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EVALUATION OF NURSING CARE BEHAVIOR CULTURE PROGRAM’S IMPLEMENTATION AT DHARMAIS CANCER HOSPITAL Nuraini, Tuti; Novieastari, Enie; Yetti, Krisna
ASEAN Journal of Community Engagement Vol. 3 No. 1 (2019)
Publisher : UI Scholars Hub

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Abstract

The concept of caring is used by nurses in providing nursing care. However, there are factors that influence nurses’ caring attitudes, such as job stress and dehumanization, which make nurse caring behavior decrease. Our program offers a solution to build a caring culture for cancer nurses. The activities carried out were the socialization of the caring culture to nurses, training for the head nurse as a change agent who guided nurses, assignment from the head of the hospital to the head nurse, and a guidance program for the head nurse as a champion to nurses. After the activity was finished, we evaluated the implementation of caring culture by focus group discussion for the head nurse. As a result, eight themes were obtained: observation guidance about caring behavior to help champions monitor and increase the nurses’ caring attitudes, training about caring to help nurses change their caring attitude, excessive workload makes nurses display less-caring behavior, Whatsapp application helps socialize caring culture, spiritual power from the inside fosters caring behavior, support from hospital leaders for caring behavior, needs for caring behavior training and therapeutic communication for all health care providers and administrative staff, needs for caring behavior standard operating procedures (SOP) and guidance from senior nurses. The number of nurses who behave caring well also increase by 38% after intervention (p = 0.021). The result of FGD can be suggestions for the hospital of ways to improve the caring culture.
Parents Experiences Using Alternative Medicine on Children Suffering Cancer in Jakarta Hermalinda, Hermalinda; Rustina, Yeni; Novieastari, Enie
Jurnal NERS Vol 10, No 1 (2015): Vol. 10 Nomor 1 April 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (298.218 KB) | DOI: 10.20473/%oj.Ners101%y61-73

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Introduction: Alternative medicine are very popular today as a therapy that are believed to treat cancer. A phenomenology study was carried out to identify the experince of parent’s in using alternative medicine for children with cancer. Method: The method of data collection was indepth interview to eigth parents and data was analyzed by Colaizii’s method. Themes of this research are the impact of illness to children, parent’s effort, description of alternative medicine, the effect of alternative medicine for children, meaning of using alternative medicine and parents expectation. Result: No benefit effect for children and detterence effect in using alternative medicine are current fi ndings in this research. Discussion: Healthcare professional should concerned about using alternative medicine in children and providing adequate information regarding effectiveness and adverse effects of alternative medicine. Keywords: parents experiences, alternative medicine, children with cancer
Pengembangan Sistem Informasi Manajemen Skrining Case Manager RSUP Persahabatan Jakarta Chandra, Muhammad; Novieastari, Enie; Purwaningsih, Sri
Jurnal Ilmiah Kesehatan (JIK) Vol 12, No 2 (2019): Jurnal Ilmu Kesehatan
Publisher : Jurnal Ilmiah Kesehatan (JIK)

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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
Optimalisasi Manajemen Konflik: Perilaku Asertif Dalam Keperawatan Wulandari, Cicilia ika; Novieastari, Enie; Purwaningsih, Sri
Jurnal Kesehatan Saelmakers PERDANA (JKSP) Vol 2 No 2 (2019): Jurnal Kesehatan Saelmakers PERDANA
Publisher : Fakultas Ilmu Kesehatan Universitas Katolik Musi Charitas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (381.327 KB) | DOI: 10.32524/jksp.v2i2.564

