scholarly journals ANALISIS FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN KINERJA PERAWAT DALAM MENERAPKAN ASUHAN KEPERAWATAN DI RUMAH SAKIT UMUM BETHESDA GMIM

2015 ◽  
Vol 3 (3) ◽  
Author(s):  
Fergie M. Mandagi ◽  
Jootje M. L. Umboh ◽  
Joy A. M. Rattu
Keyword(s):  
General Hospital ◽  
Nursing Care ◽  
Significant Relationship ◽  
Odds Ratio ◽  
Chi Square ◽  
Regression Test ◽  
The Relationship ◽  
Logistic Regression Test ◽  
Quality Of Nursing

Abstract: The performance of nurses at the inpatient room in General Hospital Bethesda GMIM Tomohon can be seen from the quality of nursing care. The performance of nurses in implementing nursing care is a quality indicator at a hospital. This study aimed to determine the relationship between motivation, competence, supervision and appreciation to the performance of nurses in implementing nursing care at the General Hospital Bethesda GMIM Tomohon. This was an observational study with a case control design. The case samples were the executive nurses at the inpatient room. The sampling method that was used was Lemenshow formula. The data were collected from questionnaire and observation sheet, and be analyzed with the chi-square bivariate and multivariate logistic regression test. The results showed that there was a significant relationship between motivation (OR 6,98, p=0,004), supervision (OR 4,69, p=0,019), and appreciation (OR 19,79, p=0,000) to the performance of nurses, meanwhile competence (OR 1,91, p=0,409) had no significant relationship with the performance of nurses. The multivariate analysis showed that appreciation was the most dominant variable that affected the performance with an Odds Ratio 16.513 and statistically significant (p=0.004). The nurse’s performance was associated with motivation, supervision and appreciaton. Therefore, those aspects that affect motivation, supervision and appreciaton of work need to be managed properly in order to achieve the best performance of nurses.Keywords: motivation, competence, supervision, apreciation, performance, nurseAbstrak: Kinerja perawat di ruangan inap Rumah Sakit Umum Bethesda GMIM Tomohon dapat ditentukan dari mutu asuhan keperawatan yang diberikan. Kinerja perawat dalam menerapkan asuhan keperawatan merupakan indikator mutu pada suatu rumah sakit. Penelitian ini bertujuan untuk mengetahui hubungan antara motivasi, kompetensi, supervisi dan penghargaan dengan kinerja perawat dalam menerapkan asuhan keperawatan di Rumah Sakit Umum Bethesda GMIM Tomohon. Metode yang digunakan dalam penelitian ini yaitu observasional dengan rancangan penelitian kasus kontrol. Sampel kasus dalam penelitian ini yaitu perawat pelaksana di ruang inap. Pengambilan sampel menggunakan rumus Lemenshow. Data dikumpulkan dengan kuesioner dan lembar observasi, kemudian dianalisis bivariat dengan chi-square dan multivariat dengan uji regresi logisik. Hasil penelitian didapatkan bahwa terdapat hubungan bermakna antara motivasi (OR 6,98, p=0,004), supervisi (OR 4,69, p=0,019) dan penghargaan (OR 19,79, p=0,000) dengan kinerja perawat, sedangkan kompetensi (OR 1,91, p=0,409) tidak terdapat hubungan bermakna dengan kinerja perawat. Analisis multivariat menunjukkan aspek penghargaan merupakan variabel paling dominan mempengaruhi kinerja dengan nilai Odds Ratio 16,513 dan bermakna secara statistik (p=0,004). Kinerja perawat sangat berhubungan dengan motivasi, supervisi dan penghargaan kerja perawat, sehingga aspek-aspek yang memengaruhi motivasi, supervisi dan penghargaan kerja perlu dikelola dengan baik untuk mendapatkan hasil kinerja perawat yang baik.Kata kunci: motivasi, kompetensi, supervisi, penghargaan, kinerja, perawat

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

e-NERS ◽  
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.

scholarly journals Correlation between Job Burnout and Fear of COVID-19 among ICU and CCU Nurses

2021 ◽  
Author(s):  
F. Golabi ◽  
M. B. Alizadeh Aghdam ◽  
H. Akbarian ◽  
M. M. Hosseini Mazraehshadi
Keyword(s):  
Nursing Care ◽  
Emotional Exhaustion ◽  
Maslach Burnout Inventory ◽  
Job Burnout ◽  
Personal Accomplishment ◽  
Occupational Burnout ◽  
Major Factors ◽  
The Relationship ◽  
Quality Of Nursing

