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Workplace Well-Being Among Hospital Nurses: Perspectives of Indonesian Staff Nurses Achmad Fathi; Hanny Handiyani; Tuti Afriani; Dwi Tyastuti
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 2 (2025): Vol 7 No 2 2025 Caring: Indonesia Journal of Nursing
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i2.21680

Abstract

Well-being is a unique phenomenon perceived by nurses. Nurses have their own definition of well-being based on their work experience. This study aimed to examine the nurses’ workplace well-being from the perspective of Indonesian staff nurses within hospital settings. A qualitative interpretive descriptive design was employed in this study. Participants were recruited from a university hospital in Medan, Indonesia, comprising 10 staff nurses representing the emergency department, intensive care unit, and inpatient wards. Data were collected through a focus group discussion and analyzed using thematic analysis. Data analysis identified three overarching themes that encapsulate staff nurses perspectives on workplace well-being: the ideal concept of nurses workplace well-being, contributing factors to nurses’ workplace well-being, and nurses expectations of hospital administrators to enhance nurses workplace well-being.  Staff nurses hold distinct expectations regarding their workplace well-being, which are shaped by personal and professional factors. Several contributing elements influence their experiences, including organizational support, workload, and interpersonal relationships. The findings indicate that Indonesian staff nurses perceive workplace well-being as a multifaceted and challenging issue. They highlighted their hopes and expectations concerning workplace well-being across psychological, physical, financial, inter-professional relationship, and hospital facilities dimensions. It is imperative that nurse managers and hospital administrators give careful consideration to these concerns and implement evidence-based, targeted strategies to mitigate the challenges that adversely affect nurses’ well-being. Keyword: Hospitals, Nursing Staff, Well-being, Workplace  
SIKAP DAN PENGETAHUAN MEMENGARUHI PERILAKU PENCEGAHAN PRESSURE ULCER Fani Hestiana Sari; Tuti Afriani; Dewi Gayatri; Kuntarti Kuntarti
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 8, No 1 (2023)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v8i1.445

Abstract

ABSTRAKPrevalensi pressure ulcer yang tinggi menimbulkan kerugian bagi banyak pihak dalam pelayanan perawatan akut dan jangka panjang. Tujuan penelitian: Penelitian ini bertujuan mengidentifikasi hubungan sikap dan pengetahuan dengan perilaku pencegahan pressure ulcer pada mahasiswa profesi keperawatan. Metode: Penelitian ini berdesain cross sectional, melibatkan 227 sampel dengan teknik consecutive sampling.  Penelitian menggunakan The Pressure Ulcer Knowledge Assessment Tool (PUKAT) 2.0, Attitude towards Pressure Ulcer Prevention (APuP), dan kuesioner perilaku yang valid dan reliabel. Analisis univariat menggunakan distribusi frekuensi menggambarkan karakteristik responden, pengetahuan, sikap, dan perilaku. Analisis bivariat dengan uji Fisher exact dan chi square. Hasil: Hasil penelitian menunjukkan bahwa sebagian besar mahasiswa profesi memiliki pengetahuan masih kurang (53,7%), memiliki sikap yang baik (59%), dan sebagian besar memiliki perilaku melakukan tindakan pencegahan pressure ulcer (55,9%). Tidak ada hubungan signifikan antara pengetahuan dengan perilaku (p value = 0,071; α = 0,05), tetapi ada hubungan signifikan antara sikap dengan perilaku (p value= 0,010; α = 0,05). Diskusi: Sikap yang baik dipandang dapat menghindari terjadinya pressure ulcer. Pengetahuan tidak berpengaruh terhadap perilaku yang menandakan pengetahuan masih bersifat recall memory tentang materi yang dipelajari ketika tahap akademik.  Kesimpulan: Penelitian ini merekomendasikan agar institusi pendidikan merekonstruksi kurikulum, ujian teori preklinik, dan evaluasi berkala yang dilakukan pada tahap profesi.Kata Kunci: pengetahuan, perilaku pencegahan, pressure ulcer, sikap  Effects of Attitude and Knowledge on Pressure Ulcer Prevention Behavior ABSTRACTThe significant prevalence of pressure ulcers imposes detrimental consequences on various stakeholders within acute and long-term care services. Objective: This study aims to identify the correlation between attitude and knowledge with regard to pressure ulcer prevention behavior among nursing profession students. Methods: The research design employed in this study was cross-sectional, involving a sample size of 227 participants selected through the consecutive sampling technique. The data collection instruments included The Pressure Ulcer Knowledge Assessment Tool (PUKAT) 2.0, Attitude towards Pressure Ulcer Prevention (APuP) questionnaire, and validated and reliable behavior questionnaires. The univariate analysis entailed the use of frequency distribution to delineate the respondents' characteristics, knowledge levels, attitudes, and behaviors. The bivariate analysis consisted of Fisher's Exact test and Chi-square test. Results: The findings indicated that a majority of nursing profession students possess inadequate knowledge (53.7%), demonstrate positive attitudes (59%), and engage in pressure ulcer prevention behaviors to a considerable extent (55.9%). Notably, no statistically significant correlation was observed between knowledge and behavior (p-value=0.071; α=0.05); however, a significant correlation was found between attitude and behavior (p-value=0.010; α=0.05).  Discussion: This study highlights the pivotal role of positive attitudes in preventing pressure ulcers. Moreover, it is suggested that knowledge has limited influence on behavior, as it primarily relies on the recollection of information acquired during the academic phase. Conclusion: This study recommends educational institutions to reconstruct their curriculum, refine pre-clinical theory examinations, and implement regular evaluations during the professional stage.Keywords: knowledge, prevention behavior, pressure ulcer, attitude
Optimization of the Role and Function of Ward Manager in the Development of the Family Meeting Innovation Program in the Intensive Care Unit Arhamsyah Arhamsyah; Krisna Yetti; Tuti Afriani; Dyah Fitri Wulandari
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.v7i1.5376

