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Jurnal Keperawatan Indonesia
Published by Universitas Indonesia
ISSN : 14104490     EISSN : 23549203     DOI : https://doi.org/10.7454/jki
Core Subject : Health,
Focus and Scope Jurnal Keperawatan Indonesia (JKI, or Nursing Journal of Indonesia) contributes to the dissemination of information related to nursing research and evidence-based study on urban nursing issues in low-middle income countries. The scope of this journal is broadly multi-perspective in nursing areas such as Nursing Education, Clinical Practice, Community Health Care, Management and Health System, Health Informatics, and Transcultural Nursing, with a focus on urban nursing issues in low-middle income countries. JKI is committed to communicating and being open to the discussion of ideas, facts, and issues related to health across a wide range of disciplines. The journal accepts original research articles, synthesized literature, and best practice reports or case reports that use the quantitative, qualitative, or mixed-method approach. JKI adheres to journalistic standards that require transparency of real and potential conflicts of interest that authors and editors may have. It follows publishing standards set by the International Committee of Medical Journal Editors (ICMJE), the World Association of Medical Editors (WAME), and the Committee on Publication Ethics (COPE). Letters and commentaries about our published articles are welcome. All submitted contributions will undergo a blind peer-review process according to appropriate criteria.
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Search results for , issue "Vol 13, No 1 (2010): March" : 10 Documents clear
Peningkatan Kemampuan Kognitif dan Perilaku Pada Klien dengan Harga Diri Rendah Melalui Cognitive Behaviorur Therapy Heppi Sasmita; Budi Anna Keliat; Budiharto Budiharto
Jurnal Keperawatan Indonesia Vol 13, No 1 (2010): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v13i1.227

Abstract

AbstrakSeseorang yang mengalami skizoprenia sering diawali dengan masalah harga diri rendah dengan gejala: konsentrasi dan perhatian kurang, kepercayaan diri kurang, rasa bersalah, tidak berguna, pandangan masa depan yang suram dan pesimistis. Tujuan penelitian ini menilai efektivitas cognitive behaviour therapy (CBT) untuk meningkatkan kemampuan kognitif dan perilaku klien harga diri rendah. Metode penelitian: quasi eksperimen dengan penerapan cognitive behaviour therapy dengan pendekatan pre-post test. Analisis yang digunakan dependen dan independent sample t-Test, regresi linier sederhana, chi-square dan Anova. Penelitian dilakukan di salah satu RS Jiwa terhadap 58 klien yaitu 29 orang kelompok intervensi dan 29 orang kelompok kontrol. Hasil penelitian menunjukkan cognitive behavior therapy meningkatkan kemampuan kognitif dan perilaku klien skizoprenia dengan harga diri rendah secara bermakna (p<0.05, α=0.05). Efektifitas CBT meningkatkan kemampuan kognitif sebesar 29,31% dan kemampuan perilaku sebesar 22,4%. Penelitian ini merekomendasikan CBT sebagai salah satu terapi spesialis pada klien skizoprenia dengan masalah harga diri rendah. AbstractPatient with schizophrenia in the beginning is experiencing low self esteem with the following symptoms: concentration difficulty, attention deficit, low self confident, guilty and worthless feelings, and pessimistic. Cognitive behavior therapy is the solutions to enhance cognitive ability as well as to treat behavior of patient with low self esteem. The research aims to study about the effectiveness of cognitive behavior therapy. Method of the research was quasi experiment with pre and post- tests design. The analysis of the research was dependent and independent sample t- test, simple linear regression, chi square, and anova. The research was conducted in mental health hospital with 58 respondents, divided into 29 respondents as intervention group and 29 respondents as control group. The research demonstrated that cognitive behavior therapy has significantly enhanced cognitive ability and treated behavior of patient with low self esteem (p<0.05, α=0.05). The research shown the effectiveness to enhance cognitive ability about 29.31 percent, while the effectiveness to treat behavior about 22.4 percent. This study recommended cognitive behavior therapy as specialty treatment for patient schizophrenia with low self esteem.
Penurunan Tingkat Nyeri Anak Prasekolah Yang Menjalani Penusukan Intravena Untuk Pemasangan Infus Melalui Terapi Musik Nyimas Hany Purwati; Yeni Rustina; Luknis Sabri
Jurnal Keperawatan Indonesia Vol 13, No 1 (2010): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v13i1.231

