scholarly journals HUBUNGAN INTENSI DENGAN PERILAKU PERAWAT DALAM PENDOKUMENTASIAN ASUHAN KEPERAWATAN DI INSTALASI GAWAT DARURAT

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Ardhiles Wahyu Kurniawan
Keyword(s):  
Health Care ◽  
Work Environment ◽  
Nursing Care ◽  
Care Process ◽  
Nursing Documentation ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Good Intention ◽  
Care Health

Abstract : The complex IGD work environment will affect the quality of care, health care, including inaccurate or incomplete documentation. Incomplete nursing documentation indicates that the nursing care process is not working properly and continuously. Intentionin documenting can predict the appearance of person behavior including the behavior of nurses, especially in documenting nursing care. The purpose of this study was to analyze correlation intention with nurse behavior in documenting nursing care in Emergency Installation. The research design used correlational analysis with cross sectional approach. The sample in this research is part of nurse of executing at IGD Rumkit TK II dr Soepraoen, IGD RS Panti Waluya Sawahan and IGD RS Islam Malang. The sample of 45 nurses IGD and 341 documents were selected according to inclusion and exclusion criteria. The result of statistical analysis of gamma that there is a significant correlation between intention and nursing documentation behavior evidenced by value of p = 0,000, positive correlation direction and strong correlation value is proved by r = 0,739. Hospital and nurse IGD is expected to develop a good intention then formed good nursing documenting behavior as well.Keywords : Nurse IGD, Intention, Nursing Documentation. Abstrak: Lingkungan kerja IGD yang kompleks akan mempengaruhi kualitas perawatan, pelayanan kesehatan, termasuk dokumentasi yang dilakukan tidak tepat atau tidak lengkap. Dokumentasi keperawatan yang tidak lengkap menunjukkan proses asuhan keperawatan tidak berjalan dengan baik dan berkesinambungan. Intensi dalam pendokumentasian dapat memprediksi munculnya perilaku seseorang termasuk perilaku perawat khususnya dalam pendokumentasian asuhan keperawatan. Tujuan penelitian ini untuk menganalis hubungan intensi dengan perilaku perawat dalam pendokumentasian asuhan keperawatan di Instalasi Gawat Darurat. Desain penelitian menggunakan analysis correlationaldengan pendekatan cross sectional. Sampel dalam penelitian ini adalah sebagian perawat pelaksana di IGD Rumkit TK II dr Soepraoen, IGD RS Panti Waluya Sawahan Malang dan IGD RS Islam Malang. Sampel berjumlah 45 perawat IGD dan 341 dokumen dipilih sesuai dengan kriteria inklusi dan ekslusi. Hasil analisis statistik uji gammamenunjukkan terdapat hubungan signifikan antara intensi dengan perilaku pendokumentasian keperawatan dibuktikan dengan nilai p = 0,000, arah korelasi positif, dan nilai korelasi kuat dibuktikan dengan nilai r = 0,739. Rumah Sakit dan perawat IGD diharapkan mengembangkan intensi yang baik sehingga diharapkan terbentuk perilaku pendokumentasian keperawatan yang baik pula. Kata Kunci : Perawat IGD, Intensi, Dokumentasi Keperawatan.

scholarly journals A clinical audit report on quality of nursing documentation at Jigme dorji Wangchuck national referral Hospital, 2018

2019 ◽  
Vol 5 (2) ◽  
pp. 15-20
Author(s):  
Kencho Zangmo ◽  
Tshering Dema ◽  
Bhagawat Acharya ◽  
Sonam Sonam ◽  
Tshering Choden ◽  
...  
Keyword(s):  
Nursing Care ◽  
Oral Communication ◽  
Referral Hospital ◽  
Care Process ◽  
Sources Of Information ◽  
Nursing Documentation ◽  
Cross Sectional ◽  
National Referral Hospital ◽  
Quality Of Nursing

