QUALITY OF NURSING DOCUMENTATION AND NURSE’S OBJECTIVE WORKLOAD BASED ON TIME AND MOTION STUDY (TMS)

2017 ◽  
Vol 1 (2) ◽  
pp. 173
Author(s):  
Mira Amelynda Prakosa ◽  
Nursalam Nursalam ◽  
Candra Panji Asmoro

Introduction. The quality of documentation can decrease because of bad admission filling of documentation. Workload is one of the factor that can influence admission filling of documentation. This study was aimed to analyze the correlation between nurse’s objective workload and the quality of nursing documentation in RSU Haji. Method. The design of this study was descriptive correlation with cross-sectional approach. The population on this study was the nurse that works in Marwah 3 and 4 inpatient care in RSU Haji Surabaya. The number of the sample was 14 respondents were selected by simple random sampling. The independent variable was nurse’s objective workload and the dependent variable was quality of nursing documentation. The data were analyzed by using regression logistic. Result. Nurse’s objective workload in RSU Haji was 72%. There was no correlational between nurse’s objective workload with the completeness of nursing documentation (P= 0,999), also nurse’s objective workload with accurate of nursing documentation (P= 0,999). Discussion. This study concluded that nurse’s objective workload was low and quality of nursing documentation was accurate enough and complete enough. Next researcher should provide precise operational so the factors that affected the quality of documentation can be reached and the workload of the nurses in RSU Haji become ideal.Keyword:  nurses, quality of nursing documentation, objective workload

2019 ◽  
Vol 2 (1) ◽  
pp. 16
Author(s):  
Endang Susiana ◽  
Erna Dwi Wahyuni ◽  
Candra Panji Asmoro

Pendahuluan: Dokumentasi keperawatan merupakan aspek legal yang melindungi perawat dalam memberikan pelayanan keperawatan, tapi masih ditemukan dokumentasi yang kurang lengkap. Tujuan penelitian ini adalah menganalisis hubungan antara motivasi, supervisi, dan beban kerja dengan mutu pendokumentasian asuhan keperawatan di Instalasi Rawat Inap Medik RSUD Dr Soetomo Surabaya.Metode: Penelitian ini menggunakan desain deskriptif korelasi dengan pendekatan cross-sectional. Populasi sebanyak 135 perawat dan didapatkan 100 perawat pelaksana dengan simple random sampling. Variabel independen adalah motivasi, supervisi, dan beban kerja. Variabel dependen adalah mutu pendokumentasian asuhan keperawatan. Data diperoleh dengan kuesioner motivasi, supervisi dan lembar observasi: TMS (Time Motion Study), SAK (Standar Asuhan Keperawatan) dan dianalisis dengan Spearman’s Rho dan uji Regresi Logistik dengan α=95%.Hasil: Ada hubungan antara motivasi (p=0,000; r=0,363) dengan mutu pendokumentasian asuhan keperawatan, ada hubungan antara supervisi (p=0,012; r=0,310) dengan mutu pendokumentasian asuhan keperawatan dan ada hubungan antara beban kerja (p=0,002; r=0,299) dengan mutu pendokumentasian asuhan keperawatan.Kesimpulan: Hasil penelitian ada hubungan antara motivasi, supervisi dan beban kerja dengan mutu pendokumentasian asuhan keperawatan. Motivasi merupakan faktor yang paling berhubungan dengan mutu pendokumentasian asuhan keperawatan. 


2018 ◽  
Vol 6 (1) ◽  
pp. 57
Author(s):  
Endang Pertiwiwati ◽  
Alfianur Alfianur

