HUBUNGAN PENGETAHUAN PERAWAT DAN FUNGSI PENGAWASAN KEPALA RUANGAN DENGAN MOTIVASI PERAWAT DALAM PELAPORAN INSIDEN KESELAMATAN PASIEN

2019 ◽  
Vol 9 (3) ◽  
pp. 241-248
Author(s):  
Ni Kadek Arie Octarini ◽  
Ni Putu Emy Darma Yanti ◽  
Komang Menik Sri Krisnawati

Insiden keselamatan pasien masih menjadi masalah utama yang mengancam keselamatan pasien di rumah sakit. Pelaporan insiden keselamatan pasien merupakan   salah satu bentuk upaya yang dapat diterapkan untuk  mengendalikan tingginya insiden keselamatan pasien. Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan perawat dan fungsi pengawasan kepala ruangan dengan motivasi perawat dalam pelaporan insiden keselamatan pasien. Penelitian ini menggunakan desain penelitian cross-sectional dan analisis kolerasi. Populasi dalam penelitian ini merupakan perawat pelaksana yang bertugas di ruang rawat inap RSD Mangusada yang berjumlah 93 orang. Penelitian ini menggunakan proportional random sampling dengan sampel berjumlah 76 orang. Teknik analisis yang digunakan yaitu uji kolerasi Pearson dengan tingkat kepercayaan 95%. Hasil penelitian yang dilakukan di RSD Mangusada menunjukan bahwa ada hubungan antara pengetahuan perawat dan fungsi pengawasan kepala ruangan dengan motivasi perawat dalam pelaporan insiden keselamatan pasien (p<0,05). Nilai correlation coefficient menunjukan bahwa adanya hubungan yang sangat kuat dan positif, sehingga dapat disimpulkan bahwa semakin baik pengetahuan perawat dan fungsi pengawasan kepala ruangan maka semakin tinggi motivasi perawat dalam pelaporan insiden keselamatan pasien.   Kata kunci : fungsi pengawasan, motivasi, pengetahuan, perawat   THE CORRELATION OF NURSING KNOWLEDGE AND SUPERVISION FUNCTION OF HEAD NURSE WITH NURSING MOTIVATION IN PATIENT SAFETY INSIDENT REPORTING   ABSTRACT The incidence of patient safety is a major problem that threatens patient safety at the hospital. Reporting incidents of patient safety is one form of effort that can be applied to control the high incidence of patient safety. This study aimed to determine the correlation  between nurse knowledge and the supervisory function of the head of the room with nurses' motivation in reporting patient safety incidents. This research is a quantitative recearch with descriptive correlation method and using cross-sectional design. The population in this study were 93 nurses who served in the treatment room of Mangusada Hospital. the sample was 76 people selected through proportional random sampling technique. Pearson product moment was used to analyzed the data with confidence lovel of 95%. The results of research conducted at Mangusada Hospital showed that there was a relationship between nurses 'knowledge and the supervisory function of the room head with nurses' motivation in reporting patient safety incidents (p<0.05). The value of the correlation coefficient shows that there is a very strong and positive relationship, so it can be concluded that the better the nurse's knowledge and supervisory function of the head of the room the higher the nurse's motivation in reporting patient safety incidents. Researchers expect active management to provide workshops related to patient safety.   Keywords: function of supervision, knowledge, motivation,nurse

2020 ◽  
Vol 1 (6) ◽  
pp. 28-37
Author(s):  
Mualimin Mualimin ◽  
Thomson P Nadapdap ◽  
Deli Deli

The patient safety mission at the hospital is to prevent patient safety incidents from occurring, the number of incidents is said to be like an iceberg phenomenon. The incidence rate in Indonesia based on data from the Joint Commission International (2012) shows that as many as 13% due to surgical errors and 68% due to blood transfusion errors. This study aims to analyze the relationship between leadership support and compliance with nurses in identifying patients in the implementation of patient safety in the Datu Beru Aceh Hospital. Tengah. The research design used a quantitative analytic survey with a cross-sectional design. The population of all nurses working in the Women's Internal Medicine Room at Datu Beru Hospital, Central Aceh was 34 people. The sampling technique used total sampling. Data analysis was carried out by univariate, bivariate and multivariate with chi_square. The results of the research variable Leadership Support with Nurse Adherence obtained p-value = 0,000, meaning that there is a relationship between leadership support and nurse compliance to identify patients in the application of patient safety. Multivariate analysis of leadership support variables obtained sig value of 0.000 <p = 0.05, which means that there is a significant influence of the leadership support variable on nurse compliance. There is a relationship between leadership support and the compliance of nurses to identify patients in the application of patient safety and there is a significant effect.