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Professional nursing is needed to provide quality services with assertive behavior. Assertive behavior for nurses is important because nurses work always interacting with others. The purpose of this study was to describe a description of assertive behavior in hospital nursing. Research renewal can be used to optimize conflict management, assertive behavior in nursing. The method used in this study is descriptive research with survey methods. Implementation of research starts from situation analysis, problem identification, determining priority problems, making action plans, implementation, and evaluation. The study sample involved 55 nurses who were randomly selected in the inpatient room. Sample calculation uses the Rule of Thumb formula and obtained 55 nurses. The identification results showed that there were nurses who were not assertive, namely 53% of passive nurses and 25% of nurses being aggressive. Non-assertive behavior in work can cause conflicts, such as task conflicts, communication conflicts, structural conflicts, intrapersonal conflicts, and conflicts between groups. Conflict management abilities, especially assertive techniques aim to limit and avoid violence, by encouraging positive behavioral changes for the parties involved, especially assertive behavior. Conflicts that can be managed properly can have the effect of quality nursing services. The recommendations provided are able to strengthen regulations and increase conflict management knowledge, especially assertive behavior in nursing.Keywords: Assertive, Conflict Management, Nurse
Peningkatan Kemampuan Timbang Terima Pasien Melalui Budaya Komunikasi SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION (SBAR) DI RS DI BEKASI Anggraini, Dian; Novieastari, Enie; Nuraini, Tuti
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 4, No 2 (2019)
Publisher : Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (339.532 KB) | DOI: 10.32419/jppni.v4i2.182

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ABSTRAK Latar Belakang: Komunikasi tidak efektif dalam timbang terima dapat meningkatkan kejadian medication error, membahayakan pasien, memperpanjang proses perawatan, menurunkan kepuasan pasien, memperpanjang hari rawat pasien yang akan berdampak pada kurangnya mutu asuhan keperawatan yang diberikan pada pasien. Upaya meningkatkan mutu pelayanan salah satunya dengan menerapkan komunikasi Situation, Background, Assessment, Recommendation (SBAR). Komunikasi SBAR sudah mulai diterapkan pada kebijakan akreditasi rumah sakit, di beberapa rumah sakit masih ada yang belum menerapkan komunikasi SBAR. Tujuan: penelitian ini bertujuan mengidentifikasi perbedaan pengetahuan dan kemampuan perawat setelah pelatihan SBAR. Metode: pre-eksperiment dengan pre-post tanpa kelompok kontrol, sampel penelitian seluruh Perawat Primer dan Penanggung Jawab shift (n= 17). Pengukuran pengetahuan dengan melakukan tes tertulis sebelum dan sesudah pelatihan, dan untuk data kemampuan perawat timbang terima dengan komunikasi SBAR dilakukan pengamatan timbang terima sebelum dan sesudah pelatihan dengan menggunakan lembar observasi. Analisis data dengan uji t berpasangan dan uji Wilcoxon. Hasil: ada perbedaan yang bermakna rerata pengetahuan sebelum dan sesudah pelatihan (p-value <0,001), ada perbedaan yang bermakna rerata kemampuan perawat sebelum dan sesudah pelatihan komunikasi SBAR dalam timbang terima pasien antar shift (p-value <0,001). Kesimpulan: komunikasi SBAR efektif untuk meningkatkan sosialisasi, motivasi, mentoring, supervisi, serta pengembangan pendidikan yang berkelanjutan.Kata Kunci: Komunikasi, pengetahuan, SBAR, timbang terimaImprovement of the Handover Ability Through Situation, Background, Assessment, Recommendation (Sbar) Communication Culture in Hospital at Bekasi City ABSTRACTBackground: Ineffective communication in the handover can increase the incidence of medication errors, endanger the patient, prolong the treatment process, reduce patient satisfaction, extend patient care days which will have an impact on the lack of quality nursing care provided to patients. To improve quality of service, one of them is to apply SBAR communication. SBAR communication is already implemented in accreditation policy at hospital. Meanwhile, there are some hospital not yet implement it. Objective: this study was to identify differences in nurses’ knowledge and abilities after training. Methods: pre-experiment with pre-post without a control group, a sample of all Primary Nurse and Shift Guidance (n = 17), Measurement of knowledge by conducting a written test before and after training, and measurement of the ability to handover nurses with SBAR communication conducted handover observations before and after training using observation sheets. Data analysis by paired t-test and Wilcoxon test. Results: there were significant differences in the mean of knowledge before and after training (p-value <0.001), there were significant differences in the mean ability of nurses before and after SBAR communication training in the handover of patients between shifts (p-value <0.001). Discussion: SBAR communication must become a culture, its implementation needs managerial support and nurse commitment. Conclusion: communication with SBAR could improve effectively socialization, motivation, mentoring, supervision, and continuing education development.Keywords: Communication, knowledge, SBAR, handover
Optimalisasi fungsi manajemen kepala ruangan dalam supervisi klinik menggunakan alat bantu Google form di rumah sakit di Jakarta Triana, Neni; Novieastari, Enie; Satinah, Satinah
Holistik Jurnal Kesehatan Vol 14, No 2 (2020)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (406.555 KB) | DOI: 10.33024/hjk.v14i2.2703

