Implementation of Coaching on Nursing Motivation and Workplace for Nurses to Reduce Burnout

Introduction. Burnout is a symptom that is often experienced by nurses, especially in the operating room, intensive unit and emergency room. Burnout is characterized by fatigue of heavy workloads, lack of control and appreciation, unfair treatment as employees, lack of social support at work, and conflict of value values that cause Emotional Exhausting, Depersonalization, Personal Accreditation. Coaching implementation by mentors to the implementing nurses is expected to reduce burnout. Methods. This study aims to analyze the description of the differences and influence of coaching implementation by mentor to the executor nurse burnout at Siloam Hospitals Group. Research uses quantitative methods with quasi experimental designs, pretest-posttest control group and causal research. The sample in the study was chosen by consecutve sampling in all respondents included in the inclusion criteria. The sample in this study amounted to 117 nurses, who were divided into 2 groups ie inetrvensi group with 88 respondents and control group with 29 respondents. Coaching implementation is given within 12 weeks with the frequency of meetings 3-4 times. Results. The results of this study showed that there was a decrease in burnout before and after intervention with paired t test in the intervention group and control group, with value (p = 0.002). Conclusion. The results of the intervention analysis on the implementation of coaching training simultaneously have an effect on motivation, workplace, age, gender, education and work experience simultaneously with a contribution of F 3,316 with a significance number of 0.005 <0.05. This study recommends the need for further research.

Effect of Interactive Supervision Training on Improving of Nursing Behavior in Prevention of Infection and Effective Communication

Introduction. Nurse behavior in prevention of infection and effective communicate aimed at minimizing arrows and maximizing patient safety. Implementation of nurse behavior can be realize by hand washing and communicate is effective and complete. To evaluate the associated behaviors of implementing nurses can be done by supervision method by chief of the room or nursing supervisor. This study aims to determine the effect of interactive supervision training on improving the behavior of nurses in prevention of infection: hand washing & effective communication. Methods. The research is a quantitative research with a quasi-experimental design using pre & post test design with a control group. The sample in the study was 17 supervisor and 70 nurse nurses. Interventions carried out are interactive supervision training for chief of the room & team leader/PJ Shift. Results. The result of the study found difference in behavior of nurses on hand washing & SBAR communication before & after training (p value=0,000) Further analysis shows a good influence between interactive supervision training on improving nurse performance in hand washing & SBAR communication compliance (p value=0,000). Conclusion. Expected to he carried out in a interactive supervision of all implementing nurses in an effect to improve safety of patients.

Needs for Reproductive Health Education for Deaf Students in Singaraja District, Bali Province

Introduction. Adolescents with hearing impairment face a number of exclusion due to their limitation, including lack of access to information on reproductive health. This study was aimed to explore needs for sexual and reproductive health education for students with hearing impairment at SLB B Negeri Singaraja. Methods. A qualitative study was conducted at Singaraja District. Data were collected at through in-depth interviews to 19 informants. Informants were purposively selected based on their specific roles. Our informants included ten students with hearing impairment, one head of school, five teachers, and three parents or carers. Data were analysed using a thematic approach. Results. The majority of students with hearing impairment were having low level of knowledge associated to sexual and reproductive health. However, sexual and reproductive health practices between adolescents with and without hearing impairment were generally comparable. Needs for sexual and reproductive health education must cover several elements: (1) education material must be tailored based on age, (2) learning methods should be tailored based on their intellectual ability, and (3) learning methods must use contextual and real model approach to allow better transfer of information. Teachers faced difficulty to provide sexual and reproductive health education for students with hearing impairment even though some modules are already available. Conclusion. Students with hearing impairment at SLB B Singaraja State need more simple learning pictures and videos that are accompanied by written texts and sign language movements so that it is easier to understand the material delivered by the teacher, where the reproductive health education material needed is age-appropriate material and the development of each individual, while the reproductive health learning methods needed by deaf students are simpler learning methods while still using sign language.

