scholarly journals The factors correlated to nurses’ decision activating code blue team in hospital

2021 ◽  
Vol 10 (1) ◽  
pp. 202
Author(s):  
Ekwantoro Ekwantoro ◽  
Kuswantoro Rusca Putra ◽  
Setyoadi Setyoadi

The success and hindrances of the blue-code activation were based on nurses’ readiness to request assistance once a patient’s clinical condition decreases. This research aimed to determine the nurses’ hindrance factors in making the blue code activation at hospitals. This research is analytical-observational with a cross-sectional approach. The samples consisted of 93 nurses taken randomly. The data were collected by questionnaire from March until April 2020 at one of the Nganjuk Government Hospitals. The Pearson test result showed a correlation between experience with p-value 0.022, education with a p-value 0.000, cognition with p-value 0.006, and organizational culture with a p-value 0.000 toward decision-making (p-value<0.05). The multiple linear regression multivariate analysis shows an Exp. value (B) of education is 0.292, experience with a value 0.178, cognition with a value 0.194, and cultural organization with a score of 0.425. Thus, it could be concluded that the organizational culture was the most dominant factor of the nurses’ decision making. The hindrances and success of the nurses’ decision-making are based on the nurses’ characteristics, such as cognition, communication skill, and collaboration skill. The support from the leader of an organization would influence nurses’ confidence dealing with patients’ health.

2021 ◽  
Vol 1 (2) ◽  
pp. 040
Author(s):  
Esra Margaret Singal ◽  
Aaltje Ellen Manampiring ◽  
Jeini Ester Nelwan

Background: Job stress is a very disruptive thing to work. Work-induced stress in particular results in a decrease in work productivity, such as low worker performance, increased absenteeism, decreased work morale, increased worker turnover which can cause the loss of a lot of working time causing the cost of compensation for workers to increase in capital. The purpose of this study was to analyze the factors associated with work stress on the employees of the Eye Hospital of North Sulawesi Province. Methode: This study was an observational study with a cross sectional study design. The population in this study were all employees of the Eye Hospital of North Sulawesi Province. The sample in this study was a total population of 70 employees. The variables in this study were age, marital status, income, years of service and work load, with the dependent variable being work stress. The research data were analyzed using univariate, bivariate and multivariate analysis and chi-square statistical calculations. Presentation of data is made in table and narrative form. Result: The results showed that there was a significant relationship between age and work stress with p value = 0.031, there was a significant relationship between tenure and work stress with a value of p = 0.004, there was a significant relationship between workload and work stress with p = 0.003, there is no significant relationship between marital status and work stress with a value of p = 0.077 and there is no significant relationship between income and work stress with a value of p = 0.473. The result of multivariate analysis showed that workload (p = 0.002; OR = 21.667) was the most dominant factor affecting work stress on the employees of the Eye Hospital of North Sulawesi Province. Conclusion: The conclusion of this study is that age, years of service and workload are factors that are associated with work stress. The most dominant factor affecting employee work stress is workload.


2021 ◽  
Vol 5 (2) ◽  
pp. 160
Author(s):  
Monika Mongang Manuk ◽  
Muhammad Ilham Aldika Akbar ◽  
Ivon Diah Wittiarika

 AbstractBackground: Preeclampsia is one of the risk factors for complications and also contributes to the high rate of morbidity and mortality in mothers and babies. The Maternal Mortality Rate (MMR) at the Mgr. Gabriel Manek Hospital, SVD Atambua has continued to increase in the last three years, from 2017 to 2019. It was recorded that in 2019 there were 126 cases of severe preeclampsia and eclampsia with 5 cases of maternal death and 2 maternal causes of death. is eclampsia. In addition to the factors that cause maternal death, one of the contributing causes of maternal and infant mortality is caused by the speed at which decisions are made in the family. Pregnant women are at risk of experiencing maternal death if during the referral process they experience at least one of the three delays, namely being late in making the decision to be referred. This study aims to determine the factors that influence the delay in decision making in preeclampsia pregnant women. Methods: The type of research is observational analytic with a cross sectional design. Collecting data using primary data with a questionnaire instrument by interview and secondary data obtained from the register of maternity mothers and medical records. The number of samples is 30 respondents. The sampling technique used was total sampling. The data were processed and calculated using frequency tables and cross tabulations and then analyzed using Multiple Logistics Regression Analysis with a significance level of 5% (p = 0.05). Bivariate data analysis used fisher's exact test andtest cramer's v. Results: The results showed that the factors that caused delays in decision making were knowledge having a p-value of 0.006 (OR 2.293, 95% Cl: 0.481-10.918), confidence having a p-value of 95%: 0.002-0.513, health insurance having p-value 0.010 (OR 0.000, 95% Cl: 0.000). Multivariate analysis shows that work is the most dominant factor in delaying decision making compared to other factors, and it can be concluded that the more working mothers, the smaller the delay, and the more mothers who do not work, the greater the delay in making decisions to get health services. . Conclusion: There is a relationship between knowledge, belief, occupation, and health insurance on the delay in decision making.


