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Patient Safety Culture in Hospitals based on Agency For Health Care Research And Quality (AHRQ) Wahyuningsih, Christiana Sri; Asih, Esthi Budhi; Masitoh, Rohayati; Rahmawati, Kiki
Journal of Health Policy and Management Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2024.09.02.06

Abstract

Background: The first step towards patient safety is to build a good patient safety culture. Patient safety culture measurements can be used as evaluations to improve quality and patient safety. This study aims to determine an overview of patient safety culture in hospitals. Study Method: It was a descriptive observational study with a cross-sectional study conducted in July 2022 - September 2022. This study was conducted at Panembahan Senopati Hospital with a total population of 974 hospital employees and selected 383 study samples by using simple random sampling. The dependent variable in the study was patient safety culture. The independent variables in this study were information disclosure, feedback and communication about patient safety incidents, management support for patient safety, non-punitive response to errors, organizational learning and continuous improvement, staffing, staff expectations of supervisor/management attitudes and actions in encouraging patient safety, cooperation within the unit, frequency of incident reporting, overall perception on safety, handoff and transition, and cross units cooperation. The data collection technique used was the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire developed by the Agency for Health Care Research Quality (AHRQ) consisting of 12 dimensions of patient safety culture. The study data were analyzed using descriptive analysis technique. Result: The positive value of patient safety culture fell into the medium category (72.12%). The dimensions of patient safety culture with strong categories (>75%) were cooperation within the unit, expectations and actions of managers in promoting patient safety, organizational learning, management support for patient safety, and cross units cooperation. The dimensions of patient safety culture in the medium category (50% - 75%) were employee perceptions of patient safety, feedback and communication on errors, open communication, frequency of incident reporting, handoffs and transitions, and non-punitive responses to errors. The dimension of patient safety culture with weak category (< 50%) was staffing. Conclusion: The strength areas of patient safety culture are organizational aspects, aspects of management support for patient safety, aspects of cross units cooperation, aspects of cooperation within units, and expectations and actions of managers in promoting patient safety. While the areas that still require development are staffing aspects, open communication aspects, and incident reporting frequency, thus their improvement must be prioritized. Keywords: AHRQ, patient safety, safety culture Correspondence: Christiana Sri Wahyuningsih. Panembahan Senopati General Hospital Bantul, Jl. Dr. Wahidin Sudiro Husodo, Trirenggo, Bantul, Bantul, Yogyakarta. Email: anachristi19@gmail.com. Mobile: +6281287783924
The correlation between sleep quality and fatigue in students at 'Aisyiyah University Yogyakarta Taghsya Dhaneswara Patya; Rokhmah, Noor Ariyani; Masitoh, Rohayati
International Journal of Health Science and Technology Vol. 6 No. 2 (2024): November
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/ijhst.v6i2.3740

Abstract

Students have many responsibilities and demands that must be completed to meet their learning load and must meet academic standards. This makes students sleep-deprived so that it can cause fatigue. Fatigue is an obstacle felt by students when studying because students feel that there is a decrease in energy when carrying out activities during the day and cause symptoms of drowsiness. This study aims to determine the correlation between sleep quality and fatigue in students at 'Aisyiyah University Yogyakarta. The method carried out in this study is a correlational quantitative with a cross-sectional design in students at 'Aisyiyah University Yogyakarta who used the Pittsburgh Sleep Quality Index (PSQI) questionnaire for sleep quality and the Swedish Occupational Fatigue Inventory (SOFI) questionnaire for fatigue. The sampling technique used proportionate stratified random sampling with a total of 375 student respondents. The research was analyzed using the Kendall Tau test. The results showed that the majority of students experienced poor sleep quality as many as 284 students (75.7%) and moderate fatigue of 301 students (80.3%). The results of the bivariate analysis test obtained the result of p=0.000 (p<0.05) stating that there was a correlation between sleep quality and fatigue in students at the University of 'Aisyiyah Yogyakarta. It can be concluded that there is a correlation between sleep quality and fatigue in students of 'Aisyiyah University Yogyakarta.
HUBUNGAN BEBAN KERJA PERAWAT DENGAN PERILAKU CARING PERAWAT DI RUANG RAWAT INAP RS PKU MUHAMMADIYAH GAMPING Putri, Rismauli Agista; Imallah, Rosiana Nur; Masitoh, Rohayati
Prosiding University Research Colloquium Proceeding of The 19th University Research Colloquium 2024: Bidang MIPA dan Kesehatan
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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