Abstract

AbstrakTindakan pemasangan infus dapat menimbulkan nyeri pada anak usia prasekolah. Salah satu cara untuk meminimalkannya adalah dengan terapi musik. Tujuan penelitian ini adalah untuk mengetahui pengaruh terapi musik terhadap tingkat nyeri anak usia prasekolah yang menjalani penusukan intravena untuk pemasangan infus/ pemasangan infuse. Penelitian ini menggunakan studi quasi eksperimen dengan rancangan Nonequivalent control group, after only design ini dilakukan terhadap 64 anak prasekolah . Hasil penelitian, menggunakan analisa univariat dan bivariat: pooled test, menunjukkan bahwa terapi musik bisa menurunkan tingkat nyeri anak usia prasekolah. Terapi musik diberikan lima menit sebelum pemasangan infus sampai lima menit sesudah pemasangan infus. Terdapat perbedaan tingkat nyeri yang signifikan antara anak usia prasekolah yang diberikan terapi musik dengan anak usia prasekolah yang tidak diberikan terapi musik saat dilakukan pemasangan infus (p= 0,00, α= 0,05). AbstractMusic is an effective distraction technique. It has the best influence in a short time. Music reduces the physiological pain, stress and anxiety by distracting someone’s attention from the pain. The objective of this research is to understand recognize the influence of music therapy concerning the level of pain to of pre-school children experiencing venipuncture for the application of infusion therapy, this quasi experiment with Nonequivalent control group, after only design was conducted toward 62 pre-school children that having infusion attachment procedure. The result, using univariate and, bivariate data analysis with pooled test, discovered that there was a significant effect of music therapy in decreasing the level of pain of of pre-school children experiencing venipuncture. Research was using quasi experiment with Nonequivalent control group, after only design. Music therapy was given at 5 minutes before the infusion attachment process was started until 5 minutes after the process was done. There was a significant difference of pain level between pre-school children that was having music therapy than they who was not having music therapy during the infusion attachment process (p= 0,00, α= 0,05).
Peningkatan Ekspresi Transforming Growth Factor Beta 1 (TGF β1) Pada Luka Diabetes Melitus Melalui Balutan Modern Heri Kristianto; Elly Nurachmah; Dewi Gayatri
Jurnal Keperawatan Indonesia Vol 13, No 1 (2010): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v13i1.226

Abstract

AbstrakEkspresi transforming growth factor beta 1 pada luka diabetes melitus mengalami penurunan yang berdampak terhadap proses penyembuhan luka. Penelitian ini bertujuan untuk membandingkan perawatan luka modern dressing dengan metode konvensional terhadap ekspresi transforming growth factor beta 1 pada luka kaki diabetes melitus. Penelitian menggunakan quasi experimental pretest-posttest design dengan metode pengumpulan sampel secara consecutive sampling. Pengukuran ekspresi transforming growth factor beta 1 dilakukan pada hari ke-0 (pretest) dan ke-4 (posttest). Hasil penelitian didapatkan data pada kelompok modern terjadi peningkatan ekspresi transforming growth factor beta 1, sedangkan pada kelompok konvensional terjadi penurunan ekspresi transforming growth factor beta 1. Disimpulkan bahwa teknik perawatan luka secara modern mampu meningkatkan ekspresi transforming growth factor beta 1dibandingkan teknik konvensional pada luka kaki diabetes melitus. AbstractReduction of expression of transforming growth factor beta 1 in diabetic ulcers affects overall wound healing. This study tried to draw a comparison of transforming growth factor beta 1 level between modern dressing and conventional dressing in diabetic foot ulcer. This study applied a quasi-experimental pretest-posttest design and a consecutive sampling method of data collection. Immunohistochemical analysis of transforming growth factor beta 1 level was measured on the day 0 (pretest) and the day 4 (posttest). In this study, the modern dressing application improves transforming growth factor beta 1 level. Meanwhile, the conventional dressing application decreases transforming growth factor beta 1 level. Thus, it can be concluded that the modern dressing application can increase transforming growth factor beta 1 level.
Penurunan Tingkat Depresi Klien Lansia Dengan Terapi Kognitif dan Senam Latihan Otak di Panti Wredha Anton Surya Prasetya; Achir Yani S. Hamid; Herni Susanti
Jurnal Keperawatan Indonesia Vol 13, No 1 (2010): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v13i1.230