2020 ◽  
Vol 2 (2) ◽  
pp. 1-8
Author(s):  
Sri Sudewi Pratiwi Sitio

A nurse is someone who has the ability, responsibility and authority to carry out nursing care services at various levels of nursing services. Nursing services provided are in the form of nurse performance and must be based on high ability so that performance supports the implementation of tasks in nursing services. The purpose of this study was to determine the dominant factor related to the performance of nurses in the inpatient room of Sembiring General Hospital in 2018. This type of research was observational analytic with cross sectional approach where the population was all nurses in the inpatient ward of Sembiring General Hospital with a sample size 101 respondents were taken using proportional random sampling technique. Based on the results of the study it was found that from the variables of leadership, work performance, work promotion, incentives, working conditions, work relationships, and workload results obtained workload variables that were significantly related to the performance of nurses in the inpatient ward of Sembiring General Hospital with a value (p -value 0,004) with PR 1,698 (95% CI: 1,186-2,429) has a significant effect on the performance of nurses in the Inpatient Room of the Sembiring General Hospital. Based on the results of the logistic regression test, the most dominant variable was workload with a value (p-value 0.020) and Exp value (B) 2.939 (95%; CI: 1.185-7.291). It is recommended to the Head of the Sembiring General Hospital to pay more attention to the arrangements of nurses' work shifts, nurses' work rotations, job description job descriptions that are in accordance with the competencies and timeliness of nurses' entry and return from work so that in carrying out their work nurses can work effectively.


2019 ◽  
Vol 19 (3) ◽  
pp. 694
Author(s):  
Titen Yasril ◽  
Dachriyanus Dachriyanus ◽  
Harmawati Harmawati

The lack of repeated visits of old patients will increase the cost of promotion to get new patients, one way to maintain old patients is to grow patient loyalty. Some patients in Arosuka General Hospital are still not loyal because they come to the hospital only for the first examination, then the patient goes to another hospital, some patients have not recommended the hospital to others, one of the factors that influence patient loyalty is the quality of service. This study aims to determine the relationship between service quality servqual dimensions and patient loyalty in Arosuka Hospital. The type of this study is cross sectional. The population in this study were all patients who came to the Arosuka Hospital polyclinic in 2018, a sample of 203 people with a proportional random sampling sampling technique conducted in April 2018 with the analysis used was the chi square test. The statistical test results obtained 60.1% of respondents not loyal, 61.6% of respondents stated that tangible was not good, 37.9% of respondents stated that reliability was not good, 51.2% of respondents stated that they were less responsive, 43.3% of respondents said assurace was not good, and 48.8% of respondents said empaty not good. There is a significant relationship between tangible, reliability, responsive, assurance, empathy and patient loyalty in Arosuka Hospital with a value of p <0.05 (p = 0.001, p = 0.015, p = 0.010, p = 0.002, p = 0.022). Tangible is the most dominant factor associated with patient loyalty. It is expected that the director will make a policy on service hours, sanctions for those who do not obey the service hours, coordinate with the local government in procuring transportation for patients, the head of the ward designing a comfortable waiting room, and providing suggestion boxes for patients.


2020 ◽  
Vol 11 (1) ◽  
pp. 110-119
Author(s):  
Julianto Julianto ◽  
Izma Daud ◽  
Sari Milyati