2019 ◽  
Vol 5 (2) ◽  
pp. 71-75
Author(s):  
Susi Erianti ◽  
Rani Lisa Indra ◽  
Beni Sepila

Handover was a communication that accurred at the trun of shift, which had the purpose of communicating infformation about the state of the patient on previouse nursing care. If handover was not carried out properly  it could lead to undesirable things (KTD). This research aimed to know the supervisory relationship between head of the room and handover practice. The study was quantitative research with correlation method and cross sectional design. Samples of this study were 40 people that taken using total sampling technique. The data were analyzed in univariat and bivariate, univariate used frequency distribution and bivariate used chi square test. The results showed that 85% were female, 57,5% were D III, 92,5% on 3rd level were (>5 years), 92,5% were absence of ward training, 57,5% of respondents stated that supervisory relationship was good, 60,0% of respondents handover implementation was not appropriate SOP and there was a significant relationship between the head of the room with handover implementation (p =0,013<0,05). It was expected that the hospital management paid more attention to the nurse’s work to match the existing SOP.


2020 ◽  
Vol 6 (1) ◽  
pp. 62-71
Author(s):  
Ernawaty Siagian

Pemberi layanan kesehatan harus mengutamakan keamanan pasien sebagai perioritas. Sebagai tenagakesehatan dengan jumlah terbesar, perawat mempunyai andil besar dalam meningkatkan budayakeselamatan pasien di rumah sakit. Penting untuk mengkaji penerapan budaya keselamatan pasien padaperawat, sehingga hasilnya dapat dijadikan acuan dalam melakukan perbaikan.Penelitian descriptivecomparative cross sectional design dilakukan kepada 50 responden perawat dari instalasi gawat darurat,Hemodialisa, Instalasi pasien rawat jalan dan ruang operasi dengan menggunakan instrument HospitalSurvey of Patient safety Culture (HSOPCS) yang terdiri dari 12 dimensi. Uji statistic Mann Whitneydigunakan untuk mengetahui apakah terdapat perbedaan penerapan antara staff pelaksana dan incharge,antara head nurse dan kepala ruangan.Hasil penelitian menunjukkan nilai rata-rata respon positif dari 12dimensi yang diberikan oleh staf pelaksana (74,6%). Ada 5 dimensi yang perlu di tingkatkan yaitupersepsi tentang keselamatan pasien secara menyeluruh (70,5%), harapan dan tindakan manajer dalammeningkatkan keselamatan pasien (65,7%), respon tidak menghukum terhadap kesalahan (48,6%),staffing (70,5%) serta overan dan transisi (65,7%). Sementara incharge mempunyai nilai rata-rata (79,4%). Ada 4 dimensi yang perlu ditingkatkan yaitu frekuensi pelaporan insiden(66,7%), persepsi tentangkeselamatan pasien secara menyeluruh (55,6%), harapan dan tindakan manajer dalam meningkatkankeselamatan pasien (41,7%),dan staffing (66,7%). Pada head nurse nilai rata-rata respon positif dari 12dimensi (76,7%). Ada 5 dimensi yang perlu ditingkatkan yaitu persepsi tentang keselamatan pasien secaramenyeluruh (62,5%), harapan dan tindakan manajer dalam meningkatkan keselamatan pasien (65,6%),respon tidak menghukum terhadap kesalahan (50%), kerjasama tim antar unit (68,8%) serta overran dantransisi (56,3%). Pada kepala ruangan nilai rata-rata respon positif dalam 12 dimensi (88,6%). Ada 1dimensi yang perlu ditingkatkan yaitu respon tidak menghukum terhadap kesalahan (66,7%). Terdapatperbedaan yang signifikan antara staf pelaksana dengan incharge, antara head nurse dengan kepalaruangan dalam penerapan budaya keselamatan pasien. Dengan meningkatkan penerapan budayakeselamatan pasien diharapkan perawat dapat memberikan perawatan yang komprehensif, berbasisevidence dan berpusat pada kebutuhan pasien sehingga keselamatan pasien dirumah sakit dapat tercapai.Kata Kunci: Budaya keselamatan pasien, Perawat, HSOPSC


