scholarly journals Supervisi Kepala Ruangan Berdasarkan Kelengkapan Pendokumentasian Asuhan Keperawatan

2008 ◽  
Vol 12 (3) ◽  
pp. 187-192 ◽  
Author(s):  
Rostiani Dewi ◽  
Krisna Yetti ◽  
Dian Ayubi

AbstrakDokumentasi asuhan keperawatan merupakan hal penting karena pendekatan proses keperawatan menjadi kerangka akuntabilitas perawat profesional. Penelitian ini merupakan penelitian deskriptif kuantitatif dengan pendekatan cross sectional bertujuan untuk mengetahui hubungan komunikasi dan supervisi kepala ruangan dengan kelengkapan pendokumentasian asuhan keperawatan oleh perawat pelaksana di ruang rawat inap RS X Cianjur. Populasi dari penelitian ini adalah seluruh perawat yang bekerja di 11 ruang rawat inap. Sampel 106 perawat pelaksana yang merupakan total populasi. Pengumpulan data menggunakan kuesioner dan daftar tilik. Analisis statistik yang digunakan adalah regresi logistik model faktor risiko. Hasil analisis univariat menunjukkan bahwa perawat pelaksana rata-rata mempunyai persepsi kurang baik terhadap pelaksanaan komunikasi dan supervisi kepala ruangan dan didapatkan juga kelengkapan pendokumentasian asuhan keperawatan oleh perawat pelaksana belum baik dengan cut of point 80%. Analisis bivariat menunjukkan bahwa variabel komunikasi dan supervisi kepala ruangan berhubungan dengan kelengkapan pendokumentasian asuhan keperawatan oleh perawat pelaksana (p< 0,05). Hasil analisis multivariat menunjukkan bahwa variabel yang paling berpengaruh terhadap kelengkapan pendokumentasian asuhan keperawatan adalah supervisi. Penelitian ini kiranya dapat dimanfaatkan oleh pimpinan dan bidang keperawatan RS X Cianjur untuk dapat meningkatkan kinerja kepala ruangan maupun perawat pelaksana dengan pengoptimalan kegiatan supervisi keperawatan di ruangan melalui upaya pendidikan dan pelatihan baik secara formal maupun non formal. AbstractNursing care documentation holds the accountability aspect of professional nursing practice. This quantitative-descriptive research attempted to recognize the relationship between head of nurse’s communication and supervision with the completeness of nursing care documentation by staff nurse at Hospital X, Cianjur. The data was collected by using questionnaire and visitation list from 106 staff nurse that represented total population. The data was analyzed with the logistic regression of risk factor model. Univariate analysis result showed that staff nurse averagely had less positive perception toward the head of nurse’s communication and supervision. It was also revealed the nursing care documentation which was lack of comprehensiveness with cut of point 80%. The result of bivariate analysis indicated the significance correlation of head of nurse’s communication and supervision with the completion of nursing care documentation by staff nurse (p< 0,05). It was ultimately found that the completeness of nursing care documentation was mostly influenced by the head of nurse’s supervision. Thus, it is recommended to strengthen the supervision process and ability of the head of nurse to enhance the nursing care documentation quality by both formal and non-formal continuing education.

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
I Gusti Agung Ayu Sherlyna Prihandhani ◽  
Alfiery Leda Kio

Background: Caring behavior is the main focus act in nursing practice which contains humanistic values, a responsive attitude, and responsible for fulfilling patients’ expectations. The results of the patient satisfaction survey and observation result showed the lack of caring behavior of the attending nurses in Inpatient Ward of Wisma Prashanti General Hospital. This study aimed at determining the relation of nurses’ working motivation towards caring behavior of attending nurses in Inpatient Ward of Wisma Prashanti General Hospital Tabanan. Methods: The design of this study was cross-sectional using a quantitative approach. Data was collected by filling out questionnaires by 37 of attending nurses from Juni-August 2018 in Inpatient Ward of Wisma Prashanti General Hospital Tabanan. Data analysis included univariate and bivariate analysis with Kendall's Tau_b test. Result: Univariate analysis showed that most nurses had the high working motivation (89.2%) and had good caring behavior (91.9%). Bivariate analysis showed a significant relationship between working motivation and caring behavior of attending nurses in Inpatient Ward of Wisma Prashanti General Hospital Tabanan (p = 0,00). Conclusion: Fulfillment of the supporting factors of nurses’ working motivation is needed to maintain or improve the working motivation of nurses, therefore, nurses have an inner impulse to provide caring in order to provide optimal and professional nursing care.


