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Edukasi pencegahan mual muntah pada pasien p reoperatif Sectio Caesarea Jonatan Aris Maraya; Rahmaya Nova Handayani; Magenda Bisma Yudha
THE JOURNAL OF Nursing Management Issues Vol. 3 No. 1 (2025): December Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v3i1.3370

Background: Postoperative nausea and vomiting (PONV) in Sectio Caesarea patients is a significant clinical problem that is often overlooked. The high incidence of PONV in Sectio Caesarea patients, based on the pre-survey, reached 42.8%–45.6%. PONV is the most common side effect after postoperative pain, depending on patient risk factors and the preventive strategies implemented. This condition may lead to serious complications such as wound dehiscence, aspiration, dehydration, prolonged hospitalization, and increased healthcare costs. Purpose: To measure changes in knowledge after education on nausea and vomiting prevention among preoperative Sectio Caesarea patients. Method: This community service activity used a participatory and educational approach with a preoperative educational intervention design. The study was conducted at the Central Surgical Installation of RSUD Merauke from May to June 2026, involving 30 preoperative Sectio Caesarea patients. Results: The majority of respondents were aged 20–35 years (76.7%) and multigravida (76.7%). The pre-test results showed that 70.0% of respondents were in the moderate category and 30.0% in the poor category. After the educational intervention, 83.3% were in the good category and 16.7% in the moderate category, with no respondents remaining in the poor category. Conclusion: Structured, communicative, and easy-to-understand preoperative education effectively improved patients’ understanding of nausea and vomiting prevention, supported patient preparedness for Sectio Caesarea, and has the potential to become an educational intervention model in preoperative services at RSUD Merauke. Keywords: Cesarean Section; Education; Nausea and Vomiting. Pendahuluan: Post operative nausea vomiting (PONV) pada pasien Sectio Caesarea merupakan masalah klinis yang signifikan dan sering kali diabaikan. Tingginya kejadian PONV pada pasien Sectio Caesarea, yang berdasarkan pra-survei mencapai 42.8%–45.6%. PONV menjadi efek samping yang paling umum setelah nyeri pascaoperasi, tergantung faktor risiko pasien serta strategi pencegahan yang diterapkan. Keadaan ini berpotensi menyebabkan komplikasi serius seperti dehiscence luka operasi, aspirasi, gangguan hidrasi, serta memperpanjang masa rawat dan biaya perawatan. Tujuan: Untuk mengukur perubahan pengetahuan setelah edukasi pencegahan mual muntah pada pasien p reoperatif sectio caesarea. Metode: Kegiatan Pengabdian Masyarakat dengan pendekatan partisipatif dan edukatif dan desain intervensi edukasi preoperatif. Dilaksanakan di Instalasi Bedah Sentral Rumah Sakit Umum Daerah (RSUD) Merauke pada Mei–Juni 2026 dengan melibatkan 30 pasien preoperatif Sectio Caesarea. Hasil: Mayoritas responden berusia 20–35 tahun (76.7%) dan multigravida (76.7%). Pre-test menunjukkan 70.0% responden dalam kategori cukup dan 30.0% kurang. Setelah edukasi, 83.3% berada pada kategori baik dan 16.7% cukup, tanpa responden kategori kurang. Simpulan: Edukasi preoperatif yang terstruktur, komunikatif, dan mudah dipahami efektif meningkatkan pemahaman pasien mengenai pencegahan mual muntah, mendukung kesiapan pasien menghadapi sectio caesarea, dan berpotensi menjadi model intervensi edukatif dalam pelayanan preoperatif di RSUD Merauke. Kata Kunci: Edukasi, Mual Muntah, Sectio Caesarea.

Analisis faktor - faktor yang berhubungan dengan kejadian hipotensi pasca spinal anestesi pada pasien Sectio Caesarea Sumarno; Septian Mixrova Sebayang; Made Suandika
THE JOURNAL OF Nursing Management Issues Vol. 3 No. 1 (2025): December Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v3i1.3371

