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.

scholarly journals Improvement Legal Aspects and Completeness of Documentation using Electronic Nursing Record: A Report Study

2019 ◽  
Vol 1 (2) ◽  
pp. 32-39
Author(s):  
Rr.Tutik Sri Hariyati ◽  
Krisna Yetti Malawat ◽  
Retno Purwandari ◽  
Effy Afifah
Keyword(s):  
Legal Aspect ◽  
Legal Aspects ◽  
Control Group ◽  
Nursing Documentation ◽  
Study Approach ◽  
Before And After ◽  
Post Test ◽  
Nursing Activity ◽  
Quality Of Nursing

Background: Completeness of documentation as a legal aspect and proof a nursing activity. Nothing documentation means nothing activity.Objective: The Purpose of research to identify the legal aspect and completeness of nursing documentation after applying electronic nursing documentation. Methods: Report study approach and using pre and post-test with the control group. Thirty Four documentation collected using consecutive sampling on one-week observation before and after using electronic nursing information. The research compared the legal aspect and completeness of data conducted before and after the implementation of the new system.Results: The study showed improvement of the legal aspects increased by 50% (4,40 to 8,00) and completeness documentation by 10.39%  (43,00 to 49,00) after used of a system.   Conclusion: Nursing Electronic Documentation improved legal aspect, completeness nursing and enhance the quality of nursing care. Recommendation: Electronic nursing documentation can be done to support and increase the quality of nursing.  

scholarly journals PENGARUH PENERAPAN TEKNIK KONSERVASI ENERGI DENGAN PEMBERDAYAAN DIRI TERHADAP KUALITAS HIDUP PASIEN GAGAL GINJAL KRONIK

2019 ◽  
Vol 9 (3) ◽  
pp. 219-224
Author(s):  
Nieniek Ritianingsih
Keyword(s):  
Quality Of Life ◽  
Energy Conservation ◽  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Group Design ◽  
Post Test ◽  
Test Control

Penyakit gagal ginjal kronis atau disingkat GGK, saat ini diakui sebagai prioritas kesehatan masyarakat di seluruh dunia. Pasien GGK akan mengalami  gangguan fisik dan psikologis sehingga mempengaruhi kualitas hidupnya. Teknik konservasi energi dengan pemberdayaan diri dapat diberikan pada pasien GGK dengan tujuan dapat meningkatkan energi, mengurangi fatigue dan kualitas hidup dapat meningkat. Penelitian ini bertujuan untuk mengetahui pengaruh penerapan teknik konservasi energi dengan pemberdayaan diri terhadap kualitas hidup pasien gagal ginjal kronik.Hipotesis penelitian ini adalah teknik konservasi energydengan pemberdayaan diridapat meningkatkan kualitas hidup pasien GGK.   Responden penelitian ini berjumlah 47 orang untuk kelompok intervensi dan untuk kelompok kontrol 47 orang responden. Penelitian ini merupakan penelitian kuantitatif menggunakan metoda kuasi eksperimental dengan pendekatan pre test – post test control group design. Hasil uji statistik didapatkan nilai p value 0,000 maka dapat disimpulkan ada perbedaan yang signifikan antara  kualitas hidup  kelompok kontrol dengankualitas hidup kelompok intervensi setelah dilakukan penerapan teknik konservasi energy. Perawat agar menerapkan tehnik konservasi energy sebagai suatu program terstruktur dari intervensi keperawatan bagi pasien GGK   Kata kunci : teknik konservasi energi, kualitas hidup, GGK   THE EFFECT OF THE APPLICATION OF ENERGY CONSERVATION TECHNIQUES WITH SELF-EMPOWERMENT TO THE QUALITY OF LIFE OF PATIENTS WITH CHRONIC RENAL FAILURE   ABSTRACT Chronic kidney failure or abbreviated CRF, is currently recognized as a public health priority throughout the world. GGK patients will experience physical and psychological disorders that affect their quality of life. Energy conservation techniques with self-empowerment can be given to CRF patients with the aim of increasing energy, reducing fatigue and quality of life can be increased. This study aims to determine the effect of the application of energy conservation techniques with self-empowerment to the quality of life of patients with chronic renal failure. The hypothesis of this study is conservation techniques of energy with empowerment can improve the quality of life of patients with CRF. The respondents of this study were 47 people for the intervention group and for the control group 47 respondents. This research is a quantitative research using a quasi-experimental method with a pre test - post test control group design approach. The statistical test results obtained p value 0,000, it can be concluded that there is a significant difference between the quality of life of the control group and the quality of life of the intervention group after the application of energy conservation techniques. The nurse is to apply energy conservation techniques as a structured program of nursing interventions for CRF patients   Keywords: energy conservation techniques, quality of life, CRF

scholarly journals The Effect of Compassion-Based Counseling on Marital Intimacy of Conflicted Couples

