scholarly journals HUBUNGAN BUDAYA ORGANISASI TERHADAP MUTU ASUHAN KEPERAWATAN

2019 ◽  
Vol 7 (3) ◽  
pp. 149
Author(s):  
Abdul Muhith ◽  
Rachma Rizqina ◽  
Diah Zulailah

Hospitals as health care institutions need to improve their skills, speed, ease and accuracy in performing nursing practice. The right organizational culture can easily direct and focus on improving the quality of nursing care. The purpose of this study to analyze the relationship of organizational culture with the quality of nursing care in RSI Sawatah Mojokerto Inpatient Room.This research used cross sectional approach. The population in this study were all nurses in RSI Sawatah Mojokerto Inpatient Room with the number of samples of 85 nurses with total sample technique. Measurers in this study used OCAI for Organizational culture and quality questionnaire of nursing care. Statistical analysis used was Spearman Rank test.The result of analysis was found that almost half of the nurses in SSI inpatient unit of RSI Sakinah Mojokerto embraced Hierarchy Organization Culture as many as 29 respondents (34.1%) and for Good Nursing Standards were 66 respondents (77.6%) while High Professional Performance Standards, was as many as 66 respondents (77.6%). Spearman test analysis results obtained significance value (p) = 0.018 which explains that there was Organizational Culture Relation with Nursing Care Quality in Inpatient Room RSI Sakinah Mojokerto. Hospitals as a place of health services should be able to develop appropriate organizational culture and improve the quality of nursing care through training, research, supervision, and other methods that are effective and efficient. Keywords: Nursing Care; Organizational Culture; Quality; Nurse.

2020 ◽  
Vol 8 (2) ◽  
pp. 112
Author(s):  
Kurnia Rahmawati ◽  
Anisah Ardiana ◽  
Dicky Endrian Kurniawan

Quality of service is a service that suits your needs, affordable, effective, efficient, and no risk to save on expenses. This study aimed to analyze the description of BPJS patient satisfaction with the quality of nursing service at inpatient ward of hospital in Jember. This was a cross sectional study. The subjects of this study were BPJS patients at inpatient ward at hospital in Jember. There were 120 respondents choosed by purposive sampling. Data were collected using the Patient Satisfaction with Nursing Care Quality Questionnaire (PNSCQQ). This study showed that the patient satisfaction is not optimal. Indicators of general perception of patients in each statement showed that 80 patients (63.5%) said the overall quality of health service received was good. The overall quality of nursing service was also said to be good by 80 patients (63.5%). As many as 90 patients (71.5%) agreed that they wanted to recommend one of the hospital in Jember to family and friends who needed help in terms of health service. This research showed that it is important to improve the quality of nursing service to increase patient satisfaction. Nurses need to improve nursing care. This research can be used as a reference and illustration for hospital management, and nurses are expected to implement and improve quality nursing service in order to achieve better health service so patient satisfaction will be increase.


2020 ◽  
Vol 27 (3) ◽  
pp. 673-685
Author(s):  
Selda Mert Boğa ◽  
Aylin Aydin Sayilan ◽  
Özlem Kersu ◽  
Canan Baydemİr

