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Multilevel Analysis of Nurse’s Performance Predictors at Dr. Moewardi Hospital, Surakarta Mardiah, Adriana; Tamtomo, Didik; Murti, Bhisma
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.03

Background: Nurse Performance plays a role as a determinant of patient satisfaction when providing nursing care. Nursing services in hospitals are one of the determining factors for good or bad service, quality and image of a hospital. Factors that influence nurse performance are gender, working time arrangements, education, work experience and job satisfaction. The aim of this study was to analyze the performance of inpatient and outpatient ward nurses at Dr. Moewardi Hospital. Subject and Method: This research uses an observational analytic design with a cross-sectional approach. This research is intended to find the relationship between the independent variables, namely gender, working time arrangements, education, work experience and job satisfaction, with the dependent variable, namely the performance of nurses in the inpatient and outpatient wards at Dr. Moewardi. This research was conducted in October-November 2023. A sample of 200 posyandu cadres was selected using random sampling. Data collection was carried out using questionnaires/interviews and data was analyzed using a multiple linear regression analysis model with a multilevel approach. Results: Gender has an influence and is significant between gender and nurse performance (b = -1.79; 95% CI = -3.13 to -0.45; p = 0.009). Working time arrangements have an influence on nurse performance, and this influence is statistically significant (b = 1.96: 95% CI = 0.39 to 3.54; p = 0.014). Job satisfaction has a positive and significant influence on nurse performance (b = 0.32 CI 95% = 0.10 to 0.4). The results of education and work experience did not show a statistically significant difference in nursing performance between nurses with DIII education and the nursing profession (b = 0.32; 95% CI = -0.86 to 1.51) and work experience of more than 12 years and less than 12 years (b = 0.71; 95% CI = -0.75 to 2.17). The results of this multilevel analysis also found that there was a contextual influence of the ward on nurse performance (ICC= 15.09%). Conclusion: Nurse performance is directly influenced by gender, working time arrangements and job satisfaction. Variations at level 2 wards have a contextual influence on nurse performance.

Nursepreneur Education on Nurse Communication in Vocational High Schools Mirasari, Triana; Talango, Farid; Mardiah, Adriana
Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan (Abdigermas) Vol. 3 No. 1 (2025): Jurnal Ilmiah Pengabdian Kepada Masyarakat Bidang Kesehatan (Abdigermas)
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/abdigermas.v3i1.355

A strong nursepreneur is able to work independently, has a vision, is creative, and dares to take risks. Nurse communication is the foundation for the success of a nurse's dual role. The aim of this community service is to improve the quality of knowledge services provided as an important role in the success and growth of the rescue business. The aspect measured is increased knowledge. Service is carried out by providing education to students. Before providing education, it was carried out by giving a pre-test questionnaire and interviews with the results of students' knowledge regarding nursepreneurs regarding nurse communication was lacking and after providing education a post-test was given with the results of students' knowledge increasing. 60 vocational school students from the nursing skills program participated in this educational event enthusiastically paying attention to PPTs, leaflets, lectures and discussions for 45 minutes. The results of this service show an increase in students’ knowledge by actively participating with the resource persons. The conclusion of this service is that nurse communication is the first step for novice nursepreneurs as nursepreneurs in the world of very tight economic competition. Therefore, schools should provide good student communication practice laboratories.

FAKTOR-FAKTOR YANG MEMPENGARUHI KINERJA PERAWAT BANGSAL RAWAT INAP DAN BANGSAL RAWAT JALAN DI RSUD. DR. MOEWARDI SURAKARTA Mardiah, Adriana
STETHOSCOPE Vol 5 No 2 (2024): STETHOSCOPE
Publisher : Sekolah Tinggi Ilmu Kesehatan Mitra Husada Karanganyar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54877/stethoscope.v5i2.1021

