Hasil Pencarian  ::  Simpan CSV :: Kembali

"Kepala ruangan mempunyai tanggung jawab untuk mengontrol kegiatan keperawatan di ruangan. Oleh karena itu kepala ruangan seharusnya memiliki kompetensi yang baik Studi ini menggunakan desain kuantitatif dengan cross sectional dimana tuiuan penelitian ini adalah untuk menggali dan mengidentifikasi faktor - faktor yang berhubungan dengan kemampuan kepala ruangan termasuk karakteristik individu dan organisasi.Pengumpulan data dilakukan di 7 rumah sakit di wilayah Tangerang dengan responden 74 kepala ruangan. Setelah mendapat izin dari rumah sakit, responden diberikan kuesioner untuk diisi.Analisa Chi Square digunakan untuk mengidentifikasi faktor-faktor yang berhubungan dengan kemampuan kepala ruangan. Uji regresi logistik digunakan untuk mengetahui faktor yang paling berhubungan dengan kemampuan kepala ruangan dan analisa multivariat dilakukan dengan menggunakan uji regresi logistik.Hasil dari penelitian ini menunjukkan hubungan antara karakteristik organisasi dengan kemampuan kepala ruangan. Hasil uji menunjukkan bahwa ada hubungan antara uraian tugas, struktur organisasi dan kebijakan organisasi dengan kemampuan kepala ruangan dengan P < 0,05. Sementara karakteristik individual tidak berhubungan dengan kemampuan kepala ruangan dengan P > 0,05. Faktor yang dominan berhubungan dengan kemampuan kepala ruangan adalah jenis kelamin dan struktur organisasi.

---

Factors that Associated with the Competency of Nursing Unit Managers in Hospitals in Tangerang Nursing unit manager as lower managers have responsibility to control nursing activities in the ward. Therefore lower managers should have a good competency. This study is quantitative study with cross sectional design that has been cultivated, to explore and to identify factors associated with competency of nursing unit managers including individuals and organizational characteristics.

Analysis of this study consisted of univariat, bivariat and multivariat. This research use categorical data in independent and dependent variables. Therefore bivariat analysis was Chi - Square and logistic regression as multivariate analysis.

Some of variables has been tested, included of individual `s factors, such as: age, sex, leng of work, formal education, marital status; and organization's characteristic, such as: job description; organization structure, organizational roles and resources. The results have shown the relationship between organization's characteristic with competency of nursing unit managers. From independent variables that have tested by Chi-Square, its just 3 variables have associated with the competency of nursing unit managers; they are job description, organization structure and organizational policy with P-Value - less than 0,05. Meanwhile individual's characteristic has not associated with the competency of nursing unit managers. The factors that have dominant associated with the competency of nursing unit managers were sex and organizational structure. Hopefully this result could use in chosen nursing unit managers."

"Latar Belakang Kasus lansia dengan gangguan tidur yang mengunjungi pelayanan kesehatan semakin meningkat setiap tahunnya, Beberapa penyebab gangguan tidur yaitu penurunan fisiologis akibat penuaan, perubahan lingkungan, gaya hidup dan perubahan psikologis. Salah satu perubahan psikologis penyebab gangguan tidur pada lansia adalah kesepian. Salah satu cara lansia mengatasi kesepiannya adalah menggunakan Smartphone , namun dampak penggunaan Smartphone terhadap kualitas tidur dan kesepian pada lansia belum banyak diteliti. Tujuan: Penelitian ini mencari adakah hubungan penggunaan Smartphone Screen Time dan platform media sosial dengan kualitas tidur dan kesepian lansia. Metode: Penelitian Cross sectional terhadap 98 pasien yang menjalani rawat jalan di Pusat Kesehatan Jiwa Nasional RS Marzoeki Mahdi Bogor dengan kriteria inklusi lansia yang mengalami gangguan tidur, mampu berkomunikasi dengan baik dan menggunakan Smartphone (iPhone minimal versi 12 atau Android minimal versi 9). Analisis data yang dipakai adalah Regresi logistik. Hasil:Dari hasil uji data bivariat maupun multivariat. Didapatkan bahwa pemakaian smartphone screen time yang melebihi 5 jam sehari memiliki hubungan yang signifikan terhadap kualitas tidur yang buruk pada lansia. namun smartphone screen time tidak terbukti secara statistik memiliki hubungan dengan tingkat kesepian. Selain itu akses platform media sosial tidak terbukti secara statistik memiliki hubungan bermakna dengan kualitas tidur, namun memiliiki hubungan bermakna dengan tingkat kesepian pada lansia. Kesimpulan: Pemakaian Smartphone screen time yang rendah dapat meningkatkan kualitas tidur dan penggunaan platform media sosial berbasis bergambar dibandingkan saat lansia mengakses platform media sosial berbasis gambar menurunkan tingkat kesepian pada lansia. Saran: Berdasarkan hal tersebut, perawat perlu memberikan pengawasan dan edukasi pada lansia mengenai pembatasan waktu penggunaan Smartphone screen time terutama menjelang tidur malam serta panduan mengakses jenis platform media sosial berbasis gambar untuk mengatasi kesepian pada lansia.