2018 ◽  
Vol 2 (3) ◽  
pp. 265 ◽  
Author(s):  
Diah Ayu Pitaloka ◽  
Rumaidhil Abrory ◽  
Ayu Deni Pramita

Background:Exclusive breastfeeding is a breastfeeding exclusively without any food or other additional beverages starting from newborns to 6 months old baby. Data from Indonesia Health Profile of 2014 states that infants receiving Exclusive Breast Milk in Indonesia only reach 41.67%. Objectives: To analyze the relationship between maternal knowledge, education, and exclusive breastfeeding among mothers in the village of Kedung Rejo, Waru Sub-district, Sidoarjo District.Methods: This research was descriptive analytic study using cross sectional design. The population of this study was mothers who has infants aged 6-12 months in Kedungrejo Village Waru Sub-district Sidoarjo District. Sample was selected using simple random sampling technique involving 31 people. Data analysis was tested using Fisher's exact test.Results:The results showed that the prevalence of exclusive breastfeeding in Kedungrejo Village, Waru Sub-district was 29%. The results of tests using Fisher's Exact showed that mother's knowledge and education were not related to exclusive breastfeeding in infants aged 6-12 months.Conclusion: There was no significant association between maternal knowledge, education and exclusive breastfeeding practices among mothers.ABSTRAKLatar Belakang:ASI Eksklusif adalah memberi Air Susu Ibu secara Ekslusif tanpa ada makanan atau minuman tambahan lainnya yang mulai dilakukan saat bayi baru lahir sampai bayi berumur 6 bulan. Data dari Profil Kesehatan Indonesia tahun 2014 menyatakan bahwa bayi yang menerima ASI Eksklusif di Indonesia hanya sebesar 41,67%.Tujuan: Mengetahui pengetahuan ibu dan pendidikan ibu hubungannya dengan pemberian ASI Eksklusif di desa Kedung rejo, Kecamatan Waru, Kabupaten Sidoarjo.Metode: Penelitian ini adalah penelitian deskriptif analitik menggunakan desain cross sectional. Populasi penelitian ini merupakan ibu yang memiliki bayi usia 6-12 bulan di Desa Kedungrejo Kecamatan Waru Kabupaten Sidoarjo  yang dipilih secara simple random sampling  sebanyak  31 orang. Data kemudian dikumpulkan dan diuji dengan menggunakan uji Fisher’s Excact.Hasil: Hasil menunjukkan bahwa prevalensi pemberian ASI Ekslusif di Desa Kedungrejo Kecamatan Waru Kabupaten  yaitu hanya 29%. Hasil uji dengan menggunakan Fisher’s Exact menunjukkan bahwa pengetahuan dan pendidikan ibu tidak berhubungan terhadap pemberian ASI Ekslusif pada bayi usia 6-12 bulan.Kesimpulan:Tidak ada hubungan yang signifikan antara pengetahuan ibu, pendidikan dan praktik pemberian ASI eksklusif di kalangan ibu. 