ABSTRAKKinerja perawat sebagai penentu kepuasan pasien saat memberikan asuhan keperawatan. Pelayanan keperawatan di rumah sakit menjadi salah satu faktor penentu baik buruknya pelayanan, mutu dan citra dari sebuah rumah sakit. Tujuan penelitian ini menganalisis faktor yang mempengaruhi kinerja perawat kinerja perawat bangsal rawat inap dan rawat jalan di RSUD Dr. Moewardi.Penelitian ini menggunakan desain analitik observasional dengan pendekatan cross-sectional dengan melakukan analisis regresi logistik. Variabel independent yaitu jenis kelamin, pengaturan waktu kerja, Lama Bekerja, Kepuasan kerja, dan Kepemimpinan dan variabel dependen yaitu kinerja perawat di bangsal rawat inap dan rawat jalan di RSUD Dr. Moewardi. Penelitian ini dilakukan pada bulan Oktober-November 2023. Populasisebanyak 1165 perawatdengansampel sebanyak 200 perawat dipilih menggunakan random sampling dan instrument penelitianmenggunakankuesionr.Kinerja perawat secara signifikan dipengaruhi oleh faktorJenis kelamin perempuan (aOR=0.50; 95% CI=0.25 hingga 1.00; p=0.050) dan kepemimpinan (aOR=1.98; 95% CI=1.06 hingga 3.69; p=0.33) dan dipengaruhi tidak secara signifikan oleh lama bekerja (aOR= 1.87; 95% CI= 0.92 hingga 3.78; p=0.082) Pengaturan jam kerja (aOR=2.08; 95% CI= 0.99 hingga 4.37; p=0.082) dan kepuasan Kerja (aOR=1.22; 95% CI= 0.61 hingga 2.43; p=0.580). kinerja dipengaruhi oleh jenis kelamin perempuan, kepemimpinan, lama bekerja, pengaturan jam kerja, dan kepuasan kerja. Diharapkan pihak rumah sakit dapat meningkatkan beberapa variabel sehingga kinerja perawat dapat meningkat. Kata Kunci: Kinerja, Perawat. FACTORS THAT AFFECT NURSES PERFORMANCE IN INPATIENT WARDS AND OUTPATIENT WARDS AT RSUD DR. MOEWARDI SURAKARTA ABSTRACTNurse performance as a determinant of patient satisfaction when providing nursing care. Nursing services in hospitals are one of the determining factors for good or bad service, quality and image of a hospital. The aim of this study was to analyze the performance of inpatient and outpatient ward nurses at RSUD Dr. Moewardi. This research uses an observational analytical design with a cross-sectional approach by carrying out logistic regression analysis. The independent variables are gender, working time arrangements, length of work, job satisfaction, and leadership and the dependent variable is the performance of nurses in the inpatient and outpatient wards at RSUD Dr. Moewardi. This research was conducted in October-November 2023. A sample of 200 posyandu cadres was selected using random sampling. Nurse performance was significantly influenced by female gender (aOR=0.50; 95% CI=0.25 to 1.00; p=0.050) and leadership (aOR=1.98; 95% CI=1.06 to 3.69; p=0.33) and not significantly influenced by length of service (aOR= 1.87; 95% CI= 0.92 to 3.78; p=0.082) Arrangement of working hours (aOR=2.08; 95% CI= 0.99 to 4.37; p=0.082) and job satisfaction (aOR=1.22; 95% CI= 0.61 to 2.43; p=0.580). performance is influenced by female gender, leadership, length of work, working hours, and job satisfaction. It is hoped that the hospital can improve several variables so that nurse performance can increase. Keyword: Performance, Nurse

PENERAPAN THOUGHT STOPPING THERAPY UNTUK MENURUNKAN TINGKAT KECEMASAN PADA PASIEN POST OPERATIVE SECTIO CAESAREA DENGAN BAYI PREMATUR DI BANGSAL TERATAI 1 RSUD KARTINI KARANGANYAR Bintarasari, Senja; Mardiah, Adriana
STETHOSCOPE Vol 6 No 1 (2025): STETHOSCOPE
Publisher : Sekolah Tinggi Ilmu Kesehatan Mitra Husada Karanganyar

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

Anxiety is a common psychological problem experienced by mothers after undergoing a cesarean section, especially when the baby is born prematurely and requires care in the Neonatal Intensive Care Unit (NICU). This separation condition can cause worry, helplessness, and may trigger postpartum blues and depression. This study aims to describe the application of Thought Stopping Therapy as a non-pharmacological intervention to reduce anxiety levels in post-cesarean section patients with premature babies. The method used was a case study on 1 post-cesarean section patient in Teratai 1 Ward of RSUD Kartini Karanganyar, conducted for 3 days with a duration of 10 minutes per therapy session. Data were collected through interviews, observations, and anxiety level measurements using the HARS questionnaire. The results showed a decrease in anxiety levels from severe (score 41) to mild (score 14) after therapy. Thought Stopping Therapy was effective in helping patients control negative thoughts and replace them with positive thoughts, thereby reducing both physiological and psychological symptoms of anxiety.

Peningkatan Pemahaman Remaja Tentang Nursepreneur di SMK Mirasari, Triana; Mardiah, Adriana; Rahmayanti, Yeni Nur
Abdinesia: Jurnal Pengabdian Kepada Masyarakat Vol 5 No 2 (2025): Abdinesia: Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Nahdlatul Ulama Nusa Tenggara Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69503/abdinesia.v5i2.1144

Nursepreneur merupakan konsep kewirausahaan yang mengintegrasikan nilai-nilai keperawatan dalam praktik usaha. Fenomena meningkatnya jumlah lulusan perawat yang tidak sebanding dengan ketersediaan lapangan kerja menjadi tantangan tersendiri. Edukasi nursepreneur di tingkat remaja, khususnya siswa keperawatan, menjadi salah satu upaya menumbuhkan jiwa kewirausahaan sejak dini. Pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pemahaman siswa SMK Tunas Harapan, Plupuh – Sragen tentang konsep nursepreneur, peluang usaha, dan karakteristik yang harus dimiliki seorang nursepreneur. Kegiatan dilaksanakan pada bulan Januari 2025 dengan metode penyuluhan, diskusi, dan pembagian leaflet. Hasil kegiatan menunjukkan peningkatan pemahaman siswa terkait konsep dan peluang usaha nursepreneur serta antusiasme yang tinggi dalam diskusi. Edukasi nursepreneur pada remaja diharapkan menjadi langkah awal mencetak perawat wirausaha yang mampu bersaing di dunia bisnis.

