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PENGARUH BUDAYA ORGANISASI TERHADAP KINERJA PERAWAT PELAKSANA DI RSUD AW SJAHRANIE Hilda, Hilda; Arsyawina, Arsyawina
Husada Mahakam Vol 4 No 6 (2018): Mei 2018
Publisher : Politeknik Kesehatan Kemenkes Kalimantan Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (458.479 KB)

Kinerja perawat merupakan ukuran keberhasilan dalam mencapai tujuan pelayanan keperawatan dan cerminan mutu pelayanan yang diberikan. Sebagai ujung tombak pelayanan keperawatan di rumah sakit, kinerja perawat merupakan nilai bersama dalam kerangka sistem budaya mutu. Tujuan penelitian ini adalah menganalisis hubungan budaya organisasi dengan kinerja perawat pelaksana di RSUD AW Sjahranie Samarinda. Penelitian ini adalah analitik observasional dengan desain cross sectional study. Perawat pelaksana yang berjumlah 110 orang dijadikan sebagai sampel dalam penelitian ini. Sampel  di setiap ruangan ditentukan secara proporsional dan  diambil secara simple random sampling. Budaya organisasi dan 7 dimensi pendukungnya merupakan variabel bebas sedangkan variabel terikat adalah kinerja perawat. Pengumpulan data menggunakan kuesioner terstruktur dan dianalisis menggunakan uji chi square dan regresi logistik berganda. Hasil penelitian menunjukkan budaya organisasi berpengaruh secara bermakna dengan kategori kuat terhadap optimalisasi kinerja perawat pelaksana. Dimensi budaya organisasi  yang  paling berpengaruh terhadap kinerja perawat pelaksana adalah perhatian hal hal yang detail setiap melakukan pekerjaan dan orientasi terhadap manusia. Manajemen rumah sakit diharapkan dapat mensosialisasikan pendekatan unsur budaya organisasi dalam setiap penerapan kegiatan keperawatan di lingkungan kerjanya.

Analisis Faktor Risiko Kejadian Penyakit Jantung Koroner Pada Pasien di Ruang Intensive Cardiac Care Unit (ICCU) RSUD A. Wahab Sjahranie Samarinda wina, arsyawina
Husada Mahakam Vol 4 No 3 (2016): November 2016
Publisher : Politeknik Kesehatan Kemenkes Kalimantan Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (439.705 KB)

Peningkatan Jumlah penyakit kardiovaskuler yang disebabkan oleh sumbatan koroner meningkat secara bertahap di seluruh dunia pada populasi dewasa disebabkan karena terjadinya perubahan pada pola hidup. Secara global penyakit kardiovaskuler merupakan penyebab utama kematian di dunia yaitu sebesar 31% sebagai penyebab kematian, sedangkan di Indonesia penyakit jantung koroner merupakan penyebab kematian kedua setelah penyakit stroke. Tujuan penelitian ini adalah menganalisis faktor risiko kejadian PJK pada pasien yang dirawat di Ruang ICCU RSUD. A.W. Sjahranie Samarinda. Jenis penelitian adalah kuantitatif dengan rancangan penelitian analitik menggunakan pendekatan cross sectional. Tekhnik pengambilan sampel manggunakan non random sampling dengan convenience sampling. Analisis data yang digunakan adalah chi square untuk analisis bivariat dan regresi logistik untuk analisis multivariat. Hasil penelitian menunjukkan bahwa sebagian besar responden yang mengalami PJK berusia < 60 tahun (60,7%), memiliki riwayat hipertensi (78,6%), tidak merokok (53,6%), memiliki dislipidemia (60,7%), tidak obesitas (75%) dan memiliki riwayat keluarga PJK (78,6%). Dari hasil uji multivariat menunjukkan bahwa terdapat tiga faktor yang berhubungan signifikan dengan kejadian PJK yaitu usia (P Value : 0,041) dengan OR (13,16), dislipidemia (P Value : 0,017) dengan OR (0,055), dan riwayat keluarga dengan PJK (P Value : 0,001) dengan OR (0,08) Kesimpulan penelitian ini bahwa faktor risiko yang berhubungan dengan kejadian Penyakit Jantung Koroner (PJK) adalah usia, dislipidemia dan riwayat keluarga dengan PJK.