Abstract

Hospitalization in the ICU has an impact on families, making it essential to meet the needs of families in the care of patients in the ICU. Caring for patients in the Intensive Care Unit (ICU) requires family support and involves various health disciplines, including the active role of the head nurse. The head nurse can facilitate all parties to be involved in patient management, one of which is through family meetings. (family meeting). A family meeting is an important forum to discuss the patient's condition, prognosis, and care preferences, to listen to the family's concerns, and to make decisions about appropriate treatment goals. Objective to enhance family satisfaction in patient care in the ICU through the development of an innovative family meeting program. Using the case report method in managing care in the ICU through stages of data collection, problem identification, discussion, and determining alternative solutions. Utilizing fishbone analysis to find the root cause of the problem. Once the problem is identified, the next steps include prioritizing the issues, developing a plan of action, implementing it, and conducting evaluations along with follow-up plans. The development of the family meeting innovation program with the establishment of guidelines for the implementation of family meetings, Standard Operating Procedures (SOP), and documentation formats for family meetings. The implementation of family meetings serves as a programmed communication medium between families and caregiving professionals, thereby enhancing the satisfaction of patient families.
Digital Transformation of Borrowing System and Returning Medical Equipment Dian Eka Resty; Rr. Tutik Sri Hariyati; Tuti Afriani; Sudaryati Sudaryati
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.v7i1.5758

Abstract

Medical equipment is an important element in health services, however, inadequate maintenance and management leads to a decrease in the efficiency and effectiveness of equipment operations. The purpose of this study was to determine the effectiveness of a digital equipment loan and return system. The method used is a pilot project with the Kurt Lewin approach. The unfreezing stage was carried out by identifying problems through interviews, observations, questionnaires to inpatient nurses at X Hospital. The movement stage, the implementation of the plan of action (plan of action) prepared with the hospital. The refreezing stage cannot be carried out because the implementation process is still ongoing. The results of the implemented solution are the use of G-forms as a medium for recording the borrowing and returning of medical devices between inpatient rooms and testing web applications. Recommendations for RS X are the establishment of regulations for borrowing and returning medical devices, socialisation of web applications as a medium for borrowing and returning medical devices, the need for logistics training for nursing staff.
Skill Mix Management in Nursing Services; A Mini Project in A Public Hospital in Jakarta Yuni Azizah; Rr. Tutik Sri Hariyati; Tuti Afriani; Nurdiana Nurdiana; Wahyu Kusumadi Retnoningtyas
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.v7i4.6489