Abstract Background: Occupational burnout among nurses is one of the major factors which affect the quality of nursing care. Assessing the relationship between burnout and its associated factors is one of the most basic things that should be done so that later, actions can be taken to reduce burnout. Fear of COVID-19 is one of the factors that can increase burnout of nurses during the Coronavirus Disease 2019(COVID-19) pandemic.Aim: To investigate the relationship between job burnout and fear of COVID-19 among ICU and CCU nurses.Methods: The Maslach Burnout Inventory (MBI) and the Fear of COVID-19 Scale (FCV-19S) were distributed to ICU and CCU nurses (n = 170) at Shahid Madani Cardiac Hospital, Tabriz, Iran, and the correlation between job burnout and fear of COVID-19 was calculated.Results: The results show that the level of emotional exhaustion and reduced personal accomplishment among participants of this study is average, and depersonalization is at a low level. Also, the level of fear of coronavirus is below average among the respondents. The research showed that emotional exhaustion and fear of COVID-19 were positively correlated (p < 0.05), but there was not any significant correlation between depersonalization and fear of Coronavirus; as the relationship between reduced personal accomplishment and fear of COVID-19. In addition, there were significant correlations between age and reduced personal accomplishment, as well as marital status and reduced personal accomplishment (p < 0.05). On the other hand, the results showed that there were not any significant correlations between gender and burnout dimensions, nor between educational degree and burnout dimensions.Conclusion: As job burnout reduces the quality of nursing care, managers must take strategies that reduce job burnout. One of the strategies that they can take is to reduce the fear of COVID-19 by taking wise strategies.

scholarly journals The relationship between autonomy, optimism, work engagement and organisational citizenship behaviour among nurses fighting COVID-19 in Wuhan: a serial multiple mediation

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e039711
Author(s):  
Hui Zhang ◽  
Yi Zhao ◽  
Ping Zou ◽  
Yang Liu ◽  
Shuanghong Lin ◽  
...  
Keyword(s):  
Nursing Care ◽  
Work Engagement ◽  
Cross Sectional Study ◽  
Mediation Model ◽  
Mediating Effects ◽  
Multiple Mediation ◽  
Cross Sectional ◽  
The Relationship ◽  
Quality Of Nursing

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.

scholarly journals Correlation between job burnout and Fear of COVID-19 among ICU and CCU Nurses (Case study: Shahid Madani Cardiac Hospital, Tabriz, Iran)

2021 ◽  
pp. 024-028
Author(s):  
Golabi Fatemeh ◽  
Alizadeh Aghdam Mohammad Bagher ◽  
Akbarian Hamed ◽  
Hosseini Mazraehshadi Mir Mojtaba
Keyword(s):  
Nursing Care ◽  
Emotional Exhaustion ◽  
Maslach Burnout Inventory ◽  
Job Burnout ◽  
Personal Accomplishment ◽  
Occupational Burnout ◽  
Major Factors ◽  
The Relationship ◽  
Quality Of Nursing

Background: Occupational burnout among nurses is one of the major factors which affect the quality of nursing care. Assessing the relationship between burnout and its associated factors is one of the most basic things that should be done so that later, actions can be taken to reduce burnout. Fear of COVID-19 is one of the factors that can increase the burnout of nurses during the Coronavirus Disease 2019(COVID-19) pandemic. Aim: To investigate the relationship between job burnout and fear of COVID-19 among ICU and CCU nurses. Methods: The Maslach Burnout Inventory (MBI) and the Fear of COVID-19 Scale (FCV-19S) were distributed to ICU and CCU nurses (n = 170) at Shahid Madani Cardiac Hospital, Tabriz, Iran, and the correlation between job burnout and fear of COVID-19 was calculated. Results: The results show that the level of emotional exhaustion and reduced personal accomplishment among participants of this study is average, and depersonalization is at a low level. Also, the level of fear of coronavirus is below average among the respondents. The research showed that emotional exhaustion and fear of COVID-19 were positively correlated (p < 0.05), but there was not any significant correlation between depersonalization and fear of Coronavirus; as the relationship between reduced personal accomplishment and fear of COVID-19. In addition, there were significant correlations between age and reduced personal accomplishment, as well as marital status and reduced personal accomplishment (p < 0.05). On the other hand, the results showed that there were not any significant correlations between gender and burnout dimensions, nor between educational degree and burnout dimensions. Conclusion: As job burnout reduces the quality of nursing care, managers must take strategies that reduce job burnout. One of the strategies that they can take is to reduce the fear of COVID-19 by taking wise strategies.