Abstract

AbstrakSalah satu manfaat terapi kognitif dan senam otak pada lansia adalah menurunkan tingkat depresi. Tujuan penelitian ini untuk mengetahui pengaruh terapi kognitif dan senam otak terhadap tingkat depresi lansia di Panti Wredha. Metode penelitian quasi experiment, desain pre-post test design with control group. Sampel penelitian secara purposive sampling berjumlah 56 responden, terdiri 28 responden kelompok intervensi dan 28 responden kelompok kontrol. Instrumen penelitian untuk mengetahui tingkat depresi menggunakan kuesioner Geriatric Depression Scale yang berjumlah 15 pertanyaan. Hasil penelitian didapatkan tingkat depresi menurun lebih bermakna pada kelompok intervensi yang mendapatkan terapi kognitif dan senam otak dibanding kelompok kontrol yang hanya mendapat terapi kognitif yaitu selisih 1,18 poin (p< 0,005, α= 0,05 ). Rekomendasi terapi kognitif dan senam latih otak menjadi bagian program kerja lansia di puskesmas dan panti. AbstractOne of the effects of cognitive therapy and brain exercising is lower levels of depression. The purpose of this study to determine the effect of cognitive therapy and brain exercising for the level or condition of depression of the elderly people in Tresna Wredha Nursing Home. The research method was quasi experiment by using pre-post test design with control group. The research sample was obtained by purposive sampling of 56 respondents, consist of 28 respondents to the intervention group and 28 respondents to the control group. The Research instrument that used to determine the level of depression was Geriatric Depression Scale questionnaire that included 15 questions. The result of the research showed that the level of depression was decreased, and it happened significantly in the intervention group who received cognitive therapy and brain exercising than the control group who only got cognitive therapy, with 1.18 points as the differences (p< 0,005, α= 0,05). This study recommended to be part elderly work plan in public health and nursing home.
Kinerja Perawat Berdasarkan Komitmen Pada Organisasi dan Lingkungan Kerja Perawat Muliyadi Muliyadi; Achir Yani S. Hamid; Mustikasari Mustikasari
Jurnal Keperawatan Indonesia Vol 13, No 1 (2010): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v13i1.225

Abstract

AbstrakKomitmen pada organisasi dan lingkungan kerja perawat merupakan faktor yang ada dalam pelayanan keperawatan di rumah sakit. Penelitian deskriptif dengan desain potong lintang bertujuan mendapatkan hubungan antara komitmen pada organisasi dan lingkungan kerja perawat dengan kinerja perawat pelaksana. Populasi penelitian adalah seluruh perawat pelaksana, dengan sampel adalah seluruh populasi yang memenuhi kriteria inklusi yaitu 107 perawat. Analisis melalui uji korelasi partial dan regresi linier ganda untuk analisis faktor dominan. Hasil penelitian terdapat hubungan signifikan komitmen pada organisasi dengan kinerja perawat pelaksana setelah dipengaruhi karakteristik perawat (p=0,0005, α=0,05). Lingkungan kerja berhubungan dengan kinerja perawat pelaksana setelah dipengaruhi karakteristik perawat (p=0,0005, α=0,05). Komitmen afektif adalah faktor paling dominan berhubungan dengan kinerja perawat pelaksana. AbstractNurses’ commitment on organization and nurse’s working condition is an organizational factor in hospital nursing services. This study used descriptive design with cross sectional. The Purpose of the study was to describe the relationship between commitment to organization and nurses’ working condition with the performance of nurse provider. The sample of this study was consisted of total population meeting the inclusive criteria of 107 nurses. Analysis of variable correlation utilized partial correlation test, for while analysis the determinant factor used multiple linear regression test. The result of the study showed that there was a significant relationship between commitment to organization with nurse provider’s performance after affected by nurse’s characteristics (p= 0,0005, α= 0,05). Nurses working condition had a significant relationship with the performance nurse providers after affected by the characteristic of nurses (p=0,0005, α=0,05). The most determinant factor related to nurse providers’ performance was affective commitment.
Penurunan Tekanan Darah dan Kecemasan Melalui Latihan Slow Deep Breathing Pada Pasien Hipertensi Primer Tri Cahyo Sepdianto; Elly Nurachmah; Dewi Gayatri
Jurnal Keperawatan Indonesia Vol 13, No 1 (2010): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v13i1.229

