Articles
Cultural Organization and Quality of Nursing Work Life on Nurses Performance and Job Satisfaction in Dr. Soetomo Hospital, Surabaya
Winasih, Rini;
Nursalam, Nursalam;
Kurniawati, Ninuk Dian
Jurnal NERS Vol 10, No 2 (2015): Vol. 10 Nomor 2 Oktober 2015
Publisher : Universitas Airlangga
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DOI: 10.20473/%oj.Ners102%y332-342
Introduction: Efforts to improve the quality of hospital services should be along with the efforts to improve the quality of nursing services. Quality of service is influenced by the organizational culture. The main objective of this study was to explain the effect of organizational culture and quality of nurses work life (QNWL) on nurses performance and job satisfaction in Dr. Soetomo Hospital, Surabaya. Methods: This study used explanatory survey research design with cross sectional approach. The study population was all Civil Servants nurses working at Surgical Wards, Dr. Soetomo Hospital. The study sample comprised 95 nurses selected with cluster sampling. Data were analyzed using partial least square. Results: The results showed that there was influence of objective factors on organizational culture. Individual factors had no influence on QNWL. Social and environmental factors affected QNWL. Operational factors influenced QNWL. Administrative factors affected QNWL. Organizational culture influenced QNWL. QNWL affected nurses performance. QNWL significantly affected nurses job satisfaction. Nurses job satisfaction affected nurses performance. Discussion: Strong organizational culture, which can create good quality of work life for nurses, can improve the performance and job satisfaction of nurses in Dr. Soetomo Hospital. Further studies needs to be done to analyze the effect of empowerment and job involvement on the quality of nurses work life.Keywords:Â Â cultural organization, quality of nursing work life, performance and job satisfaction, nurse
Knowledge-Management-Based-Nursing Care Model Improves Patient Adherence to Tuberculosis Treatment
Ninuk Dian Kurniawati;
Abu Bakar;
Eka MHas;
Elida Ulfiana;
Laily Hidayati;
Hanik Endang;
Retnayu Pradanie;
Kristiawati Kristiawati;
Erna Dwi W
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i1.1350
Introduction: Pulmonary tuberculosis remains prominent as one of public health problems in the world. Patients’ non-compliance to treatment is a significant contributor to drug resistance. This study aimed to develop and to test the efficacy of a nursing care model to prevent non-compliance.Methods: This study consisted of two phases: phase one, model development, used a descriptive analytic, and phase two, model testing, employed a quasi-experimental design. Participants, comprised both patients and nurses at two health care centres in Surabaya, were recruited by consecutive sampling. Data were collected by interview, self-administered-questionnaires, check-list and focused group discussion. Data analyses were performed using both partial least squares and Wilcoxon signed rank test.Results: The model was statistically effective to improve nearly all aspects of patients’ compliance to TB treatment (knowledge, discipline in taking medications regularity of controls, and abilities to monitor the results of treatment with p < 0.05), except for abilities to cope with drug adverse effects (p = 1.000). This is possible because seldom do patients aware of the medication side effects, so their experiences were probably limited.Conclusion: This study concludes that the KM nursing care model was proven effective to improve patients’ adherence to treatment. Future study is suggested to evaluate the impact of the KM nursing care model in bigger population.
Cultural Organization and Quality of Nursing Work Life on Nurses Performance and Job Satisfaction in Dr. Soetomo Hospital, Surabaya
Rini Winasih;
Nursalam Nursalam;
Ninuk Dian Kurniawati
Jurnal Ners Vol. 10 No. 2 (2015): Oktober 2015
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v10i2.1403
Introduction: Efforts to improve the quality of hospital services should be along with the efforts to improve the quality of nursing services. Quality of service is influenced by the organizational culture. The main objective of this study was to explain the effect of organizational culture and quality of nurses work life (QNWL) on nurses performance and job satisfaction in Dr. Soetomo Hospital, Surabaya.Methods: This study used explanatory survey research design with cross sectional approach. The study population was all Civil Servants nurses working at Surgical Wards, Dr. Soetomo Hospital. The study sample comprised 95 nurses selected with cluster sampling. Data were analyzed using partial least square.Results: The results showed that there was influence of objective factors on organizational culture. Individual factors had no influence on QNWL. Social and environmental factors affected QNWL. Operational factors influenced QNWL. Administrative factors affected QNWL. Organizational culture influenced QNWL. QNWL affected nurses performance. QNWL significantly affected nurses job satisfaction. Nurses job satisfaction affected nurses performance.Discussion: Strong organizational culture, which can create good quality of work life for nurses, can improve the performance and job satisfaction of nurses in Dr. Soetomo Hospital. Further studies needs to be done to analyze the effect of empowerment and job involvement on the quality of nurses work life.