2019 ◽  
Author(s):  
Maryam Zahedi
Keyword(s):  
Marital Conflict ◽  
Intervention Group ◽  
Control Group ◽  
Statistical Population ◽  
Marital Intimacy ◽  
Counseling Intervention ◽  
Post Test ◽  
Quasi Experimental ◽  
And Control

Background: The occurrence of marital conflicts decreases the quality of communication between couples and marital intimacy. Therefore, the present study was conducted to determine the effect of compassion-based counseling on marital intimacy of conflicted couples in Isfahan. Methods: The research method was quasi-experimental with a pretest-posttest design and control group. The statistical population included all couples referring to Isfahan counseling centers in 1396. The sample size was 30 couples who were selected by purposive non-random sampling method and were randomly assigned to experimental and control groups. The intervention group received compassion-based counseling intervention for 8 sessions which lasted an hour and a half for 2 months. Then, subjects in both groups were examined. The instruments used were the marital conflict questionnaire and marital intimacy questionnaire. After collecting the questionnaires and extracting the raw data, data were analyzed by SPSS (version 23) using descriptive statistics and covariance analysis. Results: The results showed that compassion-based counseling had a significant effect on the marital intimacy of couples in the post-test phase (P < 0.0001). This treatment could increase the marital intimacy of conflicted couples. Conclusion: Based on the findings of the present study, it can be concluded that compassion-based therapy using techniques such as mindfulness training, empathy, and sympathy for oneself and managing difficult emotions can enhance the marital intimacy of the conflicted couples. In this regard, compassion-based therapy can be used as an effective treatment to increase the marital intimacy of conflicted couples.

scholarly journals Impact of a Postoperative Intervention Educational Program on the Quality of Life of Patients with Hip Fracture: A Randomized, Open-Label Controlled Trial

2020 ◽  
Vol 17 (24) ◽  
pp. 9327
Author(s):  
Francisco Javier Amarilla-Donoso ◽  
Raúl Roncero-Martín ◽  
Jesus Lavado-García ◽  
María de la Luz Canal-Macías ◽  
María Pedrera-Canal ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hip Fracture ◽  
Social Functioning ◽  
Educational Program ◽  
Bodily Pain ◽  
Intervention Group ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
The Impact

The objective of this study was to determine the impact of a postoperative educational intervention program on the health-related quality of life (HRQoL) of patients with hip fracture using a controlled clinical trial in a randomized, multicenter study. In total, 102 patients (45.5%) from trauma units at the two University Hospitals of the province of Cáceres received the educational program, whereas 122 (54.5%) did not. Patients were consecutively included in either an intervention or a control group. Patients from the intervention group received an educational program during admission and the postoperative period. Patients from the control group did not receive any educational program. These patients were managed according to routine protocols. The patients were predominantly female (76.3%), aged 84.6 years (SD 6.1). All dimensions in both groups at 12 months showed a significant decrease with respect to baseline, except for bodily pain in both groups (p = 0.447; p = 0.827) and social functioning in the intervention group (p = 0.268). Patients receiving the educational program showed higher levels in the dimensions of the Mental Component Summary (MCS-12) (p = 0.043), vitality (p = 0.010), and social functioning (p < 0.001), as well as in the dimensions of the SF-12 health survey questionnaire of HRQoL 12 months after surgery. In conclusion, our study of the intervention group showed that there were significant improvements in MCS-12, vitality, and social function dimensions compared to the control group.

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 A single Epley manoeuvre can improve self-perceptions of disability (quality of life) in patients with cp-BPPV: A randomised controlled trial in primary care.

