Critical Care Nurses' Views on Handover in Chitwan, Nepal

2019 ◽  
Vol 13 (1) ◽  
pp. 36-45
Author(s):  
Sarmila Koirala ◽  
Raj Kumar Mehta ◽  
Santosh Acharya ◽  
Pooja Gauro

Background and ObjectivesThe nurses shift handover is an integral component of nursing care and a highly complex process of communication aimed at improving patients' outcomes. Despite its significance, there is no universal approach to handover protocols. Our aim was to explore critical care nurses views on handover and to explore the association between views of handover and selected socio demographic variables.Method and MaterialsDescriptive cross-sectional research design with 108 nurses working in adult critical care units at two tertiary teaching hospitals of the Chitwan district, Nepal, by using a nonprobability, enumerative sampling technique. Data were collected through a Likert-5 scale questionnaire exploring views on the quality and effectiveness of handover among nurses. Median was used to reflect nurses' views and a cutoff value of median (99) was used to discriminate between positive and negative views. Chi square was used to test the association between views and selected sociodemographic variables.ResultsThe study findings revealed that only 50.9% of the nurses had positive views regarding handover. The significant associated variables were working hospital, working unit, level of work performance and duration of handover (p = 0.002, p = 0.002, p = 0.029, p = 0.004 respectively).ConclusionThe findings of the present study point out the need for nurses to adhere to a handover protocol, as well as the need to develop a practical and comprehensive standardized protocol to transmit crucial and relevant information related to patient care, in order to enhance the safety of nursing practice in the area of basic nursing care and communication about patients' condition.

2017 ◽  
Vol 3 (2) ◽  
Author(s):  
Yeni Mulyani ◽  
Evi Risa M ◽  
Littia Ulfah

The emergency department and intensive care unit is one of central service in hospital and also the part of hospitals that requires skill and educated nurses in providing health services to patients. The demands that must be fulfilled by nurses, both critical care  nurses and emergency nurses can cause distress and can become the source of stressor for nurses. If the nurses have no effective coping it will cause working stress. This study aimed to determine the the relationship between coping mechanism with working stress among emergency and critical care nurses in Ulin Banjarmasin Hospital.This is a quantitative research, with correlative study design. The population of this study were emergency and critical nurses as many as 67 respondents using the total sampling technique obtained 62 respondents who are willing to be respondents. The results were analyzed by Chi-Square test.The results showed that most nurses had minor working stress with adaptive coping mechanism as many as 43 respondents (72,9%).  The Chi-Square test results show probability value of 0.026 is smaller than the significance level used 5% (0.026 <0.05),  so it can be concluded that there is a relationship between coping mechanism with working stress of emergency and critical nurses in Ulin Banjarmasin Hospital. It is known that most respondents who have maladaptive coping will tend to experience more severe stress.Therefore, researchers suggest the nurses to perform a reducing stresss activity either relaxation techniques, recreation, or exercise. Increase the knowledge either through education or skills upgrading through specialized training. Suggestion for hospital organization to do assessment on work load and arrangement of nurse amount with nurse competence in emergency and ICU so that it can decrease excessive work load and decrease nurse work stress level and hold special education and training program as needed and demand of work in the ward periodically. Keywords : Nurse, Coping Mechanism, Working Stress


2021 ◽  
Vol 21 (3) ◽  
pp. 1135
Author(s):  
Raja Syafrizal ◽  
Yulihasri Yulihasri ◽  
Zifriyanthi Minanda Putri

The performance of nurses can be seen from several cases that occur in hospitals. The incidence of falls in patients, nosocomial infections, inadequate documentation is the result of nurses' low performance. Factors that affect the performance of nurses in hospitals are job satisfaction. So this study aims to describe the relationship between job satisfaction and nurse performance. This study used a cross-sectional study design with a sample of 85 nurses at Arosuka Hospital using proportional sampling technique. The research instrument used a job satisfaction survey questionnaire and the Individual Work Performance quasi (IWPQ) and statistical tests used frequency distribution and chi-square tests. The results showed that the majority of nurses' job satisfaction was in the satisfied category as much as 56.5% and the majority of nurses' performance in the high category was 51.8%. Then obtained a significant relationship between job satisfaction and nurse performance with a p-value of 0.000. So it is expected that hospitals can pay attention to aspects of nurse job satisfaction in making policies


2020 ◽  
Vol 2 (1) ◽  
pp. 47-51
Author(s):  
Sapana Gautam ◽  
Dinesh Kumar Thapa