Abstract

Skill mix includes the nurse workforce size, education level, and clinical experience, nursing hours per patient day, the ratio of nurses to patients (qualified and unqualified), and the various skills and training required to fulfil patient care needs. The aim of this study was to optimally manage the skill mix management system in nursing by allocating various skills and roles within the nursing team to provide safe, effective, and efficient care. This study used a mini-project and analysed the results and implementation gaps through a literature review. Problems were assessed using fishbone diagrams, with alternative solutions developed in a Plan of Action (POA) framework consisting of implementation, Evaluation, and Follow-up phases. Participants were nursing staff, consisting of 2 head nurses and 63 nurses (Primary Nurses and Associate Nurse). The implementation of this study began with the preparation and workshop of technical guidelines on skill mix management in nursing. Data were collected through interviews, questionnaires, field observations, and document reviews conducted from April 22 to May 16, 2024, involving nursing managers and staff on the 3rd and 6th floors of Inpatient Building A. The data were then analyzed descriptively using the nursing management function framework, which includes planning, organizing, staffing, directing, and controlling.Evaluation, through observation and interviews, showed that 80% of the technical guidelines were well structured. There was a focus on care planning patterns, patient delegation models, and preparation of service schedules. Effective nursing skill mix management requires risk mitigation strategies, such as the FMEA approach, as well as close supervision and improved staff competence
Implementation of Early Warning System (EWS) by Nurses in the Emergency Department and the Impact to Prevention Incident No Expected: Systematic Review Rio Verdiansyah; Hening Pujasari; Hanny Handiyani; Tuti Afriani
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6640

Abstract

The Emergency Department is a high-intensity clinical setting that manages critically ill patients who are highly susceptible to sudden clinical deterioration. Early detection through the implementation of the Early Warning System plays a crucial role in preventing unexpected adverse events, with nurses serving as the primary implementers of this system. This review aims to evaluate current evidence on the implementation of the Early Warning System by nurses in the Emergency Department and its impact on the prevention of unexpected adverse events. This study employed a systematic review approach by applying the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines during the article selection process and using the 2023 edition of the Joanna Briggs Institute (JBI) Critical Appraisal Tool to assess the quality of included studies. Search for articles through the ScienceDirect, ProQuest, PubMed, BMJ Journal, and EBSCO databases from 2020 to 2025. and 10 articles were analyzed. The majority of studies reported that the use of the Early Warning System consistently enhances the early detection of patient deterioration, accelerates clinical response, improves triage accuracy, and assists in predicting the need for advanced care such as admission to intensive care units. Implementation by nurses was also associated with improved compliance in vital signs monitoring and a reduction in patient mortality.
Roles and Functions of Nursing Management in Strengthening the Healthy Nurse Program for Nurses at Hospital Rio Verdiansyah; Rr. Tutik Sri Hariyati; Tuti Afriani; Hanny Handiyani; Krisna Yetti
Indonesian Journal of Global Health Research Vol. 7 No. 6 (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.v7i6.152

Abstract

Nurse well-being is a critical foundation for ensuring the quality of healthcare services. However, the high prevalence of physical fatigue, occupational stress, and biopsychosocial-spiritual (BPSS) imbalances among nurses indicates an urgent need for strategic interventions rooted in nursing management. This residency project aimed to develop and implement the Healthy Nurse Program as an innovative initiative to holistically enhance nurse well-being at X Hospital. The program adopted Kurt Lewin’s planned change theory, encompassing the stages of unfreezing, changing, and refreezing. Implementation began with problem identification through interviews, observations, and BPSS-based questionnaires, followed by the formulation of a Plan of Action, socialization, and interventions such as workplace stretching, ergonomic education, MBCA monitoring, and spiritual reflection sessions.The study involved 32 newly hired nurses (≤1 year experience) selected through purposive sampling, with data analyzed using a fishbone diagram. Initial evaluation revealed a high prevalence of muscle fatigue, work-related stress, and over-fat conditions among nurses, along with strong support for program implementation. The Healthy Nurse initiative strengthened core nursing management functions and fostered a culture of sustainable workplace wellness. These findings provide a critical foundation for integrating occupational health promotion into hospital systems based on evidence-based practice.
Development of Guidelines and Continuing Professional Development (CPD) Program for Nursing Mahmul Rivai Siregar; Tuti Afriani; La Ode Abd Rahman; Krisna Yetti; Dyah Fitri Wulandari
Indonesian Journal of Global Health Research Vol. 8 No. 1 (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.v8i1.335