Background: It is stated that high ethical sensitivity positively affects the quality of nursing care. However, the relationship between nursing care quality and ethical sensitivity has not been clearly demonstrated in researches. Aim: This study was carried out to determine the relationship between surgical nurses’ care behaviors and their ethical sensitivity. Method: The sample of this cross-sectional, descriptive-correlational study consists of 308 nurses who worked at the surgical departments in four Turkish hospitals. The data were collected using the “Nurse Description Form” developed by the researcher, “Caring Behaviours Inventory-24” and “Ethical Sensitivity Questionnaire.” Data were evaluated by the Mann Whitney U test, Kruskal Wallis one-way analysis of variance and Spearman correlation analysis. Ethical considerations: The study was approved by the ethics committee. Verbal and written consent was received from the nurses. Results: It was found in the study that nurses’ Caring Behaviours Inventory-24 total score median was 5.25 (4.83–5.58), nurses’ perception level of caring quality was high, median of Ethical Sensitivity Questionnaire total score was 89.00 (75.00–101.00) and nurses’ ethical sensitivity was moderate. A negative significant relation was found between nurses’ Caring Behaviours Inventory-24 total score and Ethical Sensitivity Questionnaire total score (r = -0.162; p = 0.009). A negative relation was also detected between nurses’ working period at the current clinic and providing benefit (r = -0.147; p = 0.012), holistic approach (r = -0.139; p = 0.018) and orientation (r = -0.175; p = 0.003) scores of Ethical Sensitivity Questionnaire sub-scales. Conclusion: Nurses’ perception levels of caring quality were high and their ethical sensitivity levels were moderate. It was found out that nurses’ ethical sensitivity increased together with their perception of caring quality, and as their working period at the current clinic increased, the ethical sensitivity also increased in terms of the sub-scales of providing benefit, holistic approach, and orientation. The factors that adversely affect the quality of nursing care and ethical sensitivity should be examined and attempts should be made to improve the working environment.


2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Rusdi Rusdi

Background: Patients’ handover with SBAR method is one of the indicators in the patient safety target, yet at Dirgahayu Hospital data shows that to achieve effective communication: SBAR in the medical surgery ward for the January to September 2018 period is only 80% - 90% and there are some incident findings including KTD 8 events, KNC 3 events, KPC 3 events. Objective: To find out the Effectiveness of Handover with SBAR Method to the Nursing Care Quality. Method: This study used a descriptive analytic design with cross sectional approach, which was conducted in December 2018 and the number of samples was 92 people selected by using the proportionate random sampling technique. Variable measurements were performed using questionnaires and observation sheets. Results: the effectiveness of handover with SBAR method to the quality of nursing care at Dirgahayu Samarinda Hospital is at ρ-value = 0.001. Conclusion: Patients’ handover with SBAR method greatly influences the safety of patients in hospitals, so that it can improve the quality of nursing care.  


2021 ◽  
Vol 5 (1) ◽  
pp. 20-25
Author(s):  
Rosa del Pilar Efigenia Atoche Benavides ◽  
Martín Vargas Atoche

The objective of the research was to determine the quality of nursing care according to the perception of the patient admitted to the Hospital "Víctor Ramos Guardia" Huaraz. The hypothesis was: The perception of the quality of nursing care of patients admitted to the Víctor Ramos Guardia Hospital in Huaraz is good. The study was descriptive, correlational and cross-sectional, the sample consisted of 88 hospitalized patients, the processing and analysis was carried out according to the application of an 18-item questionnaire. The results: The quality of nursing care according to the perception of the patient admitted to the Víctor Ramos Guardia Hospital in the 2016 period with 55.7% was good, 65.9% the technical component, likewise 60.2% the interpersonal component and finally the component comfort of the environment 61.4% in the quality of nursing care as good. According to the sociodemographic variables: It was observed that female patients 37.5%, with a higher degree of education 37.5%, the marital status cohabitating 36.4%, Catholic religion 44.3% affirmed that the quality of nursing care was good, while those who resided in urban areas 44.3% reported that the quality of nursing care is poor. In conclusion, the quality of nursing care was good according to the perception of the patient admitted to the Víctor Ramos Guardia Hospital.