Tandem Walking Exercise For The Risk Of Falling and The Daily and Activitiesâ€™ Independency Toward Elderly Preopleat UPT PSTW Nirwana Puri Samarinda Widiastuti, Hesti Prawita; Pamungkas, Leny; Arsyawina, Arsyawina; Hilda, Hilda
Journal Of Nursing Practice Vol. 5 No. 1 (2021): Journal Of Nursing Practice
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v5i1.166

Background: Stability is the ability of maintaining static and dynamics equilibrium, which influenced the falling incident and the capability in doing everyday activities of elderliesPurpose: The purpose of this study is to analyze the effect of tandem walking exercise for the daily activitiesâ€™ independency and the risk of falling towards elderly people.Methods: This research is quasi experiment with pre and post-test nonequivalent control group design. The samples are 22 people that distributed into control and treatment group who were given tandem walking exercise three times a week for two weeks. Assessment of the independence of daily activities through observation, interviews and using barthel index instruments while falling risk is assessed using Time Up and Go Test (TUGT).Results: The result of hypothesis tests with Wilcoxon obtained that there is an impact from tandem walking exercise for the daily activitiesâ€™ independency (p value = 0,009) and the risk of falling (p value = 0,003). The deviation analysis on two groups acquired that the Group 1 with interventions of tandem walking exercise is having more impact on the improvement of daily activitiesâ€™ independency with Mann-Whitney test (p value = 0,044) and the reduction on risk of falling with Independent T-Test (p value = 0,000) compared to Control Group.Conclusion: Tandem walking exercise could improve daily activitiesâ€™ independency and lower the risk of falling towards elderly people

The Validity of the Abbey Pain Scale for Assessing Pain in Stroke Patient Arsyawina, Arsyawina; Parellangi, Parellangi; Widiastuti, Hesti Prawita; Hilda, Hilda
Journal Of Nursing Practice Vol. 5 No. 1 (2021): Journal Of Nursing Practice
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v5i1.167

Background: Apasia and dementia are two of the post-symptoms of stroke disease that cause patients to experience verbal communication disorders, thus requiring nurses to be more sensitive in assessing pain that is felt.Objective: The purpose of this research is to test the validity of the Abbey Pain Scale in assessing pain in stroke patients who are unable to express pain verbally.Methods: This research is a quantitative study using analytic observational research methods. This study used a consecutive sampling technique with the calculation of sample size based on population proportions. Research on one subject was repeated three times at rest and during pain procedures using the Abbey Pain Scale. Data were analyzed using the Pearson and Spearman test.Results: There was a significant correlation (p = 0.001) with a positive and strong correlation coefficient between the Abbey score and the pulse rate (correlation r = 0.699). Then there was a significant correlation (p < 0.001) with a positive and strong correlation coefficient between Abbey scores and mean arterial pressure (correlation r = 0.911). In addition, the Abbey Pain Scale score showed a significant change between the Abbey score at rest and during the pain procedure, both in the morning, afternoon and evening team nurses (p < 0.05).Conclusion: The Abbey Pain Scale is a valid measurement tool in assessing pain in stroke patients.

The Strategy of Developing Patients’ Safety Culture in Hospital Hilda Hilda; Arsyawina Arsyawina; Edi Sukamto; Rahmat Bakhtiar; Supriadi Supriadi; Rivan Firdaus; Emmy Putri W.
Health Notions Vol 5, No 12 (2021): December
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn51203