Perception of Indonesian Nursing Students Regarding Caring Behavior and Teaching Characteristics of Their Clinical Nursing Instructors
Madiha Mukhtar;
Nursalam Nursalam;
Ninuk Dian Kurniawati
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i2.1972
Student’s learning and performance reflects the professional attitude, behavior, ethics and standards of their instructors. The aim of this study is to analyse the perception of Indonesian Nursing students regarding caring behavior and teaching characteristics of their CNIs. In this exploratory cross-sectional study, 149 Professional Nursing students from Regular program (Baccalaureate) and Post diploma BSN and 15 Clinical Nursing Instructors were recruited from nursing faculty of public university located in Surabaya Indonesia. Data were collected by questionnaire and FGD was conducted to explore detailed information. In descriptive analysis: 6 % students perceived the caring behavior of their clinical instructors as low, 52.3% responds it as enough and 41.6 % considered it good. Teaching characteristics of CNI; 2.7% low, 26.8 as enough and 70.5 % good as perceived by their students. Data collected from students was analysed by using logistic regression test. Professional commitment with (P-value .038), motivation (P-value .010) and clinical placement environment (P-value .002) in main category (significance value is < 0.05) shows influence on perception of Indonesian nursing students regarding caring behaviour and teaching characteristics of their CNIs. In focused group discussion students’ recommended to increase the number of visits in clinical area and emphasises on bed side clinical demonstration. It can be concluded that students’ characteristics does have influence on their perception regarding caring behavior and clinical setting environment influence their perception regarding teaching characteristics of their CNIs.
Model of Caring Behavior Improvement to Achieve the Competence in Critical Care Nursing
Herdina Mariyanti;
Nursalam Nursalam;
Ninuk Dian Kurniawati
Jurnal Ners Vol. 10 No. 1 (2015): April 2015
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v10i1.2108
Introduction: Nursing students need to build their capacity to understand and learn the form of caring of a professional nurse from a different point of view and apply the acquired knowledge into nursing practice. The purpose of the present study was to develop a model of caring behavior improvement in students of professional nursing education program in order to achieve students’ nursing care competence.Methods: The present study used the explanatory survey and pre-experimental research design. Samples were students practicing in the ICU. Independent variables were attitude, personality, motivation and job design. Dependent variables were students’ caring behaviors and competence. Instruments used were a questionnaire for the independent variables and an observation sheet for the dependent variables. Data were analyzed using the Partial Least Square method.Results: Results showed that the loading factor of attitudes, personality, motivation, and job design against students’ caring behavior was > 1.96. The loading factor of students’ caring behaviors against the achievement of students’ competence was > 1.96. There were effects of attitude, personality, motivation and job design on students’ caring behaviors. Additionally, there was a signifi cant effect of caring behaviors on the achievement of student competence.Conclusion: students’ attitudes, personality, motivation and job design would affect the shaping of students’ caring behaviors. Students’ caring behaviors would affect the achievement of student competence.