2018 ◽  
Vol 11 (1) ◽  
pp. 37-44
Author(s):  
Septina Riyansari ◽  
Irdawati Irdawati

One of the jobs that is vulnerable to skin disorders is farmers. So that research is needed to see patterns of personal hygiene in farmers. The purpose of this study was to determine the relationship between patterns of personal hygiene with the occurrence of skin disorders in rice farmers in the Nanggulan Village Work Area Cawas I Health Center, Cawas District, Klaten Regency. This research is non-experimental quantitative research that is an analytic survey with cross-sectional design. The population in this study was 767 people and the sample obtained by 89 respondents. Sampling is done by stratified random sampling technique by proportional random sampling. From the results showed a significant relationship between patterns of personal hygiene with the occurrence of skin disorders with a P-value of 0.001 and = 10.426. The conclusion of this study is that there is a relationship between patterns of personal hygiene with the occurrence of skin disorders in rice farmers in the Nanggulan


2021 ◽  
pp. 657-670
Author(s):  
Suci Noor Hayati ◽  
Siti Yuliani Rusnandar

Patient safety is important and can be facilitated by improving the work climate for nurses. This study aims to describe the work climate of nurses and its impact on the application of patient safety at Sartika Asih Hospital, Bandung. The design of this study was descriptive with a cross-sectional approach. The population of this research is 84 nurses, and a simple random sampling technique was used to select 69 people. Data collection used the NWork Climate questionnaire by Suyanto with 36 statements. The univariate analysis used indicates that 56.5% respondents felt the work climate was not good, while 43.5%) felt it was good. According to Muadi (2019) work climate is a tool of environmental characteristics. Perceived directly by employees and assumed to have the main power in influencing employee behavior, the work climate is partially created visthe collaboration between the nurse and manager. The working climate of nurses in the hospital is still not good, so the hospital needs to make policies to improve this, including the scheduling of regular meetings and plans to increase the knowledge of nurses.   Keywords: working climate; patient safety; nurse


2021 ◽  
Author(s):  
Hanum Nurma Azuro ◽  
Moch Yunus ◽  
Rara Warih Gayatri

Based on the Basic Health Research (Riskesdas) 2018, the incidence of periodontitis in Indonesia was reported at 74.1%, which makes it one of the most common oral health problems in the country. Overall, 2,759 patients, aged 19–64 years underwent periodontal examinations at the Public Health Centres in Malang between January and September 2019. The present study aimed to determine the description of periodontitis patients at the Public Health Centres, Malang, by conducting an early detection of periodontitis against the risk of the disease. This study used a cross-sectional design and a proportional random sampling technique. In total, 277 respondents visited the Public Health Centres in Malang during the study period. The early detection result is based on the number of questionnaire scores on signs, symptoms, and exposures to risk factors for periodontitis, which are divided into three categories: high, moderate, and low risks. The instrument used in this study is a modification of the previous research instrument by Renatus. The result showed that 58 respondents had moderate (21%), 4 (1.4%) had high, and 215 (77.6%) had low risks of periodontitis. Respondents who had a lower risk of periodontitis were more than the respondents who had high and moderate risks of periodontitis. Keywords: periodontitis, history of gingivitis, heredity (family history), oral hygiene, history of tobacco use


2020 ◽  
Vol 11 (1) ◽  
pp. 1401-1407
Author(s):  
Tutin Marlia

ABSTRAKMenarche merupakan menstruasi pertama yang biasa terjadi pada seorang gadis pada masa pubertas, yang biasanya muncul usia 11 sampai 14 tahun.Banyak hal yang mempengaruhi menarche pada remaja putri, antara lain adanya perubahan hormon yang mempengaruhi kematangan sel dan asupan gizi yang dikonsumsi saat menjelang datangnya menarche. Akhir-akhir ini, remaja putri sering mengalami menstruasi dini, dimana usia rata-rata saat menstruasi dimulai adalah antara 12-13 tahun, tetapi pada sebagian kecil remaja putri yang tampak normal,menarche mungkin muncul pada usia sedini 10 tahun atau selambat 16 tahun. Tujuan penelitian ini adalah untuk mengetahui Hubungan Status Gizi dengan Menstruasi Dini. Jenis Penelitian yang digunakan dalam penelitian ini adalah kuantitatif dengan desain survei analitik dengan menggunakan rancangan cross sectional. Populasi dalam penelitian ini adalah siswi SMPN II Indramayu yang berjumlah 137 orang, teknik pengambilan sampel dalam penelitian ini menggunakan sampel random sampling secara acak sistematis dengan kriteria inklusi siswa yang sudah menstruasi yaitu sejumlah 97 orang. Tehnik analisa data menggunakan uji Chi Square.Hasil penelitian ini adalah terdapat hubungan yang signifikan antara status gizi responden dengan menstruasi dini dengan nilai P value 0.003.Kata Kunci: Status Gizi, Menstruasi Dini ABSTRACTMenarche is the first menstruation that usually occurs in a girl at puberty, which usually appears at aged 11 to 14 years old. Many things affect menarche in young women, including hormonal changes that affect cell maturity and nutritional intake consumed just before the arrival of menarche. Lately, young women often experience early menstruation, where the average age when menstruation begins is between 12-13 years old, but in a small proportion of adolescent girls who appear normal, menarche may appear as early as 10 years old or as late as 16 years old. The purpose of this study was to determine the Relationship of Nutrition Status and Early Menstruation.This type of research used in this research is quantitative with analytic survey design using cross sectional design. The population in this study were 137 students of SMPN II Indramayu, the sampling technique in this study used systematic random random sampling with the inclusion criteria of 97 menstruating students. Data analysis techniques using the Chi Square testThe results of this study show that there is a significant relationship between the nutritional status of respondents with early menstruation with the P value of 0.003.Keywords: Nutrition Status, Early Menstruation