Introduction: Whether it is a written documentation or an oral communication, the practice and delivery of healthcare is debated to be critically dependent on effective and efficient communication. Nursing documentation is one of the principal sources of information about patient care and an important tool for communication. This descriptive study assessed both quantitative completeness and quality of nursing documentation by major in-patient units of Jigme Dorji Wangchuck National Referral Hospital. Methods: This cross-sectional study used D-catch tool. Data of randomly selected 317 patient records from six major in-patient units were entered into EpiData file. Using STATA version IC/14, descriptive statistics and multi variable analysis were carried out. Results: Overall quantitative completeness (M-3.4, SD-.59) of the nursing documentation was higher compared to the quality of the documents maintained (M-2.8, SD-.79). The basic and less time-consuming information such as admission data and vital signs charting are documented better compared to the more time consuming and complex documentation such as nursing care process. Conclusion: Systems should not only be in place to enhance documentation quantitatively but also consider uplifting the quality of the documents maintained. Initiating centralized admission system in the hospital may reduce nurses’ burden of clerical documentation, which will allow them to focus on quality nursing documentation and overall nursing care of patients.

scholarly journals The sexuality of a colostomized person as a major component of quality of life and nursing care

2017 ◽  
Vol 7 (8) ◽  
pp. 104
Author(s):  
Cristilene Akiko Kimura ◽  
Ivone Kamada ◽  
Dirce Bellezi Guilhem ◽  
Breno Silva de Abreu De Abreu ◽  
Renata Costa Fortes ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Sexual Activity ◽  
Nursing Care ◽  
Social Issues ◽  
Regional Hospital ◽  
Qualitative Approach ◽  
Educational Process ◽  
Care Process

The colostomized person's perceptions regarding sexuality and sexual activity is a major component of quality of life and nursing care, however due to several limitations, the questionnaire only approach, although validated for such applications, has not enough resolution, due to its qualitative approach, to capture more delicate aspects of the impact of an ostomy onto a otherwise healthy patient. In order to correct such bias, a exploratory-descriptive study of a qualitative approach based on Bardain’s content analysis was conducted.  80 colostomized participants were recruited from Stomatology Outpatient Clinics in the Hospital de Base, Regional Hospital of Asa Norte and the Regional Hospital of Gama, Distrito Federal, Brazil. Data was collected through a clinical and sociodemographic questionnaire, as well as an individual interview. The results are presented in five categories: self-concept, leakage issues, odor and gases, stigma, sexual activity and companionship. The analysis suggests that the fulfillment of nursing care ideals, through clear and objective communication, results in the colostomized person's care and can favor in the acceptance of their new way of living. The exchange of knowledge and practices between the colostomized patient and the medical care support crew, in special the nursing care, allows the establishment of strategies that contribute gradually to the full health care, promoting the improvement of the QoL of both the colostomized person as well his/her partner. It is concluded that health services should provide care process in health and nursing, with the purpose of guaranteeing means for the planning of a holistic implementation of health care. This planning should include the psychological support and the educational process that develops one's ability for self-care, which may interfere in the role of sexuality and sexual activity, in addition to the physiological, psychological and social issues.

scholarly journals Kepatuhan Perawat dalam Melakukan Dokumentasi Asuhan Keperawatan

2020 ◽  
Vol 3 (1) ◽  
pp. 17-23
Author(s):  
Ni Kadek Erna ◽  
Ni Luh Putu Thrisna Dewi
Keyword(s):  
Nursing Education ◽  
Nursing Care ◽  
Self Efficacy ◽  
P Value ◽  
Nursing Documentation ◽  
Cross Sectional ◽  
Nursing Services ◽  
Cross Sectional Design ◽  
Spearman Test

Introduction: Nurses' lack of understanding and non-compliance in nursing documentation resulted in low quality of documentation and nursing services. One of factors which affects nursing documentation is self-efficacy. The purpose of this study was to know the correlation of self-efficacy and the compliance of nurses in the nursing documentation. Methods: This research used cross-sectional design with the descriptive documentation approach. The sample of the study was 23 nurses in a hospital recruiting with a nonprobability technique type i.e. total sampling. The inclusion criteria in this study were nurses who were willing to be respondents and had at least a diploma in nursing education. The instrument used was a self-efficacy questionnaire and the nursing care documentation compliance observation sheet. Data analysis used Rank Spearman test with the meaning level 0.05. Results: Most of nurses had high self-efficacy (69.9%) and majority nurse obey in nursing care documentation (73.9%). The statistic test showed p value = 0.000 < (0.05) with r = 0.898. Conclusion: This result confirmed that there is a relation between self-efficacy and the compliance of nurses in nursing documentation at hospital.

