but its application has not been implemented optimally causing quality improvement not to run continuously.Purpose: To identify issues of implementation clinical supervision nursing and to develop problem-solving solutions.Method: The mini project, analysis of results and implementation gap with discussion based on literature review. Problems were analyzed using a fishbone diagram. Problem solving using Plan Do Study Action (PDSA) tools starts from Plan of Action (POA), implementation, evaluation, and follow up. The sample was taken from 5 the inpatient wards.Results: The problem identification found not optimal the quality  of nursing in the planning, monitoring and follow-up phase. Implementation of problem solving by workshop and socialization of guidance, procedure, dictionary and instrument of monitoring clinical supervision nursing with digital tecnology google form. The evaluation result shows that 100 % said the clinical form supervision of digital technology based on google form was very effective and efficientKeywords: Utilization; Digital technologies; Strategy; Optimizing; Management functions; NursingPendahuluan: Pelayanan keperawatan memerlukan pengelolaan yang baik dari Manajer Perawat untuk mencapai kualitas pelayanan keperawatan yang sesuai standar. Supervisi klinik keperawatan pada umumnya telah dilaksanakan oleh manajer keperawatan, namun penerapannya belum dilaksanakan secara optimal yang menyebabkan supervisi klinik keperawatan tidak berjalan secara berjenjang.Tujuan: Mengidentifikasi masalah pelaksanaan supervisi klinik keperawatan di ruang rawat serta mengembangkan solusi pemecahan masalah.Metode: Berupa mini project serta analisis hasil dan gap implementasi dengan pembahasan berdasarkan literature review. Masalah dianalisis menggunakan diagram fishbone. Penyelesaian masalah menggunakan tools Plan Do Study Action (PDSA) dimulai dari Plan of Action (POA), implementasi, evaluasi, dan tindak lanjut. Sampel diambil dari ruang rawat inap yang terdiri dari 5 Kepala Ruangan.Hasil: Ditemukan tidak optimalnya supervisi klinik keperawatan pada tahap perencanaan, pemantauan dan tindak lanjut. Implementasi pemecahan masalah berupa sosialisasi dan workshop supervisi klinik keperawatan berbasis teknologi digital google form. Hasil evaluasi menunjukkan bahwa  100 % mengatakan supervisi klinik keperawatan berbasis teknologi digital google form sangat efektif dan efesien. 
Efektivitas Terapi Hipnosis Lima Jari Berbasis Website terhadap Tingkat Kecemasan Pasien Preoperasi Bronkoskopi di RSUP Persahabatan Salman Al Farisi; Nur Fajariyah; Nita Sukamti; Satinah Satinah
Malahayati Nursing Journal Vol 6, No 10 (2024): Volume 6 Nomor 10 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i10.16988

Abstract

ABSTRACT This study is based on the high level of anxiety experienced by preoperative bronchoscopy patients. In 2023, at RSUP Persahabatan, approximately 72% of patients experienced anxiety before undergoing bronchoscopy. Preoperative anxiety can affect the success of the procedure, cause discomfort during the operation, and interfere with the patient's recovery post-surgery. Preoperative anxiety can be managed through various methods, such as deep breathing relaxation techniques, music therapy, aromatherapy, hypnotherapy, and distraction techniques. The five-finger hypnosis therapy delivered through a website is considered a potential non-pharmacological intervention to reduce this anxiety. This study aims to evaluate the effectiveness of the five-finger hypnosis therapy delivered through a website in reducing the anxiety levels of preoperative bronchoscopy patients at RSUP Persahabatan. The research method used is quasi-experimental with a pretest-posttest one-group design. The study involved 30 patients (aged 20-50 years) who were scheduled to undergo bronchoscopy and were selected using purposive sampling. The intervention consisted of five-finger hypnosis therapy delivered through a website by the researcher. The results showed that before the five-finger hypnosis therapy, the average anxiety score was 13.00, with 60% of patients experiencing moderate anxiety. After the therapy, the anxiety level decreased to an average of 10.17, with the percentage of patients experiencing no anxiety increasing to 16.7%. The results of the Paired Sample T-Test showed a p-value of 0.001 (p0.005), indicating a significant effect of the five-finger hypnosis therapy delivered through a website on reducing the anxiety levels of preoperative bronchoscopy patients. The conclusion of this study is that the five-finger hypnosis therapy delivered through a website is effective in reducing the anxiety levels of preoperative bronchoscopy patients. This study provides benefits for the development of non-pharmacological interventions in managing preoperative anxiety, particularly in the use of web-based technology to enhance the quality of healthcare services.  Keywords: Bronchoscopy, Five-Finger Hypnosis, Non-Pharmacological Intervention, Preoperative Anxiety, Website  ABSTRAK Penelitian ini didasarkan pada tingginya tingkat kecemasan yang dialami oleh pasien preoperasi bronkoskopi, pada tahun 2023 di RSUP Persahabatan sekitar 72% mengalami kecemasan saat akan menghadapi operasi bronkoskopi. Kecemasan yang dialami pasien sebelum operasi dapat mempengaruhi keberhasilan prosedur, ketidaknyamanan selama tindakan, dan mengganggu pemulihan pasien setelah operasi. Kecemasan pasien preoperasi dapat diatasi dengan beberapa cara, seperti menggunakan teknik relaksasi napas dalam, terapi musik, aromaterapi, hipnoterapi, dan distraction techniques. Terapi hipnosis lima jari berbasis website dipandang sebagai salah satu intervensi nonfarmakologis yang potensial untuk mengurangi kecemasan tersebut. Penelitian ini bertujuan untuk mengevaluasi efektivitas terapi hipnosis lima jari berbasis website dalam menurunkan tingkat kecemasan pasien preoperasi bronkoskopi di RSUP Persahabatan. Metode penelitian yang digunakan adalah quasi-experimental dengan pretest-posttest one group design. Responden penelitian 30 pasien (20-50 tahun) yang akan menjalani bronkoskopi dan dipilih melalui teknik purposive sampling. Intervensi berupa terapi hipnosis lima jari berbasis website yang diberikan oleh peneliti. Hasil penelitian menunjukkan bahwa sebelum terapi hipnosis lima jari berbasis website menunjukkan skor kecemasan rata-rata 13,00 dengan mayoritas mengalami cemas sedang sebesar 60%. Setelah hipnosis lima jari berbasis website tingkat kecemasan menurun menjadi rata-rata 10,17 dengan peningkatan jumlah pasien yang tidak cemas menjadi 16,7%. Hasil Uji Paired Sample T Test menunjukkan nilai p-value sebesar 0,001 (p0,005) menandakan ada pengaruh signifikan dari terapi hipnosis lima jari berbasis website terhadap penurunan tingkat kecemasan pasien preoperasi bronkoskopi. Kesimpulan dari penelitian ini adalah terapi hipnosis lima jari berbasis website efektif dalam menurunkan kecemasan pasien preoperasi bronkoskopi. Penelitian ini memberikan manfaat bagi pengembangan intervensi nonfarmakologis dalam manajemen kecemasan preoperasi, khususnya dalam penggunaan teknologi berbasis website untuk meningkatkan kualitas layanan kesehatan. Kata Kunci: Bronkoskopi, Hipnosis Lima Jari, Intervensi Nonfarmakologis, Kecemasan Preoperasi, Website