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Jurnal Aisyah : Jurnal Ilmu Kesehatan

jika
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Published by Universitas Aisyah Pringsewu

ISSN : 25024825 EISSN : 25029495 DOI : 10.30604/jika

Core Subject : Health,

Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

Jurnal Aisyah: Jurnal Ilmu Kesehatan (JIKA), with registered number ISSN 2502-4825 (Print) and ISSN 2502-9495 (Online), is an international peer-reviewed journal published two times a year (June and December) by Universitas Aisyah Pringsewu (UAP) Lampung. JIKA is intended to be the journal for publishing articles reporting the results of research on Health Science field especially Nursing and Midwifery, as well as with their development through interdisciplinary and multidisciplinary approach. The submission process of the manuscript is open throughout the year. All submitted manuscripts will go through the blind peer review and editorial review before being granted with acceptance for publication.

Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)

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Motivation and Workload of Nurses with Nurse Performance in Handling Events of Corona Virus (Covid-19) M Arifki Zainaro; Ridwan Ridwan; Usastiawaty Cik Ayu Saadiah Isnainy
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 4: December 2021
Publisher : Universitas Aisyah Pringsewu

Coronavirus Disease 2019 (COVID-19) is a new type of disease that has never been previously identified in humans. The virus that causes COVID-19 is called Sars-CoV-2. As part of the front line in dealing with COVID-19 cases, many health care workers experience fatigue both physically and mentally. Their high workload in handling COVID-19 cases, the scarcity of Personal Protective Equipment (PPE) facilities and insufficient nutritional needs, decrease their immunity, so the risk of contracting the virus increases. To determine the relationship between motivation and workload of nurses and the performance of nurses in handling the coronavirus (COVID-19) incident at Pertamina Bintang Amin Hospital, Bandar Lampung. This type of research is a quantitative, research design analytic survey with a cross-sectional approach. The population and sample of this study were all nurses who served in the inpatient room of Pertamina Bintang Amin Hospital, Bandar Lampung, with as many as 58 respondents. Results Of the 58 respondents, the motivation and workload that were said to be poor with the performance of nurses were 21 respondents (36.2%), while the motivation and workloads that were said to be good with the performance of nurses were 37 respondents (63.8%). The results of statistical tests showed that the p-value = 0.003 was smaller than the alpha value (p less than 0.05). There is a significant relationship together between motivation and workload with the performance of nurses in handling the coronavirus (COVID-19) incident at Pertamina Bintang Amin Hospital, Bandar Lampung. It is hoped that the hospital management will continue to maintain the level of motivation for health workers, especially nurses, to get additional incentives for nurses and workloads to take time off for nurses who work during working hours and the performance of nurses in carrying out actions in accordance with the SOP for patients suffering from Covid 19.

Implementation of Patient Safety in Hospitals: A Qualitative Study Magdalena M. Tompunuh; Sri Sujawaty
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 4: December 2021
Publisher : Universitas Aisyah Pringsewu

The implementation of patient safety programs is an important thing to do to minimize medical errors, increase health costs and improve the quality of health services. This study qualitatively analyzes the implementation of the patient safety program performed by referring to the 6 target indicators of patient safety. The approach used is a case study design involving 10 informants to be interviewed and observation and document tracing. The results showed that in the implementation of the patient safety program, there were several obstacles, namely ineffective communication due to the instruction provider not reconfirming the instructions given to the implementing nurse. The officers also forgot the position of the drugs to be wary of, and some officers were still found to be negligent in washing their hands. In terms of preventing the risk of falls, collaboration and communication between staff and the patient's family has not been effective. The most basic thing to be immediately addressed is the adequacy of human resources so that a lower workload can optimize the performance of officers in implementing a patient safety culture. Additionally, increasing understanding can be done by providing continuous education and training to health workers.Penerapan program keselamatan pasien menjadi hal yang penting dilaksanakan guna meminimalisir kesalahan tindakan medis, pembengkakan biaya kesehatan dan peningkatan kualitas layanan kesehatan. Studi ini bertujuan menganalisis secara kualitatif mengenai pelaksanaan program keselamatan pasien yang telah dijalankan dengan mengacu pada 6 indikator sasaran keselamatan pasien. Pendekatan yang digunakan adalah rancangan studi kasus yang melibatkan 10 orang informan untuk diwawancarai serta observasi dan penelusuran dokumen. Hasil penelitian menunjukkan bahwa dalam pelaksanaan program keselamatan pasien terdapat beberapa kendala yakni komunikasi yang kurang efektif akibat pemberi instruksi tidak melakukan konfirmasi ulang kembali terkait instuksi yang diberikan kepada perawat pelaksana. Petugas juga lupa penempatan posisi obat-obat yang diwaspadai, dan masih dijumpai beberapa petugas lalai dalam mencuci tangan. Dalam hal pencegahan risiko jatuh, kolaborasi dan komunikasi antara petugas dan keluarga pasien belum efektif. Hal paling mendasar untuk segera dibenahi adalah kecukupan SDM sehingga beban kerja yang lebih rendah mampu mengoptimalkan kinerja petugas dalam menerapkan budaya keselamatan pasien. Selain itu peningkatan pemahaman dapat dilakukan dengan memberikan edukasi dan pelatihan berkelanjutan pada petugas kesehatan.

