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Field Experience : Manajemen Strategis pada Proses Manajemen Keperawatan Gina Meirawaty; Kurniawan Yudianto
Media Karya Kesehatan Vol 2, No 2 (2019): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Pelayanan keperawatan merupakan pelayanan profesional sebagai bagian integral dari pelayanan kesehatan. Kualitas pelayanan mengacu pada sejauh mana layanan kesehatan dapat meningkat dan konsisten sesuai perkembangan pengetahuan profesional. Layanan kesehatan sesuai dengan alur pelayanan meliputi pre-admission, chec in process, stay, discharge and post-stay experience. Kajian ini bertujuan untuk meningkatkan kepuasan pasien (patient satisfaction) dan kualitas hidup pasien (quality of life). Metode pengumpulan data observasi menggunakan instrumen kualitas pelayanan, indepth interview dengan nara sumber, observasi langsung ke lapangan terkait proses keperawatan, dan telaah dokumen di ruang rawat inap, poliklinik dan IGD. hasil SWOT analisis diperoleh prioritas perbaikan analisis situasi melalui kegiatan In House Training (IHT) SP2KP Dan Role Play Teknik Komunikasi SBAR dan TBAK dengan hasil tingkat Pengetahuan dari 57 % naik menjadi 69 %. Terdapat 2 ruang model SP2KP adalah ruang Marjan Bawah dan Agate Atas. Kajian situasional diperoleh data-data yang mendukung terhadap proses pelayanan kesehatan malalui alur pasien dari mulai pasien masuk hingga keluar meliputi kualitas pelayanan pasien berdasarkan peran dan fungsi keperawatan. Berfokus pada pilar tata kelola klinis sistem penjaminan mutu dan audit klinis serta staffing dan pengembangan profesional (CPD). Perencanaan perbaikan strategis berdasarkan prioritas rawat inap RSUD dr. Slamet Garut yang berfokus pada quality improvement meliputi 5M man, material, money, method dan machine. Beberapa rangkaian kegiatan yang kami rencanakan dalam mendukung intervensi dan implementasi berdasarkan kajian situasi yang telah dilakukan. Berdasarkan plan of action intervensi dilakukan terhadap peningkatan man melalui knowledge, skill dan attitude. Kata Kunci : Kualitas pelayanan (service quality), pilar tata kelola klinis, quality improvement, SP2KP.

Perilaku Self-Management Pasien Diabetes Melitus (DM) Dwi Siwi Handayani; Kurniawan Yudianto; Titis Kurniawan
Jurnal Keperawatan Padjadjaran Vol. 1 No. 1 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Diabetes Melitus (DM) merupakan penyakit kronik, oleh karena itu peran self-managementsangat penting dalam perawatan maupun pencegahan komplikasi akibat DM. Penelitian ini bertujuan untuk mengetahui gambaran perilaku self- management.pasien DM dari aspek diet, medikasi, olahraga, pemantauan kadar gula darah dan perawatan kaki. Sebanyak 94 responsden diambil secara acak. Perilaku self-managementdiukur menggunakan kuesioner yang dikembangkan oleh penulis, dengan skor Alpha Chronbach 0,930 dan korelasi inter-item 0,385–0,797 dimana nilai tersebut valid dan reliabel untuk uji instrumen. Hasil penelitian menunjukkan lebih dari setengah responsden (64,9%) melakukan lima aspek self-managementdengan baik. Hampir semua responsden (94,7%) melakukan medikasi dengan baik, lebih dari setengah responsden melakukan diet (69,1%), olahraga (61,7%) dan perawatan kaki (77,7%) dengan baik. Namun hanya 25,5% responsden yang melakukan pemantauan gula darah dengan baik. Hasil penelitian ini dapat menjadi acuan bagi perawat untuk memberikan penyuluhan mengenai pentingnya pemantauan pada gula darah.Kata kunci: Diabetes Melitus, perilaku, self-management AbstractDiabetes Mellitus (DM) is one of the serious health problems in Indonesia. Since DM is a chronic disease, patients’ role (self-management) is very important either for treatment or DM-related complications prevention. This study was purposed to determine the level of patients’ diabetes self-management behavior, including diet, medication, exercise, blood glucose monitoring and foot care. Ninety-four responsdents were recruited randomly by gave the informed consent to diabetes patients. The questionnaire was developed by the researcher, with Chronbach Alpha 0,930 and inter-item correlation 0,385 to 0,797, which mean the instrument was valid and reliable. The results showed that in five aspects, more than half of responsdents (64,9%) reported that they performed good self-management. Almost all responsdents (94,7%) reported good medication, more than half of responsdents did well in diet, exercise (61.7%) and foot care (77.7%). However, only 25.5% responsdents who performed monitoring blood glucose levels properly. It called be good level when it fill the score criteria of the answer.Therefore, it was recommended for nurses and the hospital to develop any program to improve patients’ diabetes self-management behaviors, especially in the monitoring blood glucose.Key words: Behavior, diabetes mellitus, self-management

