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Kontribusi Perbedaan Psikologis Perawat terhadap Pemberdayaan Psikologis Diah Arruum; Junaiti Sahar; Dewi Gayatri
Jurnal Keperawatan Indonesia Vol 18 No 1 (2015): Maret
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v18i1.393

Karakteristik perawat merupakan ciri-ciri perawat yang melekat terhadap dirinya, baik secara alami maupun yang didapat dari orang lain yang meliputi usia, jenis kelamin, tingkat pendidikan, status pernikahan, status pekerjaan, dan lama kerja. Karakteristik dapat membedakan psikologis perawat terhadap pemberdayaan psikologis dalam peningkatan kemampuan diri, motivasi intrinsik, dan kinerja perawat di rumah sakit. Penelitian ini bertujuan mengetahui karakteristik perawat dengan pemberdayaan psikologis. Desain penelitian yang digunakan deskripsi korelasi dengan cross sectional, sampel seratus lima belas perawat pelaksana. Hasil penelitian adalah jenis kelamin yang berhubungan dengan pemberdayaan psikologis perawat pelaksana p= 0,041, yang berarti terdapat hubungan antara jenis kelamin dan pemberdayaan psikologis perawat pelaksana (CI 95% OR= 1,001â€“66,893). Kemudian, 90% perawat pelaksana yang berjenis kelamin laki-laki lebih berpeluang untuk diberdayakan secara psikologis, sedangkan perawat pelaksana dengan jenis kelamin perempuan yang berpeluang diberdayakan sebesar 52,4%. Rekomendasi dari penelitian ini adalah perlu mengusulkan pendidikan formal dan Â pelatihan untuk perawat pelaksana khususnya yang memiliki lama kerja minimal lima tahun, serta perlu memberi pengarahan dari kepala ruangan untuk membina seluruh perawat melalui supervisi agar dapat memiliki kompetensi dalam melakukan tindakan di rumah sakit yang mencerminkan pemberdayaan psikologis perawat.Â AbstractÂ Contribution of the Difference of Psychological Nurses's toward Psycological Empowerment. Characteristics of nurses are the traits attached to nurses, either naturaly or acquired from others. They include age, gender, educational level, marital status, employment status, and length of employment. The psychological characteristics distinguish nurses in psychological empowerment in improving self-efficacy, intrinsic motivation and performance of nurses in hospital. This research aims to know the characteristics and the psychological empowerment of nurses. The research design used cross-sectional correlation description with sample of 115 nurses. The results of the study are, gender that related with nursesâ€™ psychological empowerment (p= 0.041), which means that there is relation between gender with psychological empowerment of nurses (CI 95% OR= 1.001â€“66.893), and 90% of male nurses are more likely to be empowered psychologically, whereas female nurses that is likely to be empowered is 52.4%. Recommendations is the need to propose a formal education and training, especially for nurses who have at least 5 years length of work, as well as the need to give direction from head nurse to nurture all nurses through supervision in order to have the competences to carry out actions in hospital that reflect the nurses psychological empowerment.Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Keywords: nurses psychological difference, psychological empowermentÂ

PENGEMBANGAN PROTOKOL PEMENUHAN HAK PASIEN DI RUMAH SAKIT DAERAH KABUPATEN ACEH TAMIANG Fitri Erlita; Dewi Elizadiani Suza; Diah Arruum
Idea Nursing Journal Vol 7, No 2 (2016): Idea Nursing Journal
Publisher : Fakultas Keperawatan-Universitas Syiah Kuala