Hubungan pengetahuan tentang personal hygiene dengan kejadian penyakit kulit di Pondok Pesantren Butanul Ulum Sridadi Kalirejo Kabupaten Lampung Tengah Hardono, Hardono; Maesaroh, Siti
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 3, No 2 (2018): December
Publisher : Universitas Aisyah Pringsewu

Scabies merupakan penyakit kulit yang ditimbulkan oleh sar coptes scabies var, faktor yang menunjang penyakit ini diantaranya sosial ekonomi yang rendah dan hygine yang buruk. Penderita scabies sebagian besar adalah siswa pondok pesantren. Hal ini disebabkan karena santri kurang mendapatkan perhatian tengkang perilaku hidup bersih dan sehat terutama kebersihan diri saat berada di pondok. Tujuan penelitian ini adalah untuk mengetahui Hubungan Pengetahuan Tentang Personal Hygiene Dengan Kejadian Penyakit Kulit Di Pondok Pesantren Bustanul Ulum Sridadi Kalirejo Lampung Tengah Tahun 2018. Penelitian ini menggunakan jenis penelitian kuantitatif, desain analitik dan pendekatan cross sectional. Pelaksanaan dilakukan pada tanggal 3 Juni 2018, di Pondok Pesantren Bustanul Ulum Sridadi Kalirejo Kabupaten Lampung Tengah. Hasil analisis menunjukan terdapat hubungan yang bermakna antara Pengetahuan Tentang Personal Hygiene Dengan Kejadian Penyakit Kulit Dimana p-value 0,000 (kurang dari 0.05) dengan odds Ratio sebesar 6.143 (12.099-3.119). Diharapkan pondok pesantren dapat bekerja sama lintas sektoral agar memberikan wawasan kepada santri pondok pesantren tentang perilaku bersih dan sehat, serta mengarahkan santri yang terkena penyakit kulit untuk memeriksakan diri ke fasilitas kesehatan atau mengadakan unit kesehatan di pondok agar masalah penyakit kulit segera di tangani.

Determinant Factor for Stunting in Toddler Widayati, Kurniasih; Putra, I kadek Agus Dwija; Dewi, Ni Luh Made Asri
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 1: March 2021
Publisher : Universitas Aisyah Pringsewu