Abstract

"Abstrak Perilaku caring merupakan inti dari praktik keperawatan dan atribut penting perawat yang dapat mempengaruhi hasil kesehatan pasien dan kepuasan pasien. Perawat merupakan orang yang bertanggung jawab untuk mengontrol pasien selama 24 jam dan secara alami terpapar pada banyak faktor stres. Permasalahan yang berkembang saat ini adalah rendahnya perilaku caring perawat. Salah satu faktor yang mempengaruhi adalah beban kerja perawat yang tinggi. Peningkatan beban kerja perawat akan membuat perawat kelelahan dan interaksi dengan pasien menjadi terbatas sehingga dapat berdampak pada penerapan perilaku caring perawat terhadap pasien. Tujuan Penelitian adalah untuk mengetahui apakah ada hubungan beban kerja perawat dengan perilaku caring perawat di RS PKU Muhammadiyah Gamping. Metode penelitian menggunakan deskriptif analitik korelasi dengan pendekatan cross sectional. Hasil penelitian menunjukkan bahwa sebagian besar perawat memiliki beban kerja yang berat sebanyak 97,7% dan memiliki perilaku caring kurang baik sebanyak 81,8%. Analisis bivariat dilakukan menggunakan uji Spearmant Rank dengan hasil nilai p-value = 0,000 (p-value 0,032 < 0,05) yang artinya ada hubungan yang signifikan antara beban kerja perawat dengan perilaku caring perawat di ruang rawat inap RS PKU Muhammadiyah Gamping. Keeratan hubungan dengan nilai signifikasi r = 0,323* (korelasi positif). Kesimpulan penelitian adalah beban kerja perawat yang berat berhubungan dengan perilaku caring perawat yang kurang baik. Hal ini menjadi bahan masukan RS untuk memperbaiki pengelolaan asuhan keperawatan sehingga beban kerja perawat dapat sesuai dan mengupayakan peningkatan perilaku caring perawat. Kata kunci: Kata kunci 1; beban kerja 2; perilaku caring 3; perawat "
Application of Educational Media of Insulin Injection Rotation Scheme to Improve Insulin Injection Skills of T2DM Patients Hapsari, Agustina Retno; Purwaningsih, Iswanti; Masitoh, Rohayati; Nuryani, Isti
Indonesian Journal of Global Health Research Vol 6 No S6 (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.v6iS6.5668

Abstract

The number of Diabetes Mellitus patients is increasing and the average patient will use insulin injections independently to maintain their glycemic levels. Therefore, proper education is needed to improve insulin injection skills so that glycemic can be controlled. There are still many locations where insulin injections are carried out by patients and nurses in the arm (deltoid) or in the abdomen, but rotation is rarely carried out. This happens because it is to the patient's understanding and familiarity with the arm area. In general, patients say they are hesitant to inject insulin in the other part. Objective to determine the effect of the application of education using a rotation scheme on the skills of T2DM patients. This research method was with a quasi-experimental design, with the respondents being T2DM patients who received insulin injection therapy with a sampling technique using simple random sampling. With improved insulin injection skills, the patient can control his glycemic muscles. The results showed that there was an increase in the average skill score in the intervention group by applying educational media of the insulin injection rotation scheme higher than that of the control group. There was a significant difference (p-value 0.000). Education with the medium of insulin injection rotation scheme is effective in improving the skills of T2DM patients. Education using props will make it easier for T2DM patients to practice injecting independently precisely and correctly.
Penerapan Teknik Imajinasi Terbimbing pada Pasien Fraktur Preoperasi dengan Ansietas Mahmudah, Ani Mashunatul; Nurmaningsih, Nurmaningsih; Masitoh, Rohayati; Amry, Riza Yulina
Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat Vol. 21 No. 1 (2026)
Publisher : STIKes Surya Global Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32504/sm.v21i1.1347

Abstract

Latar Belakang : Fraktur adalah hilangnya continuitas tulang, tulang rawan, baik yang bersifat total maupun sebagian. Biasanya disebabkan oleh trauma atau tenaga fisik. Tindakan pembedahan atau operasi adalah salah satu penatalaksaan fraktur, pembedahan tersebut  menjadi salah satu penyebab terjadinya ansietas pada pasien yang hendak menjalani tindakan operasi. Salah satu terapi non farmakologi untuk menurunkan ansientas pada pasien pre operasi adalah dengan terapi teknik imajinasi terbimbing dapat mengurangi ansietas tanpa efek samping dan mempunyai manfaat terutama pada pasien yang mengalami pembedahan. Tujuan Penelitian ini untuk mendapat gambaran penerapan teknik imajinasi terbimbing dalam menurunkan ansietas pada pasien fraktur pre operasi. Metode : Metode Penelitian dilakukan menggunakan studi kasus dengan mendekatan asuhan keperawatan. Subjek penelitian yaitu pasien yang mengalami fraktur dengan masalah ansietas Hasil : Setelah dilakukan teknik imajinasi terbimbing pada kedua pasien mengalami penurunan tingkat ansietas, dibuktikan dengan pasien mengatakan rasa cemas menurun, lebih rileks, tekanan darah membaik dan frekensi nadi membaik, pola berkemih membaik, pola tidur membaik. Simpulan : Penelitian ini menyimpulkan bahwa teknik imajinasi terbimbing terbukti efektif dalam menurunkan tingkat ansietas pada pasien fraktur yang mengalami masalah ansietas pre operasi.
Kehandalan pelayanan keperawatan dengan kepuasan pasien di ruang rawat inap Sani, Zul Fadli; Imallah, Rosiana Nur; Masitoh, Rohayati
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 6 No 2 (2026): February Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v6i2.2276

