scholarly journals Pengaruh Faktor Demografi Terhadap Quality of Nursing Work Life (QNWL) Perawat di Puskesmas Kota Bandung pada Era BPJS

2018 ◽  
Vol 4 (1) ◽  
pp. 13
Author(s):  
Tirta Adikusuma Suparto ◽  
Asih Purwandari Wahyoe Puspita ◽  
Yanti Hermayanti ◽  
Slamet Rohaedi ◽  
Lisna Annisa Fitriani
Keyword(s):  
Health Center ◽  
Employment Status ◽  
Demographic Factors ◽  
Work Life ◽  
Health Centers ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Quality Of Nursing

ABSTRAK Sistem jaminan kesehatan nasional di Indonesia baru beroperasi sejak 2014 melalui Badan Penyelenggara Jaminan Sosial (BPJS) kesehatan. Dalam pelaksanaannya, pemberian pelayanan kesehatan pada pasien BPJS menggunakan sistem rujukan berjenjang, dimulai dari Fasilitas Kesehatan (FasKes) tingkat pertama, salah satunya yaitu Puskesmas. Hasil studi pendahuluan menunjukkan bahwa program BPJS kesehatan ini, teridentifikasi dapat memengaruhi pemberi pelayanan kesehatan, termasuk salah satunya dapat memengaruhi Kualitas Kehidupan Kerja Perawat/Quality of Nursing Work Life (QNWL) perawat di Puskesmas Kota Bandung. Padahal QNWL tersebut, pada akhirnya sangat memengaruhi komitmen dan kinerja perawat (Gray & Smelzer, 1990). Penelitian ini bertujuan untuk mengetahui gambaran QNWL dan mengetahui gambaran faktor demografi beserta pengaruhnya terhadap QNWL. Metode penelitian yang digunakan dalam penelitian ini adalah deskriptif kuantitatif dengan pendekatan  cross-sectional survey. Penelitian ini dilakukan pada tahun 2017 di 15 Puskesmas Kota Bandung. Data dikumpulkan dengan kuesioner, dan dianalisis menggunakan  uji beda 2 mean independen (uji t) dan uji Anova (α=5%). Hasil penelitian ini menunjukkan bahwa:  1) perawat di Puskesmas Kota Bandung memiliki nilai QNWL secara keseluruhan dan dimensi-dimensi QNWL yang berada dalam kategori baik. Namun demikian terdapat 3 komponen yang masih bermasalah, yaitu: masih banyaknya tugas non keperawatan, alat dan bahan untuk perawatan pasien yang kurang memadai, tempat perawat/tempat istirahat/loker yang kurang memadai; 2) tidak terdapat pengaruh yang signifikan faktor-faktor demografi (umur (p=0.096), jenis kelamin (p=0.776), status pernikahan (p=0.953), tingkat pendidikan (p=0.183), status kepegawaian (p=0.217), lama bekerja sebagai perawat (p=0.162))  terhadap Quality of Nursing Work Life (QNWL) perawat di Puskesmas Kota Bandung. Implikasi penelitian ini adalah perlu adanya upaya perbaikan komponen-komponen dan faktor-faktor QNWL yang masih bermasalah. Selain itu, perlu adanya upaya peningkatan status kepegawaian perawat kontrak BLUD menjadi PNS atau minimal setara dengan PNS ABSTRACT National health insurance system in Indonesia has been operated since 2014 by the Social Insurance Administration Organization (BPJS). Practically, the provision of health services used tiered referral system, from the first-level health facilities (FasKes), such as Health Center. The result of preliminary studies showed that BPJS program may affect health care providers, including one that can affect the Quality of Nursing Work Life (QNWL) nurses at the health center of Bandung. In the end, QNWL affects the commitment and performance of nurses (Gray &Smelzer, 1990). This research aimed to describe QNWL and to find out demographic factors and its influence on QNWL.  The method used in this research is quantitative descriptive cross-sectional survey. This research was conducted in 2017 in 15 health centers in Bandung. The data were collected through questionnaire and analyzed using independent sample t Test and Anova. The results of this study showed (1) Nurses at the health center of Bandung were in a good category on both overall scores of QNWL and dimensions. However, there are three components which are still problematic, namely: a huge number of non-nursing tasks, inadequate tools and materials for patients’ care, inadequate nurses’ restrooms/locker rooms; (2) There is no significant effect of demographic factors, age (p=0.096), sex (p=0.776), marital status (p=0162), level of education (p=0.183), employment status (p=0.217), length of nursing experience (p=0.162)  to the Quality of Nursing Work Life (QNWL) nurses in 15 health centers in Bandung. The implications of this research are the need to improve problematic components and factors of QNWL. Moreover, improving the employment status of contract nurses BLUD to civil servants or at least equal to PNS is also needed