Abstract

AbstrakTujuan penelitian untuk mengidentifikasi penurunan tekanan darah dan tingkat kecemasan pasien hipertensi primer setelah melakukan latihan slow deep breathing antara kelompok intervensi dan kelompok kontrol. Penelitian menggunakan desain kuasi eksperimen Pretest-Posttest Control Group melibatkan 28 responden untuk setiap kelompok. Hasil menunjukkan perbedaan penurunan rata-rata tekanan darah sistolik sebesar 15,5 mmHg, perbedaan penurunan rata-rata tekanan darah diastolik sebesar 9,9 mmHg dan perbedaan penurunan rata-rata skor tingkat kecemasan sebesar 3,2. Analisis lebih lanjut menunjukkan ada perbedaan penurunan yang signifikan rata-rata tekanan darah sistolik, tekanan darah diastolik dan tingkat kecemasan antara kelompok intervensi dengan kelompok kontrol (p= 0,000, α= 0,05). Latihan Slow deep breathing dalam pelayanan keperawatan dapat digunakan sebagai intervensi keperawatan mandiri dalam memberikan asuhan keperawatan pada pasien hipertensi primer. AbstractThe purpose of this study is to identify the reduction of blood pressure and anxiety level in patients with primary hypertension after slow deep breathing exercise between intervention and control groups. This research utilized a Quasi-Experimental Pre – post test Control Group design involved 28 subjects for each group. The result indicated that there is a decrease of 9.9 mm Hg in the average of systolic blood pressure and the anxiety level of 3.2 after the intervention. Further result demonstrated that there is a significant reduction of the average systolic and diastolic pressure, and anxiety level between intervention and control groups (p= 0,000, α= 0,05). Therefore, the slow deep breathing exercise can be applied as one of the independent nursing therapies in nursing care of patients with primary hypertension.
Kemampuan Melakukan Penatalaksanaan Hipoglikemia Berdasarkan Karakteristik dan Pengetahuan Pasien Diabetes Melitus Ernawati Ernawati
Jurnal Keperawatan Indonesia Vol 13, No 1 (2010): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v13i1.224

