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

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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Gambaran Pelaksanaan Supervisi Kepala Ruang Terhadap Perawat Pelaksana Dalam Keselamatan Pasien

Jurnal Kepemimpinan dan Manajemen Keperawatan ◽

10.32584/jkmk.v2i1.165 ◽

2019 ◽

Vol 2 (1) ◽

pp. 23

Author(s):

Maria Hariyati Oktaviani ◽

Muhamad Rofii

Keyword(s):

Research Design ◽

Nursing Care ◽

Standard Operating Procedures ◽

Assessment Instruments ◽

Descriptive Research ◽

Care Services ◽

Standard Operating ◽

Before And After ◽

Quality Of Nursing

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

Jurnal Keperawatan Indonesia ◽

10.7454/jki.v7i2.132 ◽

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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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 Nurse Performance in Patient Safety Target Based on Knowledge Management: SECI on Quality of Nursing Services

International Journal of Indonesian National Nurses Association (IJINNA) ◽

10.32944/ijinna.v1i1.29 ◽

2018 ◽

Vol 1 (1) ◽

pp. 1-12

Author(s):

Harif Fadhillah (Corresponding author) ◽

Nursalam ◽

Muhammad Hadi

Keyword(s):

Knowledge Management ◽

Patient Safety ◽

Statistical Tests ◽

Intervention Group ◽

Control Group ◽

Nursing Services ◽

Before And After ◽

Quasi Experimental ◽

Quality Of Nursing

Appropriate knowledge management will improve nurse performance. There have been numerous studies on nurse performance, but studies on nurse performance of Knowledge management: SECI in Indonesia have not been widely reported and therefore researchers interested in conducting this study. This study aims at identifying the effect of performance in patient safety target based on Knowledge Management: SECI on the quality of nursing services in Jakarta Islamic Hospital of Pondok Kopi. The study employed quasi experimental design of pre and posttest with control group. The respondents were nurses who worked in the inpatient unit with a sample size of 24 respondents in the intervention group and 37 respondents in the control group. The instrument used to measure pre-posttest was patient safety developed by Nasution (2013) with validity value of 0.444-0.772 and reliability of Cronbach’s Alpha of 0.950; and the adverse events developed by the researchers. Intervention protocols in the form of performance in patient safety target based on Knowledge Management: SECI were given through training. The analysis employed statistical tests of Mann Whitney and Wilcoxon. The study found that there was a change in patient safety before and after intervention in the intervention group rather than in the control group. There were differences in the scores of patient safety/quality of nursing care after treatment in the intervention group and the control group. The study recommends regular training for nurses concerning performance in patient safety target based on Knowledge Management: SECI, and further studies in different hospitals.

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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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