Garuda - Garba Rujukan Digital

Effectiveness of Effleurage Massage in Reducing the Risk of Hospital-Acquired Pressure Injuries: Implications for Nursing Management in Geriatric Care Reni Asmara; Tri Kurniati; Dhea Natashia; Harif Fadhillah; Muhammad Hadi
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.52441

Hospital Acquired Pressure Injury (HAPI) is a local injury to the skin or tissue occurring during hospital care due to pressure, friction, or both. Effleurage massage is believed to improve blood circulation and reduce HAPI risk in geriatric patients. This study aimed to determine the effect of effleurage massage on HAPI risk in hospitalized geriatric patients. A quasi-experimental pretest-posttest non-equivalent control group design was employed with 34 geriatric patients, divided equally into intervention and control groups. Bivariate analysis used paired and independent t-tests, while multivariate analysis employed Repeated Measure ANOVA. Results showed that Braden Scale scores in the intervention group increased from 13.18 ± 2.038 to 20.71 ± 2.229 after 5 days of intervention (p < 0.001), indicating a significant reduction in HAPI risk. The control group showed no significant change. Multivariate analysis revealed significant effects of time, group, and interaction on HAPI risk reduction, with partial eta squared values of 0.649, 0.757, and 0.703, respectively. These findings confirm that effleurage massage is an effective preventive intervention to reduce HAPI risk in geriatric patients

The Effect of Strengthening Nurses' Clinical Roles on Service Quality in the Emergency Department Frima Lestari Simanjuntak; Harif Fadhillah; Eni Widiastuti; Muhammad Hadi
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): 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.v8i4.1929

The Emergency Department (ED) is a service unit that requires nurses to possess strong clinical competencies to make rapid, accurate, and safe decisions. Strengthening nurses' clinical roles is an important factor in improving service quality, particularly in work environments characterized by high complexity and intense pressure. This study aimed to determine the effect of strengthening nurses' clinical roles on service quality in the Emergency Department of Awal Bros Panam Hospital (RSAB Panam). This study employed a quasi-experimental design with control and intervention groups. The study was conducted in the Emergency Department of RSAB Panam. The sample consisted of 32 emergency nurses who were divided into control and intervention groups, as well as patients receiving nursing care in the ED as respondents for service quality assessment. Total sampling was used for nurse participants. The intervention involved strengthening nurses' clinical roles based on Patricia Benner's theory through structured training, supervision, and clinical evaluationService quality was measured using the SERVQUAL instrument, which has demonstrated good validity (content and construct) and high reliability with Cronbach’s Alpha values >0.80. The data were analyzed using the Generalized Linear Model Repeated Measure. The results showed a significant effect of strengthening nurses' clinical roles on improving service quality in the ED. The Greenhouse–Geisser test indicated a p-value of 0.000, demonstrating a statistically significant change in service quality over time. The tests of between-subjects effects revealed a significant difference in service quality between the control and intervention groups with a p-value of 0.000. Improvements in service quality were more consistent in the intervention group compared to the control group. In conclusion, strengthening nurses' clinical roles has a significant effect on improving service quality in the Emergency Department.

The Effectiveness Ihsan Culture Focus-Care through Intentional Rounds on Patient Satisfaction Dian Nahdawati; Eni Widiastuti; Harif Fadhillah; Muhammad Hadi
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): 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.v8i4.1930

One indicator of service quality at hospitals is patient satisfaction. Organizational culture and caring practices play a role in increasing patient satisfaction. At Permata Jonggol Hospital,. the results of patient complaints convey a lack of nurses visiting patients, interactions occur for routine activities. Permata Jonggol has an IHSAN (Integrity, Harmony, Solutif, Entushiasim, Value) organizational culture but its implementation is not yet visible. There needs to be an intervention through periodic visits and structured communication called Intentional rounds by integrating the organizational culture. The study purpose was to identify differences in patient satisfaction and to determine the effectiveness of implementing IHSAN culture-focused care through intentional rounds. The research design used a quasi-experimental design with a pre-post test design. The population was nurses and patients in the inpatient ward using total sampling. A total of 60 respondents were included in this study, consisting of 30 respondents in the intervention group and 30 respondents in the control group. The results showed no difference in patient satisfaction before implementation between the intervention and the control group (0.446 > 0.05) but there was a significant difference in patient satisfaction after implementation between the intervention and the control group (0.001 < 0.05). There was a significant difference before and after the implementation of care in the intervention group (0.011 < 0.05), while in the control group, there was no difference in patient satisfaction (0.855 > 0.05). This care showed positive effects, however, the pattern of improvement from week to week appeared to fluctuate so that the consistency of the effects over time could not be ascertained.