2021 ◽  
Vol 13 (02) ◽  
pp. 179
Author(s):  
Sarwoko . ◽  
Titik Anggraeni ◽  
Titi Lestari

ABSTRAKLatar Belakang: Penyebab dari terjadinya infeksi phlebitis bisa disebabkan oleh hygiene petugas dan pasien yang kurang melakukan cuci tangan dengan benar. Perawat melakukan tehnik cuci tangan yang aktif untuk menghilangkan organisme gram negatif sebelum dan setelah  melakukan prosedur pemasangan infus. Tujuan: penelitian ini bertujuan untuk mengetahui hubungan antara cuci tangan dengan kejadian phlebitis pada pasien di Rumah Sakit. Metode: Penelitian ini menggunakan penelitian kuantitatif, deskriptif korelasi dengan  pendekatan cross sectional. Populasi nya adalah perawat dan pasien di Rumah Sakit. Metode sampling menggunakan metode purposive sampling dengan jumlah sampel 45 perawat dan pasien. Instrumen penelitian berupa lembar observasi pelaksanaan cuci tangan dan tanda-tanda phlebitis. Analisis univariat dengan distribusi frekuensi tabulasi dan analisis bivariat dengan uji korelasi Kendall-tau. Hasil: Pada penelitian cuci tangan didapatkan hasil mayoritas perawat sebanyak  93,3% telah melakukan prosedur cuci tangan dengan cukup baik sebelum maupun sesudah memasang infus pada pasien. Untuk kejadian phlebitis diketahui sebagian besar pasien tidak ada tanda-tanda plebitis dengan karakteristik tersebut sebanyak 82,2%. Hasil pengujian korelasi Kendall-tau diketahui nilai probabilitas (sig) = 0,000 pada taraf signifikan a 5%. Karena nilai  sig < 0,05. maka ada hubungan antar variabel. Simpulan: Terdapat hubungan yang cukup signifikan antara pelaksanaan cuci tangan dengan kejadian phlebitis di Rumah Sakit. Saran : Agar perawat  selalu melaksanakan  tindakan cuci tangan baik sebelum maupun setelah melakukan Tindakan khususnya dalam pemasangan infus untuk menjaga agar tidak terjadi infeksi nosokomial khususnya phlebitis sesuai dengan SOP yang telah adaKata kunci           :  cuci tangan, kejadian phlebitis, perawat, pasienHAND HYGIENE RELATIONSHIP WITH PHLEBITIS EVENTS AT JIH SOLO HOSPITALABSTRACTBackground: The cause of phlebitis infection can be caused by the hygiene of officers and patients who do not wash their hands properly. Nurses perform active hand washing techniques to eliminate gram-negative organisms before and after performing the infusion procedure. Objective: This study aims to determine the relationship between hand washing and the incidence of phlebitis in patients at JIH Hospital Solo. Methods: This study uses quantitative, descriptive correlation with a cross sectional approach. The population is nurses and patients at JIH Hospital Solo. The sampling method used purposive sampling method with a total sample of 45 nurses and patients. The research instrument was an observation sheet on the implementation of hand washing and signs of phlebitis. Univariate analysis with tabulated frequency distribution and bivariate analysis with Kendall-tau correlation test. Results: In the hand washing study, the majority of nurses as much as 93.3% had carried out the hand washing procedure quite well before and after installing an infusion on the patient. For the incidence of phlebitis, it is known that most patients have no signs of phlebitis with these characteristics as much as 82.2%. The results of the Kendall-tau correlation test are known to have a probability value (sig) = 0.000 at a significant level of 5%. Because the value of sig < 0.05. then there is a relationship between variables. Conclusion: There is a significant relationship between the implementation of hand washing and the incidence of phlebitis at JIH Hospital Solo. Suggestion: Nurses should always carry out hand washing both before and after taking actions, especially in infusion to prevent nosocomial infections, especially phlebitis in accordance with existing SOPs.Keywords: Hand Hygiene, Phlebitis Incidence, Nurses, Patients