scholarly journals The Implementation Of 3S (SDKI, SIKI, SLKI) to The Quality Of Nursing Care Documentation In Hospital’s Inpatient Rooms

2020 ◽  
Vol 9 (2) ◽  
pp. 1323-1328
Author(s):  
Wiwin Sulistyawati ◽  
Susmiati Susmiati
Keyword(s):  
Nursing Care ◽  
Nursing Intervention ◽  
P Value ◽  
Hospital Inpatient ◽  
Chi Square ◽  
Cross Sectional ◽  
Nursing Diagnosis ◽  
Chi Square Test ◽  
Quality Of Nursing

The implementation of 3S (SDKI, SIKI, and SLKI) is a benchmark used as a guideline for the enforcement of nursing diagnosis, nursing intervention, and a nursing outsider to provide safe, effective, and ethical nursing care. This study aims to analyze the implementation of 3S on the quality of documentation in hospital inpatient rooms. Research design correlation analysis with the cross-sectional approach. The research sample of implementing nurses in hospital inpatient rooms who have implemented 3S. Sampling techniques use sampling quotas. Based on Chi-Square test results obtained, p-value = 0.001 < α 0.005 . It means there is a relationship of application of 3S to the quality of nursing care documentation in hospital inpatient rooms. Based on the results of this study, the Head of Nursing is expected to implement 3S to improve the quality of nursing care documentation, which will have an impact on improving the quality of nursing services

scholarly journals The relationships between moral distress and quality of nursing care in oncology nurses

2020 ◽  
Vol 26 (4) ◽  
pp. 366-373
Author(s):  
Sae Mi Kim ◽  
Yong Soon Shin
Keyword(s):  
Nursing Care ◽  
Moral Distress ◽  
Correlation Study ◽  
Oncology Nursing ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Distress Scale ◽  
The Relationship ◽  
Quality Of Nursing

Purpose: The study aimed to investigate the relationship between moral distress and the quality of nursing care.Methods: This cross-sectional correlation study included nurses working at oncology nursing units of two secondary general hospitals in Seoul and Gyeonggi-do, Korea. A total of 207 nurses participated. Moral distress was measured by the Moral Distress Scale-Revised Nurse Questionnaire and quality of nursing care was evaluated by the Quality of Oncology Nursing Care Scale. Data were collected from October 5 to 31, 2018. Data analysis included descriptive statistics, independent t-test, ANOVA, Pearson’s correlation coefficient and multiple regression analysis.Results: The quality of oncology nursing care showed a negative correlation with moral distress (r=-.19, <i>p</i>=.007). The factors affecting the quality of oncology nursing care were religion (β=-.22, <i>p</i>=.001), clinical experience in oncology units (β=.27, <i>p</i>=.007), and moral distress (β=-.16, <i>p</i>=.018). Moral distress showed a statistically significant predictive power of 13% in the regression model (F=8.70, <i>p</i>=<.001).Conclusion: The findings of this study suggest that management of moral distress is important to increase the quality of oncology nursing care.

scholarly journals Individual and Social Factors Affecting Nurses’ Attitudes Toward and Quality of Care Given to Patients Who Attempted Suicide

2018 ◽  
Vol 3 (2) ◽  
pp. 82
Author(s):  
Fariba Bolourchifard ◽  
Fatemeh Basaadat Kavkouhi ◽  
Ali Darvishpoor Kakhaki ◽  
Maliheh Nasiri
Keyword(s):  
Quality Of Care ◽  
Nursing Care ◽  
Significant Relationship ◽  
Work Experience ◽  
Attempted Suicide ◽  
Factors Affecting ◽  
The Social ◽  
Critical Patients ◽  
Quality Of Nursing