Background: Hypotension is a common complication following spinal anesthesia in patients undergoing cesarean section and can affect both the mother and the fetus. Purpose: To identify the factors associated with the incidence of hypotension following spinal anesthesia at Hajjah Andi Depu General Hospital in Polewali Mandar. Method: Observational analytical design with a cross-sectional approach. The study sample consisted of 129 patients undergoing cesarean section under spinal anesthesia, selected using purposive sampling. Data were collected through observation and documentation, including age, preload fluid volume, intraoperative bleeding, and incidence of hypotension. Data analysis used the Chi-Square test and Fisher’s Exact Test with a significance level of p<0.05. Results: Hypotension occurred in 67 respondents (51.9%). There was a significant association between age (p<0.001), preload volume (p=0.038), and intraoperative blood loss (p<0.001) and the incidence of hypotension following spinal anesthesia. The risk of hypotension was higher in patients with a preload of <500 ml and intraoperative blood loss of ≥500 ml. Conclusion: Age, preload volume, and intraoperative blood loss were associated with the incidence of post-spinal anesthesia hypotension in patients undergoing cesarean section. Keywords: Cesarean Section; Fluid Preload; Hypotension; Spinal Anesthesia. Pendahuluan: Hipotensi merupakan komplikasi yang sering terjadi setelah spinal anestesi pada pasien Sectio Caesarea dan dapat memengaruhi kondisi ibu maupun janin. Tujuan: Untuk mengetahui faktor-faktor yang berhubungan dengan kejadian hipotensi pasca spinal anestesi di RSUD Hajjah Andi Depu Polewali Mandar. Metode: Desain analitik observasional dengan pendekatan cross sectional. Sampel penelitian berjumlah 129 pasien Sectio Caesarea dengan spinal anestesi yang dipilih menggunakan purposive sampling. Data dikumpulkan melalui observasi dan dokumentasi meliputi usia, jumlah cairan preload, perdarahan intraoperatif, dan kejadian hipotensi. Analisis data menggunakan uji Chi-Square dan Fisher Exact Test dengan tingkat kemaknaan p<0.05. Hasil: Kejadian hipotensi terjadi pada 67 responden (51.9%). Terdapat hubungan bermakna antara usia (p<0.001), jumlah cairan preload (p=0.038), dan perdarahan intraoperatif (p<0.001) dengan kejadian hipotensi pasca spinal anestesi. Risiko hipotensi lebih tinggi pada pasien dengan preload <500 ml dan perdarahan ≥500 ml. Simpulan: Usia, jumlah cairan preload, dan perdarahan intraoperatif berhubungan dengan kejadian hipotensi pasca spinal anestesi pada pasien Sectio Caesarea. Kata kunci: HipotensI; Preload Cairan; Sectio Caesarea; Spinal Anestesi.

Efektivitas penerapan check list pemantauan post-anesthesia care unit (PACU) dalam menurunkan insiden komplikasi pasca anestesi Mukhamad Ikhsan; Made Suandika; Martyarini Budi
THE JOURNAL OF Nursing Management Issues Vol. 3 No. 1 (2025): December Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v3i1.3372