Abstract

Background: Patient satisfaction in hospitals can be achieved through the quality of nursing services provided, one of which is nurse reliability. Nurses with reliability are those who meet patient expectations, such as keeping promises, resolving problems effectively, providing satisfaction, and demonstrating a trustworthy attitude. Purpose: To determine the relationship between nursing service reliability and patient satisfaction in inpatient wards. Method: This quantitative study used a descriptive correlation design with a cross-sectional approach. The sampling technique used purposive sampling, with a sample size of 97 respondents. The research instrument used a questionnaire. Data analysis used the Kendall Tau test. Results: The reliability of nursing services was categorized as good by 81 respondents (83.5%), while patient satisfaction was categorized as satisfied by 78 respondents (80.4%). The data analysis yielded a value of 0.015 <0.05. Conclusion: There is a relationship between nursing service reliability and patient satisfaction in inpatient wards.   Keywords: Nursing Services; Patient Satisfaction; Reliability.   Pendahuluan: Kepuasan pasien di rumah sakit dapat tercipta dari kualitas pelayanan keperawatan yang diberikan salah satunya adalah kehandalan perawat. Perawat yang memiliki kehandalan yaitu kemampuan untuk memenuhi harapan pasien seperti menepati janji, menyelesaikan permasalahan dengan baik, memberikan kepuasan, serta menunjukkan sikap yang dapat dipercaya. Tujuan: Untuk mengetahui hubungan kehandalan pelayanan keperawatan dengan kepuasan pasien di ruang rawat inap. Metode: Penelitian kuantitatif dengan rancangan deskriptif korelasi dengan pendekatan cross sectional. Teknik pengambilan sampel menggunakan Purposive Sampling, dengan jumlah sampel 97 responden. Instrumen penelitian menggunakan kuesioner. Analisis data menggunakan Uji Kendall Tau. Hasil: Kehandalan pelayanan keperawatan mayoritas berada pada kategori baik sebanyak 81 responden (83,5%) dengan kepuasan pasien berada pada kategori puas sebanyak 78 responden (80,4%). Hasil analisis data diperoleh nilai 0.015<0.05. Simpulan: Terdapat hubungan antara kehandalan pelayanan keperawatan dengan kepuasan pasien di ruang rawat inap.   Kata Kunci : Kehandalan; Pelayanan Keperawatan; Kepuasan Pasien
Quality of nursing work life dengan kejadian burnout perawat di instalasi rawat intensif Praditha, Mersya Rikhsan; Masitoh, Rohayati; Kurniasih, Yuni
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 6 No 2 (2026): February Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v6i2.2334

Abstract

Background: Nurses are healthcare workers who provide direct care and play a significant role in the quality of hospital services. High work demands, especially for nurses in intensive care units (ICU, HCU, NICU, and PICU), make them more susceptible to work stress and burnout. One important factor influencing burnout is the quality of nursing work life (QNWL), which encompasses work-home balance, work design, work context, and the work environment. Purpose: To determine the relationship between quality of nursing work life and nurse burnout. Method: This study used a quantitative descriptive correlation design and a cross-sectional approach. The population was nurses in the Intensive Care Unit of Panembahan Senopati Bantul Regional Hospital. A total sampling technique was used to select 47 nurses. Data were collected using a quality of nursing work life and burnout questionnaire. Analysis used the Spearman rank test. Results: The correlation coefficient was 0.105 (very weak) with a significance level of 0.481 >0.05 for the quality of nursing work life and burnout variables. Conclusion: Quality of nursing work life does not affect nurse burnout.   Keywords: Burnout; Nurse; Quality Of Nursing Work Life.   Pendahuluan: Perawat merupakan tenaga kesehatan yang memberikan pelayanan langsung dan berperan besar dalam kualitas layanan rumah sakit. Tuntutan kerja yang tinggi, terutama pada perawat ruang intensif seperti ICU, HCU, NICU, dan PICU, membuat mereka lebih rentan mengalami stres kerja dan burnout. Salah satu faktor penting yang berpengaruh terhadap burnout adalah quality of nursing work life (QNWL) yang mencakup keseimbangan kerja dan rumah, desain kerja, konteks kerja, dan lingkungan dunia kerja. Tujuan: Untuk mengetahui hubungan quality of nursing work life dengan kejadian burnout perawat. Metode: Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan desain deskriptif korelasi dan pendekatan waktu yang digunakan adalah cross-sectional. Populasi penelitian ini merupakan perawat di Instalasi Rawat Intensif RSUD Panembahan Senopati Bantul, sampel diambil dengan Teknik Total Sampling sebanyak 47 perawat. Data dikumpulkan dengan menggunakan kuesioner quality of nursing work life dan burnout. Uji analisis menggunakan spearman rank test Hasil: Nilai koefisien korelasi 0.105 (sangat lemah) dengan signifikansi sebesar 0.481 >0.05 pada variabel quality of nursing work life dan burnout. Simpulan: Quality of nursing work life tidak mempengaruhi burnout perawat.   Kata Kunci: Burnout; Perawat; Quality Of Nursing Work Life.