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Ika Nur Pratiwi
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Center of Excellence for Patient Safety and Quality, Campus C Univesity of Airlangga Jl. Dr. Ir. H. Soekarno, Mulyorejo,Surabaya, Jawa Timur 60115
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International Journal of Patient Safety and Quality
Published by Universitas Airlangga
ISSN : -     EISSN : 30627117     DOI : https://doi.org/10.20473/ijpsq.v1i2.61462
Core Subject : Health,
Medicine & Pharmacology Nursing Public Health
International Journal of Patient Safety and Quality (IJPSQ) focuses on Patient Safety and Quality. This journal has scopes such as : - Patient Safety and Quality in Health Policy Research on how policies impact patient safety outcomes and healthcare quality. -Patient Safety and Quality in Medicine Studies on clinical practices, interventions, and innovations aimed at enhancing patient care. -Patient Safety and Quality in Leadership and Management Exploration of leadership strategies, management practices, and organizational cultures that support safe, high-quality care. -Patient Safety and Quality in Nursing Insights into nursing practices and safety initiatives in various healthcare settings. -Patient Safety and Quality in Public Health Examination of public health approaches that intersect with patient safety goals. -Patient Safety and Quality in Environmental Health Investigations into environmental factors that affect healthcare quality and patient safety. -Patient Safety and Quality in Occupational Health Research on ensuring safety within healthcare workplaces and protecting healthcare workers. -Patient Safety and Quality in Health (Social Science) Studies on the social dimensions of health, including patient and provider interactions, sociocultural factors, and behavioral aspects of safety.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 20 Documents
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NURSING CARE QUALITY WITH PATIENT SATISFACTION Haryanti, Dwi Yunita; Elmaghfuroh, Dian Ratna
International Journal of Patient Safety and Quality Vol. 2 No. 1 (2025): International Journal of Patient Safety and Quality, April 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v2i1.64493

Abstract

Abstract Background   The community satisfaction index has decreased compared to the previous year, along with a decline in patient satisfaction. This reflects a growing public dissatisfaction with the services provided. The purpose of this study was to prove the effect of nursing care quality on patient satisfaction. Method This research was analytic observational research with a cross sectional design. The sample was 125 respondents obtained from 4 health clinics which selected by cluster sampling technique. The Perceptions of the Quality Nursing Care Scale to measure quality of nursing care and the Patient Satisfaction with Nursing Care Quality Questionnaire instrument was used to measure patient satisfaction. Data was analyzed with multiple linear regression. Result Based on the results of regression analysis, it can be concluded that the calculated F value is 666.4 and a significance value of 0.000. So it can be concluded that there is an effect of nursing care quality variables on patient satisfaction simultaneously. The coefficient of determination of nursing care quality variables on patient satisfaction is 0.901, which means that the influence of interpersonal care, efficiency, comfort, information, environment and competence variables simultaneously on patient satisfaction variables is 90%, the remaining 10% is influenced by other variables not examined in this study. Conclusion There is an influence of nursing care quality on patient satisfaction. The most dominant variable is nurse competence, where there are indicators of cognitive ability, skills and ability to communicate effectively and assertively. Increasing patient satisfaction will be easily achieved when service quality is maintained and patient safety becomes the main thing that is prioritized.
THE EFFECT OF CLINICAL PATHWAY COMPLIANCE ON THE QUALITY AND COST OF CABG PROCEDURES Arlina, Launa Inayati; Ismawantri, Putu; Qomaruddin, Mochammad Bagus; Chalidyanto, Djazuly
International Journal of Patient Safety and Quality Vol. 2 No. 1 (2025): International Journal of Patient Safety and Quality, April 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v2i1.71848

Abstract

Abstract Background Coronary Artery Bypass Graft (CABG) is a surgical procedure with a fairly high number of cases and risks. To handle the procedure, the implementation of Clinical Pathway is required. The purpose of this study was to analyze the effect of Clinical Pathway compliance on the quality and cost of CABG procedures at Dr. Soetomo Hospital, Surabaya. Method Quantitative with an observational analytical approach, cross-sectional design. The population size was 99 medical records, with a total sampling technique of 95 medical records obtained according to the inclusion criteria, descriptive data analysis. Secondary data were obtained from medical records, incident data from the PPI Committee and the hospital's financial report in 2023. Result The average age of patients was 53 years with male gender of 80%. Compliance of officers in implementing the Clinical Pathway for CABG procedures with a compliant category 14.7%, a less compliant category 78.9% and a non-compliant category of 6.3%. There were no incidents of SSI for CABG procedures (0%). LOS of CABG procedures with length of stay ≤10 days were 70.5% and >10 days were 29.5%. Costs for CABG procedures with large Disparity (+) were 1.1%, small Disparity (+) were 54.7%, large Disparity (-) were 13.7% and small Disparity (-) were 30.5%. Conclusion There is an inverse effect between Clinical Pathway compliance and Length Of Stay (LOS), there is no effect of Clinical Pathway compliance on surgical wound infection rates and there is an effect of Clinical Pathway compliance on cost disparities.
IMPLEMENTATION MENTAL NURSING CARE IN PATIENTS WITH HALLUCINATIONS AND HEFEBRENIC SCHIZOPHRENIA Nova, Renny; Zevriana, Meylida Richa; Sunarto, Muhammad
International Journal of Patient Safety and Quality Vol. 2 No. 1 (2025): International Journal of Patient Safety and Quality, April 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v2i1.72201