Introduction: Nurses are the first healthcare professionals who meet patients who attempt suicide, and their attitudes toward these patients may be important. The purpose of this study was to evaluate the effect of demographic factors on nurses’ attitudes toward patients who attempt suicide and the quality of nursing care that these patients receive.Materials and Methods: This descriptive-correlational study was performed using the convenience sampling method on 182 nurses working at selected hospitals of medical universities in Tehran, Iran. Data were collected using questionnaires that gathered information about demographics, nurses’ attitudes toward patients who attempted suicide, and the quality of nursing care provided. Data were analyzed by the Statistical Package for the Social Sciences v.20 software and by the Pearson test and t-tests.Results: Regarding social and mental aspects, we found no significant statistical relationship between age and work experience with respect to nurses’ attitudes toward and the quality of care provided to patients who attempted suicide, but women provided higher-quality nursing care than men (P=0.046). Although the relationship between education and quality of nursing care was statistically significant (P=0.007), we found no significant relationship between education and attitude.Conclusion: We found no significant relationship between age and work experience with respect to nurses’ attitudes toward, and the quality of care provided to, patients who attempted suicide, but women provided higher-quality nursing care than men. Furthermore, quality of care was higher from nurses who had a bachelor-level education, suggesting that higher-educated nurses should be recruited to care for critical patients.

Perception of care quality and ethical sensitivity in surgical nurses

2020 ◽  
Vol 27 (3) ◽  
pp. 673-685
Author(s):  
Selda Mert Boğa ◽  
Aylin Aydin Sayilan ◽  
Özlem Kersu ◽  
Canan Baydemİr
Keyword(s):  
Nursing Care ◽  
Holistic Approach ◽  
Care Quality ◽  
Working Environment ◽  
Ethical Sensitivity ◽  
Cross Sectional ◽  
Surgical Nurses ◽  
The Relationship ◽  
Quality Of Nursing

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.

scholarly journals DAMPAK IMPLEMENTASI MODEL PRAKTIK KEPERAWATAN PROFESIONAL TERHADAP MUTU ASUHAN KEPERAWATAN DI RUMAH SAKIT

2014 ◽  
Vol 7 (2) ◽  
pp. 41-47
Author(s):  
Ratna Sitorus
Keyword(s):  
Nursing Care ◽  
Care Delivery ◽  
Intervention Group ◽  
Family Satisfaction ◽  
Control Group ◽  
Chi Square ◽  
Post Test ◽  
The Impact ◽  
Quality Of Nursing

AbstrakPeningkatkan mutu asuhan keperawatan di rumah sakit memerlukan restructuring, reengineering, dan redesigning sistem pemberian asuhan keperawatan melalui implementasi Model Praktik Keperawatan Profesional (MPKP). Tujuan penelitian ini ialah untuk menilai dampak implementasi MPKP terhadap mutu asuhan keperawatan di rumah sakit. Disain penelitian adalah kuasi eksperimen dalam bentuk pre and post test with control group. Uji statistik yang digunakan adalah uji Chi-square dan uji t. Hasil penelitian menunjukkan bahwa pada kelompok intervensi (MPKP) terdapat peningkatan kepuasan klien dan keluarga (OR=114,24) yang lebih besar dibandingkan dengan peningkatan kepuasan klien dan keluarga pada kelompok kontrol (OR=3,78). Demikian juga terdapat peningkatan kepatuhan perawat terhadap standar yang lebih tinggi pada kelompok intervensi (OR=235,5) dibandingkan dengan kelompok kontrol (OR=0). Lama hari rawat lebih pendek pada kelompok intervensi. Angka infeksi nosokomial juga lebih rendah pada kelompok intervensi dibandingkan dengan kelompok kontrol. Penelitian ini menyimpulkan bahwa implementasi MPKP dapat meningkatkan mutu asuhan keperawatan di rumah sakit. Berdasarkan hasil tersebut, untuk memicu implementasi MPKP di berbagai rumah sakit, disarankan agar implementasi MPKP menjadi salah satu kriteria penilaian pada akreditasi rumah sakit khususnya pelayanan keperawatan AbstractIn order to improve the quality of nursing care in the hospital, nursing care delivery system need restructuring, reengineering, and redesigning through the implementation of Professional Nursing Practice Model (PNPM). The study was aimed to evaluate the impact of the PNPM on the quality of nursing care in the hospital. The design used was quasi experiment in pre and post test with control group. The statistic used are Chi-square and t-test. The result showed that in the intervention group, the improvement of client/family satisfaction with nursing care (OR = 114,28) was higher than the improvement in the control group (OR = 3,78). It was founded there was an improvement of the compliance of nurses to the standard was higher in the intervention group (OR = 235,5) compare to control group (OR = 0). The length of stay shorter in the intervention group, and also the nosocomial infection rate is lower in the intervention group compare to control group. The study concluded that the implementation of the PNPM could improve the quality of nursing care in the hospital. Based on this result, in order to challenge the implementation of PNPM in the hospital it was suggested that the implementation of PNPM becomes an evaluation criteria for hospital accreditation specifically for nursing service.

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