Gambaran Pelaksanaan Supervisi Kepala Ruang Terhadap Perawat Pelaksana Dalam Keselamatan Pasien

The implementation of supervising the head of a room in one hospital in Semarang has not been optimal due to the absence of a schedule, assessment instruments, guidance, documentation of supervision results, and standard operating procedures (SOP) supervision. Supervision activities are incidental in accordance with needs and have not been implemented in a structured and well-documented manner. The writing of this article aims to find out the description of the implementation of head supervision in a hospital in Semarang. This study uses descriptive research design. The subjects in this study were all heads of inpatient rooms. The object of this research is the implementation of the supervision of the head of the room according to the SOP and the results of documentation of the implementation of supervision. The instrument in this study used a draft sheet for evaluation of the superficial room leader evaluation. Shows that there is a change in the implementation of supervision based on the SOP before and after the dissemination of supervision is carried out to the head of the room. Documented supervision results can help the head of the room to see the extent of the ability of staff and can jointly improve capabilities, correct errors in improving the quality of nursing care services. The implementation of supervising the head of a room in one of the Semarang hospitals needs to be improved, especially in terms of post-supervision documentation, development of thematic supervision themes, and structured supervision scheduling.

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KAJIAN TENTANG KUALITAS AIR FOUNTAIN (Studi Kasus Air Fountain di Taman Bungkul Kota Surabaya)

GEMA LINGKUNGAN KESEHATAN ◽

10.36568/kesling.v11i1.174 ◽

2013 ◽

Vol 11 (1) ◽

Author(s):

Yuliana Ngasarotun ◽

Narwati . ◽

Imam Thohari

Keyword(s):

Standard Operating Procedure ◽

Laboratory Measurements ◽

Treatment Unit ◽

Descriptive Research ◽

Standard Operating ◽

Before And After ◽

Microbiological Parameters ◽

Onsite Treatment ◽

Composite Samples

People are doubtful to drink from water fountain provided in amusement parks. In addition, itwas whose has the contamination to other users. It was occured becausethe controllers to the faucet ofdrinking water. This research is aimed at studying water quality of a drinking fountain, before and afterthe onsite treatment processesat the unit located in Tarnan.Bunqkul Surabaya.This is a descriptive research, where water samples were drawn as a composite samples, twice aday (morning and afternoon) sampling takes before and after processing the fountain water treatmentunit. Data were collected through laboratory measurements on physical characteristics (smell, color,turbidity, taste, temperature), microbiological parameters (coliform MPNindex), chemical quality (iron andpH) and through organoleptic determination that include smell, color, taste, as well as visual observationson the state of the water fountain and associated treatment unit. Collected data were tabulated andanalyzed as is.Results of physical, microbiological, and chemical examinations showed that parameters were inaccordance with designations in the Ministry of Health Regulation No 492/Menkes/PER/IV/2010. Resultsofthe first and second laboratory analysis indicated decreased levels of color, turbidity, temperature, coliformMPN,iron, pH. However in the second examination the water temperature increased (0.004%).The study concluded that water fountain suitable for consumption. For the maintenance of thewater fountain quality the study suggested that people should wash their hands prior to using the waterfountain and observe the Standard Operating Procedure (SOP).Keywords :drinking water fountain, contaminants, transmission of the disease

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Effectiveness of implementing evidence based practices guidelines regarding blood transfusion on quality of nursing care and patients' safety in Pediatric Units

Journal of Nursing Education and Practice ◽

10.5430/jnep.v10n10p33 ◽

2020 ◽

Vol 10 (10) ◽

pp. 33

Author(s):

Orban Ragab Bayoumi ◽

Nahed Saied Mohamed El-Nagger

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Blood Transfusion ◽

Nursing Care ◽

Evidence Based ◽

Before And After ◽

Evidence Based Nursing ◽

Quality Of Nursing ◽

Nurses Knowledge

Background and objective: The new trend that widely accepted in health care institutions is to implement an evidence-based practice. Health facilities frequently integrate standards of practice that reveal current best evidence to increase patients’ outcomes and consequently decrease hospital cost. Transfusion of blood is a cornerstone in managing many critically ill children. However, nurses have a chief role in transfusing blood and their knowledge and performance are important for them to transfuse blood safely and efficiently. Aim: Evaluate the effectiveness of implementing evidence based nursing practices guidelines on quality of nursing care and patients' safety as regards blood transfusion to improve transfusion practices and ensure safety.Methods: A quasi-experimental design. Settings: This study was conducted at Pediatric Intensive Care Unit, Neonatal Intensive Care Unit, Emergency Room, Medical and Surgical Wards, Hematology/Oncology Units in Children Hospital affiliated to Ain Shams University Hospitals. Sample: A convenience sample composed of 95 pediatric nurses, whom were willingness to participate in the study and 78 children whom were receiving blood transfusion. Tools: I. A Self-Administered Questionnaire Sheet to assess nurses’ knowledge regarding blood transfusion; II. Child’s Medical Record to collect data about child’s health status; III. An Observational Competence Checklist to assess the quality of actual nurses’ practices about Blood Transfusion; and IV. Evidence Based Nursing Practices Guidelines of Blood Transfusion that was described the EBNP guidelines that provide a standardized approach for transfusion (before and after).Results: The studied nurses’ knowledge and practices regarding to blood transfusion were improved and reflected a highly significant differences before and after guidelines implementation.Conclusions: The present study concluded that studied nurses showed an improvement in their knowledge and practices regarding blood transfusion after implementation of evidence based nursing practices guidelines. Recommendation: It is essential that all nurses who administer blood transfusion for children should complete periodic in-services training programs to keep them up to date regarding to safe and efficient administration of blood transfusion.

