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Journal : Indonesian Journal of Global Health research

Analysis of the Effect of Structural Empowerment on Motivation and Performance of Nurses in Quality Patient Safety Sukmono, Ramang; Lestari, Indah; Rahmawati, Ima; Saudah, Noer; Maryam, Dewi; Zamroni, Asroful Hulam
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3467

Abstract

The problem of patient safety quality is considered less than optimal in health services which is caused by inadequate organizational infrastructure, leadership effectiveness, job characteristics, and structural empowerment which includes the motivation of nurses as fundamental health workers. Therefore, this study aims to analyze the effect of structural empowerment on nurses' motivation and performance in the quality of patient safety. Method: This research used a cross-section design with 116 respondents. The sample was selected using a cluster random sampling technique. Data collection using a questionnaire includes the independent variable in the form of structural empowerment and the dependent variable in the form of work motivation and nurse performance in patient safety quality with all questionnaire a valid value of r = 0.714-0.942 and Cronbach alpha reliability 0.982. Data were analyzed using the logistic regression test with a p-value ≤ 0.05. Results: The research results show that structural empowerment has a positive and unidirectional influence on work motivation (0.000) and nurse performance in patient safety quality (0.016). Conclusion: Structural empowerment provides implementing nurses with access and freedom to leaders including opportunities, information, support, resources, formal power, and informal power. Structural empowerment gives implementing nurses a feeling of comfort in their work so that they are more motivated and improve nurses' performance in terms of patient safety quality.
Analysis of Factors Relating to Nurses' Performance in Nursing Care Documentation Based on Kopelman Theory Natalina, Upit; Saudah, Noer; Azizah, Lilik Ma'rifatul; Sajidin, Muhammad; Maryam, Dewi; Zamroni, Asroful Hulam
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3469

Abstract

Nurses have an important role in determining the quality of health services, however, some nurses are still found to have less than optimal performance in documentation of nursing care due to internal and external factors. Therefore, this research aims to analyze the development of training, leadership, attitudes, competencies, motivation, work design and performance of nurses in documenting nursing care based on Kopelman's theory. Method: This research used a cross-section design with a sample of 1406 nurses at RSUD Dr. Soetomo. This research used a purposive sampling technique, namely infectious disease installation nurses with the criteria of being an executive nurse and not being on leave. Data collection using a questionnaire includes independent variables in the form of training development, leadership, attitudes, competence, motivation, and work design, and the dependent variable in the form of nurses' performance in documenting nursing care. All questionnaire instruments in this research have a correlation r value of <0.5 and a Cronbach's alpha value of 0.650. Data were analyzed using logistic regression with a p-value ≤ 0.05. Results: The research results show that there is an influence between training and development (0.028), leadership (0.004), attitude (0.026), competency (0.031), motivation (0.029), and job design (0.009) on nurse performance. Conclusion: The development of training, attitudes, competencies, motivation, and good work design has an impact on high nurse performance in documenting nursing care. The performance of nursing care documentation will be optimal with democratic leadership.
The Effect of Nursing Supervision Based on Proctor's Model on Improving the Quality of Nursing Work Life of Nurses after Nurse Rotation Achmani, Anik; Lestari, Indah; Rahmawati, Ima; Saudah, Noer; Rusdi, Ainur
Indonesian Journal of Global Health Research Vol 6 No S5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS5.4503

Abstract

Nurse rotation is a process of dynamically replacing scheduled nurses from one department to another. Job rotation can have a negative impact on nurses including feelings of anxiety, anger, fear, frustration, sadness, and nurses must begin to adapt to a new environment where this can reduce nurse satisfaction so that it can reduce the quality of work of nurses in providing nursing care. Objective: To analyze the effect of nursing supervision based on proctor's model on improving the quality of nursing work life of nurses after nurse rotation at RSUD dr. Soetomo Surabaya. Methods: This research design is a pre-experimental research method one-group pre-posttest design. The sample in this study were 30 nurses who were carried out nurse rotation using total sampling technique. Research data were collected through the QNWL questionnaire. Data were analyzed using the Wilcoxon signed rank test statistical test. Results: The results showed that the results of statistical test analysis with Wilcoxon on the Quality of Nursing Work Life variable (Work life home life, Work design, Work context, and Work world produced a significance value < alpha (5% or 0.05). Conclusion: There is a significant effect of nursing supervision based on proctor's model on improving the quality of nursing work life of nurses after nurse rotation at RSUD dr. Soetomo Surabaya. It is expected that the head of the room to supervise the nurses regularly and scheduled so that they can find out the various problems experienced by nurses, especially regarding the QNWL of nurses so that they can improve the performance of nurses which in turn can improve the quality of nursing care.