Halusinasi mengakibatkan bunuh diri, mencederai orang lain atau merusak lingkungan. Halusinasi harus diturunkan dengan asuhan keperawatan mandiri dan kolaborasi obat-obatan. Asuhan keperawatan mandiri dengan tehnik distraksi. Tehnik distraksi terdiri dari 3, yaitu: distraksi melawan dengan suara keras, distraksi menghindar melalui bercakap-cakap dengan orang lain dan distraksi mengalihkan dengan melakukan aktifitas terjadwal. Fokus penelitian ini pada tehnik distraksi menghardik yang dikombinasikan dengan terapi spiritual.Penelitian ini bertujuan untuk mengetahui pengaruh tehnik distraksi menghardik dengan spiritual terhadap halusinasi pasien. Metode penelitian menggunakan metode kuantitatif dengan desain “Quasy Experimental Pre-Post Test With Control Group”. Tehnik pengambilan sampel dengan purposive sampling berjumlah 94 pasien halusinasi pendengaran, terdiri dari 47 responden kelompok intervensi dan 47 responden kelompok kontrol. Instrumen penelitian menggunakan kuesioner dari Haddock berupa Auditory Hallucinations Rating Scale (AHRS). Teknik analisis menggunakan analisis univariat dan bivariat dengan uji paired t-test dan independent t-test. Hasil Penelitian ada pengaruh tehnik distraksi menghardik dengan spiritual terhadap penurunan halusinasi pasien dengan nilai ƿ value 0,000. Kesimpulan penerapan tehnik distraksi menghardik dengan spiritual dapat menurunkan halusinasi pasien.                                           Kata kunci : tehnik distraksi,  halusinasi, spiritual, asuhan keperawatan mandiri, skizofrenia   THE INFLUENCE OF SPIRITUAL DISTRACTION TECHNIQUES REBUKES THE PATIENT'S HALLUCINATIONS   ABSTRACT Hallucinations result in suicide, injury to others or damage the environment. Hallucinations must be derived from independent nursing care and drug collaboration. Independent nursing care with distraction techniques. Distraction technique consists of 3, namely: distraction against loud, distraction avoids through conversing with other people and distraction distracts by carrying out scheduled activities. The focus of this study is on rebuking distraction techniques combined with spiritual therapy. This study aims to determine the effect of rebuking with spiritual rebellion techniques on patient hallucinations. The research method uses quantitative methods with the design "Quasy Experimental Pre-Post Test With Control Group". Sampling technique with purposive sampling amounted to 94 patients with auditory hallucinations, consisting of 47 respondents in the intervention group and 47 respondents in the control group. The research instrument used a questionnaire from Haddock in the form of the Auditory Hallucinations Rating Scale (AHRS). The analysis technique uses univariate and bivariate analysis with paired t-test and independent t-test. The results of the study have the effect of spiritual rebuking distraction techniques on decreasing hallucinations of patients with a value of ,000 0,000. Conclusion The application of spiritual rebuking distraction techniques can reduce patient hallucinations.   Keywords: distraction techniques, hallucinations, spiritual, independent nursing care, schizophrenia

This study aims to analyze nurses' clinical leadership abilities based on the clinical leadership competency framework approach and its determinants in the inpatient room of Padangsidimpuan Hospital. The research design in this study used a descriptive-analytic correlation. The results showed that there was a significant relationship between the availability of nursing resources, management support, and work environment support with clinical leadership abilities, with a p-value for each variable, namely the availability of nurse resources (p = 0.043), management support (p = 0.000) and support work environment (p = 0.005). Meanwhile, competence has no significant relationship with nurses' clinical leadership ability in the inpatient room of RSUD Padangsidimpuan (p = 0.084). Multivariate analysis shows that management support is the most dominant variable associated with clinical leadership skills, with an Odds Ratio (OR) value of 4.476. In conclusion, nurses' clinical leadership ability must be supported by the availability of nurse resources, work environment support, and management support to obtain quality nursing services. Keywords: Determinants, Respondent Characteristics, Clinical Leadership

AbstrakHasil survey pelaksanaan patien safety di RSUP.DR.M.Djamil Padang selalu terjadi peningkatan insiden setiap tahunnya, angka kepatuhan petugas, yaitu 74% (standar 100%). Tujuan penelitian ini menganalisis upaya pencapaian standar sasaran keselamatan pasien bagi para profesional pemberi asuhan dalam peningkatan mutu pelayanan di Rawat Inap RSUP Dr.M.Djamil Padang Penelitian ini menggunakan metode kualitatif melalui wawancara mendalam dan Focus Group Discusion. Pengumpulan data dilakukan dengan wawancara 17 orang informan yaitu, direktur medik, komite KPRS, pengelola perawatan, kepala ruangan, dokter, perawat, apoteker, ahli gizi. Hasil penelitian menunjukan bahwa kekurangan SDM keperawatan dan farmasi. Pengadaan sarana yang belum tercukupi seperti handraill, bel, wastafel, tissu. Budaya keselamatan pasien, budaya pelaporan IKP, serta kepatuhan profesional pemberi asuhan dalam implementasi SKP belum optimal, rata-rata capaian 89%. Output belum sesuai target 100%, masih terdapat KTD dan KNC. Kesimpulannya, penerapan sasaran keselamatan pasien bagi profesional pemberi asuhan di rawat inap belum maksimal. Disarankan, pimpinan rumah sakit beserta jajarannya melakukan perbaikan mutu melalui penambahan tenaga, melengkapi sarana, optimalisasi pelaporan insiden, optimalisasi kegiatan monev, meningkatkan pelatihan staf. AbstractBased on the results of the survey on the implementation of patient safety in RSUP. DR. M. Djamil Padang, where patient safety incidents were always increasing every year. The compliance rate of staffs in the application of the six patient safety goals was only 74 % which had not met the standard of 100%. The purpose of this study was to analyze of the achievement of patient safety goals for professional carersimproving the quality of service in Inpatients of Dr. M. Djamil General Padang Hospital.This study used a qualitative method through comprehensive interviews and Focus Gorup Discusion. The data collecting was done by interviewing 17 informants such as the medical director, the secretary of KPRS committee, the nursing manager, the head nurse, the doctor, the nurse, the pharmacist, the nutritionist. The results showed that the number of nursing personnel was less and pharmacy. Procurement of facilities were not yet sufficient such as hand rails, bells, sinks, tissues. The implementation of patient safety culture, incidence of patient safety reporting culture, and professional carers compliance in patient safety goals implementation have not optimal yet with achievement average of 89%. Output is not on target 100%, there are still incidence. It is recommended that the head of the hospital and its directors to conduct improvement of service quality achievement by adding more staffs, completion of facilities, incident reporting optimization, optimizing monitoring and evaluation, improving staff training.

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This study aimed to determine the effectiveness of ANNISA development on nurses' knowledge of nursing documentation. This method uses quantitative research with a quasi-experimental design and a time series approach non-equivocal control group design. The study results were there were differences in the measurement of nurses' knowledge about nursing documentation in the intervention group before the intervention by measuring posttest-1 with p-value = 0.000. There were differences in nurses' experience about nursing documentation between the intervention group and the control group in the posttest-1 and posttest-2 measurements after the intervention using ANNISA with p-value = 0,000. There was an increase in differences in nurses' knowledge about nursing documentation from the pretest, posttest-1, and posttest-2 measurements after using ANNISA in the intervention group and the control group with p-value = 0.000. In conclusion, ANNISA development affects increasing the knowledge of nurses about nursing documentation   Keywords: ANNISA, Nursing Documentation, Knowledge