ABSTRAKProtokol pemenuhan hak pasien merupakan suatu panduan yang dikembangkan sebagai pedoman dalam menerapkan pemenuhan hak pasien. Penelitian ini bertujuan untuk mengembangkan protokol pemenuhan hak pasien di Rumah Sakit Daerah Kabupaten Aceh Tamiang. Jenis penelitian yang digunakan adalah action research, dari bulan Maret sampai Juli 2016, dan melalui 3 siklus serta terbagi dalam 8 tahap. Instrumen yang digunakan adalah panduan in-depth interview, panduan focus group discussion (FGD) pada tahap reconnaissance,panduan FGD pada tahap reflection, kuesioner tentang kepuasan pasien dalam pemenuhan hak pasien, kuesioner kepuasan perawat dalam pemenuhan hak pasien, format observasi protokol pemenuhan hak pasien, dan format observasi kinerja perawat dalam pemenuhan hak pasien. Partisipan dalam penelitian ini adalah 31 orang perawat, yang diambil secara purposive sampling. Data dianalisis secara kualitatif dan kuantitatif. Analisa data kualitatif menggunakan content analysis dan analisa data kuantitatif menggunakan uji statistik deskriptif. Hasil penelitian teridentifikasi tema: manfaat pemenuhan hak pasien untuk stake holder, hak yang didapatkan dari pelayanan kesehatan, hambatan dalam penerapan protokol pemenuhan hak pasien, strategi penerapan protokol pemenuhan hak pasien, instrumen penerapan protokol pemenuhan hak pasien, dan dukungan penerapan protokol pemenuhan hak pasien. Penelitian ini menghasilkan suatu kebijakan baru dalam bentuk standar prosedur operasional yaitu protokol pemenuhan hak pasien, alur pemberian informasi hak dan kewajiban pasien, dan menghasilkan dampak adanya peningkatan kepuasan pasien, yaitu sebelum penerapan protokol rata-rata (mean) 86,89 dan sesudah rata-rata (mean) senilai 91,80, serta berdampak pada peningkatan kepuasan perawat, yaitu sebelum penerapan protokol rata-rata (mean) 82,16 dan sesudah rata-rata (mean) senilai 90,16. Penelitian ini merekomendasikan kepada pihak manajemen rumah sakit agar terus melakukan supervisi untuk mengevaluasi pelaksanaan protokol pemenuhan hak pasien. Kata kunci: protokol, pemenuhan hak pasien, action research. ABSTRACTProtocol for fulfilling patients’ right is developed as guidance in implementing patients’ right. The objective of the research was to develop protocol for fulfilling patients’ right at the Regional General Hospital in Aceh Tamiang Regency. The research used action research method; it was conducted from March until July, 2016 through 3 cycles in 8 stages. The research instruments were in-depth interview guidance, Focus group discussion (FGD) guidance in the reconnaissance stage and FGD in reflection stage, questionnaires on patient satisfaction, questionnaires on nurse satisfaction in fulfilling patients’ right, protocol observation format in fulfilling patients’ right, and nurses’ performance observation format in fulfilling patients’ right. The samples were 31 nurses as the respondents, taken y using purposive sampling technique. The data were analyzed qualitatively and quantitatively. Qualitative data were analyzed by using content analysis while quantitative data were analyzed by using descriptive statistic test. The result of the research showed the theme of the benefit of fulfilling patients’ right for stakeholders, patients’ right to get health service, the obstacles in implementing protocol in fulfilling patients’ right, strategy of implementing protocol in fulfilling patients’ right, instruments for implementing protocol in hospitals, and support in implementing protocol in fulfilling patients’ right. This research produced a new policy in the form of standard operational procedure, that is, protocol in fulfilling patients’ right, channel of giving information about patients’ right and obligation, and the effect of the increase in patients’ satisfaction - mean value in pre-protocol application was 86.89 and mean value in post protocol application was 91.80. The increase in nurses’ satisfaction, mean value in pre-protocol application was 82.16 and mean value in post-protocol application was 90.16. It is recommended that the hospital management do supervision to evaluate the implementation of protocol in fulfilling patients’ right. Keywords: protocol, fulfilling patients’ right, action research.

Nurses’ Barriers to Incident Reporting in Patient Safety Culture: A Literature Review Diah Arruum; Enie Novieastari
Indonesian Journal of Global Health Research Vol 2 No 4 (2020): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Patient safety culture becomes the responsibility of every health care provider, but there are still barriers to reduce adverse events, and one of them is due to the barriers to incident reporting. This study obtained and used the databases from ProQuest, Science Direct, SAGE Publications, and EBSCOhost. The inclusion criteria were nurses and other health care providers as the sample population, barriers, factors, reporting, patient safety culture, adverse events, nurses' perception, implication, and experience. Four electronic databases were searched for data from 2016 to 2020 with English guidelines and full-text search assessed for the inclusion criteria. Fourteen articles fulfilled the inclusion criteria. The study found various barrier factors in incident reporting, including psychological problems and emotional reactions, such as shame, guilt, fatigue due to overwork, patient-nurse ratio, increased workload, insufficient time to respond the patients, lack of professionalism, medication errors, lack of resources and staff, and lack of feedback for error reporting. Personal and professional support for nurses or other health care providers is required to encourage error reporting without feeling guilty and ashamed to colleagues or feeling fearful of the supervisor in order to obtain more accurate data and improve the process that support patient safety and nurses’ self-awareness.