Background and purpose: The role of nursing care among the traction patients is vital and they should be competent, experienced and educated well about the traction devices used and care to minimize the traction associated complications and infections. This study was designed to access the knowledge and practice regarding care and management of the patients with traction in orthopedic trauma by Nurses. Material and method: A cross sectional descriptive study was conducted on 100 eligible nursing staffs from Kathmandu Medical College Teaching Hospital. Non-probability purposive sampling technique and a self administered structured questionnaire were used to collect data. The statistical analysis was done by using the SPSS version 16. The association between the demographic factors was analyzed by using chi square test.  Result: The working area and traction training has significant relation to knowledge and other, such as age, education, work experience, worked in orthopedic ward has no significance. There is adequate knowledge as the percentage value is 88 and practice regarding care of the patient on traction is 98%. Conclusion: The knowledge regarding traction care seems sufficient in this study and every orthopedic nursing should be master in traction knowledge, application and nursing care to acquire early patient recovery without significant deformity and complications.


2019 ◽  
Vol 2 (1) ◽  
pp. 138-146
Author(s):  
Eva Kartika Hasibuan ◽  
Masri Saragih

Effective leadership is required by the head of the room to create a good performance on nurses to achieve the purpose of the room is provide good and quality health serviceThis study aims to determine the effective leadership of head room with the performance of nurses in nursing care at RSU. Sari Mutiara Lubuk Pakam. Researchers used descriptive research method correlation with cross-sectional approach. The population in this study nurse who was on duty in the inpatient unit RSU. Sari Mutiara Lubuk Pakam totaling 55 people. The sample in this study used a total sampling technique with 55 respondents. The data collection technique using a questionnaire given to respondents. The results of this study are analyzed in univariate effective leadership of head room (81.8%) with sufficient performance of nurses (50.9%). After bivariate analysis with chi-square test showed that there is a relationship effective leadership of head room with the performance of nurses (p-value = 0.003). This study recommends that the head of the room more attention to implementation of the tasks of nursing care by nurses, as well as providing support in working order, the better the performance of nurses.   Kepemimpinan efektif diperlukan oleh kepala ruangan dalam menciptakan kinerja yang baik pada perawat pelaksana untuk mencapai tujuan ruangan yaitu memberikan pelayanan kesehatan yang baik dan berkualitas. Penelitian ini bertujuan untuk mengetahui kepemimpinan efektif kepala ruangan dengan kinerja perawat dalam melakukan asuhan keperawatan di RSU. Sari Mutiara Lubuk Pakam. Peneliti menggunakan metode penelitian deskriptif korelasi dengan pendekatan cross-sectional. Populasi dalam penelitian ini seluruh perawat pelaksana yang sedang bertugas RSU Sari Mutiara Lubuk Pakam berjumlah 55  responden. Sampel dalam penelitian ini menggunakan teknik total sampling dengan jumlah responden sebanyak 55. Teknik pengumpulan data menggunakan kuisioner yang  diberikan kepada responden. Uji statistik yang digunakan dalam penelitian ini adalah uji chi-square. Hasil penelitian ini dianalisis secara univariat yaitu kepemimpinan kepala ruangan efektif (81,8%) dengan kinerja perawat cukup (50,9%). Setelah dilakukan analisis bivariat dengan uji chi-square didapatkan hasil yaitu ada hubungan kepemimpinan efektif kepala ruangan dengan kinerja perawat (p-value=0,003). Penelitian ini merekomendasikan agar kepala ruangan lebih memperhatikan pelaksanaan tugas asuhan keperawatan oleh perawat, serta memberikan dukungan dalam bekerja agar kinerja perawat semakin baik.


2021 ◽  
Vol 10 (1) ◽  
pp. 196
Author(s):  
Fithriyani Fithriyani ◽  
Miko Eka Putri

The quality of service can be determined from the performance of the nurse in providing nursing care. The success of the team method in carrying out the nursing process is determined by the ability of the team leader to assign tasks to team members and direct work to the team. This study aims  to knowing  the relationship between the role of the team leader and the performance of nurses in documenting nursing care at the Jambi Provincial Psychiatric Hospital. A quantitative method with a cross-sectional survey using self-administered questionnaires The sampling technique was total sampling so that the sample size was 106 nurseswith analysis using the chi square test. The data were analyzed using statistical software. This study investigates the role of team leaders and nurses' performance in documenting nursing care. the role of the team leader in documenting nursing care was 54.1% good. the performance of nurses in documenting nursing care was 53.2% good. The statistical test results showed that the p value (0,000) <0.05, which means that there is a significant relationship between the role of the team leader and the performance of nurses in nursing care documentation.This significant relationship explains that the role of the team leader will have a good influence on the documentation of nursing care carried out by the nurse in charge


2020 ◽  
Vol 3 (2) ◽  
pp. 85-92
Author(s):  
Erwin Silitonga ◽  
Masri Saragih ◽  
Rosetty Sipayung