Stunting (failure to thrive) is a chronic nutritional problem in children under five which is characterized by a height that is shorter than its age. Stunting is a threat to the nation’s competitiveness. The side effects are disruption of brain development, intelligence, physical growth disorders, and metabolic disorders in the child’s body. The research objective was to determine the determinant factors causing stunting in Sukawati Gianyar District. The research design was a case-control with a sample size of 47 cases and 144 controls, all of which were selected within a certain time period, namely 1-16 August 2020 in Sukawati Subdistrict, Gianyar Regency. Cases were respondents whose height was less suitable for age and controls were toddlers with height according to age. Data were collected using a questionnaire that asks about maternal factors, child factors, environmental factors and health service factors. Univariate analysis is used to determine the characteristics of respondents, bivariate to determine OR and, multivariate logistic regression method to determine Adjusted OR. The bivariate analysis showed that the factors that increased the risk of stunting were maternal height with OR = 3,260 (95% CI: 1,567-6,783), Gravida OR = 2,719 (95% CI: 1,256-5,889), Birth weight with OR = 0.217 (95% CI: 0.165-0.286), Multivariate analysis showed that the determinant variable which significantly increased the risk of stunting was maternal height with OR = 3.5 (95% CI: 1.6-7.9), Gravida with OR = 3.394. (95% CI: 1.368-8.416) and breastfeeding initiation counseling with OR = 0.392 (95% CI: 0.158 0.974). Mother's height and Gravida are risk factors for stunting in Sukawati District, Gianyar Regency, Bali. Abstrak: Stunting (gagal tumbuh) merupakan masalah gizi kronis pada balita yang ditandai dengan tinggi badan yang lebih pendek dari usianya. Stunting merupakan ancaman bagi daya saing bangsa. Efek sampingnya adalah terganggunya perkembangan otak, kecerdasan, gangguan pertumbuhan fisik, dan gangguan metabolisme pada tubuh anak. Tujuan penelitian ini adalah untuk mengetahui faktor determinan penyebab stunting di Kecamatan Sukawati Gianyar. Rancangan penelitian adalah case control dengan ukuran sampel 47 kasus dan 144 kontrol yang semuanya dipilih dalam kurun waktu tertentu yaitu tanggal 1-16 Agustus 2020 di Kecamatan Sukawati Kabupaten Gianyar. Kasus adalah responden yang didapatkan tinggi badan kurang sesuai dengan umur dan kontrol adalah bayi dengan tinggi badan sesuai dengan umurnya. Data dikumpulkan menggunakan kuesioner yang menanyakan tentang faktor ibu, faktor anak, faktor lingkungan dan faktor pelayanan kesehatan. Analisis univariat digunakan untuk mengetahui karakteristik responden, bivariat untuk mengetahui OR dan, metode regresi logistik multivariat untuk menentukan Adjusted OR. Analisis bivariat menunjukkan bahwa faktor yang meningkatkan risiko stunting adalah tinggi badan ibu dengan OR = 3,260 (95% CI: 1,567-6,783), Gravida OR = 2,719 (95% CI: 1,256-5,889), Berat Badan Lahir dengan OR = 0,217 (95 % CI: 0,165-0,286), Analisis multivariat menunjukkan bahwa variabel determinant meningkatkan risiko stunting secara signifikan adalah tinggi badan ibu dengan OR = 3,5 (95% CI: 1,6-7,9), Gravida dengan OR= 3,394 (95%CI: 1,368-8,416) dan penyuluhan Inisiasi Menyusui Dini dengan OR=0,392 (95%CI: 0,158 0,974). Tinggi badan Ibu dan Gravida merupakan faktor risiko stunting di Kecamatan Sukawati Kabupaten Gianyar Bali.

The Relationship of Triage Competence with The Performance of Emergency Room Nurses at General Hospitals Muhamad Nur Rahmad; Ahsan Ahsan; Yulian Wiji Utami
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 4: December 2021
Publisher : Universitas Aisyah Pringsewu

Triage assessment unsuitable with patient conditions has a risk of increasing pain level, disability, and death. It causes nurses to perform non-optimal emergency nursing care for patients. This study aimed to analyze triage competency factors affecting ER nurse performance in performing emergency nursing care. The current study used the analytic observational design. The study was performed at ER of RSUD Bahteramas and RSUD Kendari City from 1 March – 7 April 2021, with all ER nurses as the samples. Total sampling was applied to obtain 55 nurses. Data analysis was conducted using the Rank Spearman and ordinal logistic regression tests. The study result shows a relationship between triage knowledge and skills with ER nurse performance in performing emergency nursing care with a p-value of 0.533. The most dominant factor affecting ER nurse performance in performing emergency nursing care was skills, with an odds ratio of 4.61. Penilaian triase yang tidak sesuai dengan keadaan pasien memiliki resiko dalam meningkatkan angka kesakitan, kecacatan bahkan kematian pasien sehingga membuat kinerja perawat tidak maksimal dalam melakukan asuhan kegawatan bagi pasien. Penelitian ini bertujuan untuk menganalisis faktor kompetensi triage yang mempengaruhi kinerja perawat IGD dalam melakukan askep kegawatdarurata. Penelitian ini menggunakan desain observational analitik yang telah dilaksanakan di ruang IGD RSUD Bahteramas dan RSUD Kota Kendari pada 1 maret - 7 april 2021, dengan sampel semua perawat yang bertugas diruang IGD. Teknik sampling menggunakan total samping dengan jumlah responden 55 Perawat. Analisa data menggunakan uji rank spearman dan uji regresi logistik ordinal. Hasil penelitian menunjukkan ada hubungan pengetahuan triage, keterampilan triage dengan kinerja perawat IGD dalam melakukan askep kegawatdaruratan dengan p-value 0,021 dan 0,000 dan tidak ada hubungan sikap triage dengan kinerja perawat IGD dalam melakukan askep kegawatdaruratan dengan p-value 0,533. Faktor paling dominan berpengaruh terhadap kinerja perawat IGD dalam melakukan askep kegawatdaruratan adalah keterampilan dengan nilai odds ratio paling besar yaitu 4,61.