2020 ◽  
Vol 3 (1) ◽  
pp. 289-294
Author(s):  
Masri Saragih ◽  
Rosetty Sipayung ◽  
Eva Kartika Hasibuan

The problem that often arises in the implementation of nursing care is that many nurses have not done a complete documentation of nursing care. The provision of incentives is one of the factors that influence the performance of nurses in documentation. This study aimed to identify the relationship between incentives and nurses' performance in documenting nursing care at Sari Mutiara Lubuk Pakam Hospital. The research design used a description of the correlation with the cross sectional approach. The population in the study were 56 nurses in the inpatient room. There were 56 respondents as total sampling for the sampling technique. Data collection tools used questionnaire sheets and observation sheets. The statistical test used the chi square test. The results of the univariate analysis for the incentive variable the majority of incentives were classified as high as 69,6% and the performance of nurses in the complete documentation was 67.8%. From the results of the bivariate analysis showed that there was a relationship between the provision of incentives and the performance of nurses in documenting nursing care (p = 0.017; p <0.05). It is hoped that nurses will be able to complete documentation not only because of a high incentive, but it is a nurse's responsibility that must be carried out.     Abstrak Masalah yang sering muncul dalam pelaksanaan asuhan keperawatan adalah banyak perawat yang belum melakukan pendokumentasian asuhan keperawatan secara lengkap. Pemberian insentif merupakan  salah satu faktor yang mempengaruhi kinerja perawat dalam pendokumentasian. Penelitian ini bertujuan untuk mengidentifikasi hubungan pemberian insentif dengan kinerja perawat  dalam pendokumentasian asuhan keperawatan di Rumah Sakit Umum Sari Mutiara Lubuk Pakam. Desain penelitian yang digunakan adalah deskripsi korelasi dengan pendekatan cross sectional. Populasi dalam penelitian adalah seluruh perawat di ruang rawat inap sebanyak 56 orang. Teknik pengambilan sampel total sampling sehingga  sampel sebanyak 56 responden. Alat pengumpulan data menggunakan lembar kuesioner dan lembar observasi. Uji statistik yang digunakan uji chi square.  Hasil dari analisa univariat untuk variabel pemberian insentif mayoritas pemberian insentif tergolong tinggi sebanyak 69,6% dan kinerja perawat dalam pendokumentasian lengkap 67,8%. Dari hasil analisa bivariat yang digunakan menunjukkan bahwa ada hubungan pemberian insentif dengan kinerja perawat dalam pendokumentasian asuhan keperawatan (p=0,017 ; p<0,05). Diharapkan agar perawat mampu melakukan pendokumentasian yang lengkap bukan hanya karena adanya suatu insentif yang tinggi, tetapi menjadi  suatu tanggung jawab perawat yang harus dilaksanakan.


2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Febriyeni Febriyeni

<pre>Chronic Energy Deficiency is a situation where the nutritional status someone is on the Less Good Condition. Among the 22 health centers in the district of Lima Puluh Kota, CED highest coverage at the health center are Banja Laweh Namely Case 17 (16.50%) of 103 pregnant mothers. Preliminary Survey of 10 pregnant women at health centers Banja Laweh, note 4 people (40%) of them suffered CED. Based on the findings of interviews stating Not pregnant women know the importance of the size upper arm circumference on Against her pregnancy, in addition to pregnant women consume no food Diversified, because lust Eating Less and Economics not sufficient. Objectives for review determine factors related to the occurrence of Chronic energy deficiency on pregnant women. Methods descriptive analytic with cross sectional approach. Data collection is done on Date in January-February 2017. CASE is a whole population of pregnant women in the region are working Health Center Banja Laweh Year 2017, amounted to 55 people, with sampling total sampling. Operating data analysis using univariate and bivariate statistical test Chi Square. Results of univariate analysis 87,3% of respondents experienced Genesis not CED, (60,0%) High Knowledge, (56,4%) Economy High, and 61,8% of Eating Well. Bivariate analysis known Relationship of Knowledge (p = 0.013 and OR = 12,000, Economics (p = 0.035 and OR = 10,000), and Diet (p = 0.019 and OR = 13,200) with the Genesis CED pregnant women. Can be concluded that the factors related to the occurrence of CED pregnant women is Science, Economics and the Diet. Expected to conduct monitoring of the health center and Supervision of pregnant women at risk Against The Genesis CED, so the negative impact of the CED can be addressed early on.</pre>