Abstract

Professional development of nurses plays a crucial role in improving the quality of nursing services. The implementation of continuing competency development programs has not been optimal due to the absence of structured guidelines and programs at Hospital This lack of structure results in low consistency and uniformity in program implementation across nursing units. This study aims to develop a structured and sustainable professional development guideline and program for nurses that can serve as a reference for systematic and targeted implementation within the hospital environment. The study was conducted through a nursing management residency program held from May 27 to June 30, 2025. Data were collected through interviews, observations, and questionnaires distributed to nursing staff and nursing leadership. The questionnaire used the Q-PDN to measure various aspects of Continuing Professional Development (CPD) among nurses, with a Cronbach’s alpha reliability value of 0.89. Data analysis involved the Ishikawa diagram approach, SWOT analysis, and problem prioritization using the USG method. The analysis identified the absence of CPD guidelines and programs as the main problem, with the highest priority score. A draft guideline and CPD program were developed, covering staffing standards, facilities, implementation procedures, quality control, reporting, and follow-up mechanisms. Initial evaluation showed that 91% of stakeholders had a strong understanding of the document and provided positive feedback on its usefulness. The development of CPD guidelines and programs is a strategic step to strengthen the implementation of continuous professional development for nurses.
Optimization of the Role and Function of Head Nurse Management in the Handover Process Between Shifts Endah Ratna Samapty Winarsih; Tuti Afriani; Andi Amalia Wildani; Tenti Ariyanti
Indonesian Journal of Global Health Research Vol. 8 No. 1 (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.v8i1.448

Abstract

The inter-shift handover is a critical process that significantly impacts patient safety. Communication failures during handover are identified as a major cause of safety incidents. In a referral hospital in Jakarta, the managerial role in handover remains suboptimal, indicated by inconsistent supervision and lack of standard practice. To optimize the role and function of nursing management in the handover process to enhance communication and patient safety. This case report employed a descriptive qualitative approach. Data were collected through interviews, observations, and questionnaires involving staff nurses in the GP2 inpatient unit. Interventions included the development of a standardized operating procedure (SOP) for shift handovers, simulation of bedside handovers using the SBAR format, and strengthened head nurse supervision through structured monitoring. The intervention improved understanding and acceptance of the SOP (100% of respondents found it understandable and logical) and enhanced communication quality (83–87% of respondents reported information was complete, accurate, and interactive). Head nurse supervision was perceived as strong (over 90%). However, only 33.3% consistently performed bedside handovers, and documentation in the electronic medical record (EMR) system was not optimal. Key challenges included time constraints, workload, and the lack of integrated documentation systems. The application of Kotter's change model contributed to the success of the intervention by establishing a sense of urgency, forming a guiding coalition, and reinforcing the role of management as change agents. Optimizing managerial functions has proven effective in improving communication and patient safety. Continued monitoring of bedside handover practices and sustained clinical supervision are recommended to maintain the quality of nursing services.
Optimization of Medical Equipment Inventory Management Through Barcode-Based Digitalization Maria Indah Septirini; Tuti Afriani; La Ode Abdul Rahman; Krisna Yetti; Dyah Fitri Wulandari
Indonesian Journal of Global Health Research Vol. 8 No. 1 (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.v8i1.526

