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Phenomenological Study on the Experience of Male Nurses in Caring for Female Patients Anik Maryunani; Rr. Tutik Sri Hariyati; Enie Novieastari
Jurnal Keperawatan Indonesia Vol 24 No 1 (2021): March
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v24i1.690

Abstract

Nurses provide care equally and do not discriminate between men and women. However, male nurses face challenges and obstacles, especially when they take care of female patients. This study aimed to explore the experiences of male nurses who look after female patients by using a descriptive qualitative design with a phenomenological approach. Ten male nurse participants aged 26–43 years and having an experience of caring for female patients for at least 2 years were included in this study. Seven themes were identified: the discomfort of female patients and male nurses; patient’s trust and privacy; the identification of factors affected by body image, age, and types of sensitive areas and actions; attention to the religion, personal beliefs, ethics, and culture of patients; professionalism, role, and competencies of nurses; communication strategies and asking for female nurses for assistance based on team methods; and the view of males in the nursing profession. This study focused on two of the main themes: attention to the religion, personal beliefs, ethics, and cultures of patients and communication strategies and asking female nurses on the team for help. Results suggest that nursing facilities need to improve their patient-focused services by considering a patient’s ethical and cultural concerns, using communication strategies, and seeking team assistance when needed in accordance with a hospital’s national accreditation standards. Abstrak Studi Fenomenologi Pengalaman Perawat Laki-Laki dalam Merawat Pasien Perempuan. Perawat memberikan asuhan yang setara dan tidak membeda-bedakan antara laki-laki dan perempuan. Namun perawat laki-laki menghadapi tantangan dan kendala, terutama saat merawat pasien perempuan. Penelitian ini bertujuan untuk mengetahui pengalaman perawat laki-laki yang merawat pasien perempuan dengan menggunakan desain deskriptif kualitatif dengan pendekatan fenomenologi. Sepuluh peserta perawat laki-laki berusia 26–43 tahun dan memiliki pengalaman merawat pasien perempuan setidaknya selama 2 tahun dilibatkan dalam penelitian ini. Tujuh tema diidentifikasi, yaitu ketidaknyamanan pasien wanita dan perawat pria; kepercayaan dan privasi pasien; identifikasi faktor yang dipengaruhi oleh citra tubuh, usia, dan jenis area dan tindakan sensitif; perhatian pada agama, keyakinan pribadi, etika, dan budaya pasien; profesionalisme, peran, dan kompetensi perawat; strategi komunikasi dan meminta bantuan perawat wanita berdasarkan metode tim; dan pandangan laki-laki dalam profesi perawat. Studi ini berfokus pada dua tema utama, yaitu perhatian pada agama, keyakinan pribadi, etika, dan budaya pasien serta strategi komunikasi dan meminta bantuan perawat wanita dalam tim. Hasil menunjukkan bahwa fasilitas keperawatan perlu meningkatkan layanan yang berfokus pada pasien dengan mempertimbangkan masalah etika dan budaya pasien, menggunakan strategi komunikasi, dan mencari bantuan tim bila diperlukan sesuai dengan standar akreditasi nasional rumah sakit. Kata kunci: budaya pasien, etika, pasien perempuan, perawat laki-laki, perawatan
Supervisi Klinis Berjenjang Sebagai Upaya Pemberian Asuhan Keperawatan yang Aman Terhadap Pasien Ade Irma Dahlia; Enie Novieastari; Tuti Afriani
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 8 No 2 (2020): Jurnal Dunia Keperawatan
Publisher : School of Nursing, Faculty of Medicine, Lambung Mangkurat University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (481.804 KB)

Abstract

The hospital is required to conduct an evaluation of nursing clinical competence accompanied bystrengthening of direction and monitoring of clinical performance by the nurse manager to ensuring thatnurses are competent so that they can provide safe and appropriate nursing care according to professionalstandards. The purpose of this study is to socialize and evaluate the implementation of multilevel clinicalsupervision guidelines and SOP at RS X. The method is used pilot study through Kurt Lewin's theory ofchange with problem analysis using fishbone diagrams. The unfreezing phase is carried out by collectingdata on the results of the assessment ofmanagement problems through interviews, observations and surveys.The movement phase is doing all the change processes that are written in the form of Plan of Action (POA)with the hospital. The refreezing phase The refreezing stage, namely guidance and SPO for nursingsupervision, was endorsed by the hospital. Implementation is given as a solution to the problem that ismaking guidelines and SPO clinical supervision of tiered nursing. The recommendation for the hospital is toprovide clinical supervision training for the head nurse and primary nurses, socialization of the improvedsupervision instruments and add clinical supervision as a performance indicator for the head nurse andprimary nurses.
Pengembangan Dokumentasi Penskoran Early Warning System sebagai Deteksi Dini Penurunan Kondisi Pasien Nelly Hermala Dewi; Enie Novieastari; Lisnawati Yupartini
Faletehan Health Journal Vol 10 No 01 (2023): Faletehan Health Journal, Maret 2023
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v10i01.462