AbstrakKedudukan komite berada dalam struktur oleh peran fungsional rumah sakit yang tujuannya menghimpun,merumuskan,dan mengkomunikasikan pendapat dan ide- ide perawat sehingga memungkinkan penggunaan Tujuan penelitian menganalisis hubungan peran komite keperawatan terhadap peningkatan mutu pelayanan keperawatan di rawat inap Rumah Sakit Umum Daerah Ulin Banjarmasin. Metode penelitian deskriptif analitik dengan pendekatan cross sectional, Sampel dalam penelitian ini seluruh perawat yang bertugas di rawat Inap di rumah sakit umum daerah Ulin Banjarmasin Teknik sampel dengan metode Simple Random Sampling. jumlah sample ada 92 orang. Hasil penelitian Peran komite keperawatan dalam pelayanan keperawatan di RSUD ULIN Banjarmasin menunjukkan bahwa 79 responden atau 85,9% dikategorikan perannya optimal.,Mutu Pelayanan Keperawatan di rawat inap RSUD Banjarmasin sebanyak 70 responden atau 76,1%,dikategorikan baik. Hasil analisis hubungan optimalisasi peran komite keperawatan terhadap peningkatan mutu pelayana keperawatan di rumah sakit umum daerah ulin Banjarmasin(p value = 0,043 < 0.05 ). Optimalisasi peran komite keperawatan dapat mempengaruhi peningkatan mutu pelayanan keperawatan yang diberikan kepada pasien dengan mempertahankan kompetensi dan menerima segala tanggung jawab setiap tindakan dan keputusan yang telah dibuat.Kata - kata kunci : komite keperawatan, mutu pelayanan, peranAbstractThe position of the committee is in structure by the functional role of the organization whose purpose was to collected, formulated, and communicated the opinions and ideas of the nurse. The purpose of the study was to analyzed the optimization of the role of nursing committee toward the improvement of nursing service quality at the inpatient of Ulin Banjarmasin General Hospital. The research method was analytical descriptive with cross sectional approached. The samples in this research were all nurses who served in Inpatient at Ulin Banjarmasin general hospital. The sample technique using Simple Random Sampling method. the number of samples were 92 people. The result of this research is Role of nursing committee in nursing service in RSUD ULIN Banjarmasin shows that 79 respondent or 85,9% is categorized its role optimally. Quality of Nursing Service in RSUD Banjarmasin as many as 70 respondents or 76.1%, categorized well. Result of analysis of relationship of optimization of nursing committee role to improvement of quality of nursing service in ulin general hospital of Banjarmasin (p value = 0,043 <0.05). Optimizing the role of the nursing committee can affect the quality improvement of nursing services provided to the patient by maintaining the competence and accepting the responsibilities of every action and decision made. Keywords: nursing committee, roles, service quality


2019 ◽  
Vol 1 (1) ◽  
pp. 85-93
Author(s):  
Tiara Putri Ryandini ◽  
Lukman Hakim

The lack of patient satisfaction is due to the increasing demands of the patient's needs, but this is not accompanied by improvements in nurses' actions. If the customer feels dissatisfied with a service provided, then that service can be ascertained to be ineffective and inefficient. This is especially important for public services. Providing services to the community as done by RSUD Dr. R. Koesma Tuban, needs to get attention, especially in the quality of services to suit the needs and expectations of the community. This study focuses on the quality of nursing services and the level of patient satisfaction in the Asoka Hospital Dr. R. Koesma Tuban. This study aims to determine the relationship between the quality of nursing services with the level of patient satisfaction in the Asoka Hospital Dr. R. Koesma Tuban. This study uses analytic survey research with cross sectional approach, while the data analysis used is the Spearman Rank correlation test. The population used in this study were patients in the Asoka room of RSUD dr. R. Koesma Tuban who fit the inclusion criteria as many as 155, with a large sample of 112 respondents using a simple random sampling technique. The results showed that most patients were quite satisfied with the quite good nursing services. Spearmen Correlation Test Results (rs) obtained, the variable quality of nursing services (p <0.05) has a relationship to the level of patient satisfaction with moderate correlation (r = 0.476) and the direction of the positive correlation which means the better the quality of nursing services, the higher the level of satisfaction patient.Almost half of the nurses at Asoka Room  RSUD dr. R. Koesma Tuba have a good quality nursing service. Almost half of the patient at Asoka Room RSUD dr. R. Koesma Tuban feel satisfy with nurse’s service; there is a correlation between the quality of nurse service and the level of patient satisfaction  at Asoka Room RSUD dr. R. Koesma Tuban.