2021 ◽  
Vol 6 (1) ◽  
pp. 67-75
Author(s):  
Septi Machelia Champaca Nursery ◽  
Lucia Andi Chrismilasari ◽  
Mariani Mariani

Latar Belakang : Keselamatan pasien (Patient Safety) merupakan usaha yang dilakukan untuk menurunkan angka Kejadian Tidak Diharapkan. Rumah Sakit harus membangun sistem yang menjamin bahwa pelayanan yang tepat diberikan kepada pasien yang tepat.  Keamanan Pasien di rumah sakit dimulai dengan mengidentifikasi pasien dengan benar. Kesalahan dalam identifikasi pasien diawal pelayanan akan berdampak pada kesalahan pelayanan pada tahap selanjutnya, salah satunya adalah kesalahan dalam pemberian obat. Pelaksanaan identifikasi pasien dengan benar dipengaruhi oleh berbagai faktor diantaranya pengetahuan, sikap dan budaya keselamatan. Tujuan : Penelitian ini bertujuan untuk mengidentifikasi faktor - faktor yang mempengaruhi pelaksanaan identifikasi pasien oleh perawat sebelum pemberian obat. Metode: Jenis penelitian kuantitatif dengan pendekatan deskriptif, desain penelitian cross sectional, dengan jumlah sampel 43 orang perawat pelaksana, teknik sampling yang digunakan adalah simple random sampling dan cluster sampling. Instrumen penelitian menggunakan kuesioner dengan 17 item kuesioner pengetahuan, 12 item kuesioner sikap, 39 item kuesioner budaya keselamatan dan lembar observasi 8 item pernyataan, analisis data menggunakan analisa bivariat dengan uji Spearman Rank. Hasil : Hasil analisis bivariat faktor yang mempengaruhi pelaksanaan identifikasi pasien sebelum pemberian obat didapatka hasil, Correlation Coefficient (r) dan signifikansi (p)  =  (r) = 0,211 (p) = 0,174 (pengetahuan dan identifikasi pasien), (r) = 0,139 (p) = 0,372 (sikap dan identifikasi pasien), (r) = 0,483 (p) = 0,001 (budaya keselamatan dan identifikasi pasien). Kesimpulan : Faktor budaya keselamatan mempunyai pengaruh yang signifikan terhadap pelaksanaan ketepatan identifikasi pasien oleh perawat di instalasi rawat inap RSUD Tamiang Layang, sedangkan faktor pengetahuan dan sikap tidak mempunyai pengaruh yang signifikan.  Kata Kunci : Identifikasi pasien, kesalahan pemberian obat, pengetahuan, sikap, budaya keselamatan.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Fajarini Putri Hidayat ◽  
Ma'mun Sutisna ◽  
Roni Rowawi ◽  
Hidayat Wijayanegara ◽  
Herry Garna ◽  
...  