scholarly journals PENGARUH FAKTOR DEMOGRAFI TERHADAP QUALITY OF NURSING WORK LIFE (QNWL) PERAWAT RUMAH SAKIT MUHAMMADIYAH BANDUNG

2017 ◽  
Vol 3 (1) ◽  
pp. 13
Author(s):  
Asih Purwandari W Puspita ◽  
F Sri Susilaningsih ◽  
Irman Somantri
Keyword(s):  
Demographic Factors ◽  
Work Life ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Performance Quality ◽  
Quantitative Manner ◽  
Performance System ◽  
And Performance ◽  
Quality Of Nursing

Perawat sebagai SDM dengan jumlah terbanyak di rumah sakit,mempunyai peranan penting dalam pencapaian tujuan dan kualitas rumah sakit. Untuk bisa mencapai tujuan rumah sakit memerlukan perawat yang memiliki komitmen organisasi dan kinerja yang baik, Quality of Nursing Work Life (QNWL) adalah salah satu faktor penting yang mempengaruhi komitmen dan kinerja perawat. Permasalahan perawat di Rumah Sakit Muhammadiyah Bandung (RSMB) terindikasi memiliki Quality of Nursing Work Life (QNWL) kurang baik yang berdampak pada kurang baiknya komitmen dan kinerja perawat. Oleh karena itu, diperlukan penelitian lebih lanjut terkait QNWL perawat RSMB. Penelitian ini bertujuan untuk mengetahui gambaran QNWL perawat RSMB, mengetahui gambaran demografi beserta pengaruhnya terhadap QNWL perawat RSMB Penelitian deskriptif cross- sectional survey ini, melibatkan 94 perawat yang diambil dengan cara kuantitatif. Data dikumpulkan dengan kuesioner, dan dianalisis menggunakan uji non-parametrik Mann Whitney. Penelitian ini dilakukan pada akhir bulan Januari 2017 di Rumah Sakit Muhammadiyah Bandung. ‘Hasil penelitian ini menunjukkan bahwa perawat di RSMB memiliki nilai QNWL secara keseluruhan dan dimensi-dimensi QNWL yang berada dalam kategori baik. Hasil penelitian ini juga menunjukkan bahwa tiga faktor demografi berpengaruh signifikan terhadap QNWL perawat, yaitu: faktor jenis kelamin (p=0.04), umur (p=0.006) dan lama bekerja sebagai perawat (p=0.009). Sedangkan, dari segi status pernikahan (p=0.71), tingkat pendidikan (p=0.71) dan lama bekerja sebagai perawat di RSMB (p=0.173) tidak berpengaruh signifikan. Implikasi penelitian ini adalah perlu adanya upaya perbaikan komponenkomponen dan faktor-faktor QNWL yang masih bermasalah. Kunci utama terletak pada upaya penerapan sistem penilaian kinerja perawat yang dihubungkan dengan jenjang karir perawat dan sistem penggajian perawat. ABSTRACTNurses as the highest number of human resources in hospital have an important role in achieving the goals and qualities of hospital. In order to achieve the goals, hospitals require nurses who are committed to the organization and have a good performance. Quality of Nursing Work Life (QNWL) is one of the important factors which affect the nurses’ organizations’ commitment and performance. The problem of nurses at Muhammadiyah Hospital Bandung (RSMB) can be identified from the low number of nurses’ QNWL which affect the nurses’ commitment and performance. Therefore, further researches related to QNWL in RSMB nurses are needed. This study aimed to investigate the nurses’QNWL in RSMB, discover demographic factors and its influence on nurses’ QNWL in RSMB. This descriptive cross-sectional survey was conducted on 94 nurses taken by a quantitative manner. The Data were collected through questionnaire and analyzed using non-parametric test of Mann Whitney. This research was conducted at the end of January 2017 at Muhammadiyah Hospital Bandung.The results of this research showed that nurses at Muhammadiyah Hospital Bandung overall have a good level of Quality of Nursing Work Life (QNWL) in each dimensions. The results also showed that three demographic factors significantly influence QNWL of nurses, which are gender (p = 0:04), age (p = 0.006) and length of work as a nurse (p = 0.009). Meanwhile, there is no significant relationship in terms of marital status (p= 0.71), educational level (p= 0.71) and length of work as nurses in RSMB (p=0.173). The implication of this research is the need to improve the problematic components dan factors of QNWL. The main key lies in promoting the evaluation performance system linked to the nurses’ career development opportunities and nurses’ salary.

