Pengembangan program pelatihan edukator tuberkulosis paru

The training and development of nursing educators in management of pulmonary tuberculosis Background: The quality of education in patients is a key element in the quality of health promotion in hospitals. The phenomenon that occurs in the pulmonary clinic is the provision of very minimal education and there is no TB educator team.Purpose: To increase the competence of nurses as educators in the pulmonary clinic by carrying out TB educator training.Method: The action research, identification of problems with structured interview techniques, observation, and filling out questionnaires to the district head and 2 persons. Analysis of the problem is done with the fish bone method, solving the problem using the planing of action method.Results: As a condition of completeness of training instruments, curriculum structure and activity descriptions and modules containing training material have been made. From the results of this training a TB educator team will be formed at RS X.Conclusion: The manifestation of the responsibility of the nursing manager in improving the quality of nursing human resources in order to increase the competence of nurses as tb educators in health promotion and prevention of increasing numbers of patients with pulmonary TB in the hospital by compiling the curriculum structure and basic tb educator training modules.Keywords: The training; Development; Nursing educators; Management; Pulmonary tuberculosisPendahuluan: Kualitas edukasi pada pasien menjadi elemen kunci mutu promosi kesehatan di rumah sakit. Fenomena yang terjadi di poliklinik paru ialah pemberian edukasi yang sangat minim dan belum ada tim edukator TB.Tujuan: Untuk meningkatkan kompetensi perawat sebagai edukator di poliklinik paru dengan melaksanakan pelatihan edukator TB.Metode: Metode yang digunakan dengan penelitian tindakan, identifikasi masalah dengan teknik wawancara terstruktur, observasi, dan pengisian kuesioner kepada kabidyankep dan 2 orang kasie. Analisis masalah dilakukan dengan metode fish bone, pemecahan masalah menggunakan metode planing of action.Hasil: Sebagai syarat kelengkapan instrumen pelatihan telah dibuat struktur kurikulum dan deskripsi kegiatan serta modul yang berisi materi pelatihan. Dari hasil pelatihan ini akan dibentuk tim edukator TB RS X.Simpulan: Wujud tanggung jawab manajer keperawatan dalam peningkatan kualitas SDM keperawatan guna meningkatkan kompetensi perawat sebagai edukator TB dalam promosi kesehatan dan pencegahan peningkatan angka penderita TB Paru di rumah sakit yakni dengan menyusun struktur kurikulum dan modul pelatihan edukator TB dasar.

Human Competency as a Catalyzer of Innovation Within Health and Nursing Care Through a Perspective of Complex Adaptive Systems

The aim of this article is to analyze some features of nursing manager competencies as a potential agent of innovation through a perspective of complex adaptive systems. To achieve the objective, an empirical quantitative analysis of the data obtained through structured questionnaires was conducted to identify the key aspects of perceptions related to competencies. The results demonstrated a disparity between what nursing managers perceived as “my strength” and what they perceived as “critical in adopting innovation” with respect to competencies. This study empirically identified key competencies relevant to nursing managers in adopting innovation through a perspective of encompassing complex adaptive systems. The nursing managers surveyed tended to consider their strengths included interpersonal understanding, teamwork, self-control and concern for order. From a viewpoint of innovation adoption, there is room for improvement for nurses to develop such competencies as initiative, team leadership, conceptual thinking, analytical thinking, and organizational awareness.

Hubungan Fungsi Manajemen Kepala Ruang dengan Motivasi Perawat dalam Melakukan Discharge Planning

The function head of the room is a first line nursing manager who has the functions of planning, organizing, directing and supervising. Motivation is a problem for nurses in achieving and improving the quality of nursing services, especially on discharge planning. The phenomenon found in RS Kota X was the function of the head of the room management has not been carried out to the maximum and the motivation of the implementing nurse in discharge planning is still not optimal. The purpose of this research is to analyze the relationship between management function of the head of the room with motivation of nurses in discharge planning at RS Kota X. The study design was cross sectional with proportional stratified random sampling and data collectionntechniques carried out on 92 respondent nurses in RS Kota X from September 13, 2018 till February 28, 2019. The research instrument used a management function and motivation of nurses in discharge planning questionnaire. The results of the study was 60.9% poor and the motivation of nurses in discharge planning was 67,4% moderate. The relationship between the management function of the head of the room with the motivation of nurses in carrying out discharge planning in RS Kota X with a p value of 0.009 <0.05.The function of good head of the room management can increase motivation in discharge planning.

Pengembangan Supervisi Refleksi “Gibbs” untuk Peningkatan Kepatuhan Kebersihan Tangan Petugas Kesehatan

Supervision is an actuating part of the management function to achieve the goals of the organization. Supervision of hand hygiene compliance 94 health workers conducted by infection, prevention, & control link nurse (IPCLN) using direct supervision methods. The purpose of developing indirect supervision is because direct supervision is not effective to be carried out, so the development of supervision reflection "Gibbs Reflective Cycle" to assess the compliance of nurses in doing hand hygiene. The method used is the Pilot Study involving internal and external reform agents. Sample selection using purposive sampling as many as 30 respondents consisting of nurses, doctors, and caregivers. The implementation of the study concluded that the compliance of officers in performing hand hygiene was 72.33%, and then Fish Bone analysis was conducted to determine the main problem. The problem was solved by developing the organization using the Kurt Lewin method and using plan, do, check and action (PDCA). The program is carried out by making manuals and operational procedures standard (OPS) for the supervision of reflection. The recommendation given is to propose a draft reflection supervision manual and the OPS that has been prepared should be endorsed by the President Director and disseminating information to the Nursing Manager, the head of the room, and / IPCLN.

Perception of the nursing team about the role of hospital nursing manager

Objective: to analyze the perception of the nursing team about the role of the hospital nursing manager, and how this interferes with the quality of care provided by the team. Method: Descriptive and exploratory research, qualitative approach of the data, performed with 20 Nursing professionals. For the analysis of the results, the Collective Subject Discourse method was used. Results: collective thinking was grouped in 04 classes: The bureaucratic function associated with management and the manager-nursing team relations; Skills perceived by the nursing team for the work of the Nursing manager; Challenges in the nursing manager's role perceived by the nursing team; The influence of the nursing manager on the quality and the assistance provided to the client. Conclusion: The activity of the nursing manager is extremely bureaucratic, and seen by the Nursing team as hierarchical, contributing to distance the manager from the conviviality with the team.

Optimization of Nursing Management Rounds and Implementation of Discharge Planning in Fatmawati Hospital Jakarta

The results of the study identified the existence of obstacles in the implementation of discharge planning which had an impact on the lack of optimization of discharge planning implementation and the determination of the length of stay of the patient. The author uses the case study method. The innovation agreed upon with the nursing manager was in the form of implementing a nursing management round which was expected to have an impact on improving the implementation of discharge planning, as well as revisions to the standard operating procedures and the discharge planning documentation in accordance with Standard Nasional Akreditasi 2018. The result is an increase in knowledge of the head nurse and clinical care manager related to nursing management rounds (49.25%) and experience improvement (39.13%). Standard operational procedure of discharge planning draft and discharge planning form are agreed upon by the nursing manager. Resocializing discharge planning to doctors, nurses, nutritionists, pharmacists, and other health workers is needed to support patient safety and patient comfort before returning home.