2019 ◽  
Vol 3 (4) ◽  
pp. 257
Author(s):  
Musyayadah Musyayadah ◽  
Sri Adiningsih

Background: Stunting is growth failure in toddlers due to chronic nutrients deficiency and recurrent infections, especially during the first 1000 days of life and can be a bad impact to quality of widely accepted human resources, which further can decreases future national productivity. The incidence of diarrhea and family food security are indicated to be factors cause stunting. Stunting is closely related to food insecurity and the incidence of recurrent diarrhea experienced by toddlers.Objectives: This study aimed to analyze the relationship between family food security and the frequency of diarrhea among stunted toddlers in Kampung SurabayaMethods: This research was observational analytic using cross-sectional. Sample consisted of 52 toddlers 6-24 months in the Puskesmas Bulak Banteng Surabaya. Sample selection with simple-random-sampling. Data was collected by interview with questionnaire. Food security was measured by US-HFSSM questionnaire and a questionnaire to the frequency of diarrhea. Data were analyzed using the Spearman statistical test (α=0.05).Results: The results showed that as many as 63.5% of toddlers are stunted, 71.1% of toddlers were in families with food insecure conditions, and 55.8% of toddlers diarrhea with frequency rarely (1-2 times). Results showed a significant relationship between family food security with stunting (p=0.004). Frequency of diarrhea with stunting showed a significant relationship (p=0.01).Conclusions: The proportion of stunting events increase if condition of food insecurity occur continuously, hence, coping strategies in the family were needed to overcome food insecurity. Besides, to overcoming the incidence of diarrhea by held counseling about PHBS.ABSTRAKLatar Belakang: Stunting merupakan kegagalan pertumbuhan pada balita akibat defisiensi zat gizi kronis dan infeksi berulang terutama pada masa 1000 HPK dan dapat berdampak buruknya kualitas sumber daya manusia yang diterima secara luas, yang selanjutnya menurunkan kemampuan produktif suatu bangsa yang akan datang. Kejadian penyakit infeksi terutama diare dan ketahanan pangan keluarga diindikasikan menjadi faktor yang dapat menyebabkan stunting. Kondisi stunting erat kaitannya dengan rawan pangan dan kejadian diare berulang yang dialami balita.Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan ketahanan pangan keluarga dan frekuensi diare dengan stunting pada balita di kampung Surabaya.Metode: Penelitian ini merupakan penelitian observasional analitik dengan menggunakan desain cross-sectional. Sampel dalam penelitian ini terdiri dari 52 balita berusia 6-24 bulan di wilayah Kerja Puskesmas Bulak Banteng Surabaya. Pemilihan sampel dengan teknik simple random sampling. Pengambilan data dilakukan dengan metode wawancara menggunakan kuesioner. Ketahanan pangan diukur dengan kuesioner US-HFSSM dan kuesioner terkait frekuensi diare. Data dianalisis dengan menggunakan uji statistik Spearman (α=0,05).Hasil: Hasil menunjukkan bahwa sebanyak 63,5% balita mengalami stunting, 71,1% balita berada pada keluarga dengan kondisi rawan pangan, dan 55,8% balita mengalami diare dengan kategori frekuensi jarang (1-2 kali). Hasil uji statistik menunjukkan adanya hubungan yang signifikan antara ketahanan pangan keluarga dengan stunting (p=0,004). Frekuensi diare dengan stunting juga menunjukkan adanya hubungan yang signifikan (p=0,01).Kesimpulan: Proporsi kejadian stunting akan meningkat jika kondisi rawan pangan terjadi terus menerus, sehingga dibutuhkan coping strategi dalam keluarga untuk mengatasi kerawanan pangan. Selain itu untuk mengurangi kejadian diare dengan mengadakan penyuluhan tentang Perilaku Hidup Bersih dan Sehat (PHBS). 


2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Taqiyyah Barroh Thoyyib ◽  
Yunik Windarti