The quality demands of implementing nursing care are greatly influenced by the workload of nurses, the workload of nurses must also be in accordance with the abilities and work motivation of a nurse so that it is in accordance with nursing care standards. This study aims to determine the relationship of workload with nurses' work motivation in carrying out nursing care in the inpatient room of Sari Mutiara Lubuk Pakam Hospital. Descriptive correlation research design with cross sectional study design. The population in this study were all nurses in the inpatient ward with a total of 56 people, the sampling technique used total population. Data analysis using univariate and bivariate analysis with Chi-Square test. The results showed a high workload of nurses 69.6% and motivation of nurses to carry out low nursing care 67.8%. Chi-Square test results there is a relationship of workload with nurse work motivation in implementing nursing care with a p-value of 0.017. Then it can be concluded that the workload has a relationship with the work motivation of nurses in implementing nursing care. It is recommended that the hospital adjust the number of nurses to the number of available patients and pay attention to the performance of nurses in carrying out nursing care.


2015 ◽  
Vol 1 (1) ◽  
pp. 26
Author(s):  
Ni Putu Rusmini

Education and development of the nurse is one of the activities to be carried out by the nursing managers to support the performance of nurses, that are expected to improve the quality of nursing care. The performance assessment is a tool that can be trusted in the control of human resources and productivity. The aim of this study was to identify the motivation to work and work performance of AKPER Adi Husada Surabaya ex-students  who worked at the Adi Husada Undaan Wetan Hospital and identify relationship between both factors. This study uses correlation design with cross sectional approach, using consecutive sampling technique and obtained a sample of 94 respondents. Data obtained by using questionnaires and result was tested with Spearman Rank test using computer software with a significance p=0.05. Statistical test results showed r = 0.443, it shows the null hypothesis was rejected so that there was a weak relationship between motivation and work performance AKPER Adi Husada Surabaya ex-students who worked at the hospital Adi Husada Undaan Wetan Surabaya. So motivation factor was not the main factor that causes an increase in performance, but the entire internal and external factors greatly affect the performance of individual nurses. Expected nurses can improve motivation and other factors related to the performance becomes more optimized and can improve the quality of nursing care. Pembinaan dan pengembangan terhadap perawat merupakan salah satu kegiatan yang harus dilakukan oleh kepala ruangan atau manajer keperawatan untuk mendukung kinerja perawat, sehingga diharapkan mampu meningkatkan mutu pelayanan keperawatan. Penilaian kinerja merupakan alat yang dapat dipercaya dalam mengontrol sumber daya manusia dan produktivitas. Tujuan dari penelitian ini adalah untuk mengidentifikasi motivasi kerja, kinerja alumnus AKPER Adi Husada Surabaya yang bekerja di RS Adi Husada Undaan Wetan dan hubungan kedua faktor tersebut. Penelitian ini menggunakan desain korelasi dengan pendekatan potong lintang, menggunakan teknik consecutive sampling dan didapatkan sampel sebanyak 94 responden. Data diperoleh dengan menggunakan kuesioner kemudian diuji dengan Spearman Rank test menggunakan software computer dengan signifikansi p=0,05. Hasil uji statistic menunjukkan r= 0,443, hal tersebut menunjukkan hipotesis nol ditolak sehingga ada hubungan namun bersifat lemah antara motivasi kerja dan kinerja alumnus AKPER Adi Husada Surabaya yang bekerja di RS Adi Husada Undaan Wetan Surabaya. Faktor motivasi kerja bukan faktor utama yang menyebabkan peningkatan kinerja namun seluruh faktor internal maupun ekternal individu sangat mempengaruhi kinerja perawat. Diharapkan perawat dapat meningkatkan motivasi kerja dan faktor lain yang terkait sehingga kinerja menjadi lebih optimal dan dapat meningkatkan mutu pelayanan keperawatan. DOWNLOAD FULL TEXT PDF >>


2020 ◽  
Vol 3 (1) ◽  
pp. 289-294
Author(s):  
Masri Saragih ◽  
Rosetty Sipayung ◽  
Eva Kartika Hasibuan