Abstract

Background Schizophrenia is a chronic mental disorder characterized by disorganized thoughts, speech, and behavior. In the hebephrenic subtype, patients often exhibit childish, purposeless behavior and experience mild hallucinations or delusions. One of the core symptoms—hallucinations—reflects an impaired ability to distinguish internal from external stimuli, potentially resulting in loss of self-control and harmful actions. This study aimed to describe the mental nursing care provided to Mr. D, a patient with hallucinations and hebephrenic schizophrenia. Method This case study used an analytical approach to psychiatric nursing care with a descriptive design. Data were obtained through subjective and objective assessment, followed by problem identification, nursing diagnoses, intervention planning, implementation, and evaluation, all presented descriptively. Result After six days of nursing care, the patient showed significant improvement in managing hallucinations, communicating effectively, following structured activities, and adhering to medication. There was also a noticeable decrease in the frequency and intensity of hallucination-related symptoms. Conclusion Targeted nursing interventions improved the patient’s ability to manage hallucinations, engage socially, and maintain treatment compliance. These results underscore the importance of
NON-PHARMACOLOGICAL NURSING INTERVENTIONS FOR THE MANAGEMENT OF PRE-CESAREAN MATERNAL ANXIETY: A LITERATURE REVIEW Widhiastuti, Ratna
International Journal of Patient Safety and Quality Vol. 2 No. 1 (2025): International Journal of Patient Safety and Quality, April 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v2i1.72109

Abstract

Background   Preoperative anxiety before caesarean delivery remains a major clinical concern, adversely affecting maternal and neonatal outcomes. This review synthesizes evidence on the effectiveness of non-pharmacological nursing interventions in reducing maternal preoperative anxiety before caesarean section. Method Guided by the PRISMA 2020 framework, literature published between 2015 and 2025 was systematically searched in PubMed, ScienceDirect, and EBSCOhost. Eligible studies included randomized controlled trials, quasi-experimental, and cohort studies examining nursing-led, non-pharmacological interventions such as acupressure, aromatherapy, music therapy, guided imagery, relaxation, and structured education. Result Twelve studies met inclusion criteria. Interventions such as acupressure, aromatherapy, guided imagery, and preoperative education consistently reduced anxiety scores measured by validated instruments (e.g., STAI, HADS). Cultural adaptation enhanced intervention effectiveness, particularly in music-based therapies. Conclusion Non-pharmacological nursing interventions are effective, low-risk strategies for reducing maternal anxiety before caesarean delivery. Integrating culturally tailored, multimodal interventions into preoperative nursing care may optimize psychological and physiological outcomes.
EFFECT OF GUIDED IMAGERY AND DEEP BREATHING ON PAIN REDUCTION DURING INTRAVENOUS CANNULATION AMONG HOSPITALIZED CHILDREN: A PRELIMINARY QUASI-EXPERIMENTAL STUDY Irvan Nugroho, Tri; Sulistyowati, Priyatin; Dyah Puspasari, Fida
International Journal of Patient Safety and Quality Vol. 2 No. 1 (2025): International Journal of Patient Safety and Quality, April 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v2i1.72422