The purposed to find out the relationship between the knowledge about implant and implant contraceptive used of acceptors at BPS Farohah Gresik. Implant is one of hormone contraceptive methode with high effectiveness. But, know fact that there were acceptors refused to use implant. The caused factor is the less off acceptors knowledge about implant. Therefore, this research was purposed to find out the relationship between the knowledge about implant and implant contraceptive used of acceptors at BPS Farohah Gresik. The type of this research was analytic by cross sectional methode. The population involved 42 acceptors of hormonal contraceptive who attended on June at BPS Farohah Gresik. 38 respondents were taken as the samples using simple random sampling technique. The independent variable was knowledge where as, the dependent one was the used of implant. Questionnaires was used to collect the data. Analyzed by using MannWhitney test with the significance level α = 0,05. The result of this research showed that most of respondents (60,5%) had less knowledge and almost all respondents (89,5%) did not use implant. Furthermore, the statistic test has obtarned p = 0,039 < α = 0,05. So H0 was refused that there was a relationship between knowledge about implant and the used of implant contraceptive at BPS Farohah Gresik. The research concluded that the less of acceptors knowledge about implant. The used of this contraceptive is vower. Hence, the health workers should improve the counselling and implant extension to people.


2017 ◽  
Vol 2 (2) ◽  
pp. 132
Author(s):  
Reny Chaidir ◽  
Ade Sry Wahyuni ◽  
Deni Wahyu Furkhani

Indonesia merupakan daerah terbanyak nomor dua penderita diabets melitus di kawasan Asia Tenggara dengan angka kejadian sebesar 9,116.03 kasus. Puskesmas Tigo Baleh angka kunjungan penderita diabetes melitus pada tahun 2015 mengalami peningkatan yaitu sebesar 408 kunjungan. Pasien diabetes melitus rentan mengalami komplikasi yang disebabkan oleh peningkatan kadar gula darah. Peningkatan kadar gula darah dapat dicegah dengan melakukan <em style="font-size: 10px;">self care </em><span style="font-size: 10px;">terdiri dari pengaturan diet, olah raga, terapi obat, perawatan kaki, dan pemantauan gula darah. Tujuan penelitian ini adalah untuk mengetahui adanya hubungan </span><em style="font-size: 10px;">self care </em><span style="font-size: 10px;">dengan kualitas hidup pasien diabetes mellitus. Penelitian ini menggunakan pendekatan </span><em style="font-size: 10px;">cross sectional </em><span style="font-size: 10px;">yang dilakukan terhadap 89 orang responden dengan menggunakan teknik </span><em style="font-size: 10px;">simple random sampling</em><span style="font-size: 10px;">. Pengumpulan data menggunakan kuesioner </span><em style="font-size: 10px;">The Summary of Diabetes Self-Care Activities (SDSCA) </em><span style="font-size: 10px;">dan kuesioner </span><em style="font-size: 10px;">The Diabetes Quality of Life Brief Clinical Inventory</em><span style="font-size: 10px;">. Hasil penelitian ini menggunakan uji </span><em style="font-size: 10px;">product moment </em><span style="font-size: 10px;">(</span><em style="font-size: 10px;">pearson correlation</em><span style="font-size: 10px;">), diperoleh nilai r = 0.432. Kesimpulan dari penelitian ini adalah terdapat hubungan antara </span><em style="font-size: 10px;">self care </em><span style="font-size: 10px;">dengan kualitas hidup pasien diabetes melitus di wilayah kerja Puskesmas Tigo Baleh yang berbanding lurus dan memiliki tingkat korelasi yang sedang. Terdapat faktor yang mempengaruhi korelasi dengan kualitas hidup. Diharapkan agar pasien diabetes melitus dapat meningkatkan aktivitas </span><em style="font-size: 10px;">self care </em><span style="font-size: 10px;">sehingga dapat menjalankan kehidupan secara normal.</span>


Author(s):  
Carolle Laure Matene Fongang

Background: Cameroon has been in a polio epidemic since October 2013, so the country has been forced into a response vaccination approach. In rural health districts in this case l OMIE District, the proportion of children unvaccinated during the campaigns varies between 25 and 30%, while the standard would be to have less than 5% of unvaccinated children. The question of the reasons for the non-vaccination of children in Cameroon has therefore arisen. Objectives: The aim was to determine the factors of non-vaccination of children at the National Polio Immunization Days (NIDs) in December 2012, through the quality of the NVD organization, the health skills of human resources and the parents. Methodology: We carried out an analytical cross-sectional study from the 9 to the 20th of December 2012. We interviewed 292 parents and their children, 75 social mobilisers, 79 vaccinators, 41 proximity supervisors and 12 pilot health facilities EPI focal persons. The number of children selected per health area was proportional to it demographic weight. Quarters and blocs were selected by simple random sampling while the children by systemic random sampling. Personnel selected were those that intervene in the chosen localities. Results: The study found that 20.8% of children were unvaccinated. The first reason for non-vaccination was the non-visiting of the household by vaccinators (41.9%). Difficulties in access due to bad roads (40%), lack of vehicles or means of locomotion adapted to the area (35%). Parents were informed in 85.6% of cases. The JNV polio micro plan was available in 25% of health areas and 41.7% of community supervisors conducted household surveys.


