No abstract

Conflict is one of the factors that affect the performance of nurses. Nurse’s conflict management is closely related to the role of leaders in creating a conducive and productive work environment. The purpose of this study was to describe the perception of implementing nurses on the management of ward head conflict in a hospital in Bali. This research is a quantitative descriptive study with a cross sectional approach. The respondents involved were 71 nurses using purposive sampling technique. Collecting data using a questionnaire about conflict management that has been valid and reliable. The results of the research on the perception of implementing nurse on the conflict management of head nurse from dominating strategy were the “Not Good” category (56.95%), the collaboration strategy was “Good” (85.75%), the avoidance strategy was “Not Good” (44%), the accommodate “Good” (82%), and the compromise strategy “Good” (87%). The majority of implementing nurses perceive that the head nurse uses a compromise strategy in managing conflict in their work area, and the least perceived is that the leader uses a conflict avoidance management strategy. The head nurse is expected to be able to use appropriate conflict management strategies to resolve conflicts in his scope of work, because in general all strategies have their respective advantages and disadvantages to overcome a problem.

Therapeutic communication is one of the components that nurses need to pay attention to when providing health services. Quality of therapeutic communication implementation may be influenced by several factors, including nurses’ knowledge. Knowledge can be obtained from several ways, which one education videos. This study aims to determine the effect of providing educational videos on the level of knowledge of nurses about therapeutic communication in the General Hospital of Buleleng. The type used in this research is correlational analytic research design, one group pre-test post-test design, proportional sampling technique stratified random sampling with total sample of 45 nurses. The results obtained this study before being given the educational video most of respondents had sufficient knowledge, after being given the video most the respondent showed had good knowledge. The results of the Wilcoxon test obtained a p value of 0,000 (<0,05) which means that the custom of giving educational videos on the level of knowledge of nurses about therapeutic communication at the General Hospital of Buleleng. Educational videos are one of the effective and efficient learning media in disseminating information.

Pulau Nusa Penida sebagai tempat yang ramai dikunjungi di Bali. Kunjungan wisatawan saat ini ke Nusa Penida menunjukkan tren yang terus meningkat. Untuk mencapai Nusa Penida diperlukan  moda transportasi laut. Saat ini moda transportasi laut yang tersedia adalah speed boat. Untuk mendukung lancarnya aktivitas pariwisata diperlukan penyeberangan yang aman. Studi ini bermaksud untuk mencari tahu gambaran perilaku keselamatan penyeberangan yang dilakukan oleh penyedia jasa speed boat di Sanur. Rancangan penelitian ini merupakan rancangan deskriptif dengan metode cross-sectional. Partisipan studi diambil melalui kuesioner digital sejumlah 43 orang ditentukan menggunakan teknik consecutive sampling untuk mengetahui perilaku keselamatan penyeberangan. Berdasarkan penelitian ini diperoleh hasil partisipan memiliki  perilaku lumayan mencukupi yakni sejumlah 24 partisipan (55,8%). Usia responden di dominasi oleh kelompok usia dewasa awal yaitu sebanyak 18 orang (41,9%). Tingkat pendidikan responden di dominasi oleh lulusan SMA yakni sebanyak 24 orang (55,8%). Sebagian besar responden bekerja lebih dari satu tahun yakni sebanyak 25 orang (58,1%).  Seluruh responden berjenis kelamin laki-laki. Saran untuk penyedia jasa speed boat agar bisa meningkatkan perilaku keselamatan penyeberangan.

Background Intensive Care Unit (ICU) is the hospital setting in which applied specific application of clinical decision making and judgement. The critical patient conditions in ICU may drive nurses to make decision and clinical judgement in short period of time. The approach of clinical decision making which appropriate to be applied in the critical circumstances is important to be identified, thus it could become a guidance for novice and expert critical nurses. Aim The aim of this study was to explain how clinical decision making is applied in Intensive Care Unit (ICU)  Method A systematic review of 22 articles was carried out, articles were retrieved from CINAHL, MEDLINE, PUBMED and DISCOVERED databases. The articles were critically reviewed and analized to answer this study’s aim. Result The critically review of the articles were categorized in themes: 1) application of Tanner’s clinical judgment model  in ICU, 2) Types of decisions in ICU, 3) Theoretical approach: implementation of decision-making in ICU, 4) Case illustration of decision-making scheme in ICU, 5) Influencing factors of decision-making in ICU, 6) Supporting tools for clinical decision-making in ICU, 7) Understanding of attributes and concepts may enhance the quality of the clinical decision-making process in ICU, 8) Implications for nursing education and practice of understanding clinical decision making in ICU. Conclusions Critical care nurses usually combine different techniques in making decisions; analytical methods including the hypothetic-deductive method, pattern recognition, intuition, narrative thinking, and decision analysis theory are potentially applied. Clinical decision activities in ICU appear in many clinical situations, such as intervention decisions, communication decisions, and evaluation decisions. There are several factors influencing clinical decision-making in intensive care units, including nurses’ experience, the patient’s situation, the layout of the ICU, shift work, inter-professional collaboration practice, physical and personnel resources. The application of clinical decision making could be supported by systematic tools, and the nurses’ knowledge about the concepts and attributes used in ICUs affect their clinical decision-making abilities.     Keywords: clicinal decision making, critical care nurse, ICU