Abstract

AbstrakKadar glukosa darah terlalu rendah akan membahayakan tubuh karena dapat merusak jaringan otak yang bersifat irreversible. Penelitian ini bertujuan mengetahui hubungan antara karakteristik dan pengetahuan pasien diabetes dengan kemampuan melakukan penatalaksanaan hipoglikemia. Metode penelitian ini adalah cross sectional dengan sampel 50 pasien diabetes yang pernah mengalami hipoglikemia. Hasil penelitian menunjukkan mayoritas responden kurang mendapatkan dukungan keluarga dan memiliki pengetahuan yang kurang tentang penatalaksanaan hipoglikemia sebesar 30 orang (60%). Sebagian besar responden yaitu 28 orang (56%) tidak mampu melakukan penatalaksanaan hipoglikemia dengan baik. Hasil penelitian juga menunjukkan karakteristik pasien diabetes yang berhubungan dengan kemampuan penatalaksanaan hipoglikemia meliputi usia (r = - 0,28, p= 0,046, α= 0,05), lama menderita diabetes (r = 0,424, p= 0,002, α= 0,05), dukungan keluarga (p= 0,035, α= 0,05), pendidikan (p= 0,034, α= 0,05), pengetahuan hipoglikemia (p= 0,0005, α= 0,05). Peneliti menyarankan pemberian asuhan keperawatan berupa pendidikan kesehatan tentang hipoglikemia, hendaknya dilakukan secara dini sejak pasien terdeteksi diabetes dan berfokus pada kemandirian dalam mendeteksi dan penanganan hipoglikemia. AbstractThe state of low blood glucose level is dangerous because in the state of hypoglycemia the brain tissues are vulnerable and the damage to nerve tissue is irreversible. This research aims in describing the factors related with diabetes patients’ ability in managing hypoglycemia. The method of the research is cross sectional with 50 patients who have undergone hypoglycemia as the samples. The results showed a majority of respondents have less family support and have less knowledge about the management of hypoglycaemia by 30 people (60%). The majority of respondents ie 28 people (56%) are unable to perform the management of hypoglycemia as well. The result of the research also shows that the factors related to hypoglycemia management are age (r= -0.28, p= 0,046, α= 0,05), the duration of diabetes (r= 0,424, p= 0,002, α= 0,05), family support (p= 0,035, α= 0,05), education ( p= 0,034, α= 0,05), hypoglycemia knowledge (p= 0,0005, α= 0,05). The researcher suggess to delivering nursing care about hypoglycemia’s management health education. This education should give as early as patient detected from diabetes, and focusing on self care in hypoglycemia detection and management.
Penurunan Intensitas Nyeri Persalinan Fase Aktif Kala I Melalui Terapi Musik Instrumental Nova Arikhman
Jurnal Keperawatan Indonesia Vol 13, No 1 (2010): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v13i1.228

Abstract

AbstrakIntensitas nyeri selama persalinan yang berlebihan dapat merugikan ibu dan janin. Terapi musik instrumental sebagai teknik nonfarmakologi, berguna menimbulkan efek distraksi dan relaksasi. Tujuan penelitian ini mengetahui pengaruh terapi music instrumental terhadap intensitas nyeri saat persalinan. Penelitian metode kuasi-eksperimen dengan pre post-test desain ini dilakukan pada 18 ibu multipara yang mengalami persalinan kala I di ruang bersalin kebidanan rumah sakit X. Pengambilan sampel melalui metode consecutive sampling. Data dianalisa melalui uji Paired t-test dan Wilcoxon sign rank test. Hasil penelitian menunjukkan bahwa perlakuan terapi musik instrumental berpengaruh signifikan terhadap penurunan intensitas nyeri (p= 0.017, α= 0,05). Penelitian ini merekomendasikan agar terapi musik instrumental sebagai salah satu terapi nonfarmakologis digunakan dalam menurunkan persepsi intensitas nyeri pada ibu multipara yang mengalami persalinan fisiologis kala I. AbsractSeverity of labor pain may damage mother and infant. Therefore, instrumental music therapy as non-pharmacology technique can be used for distraction and relaxation. This research aims to study about the effect of instrumental music therapy to severity of labor pain. Method of this research is quasi-experiment with pre post-test design, involving 18 multiparous mothers who experienced stage I labor in labor room of X hospital. Samples are selected through consecutive sampling. Data was analyzed by paired t-test and Wilcoxon sign rank test.The research shown that instrumental music therapy significantly relieved the severity of pain labor (p= 0.017, α= 0,05). The research recommended that instrumental music therapy can be used as non- pharmacological therapy to relieve the severity of labor pain for multiparous mothers who experience stage I labor.
Perilaku Hidup Bersih Sehat Pekerja Seks Komersial Setelah Mengikuti Konseling dan Tes HIV/AIDS Nila Titis Asrining Tyas; Fitria Handayani
Jurnal Keperawatan Indonesia Vol 13, No 1 (2010): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v13i1.232