Background: Post-general anesthesia complications remain a significant issue in perioperative care and can be prevented through systematic monitoring in the Post-Anesthesia Care Unit (PACU). Purpose: To analyze the effectiveness of implementing a PACU monitoring checklist in reducing the incidence of post-geneal anesthesia complications at Merauke Regional General Hospital. Method: A quantitative research with an analytical observational approach and a cross-sectional study design. The study sample consisted of 128 patients who underwent general anesthesia at Merauke Regional General Hospital, selected using purposive sampling. Data were collected through observation and documentation using the PACU checklist to assess the completeness of monitoring, as well as an observation form for general anesthesia complications. Data analysis used the Chi-Square test with a significance level of p < 0.05. Results: The results showed that the majority of checklist implementation fell into the “complete” category (67.2%). Most patients did not experience post-general anesthesia complications (64.1%); however, complications such as pain, postoperative nausea and vomiting (PONV), hypoxia, hemodynamic disturbances, shivering, and decreased consciousness were still observed. There was a significant association between the implementation of the PACU checklist and the incidence of post-general anesthesia complications (p = 0.000), where the complete implementation of the checklist was proven to be more effective in reducing the incidence of complications. Conclusion: Implementation of the PACU monitoring checklist is associated with and effective in reducing the incidence of post-general anesthesia complications in patients at Merauke Regional General Hospital. Keywords: General Anesthesia; PACU checklist; Patient Safety; Post-Anesthesia Complications. Pendahuluan: Komplikasi pasca anestesi umum masih menjadi masalah penting dalam pelayanan perioperatif dan dapat dicegah melalui pemantauan yang sistematis di Post-Anesthesia Care Unit (PACU). Tujuan: Untuk menganalisis efektivitas penerapan check list pemantauan PACU terhadap penurunan insiden komplikasi pasca anestesi umum di Rumah Sakit Umum Daerah (RSUD) Merauke. Metode: Penelitian kuantitatif dengan pendekatan observasional analitik dan rancangan cross sectional study. Sampel penelitian berjumlah 128 pasien yang menjalani anestesi umum di RSUD Merauke yang dipilih menggunakan teknik purposive sampling. Data dikumpulkan melalui observasi dan studi dokumentasi menggunakan lembar check list PACU untuk menilai tingkat kelengkapan pemantauan serta lembar observasi komplikasi pasca anestesi umum. Analisis data menggunakan uji Chi-Square dengan tingkat kemaknaan p < 0,05. Hasil: Sebagian besar penerapan check list berada pada kategori lengkap (67.2%). Sebagian besar pasien tidak mengalami komplikasi pasca anestesi umum (64.1%), namun masih ditemukan komplikasi seperti nyeri, postoperative nausea and vomiting (PONV), hipoksia, gangguan hemodinamik, shivering, dan penurunan kesadaran. Simpulan: Terdapat hubungan yang signifikan antara penerapan check list PACU dengan kejadian komplikasi pasca anestesi umum (p = 0,000), dimana penerapan check list yang lengkap terbukti lebih efektif dalam menurunkan insiden komplikasi. Disimpulkan bahwa penerapan check list pemantauan PACU berhubungan dan efektif dalam menurunkan kejadian komplikasi pasca anestesi umum pada pasien di RSUD Merauke. Kata kunci: Anestesi Umum; Check List PACU; Keselamatan Pasien; Komplikasi Pasca Anestesi.

Multiple case study manajemen nyeri secara farmakologi pada pasien pasca operasi dengan spinal anestesi di ruang pemulihan rumah sakit Syarifuddin; Martyarini Budi; Danang Tri Yudono
THE JOURNAL OF Nursing Management Issues Vol. 3 No. 1 (2025): December Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v3i1.3374

Background: Postoperative pain is a common problem experienced by patients after surgery and can lead to delayed recovery and an increased risk of complications. Adequate pain management is crucial for enhancing patient comfort and the success of perioperative care. Purpose: To determine the profile of pharmacological pain management in postoperative patients who underwent spinal anesthesia in the recovery room at Dr. Tadjuddin Chalid Central Hospital, Makassar. Method: Qualitative descriptive approach with a multiple case study design. The participants consisted of 4 patients selected through purposive sampling. Data were collected through observation, pain assessment using the Numeric Rating Scale (NRS), and documentation of analgesic administration. Results: Most patients experienced initial pain with a score of ≥7. After pharmacological therapy was administered, pain decreased in all participants. The combination of ketorolac and paracetamol reduced pain from a score of 7 to 3, fentanyl reduced it from 7 to 4, and metamizole reduced it from 7 to 3. Meanwhile, patients receiving epidural analgesia exhibited minimal pain from the outset (0–1). Conclusion: Pharmacological pain management is effective in reducing pain intensity in postoperative patients who underwent spinal anesthesia. Keywords: Pharmacological Pain Management; Postoperative Pain; Recovery Room; Spinal Anesthesia. Pendahuluan: Nyeri pasca operasi merupakan masalah umum yang dialami pasien setelah tindakan pembedahan dan dapat berdampak pada keterlambatan pemulihan serta peningkatan risiko komplikasi. Manajemen nyeri yang adekuat sangat penting untuk meningkatkan kenyamanan dan keberhasilan perawatan perioperatif. Tujuan: Untuk mengetahui gambaran manajemen nyeri secara farmakologi pada pasien pasca operasi dengan spinal anestesi di ruang pemulihan Rumah Sakit Metode: Penelitian deskriptif kualitatif dengan rancangan multiple case study. Partisipan berjumlah 4 pasien yang dipilih secara purposive sampling. Data dikumpulkan melalui observasi, pengkajian nyeri menggunakan Numeric Rating Scale (NRS), serta dokumentasi pemberian analgetik. Hasil: Sebagian besar pasien mengalami nyeri awal dengan skala ≥7. Setelah diberikan terapi farmakologi, terjadi penurunan nyeri pada seluruh partisipan. Kombinasi ketorolac dan paracetamol menurunkan nyeri dari skala 7 menjadi 3, fentanyl menurunkan dari 7 menjadi 4, dan metamizole menurunkan dari 7 menjadi 3. Sementara itu, pasien dengan analgesia epidural menunjukkan nyeri minimal sejak awal (0–1). Simpulan: Manajemen nyeri secara farmakologi efektif dalam menurunkan intensitas nyeri pada pasien pasca operasi dengan spinal anestesi. Kata Kunci: Manajemen Nyeri Farmakologi; Nyeri Pasca Operasi; Recovery Room; Spinal Anestesi.