scholarly journals REGIONAL DISPARITIES OF HEALTH CENTER UTILIZATION IN RURAL INDONESIA

2019 ◽  
Vol 19 (1) ◽  
pp. 158-166 ◽  
Author(s):  
Agung Dwi Laksono ◽  
Ratna Dwi Wulandari ◽  
Oedojo Soedirham
Keyword(s):  
Health Center ◽  
Rural Areas ◽  
Binary Logistic Regression ◽  
Health Centers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Multi Stage ◽  
Utilization Of Healthcare

One indicator to see the quality of health system performance was to look at the disparity in the utilization of healthcare facilities. The research objective was to analyze the disparity between regions in the utilization of health centers in rural areas in Indonesia. The results of the 2013 Basic Health Survey (Riskesdas) were used as analysis material. The 2013 Riskesdas was designed a cross-sectional survey. Respondents obtained 388,598 using the multi-stage cluster random sampling method. Binary Logistic Regression Test was used to analyze data. Data is obtained through a structured questionnaire. The results showed that there were statistically significant disparities between regions. All regions showed better utilization than the Papua region as a reference. The best utilization was in the Sumatra region, which was 3.781 times more utilizing health centers than the Papua region (OR = 3.781; 95% CI = 3.580-3.993). The utilization of health centres that approached the Papua region was the Nusa Tenggara region (OR = 1.582; 95% CI = 1.490-1.679) and the Maluku region (OR = 2.175; 95% 1.999–2.366). All three regions are all in the Eastern part of Indonesia. The research concluded there was a disparity in health center utilization between regions in rural Indonesia. Regions in the western part of Indonesia tend to have better health center utilization in rural areas. Research results could be used as a reference for making policies that focus on equality of services to reduce existing disparities.

scholarly journals Development of Intention to Stay Model for Temporary Nursing Staff in RS UNAIR

Jurnal NERS ◽  
2016 ◽  
Vol 9 (2) ◽  
pp. 313
Author(s):  
Ike Nesdia Rahmawati ◽  
Nursalam Nursalam ◽  
Ninuk Dian Kurniawati
Keyword(s):  
Job Satisfaction ◽  
Nursing Staff ◽  
Work Life ◽  
Partial Least Square ◽  
Least Square ◽  
Cross Sectional Survey ◽  
Intention To Stay ◽  
Cross Sectional ◽  
Quality Of Nursing