Abstract

AbstrakKonseling dan tes HIV/AIDS sukarela merupakan suatu pembinaan dua arah atau dialog yang berlangsung tak terputus antara konselor dan kliennya dengan tujuan untuk mencegah penularan HIV, memberi dukungan moral, informasi, serta dukungan lainnya kepada ODHA, keluarga, dan lingkungannya. Penelitian ini melibatkan 7 Pekerja Seks Komersial (PSK) sebagai partisipan. Pengumpulan data dengan wawancara mendalam yang dianalisis dengan content analysis. Hasilnya para PSK memaknai proses Konseling dan tes HIV/AIDS sukarela yang telah mereka jalani dengan tetap mempertahankan perilaku hidup bersih sehat mereka sehari-hari dan tetap mencari pelayanan kesehatan serta menjadi pendidik sebaya di lokalisasi. Pemerintah dan LSM terkait hendaknya turut memfasilitasi para PSK untuk mempertahankan perilaku hidup bersih sehat mereka setelah melakukan konseling dan tes berkelanjutan. AbstractVoluntary Counseling and Testing HIV/AIDS (VCT) is a two-way counseling or continuous dialogue between counselor and client to prevent HIV transmission, give moral support, information and other supports for people with HIV/AIDS, his family and the environment. The total participants in this research were 7 CSWs. The researcher used in-depth interview to collect the data, which were analyzed by content analysis method. The research showed that the meaning of VCT for CSWs themselves could kept their daily healthy behavior and healthy seeking and also became peer educators after following the VCT process. The government and the voluntary organizations which are concerned with CSWs and HIV/ AIDS should facilitate the CSW’s efforts to keep their health oriented after doing VCT with continuous screening.
Efektivitas Organisasi pelayanan Keperawatan Berdasarkan Komunikasi, Pengambilan Keputusan, Sosialisasi Karir, dan Jenjang Karir Ridwan Ridwan; Dewi Irawati; Sutanto P. Hastono
Jurnal Keperawatan Indonesia Vol 13, No 1 (2010): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v13i1.223

Abstract

AbstrakTujuan penelitian ini adalah mengetahui hubungan proses organisasi (komunikasi; pengambilan keputusan; sosialisasi karir dan jenjang karir) dengan efektivitas organisasi dalam pelayanan keperawatan pada struktur organisasi dengan pendekatan sentralisasi dan desentralisasi di Rumah Sakit. Kuesioner disebarkan kepada 104 responden yang merupakan total sampel, yaitu perawat pelaksana yang dipilih berdasarkan kriteria inklusi. Hubungan antara variabel independen dan dependen serta uji beda untuk setiap variabel pada pendekatan sentralisasi dan desentralisasi diuji menggunakan analisis Chi-square. Hasil analisis multivariat menggunakan uji regresi logistik prediksi menunjukkan adanya hubungan yang signifikan antara proses organisasi dengan efektivitas organisasi, baik pada pendekatan sentralisasi maupun desentralisasi (p< 0,05, α= 0,05). Pada aspek efektivitas, hasil penelitian menunjukkan hasil 31,7% pada pendekatan sentralisasi dan 42,3% pada pendekatan desetnralisasi. Untuk itu, pihak manajemen rumah sakit perlu mengupayakan berbagai strategi manajemen keperawatan untuk meningkatkan efektivitas dan mutu pelayanan keperawatan di rumah sakit. AbstractThe objective of this research is to find out the relationship within organizational process (communication, decision making, career socialization, and career opportunity) and the effectiveness of the organization in giving nursing care using centralization approach and decentralization approach in Hospital. The questioners were given to a total sample of 104 respondents; they were associate nurses who were chosen using inclusion criteria. The relationship between independent and dependent variable, and the test to differentiate each variable in both centralization and decentralization approach were tested using chi-square analysis. The multivariate analysis using logistic regression prediction test showed that there was a significant relationship between organizational process and the effectiveness of the organization, both in centralization and decentralization approach (p< 0,05; α= 0,05). Moreover this study also showed that the effectiveness in centralization approach was 31.7%, whilst in the decentralization approach was 42.3%. It is recommended that the hospital's management should apply several strategies of management in nursing in order to increase the effectiveness and the quality of nursing services in hospital.

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