Determinants of Improving Service Quality Based on the Kolcaba Comfort Model in the Emergency Department Zelyu Fitri; Harif Fadhillah; Eni Widiastuti; Muhammad Hadi; Silvia Nora Anggraini
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): 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.v8i4.1931

Kolcaba's Comfort Theory emphasizes holistic nursing care by fulfilling patients' comfort needs in four contexts: physical, psychospiritual, sociocultural, and environmental. The Emergency Department (ED) is a high-pressure healthcare setting that requires not only rapid and accurate clinical interventions but also comfort-based nursing services. This study aimed to analyze the determinants of Kolcaba Comfort Theory–based nursing care in the Emergency Department of PMC Hospital, Pekanbaru. This study employed a quantitative method with a cross-sectional design. A total of 96 respondents were selected using purposive sampling. Data were collected using a questionnaire. The questionnaire was tested for validity and reliability before data collection. All items were declared valid based on the Pearson correlation test, and the instrument was reliable with a Cronbach’s alpha value > 0.70. Analyzed using chi-square test for bivariate analysis and multiple logistic regression for multivariate analysis. The bivariate analysis showed significant associations between age (p=0.027), educational level (p=0.001), effective nurse communication (p=0.001), and service environment (p=0.001) with Kolcaba Comfort Theory–based nursing care. However, multivariate analysis revealed that only educational level (p=0.000; OR=31.889; 95% CI=6.395–159.014) and service environment (p=0.024; OR=0.155; 95% CI=0.031–0.785) remained statistically significant. Educational level was identified as the most dominant determinant. The final model showed a Nagelkerke R Square value of 0.707 and an overall classification accuracy of 90.6%. Conclusion: Kolcaba Comfort Theory–based nursing care in the Emergency Department of PMC Hospital, Pekanbaru is significantly influenced by patients’ educational level and the service environment, which contribute to achieving holistic patient comfort.

The Effect of Implementing SBAR Handover on the Continuity of Nursing Care in Inpatient Wards Otrina Otrina; Harif Fadhillah; Eni Widiastuti; Muhammad Hadi; Awaliyah Ulfah Ayudytha Ezdha
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): 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.v8i4.1953

Continuity of nursing care is an important indicator of hospital service quality and is strongly influenced by the effectiveness of communication among nurses, particularly during handover. One communication method recommended to enhance patient safety is SBAR (Situation, Background, Assessment, Recommendation). Integrating the SBAR method with Jean Watson's caring theory is expected to strengthen clinical communication in a more humanistic and holistic manner. This study aimed to analyze the effect of SBAR handover implementation on the continuity of nursing care in the inpatient wards of Pekanbaru Medical Center Hospital. This study employed a quasi-experimental design with control and experimental groups.This study used a total sampling technique involving 30 inpatient nurses, who were divided into an experimental group (n = 15) and a control group (n = 15). Data were collected by measuring continuity of nursing care scores before and after the intervention. Data analysis was conducted using the Generalized Linear Model Repeated Measures to assess changes in scores over time and differences between groups. The results showed that before the intervention, the mean continuity of nursing care scores were 37.27 ± 5.92 in the control group and 35.67 ± 4.37 in the experimental group. Following the implementation of SBAR handover, scores increased in both groups; however, the improvement was greater in the experimental group, with a mean score of 50.93 ± 1.10 compared to 41.80 ± 3.45 in the control group. The control group showed a statistically significant improvement (p = 0.020), whereas the experimental group demonstrated a highly significant increase (p = 0.000). Between-group analysis revealed a significant difference (F = 9.414; p = 0.005), as well as significant time effects and time × group interaction effects (p = 0.000). In conclusion, the implementation of SBAR handover was effective in improving the continuity of nursing care in inpatient wards.

Determinants of Discharge Planning Implementation Ellis Siti Suhartini; Harif Fadhillah; Eni Widiastuti; Muhammad Hadi
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): 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.v8i4.2036

Discharge planning a day prior to discharge is vital for care continuity. TThis study aims to analyze the determinants of nursing service quality, including nurse competence, knowledge, motivation, and role perception. A descriptive correlational study with a cross-sectional design was conducted involving 110 associate nurses in the inpatient ward using a total sampling technique. Data were collected using structured questionnaires and observation checklists. Prior to data collection, the instruments were tested for validity and reliability. The validity test results indicated that all questionnaire items were valid, while the reliability test showed good internal consistency with Cronbach’s alpha values greater than 0.70 for each variable. Data were analyzed using multiple linear regression to determine the influence of nurse competence, knowledge, motivation, and role perception on the quality of nursing services.. The observation results showed a very high compliance rate (90.9 percent). The analysis proved that competence, knowledge, and nurse roles were not significant. Nurse motivation was proven to be the only dominant factor influencing the compliance level. In conclusion, intrinsic motivation determines nurse performance amidst competence and procedural homogeneity.

The Effect of Nursing Supervision on the Quality of Interprofessional Collaboration Among Nurses in Inpatient Wards Anih Anih; Muhammad Hadi; Naryati Naryati; Harif Fadhillah
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): 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.v8i4.2038

Interprofessional Collaboration (IPC) is essential for improving healthcare quality and patient safety in inpatient settings. This study aimed to analyze the effect of nursing supervision on IPC quality in inpatient wards. A quasi-experimental design was used with intervention and control groups, each consisting of 20 nurses with total sampling. IPC quality was measured five times (p1–p5) using an IPC instrument. The intervention group received structured nursing supervision, while the control group did not receive any intervention. The data were analyzed using descriptive and inferential statistics with multivariate analysis with GLM. The results showed a significant and consistent increase in IPC scores in the intervention group from the first to the fifth measurement, whereas the control group showed only a slight improvement. Multivariate analysis yielded a p-value of 0.001, indicating a statistically significant difference between the two groups. In conclusion, nursing supervision significantly improves the quality of Interprofessional Collaboration in inpatient wards.