2014 ◽  
Vol 22 (3) ◽  
pp. 454-460 ◽  
Author(s):  
Juliana Santana de Freitas ◽  
Ana Elisa Bauer de Camargo Silva ◽  
Ruth Minamisava ◽  
Ana Lúcia Queiroz Bezerra ◽  
Maiana Regina Gomes de Sousa

OBJECTIVES: assess the quality of nursing care, the patients' satisfaction and the correlation between both.METHOD: cross-sectional study, involving 275 patients hospitalized at a teaching hospital in the Central-West of Brazil. The data were collected through the simultaneous application of three instruments. Next, they were included in an electronic database and analyzed in function of the positivity, median value and Spearman's correlation coefficients.RESULTS: among the nursing care assessed, only two were considered safe - hygiene and physical comfort; nutrition and hydration - while the remainder were classified as poor. Nevertheless, the patients were satisfied with the care received in the domains assessed: technical-professional, confidence and educational. This can be justified by the weak to moderate correlation that was observed among these variables.CONCLUSION: Despite the quality deficit, the patients' satisfaction level with the nursing care received was high. These results indicate that the institution needs to center its objectives on a continuing evaluation system of the care quality, aiming to attend to the patients' expectations.


Jurnal NERS ◽  
2020 ◽  
Vol 15 (2) ◽  
pp. 148
Author(s):  
Ni Komang Ayu Adnya Dewi ◽  
Ni Putu Emy Darma Yanti ◽  
Kadek Saputra

Introduction: Assessing the quality of nursing care has become a global health issue. especially for caregivers and recipients of care in the inpatient department. Patient satisfaction is one of the  indicators to measure quality of nursing care. This study aimed to identify the differences of patient satisfaction level in inpatient ward based on socio-demographic characteristics at Siloam Hospitals Bali.Methods: This study was cross-sectional design with descriptive comparative and correlation methods. Patient satisfaction data were collected using the Patient Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ) that was provided after the patient was discharged. Purposive sampling technique was used to determine 107 samples. The analytical tests used in this study were the Spearman correlation test, Mann-Whitney test and Kruskal-Wallis test.Results: The results of this study showed that there was a significant weak and negative correlation between the level of satisfaction and age of the patient (p = 0.017; r = -0.231; α <0.05). There were significant differences of patient satisfaction based on marital status (p = 0.036; α <0.05) and nationality status (p = 0.001; α <0.05), but there were no differences in patient satisfaction based on sex (p = 0.276; α <0.05) and education level (p = 0.434; α <0.05).Conclusion: This study concluded that social demographic characteristics of patients can influence the satisfaction, but only on age, marital and nationality status. This showed that inpatients provide good satisfaction evaluations of nursing care. The optimal nursing care needs to be maintained and improved, either routine evaluation or sustainable program development.


2014 ◽  
Vol 04 (01) ◽  
pp. 021-023
Author(s):  
Tamilselvi A. ◽  
Rajee Reghunath

Abstract:Traditionally quality of care has been measured against expectations of health professionals and standards rather than being grounded in the perspectives of patients. The most important aspect on which patients' perspective on quality of care depends is “nursing care” because nurses are involved in every aspect of patients' care in hospital. Thus, it is important to measure patients' perception of quality of nursing care in medical wards. A cross sectional descriptive study design was used and total of 50 patients recruited for the study by using purposive sampling technique. Patients' satisfaction with nursing care quality (PSNCQQ) questionnaire was used to measure the patients' perception of quality of nursing care after obtaining reliability. The results revealed that 34% of patients were between the age group of 21-40 years and half of them were males. The total mean score of patients' perception of quality of nursing care was 64.8 with standard deviation of (+) or (-) 13.2 and 40 patients' (80%) perceived overall aspect of quality of nursing care. There were 19 (38%) perceived low quality in the dimensions of providing information and skill and competency. This was supported by the results of the study revealed that almost 1/3 patients (31.6%) perceived that nurses did not offer adequate “explanation and information” about their treatment in hospital and home care and follow up advice. Thus, it was concluded that nurses need to improve their skill and competency and update their knowledge by attending continuing nursing education program and skill training workshops


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
N Skhvitaridze ◽  
T Lobjanidze ◽  
A Papidze ◽  
E Barjadze ◽  
N Landia

