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All Journal Indonesian Journal of Global Health research
Roro Tutik Sri Hariyati
Universitas Indonesia
Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health

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Strengthening the Role of Head Nurses in Managing Quality Improvement (QI) Programs for Pressure Injury Prevention in Hospitals Hendra Firmansyah; Roro Tutik Sri Hariyati; Lilis Rayatin
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): 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.v7i1.5322

Abstract

Nursing managers face challenges in implementing Quality Improvement (QI) programs for pressure injury prevention in hospitals. Objectives: To identify problems faced by nurse managers in implementing QI programs and to develop problem-solving solutions. Mini-project on improving the quality of care room management and analysis of results and implementation gaps based on literature review. Data collection through interviews, observations, and questionnaires in the internal medicine inpatient ward. Data were analyzed using the 5 Whys technique and fishbone diagram. Problem-solving solutions used the FOCUS PDSA approach. It was found that the direction and control functions of the quality improvement program in efforts to prevent pressure injuries were not optimal. The implementation of solutions in the form of improving pressure injury data management, staff re-education, making mini posters, and evaluating the impact of pressure injuries on costs. The evaluation results showed that all at-risk patients had received preventive interventions and no new cases of pressure injuries were found. Strengthening the direction function of the head of the room through staff re-education, poster installation, and effective monitoring can improve the implementation of the QI program in preventing pressure injuries in hospitals.
Enhancing Nurses' Ethical Knowledge in Hospitals Through the Initiation of Nursing Ethic Navigation and A Nurses' Ethical Guideline E-Book Citra Hafilah Shabrina; Krisna Yetti; Hanny Handiyani; Shanti Farida Rachmi; Erna Puspita Sari; Roro Tutik Sri Hariyati
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): 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.v7i4.6399

Abstract

Nurses in hospitals often face complex ethical situations; however, there are still gaps in the understanding and application of nursing ethical principles, and a structured, easily accessible ethical guideline is not yet available. This study aims to develop two main solutions Nursing Ethic Navigation (an ethical guideline web search engine) and the Nurses' Ethical Guideline E-Book using John Kotter’s Eight-Step Change Model approach. The method used is a case study conducted at Hospital X during September–October 2024, encompassing problem identification, action planning, implementation, and evaluation. The respondents in this study were the Head Nurse, Primary Nurse, Nursing Department staff, members of the Nursing Committee, and nurses in the IGD-COT unit at Hospital X. Data were collected through interviews, observations, and questionnaires, then analyzed using problem priority scoring and a fishbone diagram to identify root causes as the basis for developing action plans and change strategies. The results showed a significant improvement in nurses’ knowledge, awareness, and ability to apply ethical principles after the intervention. Digital media such as the e-book and web-based tools proved effective as learning platforms and practical references that can be accessed anytime. This study recommends expanding the implementation of ethical guidelines to other service units, supported by managerial involvement and continuous evaluation, to ensure integration into the organizational culture and daily nursing practice.
Co-Authors Citra Hafilah Shabrina Erna Puspita Sari Hanny Handiyani Hendra Firmansyah Krisna Yetti Lilis Rayatin Shanti Farida Rachmi