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Effect of a staffing strategy based on voluntary increase in working hours on quality of patient care in a hospital in KwaZulu-Natal

Curationis ◽

10.4102/curationis.v32i2.915 ◽

2009 ◽

Vol 32 (2) ◽

Cited By ~ 3

Author(s):

J. McIntosh ◽

E.L. Stellenberg

Keyword(s):

Patient Care ◽

Nursing Care ◽

Working Hours ◽

Chi Square ◽

Quality Patient Care ◽

Before And After ◽

Staffing Strategy ◽

Chi Square Test ◽

Quality Of Nursing

Two of the issues facing the South African Health Care System are the shortage of nursing staff and a lack of adequate skills to provide quality patient care. The hospital under study experienced a critical shortage of applications from professional registered nurses, consequently a staffing strategy was implemented to overcome the shortage of nurses and to maintain quality patient care. The strategy introduced encouraged nurses to voluntarily work an additional ten hours per week with remuneration. A non-experimental, descriptive design with a quantitative approach was applied to investigate the effect of a staffing strategy aimed at improving the quality of care in a hospital in Kwa-Zulu Natal based on voluntarily increasing staff working hours. The investigation compared the quality of nursing care before and after the implementation of the staffing strategy through retrospective audits of randomly selected patient files 372 (11%) of the total population of 400 files were audited. A random sample of 4 boxes each containing a 100 patient files, of a total of 34 boxes, was selected from the hospital filing system. Descriptive statistical analyses were performed and correlations between various variables using the Chi-square test. No statistically significant differences (p<0.05) were found between the quality of nursing care before and after the implementation of the management strategy, even though deterioration of results after the implementation was observed. The study shows that the quality of nursing care in most wards deteriorated after implementation. The staffing strategy failed to improve or maintain the quality of nursing care.

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Effect of Simulation-based Medical Education in Small Groups on Improving the Quality of Nursing Care in Patients Under Electroconvulsive Therapy

Journal of Medical Education ◽

10.5812/jme.120303 ◽

2021 ◽

Vol 20 (4) ◽

Author(s):

Fatemeh Shakeri ◽

Kourosh Zarea ◽

Dariush Rokhafroz ◽

Elham Maraghei

Keyword(s):

Medical Education ◽

Nursing Care ◽

Small Groups ◽

Electroconvulsive Therapy ◽

Intervention Group ◽

Simulation Method ◽

Simulation Based ◽

Before And After ◽

Quality Of Nursing

Background: Considering the high risk and vital nature of electroconvulsive therapy (ECT) process, as well as the subsequent intensive, essential, and life-saving cares, it is necessary to promote the skills of nurses providing this kind of care. Objectives: This study aimed to determine the effect of simulation on developing the quality of care in nurses working in the ECT department. Methods: This experimental study compared two groups before and after the intervention. Fifty nurses who met the inclusion criteria were randomly allocated into two groups of intervention and control. Low-tech (static) task trainer was used for simulation-based medical education (SBME) in the intervention group. Data were collected using a checklist to investigate the quality of nursing care before and after the intervention. Results: The mean scores obtained from initial preparation subscales, preparation of tools and equipment, measures during ECT, post-ECT measures, and checking patient’s status in pre-test and post-test in the intervention group were significantly different. This suggests that simulation intervention in small groups is effective in improving the quality of nursing care in ECT (P < 0.05). Conclusions: Our results showed that promoting ECT nursing care knowledge among the nurses in small groups by simulation method is an effective intervention.

