Prasetya, Fika Indah
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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.