Abstract

BackgroundChildren undergoing intravenous cannulation often experience procedural pain that may cause distress and interfere with cooperation during treatment. This study aimed to examine the preliminary effects of guided imagery compared to deep breathing relaxation on pain reduction among hospitalized children undergoing intravenous cannulation.MethodsA quasi-experimental design with non-randomized control groups was conducted at Emanuel General Hospital Banjarnegara, Indonesia. Eight children aged 8–13 years participated, with four in the guided imagery group and four in the deep breathing group. Pain intensity was assessed using the Wong–Baker Faces Pain Rating Scale.ResultsThe guided imagery group demonstrated a mean pain score of 1.75 (SD = 0.50), significantly lower than the control group’s mean of 7.75 (SD = 1.71). Children receiving guided imagery showed calm facial expressions, minimal crying, and better procedural cooperation.ConclusionGuided imagery is a feasible, safe, and effective non-pharmacological technique for reducing procedural pain in hospitalized children. Future research with larger samples is recommended to confirm these findings.
ENHANCING COMPLIANCE WITH ELECTRONIC PATIENT AND SPECIMEN IDENTIFICATION IN A PEDIATRIC TERTIARY HOSPITAL : A QUALITY IMPROVEMENT INITIATIVE Aylward, Brigid; Bjorkhammer, Nicklas; Al Eshaq, Dana; Elamin, Rehab; Ford, Jason; Yousef, Atef; Bibawi, Hani; Karim, Mohammed Yousuf; McBride, Eileen; Almiski, Mohammed Sadek
International Journal of Patient Safety and Quality Vol. 2 No. 2 (2025): International Journal of Patient Safety and Quality, October 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v2i2.72956

Abstract

BackgroundErrors in patient and specimen identification during ABO and Rh typing collection are critical causes of transfusion-related adverse events. “Wrong blood in tube” (WBIT) incidents remain a preventable risk in clinical practice despite existing verification systems. This quality improvement initiative aimed to enhance compliance with Electronic Positive Patient Identification (ePPID) and Positive Accession Identification (PAID) during specimen collection by non-phlebotomy staff in a pediatric tertiary hospital.MethodsA Plan-Do-Study-Act (PDSA) model was implemented over two cycles. Interventions included development of a real-time compliance dashboard, equipment calibration, competency-based education, and introduction of governance measures such as a “hard stop” policy for non-compliant specimens. Baseline data, surveys, and root cause analyses guided the actions.ResultsInitial ePPID/PAID compliance among non-phlebotomy staff was 59.7%. Following targeted interventions, compliance increased to 97.0% for ABO/Rh specimens. The “hard stop” policy significantly reduced identification errors, while e-learning modules improved staff competency. The multidisciplinary taskforce and data-driven monitoring ensured sustainability and integration across clinical units.ConclusionA structured, multidisciplinary quality improvement approach effectively enhanced compliance with electronic patient and specimen identification. Combining technology, governance, and education fostered a sustainable safety culture in transfusion medicine, reducing the risk of WBIT events.
RELATIONSHIP BETWEEN MIDWIVES’ WORK MOTIVATION AND PERFORMANCE IN FAMILY PLANNING SERVICES Tamara, Shafira; Nugraheni, Reny
International Journal of Patient Safety and Quality Vol. 2 No. 2 (2025): International Journal of Patient Safety and Quality, October 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v2i2.79265

Abstract

BackgroundFamily planning (FP) is a cornerstone of reproductive health and population control. However, disparities in FP service quality persist, often influenced by midwives’ motivation and organizational conditions. This study aimed to examine the relationship between midwives’ characteristics, work motivation, and performance in FP services. MethodsFP services in a community healthcare setting. Data were collected using a structured self-administered questionnaire adapted from Herzberg’s Motivation-Hygiene Theory Instrument and the Ministry of Health Midwifery Performance Evaluation Scale. The questionnaire assessed demographic characteristics, intrinsic and extrinsic motivation, and performance indicators using a 5-point Likert scale. Validity and reliability were confirmed (I-CVI > 0.80; Cronbach’s α > 0.85). Data were analyzed using Chi-square and Fisher’s exact tests with a significance level of p < 0.05. ResultsSignificant associations were found between motivational and organizational factors with midwives’ performance, including advancement (p = 0.000), achievement (p = 0.001), organizational policies (p = 0.020), incentives (p = 0.007), interpersonal relationships (p = 0.001), and working conditions (p = 0.001). Demographic variables such as age, education, and marital status were not significant (p > 0.05).ConclusionsMidwives’ performance in FP services is primarily influenced by intrinsic and extrinsic motivation rather than demographic factors. Enhancing motivation through fair incentives, supportive policies, and professional development is crucial to improve FP service quality and workforce sustainability.
EFFECTIVENESS OF VIDEO-BASED HEALTH EDUCATION ON ADOLESCENTS’ FIRST AID FOR FOOD POISONING Hamidah, Rahma Nur; Arief, Yuni Sufyanti; Kristiawati, Kristiawati
International Journal of Patient Safety and Quality Vol. 2 No. 2 (2025): International Journal of Patient Safety and Quality, October 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v2i2.80073