PENGETAHUAN WANITA TENTANG KANKER PAYUDARA Nur Asiah; Diah Arruum; Ellyta Aizar
Jurnal Riset Hesti Medan Vol 4, No 1 (2019)
Publisher : Akademi Keperawatan Kesdam I/Bukit Barisan Medan

Introduction about breast cancer is very important in order to decrease new cases through the efforts of prevention and early detection to make it easier to recognize the risk factors and symptoms of breast cancer. This community service activities aiming to identify women's ability to detect early breast cancer. This community service activities performed on May to October 2018 in the UPT PUSKESMAS PB SELAYANG II Medan. The method of implementation of community service activities started by measuring the level of knowledge about society and the cadre of breast cancer, followed by the giving of material (counseling) about breast cancer by SADARI. Results dissemination instruments of knowledge work in the area of women's health centers on breast cancer obtained that 30 women (60%) have less knowledge about breast cancer. For it to do a follow-up to train cadres and taught to the community to recognise and assess the risk factors in a sustainable way next taught how about SADARI techniques and further stages need to be done breast exam by using breasligh.

Peningkatan Etos Kerja Perawat Pelaksana Melalui Pelatihan Self-Leadership Martha Pitta Uli Marpaung; Dewi Elizadiani Suza; Diah Arruum
Jurnal Kepemimpinan dan Manajemen Keperawatan Vol. 2 No. 2 (2019)
Publisher : Persatuan Perawat Nasional Indonesia Jawa Tengah

Self-leadership is a power that is inherent in individuals to influence, direct, control, and push themselves to achieve the desired goals. Self-leadership training is very important to improve work behavior in hospitals. The purpose of this study was to determine the effect of self-leadership training on nurses’ work ethic at the government hospital. The research method uses a quasi-experimental method with nonequivalent control two groups with pre-post test design. The research sample was taken using consecutive sampling with a total of 98 nurses, 49 nurses as the control group and 49 nurses as the intervention group. In the intervention group, self-leadership training was given, whereas the control group was not. The results of the Wilcoxon Signed Ranks test in the intervention group found that there were significant differences in work ethic before and after training (p = 0.00, p˂0.05) while in the control group there were no significant differences in work ethic before and after training (p=0,317, p˃0,05). Spearman's Rho test results showed that there was an effect of self-leadership training on nurses’ work ethic at the government hospital (p = 0.00 <0.05). Self-leadership training can improve nurses’ work ethic at hospitals so it is recommended to conduct training on an ongoing basis to maintain consistency of work ethics in hospitals.

Nurses’ Barriers to Incident Reporting in Patient Safety Culture: A Literature Review Diah Arruum; Enie Novieastari
Indonesian Journal of Global Health Research Vol 2 No 4 (2020): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Patient safety culture becomes the responsibility of every health care provider, but there are still barriers to reduce adverse events, and one of them is due to the barriers to incident reporting. This study obtained and used the databases from ProQuest, Science Direct, SAGE Publications, and EBSCOhost. The inclusion criteria were nurses and other health care providers as the sample population, barriers, factors, reporting, patient safety culture, adverse events, nurses' perception, implication, and experience. Four electronic databases were searched for data from 2016 to 2020 with English guidelines and full-text search assessed for the inclusion criteria. Fourteen articles fulfilled the inclusion criteria. The study found various barrier factors in incident reporting, including psychological problems and emotional reactions, such as shame, guilt, fatigue due to overwork, patient-nurse ratio, increased workload, insufficient time to respond the patients, lack of professionalism, medication errors, lack of resources and staff, and lack of feedback for error reporting. Personal and professional support for nurses or other health care providers is required to encourage error reporting without feeling guilty and ashamed to colleagues or feeling fearful of the supervisor in order to obtain more accurate data and improve the process that support patient safety and nurses’ self-awareness.