The important factor affecting patients’ treatment and safety service quality is patients’ safety culture. This research aimed to identify the most effective strategy to develop the patients’ safety culture to prevent nursing error in the highest referral hospital in East Kalimantan Province. This research is a mix method. The population in this study were all nurses in the inpatient room totaling 342 people and a sample of 119 people obtained by proportional random sampling. In quantitative research, data were obtained using questionnaires and then analyzed using multiple linear regression. While qualitative data were obtained through in-depth interviews with 3 informants, namely the implementing nurse, the head of the inpatient room and the chairman of the patient safety committee. The results of the analysis show that there are two environmental factors that influence patient safety culture, namely lifesaving control (p value = 0.002) and patient safety (p value = 0.041). Through in-depth interviews, it is known that individual, organizational, and environmental factors are effective in developing a patient safety culture.Keywords: strategy; development; patients safety culture

Analisis Faktor Risiko Kejadian Penyakit Jantung Koroner Pada Pasien di Ruang Intensive Cardiac Care Unit (ICCU) RSUD A. Wahab Sjahranie Samarinda arsyawina wina
Husada Mahakam Vol 4 No 3 (2016): November 2016
Publisher : Poltekkes Kemenkes Kalimantan Timur (URL: http://poltekkes-kaltim.ac.id/)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (439.705 KB)

Peningkatan Jumlah penyakit kardiovaskuler yang disebabkan oleh sumbatan koroner meningkat secara bertahap di seluruh dunia pada populasi dewasa disebabkan karena terjadinya perubahan pada pola hidup. Secara global penyakit kardiovaskuler merupakan penyebab utama kematian di dunia yaitu sebesar 31% sebagai penyebab kematian, sedangkan di Indonesia penyakit jantung koroner merupakan penyebab kematian kedua setelah penyakit stroke. Tujuan penelitian ini adalah menganalisis faktor risiko kejadian PJK pada pasien yang dirawat di Ruang ICCU RSUD. A.W. Sjahranie Samarinda. Jenis penelitian adalah kuantitatif dengan rancangan penelitian analitik menggunakan pendekatan cross sectional. Tekhnik pengambilan sampel manggunakan non random sampling dengan convenience sampling. Analisis data yang digunakan adalah chi square untuk analisis bivariat dan regresi logistik untuk analisis multivariat. Hasil penelitian menunjukkan bahwa sebagian besar responden yang mengalami PJK berusia < 60 tahun (60,7%), memiliki riwayat hipertensi (78,6%), tidak merokok (53,6%), memiliki dislipidemia (60,7%), tidak obesitas (75%) dan memiliki riwayat keluarga PJK (78,6%). Dari hasil uji multivariat menunjukkan bahwa terdapat tiga faktor yang berhubungan signifikan dengan kejadian PJK yaitu usia (P Value : 0,041) dengan OR (13,16), dislipidemia (P Value : 0,017) dengan OR (0,055), dan riwayat keluarga dengan PJK (P Value : 0,001) dengan OR (0,08) Kesimpulan penelitian ini bahwa faktor risiko yang berhubungan dengan kejadian Penyakit Jantung Koroner (PJK) adalah usia, dislipidemia dan riwayat keluarga dengan PJK.

PENGARUH BUDAYA ORGANISASI TERHADAP KINERJA PERAWAT PELAKSANA DI RSUD AW SJAHRANIE Hilda Hilda; Arsyawina Arsyawina
Husada Mahakam Vol 8 No 1 (2018): Mei 2018
Publisher : Poltekkes Kemenkes Kalimantan Timur (URL: http://poltekkes-kaltim.ac.id/)