Abstrak  Latar Belakang :Access block adalah situasi dimana pasien yang mengalami lama rawat di IGD 6 karena kurangnya akses ke ruang rawat inap dan kepadatan jumlah pasien yang tidak terkendali, dampaknya ditemukan bahwa semakin lama access block  semakin tinggi pula perburukan pasien dalam 24 jam.Tujuan : ini bertujuan untuk mengetahui hubungan access block dengan perburukan kondisi pasien di Instalasi Gawat Darurat RSUD Ulin Banjarmasin.Metode :Penelitian menggunakan desain analitik dengan pendekatan cross sectional. Jumlah sampel yang diambil berjumlah 40 orang dengan teknik pengambilan accidental sampling. Analisis data melalui uji spearman rank.Hasil : Hasil uji dipapatkan nilai p hitung 0,000 (0,05) ada hubungan antara access block dengan perburukan kondisi pasien di instalasi gawat darurat RSUD Ulin Banjarmasi.Simpulan: Berdasarka hasil penelitian Ada hubungan antara access block dengan perburukan kondisi pasien di Instalasi Gawat Darurat RSUD Ulin Banjarmasin dengan nilai P= 0,000 nilai α = 0,05 dengan nilai koefisien korelasi 0,588 Kata kunci: Access Block, Perburukan Pasien. Abstract Background :Access block is a situation where patients who experience length of stay in the ED 6 due to lack of access to the inpatient room and uncontrolled density of patients, it is found that the longer the access block the higher the deterioration of patients in 24 hours.Purpose: This study aims to determine the relationship of access block with deteriorating condition of patients in Emergency Installation Ulin Hospital Banjarmasin.Method : The research method uses an analytical design with a cross sectional approach. The number of samples taken is 40 people using the accidental sampling technique. Data analysis through spearman rank test.Result: The test results obtained p value calculated 0,000 (0.05) there is a relationship between the access block and deterioration of the patient's condition at the Ulin Banjarmasin Hospital emergency department.Conclusion: Based on the results of the study, there is a relationship between the access block and the worsening of the patient's condition at the Emergency Department of RSUD Ulin Banjarmasin with a value of P = 0.000 value α = 0.05 with a correlation coefficient value of 0.588. Keywords: Access Block, Patient worsening 


2020 ◽  
Vol 7 (1) ◽  
pp. 16
Author(s):  
Nita Pujianti ◽  
Lia Anggraini

ABSTRAKPneumonia merupakan penyebab banyak kematian balita di dunia. Selama tahun 2016 terdapat 568.146 (65,27%) jumlah kasus pneumonia pada balita yang ada di Indonesia. Berdasarkan data Dinas Kesehatan Provinsi Kalimantan Selatan tercatat kasus pneumonia tahun 2017 sebesar 66,52%, data tertinggi pada Puskesmas Beruntung Raya dengan angka 105 kasus (10,80%) di tahun 2017. Tujuan penelitian ini adalah untuk menganalisis faktor-faktor yang berhubungan dengan kepatuhan penggunaan antibiotika pada orang tua pasien anak yang terdiagnosa pneumonia di wilayah kerja Puskesmas Beruntung Raya serta menganalisa faktor yang paling dominan mempengaruhi. Penelitian ini menggunakan rancangan observasional analitik melalui pendekatan cross sectional. Populasi dalam penelitian ini adalah semua orang tua yang memeriksakan anaknya dalam satu tahun terakhir di Puskesmas Beruntung Raya. Sampel dalam penelitian ini berjumlah 77 responden ditentukan dengan teknik purposive sampling dan berlangsung selama 3 (tiga) bulan. Analisa data menggunakan uji chi square dan regresi logistik biner dan kuisioner sebagai Instrumen penelitian. Hasil penelitian menunjukkan bahwa terdapat hubungan antara kedisiplinan (p-value= 0,001), sugesti sembuh (p-value= 0,012), dan komunikasi (p-value= 0,025). Variabel kedisiplinan merupakan yang paling berpengaruh dominan terhadap kepatuhan penggunaan antibiotika, sehingga pasien yang disiplin lakan lebih patuh dalam meminum obat antibiotika daripada pasien yang tidak disiplin.Kata-kata kunci: Kepatuhan, pneumonia, kedisiplinan, sugesti sembuh, komunikasiABSTRACTPneumonia is the cause of many under-five deaths in the world. During 2016 there were 568,146 (65.27%) of the number of pneumonia cases in children under five in Indonesia. From the data of the South Kalimantan Provincial Health Office recorded pneumonia cases in 2017 amounted to 66.52%, the highest data in Beruntung Jaya Community Health Center with a number of 105 cases (10.80%) in 2017. The purpose of this study was to analyze the factors related by adhering to the use of antibiotics in the parents of pediatric patients with diagnosed with pneumonia in the work area of Beruntung Jaya Community Health Center and analysis the most dominant factor influencing. This study uses an observational analytic design through a cross sectional approach. The population in this study were all parents who had their children examined in the past year at Beruntung Raya Health Center. The sample in this study amounted to 77 respondents determined by purposive sampling technique and lasted for 3 (three) months. Data analysis using chi square test and binary logistic regression and questionnaires as research instruments. The results showed that there was a relationship between discipline (p-value= 0.001), recovery suggestions (p-value= 0.012), and communication (p-value= 0.025). Disciplinary variable is the most dominant influence on adherence to the use of antibiotics, so that disciplined patients are more obedient in taking antibiotic drugs than patients who are not disciplined.Key words: Compliance, pneumonia, discipline, healing suggestion, communication