Development of Performance Indicators Based on The Balanced Scorecard Method For Clinics in Surakarta Asri Alfajri; Siti Dyah Handayani; Arlina Dewi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6 (2021): Special Issue GINC
Publisher : Universitas Aisyah Pringsewu

Balanced scorecard (BSC) is one of the performance appraisal and strategic management tools and has become a popular performance measurement instrument. Apart from being a tool for performance appraisal, the BSC can also be used for strategic management. The use of BSC and KPI (Key Performance Indicators) for strategic management purposes makes it possible to gain competitive advantage. The aims of this research is to develop strategic performance indicators for clinics in the Surakarta area based on 4 balanced scorecard perspectives.This type of research is a qualitative case study with data collection method using FGD (Focus Group Discussion). The sample is 7 clinic employees and 2 clinic owner representatives. Data were analyzed using qualitative content analysis techniques. The FGD results obtained 19 strategic plans and 8 strategic performance indicators based on 4 balanced scorecard perspectives. These indicators consist of 1 financial indicator, 2 customer indicators, 3 internal business indicators and 2 growth and learning indicators. This study develops 8 performance indicators or KPIs based on 4 balanced scorecard perspectives that can be used to assess the organizational performance of health facilities, especially clinics and as strategic management of the organization. Balanced scorecard (BSC) merupakan salah satu alat penilaian kinerja dan manajemen strategis dan telah menjadi instrumen pengukuran kinerja yang popular. Selain sebagai alat untuk penilaian kinerja, BSC juga dapat digunakan untuk manajemen strategis. Penggunaan BSC dan KPI (Key Performance Indicators) untuk tujuan manajemen strategis memungkinkan untuk memperoleh keunggulan kompetitif. Tujuan dari penelitian ini adalah untuk mengembangkan indikator kinerja strategis Klinik di daerah Surakarta berdasarkan 4 perspektif balanced scorecard. Jenis penelitian ini adalah kualitatif studi kasus dengan metode pengambilan data menggunakan FGD (Focus Group Discussion). Sample merupakan 7 orang karyawan Klinik dan 2 orang perwakilan pemilik Klinik. Data dianalisis dengan teknik analisis konten kualitatif.Pada Hasil FGD didapatkan sebanyak 19 rencana strategis dan 8 indikator kinerja strategis berdasarkan 4 perspektif balanced scorecard. Indikator-indikator tersebut terdiri dari 1 indikator keuangan, 2 indikator pelanggan, 3 indikator bisnis internal dan 2 indikator pertumbuhan dan pembelajaran. Penelitian ini mengembangkan 8 indikator kinerja atau KPI berdasarkan 4 perspektif balanced scorecard yang dapat digunakan untuk menilai kinerja organisasi fasilitas kesehatan terutama klinik dan sebagai manajemen strategis organisasi.

Comparative Analysis of Consumption Methods and Minimum Maximum Stock Level (MMSL) in Improving the Efficiency and Effectiveness Inventory of Antibiotic Drugs at Aisyiyah Hospital Bojonegoro Wijayanto, Pramono Apriawan; Sriatmi, Ayun; Jati, Sutopo Patria
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 4: December 2021
Publisher : Universitas Aisyah Pringsewu