Pemanfaatan ramuan daun sirih (piper betle l.) sebagai pengobatan tradisional pada masyarakat suku bugis dan dampaknya terhadap perilaku pencarian layanan kesehatan Muhammad Ridha Afdhal; Zulkifli Walangadi
THE JOURNAL OF Nursing Management Issues Vol. 3 No. 1 (2025): December Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v3i1.3437

Background: Traditional medicine practices remain heavily prominent across rural Indonesia. Among the Bugis tribe in Kajuara District, Bone Regency, betel leaf (Piper betle L.) preparations are firmly relied upon for initial physical care, which sequentially alters modern healthcare utilization. Purpose: To structurally identify the socio-cultural variables behind the use of betel leaf preparations among the Bugis community in Kajuara District and its multi-level consequences on health seeking behavior. Method: A qualitative descriptive design was employed. Data were gathered through in-depth interviews with 9 key informants, field observations, and documentation in Kajuara District. Results: Culturally, the Bugis community preserves betel leaf use owing to cosmological views of body-nature balance and ancestral pabbura practices. While providing basic antibacterial support, this reliance poses an individual risk of delaying crucial clinical care. Economically, families experience immediate cost efficiency, yet suffer from unstandardized dosage protocols. Structurally, it produces dualistic health behaviors that reduce formal primary health center attendance. Conclusion: Socio-cultural dynamics dictate healthseeking paths in rural Bugis clusters, requiring structured integration between local knowledge systems and objective primary clinical guidelines. Keywords: Betel Leaf; Bugis Tribe; Health Seeking Behavior; Pabbura. Pendahuluan: Praktik pengobatan tradisional tetap mendominasi realitas kesehatan masyarakat di wilayah perdesaan Indonesia. Pada masyarakat Suku Bugis, ramuan daun sirih (Piper betle L.) secara konsisten diandalkan sebagai penanganan awal, yang secara sekuensial mengubah utilisasi pelayanan medis modern. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi secara struktural variabel sosial budaya di balik penggunaan ramuan daun sirih pada masyarakat Bugis di Kecamatan Kajuara serta konsekuensi multi-levelnya terhadap perilaku pencarian layanan kesehatan (health seeking behavior). Metode: Desain kualitatif deskriptif. Pengumpulan data dilakukan melalui wawancara mendalam terhadap 9 informan kunci, observasi lapangan, dan studi dokumentasi di Kecamatan Kajuara. Hasil: Secara kultural, masyarakat Bugis melestarikan penggunaan daun sirih akibat pandangan kosmologis mengenai keseimbangan alam-tubuh dan praktik pabbura leluhur. Meskipun menyediakan dukungan antibakteri dasar, ketergantungan ini memicu risiko penundaan (delay) penanganan klinis krusial pada tingkat individu. Secara ekonomi, keluarga merasakan efisiensi biaya langsung, namun lemah dalam protokol standarisasi dosis. Secara struktural, fenomena ini melahirkan perilaku kesehatan dualistik yang mereduksi angka kunjungan Puskesmas formal. Simpulan: Dinamika sosial budaya mendikte jalur pencarian kesehatan di klaster perdesaan Bugis, sehingga memerlukan integrasi terstruktur antara sistem pengetahuan lokal dan panduan klinis primer yang objektif. Kata kunci: Daun Sirih; Suku Bugis; Perilaku Pencarian Kesehatan; Pabbura.