Abstract

Introduction:Foodborne illness remains a major global public health concern, particularly in communal living environments such as Islamic boarding schools, where adolescents study and dine together. Insufficient knowledge and preparedness in providing first aid for food poisoning can increase morbidity and delay treatment. This study aimed to determine the effectiveness of video-based health education in improving adolescents’ knowledge, attitudes, and behaviors related to first aid for food poisoning. Methods: A quasi-experimental pre-test–post-test control group design was conducted among 72 female adolescents aged 16–18 years residing in two Islamic boarding schools. The intervention group received structured video-based health education, while the control group received printed leaflets containing the same educational content. Data were collected using a validated questionnaire measuring knowledge, attitudes, and practices before and after the intervention. Statistical analyses were performed using the Wilcoxon Signed-Rank Test and Mann–Whitney U Test, with a significance level set at p < 0.05. Results: The findings showed significant improvements in knowledge, attitudes, and behaviors in the intervention group following the video-based education (p < 0.001), while no significant changes were observed in the control group. Inter-group comparisons also indicated statistically significant post-test differences in all behavioral domains (p < 0.001).Conclusion: Video-based health education effectively enhanced adolescents’ knowledge, attitudes, and first-aid behaviors related to food poisoning. The integration of audiovisual learning media provides an engaging and efficient approach to strengthen health literacy and emergency response skills among adolescents in school-based health programs.
ASSERTIVE COMMUNICATION AND STRESS LEVEL AMONG FAMILIES LIVING WITH PULMONARY TUBERCULOSIS PATIENTS Mulyadi, Eko; Arroyhan, Moh.; Wahid, Abd
International Journal of Patient Safety and Quality Vol. 2 No. 2 (2025): International Journal of Patient Safety and Quality, October 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v2i2.80084

Abstract

BackgroundFamilies play a pivotal role in supporting the recovery of patients with pulmonary tuberculosis (TB); however, this role is frequently accompanied by high psychological stress. This study aimed to examine the relationship between assertive communication and stress levels among families caring for pulmonary TB patients.MethodsThis analytical observational study employed a cross-sectional design. A total of 71 family members of TB patients were selected using a simple random sampling technique. Data were analyzed using the Spearman Rank correlation test with a significance level of α = 0.01.ResultsFindings indicated that 50.8% of participants demonstrated moderate assertive communication, while 42.6% experienced mild stress levels. Statistical analysis revealed a significant correlation between assertive communication and stress levels (ρ = 0.005), indicating that higher assertive communication skills are associated with lower stress levels.ConclusionAssertive communication plays a vital role in mitigating stress among families of TB patients. Strengthening family assertiveness through psychoeducation and counseling interventions could enhance coping abilities and improve overall family well-being.
DETERMINANTS OF NURSES’ DISASTER PREPAREDNESS IN FLOOD PRONE AREAS: APPLICATION OF PROTECTION MOTIVATION THEORY Chasanah, Nur Rofiqoh; Kurniawati, Ninuk Dian; Tristiana, Rr Dian
International Journal of Patient Safety and Quality Vol. 2 No. 2 (2025): International Journal of Patient Safety and Quality, October 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v2i2.80086

Abstract

Background: Floods are among Indonesia’s most frequent and destructive natural disasters, posing serious threats to public health and service continuity. Nurses in community health centers play a critical role in disaster preparedness, especially in flood-prone regions. Guided by the Protection Motivation Theory (PMT), this study examined the relationships among response efficacy, self-efficacy, response cost, motivation, and disaster preparedness among nurses in flood-prone areas of Gresik District. Methods: A cross-sectional correlational study was conducted among 78 nurses selected through proportionate random sampling from flood-prone community health centers. Inclusion criteria were at least one year of work experience and voluntary participation. Data were collected using validated self-administered questionnaires based on PMT constructs: response efficacy (10 items), self-efficacy (10 items), response cost (8 items), motivation (10 items), and disaster preparedness (12 items), rated on a 5-point Likert scale. Reliability coefficients were acceptable (Cronbach’s α = 0.76–0.89). Data were analyzed using descriptive statistics and Spearman’s rho correlation tests. Results: Most nurses demonstrated high disaster preparedness. Response efficacy (ρ = 0.000; r = 0.470) and self efficacy (ρ = 0.011; r = 0.287) were positively correlated with motivation, whereas response cost (ρ = 0.000; r = –0.438) was negatively correlated. Motivation also showed a significant positive relationship with disaster preparedness (ρ = 0.000; r = 0.402). Conclusions: Response efficacy, self-efficacy, and response cost are key cognitive predictors of motivation influencing nurses’ disaster preparedness. Strengthening motivation through education, simulation-based training, and organizational support can enhance preparedness, patient safety, and healthcare quality during flood emergencies.

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