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HUBUNGAN KUALITAS PELAYANAN KEPERAWATAN DENGAN TINGKAT KEPUASAN PASIEN RAWAT INAP DI IRINA A RSUP PROF DR R D KANDOU MANADO

e-NERS ◽

10.35790/ens.v1i1.1769 ◽

2013 ◽

Vol 1 (1) ◽

Author(s):

Angela Christin Tiwa ◽

Jimmy Posangi ◽

Herman Warouw

Keyword(s):

Patient Satisfaction ◽

Nursing Care ◽

Chi Square ◽

Cross Sectional ◽

Patient’S Satisfaction ◽

Care Services ◽

Relationship Of ◽

The Relationship ◽

Quality Of Nursing

Abstract: A service although can be counted satisfy to patient but the aplication do not according to the ethical code and atandart, it is not a quality service. It is, therefore very important the role of nursing care is very important the affect the patient's satisfaction. The purpose of research know is to the relationship of quality nursing care to the level of satisfaction of hospitalized patients at the department of Irina A Prof Dr R D Kandou Manado. The study design is using observational analytic cross-sectional approach. The Population of the patients who cared at department of Irina A Prof Dr R D Kandou Manado with the average of 180 patients a month. Sixtyvive samples were used in this research . The data is processed by using univariate and bivariate chi square calculations. The results show the relationship of quality nursing care to inpatient satisfaction majority of good quality (58.5%) and poor (41.5%) and to the satisfaction of the majority of the patients were less satisfied (50.8%) and the satisfied (49.2%). As a Conclusion, there is a significant correlation between the quality of nursing care with the patient satisfaction and quality of serviceis assumed as good. As a suggestion the quality of nursing care services of hospital management should be further enhance which can support the profesionalism of the nurses, so the patient satisfaction archieved can be maximized. Keywords: nursing service, patient satisfaction. Abstrak: Suatu pelayanan sekalipun di nilai dapat memuaskan pasien tetapi penyelenggaraannya tidak sesuai dengan kode etik dan standar bukanlah pelayanan yang bermutu. Oleh karena itu perawat sangat berperan penting dalan pelayanan keperawatan karena berpengaruh dengan kepuasan pasien. Tujuan penelitin mengetahui hubungan kualitas pelayanan keperawatan dengan tingkat kepuasan pasien rawat inap di Irina A RSUP Prof Dr R D Kandou Manado. Desain penelitian observasional analitik dengan pendekatan cross sectional. Populasi seluruh pasien yang berada di ruang rawat inap Irina A RSUP Prof Dr R D Kandou Manado dengan rata-rata pasien per bulan sebanyak 180. Sampel penelitian 65 pasien. Data diolah secara univariat dan bivariat dengan menggunakan perhitungan chi square. Hasil penelitian menunjukkan hubungan kualitas pelayanan keperawatan dengan tingkat kepuasan pasien rawat inap mayoritas kuaitas pelayanan keperawatan yang baik (58,5%) dan yang kurang baik (41,5%) dan untuk kepuasan mayoritas pasien kurang puas (50,8%) dan yang puas (49,2%). Kesimpulan terdapat hubungan yang bermakna antara kualitas pelayanan keperawatan dengan tingkat kepuasan pasien dan kualitas pelayanannya sudah baik. Saran pihak manajemen rumah sakit hendaknya lebih meningkatkan lagi kualitas pelayanan keperawatan yang dapat menunjang profesionalitas seorang perawat sehingga tingkat kepuasan pasien bisa maksimal. Kata Kunci: pelayanan keperawatan, kepuasan pasien.

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EFFECT OF NANDA-I, NIC, AND NOC DOCUMENTATION SYSTEM TRAINING ON QUALITY OF NURSING CARE DOCUMENTATION IN THE PERINATAL WARD OF YOGYAKARTA REGIONAL PUBLIC HOSPITAL

Belitung Nursing Journal ◽

10.33546/bnj.770 ◽

2019 ◽

Vol 5 (5) ◽

pp. 180-191

Author(s):

Enny Eko Setyaningrum ◽

Intansari Nurjannah ◽

Anik Rustiyaningsih

Keyword(s):

Nursing Care ◽

Public Hospital ◽

Nursing Intervention ◽

Control Group ◽

Nursing Documentation ◽

Documentation System ◽

Significant Difference ◽

Before And After ◽

Quality Of Nursing

Background: The existing standard of nursing language consists of NANDA-I for diagnostic language standard, Nursing Intervention Classification (NIC) for nursing intervention, and Nursing Outcome Classification (NOC) for nursing outcomes. One way to improve the quality of nursing care documentation is to provide training in the documentation system.Objectives: To determine the effect of providing NANDA-I, NIC, and NOC (NNN) nursing care documentation systems training on the quality of nursing documentation.Methods: This was a pre-experimental study with pretest posttest design without a control group. Twenty-one nurses and eighty-six Medical Records (MR) of patients who were treated in the perinatal ward of Yogyakarta Regional Public Hospital were used as samples selected using purposive sampling. Those nurses were trained in the nursing care documentation system. The quality of nursing care documentation was measured using modified Quality of Diagnoses, Interventions and Outcomes (Q-DIO) instrument. Data were analyzed using Independent samples t-test with a confidence level of 95%.Results: The average of the scores of the quality of nursing documentation before training was lower (1.91) than the average after training (2.78). There was a significant difference in the quality of nursing documentation before and after training (p < 0.001).Conclusion: Training of NNN nursing documentation system could improve the quality of nursing documentation in the perinatal ward of Yogyakarta Regional Public Hospital.

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