Analisis dampak rangkap tugas terhadap produktivitas kerja karyawan di rumah sakit ortopedi Soviana Kinanti; Lilik Sriwiyati; Warsini; Risa Setia Ismandani
THE JOURNAL OF Nursing Management Issues Vol. 3 No. 2 (2026): July Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v3i2.3173

Background: Multiple-role assignments refer to a condition in which an employee performs two or more responsibilities simultaneously within an organization. One of the main challenges arising from this condition is the inability to complete work programs according to expected quality standards and timelines, which may reduce employee work productivity. Purpose: To analyze the impact of multiple-role assignments on employee work productivity. Methods: This study employed a qualitative method with a descriptive approach. Data were analyzed using thematic analysis. The study involved eight informants who served as members of the Nursing Committee while simultaneously performing duties in patient care units. Data were collected through in-depth interviews. Results: The informants performed multiple roles as staff nurses in inpatient care units while also serving as Nursing Committee administrators. The findings showed that multiple-role assignments had both positive and negative impacts on employee work productivity. The positive impacts included increased work experience, enhanced skills, and a broader understanding of the hospital work system. However, the negative impacts included excessive workload, limited time, fatigue, and delays in completing certain tasks, which may reduce work productivity. Conclusion: Multiple-role assignments have both positive and negative impacts on employee work productivity. Therefore, effective workload management and time management are required to maintain optimal work productivity. Keywords: Hospital; Multiple Roles; Work Productivity; Workload. Pendahuluan: Rangkap tugas merupakan kondisi ketika seorang karyawan menjalankan dua atau lebih tanggung jawab secara bersamaan dalam suatu organisasi. Salah satu masalah utama yang muncul adalah ketidaktepatan dalam penyelesaian tugas seperti tidak tercapainya beberapa program kerja, baik dari segi kualitas maupun ketepatan waktu, hal ini berisiko menurunkan produktivitas kerja. Tujuan Penelitian: Untuk menganalisis dampak rangkap tugas terhadap produktivitas kerja karyawan. Metode: Penelitian ini menggunakan metode kualitatif dengan pendekatan deskriptif dan pada analisis data menggunakan analisis tematik. Penelitian ini melibatkan informan yang merupakan pengurus Komite Keperawatan yang secara bersamaan juga menjalankan tugas di unit pelayanan/ruang perawatan yang berjumlah 8 orang. Teknik pengumpulan data dilakukan melalui wawancara mendalam. Hasil: Informan menjalankan rangkap tugas sebagai perawat di ruang perawatan sekaligus pengurus Komite Keperawatan. Hasil penelitian menunjukkan bahwa rangkap tugas memberikan dampak positif dan negatif terhadap produktivitas kerja karyawan. Dampak positif meliputi peningkatan pengalaman kerja, pengembangan keterampilan, serta pemahaman yang lebih luas terhadap sistem kerja rumah sakit. Namun demikian, dampak negatif yang muncul meliputi beban kerja berlebih, keterbatasan waktu, kelelahan, serta keterlambatan dalam penyelesaian tugas tertentu yang berpotensi menurunkan produktivitas kerja. Simpulan: Rangkap tugas memberikan dampak positif maupun negatif terhadap produktivitas kerja karyawan. Oleh karena itu, diperlukan pengelolaan beban kerja dan manajemen waktu yang efektif untuk mempertahankan produktivitas kerja secara optimal. Kata Kunci: Beban Kerja; Produktivitas Kerja; Rumah Sakit; Rangkap Tugas

Pengaruh persepsi remunerasi terhadap kinerja pegawai rumah sakit ortopedi Dea Perwitasari; Risa Setia Ismandani; Budi Kristanto; Yulia leemanza
THE JOURNAL OF Nursing Management Issues Vol. 3 No. 2 (2026): July Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v3i2.3267