scholarly journals The Influence of In-House Training Towards The Accuracy of Nursing Care Documentation

2020 ◽  
Vol 9 (2) ◽  
pp. 523-527
Author(s):  
Sr Felisitas A Sri S ◽  
Emy Sutiyarsih
Keyword(s):  
Nursing Care ◽  
Care Process ◽  
P Value ◽  
Nursing Documentation ◽  
Continuous Training ◽  
Legal Evidence ◽  
Post Test ◽  
Quasi Experimental ◽  
Ongoing Evaluation

Nursing documentation can be used as legal evidence if there are lawsuits. Therefore, nursing documentation must be done systematically and continuously.  The aim of this study was to analyze the effect of in-house training about nursing care documentation to the accuracy of documenting nursing care at X hospital. This study was a quasi-experimental study with one group post-test design. The population of nurses at X hospital. The respondents were nurses that were randomly selected from all wards at X hospital. The ANOVA test was used for data analysis. The results of this study stated that there was a significant influence of in-house training on the accuracy of documentation of nursing care, with p-value = 0.000 < 0.05. In conclusion, the findings highlight that continuous training in nursing care process will be able to improve the quality of nursing care documentation. However, it is recommended to conduct an ongoing evaluation.

scholarly journals Percepción de los pacientes sobre los cuidados de enfermería en el contexto de la crisis del COVID-19

2021 ◽  
Vol 20 (4) ◽  
pp. 26-60
Author(s):  
Marta María Blanco-Nistal ◽  
Macrina Tortajada Soler ◽  
Zaida Rodríguez-Puente ◽  
María Teresa Puente-Martínez ◽  
Carlos Méndez-Martínez ◽  
...  
Keyword(s):  
Health Care ◽  
Nursing Care ◽  
Health Care Professionals ◽  
Nursing Practice ◽  
Negative Impact ◽  
Three Dimensions ◽  
Basic Medium ◽  
Cross Sectional ◽  
Daily Work

Antecedentes: La pandemia de COVID-19 ha alterado considerablemente los procedimientos habituales de los sistemas sanitarios en todo el mundo. El trabajo diario se ha vuelto física y emocionalmente agotador para los profesionales sanitarios, obligados a afrontar y adaptarse a nuevos retos y situaciones estresantes. Esta situación pesa sobre la práctica diaria de enfermería.Objetivo: El presente estudio tuvo como objetivo determinar la percepción del paciente sobre los cuidados de enfermería humanizados recibidos durante su estancia hospitalaria.Método: Se realizó un estudio descriptivo, cuantitativo, transversal, en el que se realizaron entrevistas telefónicas a 357 personas >18 años que ingresaron durante más de 24 horas en el Hospital de León con el fin de evaluar la percepción del paciente. Uno de los instrumentos utilizados fue la Escala de Percepción de Conductas del Cuidado de Enfermería Humanizado (PCHE), para evaluar en tres dimensiones (D): cualidades de la práctica de enfermería (D1), apertura a la comunicación enfermera-paciente (D2) y disposición al cuidado (D3). El otro instrumento utilizado fue una encuesta de satisfacción institucional para conocer la opinión sobre la calidad de la atención al cliente en el área de hospitalización.Resultados: El porcentaje de pacientes que puntuaron como “siempre” cada dimensión fue: D1 = 91,2%; D2 = 81,4%; y D3 = 87,8%. La satisfacción del paciente obtuvo una puntuación media de 4,6 sobre 5. Conclusión: A pesar del impacto negativo del COVID-19 en el sistema de salud, los pacientes percibieron la atención de enfermería humanizada recibida como muy satisfactoria. Background: The COVID-19 pandemic has heavily altered regular procedures of healthcare systems worldwide. Daily work has become physically and emotionally exhausting for health care professionals, forced to face and adapt to new challenges and stressful situations. This situation weighs on the daily nursing practice and might have an impact on the quality of care provided and on the level of satisfaction perceived by hospitalized patients. Thus, the present study aimed to determine the patient’s perception of humanized nursing care received during their hospital stay. Methods: A descriptive, quantitative, cross-sectional study was carried out, in which telephone interviews were conducted in 357 people >18 years of age who were admitted for more than 24 hours to the Hospital de León in order to asses patient´s perception. One instrument used was The Perception of Behaviors of Humanized Nursing Care Scale (PCHE), to evaluate in three dimensions (D): qualities of nursing practice (D1), openness to nurse–patient communication (D2), and willingness to care (D3). In addition, an institutional satisfaction survey was performed to know the opinion on the quality of customer service in hospitalization area. Results: The percentage of patients scoring as “always” every dimension was: D1 = 91.2%; D2= 81.4%; and D3= 87.8%. Patient satisfaction obtained a mean score of 4.6 out of 5. 42.3% of population were men and 57.7% were women, most in the age range 61–75 years. The predominant marital status and educational level were married and basic–medium, respectively. Conclusion: Despite the negative impact of COVID-19 in the health care system, patients perceived humanized nursing care received as very successful.