Abstract

Utilization of digital technologies as a strategy to optimizing management functions in nursingBackground: Nursing services need a good management of Nurse Managers to achieve a standardized service quality. Clinical supervision nursing has generally been implemented in hospitals, but its application has not been implemented optimally causing quality improvement not to run continuously.Purpose: To identify issues of implementation clinical supervision nursing and to develop problem-solving solutions.Method: The mini project, analysis of results and implementation gap with discussion based on literature review. Problems were analyzed using a fishbone diagram. Problem solving using Plan Do Study Action (PDSA) tools starts from Plan of Action (POA), implementation, evaluation, and follow up. The sample was taken from 5 the inpatient wards.Results: The problem identification found not optimal the quality  of nursing in the planning, monitoring and follow-up phase. Implementation of problem solving by workshop and socialization of guidance, procedure, dictionary and instrument of monitoring clinical supervision nursing with digital tecnology google form. The evaluation result shows that 100 % said the clinical form supervision of digital technology based on google form was very effective and efficientKeywords: Utilization; Digital technologies; Strategy; Optimizing; Management functions; NursingPendahuluan: Pelayanan keperawatan memerlukan pengelolaan yang baik dari Manajer Perawat untuk mencapai kualitas pelayanan keperawatan yang sesuai standar. Supervisi klinik keperawatan pada umumnya telah dilaksanakan oleh manajer keperawatan, namun penerapannya belum dilaksanakan secara optimal yang menyebabkan supervisi klinik keperawatan tidak berjalan secara berjenjang.Tujuan: Mengidentifikasi masalah pelaksanaan supervisi klinik keperawatan di ruang rawat serta mengembangkan solusi pemecahan masalah.Metode: Berupa mini project serta analisis hasil dan gap implementasi dengan pembahasan berdasarkan literature review. Masalah dianalisis menggunakan diagram fishbone. Penyelesaian masalah menggunakan tools Plan Do Study Action (PDSA) dimulai dari Plan of Action (POA), implementasi, evaluasi, dan tindak lanjut. Sampel diambil dari ruang rawat inap yang terdiri dari 5 Kepala Ruangan.Hasil: Ditemukan tidak optimalnya supervisi klinik keperawatan pada tahap perencanaan, pemantauan dan tindak lanjut. Implementasi pemecahan masalah berupa sosialisasi dan workshop supervisi klinik keperawatan berbasis teknologi digital google form. Hasil evaluasi menunjukkan bahwa  100 % mengatakan supervisi klinik keperawatan berbasis teknologi digital google form sangat efektif dan efesien. 
Pengembangan program pelatihan edukator tuberkulosis paru Iskandar, R Totong; Novieastari, Enie; Satinah, Satinah
Holistik Jurnal Kesehatan Vol 14, No 4 (2020)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v14i4.2706