Abstract Aim To evaluate patients' satisfaction with the quality of nursing care and examine factors which affect their decision. Design A retrospective, cross-sectional, descriptive survey study. Methods Data were collected using a structured questionnaire in Georgian language was administered to the patients. The response rate was 93% and the final sample was composed of 173 patients who enrolled consequently after taking written informed consent. One hospital and one outpatient department in the capital city of Georgia were selected for the study setting. Data were collected during one month. Data on demography was collected. Descriptive and inferential statistics were applied accordingly using STATA version 17. Eligible criteria: Adults, capable of independent communication and who talk Georgian language, did not have any severe process or complications, were in the recovery stage, with no referral and discharging to home. Results Majority of respondents were aged between 56-65 years (50%), males (52.5%), residents of the capital city (70%), having higher education (80%) and employed (75%). Overall, 89% of patients described provided nursing care as an excellent. The most important factors, which affect patients' satisfaction are the waiting time before admission, safety of services, comfortable environment along with the proper level of care and attentiveness. These results can be generalized and may be useful in comparative studies of patient satisfaction. Key messages Permanent evaluation of nursing care is important to evaluate patients satisfaction. Factors as waiting time, safety of services, comfortable and friendly environment, and attentiveness are key for high level of satisfaction.


2016 ◽  
Vol 126 (1) ◽  
pp. 13-18 ◽  
Author(s):  
Marek Kos ◽  
Agnieszka Dziewa ◽  
Anna Ksykiewicz-Dorota ◽  
Bartłomiej Drop ◽  
Michał Kos

Abstract Introduction. The aim of the surveillance over infections is to define the critical points, lacks in knowledge of staff skills, as well as lack of equipment. It is aimed at preventing the same mistakes from being conducted all over again, instead of making those guilty suffer from consequences of their mistakes. Aim. The authors aimed at assessing the quality of nursing care procedures in terms of preventing post-operative wound infections. Materials and methods. The research was conducted in medical treatment, surgical and intensive care ward. A self-constructed questionnaire “Nursing care quality and prophylaxis of hospital-acquired infections” was used for the study. It was validated using the peer judges method. Results and conclusions. The highest nursing care coefficient was noted in county hospitals ( x̅ = 94.5%), while the lowest was noted in clinical hospitals ( x̅ = 91.3%). It was concluded that there is a deficit in adherence to procedures related to post-operative wound treatment.


BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e039711
Author(s):  
Hui Zhang ◽  
Yi Zhao ◽  
Ping Zou ◽  
Yang Liu ◽  
Shuanghong Lin ◽  
...  

ObjectivesHigh levels of organisational citizenship behaviour can enable nurses to cooperate with coworkers effectively to provide a high quality of nursing care during the outbreak of COVID-19. However, the association between autonomy, optimism, work engagement and organisational citizenship behaviour remains largely unexplored. This study aimed to test if the effect of autonomy on organisational citizenship behaviour through the mediating effects of optimism and work engagement.Study designThis was a cross-sectional study.SettingThe study was conducted in the Wuhan Jinyintan Hospital in China.ParticipantsIn total, 242 nurses who came from multiple areas of China to work at the Wuhan Jinyintan hospital during the COVID-19 epidemic participated in this study.MethodsA serial mediation model (model 6) of the PROCESS macro in SPSS was adopted to test the hypotheses, and a 95% CI for the indirect effects was constructed by using Bootstrapping.ResultsThe autonomy–organisational citizenship behaviour relationship was mediated by optimism and work engagement, respectively. In addition, optimism and work engagement mediated this relationship serially.ConclusionThe findings of this study may have implications for improving organisational citizenship behaviour. The effects of optimism and work engagement suggest a potential mechanism of action for the autonomy–organisational citizenship behaviour linkage. A multifaceted intervention targeting organisational citizenship behaviour through optimism and work engagement may help improve the quality of nursing care among nurses supporting patients with COVID-19.


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