Introduction: Intention to stay of nurses is important to reduce turnover rate and to improve the stability of hospital. Quality of nursing work life (QNWL) has been found to influence intention to stay. However, reliable information of this effect is limited. The purpose of this study was to develop the model of intention to stay for temporary nursing staff in RS UNAIR. Method: Anexplanative cross-sectional survey design was used in this study. Data were collected by using questionnaire among 32 nurses working at different units in this hospital through simple random sampling and analyzed by partial least square (PLS). Result: QNWL affected job satisfaction but did not affect commitment. Commitment was significantly affected by job satisfaction. There was effect of job satisfaction on intention to stay. Commitment also significantly affected intention to stay Discussion: QNWL is a predictor of intention to stay trough job satisfaction and commitment. It is recommended that more focused interventions on QNWL, job satisfaction, and commitment developments may improve intention to stay. Recruitment of non-nursing staff to carry out billing and administrative tasks is urgently needed. Suggestions for further research is to analyze the effect of empowerment, remuneration, and career ladder on nurses’ intention to stay.Keywords: intention to stay, quality of nursing work life, job satisfaction, commitment.

scholarly journals Relationship between Quality of Nursing Work Life and Uniformed Nurses’ Attitudes and Practices Related to COVID-19 in the Philippines: A Cross-Sectional Study

2021 ◽  
Vol 18 (19) ◽  
pp. 9953
Author(s):  
Juneffer Villamen Navales ◽  
Amadou Wurry Jallow ◽  
Chien Yu Lai ◽  
Chieh Yu Liu ◽  
Shu Wen Chen
Keyword(s):  
Online Survey ◽  
Pearson Correlation ◽  
Critical Role ◽  
Cross Sectional Study ◽  
The Philippines ◽  
Work Life ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Quality Of Nursing

(1) Background: Coronavirus disease 2019 (COVID-19) has spread rapidly worldwide. Uniformed nurses have played a critical role during the COVID-19 pandemic in the Philippines; however, uptake of literature is limited. This study assessed the relationship between quality of nursing work life (QNWL) and nurses’ attitudes and practices during the COVID-19 pandemic. (2) Methods: A descriptive cross-sectional design was used. Participants were recruited from four government hospitals in the Manila metropolitan area of the Philippines. Participants completed three questionnaires in an online survey: a demographic questionnaire, a QNWL questionnaire, and the attitude and practices toward COVID-19 questionnaire. Descriptive statistics, an independent t-test, a one-way analysis of variance, the Pearson correlation coefficient, and hierarchical linear regression were applied for data analysis. (3) Results: The mean age of the participants was 29 years. Most of the participants were single women who were not certified in their specialties. A total of QNWL scores were high, indicating that the participants displayed favorable attitudes and practices in relation to COVID-19. A statistically significant relationship was observed between QNWL, specialty certification, and practices related to COVID-19. Practices related to COVID-19 were a significant predictor of QNWL and one of its subscales, work design. (4) Conclusion: Young adult uniformed nurses in the Philippines have assumed numerous responsibilities during the COVID-19 pandemic. Providing these frontline nurses with comprehensive specialized education and training is crucial.

scholarly journals Availability, Accessibility, and Quality of Adolescent Sexual and Reproductive Health (SRH) Services in Urban Health Facilities of Rwanda: A survey among social and healthcare providers

2020 ◽  
Author(s):  
Pacifique Ndayishimiye ◽  
Rosine Uwase ◽  
Isabelle Kubwimana ◽  
Jean de la Croix Niyonzima ◽  
Roseline Dine Dzekem ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Health Facilities ◽  
Urban Setting ◽  
World Health ◽  
Care Providers ◽  
Health Seeking ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Survey Tool