The problem that often arises in the implementation of nursing care is that many nurses have not done a complete documentation of nursing care. The provision of incentives is one of the factors that influence the performance of nurses in documentation. This study aimed to identify the relationship between incentives and nurses' performance in documenting nursing care at Sari Mutiara Lubuk Pakam Hospital. The research design used a description of the correlation with the cross sectional approach. The population in the study were 56 nurses in the inpatient room. There were 56 respondents as total sampling for the sampling technique. Data collection tools used questionnaire sheets and observation sheets. The statistical test used the chi square test. The results of the univariate analysis for the incentive variable the majority of incentives were classified as high as 69,6% and the performance of nurses in the complete documentation was 67.8%. From the results of the bivariate analysis showed that there was a relationship between the provision of incentives and the performance of nurses in documenting nursing care (p = 0.017; p <0.05). It is hoped that nurses will be able to complete documentation not only because of a high incentive, but it is a nurse's responsibility that must be carried out.     Abstrak Masalah yang sering muncul dalam pelaksanaan asuhan keperawatan adalah banyak perawat yang belum melakukan pendokumentasian asuhan keperawatan secara lengkap. Pemberian insentif merupakan  salah satu faktor yang mempengaruhi kinerja perawat dalam pendokumentasian. Penelitian ini bertujuan untuk mengidentifikasi hubungan pemberian insentif dengan kinerja perawat  dalam pendokumentasian asuhan keperawatan di Rumah Sakit Umum Sari Mutiara Lubuk Pakam. Desain penelitian yang digunakan adalah deskripsi korelasi dengan pendekatan cross sectional. Populasi dalam penelitian adalah seluruh perawat di ruang rawat inap sebanyak 56 orang. Teknik pengambilan sampel total sampling sehingga  sampel sebanyak 56 responden. Alat pengumpulan data menggunakan lembar kuesioner dan lembar observasi. Uji statistik yang digunakan uji chi square.  Hasil dari analisa univariat untuk variabel pemberian insentif mayoritas pemberian insentif tergolong tinggi sebanyak 69,6% dan kinerja perawat dalam pendokumentasian lengkap 67,8%. Dari hasil analisa bivariat yang digunakan menunjukkan bahwa ada hubungan pemberian insentif dengan kinerja perawat dalam pendokumentasian asuhan keperawatan (p=0,017 ; p<0,05). Diharapkan agar perawat mampu melakukan pendokumentasian yang lengkap bukan hanya karena adanya suatu insentif yang tinggi, tetapi menjadi  suatu tanggung jawab perawat yang harus dilaksanakan.


Author(s):  
Arip Ambulan Panjaitan

Introduction: Adolescent are at high risk of unwanted pragnency, including abortion, STIs, HIV/AIDS. Risky sexual behavior is one of the entrance transmissions of unwanted pregnancy. Such behavior can be influenced by various factors, beyond and within the individual factors. Teens need the support and motivation in deciding not to do risky sexual behavior. The purpose of this study was to investigate the determinants of adolescent behavior in the prevention of unwanted pregnancy.Methods: This research used cross-sectional design. The populations were students of senior high school in District Sintang. The were 123 respondents chosen by cluster sampling technique for this study. All data were collected using questionnaires and then analysed using bivariate (chi square) and multivariate analysis (logistic regression).Results: The results showed that the majority of respondents did not have good knowledge about the prevention of unwanted pregnancy. Related variable is the level of parental education (p=0.001), the support of parents/guardians (p=0.009), support teachers (p=0.005), peer support (p=0.039), residency (p=0.009), a pastime activity (p=0.000), knowledge of adolescents about reproductive health (p=0.016), perception ability of adolescents (p=0.006) and attitude of adolescents (p=0.049). Adolescent self-perception abilities are variables that most influence on the behavior of adolescents in the prevention of unwanted pregnancy.Conclusions: Efforts to improve reproductive health programs should be early and adolescent have responsibilities as well as healthy behaviors.


1970 ◽  
Vol 5 (2) ◽  
pp. 64
Author(s):  
Eny Sendra ◽  
Dewi Indriani

Breast feeding is giving milk to be drunk to the baby from the breast. Uterus involution is a process how the uterus return to the condition back, before pregnanting after bearing. At the moment of suckling, happens a stimulus and brings the hormones out, such as oksitosin uses not only to stimulate some muscles constraction but also to stimulate the uterus, so that the process of uterus involution happens foster. According to the explanations above, the research aimed to know about the correlation between breast feeding and uterus involution. This research’s design was, cross sectional by the population of all childbirth mothers approximately 50 persons / month. By using accidental sampling technique we got 21 sample respondents. The place of research in RSIA Aura Syifa in Kediri Regency on 16th until 22nd of June 2009. From this research’s result, we got 14 persons (66,67%) with normal uterus involution, suckled in a good way, one person (4,67%) with normal uterus involution, suckled in a wrong way, 2 persons (9,52%) with abnormal uterus involution, suckled in a good way and 4 persons (19,05%) with abnormal uterus involution, suckled in a wrong way. Statistic test which used chi-square test, counted the probability frequency in advance, from that we got 3 columns with the score, less than 5, so that chi-square can not be continued and by doing exact fisher test, the score was 0,001. Because P with the grade mistake 0,05 smaller, so the conclusion was “Ho” is rejected, it meant “there was correlation between suckling and uterus involution”. Key Word : Breast feeding, uterus involution


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