The Mixed-Methods Study of Nursing Perception on Organizational Culture and Turnover in Hospital

Introduction. Organizational culture is a set of values that must be understood by all individuals involved in organization where achievement of a conducive organizational culture depends on many factors. Organizational culture that is not conducive in implementation of the hospital service system, is observed as one of the factors causing nurse turnover which can be detrimental to the hospital. This study aims to explore the thematic relationship of the influence of organizational culture with nurse turnover. Methods. The Mixed-Methods concurrent triangulation study (a balanced mix of quantitative and qualitative) with the independent variables are characteristic of organizational culture, socialization process of organizational culture and the role of managers in organizational culture. The sample in this study were 232 nurse respondents and 15 participants consisting of nurses, head nurse and the head of the installation at a hospital in South Jakarta. Results. Regression test results showed a significant influence between the characteristics of organizational culture (ß=311, p = .000), the role of managers in organizational culture (ß=240, p = .006) while the process of socializing organizational culture obtained significant results but does not have an effect on nurse turnover (ß= 101, p = 210). The results of qualitative analysis found five themes related to the characteristics of organizational culture, four themes about the socializing process of organizational culture, three themes related to the role of managers in organizational culture. Conclusion. It is important for nurse managers to pay attention to the creation of good organizational culture characteristics, the implementation of orientation socialization processes, and the assessment of consistent career paths for all individuals in hospital organizations.

Implementation Study of Retention Programs and It’s Impact on Turnover Intention Nurses in Hospital

Introduction. Nurse turnover will harm the hospital both in terms of costs, resources, and motivation. Turnover can be predicted by exploring the turnover intention of the nurses. Nurses' turnover intention is closely related to the practice of nurse resource management in implementing policies including compensation, career development and work design. The study aims to analyze and identify the effect of retention programs (compensation, career path, work design) on nurses' turnover intention. Methods. The mixed method parallel convergent approach is used in the study. Simple random sampling was taken on 200 respondent nurses in three private hospitals. Semi structure interviews were conducted on 15 participants. Results. Regression test results show that there is a significant effect between compensation retention programs (R = 0.477; p = 0.000; β = 0.23), career development (R = 0.493; p = 0.000; β = 0.22), work design (R = 0.422; p = 0.000, β = 0.16) on nurses' turnover intention. The most dominant factor is compensation (β = 0.265, p = 0.000) compared to career development and work design. The results of qualitative research showed that the key participants stated that compensation was felt not adequate with the nurse profession, the implementation of career development programs had not increased motivation and the workload was felt too much as a result of too many non-nursing tasks. Conclusion. Implications for nursing and hospital management, it is important for nurse managers to have the ability to plan and evaluate policies related to compensation, career development, and work design to improve nurse retention.

Effect of Nursing Training on Improving Knowledge, Skills, and Attitudes of Clinical Nurses

Background: Clinical nurses are competent with good knowledge, skills and attitudes. These efforts are carried out through integrated training adaptation of the concept of From Novice to Expert Patricia Benner. The study aims to determine the effect of nursing training on increasing knowledge, skills and attitudes. Method: This quantitative research quasy experiment, using a non randomized control group pretest and posttest design. The study sample was 100 people, divided into two groups, namely the same intervention and control group. The research instrument was a valid and reliable questionnaire (Chronbach's alpha 0.989). Research for 12 weeks, March-June 2018 with nursing training interventions in the intervention group respondents. Results: The results of the study were the majority of respondents were female, aged 20-35, career level of clinical nurse level I. Diploma education and work period of 1-5 years. Bivariate results with the mean value of posttest score knowledge 97.20, increased by 21.6%, statistically meaningful knowledge of p value=0.000. The mean value of the posttest skill was score 92.96, increased by 23.92%, the skill statistically was significant p value=0.000 and the mean value of posttest attitude was 50.06, increased by 6.44%, statistically meaningful p value=0.000, there was an effect of nursing training on improving the knowledge, skills and attitudes of clinical nurses. The results of multivariate analysis of nursing training were statistically significant towards increasing knowledge of clinical nurses (p value=0.000), having the possibility of knowledge increasing 10 times, increasing skills statistically significant (p value=0.000), having the possibility of increasing skills 1.4 times and increasing statistically meaningful attitudes (p value=0.000), having an increased likelihood of attitudes 0.8 times compared to not getting training, no confounding variables were found. Conclusion: Based on this research, the increase in knowledge, skills and attitudes is influenced by nursing training from the aspects of material, methods, facilities, instructors and post-training evaluation methods. Thus to achieve optimal quality of knowledge, skills and attitude, it is advisable to conduct mentoring, supervision, mentoring and guidance in an integrated manner