Stunted children will have normal cognitive ability if nutrition is improved. The rapid brain growth in the first 1,000 days of life means that children should not be malnourished. Stunting is generally caused by a lack of macronutrients (carbohydrates, protein, and fat) and micronutrients (calcium and zinc). The mobile application called stunting child nutrition (GiAS) has features that can detect stunting, monitor toddler growth, recommend daily menus for toddlers, nutritional adequacy rate (RDA) in 2019, and others. The purpose of this study was to make it easier to distinguish macronutrients, zinc, and calcium from stunting and non-stunting children aged 12–24 months using the GiAS android application. It is conducted at the Citeureup Community Health Center, Cimahi city, for June–July 2020. The sampling technique was a simple random sampling of 88 respondents. This type of research is an observational analytic with a statistical test is a cross-sectional design. The results of the study using the Mann-Whitney test showed differences in carbohydrates (84.99±26.31 vs 151.16±68.43, p=0.001), protein (30.81±11.03 vs 60.55±38.43, p=0.001), fat (32.80±15.39 vs 64.84±47.81, p=0.001), and calcium (0.55±0.40 vs 1.43±1.16, p=0.001) and there is similarity of zinc (0.005±0.004 vs 0.010±0.016, p=0.084) after 7 days of using the GiAS application between stunting and non-stunting children. The probability value <0.05 means that the application can compare macronutrients, zinc, and calcium between stunted and non-stunted children on the 7th day. Chi-square analysis showed an increase in children's weight and height under five at two weeks and one month (p=0.001). In conclusion, the comparison of macronutrients, zinc, calcium in stunting and non-stunting children aged 12–24 months can be differentiated using the GiAS application. APLIKASI GIZI ANAK STUNTING (GIAS) BERBASIS ANDROID UNTUK MENILAI ZAT GIZI MAKRO, ZINC, DAN KALSIUM PADA ANAK STUNTING DAN NON-STUNTINGAnak stunting akan memiliki kognitif yang normal jika dilakukan perbaikan gizi yang optimal. Pertumbuhan otak yang pesat di 1.000 hari pertama kehidupan menjadikan anak tidak boleh kekurangan nutrisi. Stunting umumnya kekurangan zat gizi makro (karbohidrat, protein, dan lemak) serta zat gizi mikro (kalsium dan zinc). Aplikasi mobile bernama gizi anak stunting (GiAS) memiliki fitur yang dapat mendeteksi stunting, memantau pertumbuhan balita, merekomendasikan menu harian untuk balita, angka kecukupan gizi (AKG) tahun 2019, dan lainnya. Tujuan penelitian ini adalah kemudahan membedakan zat gizi makro, zinc, dan kalsium anak stunting dengan non-stunting usia 12–24 bulan menggunakan aplikasi android GiAS di Puskesmas Citeureup Kota Cimahi periode Juni–Juli 2020. Teknik pengambilan sampel adalah simpel random sampling sebanyak 88 responden. Jenis penelitian ini adalah analitik observasional dengan uji statistik adalah desain cross-sectional (α=0,05). Hasil penelitian  menggunakan Uji Mann-Whitney terdapat perbedaan karbohidrat (84,99±26,31 vs 151,16±68,43; p=0,001), protein (30,81±11,03 vs 60,55±38,43; p=0,001), lemak (32,80±15,39 vs 64,84±47,81; p=0,001), dan kalsium (0,55±0,40 vs 1,43±1,16; p=0,001) serta ada persamaan zinc (0,005±0,004 vs 0,010±0,016; p=0,084) sesudah 7 hari penggunaan aplikasi GiAS antara anak stunting dan non-stunting. Nilai probabilitas <0,05 berarti aplikasi dapat membandingkan zat gizi makro, zinc, dan kalsium antara anak stunting dan non-stunting pada hari ke-7. Analisis chi-square terlihat peningkatan berat badan dan tinggi badan balita pada 2 minggu dan 1 bulan (p=0,001). Simpulan, komparasi zat gizi makro, zinc, kalsium anak stunting dan non-stunting usia 12–24 bulan dapat dibedakan menggunakan aplikasi GiAS.


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