Abstract

The implementation of a scoring warning system by nurses can determine patient safety. Early warning system (EWS) is a tool to detect patient emergencies by scoring on seven parameters. The purpose of this study was to determine the development of early warning system (EWS) documentation, the quality of format development, and the quality of format development documentation. The research method was research and development. The study was carried out in adult inpatient wards and the sample size was 62 nurses. The data collection tools were questionnaires and observation sheets. The analysis used univariate with frequency distribution. The result of this research was the development of early warning system documentation, including the parameters of mean arterial pressure (MAP), blood glucose, pain scale, and urine output. The quality of EWS documentation format development was well-functioned, efficient, and usable. In addition, the quality of EWS documentation, including completeness, accuracy, relevance, and good novelty, was in a good category. The conclusion was that the development of early warning system documentation can be used in adult inpatient wards to improve patient safety practices
Kepuasan Pasiten terhadap Penerapan Keselamatan Pasien di Rumah Sakit Widiasari Widiasari; Hanny Handiyani; Enie Novieastari
Jurnal Keperawatan Indonesia Vol 22 No 1 (2019): March
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v22i1.615

Abstract

Tingkat kepuasan pasien terhadap pelayanan keperawatan di Indonesia mayoritas masih kurang puas. Penyebab ketidakpuasan pasien diantaranya faktor kesalahan identifikasi, komunikasi, pemberian obat, dan risiko jatuh. Penelitian bertujuan untuk mengidentifikasi hubungan penerapan keselamatan pasien dengan kepuasan pasien di Rumah Sakit X. Desain penelitian menggunakan pendekatan cross sectional dengan menyebarkan kuesioner kepada 143 pasien. Pengambilan sampel menggunakan cluster random sampling dengan cara menetapkan jumlah sampel yang memenuhi kriteria inklusi, kemudian diberikan kuesioner hingga terpenuhi jumlah sample, dan melakukan penelitian pada setiap sampel yang terpilih. Data dianalisis menggunakan independent t-test dan uji chi-square. Hasil penelitian didapatkan ada hubungan penerapan keselamatan pasien dengan kepuasan pasien (p= 0,001; OR=1,216; α= 0,05). Karakteristik pasien berupa umur, jenis kelamin, pendidikan, pekerjaan, dan kelas rawat tidak berhubungan dengan kepuasan pasien (p= 0,331; 0,818; 0,949; 1,000; dan 0,382; α= 0,05). Hasil penelitian juga didapatkan bahwa penerapan aspek keselamatan pasien berupa reassessment pasien risiko jatuh dan dimensi kehandalan (memberi petunjuk, memberi penjelasan) ketika akan melakukan tindakan keperawatan masih belum optimal sehingga menjadi saran untuk ditingkatkan agar kepuasan pasien di rumah sakit X semakin meningkat. Abstract Patient Satisfaction Against Patient Safety Application at Hospital. The level of patient satisfaction with nursing services in Indonesia is mostly unsatisfied. The cause of patient dissatisfaction is due to misidentification, miscommunication, medication errors, and inappropriate risk management of falls. This study aimed to identify the relationship between the application of patient safety and patient satisfaction at Hospital X. The study design used a cross-sectional approach by distributing questionnaires to 143 patients. Sampling using cluster random sampling by determining the number of samples that meet the inclusion criteria, then given a questionnaire until the number of samples is met, and conduct research on selected samples. Data were analyzed using independent t-test and chi-square test. The results showed that there was a correlation between the application of patient safety and patient satisfaction (p= 0.001, OR= 1.216; α= 0.05). Patient characteristics in the form of age, gender, education level, occupation, and nursing class were not related to patient satisfaction (p= 0.331; 0.818; 0.949; 1,000; and 0.382; α= 0.05). The results also found that the application of patient safety aspects in the form of reassessing patients to falling risks and dimensions of reliability (giving instructions, giving explanations) when going into nursing actions was not optimal so that suggestions were increased so that patient satisfaction at hospitals X increased. Keywords: Application, patient satisfaction, patient safety
OPTIMALISASI SUPERVISI BERJENJANG SECARA SISTEMATIS DAN TERSTRUKTUR DI RUMAH SAKIT X Alpan Habibi; Enie Novieastari; Aat Yatnikasari; Hanny Handiyani
Jurnal JKFT Vol 7, No 2 (2022): Jurnal JKFT
Publisher : Universitas Muhammadiyah Tangerang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31000/jkft.v7i2.7560