Bio-psycho-social-spiritual responses of family and relatives of HIV-Infected Indonesian Migrant Workers
Nursalam Nursalam;
Ninuk Dian Kurniawati;
Abu Bakar;
Purwaningsih Purwaningsih;
Candra Panji Asmoro
Jurnal Ners Vol. 9 No. 2 (2014): Oktober 2014
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v9i2.2564
Introduction: Incidence of Human Immunodeficiency Virus (HIV) among Indonesian Migrant Workers (TKI) returning from his destination countries, especially in East Java is quite high. Stress experienced by the patient is affected bythe family member maladaptive behaviors; thus affect healing process and even increased mortality. The purpose of this study was to analyze the response of the bio-psycho-socio-spiritual family of Indonesian Workers who are infected with HIV and compared with the response of non-family workers who are infected with HIV.Method: Research design was comparative to reveal the response of the bio-psycho-socio-spiritual families of HIV-infected familyof migrant workers and non-migrant workers. The population was family of both migrant and non-migrant in two districts in East Java in 2014. Sample of 17 people were recruited by simple random sampling technique. Data were performed at the family home, including biologic response (venous blood sampling for cortisol examination), and measurement of the psychological, social and responses by using questionnaires and interviews. Data were analysed with statistical t test and Mann-Whitney test with a significance level of 0.05.Result: The results showed no differences in the biological response of HIV patients’ families among migrant and non-migrant workers (p = 0.000) although the majority of respondents were in the normal range or not stress. In contrast, the psychology, social and spiritual responsesshowed no statistically significant difference with p = 0.065, p = 0.057, p = 0.243 for psychological, social, and spiritual responses respectively.Discussion: There is a difference in the biological response (cortisol) in the group of family and relatives of patients with HIV among migrant workers compared with non-migrant workers, but there is no statistical difference in the psychological, social and spiritualresponses.
Development of Intention to Stay Model for Temporary Nursing Staff in RS UNAIR
Ike Nesdia Rahmawati;
Nursalam Nursalam;
Ninuk Dian Kurniawati
Jurnal Ners Vol. 9 No. 2 (2014): Oktober 2014
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v9i2.2687
Introduction: Intention to stay of nurses is important to reduce turnover rate and to improve the stability of hospital. Quality of nursing work life (QNWL) has been found to influence intention to stay. However, reliable information of this effect is limited. The purpose of this study was to develop the model of intention to stay for temporary nursing staff in RS UNAIR.Method: Anexplanative cross-sectional survey design was used in this study. Data were collected by using questionnaire among 32 nurses working at different units in this hospital through simple random sampling and analyzed by partial least square (PLS). Result: QNWL affected job satisfaction but did not affect commitment. Commitment was significantly affected by job satisfaction. There was effect of job satisfaction on intention to stay. Commitment also significantly affected intention to stayDiscussion: QNWL is a predictor of intention to stay trough job satisfaction and commitment. It is recommended that more focused interventions on QNWL, job satisfaction, and commitment developments may improve intention to stay. Recruitment of non-nursing staff to carry out billing and administrative tasks is urgently needed. Suggestions for further research is to analyze the effect of empowerment, remuneration, and career ladder on nurses’ intention to stay.
Model Development of Nursing Student Loyalty in Politeknik of Health
Hammad Hammad;
Nursalam Nursalam;
Ninuk Dian Kurniawati
Jurnal Ners Vol. 8 No. 1 (2013): April 2013
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v8i1.3881
Introduction: Loyalty of nursing student is an important factor that nursing education should pay attention in order to compete with other nursing educations; involved by perceived value, expectation, and quality assurance in nursing higher education. The purpose of this study was to develop a loyalty model of nursing student in nursing higher education.Methods: This study was an explanatory research with cross sectional approach. Population were nursing student in Poltekkes Banjarmasin, with 112 samples which is selected by proportional random sampling. Data was collected by giving questionnaire and analyzed by partial least square.Result: Result of this study indicates that was an effect of costumer expectation on quality assurance in nursing higher education, there was effect of costumer expectation on perceived value in nursing student, there was an effect of customer expectation on student satisfaction (4) there was effect of quality assurance in nursing higher education, there wasn’t any affect of quality assurance in nursing higher education on student satisfaction, there was effect of perceived value in nursing student on student satisfaction, there was effect of student satisfaction on student loyalty. Conclusion: Overall result of this research were, student loyalty in nursing higher education developed by student satisfaction. Student satisfaction formed by perceived value. Perceived value developed from two aspects quality assurance, and student expectation, quality assurance of higher education wasn’t directly effect to student sasfaction. However, indirectly effect through student perceived value. Student satisfaction in nursing higher education was stronger effect than any other variable in this loyalty model. Loyalty model in this research can be use for improvement student loyalty on health education that focused on improvement student satisfaction without deny the other aspect. Further research is needed to analyze word of mouth effect on student loyalty.