A literature review of benson relaxation technique for reducing anxiety in patients with chronic kidney disease Mardiah, Adriana; Widodo, Arif; Thuy, Luu Thi
Innovation in Health for Society Vol 2 No 1 (2022): January - June
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ihs.7231

Hemodialysis is cleaning blood through an artificial kidney or dialyzer assisted by a machine. Kidney failure patients undergoing therapy experience anxiety due to various stressors. One way to overcome fear is to use relaxation therapy, including Benson relaxation. Benson relaxation is a breathing relaxation technique with the addition of an element of belief in the form of words that express the anxiety that the patient is experiencing. This literature aims to determine the effectiveness of Benson's relaxation on reducing stress in chronic kidney failure patients undergoing hemodialysis. A literature review comparing some literature through the journal databases used is Pubmed, Google Scholar, ScienceDirect, Garuda Portal, and Jane Semantic. The keywords are "Benson relaxation, anxiety, chronic renal failure and hemodialysis," "Benson relaxation technique on the anxiety of patient hemodialysis," "Benson relaxation for anxiety disorders," or "Benson relaxation for patients undergoing hemodialysis" or "non-pharmacological therapy for reduce anxiety from 2016-2021 full text. There are seven journals reviewed and used in this literature review. The results show that Benson relaxation is proven effective in reducing anxiety in chronic kidney failure patients undergoing hemodialysis. Keywords: Kidney disease; nursing care; relaxation technique; anxiety; psychological outcomes

Pengaruh Virtual Reality Terhadap Kecemasan anak yang menjalani Tindakan Prosedural Talango, Farid; Widodo, Joey Anung Aninditya; Mardiah, Adriana; Pramudita, Fadma Aji
Jurnal Ners Vol. 10 No. 1 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.51703

Latar Belakang: Tindakan prosedural pada anak sering menimbulkan kecemasan yang berdampak pada peningkatan respons stres dan ketidaknyamanan selama perawatan. Salah satu intervensi nonfarmakologis yang terbukti efektif dalam menurunkan kecemasan adalah penggunaan teknologi Virtual Reality (VR) sebagai metode distraksi visual. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh Virtual Reality terhadap kecemasan anak yang menjalani tindakan prosedural. Metode: Penelitian ini menggunakan desain quasi- eksperimen one group pretest-posttest dengan jumlah sampel 36 anak berusia 3–12 tahun yang menjalani tindakan prosedur. Intervensi Penggunaan VR selama 5–10 menit sebelum dan selama prosedur berlangsung dan diukur menggunakan Modified Yale Preoperative Anxiety Scale–Short Form (m-YPAS-SF). Analisis data menggunakan uji Wilcoxon dengan tingkat signifikansi p < 0,05. Hasil: Hasil menunjukkan terdapat penurunan signifikan rata-rata skor kecemasan anak dari 46,82 (SD = 11,608) menjadi 26,06 (SD = 3,857) setelah intervensi VR, dengan nilai p = 0,000 (p < 0,05). VR efektif menurunkan kecemasan anak selama tindakan prosedural. Simpulan: Virtual Reality terbukti efektif sebagai metode distraksi nonfarmakologis yang dapat menurunkan kecemasan dan meningkatkan kenyamanan anak selama tindakan prosedural. Kata Kunci: Virtual Reality, Kecemasan Anak, Tindakan Prosedural. Abstract Background: Procedural interventions in children often cause anxiety, leading to increased stress responses and discomfort during treatment. One of the non-pharmacological interventions proven effective in reducing anxiety is the use of Virtual Reality (VR) as a visual distraction method. Objective: This study aimed to determine the effect of Virtual Reality on anxiety levels in children undergoing procedural interventions. Methods: This study used a quasi-experimental one-group pretest–posttest design involving 36 children aged 3–12 years who underwent procedural interventions. The intervention consisted of using Virtual Reality for 5– 10 minutes before and during the procedure, and anxiety levels were measured using the Modified Yale Preoperative Anxiety Scale–Short Form (m-YPAS-SF). Data were analyzed using the Wilcoxon test with a significance level of p < 0.05. Results: The findings showed a significant decrease in the mean anxiety score from 46.82 (SD = 11.608) to 26.06 (SD = 3.857) after the VR intervention, with a p-value of 0.000 (p < 0.05). Virtual Reality (VR) is effective in reducing children’s anxiety during procedural interventions. Conclusion: Virtual Reality has been proven to be an effective non-pharmacological distraction method that can decrease anxiety and enhance comfort in children undergoing procedural treatments

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