2020 ◽  
Vol 8 (1) ◽  
pp. 113
Author(s):  
Edgar Ch. Q. Wuwung ◽  
Lenny Gannika ◽  
Michael Karundeng

Abstract: Background Nursing Services is a holistic service that encompasses Bio, Psycho, Socio and Spirituality which contains Caring attitude. Patient satisfaction can be influenced by several factors one of them is caring attitude of nurses.The Purpose of this study is to identify relationship between Nurse’s Caring and Patient Satisfaction at Hospital GMIM Pancaran Kasih Manado. Method of this study used cross sectional study design. Sample of this study consist of 90 respondents taken by random sampling method and data collection method used nurses caring and patient satisfaction  questionnaire. Chi-square was used to analyze the data. the Results of this study showed  out of 90 respondents, most of them were Satisfied (60%) and said that the Nurse have Caring attitude (58,9%) with p-value 0.04 smaller than 0.05. Conclusion of this study stated there was a relationship between Nurse’s Caring and Patient Satisfaction at Rumah Sakit Umum GMIM Pancaran Kasih Manado. Suggestions from this study are nurses expected should maintain the quality of Nursing Care so that patient satisfaction can be maintained.Keywords: Nurse’s Caring, Patient Satisfaction, Nurse, Nursing Management.Abstrak: Latar Belakang Pelayanan Keperawatan merupakan suatu pelayanan yang holistik yang melingkupi Bio, Psiko, Sosio dan Spiritual yang didalamnya terkandung sikap Caring. Kepuasan  pasien  dapat dipengaruhi oleh beberapa faktor salah satunya adalah sikap caring perawat. Tujuan studi ini untuk mengetahui hubungan antara perilaku Caring Perawat dengan Kepuasan Pasien di Rumah Sakit Umum GMIM Pancaran Kasih Manado. Metode studi ini menggunakan desain penelitian cross-sectional. Sampel studi ini berjumlah 90 responden dengan metode pengambilan sampel random sampling dan untuk mengumpulkan data menggunakan kuesioner perilaku caring perawat dan kepuasan pasien. Uji chi-square untuk melakukan analisa data hubungan kedua variabel  Hasil dari penelitian ini, didapatkan dari 90 Responden yang diteliti sebagian besar Mengatakan puas (60%) dan berpendapat bahwa perawat  memiliki perilaku Caring (58,9%) dengan p-value 0.04 lebih kecil dari 0.05. Kesimpulan dari penelitian ini bahwa terdapat hubungan antara Perilaku Caring Perawat dan Kepuasan Pasien di Rumah Sakit Umum GMIM Pancaran Kasih Manado. Saran dari penelitian ini diharapkan perawat agar mempertahankan kualitas Asuhan Keperawatan agar kepuasan pasien dapat tetap terjaga. Kata Kunci : Perilaku Caring, Kepuasan Pasien, Perawat, Keperawatan Manajemen


2021 ◽  
Vol 3 (1) ◽  
pp. 62
Author(s):  
Afita Rokhimawaty ◽  
Sri Umijati Martono ◽  
Tri Utomo