Life Experiences of Patients Suffering end Stage Renal Disease
Yulis Setiya Dewi;
Harmayetti Harmayetti;
Ninuk Dian Kurniawati;
Erna Dwi Wahyuni;
Deni Yasmara;
Abu Bakar;
Sukma Randani I
Jurnal Ners Vol. 8 No. 1 (2013): April 2013
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v8i1.3888
Introduction: Haemodialysis (HD) is one of therapies to sustain life for people with End Stage Renal Disease (ESRD). HD and ESRD are the source of the stressor for the patients. The purpose of this study was to gain insight about the life experiences of patients suffering from ESRD and coping that they used in dealing with stressors.Methods: This study employed hermeneutic phenomenological study as methodology. Samples were taken at RSU Dr. Soedono Madiun in December 2010–May 2011 using purposive sampling. Participants in this study amounted to 9 people who all male and had suffered kidney failure and undergoing HD for more than 2 years. Data were processed and analysed through the nine stages data interpretation according collaizi.Results: Client's life experiences with HD and coping strategies they used to cope with critical situations have been identified and grouped into several themes. The first theme was the reaction of participants when receiving the diagnosis should undergo HD including: sad, rejection, fear, shock and feelings of resignation and hope. The second theme was perceived to critical situations by clients include shortness of breath, weakness, body swelling, itching, diarrhea and could not urinate. Last theme was the meaning of life in hemodialysis derived from attitudinal values (the values to be) and experiential values (the values of appreciation).Conclusion: Ways in which clients address critical situations were quite diverse. Emotional informational, instrumental supports from spouse or significant other were needed by participants to overcome the critical situation. This study suggests that nurse should perform therapeutic communication to HD patients so that patients may cope with the disease more positively.
Recommendation in Decreasing Burnout on the Contract Nurses
Dewa Kadek Adi Surya Antara;
Nursalam Nursalam;
Ninuk Dian Kurniawati
Jurnal Ners Vol. 8 No. 1 (2013): April 2013
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v8i1.3891
Introduction: Burnout is a problem that often arises in the field of human service. Nursing profession is very susceptible in experiencing burnout related to the served work involving interpersonal interactions, as well as work environment. Area of worklife is predictor factors trigger burnout, resulting in the turnover intention. The purpose of this study was to provide recommendations in decreasing burnout on the contract nurses in the Sanglah Central Hospital.Methods: This study was an explanatory research using crosssectional approach. The population consists of the nurses at the third class ward Sanglah Central Hospital-Denpasar. Eighty one nurses were recruited as sample by proportional random sampling technique. Data were collected through questionnaires and focus group discussion (FGD), and they were analyzed by using Partial Least Square (PLS).Result: Results of this study showed that control had effect on fairness, community and reward but it had no effect on workload, workload had significant effect on emotional exhaustion, value had no effect on justice and depersonalization however it showed effect on community, reward, emotional exhaustion and decreasing personal accomplishment, emotional exhaustion had effect on depersonalization and turnover intention, depersonalization had no effect on turnover intention but it had effect on the decreasing of personal accomplishment, emotional exhaustion and decreasing personal accomplishment have effect on turnover intention of contract nurse.Conclusion: The decreasing of burnout can be done by forming personal values and reducing workload of the contract nurses. The personal values can be formed through controls of the two aspects: community and appreciation depersonalization has the most dominant influence in the burnout dimensions established by aspects of emotional exhaustion, turnover intention can be decreased by reducing the dimensions of emotional exhaustion and improving personal achievement. The decreasing burnout model can be applied in other hospitals because it provides an overview of the aspects that affect burnout and prevents the emergence of turnover intention.