Abstract

Digital transformation in medical equipment logistics is a vital part of healthcare reform, aiming to enhance efficiency, accuracy, and patient safety. One of the main challenges at hospital is the manual documentation system for borrowing and returning medical equipment, which results in low accountability, service delays, and a high risk of equipment loss. : Case report area focused on the HCU/PICU unit. This study aims to describe the implementation process of a barcode-based digital medical inventory system through a managerial approach and planned change intervention based on Kurt Lewin's theory. A case report was conducted using Kurt Lewin’s planned change approach (unfreezing, moving, and refreezing), data analysis through observation, questionnaires, interviews, and implementation evaluation. The Assessment of Medical Equipment Management (MEM) questionnaire administered to 103 nurses revealed that 87.4% of units still use manual recording and 50.98% reported suboptimal coordination in equipment returns, with reliability  0.86 and validity loading factor ±0.5; content validity 85%. The intervention involved developing Standard Operating Procedures (SOPs) and technical guidelines for the "MedScan-KISA" barcode system, conducting simulation trials using Google Forms and barcode scanners, and directly supervising the implementation process. The implementation of a barcode-based digital inventory system in the HCU/PICU unit of hospital was carried out through a gradual change process based on Kurt Lewin’s theory. In the unfreezing phase, problems with the manual inventory system were identified through interviews, observations, and cross-unit discussions, leading to the design of a simple digital inventory system for the HCU/PICU unit. In the moving phase, an SOP was developed, simulations using barcodes and Google Forms were conducted, and intensive socialization and mentoring were provided to staff. Finally, in the refreezing phase, the new system was consistently practiced and integrated into daily routines in the HCU/PICU unit, thereby facilitating inventory recording and the return of medical equipment.
Co-Authors Aat Yatnikasari Aat Yatnikasari Aat Yutnikasari Achmad Fathi ade herawati Ade Irma Dahlia Ade Suhendri Agustina, Frima Ulfa Ali Ahmad Keliobas ANDI AMALIA WILDANI Andi Amalia Wildani Andi Nur Indah Sari Anika Kartika Annisa Rahmi Galleryzki Arhamsyah Arhamsyah Azizah, Yuni Baskoro Abdiansyah Cori Tri Suryani Cori Tri Suryani Dadan Bardah Dadan Bardah Dahlia, Ade Irma Damayanti, Mira Dara Ayu Wardhani Dewi Gayatri Dian Eka Resty Dina Warashati Dudi Mashudi Dudi Mashudi Dwi Suratmini Dwi Tyastuti Dyah Fitri Wulandari Dyah Fitri Wulandari Dyah Fitri Wulandari Dyah Fitri Wulandari Dyah Fitri Wulandari Dyah Fitri Wulandari Eka Budiarto Eka Pujiyanti Elisabet Herlyani Bota Koten Endah Ratna Samapty Winarsih Enie Novieastari Erwin Erwin Erwin Eva Metalita Fahmi, Ismail Fani Hestiana Sari Frima Ulfa Agustina Frima Ulfa Agustina Frima Ulfa Agustina Hana Mutiasari Hanny Handiyani Harpendewisasmita, Harpendewisasmita Harwina, Harwina Hening Pujasari Herawani Herawani Herawani, Herawani I Wayan Gede Saraswasta Ichsan Rizany Istiqomah Istiqomah Joan Xaveria Mahulae Kartika, Anika Khairul Nasri Khairul Nasri Krisna Yetti Krisna Yetti Krisna Yetti Krisna Yetti Kuntarti La Ode Abd Rahman La Ode Abdul Rahman La Ode Rahman Laras Adythia Pratiwi Lilis Rayatin Lusia Dian Wahyu Winarti Lusianus Demon Kehi Mahmul Rivai Siregar Manumba, Ruliyani Marbun, Yusniaty Maria Indah Septirini Masfuri Masfuri Mashudi, Dudi Masitho Masitho Melissa Selviany Mery Anglelia Sirait Metalita, Eva Mikha Arisia Helen Mira Damayanti Mu'minah Mu'minah Muhammad Hadi Muthi'ah Najihah Nanang Miftakhul Wakhdi Nasri, Khairul Novieastari Novieastari Nurdiana Nurdiana Nurdiana Nurdiana Nurdiana Nurdiana Oktaviarini, Eva Perdana, Riska Rusfita Pina Pudiyanti Pinandhika Pinandhika Putri Nilasari Rachmi, Shanti Farida Ratna Meilina Reidha Fitri Nurbaeti Resty, Dian Eka Rezky Mulyana Rhomlah Rhomlah Rio Verdiansyah Rita Herawati Rizka Fadhila Rizky Indriasari Rosari Tarigan Rr Tutik Sri Hariyati Rr Tutik Sri Haryati Rr. Tutik Hariyati Sarvita Sarvita Dewi Sarvita Dewi Sarvita Dewi Setyowati Setyowati Setyowati Setyowati Silitonga, Ester Mutiara Indah Siti Indriani Situmeang, Widiya Yulian Suci Sari Pratiwi Sudaryati Sudaryati Sudaryati Sudaryati Sudaryati Sudaryati Sudaryati Sudaryati Sudaryati Sudaryati Suhariyanto Suhariyanto Suminarti, Tini Sunarti, Arni Suryati Suryati Tanlain, Susana Helen Tatik Wahyuni Tenti Ariyanti Tini Suminarti Tomy Suganda Vergeina Ayu Viesca Septianata Wahyu Kusumadi Retnoningtyas Wahyuni, Tyas Wildani, Andi Amalia Wirdani, Andi Wilda Wiwik Sulistyaningsih Sulistyaningsih Wulandari, Dyah Fitri Yuliana Yuliana Yuni Azizah Yuniar Mansye Soeli Yunita Yunita