AbstrakLatar Belakang: Pada tahun 2012, persentase BBLR di Jawa Tengah sebesar 3,75%, naik menjadi sebesar 5,10% pada tahun 2015, dan kemudian turun menjadi 4,40% pada tahun 2016. Hal serupa juga terjadi di Kota Pekalongan. Namun angka kejadian gizi buruk di Kota Pekalongan mengalami kenaikan. Pada tahun 2015, di Kota Pekalongan ditemukan 29 kasus gizi buruk pada balita, dan menjadi 37 kasus pada tahun 2016. BBLR merupakan growth channels pada pertumbuhan anak. Pertumbuhan ini akan mempengaruhi status gizi. Tujuan penelitian ini untuk menentukan hubungan berat badan lahir dengan status gizi bayi umur 1-6 bulan berdasarkan indeks BB/U. Metode: Penelitian cross sectional ini dilakukan di wilayah kerja Puskesmas Buaran, Kota Pekalongan. Variabel bebasnya adalah berat badan lahir dan variabel terikatnya adalah status gizi bayi umur 1-6 bulan berdasarkan indeks BB/U. Sampel penelitian ini adalah bayi umur 1-6 bulan di wilayah kerja Puskesmas Buaran yang terpilih dan memenuhi kriteria inklusi dan eksklusi. Sampel diambil selama Maret-April 2019 dengan menggunakan teknik simple random sampling. Penilaian yang dilakukan menggunakan berat badan dan umur untuk menghitung nilai Z-score dari indeks BB/U berdasarkan standar WHO 2005. Penentuan hubungan kedua variabel dengan menggunakan Uji Pearson pada tingkat kemaknaan α = 0,05. Hasil: Sebesar 93,4% bayi memiliki berat badan lahir cukup. Prevalensi status gizi baik pada bayi umur 1-6 bulan berdasarkan BB/U adalah sebesar 92,1%. Berat badan lahir berhubungan dengan status gizi bayi umur 1-6 bulan berdasarkan indeks BB/U (p=0,004). Kesimpulan: Berat badan lahir berhubungan dengan status gizi bayi umur 1-6 bulan berdasarkan indeks BB/U. Abstract Background: In 2012, the percentage of LBW in Central Java was 3.75%, up to 5.10% in 2015, and then rose to 4.40% in 2016. The same thing happened in Pekalongan City. However, the number of malnutrition in Pekalongan City is increasing. In 2015, in Pekalongan City there were 29 cases of underweight in children under five, and 37 cases in 2016. LBW was a channel of growth in the growth of children. This change will improve nutritional status. The purpose of this study was to determine the relationship between birth weight and nutritional status of infants aged 1-6 months. Method: This cross-sectional study was conducted in the working area of the Buaran Community Health Center, Pekalongan City. The independent variable is birth weight and the independent variable is the nutritional status of infants aged 1-6 months. The samples of this study were infants aged 1-6 months in the work area of the selected Buaran Health Center and fulfilling the inclusion and exclusion criteria. Samples were taken during March-April 2019 using a simple random sampling technique. The assessment was carried out using body weight and age to calculate the Z-score from the WAZ index based on the 2005 WHO standard. Determination of the relationship between the two variables using the Pearson Test at the significance level α = 0.05. Results: 93.4% of babies have adequate birth weight. The prevalence of good nutritional status in infants aged 1-6 months based on WAZ is 92.1%. Birth weight is related to the nutritional status of infants aged 1-6 months based on the WAZ index (p = 0.004). Conclusion: Birth weight related to the nutritional status of infants aged 1-6 months based on index WAZ. 


2018 ◽  
Vol 9 (2) ◽  
pp. 8
Author(s):  
Kustini Kustini

Lack of midwives, knowledge and skills leads to low performance and quality of service. The effort can be done is increase the knowledge and skill, reality shows that most learning using only one kind of media and one time demonstration. The issue is using media is minimize exactly on practical helping labor and laboratories learning in STIKES Muhamadiyah Lamongan.The purpose of this study is to determine the difference skill helping normally labor using model and Video in STIKES Muhammadiyah Lamongan 2016. This research is comparative analytical study with cross sectional approach. The population is 100 students and the sample of 80 student, uses simple random sampling. Independent variable is the use of model and video, dependent variable is skill of helping normally labor.The results is more than a majority respondent who use model is able to doing skill helping normally labor, that 29 respondent (72,5%), and more than majority proficient doing skill helping normally labor, that 24 respondent (60%).Analysis using SPP 16.0 with Mann Whitney test α = 0,05, p=0.000 so p < α, concluded that there are difference skill helping normally labor between using model and video media.Seeing these results it is necessary to use a medium that is thought to correspond to the learning objectives that lead to learning motivation so that skills become better destination.Keywords: media, models, videos, normal delivery


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