Antibiotic spending at the Aisyiyah Hospital Pharmacy Installation showed a value of IDR 6,045,618,320.00 in 2018 increased to IDR 5,043,476,179.00 in 2019, and there were still often vacancies and excess stock. This study aimed to compare the efficiency and effectiveness parameters of planning consumption methods with simulation results using the Minimum-Maximum Stock Level (MMSL) method for antibiotic drug types. Study samples were 17 types of antibiotic drugs category A obtained from ABC analysis, the inclusion criteria of drugs with high cost, high volume, and clinically important drugs, and the exclusion criteria were drugs with unstable supply. The results showed that there were significant differences in inventory value, ITOR, death stock, and stock out when controlling drug supplies by applying the MMSL method. The inventory value when applying the MMSL method decreased to IDR 503,938.00 with a p-value of 0.000 less than 0.05, while the ITOR value increased to 32.40 with a p-value = 0.030 less than 0.05, the number of death stocks decreased to 97 items of antibiotics with a p-value of 0.048 less than 0.05, while the value of stock-outs is empty or zero stock out with a value of p = 0.004 less than 0.05. Aisyiyah Hospital, Bojonegoro, should carry out the process of antibiotic drugs planning by applying an integrated Management Information System (MIS) so that the data on supplies use and stock is accurate.Nilai belanja antibiotik di IFRS Aisyiyah Bojonegoro menunjukkan sebesar Rp. 6.045.618.320,00 (2018) meningkat menjadi sebesar Rp. 5.043.476.179,00 (2019), dan masih sering terjadi kekosongan stok dan stok yang berlebih. Penelitian ini bertujuan membandingkan parameter efisiensi dan efektivitas perencanaan metode konsumsi dengan hasil simulasi menggunakan metode Minimum-Maximum Stock Level (MMSL) untuk jenis obat antibiotika. Sampel penelitian adalah 17 jenis obat antibiotika kategori A hasil analisa ABC, dengan kriteria inklusi adalah obat high cost, high volume, clinically important drug, serta kriteria eksklusi adalah obat dengan pasokan yang tidak stabil. Hasil penelitian menunjukkan terdapat perbedaan yang signifikan pada nilai persediaan, ITOR, death stock, dan stock out saat pengendalian persediaan obat dengan menerapkan metode kosumsi dengan metode MMSL. Nilai persediaan saat menerapkan metode metode MMSL menurun sebesar Rp. 503.938,00 dengan nilai p = 0,000 kurang dari 0,05, nilai ITOR meningkat mencapai 32,40 dengan nilai p = 0,030 kurang dari 0,05, jumlah death stock mengalami penurunan menjadi 97 item antibiotik dengan nilai p = 0,048 kurang dari 0,05, serta nilai stock out adalah kosong atau nol stock out dengan nilai p = 0,004 kurang dari 0,05. Rumah Sakit Aisyiyah Bojonegoro perlu melaksanakan proses perencanaan antibiotik melalui Sistem Informasi Manajemen (SIM) yang terintegrasi agar data pemakaian dan stok persediaan akurat.

The Effect of Patient Safety Culture and Leader Coaching Behaviour Nursing Managers on Patient Safety Incident Reporting at Panembahan Senopati Hospital, Yogyakarta Psiari Kusuma Wardani; Mareza Yolanda Umar
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Every year, millions of patients worldwide suffer from disability, injury, or death due to unsafe medical practices. The Hospital Safety Committee in 2007 reported Patient Safety Incident (PSI) in Yogyakarta is 3rd out of eight provinces. One of the causes of the high PSI is an ineffective PSI reporting system. Patient Safety Culture (PSC) was recommended by the Institute of Medicine to prevent PSI. The presence of lead follow-up in the form of coaching in health affects the development of PSC. This study aims to know the effect of PSC and leader coaching behavior (LCB), nursing managers, on PSI reporting at Panembahan Senopati hospital. This study was a cross-sectional survey design. The sample was 134 nurses who served on the ward with inclusion and exclusion criteria. Data analysis used multiple linear regression. This study shows that there is a significant effect of PSC and LCB nursing managers on PSI reporting (R = 0,582; F-count= 88,545; p less than 0,05), which is indicated by the t-count of PSC on PSI reporting is 2,110 and t-count of LCB nursing managers on PSI reporting is 11,868 so that there is a significant effect of PSC and LCB nursing managers on PSI reporting.Di seluruh dunia, terdapat jutaan pasien yang mengalami cacat, cedera, maupun kematian setiap tahun akibat medical error. Berdasarkan laporan Komite Keselamatan Pasien Rumah Sakit, Insiden Keselamatan Pasien (IKP) di Yogyakarta menempati urutan ke tiga tertinggi diantara delapan provinsi. Salah satu penyebab tingginya IKP adalah pelaporan IKP yang tidak efektif. Institute of Medicine merekomendasikan untuk membangun Budaya Keselamatan Pasien (BKP) guna mencegah terjadinya IKP. BKP dapat ditingkatkan dengan adanya tindak lanjut oleh pemimpin berupa coaching terhadap semua staf yang berperan pada pelayanan kesehatan. Penelitian ini untuk mengetahui pengaruh BKP dan Leader Coaching Behaviour (LCB) manajer keperawatan terhadap pelaporan IKP di RSUD Panembahan Senopati. Penelitian ini menggunakan desain penelitian cross sectional survey. Sampel dari penelitian ini adalah 134 perawat yang bertugas dibangsal, serta memenuhi kriteria inklusi dan eksklusi. Analisis data menggunakan regresi linier berganda. Hasil penelitian ini menunjukkan bahwa BKP dan LCB manajer keperawatan berpengaruh secara signifikan terhadap pelaporan IKP (R = 0,582; F hitung = 88,545; p kurang dari 0,05) yang ditunjukkan oleh nilai t hitung variabel BKP terhadap pelaporan IKP sebesar 2,110 dan t hitung variabel LCB manajer keperawatan terhadap pelaporan IKP sebesar 11,868. Kesimpulan: Terdapat pengaruh BKP dan leader coaching behaviour manajer keperawatan yang signifikan secara simultan terhadap pelaporan IKP.