2020 ◽  
Author(s):  
Ricard Carrillo Muñoz ◽  
Jose Luis Ballve Moreno ◽  
Ivan Villar Balboa ◽  
Yolanda Rando Matos ◽  
Oriol Cunillera Puertolas ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Intervention Group ◽  
Control Group ◽  
Perceived Disability ◽  
Self Perceptions ◽  
Perceptions Of Disability ◽  
The Impact

Abstract Background: Posterior canal benign paroxysmal positional vertigo (pc-BPPV) causes physical, functional, and emotional impairment. The treatment of choice is the Epley manoeuvre (EM). The purpose of the study was to compare the impact of the EM and a sham manoeuvre in primary care on self-perceived disability. Method: Randomised, double-blind, sham-controlled clinical trial conducted in primary care with a follow-up of 1 year. Patients aged ≥18 years old diagnosed with pc-BPPV according to the Dix-Hallpike test (DHT) were randomised to an intervention (EM) group or a control (sham manoeuvre) group. The main study covariables were age, sex, history of depression and anxiety, presence of nystagmus in the DHT, patient-perceived disability assessed with the Dizziness Handicap Inventory-screening version (DHI-S). Data were analyzed using bivariate and multivariate mixed Tobit analyses. Results: Overall, 134 patients were studied: 66 in the intervention group and 68 in the control group. Median age was 52 years (interquartile range [IQR], 38.25–68.00 years) and 76.12% of the patients were women. The DHT triggered nystagmus in 40.30% of patients. The median total DHI-S score for the overall sample at baseline was 16 (IQR, 8.00–22.00); 16 [IQR, 10.5–24.0] vs 10 [6.0–14.0] for women vs men ( P <0.001) and 16 [IQR, 10.0-24.0] vs 12 [IQR, 8.0–18.0] for patients without nystagmus vs those with nystagmus ( P =0.033).Patients treated with the EM experienced a mean reduction of 2.03 points in DHI-S score over the follow-up period compared with patients in the sham group. Conclusion: Pc-BPPV affects the quality of life of primary care patients. A single EM can improve self-perceptions of disability by around 2 points on the DHI-S scale, Trial registration : ClinicalTrials.gov Identifier: NCT01969513. Retrospectively registered. First Posted: October 25, 2013. https://clinicaltrials.gov/ct2/show/NCT01969513

scholarly journals Keefektifan Metode Microskill Untuk Meningkatkan Kualitas Supervisi Klinik

2012 ◽  
Vol 1 (2) ◽  
pp. 46
Author(s):  
Sunarko Sunarko ◽  
Ova Emilia ◽  
Harsono Mardiwiyoto
Keyword(s):  
Nursing Students ◽  
Clinical Supervision ◽  
Clinical Education ◽  
Nursing Student ◽  
Clinical Teaching ◽  
Intervention Group ◽  
Control Group ◽  
Post Test ◽  
Quasi Experimental

Background: Clinical education requires competent supervisor to guide student. Supervisory competency should be trained and closely monitored to ensure quality learning process taking place. The aim of this study is to evaluate the effect of micro-skill supervisory model to improve the supervision quality among nursing student. Method: The research used quantitative approach with quasi experimental design. Subject consisted 91 students of the third year Nursing students at Magelang Health Polytechnic. Students were divided into two groups: intervention group (44 students) and control group (47 students) using purposive sampling. Research questionnaire consisted of 21 items which were derived from 5 micro skill domains was used. Intervention was supervision using micro-skill model during 2 weeks in a rotation of clinical practice.Results: There was no difference of quality clinical supervision was used in the control group while in experiment group the pre and post test score was significantly different. The experiment group had higher quality of supervision. The study showed that only 9 items showed significant improvement of supervision and 12 items did not show any improvement.Conclusion: Clinical teaching using micro skill model is more effective in improving the quality of nursing student clinical supervision compare to the conventional method. 

scholarly journals Implementation of Integrated Nursing Models toward Patient Satisfaction in Mitra Medika Amplas Hospital, Medan, North Sumatra

2020 ◽  
Author(s):  
◽  
Destanul Aulia ◽  
Heru Santosa ◽  
Ida Yustina ◽  
◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Nursing Care ◽  
Care Delivery ◽  
Intervention Group ◽  
Control Group ◽  
Consecutive Sampling ◽  
Level Of Satisfaction ◽  
North Sumatra ◽  
Delivery Models ◽  
Test Result