2020 ◽  
Vol 9 (2) ◽  
pp. 435-442
Author(s):  
Sri Dinengsih ◽  
Rosyani Rosyani

The research aims to knowing the relationship between parity and motivation with post-placental IUD selection in West Java. This research is a qualitative study using a cross-sectional approach with total sampling. Analysis of the results is conducted by calculating the frequency distribution and bivariate analysis with the chi-square test. Result: The result shows that 68.2% who did not choose a Post Placenta IUD were mothers with primiparous parity while 53.8% of Post Placenta IUD voters were mothers with multiparous parity, mothers who did not chose a Post-Placental IUD had low motivation of 76.0% and 65, 2% of mothers with high motivation choose a post Placenta IUD, so there is a relationship between motivation and the selection of a Post-Placental IUD with a p value of 0.010. There is no relationship between parity and post-placental IUD selection. There are other variables that are related including post-placental IUD care concerns and knowledge


2018 ◽  
Vol 3 (2) ◽  
pp. 54
Author(s):  
Agnes Dewi Astuti ◽  
Reny Sulistyowati ◽  
Natalansyah Natalansyah

Aging is a a natural process in life. Aging is characterized by loss of slowly ability organ tissue repair itself and  is irreversible. The elderly are the final statge of a person’s life cycle and experience the aging process with change in various physical or physiological, psychological and social aspects (Miller, 2012). Hanges dues to aging eldely comple raises enormous opportunity for the elderly are at risk of depression.  The objective of this study was to determine the factors that influence the risk of depression in elderly at Puskesmas Jekan Raya of Palangka Raya City with descriptive correlational research design using cross sectional approach. The sampling technique in this research is by using probability sampling technique that sampling technique giving equal oppurtinity to every individual in the population to be the research sample.The statistical test used was descriptive test and Chi Square test. The result indicate that factors influencing the risk of depression in the elderly is functional impairment were settled with p value= 0,000. Conclusion of the elderly who have other diseases besides DM  settle a vulnerable population at risk of depression. The most dominant factor is the functional disturbances persist  after controlling the variable of age, live event s and other diseases (other than DM) with OR=39. Recommended in elderly nursing decision making in order to improve the health of elderly family based programs to prevent depression in the elderly and especially carring by elderly family members.


2012 ◽  
Vol 7 (3) ◽  
pp. 99
Author(s):  
Sada Rasmada ◽  
Triyanti Triyanti ◽  
Yvonne M. Indrawani ◽  
Ratu Ayu Dewi Sartika

Asupan nutrisi dan energi, status nutrisi, serta aktivitas harian berpengaruh pada kejadian mengantuk yang berpengaruh negatif pada konsentrasi dan produktivitas belajar pada mahasiswa. Kejadian mengantuk berhubungan dengan penurunan kemampuan kognitif yang disebabkan oleh defisiensi zat besi. Seseorang yang mengantuk akan mengalami penurunan aktivitas fisik yang menyebabkan kelebihan berat badan sehingga berisiko lebih tinggi untuk terkena penyakit degeneratif seperti penyakit kardiovaskular dan diabetes melitus. Penelitian ini bertujuan untuk menganalisis faktor dominan yang berpengaruh pada kejadian mengantuk di kalangan mahasiswa. Penelitian dengan desain studi cross sectional ini dilakukan terhadap sampel 139 mahasiswa Fakultas Kesehatan Masyarakat Universitas Indonesia. Proporsi mahasiswa yang hampir mengantuk sekitar 28,80%. Terdapat hubungan yang signifikan antara durasi tidur dan masalah kantuk (nilai p = 0,048). Mahasiswa dengan durasi tidur < 8 jam per hari mengalami kejadian mengantuk 0,50 kali lebih besar daripada mahasiswa dengan durasi tidur ³ 8 jam per hari. Faktor dominan yang berhubungan dengan kejadian mengantuk adalah durasi tidur setelah dikontrol dengan asupan protein dan lemak, aktivitas fisik, dan paparan media. Mahasiswa yang sering mengantuk memperlihatkan asupan zat besi rendah sehingga disarankan untuk meningkatkan asupan zat besi yang berasal dari sumber makanan yang mengandung heme.Kata kunci: Asupan nutrisi, aktivitas fisik, konsentrasi, masalah kantukAbstractNutrient and energy intake, nutrition status, and daily activity could give impact for sleepiness problem. Sleepiness related to the decreasing of cognitive ability that caused by iron deficiency. A person who feels sleepy will have a lack of physical activities that lead to overweight and therefore has a higher risk to suffer degenerative diseases such as cardiovascular and diabetes mellitus. This study aimed to analyze dominant factor that can give influence to sleepiness problem among students. The cross sectional research used 139 students of Faculty of Public Health University of Indonesia. The percentage of students who is almost sleepy was 28,80%. This research showed the association between sleep duration and somnolence problem is significant (p value = 0,048). Students with sleep duration < 8 hours a day could be 0,50 times more sleepy than students with sleep duration ³ 8 hours a day. The dominant factor is sleep duration after controlled by protein and fat intake, physical activity, and media exposure. Students that frequently feels sleepy indicated low iron intake so that suggested to increase the iron intake through consuming heme contained food.Key words: Nutrition intake, physical activity, concentration, sleepiness problem