Relationship between Quality of Nursing Work Life with Nurse Job Satisfaction in Pilot Project of Nurse Clinical Career Implementation Ineke Patrisia; Fransiska Sri Susilaningsih; Kurniawan Yudianto
Jurnal Keperawatan Padjadjaran Vol. 6 No. 1 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Quality of nursing work life plays an important role and must be considered by a hospital organization for the achievement of nurse job satisfaction. The career ladder is one from the source of satisfaction according to Wexley & Yulk (2013) and will impact on service quality. The research method used correlational analysis with cross sectional approach. The number of samples in this study as many as 193 people. The results showed that in general, most of the respondents (98.4%) had a high quality of nursing work life and when viewed from career level category it was found that all clinical nurses 4 (100%) had high quality of work life and clinical nurses 1-3 (97.9%, 98.4%, 98.7%) most of respondents have high quality of work life. The results also showed that in general, most of respondents (79.3%) had nurses' job satisfaction and when viewed from career level category it was found that most of clinical nurses 1-4 (77.1%; 80.3%; 83.3%; 79.5%) were satisfied with their work. Indicators in the nurse's job satisfaction are the main priorities in the aspects of compensation, working conditions, recognition, independence. Indicators that need to be maintained by the management of Hasan Sadikin General Hospital Bandung are supervision technical, moral values, responsibility, advancement, co workers. The correlation between quality of nursing work life variable with nurse’s job satisfaction is weak, significant and unidirectional in the pilot project implementation of clinical nurse career ladder in Hasan Sadikin General Hospital Bandung. Researchers expect the results of this study can be used as an evaluation for nursing management of Hasan Sadikin General Hospital Bandung. Further research is expected to be able to identify the relationship between the dimensions of the quality of nursing work life with the indicators of nurse’s job satisfaction.

Quality of Nurse Work Life in Pangandaran Health Center Irman Somantri; Kurniawan Yudianto
Jurnal Keperawatan Padjadjaran Vol. 6 No. 3 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Quality service is the main goal of the health care system, where the purpose of service quality is to ensure that the services or products of nursing services are produced according to the patient’s standards / desires. The purpose of this study was to find out the quality of work life of nurses in the Puskesmas.This study uses correlative design that connects the characteristics with the quality of the work life of nurses. The research sample was 48 nurses in Puskesmas who were taken by total sampling. Comparative test was carried out using Mann Whitney, Kruskall Wallis and Spearman tests adjusted for the type of dataThe results are displayed in the form of numerical data tables consisting of middle values, deviations and probability values. The total quality of work life of nurses in Pangandaran Health Center was 145.83 where the value obtained was below the average standard value of 150. Likewise for the aspect of work environment, relations with managers, work conditions and job perceptions which had a mean below the standard mean while the support service aspect has an average of 19.31 while the average standard is 18. Based on the comparative analysis, gender and age have no relationship with the quality of work life (p Value> 0.005), while the level of education, the number of teams and salaries have a relationship with quality working life of nurses in Pangandaran Health Center (p Value <0.001). This means that nurses have not felt well in their work, except in the aspect of support service in this aspect nurses have felt satisfied and prosperous in getting support from other teams / officers. Likewise, the level of education, the number of teams and salaries have an influence on the quality of the worker’s life.

RELATIONSHIP OF BURNOUT LEVEL WITH NURSE CARING PERCEPTION IN EMERGENCY DEPARTMENTS Nani Lestari; Etika Emaliyawati; Kurniawan Yudianto
Journal of Nursing Care Vol 4, No 1 (2021): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v4i1.22366

Emergency departments nurses are prone to burnout because they are dealing with emotional patients and families, and the number of visits is more than the number of nurses on duty. The purpose of this study was to identify the relationship between burnout levels and perceptions of caring for nurses in the emergency departments. The research design used a descriptive correlational. The research instrument used 2 questionnaires, namely the Maslach Burnout Inventory-Health Service Survey, to measure the level of burnout (low, medium, and high) and the Caring Behavior Inventory-24 to measure perceptions of caring (good and poor). The study population consisted of nurses in the Emergency Departments in Dr. Hasan Sadikin Bandung Hospital with a sample size using a total sampling technique of 50 nurses. Univariate analysis for each variable is presented with a frequency distribution table and bivariate analysis using the Rank Spearman test. The results showed that nurses’ burnout level was in a low category (60%), and the perception of nurses caring was in a good category (64%). The relationship test results obtained a negative correlation (p-value = 0.000; r = -0.607), which means that the higher the burnout level, the lower the caring perception that is owned. The study concludes that most nurses have a low level of burnout and a good perception of caring. Hospitals are advised to maintain or eliminate low burnout by carrying out a sharing program between nurses or counseling and maintaining good caring by conducting caring simulation training.

