Background: Caring is a nurse's concern to clients was form of attention, appreciation and able was meet their needs. Phenomenon who had four out of five clients interviewed mentioned nurses less caring for clients. Objective: Less caring her nurses marked with less caring nurses to clients, so clients complain that the nurses in the room less attention to the convenience of clients.Methods: The type was of quantitative research with descriptive survey approach. The sample used was inpatient minimum patient duration of 3 days with total sampling technique was is 142 people. Data collection of primary data with research instrument that is questionnaire Behaviors Assessment Caring was of ten carative factor Jean Watson. Data analysis is frequency distribution.Results: Result of research on caring behavior of nurse 52,1% that was enough, fulfillment of human need 73,2%, Altruistic Humanistic Value System 43,7%, Confidence and expectation of client 47,9%, Sensitivity to self and others 50,0% , Relationship helps confidence 48,6%, recipient of positive and negative expression 51,4%, Problem solving method 47,2%, Interpersonal teaching process 45,1%, Psychological environment 60,6% sufficient nurse caring behavior and phenomenological existential power client assess 44,4% caring behavior of nurse that is good.Conclusion: It is concluded that the client assess the caring behavior of the nurses have enough category, therefore therefore for the hospital can evaluate about caring conducted by nurses in RSAU DR. M. Salamun Bandung.
ABSTRAKKesenjangan antara kualitas pelayanan perawat ideal dengan perawat aktual merupakan masalah serius di rumah sakit. Hal ini disebabkan karena tuntutan pasien tinggi, atau disebabkan lemahnya kemampuan perawat, pengetahuan dan keterampilan perawat dalam melayani pasien. Oleh karena itu, rumah sakit sudah mengembangkan jenjang karir sesuai dengan keahliannya, serta menyediakan kesempatan yang lebih baik sesuai dengan kemampuan dan potensi perawat. Penelitian ini bertujuan menghubungkan antara jenjang karir perawat dengan kepuasan pasien terhadap kualitas pelayanan keperawatan. Jenis penelitian kuantitatif dengan rancangan desain analitik korelasi dengan pendekatan cross sectional. Instrumen menggunakan kuesioner Patient Satisfaction With Nursing Care Quality Questionnaire. Populasi menggunakan proportionate stratified random sampling dengan jumlah sampel 68 pasien. Analisa data bivariate dengan menggunakan uji Kendall Tau-C. Hasil penelitian menunjukkan bahwa jenjang karir terbanyak adalah PK I (36.8%), PK II (29.4), dan PK III (33.8), sedangkan untuk kepuasan pasien sebagian besar baik (72.1%). Pemerataan jenjang karir perawat di ruang rawat inap belum merata. Hal ini mengakibatkan ketidak sesuaian kewenangan klinik yang dilaksanakan oleh PK I, PK II dan PK III. Disisi lain dari pasien justru mengungkapkan bahwa mereka tidak mempermasalahkan perawat junior atau senior yang penting perawat tersebut terampil, ramah dan memberikan informasi yang tepat kepada pasien dan keluarga. Kesimpulan penelitian ini adalah tidak ada hubungan antara jenjang karir dengan kepuasan pasien terhadap kualitas pelayanan perawat dengan nilai p value 0.276. Disarankan untuk pihak Manajemen Rumah Sakit, terutama Kepala Bidang Keperawatan dan jajaran agar memperhatikan pemerataan perawat berdasarkan jenjang karir. Hal ini tentu harus dipertimbangkan dari beberapa sisi, antara lain adalah karakteristik ruangan, tingkat ketergantungan pasien di ruangan, dan jumlah perawat yang ada. ABSTRACT The service quality gap between ideal nurses and actual nurses is a serious problem in hospitals. This is due to the high demands of patients, or due to the weakness of nurses' abilities, knowledge, and skills of nurses in serving patients. Therefore, hospitals have developed career paths according to their expertise, and provide better opportunities according to the abilities and potential of nurses. This study aims to correlation the career paths of nurses with patient satisfaction with nursing care quality. This research is quantitative research with analytical correlation design and a cross-sectional approach. The research instrument uses the Patient Satisfaction With Nursing Care Quality Questionnaire. The population used a proportionate stratified random sampling with a sample size of 68 patients. Bivariate data analysis using the Kendall Tau-C test. The results of the study showed that the distribution of nurses' career paths in the inpatient room was not evenly distributed. This resulted in incompatibility of clinical authorities carried out by PK I, PK II and PK III. On the other hand, the patient revealed that they did not question the important junior or senior nurses as long as the nurses were skilled, friendly and provided appropriate information to patients and families. The conclusion of this study is that there is no relationship between career paths and patient satisfaction with nurse service quality with a p-value of 0.276. It is recommended for Hospital Management, especially the Head of Nursing and ranks to pay attention the equal distribution of nurses based on career paths. This certainly must be considered from several sides, including the characteristics of the room, the level of dependence of patients in the room, and the number of nurses available.
The incidence of the fell is one of the hospital serious problems, especially in the hospitalized patient. The number of fall incidence is one of the main indicators in patient safety and hospital quality. Qualitative study with phenomenology approach was conducted to explore factors affecting the risk of fall in pediatric patients. Four nurses consist of two team leaders and two associate nurses participated in in-depth interviews. The findings from the interviews were triangulated in some process including an interview with the head of an inpatient installation, supervisor, and patient family, participative observation, documentation of form Humpty Dumpty and operational standard prevent the risk of fall. The result data was analyzed with the content analysis method and concluded with a fish bone. Four themes emerged from the analysis: knowledge, human resources, environment, and facilitation. Bad implementation of operational standard procedure, heavy workload of a nurse with unbalance ratio between patient and nurses, the slippery floor, unfixed bedside rails, and unavailability of patient bell have a role in affecting the risk of fall. This study suggests to held fall prevention education, make a review of nurse’s workload with recalculate the ratio of patient and nurse and upgrade the hospital facilitation and environment situation.
The current health program in Indonesia is focused on improving the health status of vulnerable groups, one of which is pregnant women. This is indicated by the high rate of maternal and infant mortality. One of the government's efforts to overcome this problem is the concept of safe motherhood and antenatal care. During the Covid-19 pandemic, most pregnant women did not get medical check-up because they were worried about the corona virus. Therefore, online classes for pregnant women were conducted. This community service method is in the form of interactive education based on information technology online and offline. The targets are all pregnant women who carry out examinations at the Midwife Independent Practice of Yanyan Mulyani, while the targets for pregnancy exercise and prenatal yoga are 35 pregnant women with a gestational age of 28-39 weeks. The implementation technique is divided into three stages, namely the first stage is to assess the level of understanding of the respondent with a pre test, the second stage, namely the implementation of classes for pregnant women by providing online material and the implementation of offline pregnancy and prenatal yoga exercises, and the third stage, namely evaluating the material with post tests . The results of the activity showed an increase in knowledge to be good by 68.6%. Providing information to the class of pregnant women by the facilitator on a regular basis and carried out every week with different materials makes pregnant women make pregnancy visits and regularly attend classes for pregnant women to stay healthy.
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