Penelitian ini bertujuan untuk mengetahui pola shift yang digunakan rumah sakit selama masa pandemi. Desain penelitian menggunakan sistematik review melalui database online seperti Science direct, EBSCOhost, Scopus, ProQuest, Google Scholar dan sumber pencarian lainnya. Proses pemilihan artikel menggunakan metode PRISMA. Jumlah artikel yang diperoleh adalah 795, kemudian hanya 11 yang digunakan dalam tinjauan ini. Hasil penelitian ini menunjukkan bahwa pola shift selama masa pandemi meliputi (1) 12 jam per shift; (2) 6 jam per shift; (3) 4-8 jam dengan pembagian waktu dalam shift; (4) pola 7-7-10; (5) jadwal kerja fleksibel, interval pendek; (6) tiga tahap rotasi dan rencana karantina 14 hari. Simpulan, pola shift 12 atau 6 jam tanpa istirahat  berdampak tidak baik bagi kesehatan perawat, sedangkan pola shift lain cenderung memperhatikan kesehatan dan keselamatan perawat di masa pandemi. Kata Kunci: Pandemi COVID-19, Pola Shift Perawat

Background: The increase in COVID-19 cases in Indonesia has resulted in changes in the hospital workflow, including the staffing process and scheduling, especially in the isolation units. Nurse managers are working hard in the scheduling system to ensure high-quality care is provided with the best human resources. Objective: This study aimed to explore the experiences of nurse managers in managing staff nurses’ work schedules during the COVID-19 pandemic. Methods: A qualitative descriptive design was used in this study. Eleven nurse managers from three COVID-19 referral hospitals were selected using purposive sampling. Data were collected using online semi-structured interviews. Thematic analysis was used for data analysis, and data were presented using a thematic tree. Consolidated criteria for reporting qualitative research (COREQ) checklist was used as a reporting guideline of the study. Results: Four themes were developed: (i) Nurse shortage, (ii) Strategically looking for ways to fulfill the workforce, (iii) Change of shift schedule, and (iv) Expecting guidance from superiors and compliance from staff. Conclusion: The lack of nurse staff is a problem during a pandemic. Thus, managing personnel effectively, mobilizing and rotating, and recruiting volunteers are strategies to fulfill the workforce during the pandemic. Using a sedentary shift pattern and sufficient holidays could prevent nurses from falling ill and increase compliance with scheduling. In addition, a staffing calculation formula is needed, and top nursing managers are suggested to provide guidance or direction to the head nurses to reduce confusion in managing the work schedule during the pandemic.

Background: Patient safety management includes the documentation of fall risks. This study aims to portray the nurses' performance toward the risk of falling management in hospitals. Materials and Methods: A cross-sectional approach was used as the study design to measure the documentation completeness of the nursing process toward the risk of falling at hospitals during 2020. There are 110 selected medical records of hospitalized patients based on inclusion criteria such as low-risk medical records, hospitalization within 3 days, and a maximum hospitalization length of one year after the beginning of the data collection procedure. Univariate analysis is chosen to analyze the data. Results: The results showed that nurses were inconsistent in implementing fall risk management. Furthermore, the assessment was 68.18%, where 45.45% of nurses made the nursing diagnosis, 4.55% described the problems and etiology, and also 32.72% evaluated patients' integrated records. Conclusions: The incomplete documentation of fall risk describes the nonoptimal risk management implementation. The head nurse should develop a dynamic interaction with the fall risk patients, as well as increase nursing coordination and integration.

Nurses have a critical role in ensuring care delivery focuses on patient safety and injury prevention during treatment. Positive attitudes toward injury prevention can improve patient safety; however, several factors such as age and work experience are believed to have influenced nurses’ safety attitudes. A systematic review searched data through online databases such as Scopus, ScienceDirect, Wiley Online Library, and EBSCO for articles published between 2010 and 2020. The keywords used were "patient safety attitude AND" nurse "and" patient safety "AND "Nurse attitude" OR "factor analysis." The article selection process used the PRISMA method. The total number of articles obtained was 727, and then only 19 were used in this review after screening. Factors affecting patient safety attitudes are identified into four categories, namely (1) demographic characteristics such as age, genders, educational level, position, work experience, and working unit, (2) physical and psychological exhaustion, (3) obtainable education, and (4) organizational influence. Several factors can cause the nurses negative attitudes towards patient safety, such as burnout and fatigue. Moreover, other factors can make the nurses positive attitudes, such as education, training, and support from the organization. Therefore, efforts are needed to increase knowledge and the organizational influence as well as the management of nurse fatigue and burnout as part of improving nurses' safety attitudes. ABSTRAK Keselamatan pasien digambarkan sebagai upaya untuk mencegah kesalahan medis atau cedera yang dapat dihindari untuk melindungi pasien. Perawat sebagai tenaga kesehatan yang selalu berinteraksi dengan pasien dan tenaga kesehatan lainnya memiliki peran penting dalam memastikan pemberian asuhan berfokus pada keselamatan pasien dan pencegahan cedera selama perawatan pada perawatan jangka pendek maupun jangka panjang. Telaah literature ini mencari data melalui system Scopus, Science Direct, Wiley Online Libarary, dan Ebschoohost untuk artikel yang diterbitkan antara tahun 2010 sampai 2020. Kata kunci yang digunakan adalah “patient safety attitude” OR “patient safety” AND “nurse” OR “nurse attitude”. Total artikel yang didapat adalah 727 kemudian hanya 18 artikel yang digunakan dalam telaah literature ini setelah dilakukan screening. Artikel yang dianalisis terkait dengan factor-faktor yang berhubungan dengan sikap perawat dalam keselamatan pasien. Factor yang mempengaruhi sikap keselamatan pasien teridentifikasi menjadi 4 kategori, yaitu berdasarkan karakteristik perawat, kelelahan fisik dan psikologis, pengetahuan yang didapat, dan organisasi. Beberapa faktor dapat menyebabkan sikap perawat dalam keselamatan pasien menjadi negatif, seperti adanya kelelahan dan burnout. Oleh karena itu diperlukan upaya untuk meningkatkan pengetahuan dan peran organisasi serta pengelolaan kelelahan dan burnout perawat sebagai bagian peningkatan sikap keselamatan perawat.