Analysis of Factors that Have A Role in Improving Quality of Nursing Services in Inpatient Care Neti Rusmilaningrum; Harif Fadhillah; Eni Widiastuti; Muhammad Hadi
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): 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.v8i4.2081

The quality of nursing care is a crucial aspect of the global health system, as nurses comprise the largest health workforce and are on the front lines of patient care. The quality of nursing care in hospitals is also influenced by several factors, such as leadership, organizational culture, burnout, and work motivation..This research aims to identify factors (leadership, organizational culture, burnout and motivation) that play a role in improving the quality of nursing services in the Inpatient Ward of Jakarta Harbor Hospital. The method used was a quantitative analytical research design with a cross-sectional approach. The research sample consisted of 100 health workers selected using total sampling techniques. The research sample consisted of 100 health workers selected using a total sampling technique. The dependent variable was the quality of nursing services, while the independent variables were leadership, organizational culture, burnout, and motivation. The research instruments used in this study had been tested for validity and reliability prior to data collection. The validity test results showed that all questionnaire items were valid, while the reliability test demonstrated good internal consistency with Cronbach’s alpha values greater than 0.70 for all variables..Data analysis was carried out bivariately using the chi-square test and multivariately using multiple logistic regression. The results of multiple logistic regression showed that the most dominant factor was the leadership variable with a p-value of 0.000 and an OR value of 153.415. The conclusion is that there is a relationship between leadership and motivation variables and the quality of nursing services in inpatient care at Pelabuhan Jakarta Hospital.

Improving Quality of Service melalui Pendekatan Perawatan Holistik di Unit Hemodialisis Dhea Natashia; Dian Fitria; Harif Fadhillah; Jehan Puspasari; Sugiyono
APMa Jurnal Pengabdian Masyarakat Vol. 6 No. 1: Januari 2026
Publisher : STIKES Bhakti Husada Mulia Madiun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47575/apma.v6i1.839

Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan perawat hemodialisis dalam menerapkan pendekatan perawatan holistik guna memperbaiki kualitas pelayanan di unit hemodialisis. Pelatihan dilakukan melalui metode workshop dan pendampingan yang mencakup empat aspek utama, yaitu pelayanan prima, komunikasi terapeutik, serta manajemen stres pada pasien, keluarga, dan perawat. Pengukuran dilakukan dengan menggunakan pre-test dan post-test terhadap 17 perawat peserta pelatihan. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan perawat sebesar 20% setelah pelatihan, yang mengindikasikan efektivitas program edukasi dalam memperluas wawasan dan kesadaran perawat mengenai pentingnya pendekatan bio-psiko-sosial-spiritual dalam asuhan keperawatan. Selain peningkatan kognitif, kegiatan ini juga berkontribusi pada peningkatan kemampuan psikomotor dan afektif, khususnya dalam pelaksanaannya melalui komunikasi terapeutik serta manajemen stres. Dampak kegiatan ini terlihat pada meningkatnya motivasi kerja perawat, penurunan stres perawat, serta meningkatnya hubungan positif antara perawat, pasien, dan keluarga. Kegiatan ini memberikan kontribusi nyata terhadap peningkatan kompetensi profesional perawat dan diharapkan dapat menjadi model berkelanjutan dalam pengembangan pelayanan keperawatan holistik di unit hemodialisis.

Faktor-Faktor yang Mempengaruhi Persepsi Perawat tentang Kolaborasi Interprofesional di Rumah Sakit Daerah Suharjo; Harif Fadhillah; Eni Widiastuti
Faletehan Health Journal Vol 13 No 02 (2026): Faletehan Health Journal, Juli 2026
Publisher : Universitas Faletehan

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

Interprofessional collaboration among nurses is vital for effective healthcare, yet its influencing factors in regional hospitals remain underexplored. This study aimed to examine the effects of demographic characteristics, work experience, and workplace culture on interprofessional collaboration. A cross-sectional study was conducted in a public hospital in Banten Province, Indonesia and involved 230 registered nurses selected through purposive sampling. Data collected via structured questionnaires were analyzed using descriptive statistics, reliability analysis, and multiple linear regression. The regression model was statistically significant (F=38.47, p<0.001), explaining 52% of the variance (R2=0.52). Workplace culture was the strongest predictor (β = 0.45, p < 0.001), followed by work experience (β = 0.28, p < 0.001). Education level (β = 0.12, p = 0.042) and work unit (β = 0.10, p = 0.046) had small but significant effects, while age and gender were not significant. The findings indicate that supportive workplace culture and professional experience are important factors associated with stronger interprofessional collaboration among nurses. Hospital management may strengthen collaborative practices through mentorship programs, continuous professional development, and organizational initiatives that promote teamwork and communication.

Title

Found 11 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 11 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 11 Documents
Search