scholarly journals Peningkatan Supervisi Asuhan Keperawatan dan Pendokumentasiannya di Ruang Rawat Inap Dewasa di RSUD X Jakarta Pusat: Pilot Study

Author(s):  
Nunik Suryanti ◽  
Rr. Tutik Sri Hariyati ◽  
Umi Fatmawati

Background: One of the strategies to improve integrated care focused on patients is the supervision of nursing care and documentation. Aims: this study aims to describe the innovation project to improve supervision. Method: This study used the pilot study design to innovation and improvement with the PDSA approach and management function, designed a draft a guidelines, standard operating procedures, forms and fair guideline, socialization, role play, mentoring and evaluation with monitoring and evaluation to four head nurses on scheduled supervision, unscheduled and group directing. Results: the highest increase was 94.76% on group direction process, 70.83% nursing evaluation supervision, supervision more structured, frequency and duration that increased. The impact of nursing care increased 4.94% and documentation increased 7.18%. Conclusions: The improvement of supervision can be done, with pilot studies using tha PDSA approach and management functions to providing a guidance, standard operational procedures, fair guideline and checklist forms, socialization, mentoring and evaluation, supported by direct manager, motivated head nurse and staff. Recommendations: The results of this pilot study are expected to be considered to improve supervision, motivation to implementation, and monitoring and evaluating of supervision. Keywords: nursing care; head nurse; management; supervision ABSTRAK Latar Belakang: Salah satu strategi meningkatkan asuhan terintegrasi berfokus pada pasien adalah supervisi asuhan keperawatan dan pendokumentasiannnya. Tujuan: studi ini bertujuan mendeskripsikan project inovasi meningkatkan supervisi. Metode: Studi ini menggunakan desain pilot study dengan inovasi dan improvement dengan pendekatan PDSA dan fungsi manajemen, dengan merancang panduan, standar operasional prosedur, formulir supervisi dan petunjuk penilaian, disosialisasikan, pendampingan, role play dan dimonitoring dan evaluasi terhadap empat kepala ruang, baik supervisi terjadwal, tidak terjadwal dan pengarahan berkelompok. Hasil: peningkatan tertinggi adalah proses pengarahan berkelompok 94,76%, supervisi evaluasi keperawatan 70,83%, lebih terstruktur dan meningkat frekuensi dan durasinya. Dampaknya asuhan keperawatan meningkat 4,94% dan pendokumentasiannya meningkat 7,18%. Kesimpulan: peningkatan supervisi dapat dilakukan, dengan pilot study menggunakan pendekatan PDSA dan fungsi manajemen untuk menyediakan panduan, standar operational prosedur, petunjuk penilaian dan formulir berbentuk checklist, disosialisasikan, pendampingan dan dievaluasi, adanya dukungan atasan langsung, motivasi kepala ruang dan staf. Rekomendasi: Hasil pilot study ini diharapkan dapat menjadi bahan pertimbangan meningkatkan supervisi, memotivasi penerapannya, dan memonitoring dan evaluasi pelaksanaannya. Kata kunci: asuhan keperawatan; kepala ruang; manajemen; supervisi

2015 ◽  
Vol 4 (2) ◽  
pp. 51-66 ◽  
Author(s):  
Yvonne O'Connor ◽  
Ciara Heavin ◽  
John O'Donoghue

The trial and evaluation of mobile health (mHealth) applications in society is necessary to explore the potential use and benefits of the solution post-trial. In recent years, there is a proliferation of mHealth projects developed and tested in the continent of Africa. The complexity of these projects means that there are typically many stakeholders who are integral to the success of the project. Yet, extant research falls short of capturing the motivations and expectations of multiple key stakeholders (i.e. direct and indirect users) in a single study towards participating in mHealth pilots. To address this gap in research a conceptual model is proposed and examined to explore the impact of motivations and expectations on both community health workers' (direct users) and caregivers' (indirect users) decision to participate in mHealth pilot studies. Findings reveal that both motivations and expectations positively impact decision making, i.e. their decision to participate in the study, with no significant differences emerging between these two groups of stakeholders.


2020 ◽  
Vol 17 (6) ◽  
pp. 675-683
Author(s):  
Alisha Gupta ◽  
Gabrielle Ocker ◽  
Philip I Chow

Background Nearly half of newly diagnosed breast cancer patients will report clinically significant symptoms of depression and/or anxiety within the first year of diagnosis. Research on the trajectory of distress in cancer patients suggests that targeting patients early in the diagnostic pathway could be particularly impactful. Given the recent rise of smartphone adoption, apps are a convenient and accessible platform from which to deliver mental health support; however, little research has examined their potential impact among newly diagnosed cancer patients. One reason is likely due to the obstacles associated with in-clinic recruitment of newly diagnosed cancer patients for mHealth pilot studies. Methods This article draws from our experiences of a recently completed pilot study to test a suite of mental health apps in newly diagnosed breast cancer patients. Recruitment strategies included in-clinic pamphlets, flyers, and direct communication with clinicians. Surgical oncologists and research staff members approached eligible patients after a medical appointment. Research team members met with patients to provide informed consent and review the study schedule. Results Four domains of in-clinic recruitment challenges emerged: (a) coordination with clinic staff, (b) perceived burden among breast cancer patients, (c) limitations regarding the adoption and use of technology, and (d) availability of resources. Potential solutions are provided for each challenge. Conclusion Recruitment of newly diagnosed cancer patients is a major challenge to conducting mobile intervention studies for researchers on a pilot-study budget. To realize the impact of mobile interventions for the most vulnerable cancer patient populations, health researchers must address barriers to in-clinic recruitment to provide vital preliminary data in proposals of large-scale research projects.