Kinerja perawat merupakan ukuran keberhasilan dalam mencapai tujuan pelayanan keperawatan dan cerminan mutu pelayanan yang diberikan. Sebagai ujung tombak pelayanan keperawatan di rumah sakit, kinerja perawat merupakan nilai bersama dalam kerangka sistem budaya mutu. Tujuan penelitian ini adalah menganalisis hubungan budaya organisasi dengan kinerja perawat pelaksana di RSUD AW Sjahranie Samarinda. Penelitian ini adalah analitik observasional dengan desain cross sectional study. Perawat pelaksana yang berjumlah 110 orang dijadikan sebagai sampel dalam penelitian ini. Sampel di setiap ruangan ditentukan secara proporsional dan diambil secara simple random sampling. Budaya organisasi dan 7 dimensi pendukungnya merupakan variabel bebas sedangkan variabel terikat adalah kinerja perawat. Pengumpulan data menggunakan kuesioner terstruktur dan dianalisis menggunakan uji chi square dan regresi logistik berganda. Hasil penelitian menunjukkan budaya organisasi berpengaruh secara bermakna dengan kategori kuat terhadap optimalisasi kinerja perawat pelaksana. Dimensi budaya organisasi yang paling berpengaruh terhadap kinerja perawat pelaksana adalah perhatian hal hal yang detail setiap melakukan pekerjaan dan orientasi terhadap manusia. Manajemen rumah sakit diharapkan dapat mensosialisasikan pendekatan unsur budaya organisasi dalam setiap penerapan kegiatan keperawatan di lingkungan kerjanya.

Critical-Care Pain Observation Tool (CPOT) and Wong-Baker Faces Pain Rating Scale in Measuring Pain Level of Patient With Mechanical Ventilation Arsyawina Arsyawina; Mardiyono Mardiyono; Sarkum Sarkum
Jurnal Riset Kesehatan Vol 3, No 1 (2014): Januari 2014
Publisher : Poltekkes Kemenkes Semarang

Assesing pain in mechanically ventilated patients is a great challenge. Mechanical ventilated patients are often unable to self-report the presence of pain. CPOT is a behavioral pain scale which has been developed and validated for measuring pain in nonverbal critically ill adults. Purpose: This study was to compare CPOT and Wong-Baker by examining psychometric properties including reliability, validity and responsiveness. Method : A repeated measures design was chosen for this quantitative study with 31 samples of mechanically ventilated patients. Result : The ICC values of inter-rater reliability were high at 0,965 for CPOT and low at 0,423 for Wong-Baker. Validity was demonstrated by the change in CPOT and Wong-Baker, which were significantly higher during painful procedures,with averages for CPOT 1,32 – 1,42 at rest and 2,39-4,26 during procedure (p less than 0,001) and for Wong-Baker 4,52 – 4,65 at rest and 5,29-5,74 during procedure. The CPOT exhibited excellent responsiveness, with an effect size ranging from 5,0 to 5,4 better then Wong-Baker with an effect size ranging from 0,8 to 2,2. Conclusion : This study demonstrated that the CPOT can be valid, reliabeland more responsiveness for measuring pain in mechanical ventilated patients.

Reducing Blood Pressure with Slow Stroke Back Massage and Warm Water Foot Soak on Isolated Systolic Hypertension Patients Joko Sapto Pramono; Arsyawina; Isti Khomatul Masita
International Journal of Nursing and Health Services (IJNHS) Vol. 4 No. 4 (2021): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v4i4.467

Hypertension is a non-communicable disease that caused 64% of deaths globally and in Indonesia ranks fourth of death. Management of hypertension aims to keep blood pressure within normal limits, improve the health and quality of life and reduce the risk of serious complications, including heart disease and stroke. This study aimed to determine the effectiveness of slow stroke back massage techniques and warm water foot soak in reducing systolic blood pressure. The design in this study was a quasi-experiment with a non-equivalent pre-test and post-test design without a control group. The research sample was 30 respondents taken by purposive sampling divided into two intervention groups, each of 15 respondents. Data analysis used an Independent t-test and paired t-test. The results showed an effect of slow stroke back massage and warm water foot soak intervention on reducing systolic blood pressure with p-value = 0.001 (<? = 0.05). While the independent t-test obtained a p-value = 0.057 (>? = 0.05), which means there was no difference in effectiveness between the two interventions. It was concluded that the intervention of slow stroke back massage techniques and warm water foot soak affected reducing systolic blood pressure, and both had the same effectiveness in reducing systolic blood pressure. It is recommended that community health practitioners implement slow stroke back massage and warm water foot soak as an alternative to non-pharmacological therapies for hypertensive sufferers.

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