ABSTRACT Background: The patient’s statement of the nurse’s poor and needy performance reflects dissatisfaction. Communities need patient-focused services, and the success of nursing care is determined mainly by choice of nursing care delivery models. This study aimed to determine implementation of integrated nursing models toward patient satisfaction in Mitra Medika Amplas Hospital, Medan, North Sumatra. Subject dan Method: This was a quasi-experiment with two group comparison conducted at Mitra Medika Amplas Hospital, Medan, Indonesia. A sample of 77 patients was selected by consecutive sampling. The data were collected by questionnare and analyzed by t-test. Result: The results showed that the level of satisfaction in the intervention group stated that 60 people were satisfied (78%) while the control group stated that 4 people were satisfied (5%). It was statistically significant (p<0,05). Conclusion: The level of patient satisfaction based on the dimensions of tangible quality, empathy, reliability, responsiveness and assurance was higher in the intervention group than in the control group. Keywords: integrated model, patient focused services Correspondence: Deli, Universitas Sumatera Utara Medan. Jl. Dr. T. Mansur No.9, Padang Bulan, Medan, North Sumatra 20222. Email: [email protected]. Mobile: 085361880118 DOI: https://doi.org/10.26911/the7thicph.04.22

scholarly journals Nurse staffing and patient-perceived quality of nursing care: a cross-sectional analysis of survey and administrative data in German hospitals

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e051133
Author(s):  
Vera Winter ◽  
Karina Dietermann ◽  
Udo Schneider ◽  
Jonas Schreyögg
Keyword(s):  
Nursing Care ◽  
Nurse Staffing ◽  
Perceived Quality ◽  
Secondary Outcome ◽  
Skill Mix ◽  
Staffing Levels ◽  
Hospital Units ◽  
The Impact ◽  
Quality Of Nursing

ObjectiveTo examine the impact of nurse staffing on patient-perceived quality of nursing care. We differentiate nurse staffing levels and nursing skill mix as two facets of nurse staffing and use a multidimensional instrument for patient-perceived quality of nursing care. We investigate non-linear and interaction effects.SettingThe study setting was 3458 hospital units in 1017 hospitals in Germany.ParticipantsWe contacted 212 554 patients discharged from non-paediatric, non-intensive and non-psychiatric hospital units who stayed at least two nights in the hospital between January and October 2019. Of those, 30 174 responded, yielding a response rate of 14.2%. Our sample included only those patients. After excluding extreme values for our nurse staffing variables and removing observations with missing values, our final sample comprised 28 136 patients ranging from 18 to 97 years of age (average: 61.12 years) who had been discharged from 3458 distinct hospital units in 1017 hospitals.Primary and secondary outcome measuresPatient-perceived quality of nursing care (general nursing care, guidance provided by nurses, and patient loyalty to the hospital).ResultsFor all three dimensions of patient-perceived quality of nursing care, we found that they significantly decreased as (1) nurse staffing levels decreased (with decreasing marginal effects) and (2) the proportion of assistant nurses in a hospital unit increased. The association between nurse staffing levels and quality of nursing care was more pronounced among patients who were less clinically complex, were admitted to smaller hospitals or were admitted to medical units.ConclusionsOur results indicate that, in addition to nurse staffing levels, nursing skill mix is crucial for providing the best possible quality of nursing care from the patient perspective and both should be considered when designing policies such as minimum staffing regulations to improve the quality of nursing care in hospitals.

scholarly journals Pengaruh Pijat Bayi Terhadap Bounding Attachment di Ruang Dahlia RSD dr. Soebandi Jember

2018 ◽  
Vol 6 (2) ◽  
pp. 323
Author(s):  
Sri Wahyuni ◽  
Dini Kurniawati ◽  
Hanny Rasni
Keyword(s):  
Family Support ◽  
Kangaroo Mother Care ◽  
Control Group ◽  
Research Use ◽  
Breastfeeding Initiation ◽  
The Public ◽  
Post Test ◽  
The Impact ◽  
Test Result

Bounding attachment is very important for newborn to be adapted to the new environment. Mother’stouch can help babies adapt to environmental differences between inside the womb and outside thewomb. How to improve the bounding attachment is early breastfeeding initiation, rooming in,kangaroo mother care for premature, and baby massage. The purpose of this research is todetermine the impact of baby massage to bounding attachment. The method of research was quasiexperimental with design of research pretest-post test with control group. This research is in Dahliaroom in dr. Soebandi general Hospital, with samples as 40 respondent with 20 people forexperimental group and 20 people for control group. The research use standard operationalprocedure of baby massage and quality of bounding attachment questionnaire. Take the sample bypurposive sampling. The results of research is give difference in average pretest-post test on theexperimental group of -7,35 whereas on the control group of -2,55. Statistic test result obtained the pvalue 0.001, this mean on the alpha 5% can be expressed there is influence of baby massage forbounding attachment. There are several factors that influence to the bounding attachment that isemotional health of parent, family support, the proximity and match of the parents and baby. Theresult of this research are recommended as the nursing treatment and to the public especiallymother postpartum.Keywords : baby massage, bounding attachment

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