2019 ◽  
Vol 108 ◽  
pp. 93-96
Author(s):  
KATARZYNA ŚMIETAŃSKA ◽  
PIOTR PODZIEWSKI

A human quality control system in furniture manufacturing – a pilot study. The article presents the results of pilot studies in which an attempt was made to check what the subjectivity of visual inspection looks like during the control of MDF delamination process in the milling process. 100% match of assessors’ scores was obtained only with low (VB = 0–0.08mm) and high (VB = 0.3–0.33mm) tool wear. In addition, the impact of gender on the results was significant. Women rated items less restrictively. Based on the results obtained, one can expect a problem with subjectivity when using a single-person human quality control system.


Mousaion ◽  
2016 ◽  
Vol 32 (2) ◽  
pp. 2-24 ◽  
Author(s):  
Andree-Jeanne Tötemeyer ◽  
Emmarentia Kirchner ◽  
Susan Alexander

The aim of this article is to report on a pilot study conducted in 2011 that preceded a main study undertaken in 2012, investigating the reading behaviour and preferences of Grade 6 Namibian students. The aims of the pilot study were to develop an easy to answer and reliable questionnaire; to enable emerging researchers to gain experience in data collection through small-scale sampling; and to test whether the instruments of data collection were covering the main aims of the study. The questionnaire was developed and tested three times on small groups before the pilot study. In all 226 students, both rural and urban, from three educational regions in Namibia were included in the pilot study. Vast differences in the students’ language ability and socio-economic situation were observed. The data analysis showed that the researchers underestimated the impact of the social desirability factor and the reading levels of the respondents. The questionnaire had to be drastically redesigned. Six further versions of the questionnaire were developed and tested before implementation in the main study. Careful reporting and recording of the pilot process ensured that a successful main study was conducted in 2012. While pilot studies are not frequently fully documented and reported on, it is argued that valuable lessons can be learnt from this honest report.


2002 ◽  
Vol 45 (3) ◽  
pp. 125-129 ◽  
Author(s):  
J. Van Assel ◽  
R. Carrette

In view of a European Innovation Project (DG XIII) on the application of the Urban Pollution Management (UPM) procedure, a European consortium was set up to carry out pilot studies in Belgium, France, Ireland, Italy and Portugal. On the Belgian pilot catchment of Tielt the impact from sewer system and sewage treatment plant (STP) on the receiving water courses was studied for both the existing situation and for a number of possible improvement schemes, using the Intermittent Standards, described in the UPM procedure. The integrated modelling revealed some interesting conclusions on the relative impact of the schemes considered.


2021 ◽  
Vol 39 (6) ◽  
Author(s):  
Evgenii N. Vodovozov ◽  
Illia A. Dmytriiev ◽  
Oksana I. Dmytriieva ◽  
Nataliya V. Spitsyna ◽  
Anatolii P. Mykolaiets

The article deals with issues of interaction of stakeholders in enterprises of transport sector. A theoretical definition of the concept of stakeholders is provided. It is noted that the system of interaction of the enterprise with stakeholders should include analysis of the specifics of the industry. The separation of stakeholders into external and internal agents is inadequate. The article proposes to classify stakeholders according to their functional direction. The analysis of stakeholder categories allowed to develop the author's methodology of creating a register of stakeholders to ensure more efficient further work with them. The peculiarities of interaction with stakeholders are defined depending on the stages of business processes implementation. As a result of the analysis, potential schemes of interaction with stakeholders at each stage of management functions implementation have been identified. Interaction with stakeholders is divided into direct and indirect. Ways of assessing the effectiveness of direct interaction in the course of each management function have been identified. To determine the impact of indirect interaction, the concept of development as an economic category has been introduced. A technique for assessment of the effectiveness of indirect interaction with stakeholders has been developed. In order to carry out the assessment, it is proposed to introduce a new indicator determining the performance of development processes – an indicator of assessment the efficiency of indirect interaction with stakeholders. Recommendations for further research of possibilities of increasing this indicator are given.


2018 ◽  
Vol 4 (4) ◽  

Objective: The continuous shift to non-communicable diseases in Oman require a more consistent inclusion of functioning and disability information in health monitoring and evaluation frameworks. Oman currently relies on the census to generate data on disability which is usually very limited in scope, and provides only rough prevalence estimates of persons with specific impairments. The lack of accurate, comprehensive and up-to-date information on disability is a major obstacle for planning services and allocating resources. Thus, there was a need to conduct a comprehensive population-based survey to fill this information gap. The pilot aimed to examine the feasibility of the Arabic version of the Model Disability Survey (MDS) in the cultural context of Oman, identify potential problems with the survey, and develop strategies to deal with them before a large national implementation is launched.Methods: The MDS is the tool recommended by the World Health Organization(WHO) to collect comprehensive data about functioning and disability to quantify both the impact of health conditions or impairments as well as the impact of the environment on disability. To determine the applicability of measuring disability, a pilot study was carried out in the North Batinah governorate of Oman with a convenience sample of 288 adults aged 18 year or older in collaboration with WHO. Results: The overall disability prevalence was estimated to be 14.6% (n=42) in the MDS pilot study calculated by determining the proportion of people in the population who experience severe performance problems. The overall results corroborated that the Arabic translation of the MDS survey tool works well in the field and is suitable for a large scale implementation, after minor revisions. Conclusion: Since the results of this pilot study in Oman show that the disability measurement survey tool has been successfully tested, we recommend that the MDS be extended and implemented nationally. It should also be integrated to existing routine household surveys to allow continuous monitoring of disability in countries.


2007 ◽  
Author(s):  
Danielle V. Shelov ◽  
Sonia Suchday ◽  
Jennifer P. Friedberg
Keyword(s):  

Sign in / Sign up

Export Citation Format

Share Document