2020 ◽  
Vol 5 (2) ◽  
pp. 588
Author(s):  
Etlida Wati ◽  
Ulva Arini

<p>Documentation is an activity of recording, reporting or recording an event and activities carried out in the form of providing services that are considered important and valuable. One factor that can influence documentation is the nurse's workload. The purpose of this study is to identify the relationship between nurses' workload and the application of documentation in the Hj. Anna Lasmanah Banjarnegara. This  research is quantitative with a cross sectional approach descriptive correlation design. Samples were taken with a total sampling of 65 nurses. Instruments to measure documentation using observation sheets. While the nurse workload instrument uses a questionnaire sheet. The analysis technique uses Spearman Rank correlation. Based on the research results of the workload of a nurse in the hospital room , most of them are in the weight category, as many as 46 respondents (70.8%). Application of nursing care documentation in the hospital room Hj. Anna Lasmanah Banjarnegara, most of them are respondents in the incomplete category as many as 63 respondents (96.9%). There is a significant relationship between nurse workload with the application of documentation, this is evidenced by the results of the Spearman Rank correlation bivariate analysis, which is r = 0.688 with p = 0.000 &lt;0.05. It is hoped that management will motivate nurses to complete the documentation of nursing care</p>


Author(s):  
Rubiyati Rubiyati

ABSTRACT Antenatal Care is the care given to pregnant woman to monitor, support maternal health and maternal detect, whether normal or troubled pregnant women. Aki in Indonesia amounted to 359 in 100.000 live births. The purpose of the study was to determine the relationship between age and education in the clinic Budi Mulia Medika 2014. This study used a survey method whit cross sectional analytic. This is the overall study population of women with gestational age ≥36 weeks who come to visit the clinic Budi Mulia Medika Palembang on February 10 to 18. The study sample was taken in non-random with the technique of “accidental smapling “ with respondents who happens to be there or variable. The obtained using univariate and bivariate analysis using Chi-Square test statistic. The results of the univariate analysis showed that 83,3% of respondents did according to the standard prenatal care, high risk age 40,0 %, 60,0% lower risk of age, higher education 70,0%, 30,0% low education. Bivariate analysis showed that there was no significant relationship betwee age and pregnancy tests wit p value= 0,622, and significant relationship between education and prenatal care with p value= 0,019. From the results of this study are expected to need to increase outreach activities to the community about the importance of examination of pregnancy according to gestational age in an effort to reduse maternal mortality.   ABSTRAK Antenatal Care merupakan pelayanan  yang di berikan pada ibu hamil untuk memonitor, mendukung kesehatan ibu dan mendeteksi ibu, apakah ibu hamil normal atau bermasalah. Di Indonesia AKI berjumlah 359 per 100.000 kelahiran hidup. Tujuan penelitian adalah untuk mengetahui hubungan antara usia dan pendidikan dengan pemeriksaan kehamilan di klinik budi mulia medika tahun 2014. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi penelitian ini adalahseluruh ibu dengan usia kehamilan ≥ 36 minggu yang dating berkunjung ke Klinik Budi Mulia Medika pada tanggal 10-18 Februari. Sampel penelitian ini di ambil secara non random dengan tekhnik ‘’ Accidental Sampling’’ dengan responden yang kebetulan ada atau tersedia. Data yang di peroleh menggunakan analisis univariat dan bivariat menggunakan uji statistik Chi-Square. Hasil analisis univariat ini menunjukan bahwa 83,8% responden melakukan pemeriksaan kehamilan sesuai standar, 16,7% tidak melakukan pemeriksaan kehamilan sesuai standar, usia resiko tinggi 40,0%, usia resiko rendah 60,0%, pendidikan tinggi 70,0 %, pendidikan rendah 30,0 %. Analisis bivariat menunjukan bahwa tidak ada hubungan bermakna antara usia dengan pemeriksaan kehamilan dengan p value =0,622, ada hubunngan bermakana antara pendidikan dengan pemeriksaan kehamilan dengan p value = 0,019. Dari hasil penelitian ini di harapkan perlu meningkatkan kegiatan penyuluhan kepada masyarakat tentang pentingnya dilakukan pemeriksaan kehamilan sesuai dengan umur kehamilan sebagai upaya menurunkan angka kematian ibu.    