Background: Remuneration is a crucial aspect of human resource management that significantly influences employee motivation, job satisfaction, and performance. It encompasses various components, including salaries, fixed allowances, performance incentives, and other forms of compensation. An appropriate remuneration system can enhance employee motivation and job satisfaction, which in turn contributes to improved employee performance. Conversely, an unfair or inadequate remuneration system may reduce employees' work motivation and productivity. Purpose: To determine the extent to which employees' perceptions of the remuneration system influence their performance. Methods: This study employed a quantitative approach using a correlational analysis design. The participants were employees of Prof. Dr. R. Soeharso Orthopedic Hospital, Surakarta, including both healthcare and non-healthcare personnel. Samples were selected using proportionate stratified random sampling, resulting in a total of 101 respondents, consisting of 72 healthcare personnel and 29 non-healthcare personnel. Data were collected through a structured questionnaire and analyzed using SPSS software with the Chi-square test. Results: The findings showed no significant association between employees' perceptions of remuneration and their performance (Pearson Chi-Square = 1.504; df = 1; p = 0.220), indicating that the significance value was greater than α = 0.05. Conclusion: The findings indicate that remuneration is not the sole factor influencing employee performance. Keywords: Employee performance; Hospital; Remuneration. Pendahuluan: Remunerasi merupakan salah satu aspek krusial dalam manajemen sumber daya manusia yang berpengaruh signifikan terhadap motivasi, kepuasan kerja, dan kinerja pegawai. Remunerasi mencakup berbagai komponen seperti gaji, tunjangan tetap, insentif kinerja, dan bentuk imbalan lainnya. Remunerasi yang tepat dapat meningkatkan motivasi dan kepuasan kerja, yang pada akhirnya berkontribusi terhadap peningkatan kinerja pegawai. Sebaliknya, sistem remunerasi yang tidak adil atau tidak memadai dapat menurunkan semangat kerja dan produktivitas pegawai. Tujuan: Mengetahui sejauh mana persepsi terhadap sistem remunerasi mempengaruhi kinerja pegawai. Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan metode analisis korelasi. Subjek dalam penelitian ini adalah pegawai Rumah Sakit Ortopedi Prof. Dr. R. Soeharso Surakarta yang diambil dari nakes dan non nakes kemudian dilakukan pengambilan sampel dengan teknik proportionate stratified random sampling. Sehingga diperoleh jumlah sampel 101 dengan tenaga kesehatan 72 responden dan 29 non tenaga kesehatan. Data dikumpulkan dengan cara menyebarkan kuesioner yang akan diolah dengan SPSS kemudian dianalisa dengan uji chi square. Hasil: Tidak terdapat pengaruh antara remunerasi dengan kinerja pegawai dengan Pearson Chi-Square sebesar 1.504, derajat kebebasan (df) = 1 dan nilai signifikansi (Asymp.Sig) sebesar 0.220, nilai signifikansi tersebut lebih besar dari α= 0.05. Simpulan: Hasil penelitian ini menunjukkan bahwa remunerasi tidak menjadi satu-satunya faktor yang dapat mempengaruhi kinerja pegawai. Kata kunci: Kinerja Pegawai; Remunerasi; Rumah sakit.

Faktor-faktor yang mempengaruhi ketidakpatuhan perawat terhadap standar mutu komite keperawatan di rumah sakit x Radha Ayuningtyas; Tri Yahya Christina; Budi Kristanto; Risa Setia Ismandani
THE JOURNAL OF Nursing Management Issues Vol. 3 No. 2 (2026): July Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v3i2.3315

Background: The quality of nursing services in hospitals is influenced by nurses’ compliance in implementing nursing quality standards developed and evaluated by the Nursing Committee. However, non-compliance among nurses with the implementation of these standards is still found at Hospital X. Purpose: To identify factors associated with nurses’ non-compliance with the Nursing Committee’s quality standards. Methods: This qualitative descriptive study involved 24 staff nurses who had participated in nursing quality standard audits and met the inclusion criteria. Participants were selected using purposive sampling. Data were collected through semi-structured interviews that were recorded, transcribed verbatim, and analyzed using Elo and Kyngäs’ inductive content analysis method. Data credibility was maintained through participant validation and in-depth data presentation. Results: One main problem topic was identified, namely nurses’ limited understanding of the Nursing Committee’s quality standards. Seven themes related to the implementation of nursing care were identified, including limited socialization, repeated documentation of vital signs, high work mobility, patient workload, non-nursing tasks, differences in educational backgrounds, limited understanding of the 3S concept and assessment process, and evaluation barriers. Regarding Standard Operating Procedures (SOPs), six themes were identified: unsustainable socialization, limited facilities, high workload, work habits, patient characteristics, and the need for continuous training. Conclusion: Nurses’ non-compliance is influenced by individual and system factors. Strengthening socialization, providing continuous training, and improving management support are needed to enhance compliance with the Nursing Committee’s quality standards Keywords: Factors; Non-compliance; Nurses; Standards; Quality Pendahuluan: Mutu pelayanan keperawatan di rumah sakit dipengaruhi oleh kepatuhan perawat dalam menerapkan standar mutu keperawatan yang dikembangkan dan dievaluasi oleh Komite Keperawatan. Namun, di Rumah Sakit X masih ditemukan ketidakpatuhan perawat terhadap penerapan standar tersebut. Tujuan: Mengidentifikasi faktor-faktor yang berkaitan dengan ketidakpatuhan perawat terhadap standar mutu Komite Keperawatan. Metode: Penelitian kualitatif dengan metode deskriptif terhadap 24 perawat pelaksana yang telah mengikuti audit standar mutu komite keperawatan dan memenuhi kriteria inklusi. Partisipan dipilih menggunakan teknik purposive sampling. Data dikumpulkan melalui wawancara semi- terstruktur yang direkam, ditranskripsikan secara verbatim, dan dianalisis menggunakan analisis isi induktif metode Elo dan Kyngas. Keabsahan data dijaga melalui validasi partisipan dan penyajian data secara mendalam. Hasil: Ditemukan satu topik permasalahan utama, yaitu rendahnya pemahaman perawat terhadap standar mutu komite keperawatan. Terdapat tujuh tema terkait pelaksanaan asuhan keperawatan, meliputi sosialisasi terbatas, pengulangan dokumentasi tanda vital, mobilitas kerja tinggi, beban pasien, tugas non-keperawatan, perbedaan latar belakang pendidikan, keterbatasan pemahaman konsep 3S dan pengkajian, serta kendala evaluasi. Pada aspek SPO, ditemukan enam tema, yaitu sosialisasi yang belum berkelanjutan, keterbatasan sarana, beban kerja tinggi, kebiasaan kerja, karakteristik pasien, dan kebutuhan pelatihan berkelanjutan. Simpulan: Ketidakpatuhan perawat dipengaruhi oleh faktor individu dan sistem. Diperlukan penguatan sosialisasi, pelatihan berkelanjutan, serta dukungan manajemen untuk meningkatkan kepatuhan terhadap standar mutu komite keperawatan. Kata Kunci: Faktor, Ketidakpatuhan, Perawat, Standar, Mutu.

