Garuda - Garba Rujukan Digital

Marga, Irawati

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Author-ID : 9306818

Humanities Health Professions Medicine & Pharmacology Public Health Social Sciences

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Strategies for Improving Effective Communication and Patient Safety with SBAR among Healthcare Teams in Hospitals: A Systematic Review Fajriyah, Novita; Wijaya, Hermanto; Mamesah, Marline Merke; Marga, Irawati
Journal of Health Management Research Vol 2 No 1 (2023): Journal of Health Management Research
Publisher : Bagian Penelitian & Pengabdian Masyarakat STIKES Adi Husada

Background: Ineffective communication between a team of health workers will certainly have an impact on the success of treatment and cause side effects for patients. Adverse events are often analyzed to illustrate the impact of patient safety on quality of care. The side effects referred to are injuries caused by medical behavior that result in prolonged hospitalization and/or disability upon patient discharge. Objective: This systematic review aims to identify the effectiveness of strategies to improve effective communication and patient safety with SBAR among healthcare teams in hospitals. Methods: A systematic review of quantitative and qualitative studies with narrative synthesis. Literature search was sourced from three databases (Medline, CINAHL, and Science Direct) between September 2019 – March 2022. Participants A variety of health professionals including nurses and doctors. Results: The actions required when using the SBAR tool are as follows: situation, briefly state the problem, briefly present background information relevant to the situation, assess, provide analysis and consider various options, and recommend a specific course of action or treatment. Conclusion: This review found evidence that to improve effective communication and patient safety through the application of SBAR, especially when used to provide services to patients in hospitals, especially for emergency, urgent and time-sensitive actions. However this evidence is limited to certain circumstances such as telephone communication.

The relationship between workload and nurse stress levels Tjokro, Silvia Haniwijaya; Saputera, Ariawan Wangsa; Marga, Irawati
Journal of Health Management Research Vol 2 No 1 (2023): Journal of Health Management Research
Publisher : Bagian Penelitian & Pengabdian Masyarakat STIKES Adi Husada

Background: Hospitals have very complex work systems and activities to continue to provide the best health services for patients. The continuity of these services is supported by various resources, one of which is a nurse. The high number of hospitalized patients with respiratory problems is a challenge for nurses in the Cempaka room. The application of SOP and the use of strict PPE is a separate stressor for nurses. Methods: This study used a study correlation design, a Cross-Sectional approach. The study population was all nurses in the Cempaka room of the hospital. X as many as 44 nurses, using the total sampling technique, The independent variable is the workload, the dependent variable is the stress level. Data retrieval using questionnaire sheets, ordinal data scales. Analysis using spearman rank corelation test with alpha 0.05. Results: The results of the study found that most respondents (59.1%) had a moderate workload, and most respondents (61.4%) had moderate stress levels. The Spearman rank corelation test showed there was a meaningful relationship between workload and nurse stress levels (p = 0.001 < 0.05 then H0 was rejected). Conclusion: The workload is so much in meeting needs, handling problems and ultimately very draining energy both physical and cognitive abilities, which has an impact on the nurse's stressor

Tingkat Kepuasan Pasien BPJS dan Non BPJS terhadap Pelayanan Kesehatan Marga, Irawati; Tjokro, Silvia Haniwijaya; Fajriyah, Novita
Journal of Health Management Research Vol 1 No 1 (2022): Journal of Health Management Research
Publisher : Bagian Penelitian & Pengabdian Masyarakat STIKES Adi Husada

Background: Satisfactory health services are everyone's expectations, so the government makes policies with health insurance that are mutual cooperation by creating a National Health Insurance program and organized by the Social Security Administering Body. However, not all BPJS users get satisfaction with health services, as well as other insurance users. Aims: This study aims to compare the level of satisfaction with health services between patients using BPJS and other insurance users. Methods: The design used in this study was Cross Sectional. The total sample size is 80, namely 40 BPJS patients and 40 non BPJS patients with purposive sampling technique. The research variables consisted of: the level of patient satisfaction (dependent) and health services (independent). The questionnaire on the level of patient satisfaction and health services uses an instrument that has been developed by the management of Adi Husada Kapasari Hospital. Data were analyzed by Spearman rank correlation and Chi-square test with a significance level of 0.05. Results: The results showed BPJS patients were not satisfied (25%) and satisfied (25%) towards health services. However, non -BPJS patients are mostly satisfied (35%) for health services. This is because the entire staffing status of health workers has become a permanent employee, and the length of work of health workers has been 2-3 years so that health services to BPJS and Non BPJS patients do not look at the patient's status, all patients are treated equally in providing health services. Conclusion: Adi Husada Kapasari Hospital is expected to continue to provide quality and satisfying health services to patients regardless of insurance participants. Improving the quality of health services to always be developed following the development of science in the health sector.

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