scholarly journals Evaluations related to the quality of health and nursing care of patients after abdominal surgery

2014 ◽  
Vol 13 (1) ◽  
pp. 25-30
Author(s):  
Natalja Istomina ◽  
Artūras Razbadauskas ◽  
Arvydas Martinkėnas
Keyword(s):  
Health Care ◽  
Abdominal Surgery ◽  
Nursing Care ◽  
Health Care Quality ◽  
Significant Others ◽  
Care Quality ◽  
Care Process ◽  
Abdominal Operations ◽  
Quality Of Nursing

Background / objectiveEvaluations of the health care quality of patients after abdominal operations are significant for the improvement of health care quality in all hospitals. However, there are a lot of discussions how to evaluate the patient’s opinion and attitudes. The aim of the present study was to analyze patients’ evaluations of the quality of abdominal surgical nursing care.MethodsA multicenter, cross-sectional, analytical study was performed. The study was conducted in 11 abdominal surgical wards at Lithuanian hospitals. The data were collected in June 2007 and January 2008. Patients (n = 1208) after abdominal operations participated in the study. A GNCS-P with the response rates of 74 % was used. The data were analyzed statistically.ResultsThe co-operation with significant others and the progress of the nursing and health care process were evaluated lowest by patients. The patient age and satisfaction were the factors related to the quality of nursing care.ConclusionsThe abdominal surgical nursing and health care is a specific surgical area in which different patients are involved; however, all of them expect the good quality of health care before, during, and after abdominal surgery. The process of nursing care in abdominal surgery is specific because of the limited time of patient hospitalization, usually multiple patients’ diagnosis, as well as multiple contacts and relationships with many different staff. Surgical patient participation in the process of health care should be based on the effective relationship and co-operation among patients, medical specialists, and significant others, which is necessary and imperative for increasing the quality of abdominal surgical nursing care.Key words: health and the quality of nursing care, surgical health care, abdominal surgery, patient evaluations.Pacientų po pilvo operacijų sveikatos priežiūros ir slaugos kokybės vertinimai Įvadas / tikslasPacientų po pilvo operacijų sveikatos priežiūros kokybės vertinimai yra reikšmingi siekiant gerinti ligoninės paslaugų kokybę. Tačiau daug diskutuojama, kaip būtų galima vertinti pacientų nuomonę ir požiūrį į kokybę. Tyrimo tikslas – išanalizuoti pacientų sveikatos priežiūros ir slaugos kokybės vertinimus.MetodaiTyrimui atlikti buvo pasirinktas daugiacentris aprašomasis tyrimo metodas. Pacientų apklausa vyko 2007 m. birželio–2008 m. sausio mėn. septynių Lietuvos ligoninių 11-oje pilvo chirurgijos skyrių. Pacientai (n=1208), kuriems atlikta pilvo operacija,apklausti paskutinę hospitalizacijos dieną. Klausimynų grįžtamumas 74 proc. Atlikta statistinė duomenų analizė.RezultataiBendradarbiavimą su paciento artimaisiais ir sveikatos priežiūros pažangą pacientai įvertino blogiausiai. Pacientų amžius ir pasitenkinimas sveikatos priežiūra turėjo koreliacinį ryšį su sveikatos priežiūros kokybe.IšvadosPacientų po pilvo operacijų sveikatos priežiūra ir slauga yra specifinė chirurgijos sritis. Visi jie tikisi gauti kokybiškas paslaugas prieš operaciją, jos metu ir po jos. Slaugos procesas pilvo chirurgijoje yra savitas ir todėl, kad pacientų hospitalizacijos laikas yra ribotas, jie dažnai serga gretutinėmis ligomis, turi daug kontaktų ir santykių su personalu. Pacientų dalyvavimas sveikatos priežiūros procese turi būti grindžiamas efektyviais jų santykiais ir bendradarbiavimu su medikais ir savo artimaisiais, nes nuo to priklauso paslaugos kokybės tobulinimas.Reikšminiai žodžiai: sveikatos priežiūros ir slaugos kokybė, chirurginė sveikatos priežiūra, pilvo operacija, pacientų vertinimai