Abstract Background: Adolescents are still getting pregnant and contracting Human Immunodeficiency Virus (HIV) and Sexually Transmitted Infections (STIs) in Rwanda as elsewhere. Quality and comprehensive SRH services and information for adolescents is valuable for adolescents’ wellbeing. This study aimed at understanding SRH services providers’ viewpoints on accessibility, availability, and quality of SRH services provided to adolescents in selected cities of Rwanda. Method: The study was a descriptive cross-sectional survey conducted between May 2018 and May 2019 in six selected cities of Rwanda using a mixed-methods approach. A checklist was used to collect data from 159 conveniently selected SRH services providers. The survey tool was validated. SPSS version 20 was used to describe quantitative data and ATLAS TI version 5.2 was used to code and analyze the qualitative data thematically.Results: Qualitatively, health care providers reported that the availability of adolescent SRHS are satisfactory with access to accurate SRH information, contraceptive methods, prevention and management of STIs and HIV services, and counselling. However, the accessibility of some services remains limited. According to respondents, some products such as female condoms are less in demand and often expire before they can be distributed. One nurse clarified that they render services at a low price if an adolescent has insurance medical coverture. Religious leaders and family members may hinder adolescents from health-seeking behavior by promoting abstinence and discouraging use of protective means. Quantitatively, we found that 94.3% of health facilities provide information to adolescents on SRH services that were available and 51.6% affirmed delivering services at a low cost. Only 57.2% of respondents mentioned that adolescents are involved in designing the feedback mechanisms at their facilities.Conclusion: SRH services in Rwanda are available for the general population and are not specifically designed for adolescents. These SRH services seem to be fairly accessible to adolescents with insufficient quality as adolescents themselves do not get to be fully involved in service provision among other aspects of quality SRH as stated by the World Health Organization (WHO). Therefore, there is a need to improve the present quality of these services to meet adolescents’ needs in an urban setting.

scholarly journals Availability, Accessibility, and Quality of Adolescent Sexual and Reproductive Health (SRH) Services in Urban Health Facilities of Rwanda: A survey among social and healthcare providers

2020 ◽  
Author(s):  
Pacifique Ndayishimiye ◽  
Rosine Uwase ◽  
Isabelle Kubwimana ◽  
Jean de la Croix Niyonzima ◽  
Roseline Dine Dzekem ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Health Facilities ◽  
Urban Setting ◽  
World Health ◽  
Care Providers ◽  
Health Seeking ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Survey Tool

Abstract Background: Adolescents are still getting pregnant and contracting Human Immunodeficiency Virus (HIV) and Sexually Transmitted Infections (STIs) in Rwanda as elsewhere. Quality and comprehensive SRH services and information for adolescents is valuable for adolescents’ wellbeing. This study aimed at understanding SRH services providers’ viewpoints on accessibility, availability, and quality of SRH services provided to adolescents in selected cities of Rwanda. Method: The study was a descriptive cross-sectional survey conducted between May 2018 and May 2019 in six selected cities of Rwanda using a mixed-methods approach. A checklist was used to collect data from 159 conveniently selected SRH services providers. The survey tool was validated. SPSS version 20 was used to describe quantitative data and ATLAS TI version 5.2 was used to code and analyze the qualitative data thematically.Results: Qualitatively, health care providers reported that the availability of adolescent SRHS are satisfactory with access to accurate SRH information, contraceptive methods, prevention and management of STIs and HIV services, and counselling. However, the accessibility of some services remains limited. According to respondents, some products such as female condoms are less in demand and often expire before they can be distributed. One nurse clarified that they render services at a low price if an adolescent has insurance medical coverture. Religious leaders and family members may hinder adolescents from health-seeking behavior by promoting abstinence and discouraging use of protective means. Quantitatively, we found that 94.3% of health facilities provide information to adolescents on SRH services that were available and 51.6% affirmed delivering services at a low cost. Only 57.2% of respondents mentioned that adolescents are involved in designing the feedback mechanisms at their facilities.Conclusion: SRH services in Rwanda are available for the general population and are not specifically designed for adolescents. These SRH services seem to be fairly accessible to adolescents with insufficient quality as adolescents themselves do not get to be fully involved in service provision among other aspects of quality SRH as stated by the World Health Organization (WHO). Therefore, there is a need to improve the present quality of these services to meet adolescents’ needs in an urban setting.

Quality of Antenatal Care Services in a Developing Country: A Cross-Sectional Survey

2020 ◽  
Vol 26 (1) ◽  
pp. e25-e34
Author(s):  
Jacoline Sommer Albert ◽  
Ahtisham Younas ◽  
Gideon Victor
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Health Care Providers ◽  
Health Workers ◽  
World Health ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Organization