Pengaruh employee engagement terhadap kinerja perawat Laura Desinda Sutondo Putri; Risa Setia Ismandani; Warsini Warsini; Rizki Aqsyari
THE JOURNAL OF Nursing Management Issues Vol. 3 No. 2 (2026): July Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v3i2.3336

Background: Nurse performance is an important aspect of maintaining service quality, particularly in intensive care units with high workloads. Nurses face physical and psychological pressures that may affect their performance. In addition, disparities in nurse performance exist, as reflected by some nurses performing optimally while others demonstrate lower levels of responsibility. This condition may create a sense of unfairness and reduce employee engagement among nurses. Purpose: To determine the effect of employee engagement on nurse performance in the intensive care unit of Dr. Moewardi Hospital. Methods: This study employed an analytical quantitative design with a cross-sectional approach. The study population included all nurses working in the intensive care unit of Dr. Moewardi Regional General Hospital, with a sample of 142 respondents determined using the Krejcie and Morgan Table. Data were collected using a questionnaire and analyzed using the chi-square test Results: There was a significant association between employee engagement and nurse performance (OR = 2.205; 95% CI = 1.461–3.326; p = 0.001). Conclusions: Positive work engagement plays an important role in supporting the performance of nurses in carrying out their duties and responsibilities optimally, especially for nurses in intensive care units. Keywords: Employee engagement; Nurse performance; Nurses. Pendahuluan: Kinerja perawat merupakan aspek penting dalam menjaga mutu pelayanan, khususnya di unit perawatan intensif yang memiliki beban kerja tinggi. Perawat dihadapkan pada tekanan fisik dan psikologis yang dapat memengaruhi kinerjanya. Selain itu, terdapat ketimpangan kinerja antar perawat, yang ditunjukkan oleh sebagian perawat bekerja secara optimal, sedangkan sebagian lainnya kurang bertanggung jawab. Kondisi ini dapat memicu rasa ketidakadilan dan menurunkan tingkat engagement antar perawat. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh employee engagement terhadap kinerja perawat di unit perawatan intensif RSUD Dr. Moewardi. Metode: Penelitian ini menggunakan desain kuantitatif analitik dengan pendekatan cross-sectional. Subjek penelitian meliputi seluruh perawat di unit perawatan intensif RSUD Dr. Moewardi dengan sampel 142 responden yang ditentukan berdasarkan Table Krejcie and Morgan. Data dikumpulkan menggunakan kuesioner dan dianalisis menggunakan uji chi-square. Hasil: Terdapat hubungan yang signifikan antara employee engagement terhadap kinerja perawat. (OR = 2.205 ; CI 95% = 1.461 – 3,326 ; p-value = 0.001). Simpulan: Keterlibatan kerja yang positif memiliki peran penting dalam mendukung kinerja perawat untuk menjalankan tugas dan tanggung jawab dengan optimal khususnya bagi perawat di unit perawatan intensif. Kata Kunci: Keterikatan karyawan; Kinerja perawat; Perawat.