2017 ◽  
Vol 3 (2) ◽  
Author(s):  
Adi Suyitno ◽  
Titin Andri Wihastuti ◽  
Lilik Supriati

Abstract :The nurse is the primary healthcare provider in the hospital and has an important role in the health service for the patient. Patients who come to the Intensive Psychiatric Care Unit (IPCU) generally exhibit various symptoms of behavioral problems, such as violent behavior, other injurious tendencies, agitation, and attempted suicide, requires the nurse to make a strict 24-hour observation.The aims of this research was to analyze various factors that have associated with implementation of therapeutic communication in IPCU RSJ Dr.Radjiman WediodiningratLawang. This research was an analytic observational research with cross sectional approach. Population in this research is all of IPCU nurses (Camar, Perkutut and mawar ward) 43 respondent.The number of samples is 40 respondents. To know the description of each variable used univariate analysis, to know the relationship between variables used Spearman test when the data is normally distributed and spearman and to know the most dominant factor in affecting implementation of therapeutic communication is used multivariate test of linear regression. The result of bivariate test shows p value as follows: nurse knowledge level (p = 0,004), nurse perception (p = 0,123), nurse emotional intelligence (p = 0,015), nurse age (p = 0,227), Nurse education (p = 0,351), if this value has been lower than 0,05 then this variabel has significan relations with dependen variabel. The results of multivariate test has shown that knowledge level has becae a most influence factors that affect the implementation of therapeutic communication. There was a significant correlation between nurse emotional intelegence and levels of knowledge with implementation of therapeutic communication in IPCU RSJ Dr. Radjiman Wediodiningrat LawangKeyword : knowledge, perception, emotional intelligence, age, education, implementation of therapeutic communicationAbstrak : Perawat merupakan tenaga kesehatan utama di rumah sakit dan memiliki peranan penting dalam pelayanan kesehatan kepada pasien. Pasien yang datang di Intensive Psychiatric Care Unit (IPCU) umumnya menunjukkan berbagai gejala masalah perilaku, seperti perilaku kekerasan, kecenderungan mencederai orang lain, agitasi, dan percobaan bunuh diri sehingga menuntut perawat untuk melakukan observasi ketat selama 24 jam. Melakukan analisis faktor internal yang berhubungan dengan pelaksanaan komunikasi terapeutik perawat di IPCU RSJ Dr. Radjiman Wediodiningrat Lawang. Penelitian ini observasion alanalitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah semua perawat IPCU (Ruang Camar, Perkutut dan Mawar) yang berjumlah 43 orang dengan jumlah sampel 40 orang. Untuk mengetahui hubungan antar variabel digunakan uji spearman dan untuk mengetahui faktor yang paling dominan dengan pelaksanaan komunikasi terapeutik digunakan uji multivariate regresi linier. Hasil uji bivariat menunjukkan p value sebagai berikut : tingkat pengetahuan perawat (p=0,004), persepsi perawat (p=0,123), kecerdasan emosi perawat (p=0,015), usiaperawat (p=0,227), pendidikan perawat (p=0,351), dimana hubungan dikatakan bermakna apabila p<0,05. analisis multivariat dengan regresi linier diperoleh hasil bahwa tingkat pengetahuan merupakan faktor yang paling dominan dengan nilai p (0,004) dengan nilai r = 0,300 yang artinya variable ini memiliki keeratan hubungan yang sedang. Terdapat hubungan yang bermakna antara pengetahuan dan kecerdasan emosi perawat dengan pelaksanaan komunikasi terapeutik pada perawat di IPCU RSJ Dr. Radjiman Wediodiningrat Lawang. Kata Kunci : pengetahuan, persepsi, kecerdasan emosi, usia, pendidikan perawat, pelaksanaan komunikasi terapeutik


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