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All Journal Medical Journal of Al-Qodiri : Jurnal Keperawatan dan Kebidanan International Journal of Public Health Excellence (IJPHE) Malahayati International Journal of Nursing and Health Science
Prasetya, Fika Indah
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Health Professions Medicine & Pharmacology Nursing Public Health

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Journal : Malahayati International Journal of Nursing and Health Science

 1 
Serious adverse events and missed observations impact of limited resources of nurses based on national early warning score (NEWS) Sasmito, Priyo; Mulyati, Leli; Prasetya, Fika Indah; Bernadus, Janno Berty Bradly; Sumartini, Sri; Arifani, Nisa; Tafwidhah, Yuyun; Ulfah, Diana
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 4 (2024): Volume 7 Number 4
Publisher : Program Studi Ilmu Keperawatan-Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i4.430

Abstract

Background: Since become an obligation for hospital, Early Warning System (EWS) are widely used. National Early Warning Score (NEWS) is common EWS adopted in Indonesia. There are not many studies evaluating the implementation of the in hospitals with limited resources in Indonesia. Purpose: To analyze the NEWS performance in the medical ward at one regional hospital in Serang District, Banten Province, Indonesia. Method: Observational analytic study with retrospective approach using NEWS observation sheet of 163 medical adult patients. NEWS's performance was assessed by analyzing the amount of observation that was not carried out in the first 24 hours of hospitalization according to hospital safety protocols. The observed outcome was the occurrence of serious adverse events (SAE), unplanned Intensive Care Unit (ICU) admission, and in-hospital mortality.  The data analyzed with Fisher Exact Test and Spearman Rho. Results: Participants' age mean of 48.2 years old (range 17-85). Most were male (87/53.4%) with a NEWS score of 0 in the first 24 hours of hospitalization (91/55.8%). Of 72 (44.2%) missed observation patients, 8 (4.9%) experienced SAE, 5 (3.1%) transferred to the ICU, and 3 (1.8%) died in the ward. There are significant relationship (p-value 0.001) between missed observation and the occurrence of SAE and unplanned ICU admission (p-value 0.015). There is no relationship between missed observation and in-hospital mortality. Conclusion: About forty percent of NEWS observation frequency in medical wards is still not under safety protocols that have been made by the hospital. Missed observation associated with SAE and unplanned ICU admission. Hospital stakeholders need to evaluate the implementation of NEWS in the hospital ward and take strategic action to increase its effectiveness.
Prehospital and in-hospital factors that influence acute stroke management in the emergency department: A literature review Sasmito, Priyo; Sumartini, Sri; Prasetya, Fika Indah; Mulyati, Leli; Haryanti, Eka; Darmawardana, Arif; Amalia, Linda; Munandar, Ihsan Haris
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 6 (2024): Volume 7 Number 6
Publisher : Program Studi Ilmu Keperawatan-Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i6.509

Abstract

Background: Effective emergency response plays a crucial role in ensuring patient safety, particularly in the management of acute stroke cases in Emergency Department (ED). Timely correct care is essential to mitigate adverse outcomes in stroke patient. Purpose: To investigates pre and in-hospital factors that influence acute stroke management in the ED. Method: A literature review method was employed to gather and analyze information from Scopus, Science Direct, and Google Scholar using the keyword stroke AND "Emergency Department" in the 2019-2024 period. As much as 333 articles are identified. A total of 10 articles that met the criteria were included in the study. The selected articles are then systematically reviewed and analyzed. Results: Factors that can affect prehospital delay consist of the use of Emergency Medical Services (EMS), patient characteristics, and geographical barriers. The factors that affect inhospital delay are communication with ED staff and ED officer knowledge. Conclusion: To improve the management of stroke patients, the participation of various parties is needed, not only within the hospital, but also the role of policy holders in the prehospital.
Motivation, work environment, job satisfaction, and job performance among nurses: An inferential analysis Mukhofi, Lutfi; Peristiowati, Yuly; Prasetyo, Joko; Sasmito, Priyo; Prasetya, Fika Indah
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 5 (2024): Volume 7 Number 5
Publisher : Program Studi Ilmu Keperawatan-Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i5.543

Abstract

Background: Many researchers have studied performance, but lack has combined the influence of work motivation, work environment, and job satisfaction on nurse performance simultaneously. Purpose: To analyze the influence of Motivation, work environment, job satisfaction, and job performance among nurses Method: An observational study with a cross sectional approach involving nurses in 15 units at a hospital in Jember, Indonesia. The data taken were demographic, work motivation, work environment, job satisfaction, and  nurse performance using various validated questionnaire. Data were analyzed descriptively and inferential analysis using the Partial Least Square (PLS) method using the smart PLS version 3.0 program. Results: A total of 111 respondents were involved in this research. The majority of respondents were female (67/60.4%), aged 21-30 years (67/60.4%), had a bachelor's degree in nursing (50/45.0%), married (67/60.4%) and have worked for ≤ 5 years (70/63.1%). work motivation (3.6-3.8), perception of the work environment (3.5-4.0), job satisfaction (3.3-3.7), and nurse performance (3.7-3.9) were obtained in the high/good score range category. all variables produced a loading factor of more than 0.5 and an Average Variance Extracted (AVE) of more than 0.4. Cronbach's Alpha was greater than 0.6 for all variables and had a composite reliability value of more than 0.7. The Q2 value was 0.180 (>0) and R2 0.242. Partially, the work motivation and job satisfaction variables have a p value of  0.007 and 0.000 < α 0.05 on nurse performance. Meanwhile, the work environment has a p value of 0.451 > α 0.05. Simulaneously, work motivation, work environment, and job satisfaction have F statistics value of 11.39 with a p value of 0.000 < α 0.05 on nurse performance. Conclusion: This study has valid and reliable indicators. Independently, work motivation and job satisfaction have a significant correlation with nurse performance, while work environment does not have a significant relationship. However, simultaneously work motivation, work environment and job satisfaction have a positive and significant influence on the performance of nurses in hospitals by 24.2%. In order to improve the performance of nurses in the hospital, it is expected to increase work motivation and job satisfaction.
Co-Authors Ahmadi Ahmadi Aljufri, Salim Amsyah, Ummul Khairi Arifani, Nisa Bernadus, Janno Berty Bradly Darmawardana, Arif Diana Ulfah Endang Sri Wahyuni HARTONO, SOETANTO Haryanti, Eka Heryanto Nur Muhammad Joko Prasetyo Librianty, Nurfanida Linda Amalia Mukhofi, Lutfi Mulyati, Leli Munandar, Ihsan Haris Rasmita, Dina Sasmito, Priyo Sri Sumartini suryaningtyas, Eka Tafwidhah, Yuyun Tyas, Eka Suryaning Yektiningtyastuti Yektiningtyastuti Yuly Peristiowati