Analisis determinan kepuasan pasien terhadap loyalitas pasien pada pelayanan keperawatan maternitas Eunike Tamariska; Ditya Yankusuma Setiani; Diyono Diyono; Safaruddin Safaruddin
THE JOURNAL OF Nursing Management Issues Vol. 3 No. 2 (2026): July Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v3i2.3436

Background: Patient loyalty is one of the indicators of the quality of healthcare services, including maternity nursing services. High-quality services are expected to improve patient satisfaction and loyalty toward the services provided. Purpose: To analyze the relationship between the quality of maternity nursing services based on the SERVQUAL dimensions, namely tangibles, empathy, reliability, responsiveness, and assurance, and patient loyalty at RSUD Ibu Fatmawati Soekarno, Surakarta. Methods: This quantitative study employed a cross-sectional design. The study population consisted of patients receiving maternity nursing services at RSUD Ibu Fatmawati Soekarno, Surakarta. A total of 282 respondents were selected using purposive sampling, and the data were analyzed using the chi-square test. Results: The reliability, responsiveness, and assurance dimensions were significantly associated with patient loyalty (p < 0.05). Meanwhile, the tangibles and empathy dimensions were not significantly associated with patient loyalty. Most respondents (99.3%) demonstrated a high level of loyalty toward maternity nursing services. Conclusion: There was a significant relationship between the reliability, responsiveness, and assurance dimensions of maternity nursing service quality and patient loyalty. Keywords: Maternity Nursing; Patient Loyalty; Patient Satisfaction. Pendahuluan: Loyalitas pasien merupakan salah satu indikator keberhasilan mutu pelayanan kesehatan, termasuk dalam pelayanan keperawatan maternitas. Kualitas pelayanan yang baik diharapkan mampu meningkatkan kepuasan dan loyalitas pasien terhadap layanan yang diberikan. Tujuan: Menganalisis hubungan kualitas pelayanan keperawatan maternitas berdasarkan dimensi SERVQUAL yang meliputi tangibles (bukti fisik), empathy (empati), reliability (keandalan), responsiveness (daya tanggap), dan assurance (jaminan) dengan loyalitas pasien di RSUD Ibu Fatmawati Soekarno Kota Surakarta. Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross sectional. Pasien pelayanan keperawatan maternitas RSUD Ibu Fatmawati Soekarno Kota Surakarta. Pengambilan sampel dilakukan menggunakan teknik purposive sampling sehingga diperoleh sebanyak 282 responden, kemudian dianalisis dengan uji chi-square. Hasil: Menunjukkan bahwa dimensi reliability, responsiveness, dan assurance memiliki hubungan yang signifikan dengan loyalitas pasien (p-value <0.05). Sementara itu dimensi tangibles dan empathy tidak menunjukkan hubungan yang signifikan. Sebagian responden (993%) memiliki tingkat loyalitas yang tinggi terhadap pelayanan keperawatan maternitas Simpulan: Terdapat hubungan antara kualitas pelayanan keperawatan maternitas pada dimensi keandalan, daya tanggap, dan jaminan dengan loyalitas pasien. Kata kunci: Loyalitas Pasien, Kepuasan Pasien, Keperawatan Maternitas

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Tika Ferdian, S.Pd

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INDONESIA

Abstract

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Tika Ferdian, S.Pd

Contact Email tikaferdian58@gmail.com

Phone -

Journal Mail Official jurnalnmi@gmail.com

Editorial Address Jl. Raden Imba Kusuma Ratu Gang Durian No.40, Sukadana Ham, 3 Kota Bandar Lampung 5247

Location Kota bandar lampung, Lampung INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Tika Ferdian, S.Pd

Contact Email
tikaferdian58@gmail.com

Phone
-

Journal Mail Official
jurnalnmi@gmail.com

Editorial Address
Jl. Raden Imba Kusuma Ratu Gang Durian No.40, Sukadana Ham, 3 Kota Bandar Lampung 5247

Location
Kota bandar lampung,

Lampung

INDONESIA