---

Background. Elderly people with sleep disorders cases which visiting health services are increasing every year, but the health care services provided have not focused on the causes. Some of the causes of sleep disorders are physiological decline due to aging, environmental changes, lifestyle and psychological changes. One of the psychological changes that cause sleep disturbances in the elderly is loneliness. Complaints of loneliness in the elderly in the service have also not been optimally explored. The elderlie’s way to overcome their loneliness is to use a Smartphone , but the impact of Smartphone usage on sleep quality and loneliness levels in the elderly has not been widely studied. Objective. This study looks for the relationship between the use of Smartphone Screen Time and social media platforms with sleep quality and the level of loneliness of the elderly. Methods. The study was conducted with a cross-sectional method on 98 patients undergoing outpatient care at PKJN (National Mental Health Center) Marzoeki Mahdi Hospital Bogor with the inclusion criteria of elderly people who experience sleep disorders, able to communicate well and use Smartphone (iPhone at least version 12 or Android at least version 9). The data analysis method used was multivariate logistic regression. Results. From the results of bivariate and multivariate data tests. It was found that the use of smartphone screen time that was more than 5 hours a day had a significant relationship with poor sleep quality in the elderly. but smartphone screen time was not statistically proven to have a relationship with the level of loneliness. Conclusion. Sleep quality in the elderly has a relationship with Smartphone Screen Time. Low screen time smartphone usage can improve sleep quality in the elderly compared to high screen time smartphone usage. The level of loneliness in the elderly has relationship with accessing text-based social media platforms than when the elderly access image-based social media platforms. Suggestion. Based on this, nurses need to provide supervision and education to the elderly regarding limiting the use of Smartphone screen time, especially before going to bed at night and guidance accessing types of image-based social media platforms to overcome loneliness in the elderly."

"Latar Belakang:Mortalitas dan morbiditas pasien di rumah sakit masih tinggi akibat kurangnya keselamatan pasien. Strategi terpenting untuk meningkatkan keselamatan pasien adalah denganmembangun budaya keselamatan pasien. Tujuandari penelitian ini adalah untuk mengukur pengaruh model budaya positif keselamatan pasien “IDA” terhadap pelaksanaan keselamatan pasien di rumah sakit. Metode.Design adalahaction riset yang terdiri dari: Tahap pertama adalah identifikasi masalah, tahap kedua adalah pengembangan model, tahap ketiga evaluasi efektivitas model. Data dikumpulkan secara kuantitatif dan kualitatif. Kualitatif dengan FGD dan wawancara pada 26 pimpinan dihasilkan empat tema. Penelitian kuantitatif dengan menggunakan instrumen safety attitude questionnaire, quality and safety self efficacy scale, hospital survey on patient safety culture, safety motivation questionnaire scale, safety consciousness scale, dan kuesioner pelaksanaan keselamatan pasien. Tahap dua pengembangan model hasil dari elaborasi tiga teori dan penerapannya dilaksanakan pada 192 orang perawat pelaksana dan 18 orang kepala ruangan di tiga rumah sakit yang telah terakrediatsi paripurna. Tahap tiga diukur efektivitas model pada pelaksanaan keselamatan pasien pada 192 responden kelompok intervensi dan 191 responden kelompok kontrol, sampel diambil dengan cluster random sampling. Hasil Penelitian: Model budaya positif keselamatan pasien “IDA” berpengaruh terhadap dimensi individu: pengetahuan perawat, sikap, motivasi, kesadaran, safety self efficacydan pelaksanaan keselamatan pasien (p<0,05) dan terhadap dimensi individu kepala ruangan: pengetahuan dan sikap kepala ruangan (p<0,05). Pengaruh positif juga terhadap dimensi organisasi dan dimensi lingkungan. Sebagai dampaknya maka terdapat perbedaan secara bermakna pada sasaran keselamatan pasien sebelum dan setelah dilakukan intervensi model “IDA”. Model “IDA” juga diukur efektivitasnya terhadap kelompok kontrol dan semua variabel berbeda bermakna (p<0,05). Kesimpulan dan Saran: model “IDA” berpengaruh terhadap perilaku keselamatan pasien dan capaian sasaran keselamatan pasien oleh perawat. Model “IDA”perlu diterapkan dirumah sakit agar keselamatan pasien tercapai.

---

Background: The mortality and morbidity of patients in the hospital are still high due to the lack of patient safety. The most important strategy for improving patient safety is to build a culture of patient safety. The purpose of this study was to measure the effect of a positive culture model of patient safety "IDA" on the implementation of patient safety in hospitals. Method.Design is an action research consisting of: The first stage is problem identification, the second stage is the development of the model, the third stage is the evaluation of the effectiveness of the model. Data were collected quantitatively and qualitatively. Qualitative with FGD and interviews with 26 leaders resulted in four themes. Quantitative research using the instrument safety attitude questionnaire, quality and safety self-efficacy scale, hospital survey on patient safety culture, safety motivation questionnaire scale, safety consciousness scale, and patient safety implementation questionnaire. The second stage of the development of the model results from the elaboration of three theories and its application was carried out on 192 implementing nurses and 18 heads of rooms in three hospitals who had been fully accredited. Stage three measured the effectiveness of the model in the implementation of patient safety in 192 respondents in the intervention group and 191 respondents in the control group, the sample was taken by cluster random sampling. Results: The positive culture model of patient safety "IDA" affects the individual dimensions: knowledge of nurses, attitudes, motivation, awareness, safety self efficacy and implementation of patient safety (p <0.05) and on the individual dimensions of the head of the room: knowledge and attitude of the head. room (p <0.05). The positive influence is also on the organizational and environmental dimensions. As a result, there are significant differences in patient safety goals before and after the "IDA" model intervention. The effectiveness of the "IDA" model was also measured against the control group and all variables were significantly different (p <0.05). Conclusions and suggestions: the "IDA" model affects the implementation and achievement of patient safety goals. The "IDA" model needs to be applied in hospitals so that patient safety is achieved."