2016 ◽  
Vol 1 (2) ◽  
pp. 48-60
Author(s):  
Oktafiana Manurung ◽  
Ermawaty Arisandi Siallagan

According to the World Health Organization (WHO) Indonesian women have According to the World Health Organization (WHO) Indonesian women have very bad criteria in terms of health, marriage, employment, education, equality with men. This condition is thought to lead to low maternal access to antenatal care. Goals : Antenatal care in accordance with antenatal care standards may decrease Maternal and Infant Mortality due to regular antenatal care can detect early problems that occur in the mother during pregnancy.Methods : The type of this research is analytical descriptive with cross sectional design which aims to analyze the influence of access and motivation of pregnant mother to mother behavior in doing antenatal visit. The research was conducted in Pancur Batu Puskesmas Working Area. The population is 181 people and the sample size is 61 people. Data analysis was performed using univariate analysis, bivariate analysis with Chi-Square test, and multivariate analysis with multiple logistic regression test.Result : The result of this research indicate that physical accessibility variable is the availability of unrelated officer (p = 0,461) to mother behavior in antenatal visit, social accessibility variable (p = 0,005) and attitude (p = 0,023), and for motivation variable is motive P = 0.005) and expectations (p = 0.019) had a significant effect on maternal behavior in antenatal visits.Conclution : Based on the results of research suggested Head of Pancur Batu Puskesmas to conduct training to officers especially midwives who provide services mainly about hospitality in providing services and to officers implementing services further improve the communication of information and education so that every pregnant women have a good understanding that can eventually cause attitude Positive, high motivation and expectation that can affect the mother in conducting standardized antenatal visits.


2020 ◽  
Vol 5 (1) ◽  
pp. 36-42
Author(s):  
Yeviza Puspitasari

Hyperbilirubinemia is one of the clinical phenomena most often found in neonates occurring in the first week of life, which is also one of the factors causing infant death is influenced by the immature liver function of the baby to process erythrocytes (red blood cells), resulting in the accumulation of bilirubin. The purpose of this study was to determine the relationship of birth weight of infants with the incidence of hyperbilirubinemia in RSUD dr. Ibnu Soetowo Baturaja Ogan Komering Ulu Regency in 2019. This study uses analytic methods with a cross-sectional approach. The study population was all infants aged 0-7 days in the neonatal room at RSUD dr. Ibnu Soetowo Baturaja Ogan Komering Ulu Regency in 2019, with a random sampling. Data analysis uses univariate analysis and bivariate analysis using distribution tables and Chi-Square statistical tests, with a 95% confidence level. In the univariate analysis, of 203 respondents found 26.5% had hyperbilirubinemia and those without hyperbilirubinemia 72.5%, 24.6% of infants with LBW and non-LBW infants 75.4%. Bivariate analysis showed that there was an LBW relationship with the incidence of hyperbilirubinemia (p-value 0,000).