Assisting People With Their Living, Not Their Dying: Health Professionals’ Perspectives of Palliative Care and Opioids in ILD

2021 ◽  
pp. 104990912110186
Author(s):  
Lauren Russo ◽  
Karen Willis ◽  
Natasha Smallwood
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Palliative Care ◽  
Health Care System ◽  
Therapeutic Relationships ◽  
Specialist Palliative Care ◽  
Cross Sectional ◽  
Symptom Palliation ◽  
Care System

Objectives: Interstitial lung disease (ILD) is a debilitating and life-limiting condition, requiring multi-disciplinary care. While guidelines recommend early specialist palliative care referral to improve symptoms and quality of life, few patients access such care towards the end-of-life. This study aimed to explore clinicians’ perspectives regarding specialist palliative care and opioids to understand barriers to optimal care and guide clinical practice improvement initiatives. Methods: A cross-sectional, exploratory, qualitative study was undertaken with Australian respiratory clinicians caring for people with ILD (n = 17). In-depth, semi-structured interviews were audio-recorded, transcribed verbatim and coded. Thematic analysis was undertaken to extrapolate recurring ideas from the data. Results: Four themes were identified: 1) understanding how to improve patient care and support, 2) the need to dispel stigmatized beliefs and misconceptions, 3) the importance of trusted relationships and good communication and 4) the challenges of navigating the health-care system. Participants discussed the need to implement early specialist palliative care and symptom palliation to alleviate symptoms, provide emotional support and augment quality of life. Participants described challenges accessing palliative care and opioids due to stigmatized beliefs amongst patients and clinicians and difficulties navigating the health-care system. Trusted therapeutic relationships with patients and strong inter-disciplinary partnerships with collaborative education and communication were perceived to improve patients’ access to symptom palliation. Conclusion: Specialist palliative care and opioids were believed to improve patients’ quality of life, however, many barriers can make accessing such care challenging. To address these issues, multi-disciplinary collaboration, high-quality communication and trusted therapeutic relationships are crucial throughout the ILD illness journey.

scholarly journals Family Health Strategies: Profile/quality of life of people with diabetes

2018 ◽  
Vol 71 (6) ◽  
pp. 2899-2906 ◽  
Author(s):  
Claudete Moreschi ◽  
Claudete Rempel ◽  
Daiana Foggiato de Siqueira ◽  
Dirce Stein Backes ◽  
Luis Felipe Pissaia ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Women Elderly ◽  
Family Income ◽  
Family Health ◽  
Cross Sectional Study ◽  
Care Process ◽  
Cross Sectional ◽  
Significant Difference ◽  
Epidemiological Profile

ABSTRACT Objective: To evaluate the quality of life and to analyze the epidemiological profile of people with diabetes treated in Family Health Strategies. Method: A cross-sectional study carried out with 350 people with diabetes. Results: Most people with diabetes are women, elderly, married, white, with low educational level, retired/pensioners, family income of up to two minimum wages. As the time of people with the disease increases, their quality of life decreases. People with complications from diabetes have a lower quality of life, with a statistically significant difference. Conclusion: Knowledge of the sociodemographic characteristics, clinical evaluation and quality of life of people with diabetes can improve the care process provided to this population.

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