Organizational Climate and Work Environment with Prevention from Infection Teorida Laia; Bustami Syam; Dewi Elizadiani Suza; Diah Arruum
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 2: June 2022
Publisher : Universitas Aisyah Pringsewu

Prevention of infection is an action taken to reduce the incidence of infection in hospitals. Management of infection is assessed based on organizational climate and the nurse's work environment that shapes nurse behavior in preventing infection in the hospital. The study aimed to analyze the relationship between organizational climate and nurses' work environment in the prevention of infection in hospital Universitas Sumatera Utara. The study was a descriptive correlative. Data were collected using a questionnaire and analyzed using multiple linear regression. The sample was 135 nurses. The results show that the factor most associated with the prevention of infection is work environment (p=0,01; OR=2,76; 95%CI= 1,22-6,27) and organizational climate (p=0,02; OR=2,65; 95%CI=1,13-6,21). The work environment had the most dominant relationship with the prevention of infection in Hospital Universitas Sumatera Utara. It is expected that in the future hospital to improve the organizational climate by increasing the awarding and appreciation of nurses' work and creating a better and more conducive work environment, especially in the psychological environment of nurses, so that nurses remain motivated to work especially in preventing infections in hospitals. Abstrak: Pencegahan infeksi adalah tindakan yang dilakukan untuk mengurangi kejadian infeksi di rumah sakit. Penata laksanaan infeksi dinilai berdasarkan iklim organisasi dan lingkungan kerja perawat yang membentuk perilaku perawat dalam pencegahan infeksi di rumah sakit. Penelitian ini bertujuan untuk menganalisis hubungan iklim organisasi dan lingkungan kerja perawat dengan pencegahan infeksi di Rumah Sakit Universitas Sumatera Utara. Penelitian ini merupakan penelitian deskriptif korelatif. Data dikumpulkan dengan menggunakan kuesioner dan dianalisis menggunakan regresi linier berganda. Sampel penelitian adalah 135 perawat. Hasil penelitian menunjukkan bahwa faktor yang paling berhubungan dengan pencegahan infeksi adalah lingkungan kerja (p=0,01; OR=2,76; 95%CI= 1,22-6,27) daniklimorganisasi (p=0,02). ; OR=2,65; 95%CI=1,13-6,21). Lingkungan kerja memiliki hubungan paling dominan dengan pencegahan infeksi di Rumah Sakit Universitas Sumatera Utara. Diharapkan kedepannya rumah sakit dapat meningkatkan iklim organisasi dengan meningkatkan penghargaan dan apresias iterhadap kerja perawat serta menciptakan lingkungan kerja yang lebih baik dan kondusif khususnya di lingkungan psikologi perawat, sehingga perawat tetap termotivasi untuk bekerja khususnya dalam pencegahan infeksi di RS. Rumah sakit.

Organizational Climate and Work Environment with Prevention from Infection Teorida Laia; Bustami Syam; Dewi Elizadiani Suza; Diah Arruum
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 2: June 2022
Publisher : Universitas Aisyah Pringsewu