2020 ◽  
Vol 20 (3) ◽  
pp. 1043
Author(s):  
Elsi Setiandari L.O ◽  
Ari Widyarni ◽  
Aulia Azizah

Hypertension is a condition in which a person has an increase in blood pressure above normal as indicated by the systolic and diastolic numbers on blood pressure checks using a blood pressure measuring device. The incidence of hypertension in Southeast Asia is 24.7% and 23.3% of Indonesia's population. The results of the initial survey of blood pressure measurements and interviews obtained the results of blood pressure checks from 30 community members with the criteria not suffering from hypertension as many as 3 people and those suffering from pre-hypertension were 9 people and those suffering from hypertension were 18 people. The purpose of this study was to determine the analysis of the relationship between family history and physical activity with the incidence of hypertension in Indrasari Village, Banjar Regency. This research was conducted with an analytic observational research design and method cross sectional. The population in this study were all hypertension sufferers in Indrasari who met the criteria as many as 87 people. Data analysis used univariate analysis using frequency distribution and bivariate analysis using chi-square test. The results showed that from the results of the chi square test, there was correlation between family history, physical activity and the incidence of hypertension , the value was obtained p = 0.001 <α 0.005 and the value obtained p = 0.001 <α 0.005 was. Based on the results of the research analysis, it can be concluded that there is a relationship between family history and physical activity with the incidence of hypertension in Indrasari Village, Banjar Regency.


2019 ◽  
Vol 1 (1) ◽  
pp. 21-32
Author(s):  
Erina Efayanti ◽  
Tri Susilowati ◽  
Ida Nur Imamah

Swamedikasi adalah upaya pengobatan diri sendiri, biasanya dilakukan untuk mengatasi penyakit ringan, seperti demam, nyeri, pusing, batuk, influenza, diare, penyakit kulit. Badan Pusat Statistik  mengatakan bahwa masyarakat Indonesia yang melakukan swamedikasi sebesar 72,44%. Penelitian bertujuan untuk mengetahui hubungan motivasi dengan perilaku swamedikasi di Apotek Suganda Tangen Sragen. Penelitian analitik dengan rancangan penelitian cross sectional. Pengambilan sampel menggunakan tekhnik quota sampling dengan jumlah 90 responden, dengan subjek penelitian ini adalah pembeli yang membeli obat tanpa menggunakan resep dari dokter di Apotek Suganda Tangen Sragen, sedangkan instrument penelitian ini menggunakan kuesioner, analisa bivariate menggunakan uji Chi Square dengan taraf signifikasi (0,05). Hasil analisa univariate sebagian besar responden memiliki motivasi yang tinggi sebanyak 42 responden(46,7%), perilaku swamedikasi menunjukkan sebagian besar responden memiliki perilaku yang baik sebanyak 38 responden (42,2%). Hasil analisa bivariate menunjukkan nilai Exact Sig. (2-sided) (0,000) < 0,05. Terdapat hubungan motivasi dengan perilaku swamedikasi di Apotek Suganda Tangen Sragen.   Kata kunci : motivasi, perilaku, swamedikasi   RELATIONSHIP OF MOTIVATION WITH THE BEHAVIOR OF SELF MEDICATION                                                                   ABSTRACT Self-medication is an attempt self-medication, usually done to cope with minor illnesses, such as fever, pain, dizziness, cough, influenza, diarrhea, skin diseases.The Central Statistics Agency said that the Indonesian people who self-medication were 72,44%. The purpose of relationship of motivation with the behavior of self-medicationat theSugandaPharmacy Tangen Sragen.  Analytical research with cross sectional research design. Sampling using the dwarf quota sampling with a population of 90 respondents, with the subject of the research is the buyer who bought drugs without the use of a prescription from a Medical Doctor at theSuganda Pharmacy Tangen Sragen, while this research instrument using bivariate analysis questionnaires, using test Chi Square with the significance level (0.05). The results of the univariate analysis most respondents have a high motivation as much as 42 respondents (46,7%), behavioural self-medication showed most respondents have good behavior as much as 38 respondents (42.2%). Bivariate analysis results show the Exact value of the Sig (2-sided) (0.000) < 0.05. There is a relationship of motivation with the behavior of self-medicationat theSuganda Pharmacy Tangen Sragen.   Keywords: motivation, behavior, self-medication


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