Abstract

The training and development of nursing educators in management of pulmonary tuberculosis Background: The quality of education in patients is a key element in the quality of health promotion in hospitals. The phenomenon that occurs in the pulmonary clinic is the provision of very minimal education and there is no TB educator team.Purpose: To increase the competence of nurses as educators in the pulmonary clinic by carrying out TB educator training.Method: The action research, identification of problems with structured interview techniques, observation, and filling out questionnaires to the district head and 2 persons. Analysis of the problem is done with the fish bone method, solving the problem using the planing of action method.Results: As a condition of completeness of training instruments, curriculum structure and activity descriptions and modules containing training material have been made. From the results of this training a TB educator team will be formed at RS X.Conclusion: The manifestation of the responsibility of the nursing manager in improving the quality of nursing human resources in order to increase the competence of nurses as tb educators in health promotion and prevention of increasing numbers of patients with pulmonary TB in the hospital by compiling the curriculum structure and basic tb educator training modules.Keywords: The training; Development; Nursing educators; Management; Pulmonary tuberculosisPendahuluan: Kualitas edukasi pada pasien menjadi elemen kunci mutu promosi kesehatan di rumah sakit. Fenomena yang terjadi di poliklinik paru ialah pemberian edukasi yang sangat minim dan belum ada tim edukator TB.Tujuan: Untuk meningkatkan kompetensi perawat sebagai edukator di poliklinik paru dengan melaksanakan pelatihan edukator TB.Metode: Metode yang digunakan dengan penelitian tindakan, identifikasi masalah dengan teknik wawancara terstruktur, observasi, dan pengisian kuesioner kepada kabidyankep dan 2 orang kasie. Analisis masalah dilakukan dengan metode fish bone, pemecahan masalah menggunakan metode planing of action.Hasil: Sebagai syarat kelengkapan instrumen pelatihan telah dibuat struktur kurikulum dan deskripsi kegiatan serta modul yang berisi materi pelatihan. Dari hasil pelatihan ini akan dibentuk tim edukator TB RS X.Simpulan: Wujud tanggung jawab manajer keperawatan dalam peningkatan kualitas SDM keperawatan guna meningkatkan kompetensi perawat sebagai edukator TB dalam promosi kesehatan dan pencegahan peningkatan angka penderita TB Paru di rumah sakit yakni dengan menyusun struktur kurikulum dan modul pelatihan edukator TB dasar.
OPTIMALISASI PERAN DAN FUNGSI KEPALA RUANGAN DALAM PELAKSANAAN SOSIALISASI REGULASI DAN STANDAR PROSEDUR OPERASIONAL KESELAMATAN PASIEN Warashati, Dina; Novieastari, Enie; Afriani, Tuti
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 6 No. 2 (2020): Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v6i2.165

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Keselamatan pasien merupakan hal yang penting dari suatu  pelayanan kesehatan di era saat ini. Seorang perawat wajib memiliki kemampuan dan kepercayaan diri dalam  melaksanakan program-program keselamatan pasien. Perawat butuh suatu acuan dan  pedoman berupa pemahaman yang jelas mengenai suatu panduan dan standar oprasional prosedur  yang ada dan disepakati disuatu organisasi. Manajemen berkewajiban memastikan bahwa seluruh stafnya paham,  mengikuti dan patuh  melaksanakan  panduan dan standar oprasional prosedur yang ada. Pengkajian di rumah sakit di Jakarta dengan metode studi kasus didapatkan adanya insiden jatuh, kesalahan identifikasi pasien, kesalahan pengobatan, ketidak seragaman pada tindakan asuhan keperawatan, belum optimalnya komunikasi SBAR saat serah terima, penyimpanan obat-obatan konsentrasi tinggi belum sesuai standar dan adanya konflik antar profesi. Tujuan study ini adalah memberikan penguatan peran dan fungsi manajemen kepala ruangan terkait cara sosialisasi panduan dan standar oprasional prosedur yang benar dalam upaya meningkatkan keselamatan pasien. Penguatan yang diberikan kepada kepala ruangan dan perawat primer berupa bimbingan teknis yang benar menurut teori dan aplikasi langsung diruangan rawat inap. Kegiatan ini menggunakan tahap perubahan berencana dari kurt lewin untuk mengatasi permasalahan yang ditemui. Hasil penelitian  ini menunjukkan bahwa pemahaman terhadap standar oprasional prosedur akan mengubah perilaku seseorang  kearah yang lebih baik, dan terdapat hubungan yang cukup kuat ditemukan antara kualitas standar operasional prosedur dengan kinerja, sehingga kepala ruangan wajib memiliki kompetensi yang baik dalam melakukan sosialisasi panduan dan standar oprasional prosedur. Disarankan untuk rumah sakit agar memberikan  pelatihan manajemen bangsal kepada kepala ruangan sebagai penguat kompetensinya dan meningkatkan rasa percaya diri untuk memberikan justifikasi dan argumentasi, sebagai bekal negosiasi terhadap rekan-rekan petugas kesehatan lainnya.
MODIFIKASI ASESMEN EARLY WARNING SYSTEM UPAYA PENINGKATAN PENERAPAN KESELAMATAN PASIEN Hutabarat, Veronika; Novieastari, Enie; Satinah, Satinah
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 6 No. 2 (2020): Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v6i2.166