The global adult lifetime risk of maternal mortality is 1 in 180; in Pakistan, it is 1 in 170; in developed regions, 1 in 4,900 (Alkema et al., 2016; Filippi, Chou, Ronsmans, Graham, & Say, 2016; World Health Organization [WHO], 2015). The differences in maternal mortality between developed and developing countries are mainly due to the quality of antenatal care (ANC) available in the two groups of countries. The purpose of this study was to assess the structural and procedural quality of ANC services provided and to assess satisfaction levels of women receiving ANC services in two large hospitals in Islamabad, Pakistan. A cross-sectional survey was conducted at the hospitals' outpatient maternal and child health clinics, with a random sample of 138 women. The overall quality of ANC was rated as good (61%), average (17.5%), or poor (17.5%). The findings suggest a need to cultivate quality of care at public health facilities, train health workers in communication skills, and build technical capacity by continuing education and supportive supervision to train health-care providers to follow standard protocols for provision of quality ANC services.

scholarly journals The quality of doctoral nursing education in South Africa

Curationis ◽  
2015 ◽  
Vol 38 (1) ◽  
Author(s):  
Siedine K. Coetzee ◽  
Hester C. Klopper ◽  
Mi J. Kim
Keyword(s):  
South Africa ◽  
Nursing Education ◽  
Doctoral Education ◽  
Survey Design ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Doctoral Graduates ◽  
Doctoral Programmes ◽  
Quality Of Nursing

Background: The number of doctoral programmes in nursing has multiplied rapidly throughout the world. This has led to widespread concern about nursing doctoral education, specifically with regard to the quality of curricula and faculty, as well as to the availability of appropriate institutional resources. In South Africa, no study of these issues has been conducted at a national level.Objective: To explore and describe the quality of nursing doctoral education in South Africa from the perspectives of deans, faculty, doctoral graduates and students.Method: A cross-sectional survey design was used. All deans (N = 15; n = 12), faculty (N = 50; n = 26), doctoral graduates (N = 43; n = 26) and students (N = 106; n = 63) at South African nursing schools that offer a nursing doctoral programme (N = 16; n = 15) were invited to participate. Data were collected by means of structured email-mediated Quality of Nursing Doctoral Education surveys.Results: Overall, the graduate participants scored their programme quality most positively of all the groups and faculty scored it most negatively. All of the groups rated the quality of their doctoral programmes as good, but certain problems related to the quality of resources, students and faculty were identified.Conclusion: These evaluations, by the people directly involved in the programmes, demonstrated significant differences amongst the groups and thus provide valuable baseline data for building strategies to improve the quality of doctoral nursing education in South Africa.

scholarly journals Factors associated with homecare coordination and quality of care: a research protocol for a national multi-center cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nathalie Möckli ◽  
Michael Simon ◽  
Carla Meyer-Massetti ◽  
Sandrine Pihet ◽  
Roland Fischer ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Cross Sectional Study ◽  
Home Healthcare ◽  
System Level ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Patient Level ◽  
Modifiable Factors

Abstract Introduction The persistent fragmentation of home healthcare reflects inadequate coordination between care providers. Still, while factors at the system (e.g., regulations) and organisational (e.g., work environment) levels crucially influence homecare organisation, coordination and ultimately quality, knowledge of these factors and their relationships in homecare settings remains limited. Objectives This study has three aims: [1] to explore how system-level regulations lead to disparities between homecare agencies’ structures, processes and work environments; [2] to explore how system- and organisation-level factors affect agency-level homecare coordination; and [3] to explore how agency-level care coordination is related to patient-level quality of care. Design and methods This study focuses on a national multi-center cross-sectional survey in Swiss homecare settings. It will target 100 homecare agencies, their employees and clients for recruitment, with data collection period planned from January to June 2021. We will assess regulations and financing mechanisms (via public records), agency characteristics (via agency questionnaire data) and homecare employees’ working environments and coordination activities, as well as staff- and patient-level perceptions of coordination and quality of care (via questionnaires for homecare employees, clients and informal caregivers). All collected data will be subjected to descriptive and multi-level analyses. Discussion The first results are expected by December 2021. Knowledge of factors linked to quality of care is essential to plan and implement quality improvement strategies. This study will help to identify modifiable factors at multiple health system levels that might serve as access points to improve coordination and quality of care.

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