The Effect of Management Practices on Improving the Quality of Services Through Integrated Infrastructure Practices of EFQM and Six Sigma Public Health Center in Jambi Province Dwi Noerjoedianto; Andy Amir; Andi Subandi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 4: December 2021
Publisher : Universitas Aisyah Pringsewu

This study aims to analyze the effect of management practices on improving service quality through the practice of integrated infrastructure EFQM and Six Sigma Public Health Center (PHC) in Jambi Province. This research is a quantitative research using a cross sectional design approach through two stages of research. The research data was obtained using a questionnaire from a sample of 560 civil servant employees in 24 PHCs that were randomly selected and analyzed by second order using Smart-PLS 3.0. The results of the study found that the implementation of management practices, infrastructure practices had a fairly good average by employees and each had a direct effect on the quality of PHC services. The practice of core infrastructure is able to partially mediate between management practices and the quality of PHC services. However, in practice, not all PHCs have implemented quality management practices.

The Development and Validation Tools of a Caring Dimension Inventory for Measuring Caring in Indonesia Karo, Mestiana Br
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 5, No 2: December 2020
Publisher : Universitas Aisyah Pringsewu

Introduction: Nursing is a human science of persons and human health-illness experiences that are mediated by professional, personal, scientific, aesthetic, and ethical human care transactions. Caring is one of the most important aspects of nursing. Caring is much more than the performance of tasks; caring is a trans personal relationship that the nurse enters into with the patient. The Caring Dimensions Inventory (CDI) is a quantitative tool to measure caring. The conceptual theoretical basis for the tool was guided by an empirical rather than theoretical approach to caring that acknowledges some of the general caring theory literature. The theoretical approaches used were those that supported the operationalization of caring through specific taxonomies and measurements.Objectives : The purpose of this study was to systematically review to provide a coherent description of relationships, conditions, and practices that foster a caring in the environment, experience from the patients and to describe the caring behaviors of nurses who practice.Methods: Research-ers have conducted systematic integrated literature reviews to effectively retrieve and integrate existing information and provide directions for their research. This study used a systematic literature review. It is a method to “recover, sort and analyze the literatures from [peer-reviewed journals] comprehensively and reproducible by peers” and this process was adopted from the guidelines proposed by utilizing multiple database of literatures published from refereed journals were recovered databases Google Scholar and ProQuest, that seemed in the period of 2011 to 2016. From the key search words using Caring, Nursing, Patient, Practice. These keywords were chosen because we aimed to identify essential components of currently existing systematic integrated literature reviews in nursing.Results : This systemtic shows same experiences in caring measurements. Six caring measurement tools were presented in the systematic review, with suggestions that the validity, reliability and comparability of available tools remain to be established. This tool was developed by Lea and Watson, (6) it consists of 25 core items of nursing practice to be caring. The items were categorized into the following 3 subscales. Such as psychosocial aspects of care which includes 12 items, technical aspects of care which includes 7 items to be caring, professional aspects of care which includes 6 items to be caring. Conclusion: This systematic review identified the usage of the Caring Dimension Iventory (and the Nusing Dimension Iventory) are tools that can produce data and provide indicators that are valuable in the growth of person-centred practice like nurses’ perceptions of caring, patient in care, getting to know the patient’ and the incongruence between nurses’ and patients’ perceptions of caring.

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