Evaluation of The Use Prophylactic Antibiotics in Caesarean Surgery Patients

Introduction. The incidence of cesarean section is increasing year by year in various countries including Indonesia. Provision of prophylactic antibiotics is an attempt to prevent infection. Antibiotics given to surgical patients aim to reduce the number of bacterial colonies, reduce the amount of contamination inoculum so as to reduce the risk of infection or as a therapy if it has been previously infected. The research that has been done is an observational study with retrospective data obtained from the patient's medical record.

Modified Fagerstrom Tolerance Questionnaire (Adolescents) Indonesian Version: Validity and Reliability Study

Introduction. Smoking has become a special concern in the world. Dependence on cigarettes can endanger almost every organ in the body and reduce the health of smokers in general. Research that proposes the identification of smoking behavior has been carried out, but only a few have focused on testing the validity and reliability of the instrument for measuring the level of smoking dependence. This study examines the validity and reliability of the Modified Fagerstrom Tolerance Questionnaire (Adolescents) in Indonesian Version. Methods. Respondents in this study were 30 teenage smokers. The statistical test used is the Pearson Product-Moment Correlation test. Results. Modified Fagerstrom Tolerance Questionnaire (Adolescents) consists of 7 questions that are used to measure the level of smoking dependence and show results in the Corrected Item-Total Correlation section, all questions have a positive value and r count ≥ r table (0.361). The Reliability Statistics table gets the Cronbach's Alpha result is 0.892 with 7 items. Conclusion. Modified Fagerstrom Tolerance Questionnaire (Adolescents) Indonesian Version declared valid and reliable for use in assessing smoking dependence on Indonesian adolescents.

Street Children's Experience in Maintaining Reproductive Health

Introduction. Street children are children who spend most of their time doing day-to-day activities on the streets, including in the market environment, shops and other hubs. Street children are less concerned about their own health. Access to health services is good for children less than normal people. It affects their health behavior style. This study aims to deeply exploit the juvenile street children's experience in maintaining reproductive health in the Bahtera Child Protection Home Foundation Bandung City. Methods. This research is a qualitative research with phenomenology approach. Participants in this study are adolescent street children under the auspices of the Bahtera Child Protection Home Foundation Bandung City with a total of 7 people. Data collection by indepth interview. Data analysis using thematic analysis according to Collaizzi's method. Results. The research result are six themes; The experience of get reproductive health knowledge, Behavior of reproductive hygiene, Food intake, Drug dependence behavior, psychotropic, and addictive substances, Forms of social violence

The Effect of Motivational Interviewing on Despair, Motivation and Medication Compliance for Tuberculosis Patients

Introduction. Tuberculosis (TB) is an infectious disease that can attack various organs, especially the lung caused by Mycobacterium tuberculosis. The use of the Directly Observed Treatment Short-course (DOTS) strategy for tuberculosis treatment has not been successful, while cases of multidrug tuberculosis resistance have increased. Long-term treatment leads to decreased motivation and despair to recover. Motivational interviewing (MI) intervention is one way to overcome them. The purpose of this study was to determine the effect of motivational interviewing on hopelessness, motivation, and adherence to taking medication for tuberculosis patients. Methods. Pre experiment with the form of pretest - posttest group design was used in this study. The research sample amounted to 18 respondents by means of random sampling technique. This intervention was carried out for four weeks with two meetings per week. The independent variable is motivational interviewing, while the dependent variable is hopelessness, motivation, and compliance with taking medication. The instrument in this study uses a questionnaire that has been tested for validity and reliability. Statistical tests using the Wilcoxon signed rank test. Results. The results of statistical tests showed that motivational interviewing had an effect on decreased despair (p = 0,000) and increased motivation and compliance with medication (p = 0,000). Conclusion. Motivational interviewing interventions help tuberculosis sufferers identify, evaluate and respond to something they think, so that motivational interviewing has an effect on decreasing hopelessness, increasing motivation and adhering to medication in tuberculosis patients.