Abstract

Salah satu faktor dalam meningkatkan penerapan keselamatan pasien adalah ketersediaan dan efektifitas prasarana dalam rumah sakit. Early warning system (EWS) merupakan prasarana dalam mendeteksi perubahan dini  kondisi pasien. Penatalaksanaan EWS masih kurang efektif karena parameter dan nilai rentang scorenya belum sesuai dengan kondisi pasien. Tujuan penulisan untuk mengidentifikasi efektifitas EWS dalam penerapan keselamatan pasien. Metode penulisan action research melalui proses diagnosa, planning action, intervensi, evaluasi dan  refleksi. Responden dalam penelitian ini adalah  perawat yang bertugas di area respirasi dan pasien dengan kasus kompleks respirasi di Rumah Sakit Pusat Rujukan Pernapasan Persahabatan Jakarta. Analisis masalah dilakukan dengan menggunakan diagram fishbone. Masalah yang muncul belum optimalnya implementasi early warning system dalam penerapan keselamatan pasien. Hasilnya 100% perawat mengatakan REWS membantu mendeteksi kondisi pasien, 97,4 % perawat mengatakan lebih efektif dan 92,3 % perawat mengatakan lebih efesien mendeteksi perubahan kondisi pasien. Modifikasi EWS menjadi REWS lebih efektif dan efesien dilakukan karena disesuaikan dengan jenis dan kekhususan Rumah Sakit dan berdampak terhadap kualitas asuhan keperawatan dalam menerapkan keselamatan pasien. Rekomendasi perlu dilakukan monitoring evaluasi terhadap implementasi t.erhadap implementasi REWS dan pengembangan aplikasi berbasis tehnologi
Optimalisasi Kualitas Dokumentasi Asuhan Keperawatan dengan Pendekatan SOAP di Rawat Jalan Anak: Pilot Study Koten, Elisabet Herlyani Bota; Afriani, Tuti; Dewi, Sarvita; Yatnikasari, Aat; Novieastari, Enie
Journal of Telenursing (JOTING) Vol 3 No 1 (2021): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v3i1.2229

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This study aims to find the root of the problem to streamline documentation in outpatient care. The method in this research is a case study using a particular pilot study approach for nurses in outpatient rooms for children through Kurt Lewin's theory of change. Problem analysis was performed using a fishbone. The implementation is carried out as a solution to the problems that occur in drafting a Standard Operating Procedure and a monitoring format for monitoring the evaluation of nursing care documentation using the SOAP approach and socializing innovation products. The research results with fishbone analysis showed that the quality of nursing care documentation using the SOAP approach in outpatient rooms for children was not up to standard. In conclusion, the root of the problem is identified. The implementation of a pilot study related to the optimization of the quality of nursing care documentation. Hospital X is at the stage of moving/movement change. Innovative products are socialized and accepted for further instrument testing. Keywords: Evaluation, Documentation Quality, Documentation Optimization