Literature Study: Burnout and Coping among Emergency Room Nurses Ivana Sundari; Kurniawan Yudianto; Aan Nuraeni
Journal of Nursing Care Vol 5, No 2 (2022): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v5i2.38271

Burnout is an emotional fatigue syndrome that often occurs on nurses in Emergency Department (ED). Emergency room nurses provide care quickly, responsively, and precisely. One of the factors that influence the burnout level is coping. Previous theories have not been able to explain positive coping for nurses who experience burnout, as well as literature review concerning burnout and coping among emergency room nurses are still minimal, so further research is needed. This study aims to identify burnout and coping among emergency room nurses. This research is a narrative review. Conduct search for research articles in the CINAHL, Pubmed, Science Direct, and Google Scholar databases using "burnout" AND "coping" AND "emergency nurse" OR "perawat IGD." Inclusion criteria are articles on last ten years, primary research, sample of emergency nurses. Unrelevant articles are excluded. Thus, 19 relevant articles were obtained which were analysed using compare and contrast techniques. The results of this literature study found that emergency room nurses are prone to burnout, especially on emotional exhaustion dimension. Coping strategies that are often used by emergency room nurses are planful problem solving, seeking social support, and positive reappraisal which are effective coping in dealing with problems and modifying attitudes. Problem focused coping is associated with low risk of experiencing burnout. Training in the use of appropriate coping strategies in burnout prevention for emergency room nurses should be done so that work errors reduced and service quality improved.

Factors Contributed to the Development of Work Engagement among Nurses in the Hospital: Narrative Review Elis Rahmawati; Hana Rizmadewi Agustina; Kurniawan Yudianto
Journal of Nursing Care Vol 5, No 3 (2022): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v5i3.42210

Engagement is a characteristic of an employee who is committed to the organization. An engaged nurse shows strong work dedication and works productively in advancing the hospital organization. Nurses with good work engagement can improve the quality of nursing in the hospital. This study aims to determine the factors that influence nurses' work engagement to serve as a knowledge base to guide the best practice of nursing services. This study used a narrative review design. This review starts by identifying the main topics in work engagement. This study used narrative review, a method that uses four databases namely PubMed, CINAHL, Google Scholar and ProQuest. Inclusion criteria included full text articles and publications in English and Indonesian between 2015-2021. The study found 13 articles. Several factors were found to influence nurses' work engagement both from within and from outside (motivation, moral competition, supervision and others).

Perilaku Self-Management Pasien Diabetes Melitus (DM) Dwi Siwi Handayani; Kurniawan Yudianto; Titis Kurniawan
Jurnal Keperawatan Padjadjaran Vol. 1 No. 1 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v1i1.49

Diabetes Melitus (DM) merupakan penyakit kronik, oleh karena itu peran self-managementsangat penting dalam perawatan maupun pencegahan komplikasi akibat DM. Penelitian ini bertujuan untuk mengetahui gambaran perilaku self- management.pasien DM dari aspek diet, medikasi, olahraga, pemantauan kadar gula darah dan perawatan kaki. Sebanyak 94 responsden diambil secara acak. Perilaku self-managementdiukur menggunakan kuesioner yang dikembangkan oleh penulis, dengan skor Alpha Chronbach 0,930 dan korelasi inter-item 0,385-0,797 dimana nilai tersebut valid dan reliabel untuk uji instrumen. Hasil penelitian menunjukkan lebih dari setengah responsden (64,9%) melakukan lima aspek self-managementdengan baik. Hampir semua responsden (94,7%) melakukan medikasi dengan baik, lebih dari setengah responsden melakukan diet (69,1%), olahraga (61,7%) dan perawatan kaki (77,7%) dengan baik. Namun hanya 25,5% responsden yang melakukan pemantauan gula darah dengan baik. Hasil penelitian ini dapat menjadi acuan bagi perawat untuk memberikan penyuluhan mengenai pentingnya pemantauan pada gula darah.Kata kunci: Diabetes Melitus, perilaku, self-managementÃ‚Â AbstractDiabetes Mellitus (DM) is one of the serious health problems in Indonesia. Since DM is a chronic disease, patientsÃ¢â‚¬â„¢ role (self-management) is very important either for treatment or DM-related complications prevention. This study was purposed to determine the level of patientsÃ¢â‚¬â„¢ diabetes self-management behavior, including diet, medication, exercise, blood glucose monitoring and foot care. Ninety-four responsdents were recruited randomly by gave the informed consent to diabetes patients. The questionnaire was developed by the researcher, with Chronbach Alpha 0,930 and inter-item correlation 0,385 to 0,797, which mean the instrument was valid and reliable. The results showed that in five aspects, more than half of responsdents (64,9%) reported that they performed good self-management. Almost all responsdents (94,7%) reported good medication, more than half of responsdents did well in diet, exercise (61.7%) and foot care (77.7%). However, only 25.5% responsdents who performed monitoring blood glucose levels properly. It called be good level when it fill the score criteria of the answer.Therefore, it was recommended for nurses and the hospital to develop any program to improve patientsÃ¢â‚¬â„¢ diabetes self-management behaviors, especially in the monitoring blood glucose.Key words: Behavior, diabetes mellitus, self-management

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