Prevention of infection is an action taken to reduce the incidence of infection in hospitals. Management of infection is assessed based on organizational climate and the nurse's work environment that shapes nurse behavior in preventing infection in the hospital. The study aimed to analyze the relationship between organizational climate and nurses' work environment in the prevention of infection in hospital Universitas Sumatera Utara. The study was a descriptive correlative. Data were collected using a questionnaire and analyzed using multiple linear regression. The sample was 135 nurses. The results show that the factor most associated with the prevention of infection is work environment (p=0,01; OR=2,76; 95%CI= 1,22-6,27) and organizational climate (p=0,02; OR=2,65; 95%CI=1,13-6,21). The work environment had the most dominant relationship with the prevention of infection in Hospital Universitas Sumatera Utara. It is expected that in the future hospital to improve the organizational climate by increasing the awarding and appreciation of nurses' work and creating a better and more conducive work environment, especially in the psychological environment of nurses, so that nurses remain motivated to work especially in preventing infections in hospitals. Abstrak: Pencegahan infeksi adalah tindakan yang dilakukan untuk mengurangi kejadian infeksi di rumah sakit. Penata laksanaan infeksi dinilai berdasarkan iklim organisasi dan lingkungan kerja perawat yang membentuk perilaku perawat dalam pencegahan infeksi di rumah sakit. Penelitian ini bertujuan untuk menganalisis hubungan iklim organisasi dan lingkungan kerja perawat dengan pencegahan infeksi di Rumah Sakit Universitas Sumatera Utara. Penelitian ini merupakan penelitian deskriptif korelatif. Data dikumpulkan dengan menggunakan kuesioner dan dianalisis menggunakan regresi linier berganda. Sampel penelitian adalah 135 perawat. Hasil penelitian menunjukkan bahwa faktor yang paling berhubungan dengan pencegahan infeksi adalah lingkungan kerja (p=0,01; OR=2,76; 95%CI= 1,22-6,27) daniklimorganisasi (p=0,02). ; OR=2,65; 95%CI=1,13-6,21). Lingkungan kerja memiliki hubungan paling dominan dengan pencegahan infeksi di Rumah Sakit Universitas Sumatera Utara. Diharapkan kedepannya rumah sakit dapat meningkatkan iklim organisasi dengan meningkatkan penghargaan dan apresias iterhadap kerja perawat serta menciptakan lingkungan kerja yang lebih baik dan kondusif khususnya di lingkungan psikologi perawat, sehingga perawat tetap termotivasi untuk bekerja khususnya dalam pencegahan infeksi di RS. Rumah sakit.

The Identifying Factors Affecting Nursing Workload: A Literature Review Diah Arruum; Sri Yulia; Muliyadi, Muliyadi; Nur Asiah
Jurnal Keperawatan Priority Vol. 7 No. 1 (2024)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v7i1.4548

Nurses are essential in realizing quality health service management. This quality can be achieved if the quality of life of nurses is maintained and control is optimal. However, nurses in various work units still face workloads that result in disruptions to the quality of patient safety. The study aimed to identify factors Affecting Nursing Workload. The year used was 2019-2023, and the research design used all quantitative and qualitative research-data based on ProQuest, Pub Med, and Science Direct articles. The article was published in English, and nurses as a sample. Factors OR Aspect AND Affecting OR Influencing AND Workload OR “amount of work” OR “high workload” AND nurses. There were twelve articles included in this article. This article studies three themes: the effects of a high nursing workload on patient care, the impact of a high nursing workload on mental nurses, and other factors. A nurse’s workload can cause problems with patients, the mental health of nurses, and other factors. It requires commitment from leaders, managers, and nurses to provide patient care and services to improve the quality of nurses’ work and patient satisfaction.

Descriptive of Critical Thinking in Nursing Care of Nurses: A Survey Study Arruum, Diah; Suza, Dewi Elizadiani; Asiah, Nur; Sitepu, Nunung Febriany
Jurnal Keperawatan Priority Vol. 8 No. 1 (2025)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v8i1.6131

Nurses are responsible for providing nursing care to patients while being treated in the hospital. Providing nursing care to patients requires critical thinking skills for nurses to be able to achieve various problem-solving and decision-making in care so that the needs and treatment process of patients can be met. Critical thinking in nursing care begins with the assessment to the evaluation of nursing care for patients. However, obstacles in critical thinking in nursing care are still a concern for nurses. This study aims to descriptive of critical thingking in nursing care of nurses. This study is a descriptive survey study with a cross-sectional design. This study involved 69 nurses. This study was conducted in September-December 2019 in Medan. The sample was selected using the purposive sampling method, and data were collected through a questionnaire developed by the researcher related to critical thinking in nursing care. The output of data analysis uses frequency distribution. The results obtained were that the age range of nurses was 20-30 years with female gender, educated as professional nurses, and the longest work period was 1-4 years; the majority of career levels were level I. The critical thinking ability of nurses in the capable category was 92.7%. The majority of nurses have good critical thinking knowledge in nursing care for patients. Nurses who have good nursing care reflect good competence and performance. Nursing managers need to motivate and monitor nurses continuously in nursing care to patients because critical thinking affects the caring behavior of nurses. Nurses who have good critical thinking can improve performance in providing nursing care.

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