Abstract

 AbstrakSupervisi merupakan fungsi manajemen pengarahan yang perlu dilakukan oleh perawat manajer secara terstruktur dan sistematis. Supervisi adalah aktivitas dari fungsi pengarahan yang memerlukan perencanaan seperti pembuatan jadwal yang tersusun secara terstruktur, agar dapat diimplementasikan dengan baik dan dapat meningkatkan pelayanan kesehatan secara tepat serta profesional. Tujuan penelitian ini untuk mendorong optimalisasi kegiatan supervisi berjenjang secara lebih sistematis dan terstruktur. Metode yang digunakan adalah pilot study dengan pendekatan program inovasi dan problem solving. Pengumpulan data dilakukan dari bagian Substansi Pelayanan Keperawatan, kepala ruangan, Clinical Instructor (CI), Primary Nurse (PN), dan Perawat Asosiet (PA) dengan teknik  dengan wawancara, observasi, dan penyebaran kuesioner. Hasil penelitian menunjukkan bahwa: 1) tahap identifikasi masalah, perlu peningkatan dalam pelaksanaan supervisi keperawatan berjenjang; 2) tahap pelaksanaan, perlu adanya pengembangan panduan, Standar Prosedur Operasional (SPO), dan format penilaian, pembuatan jadwal, sosialisasi, dan uji coba pelaksanaan supervisi keperawatan berjenjang; 3) tahap evaluasi, perlu pendampingan, monitoring evaluasi, dan penyebaran kuesioner terkait pelaksanaan uji coba supervisi keperawatan berjenjang. Simpulan, optimalisasi pelaksanaan supervisi keperawatan berjenjang perlu adanya kebijakan dan dukungan dari pihak manajemen rumah sakit dan manajer keperawatan yang ada di RS X. Diharapkan agar hasil dari kegiatan supervisi keperawatan berjenjang yang belum optimal dapat ditindak lanjuti dengan program Pengembangan Profesional Berkelanjutan. Kata kunci: Supervisi Berjenjang, Sistematis, Terstruktur, Perawat
Pengembangan Sistem Informasi Manajemen Skrining Case Manager RSUP Persahabatan Jakarta Muhammad Chandra; Enie Novieastari; Sri Purwaningsih
Jurnal Ilmiah Kesehatan Vol. 12 No. 2 (2019): Jurnal Ilmu Kesehatan
Publisher : Universitas Muhammadiyah Pekajangan Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.48144/jiks.v12i2.168

Abstract

AbstrakPendampingan pelayanan oleh case manager diawali dengan skrining pasien, namun metode skrining dan pelaporan hasil skrining secara manual cendrung kurang efektif dan kurang efisien. Inovasi ini bertujauan untuk mengembangkan sistem skrining yang lebih efektif dan efisien melalui yaitu skrining berbasis sistem informasi manajemen. Metode yang digunakan adalah prototyping model. Hasil inovasi ini adalah sebuah prototipe sistem informasi manajemen skrining case manager berbasis web dan android. Aplikasi ini digunakan oleh perawat yang melakukan skrining dan case manager yang melakukan verifikasi hasil skrining. Dengan sistem update yang real time, aplikasi ini sangat bermanfaat untuk meningkatkan efektifitas dan efisiensi skrining dan pelaporan hasil skrining case manager di rumah sakit. Rumah sakit diharapkan dapat menerapkan sistem ini untuk menigkatkan efektifitas dan efisiensi layanan khususnya case manager.Kata kunci: case manager, prototyping model, sistem informasi manajemen Development of Case Manager Screening Management Information System at RSUP Persahabatan Jakarta AbstractService assistance by the case manager begins with screening patients, but the method of screening and reporting the results of manual screening tends to be less effective and less efficient. This innovation aims to develop a more effective and efficient screening system through management information system-based screening. The method used is the prototyping model. This result is a prototype of a web-based and android case manager screening management information system. This application is used by nurses who conduct screening and case managers who verify the results of screening. With real time system updates, this application is very useful for improving the effectiveness and efficiency of screening and reporting the results of case manager screening at the hospital. Hospitals are expected to implement this system to improve the effectiveness and efficiency of special case manager services.Keywords  : case manager, prototyping model, management information system