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"Masalah keselamatan pasien yang ditimbulkan oleh mahasiswa dapat menimbulkan berbagai dampak yang merugikan bagi pasien. Pembimbing klinik berperan penting dalam membimbing mahasiswa dalam pelaksanaan program keselamatan pasien. Komunitas praktisi pembimbing klinik ditengarai mampu meningkatkan peran pembimbing klinik dalam program keselamatan pasien oleh mahasiswa. Penelitian ini bertujuan untuk mengukur pengaruh komunitas praktisi pembimbing klinik terhadap peran pembimbing klinik dalam program keselamatan pasien oleh mahasiswa. Metode penelitian ini menggunakan desain pre experimental dengan sampel sebanyak 36 mahasiswa profesi Ners yang sedang praktik di ruang rawat inap RSISA yang mendapatkan bimbingan dari pembimbing klinik yang mengikuti komunitas praktisi pembimbing klinik. Data dianalisis dengan menggunakan uji Wilcoxon. Hasil penelitian ini menunjukkan terdapat pengaruh komunitas praktisi pembimbing klinik terhadap peran pembimbing klinik dalam pelaksanaan program keselamatan pasien oleh mahasiswa p < 0,001. Penelitian ini merekomendasikan perlunya keterlibatan pembimbing klinik dari institusi pendidikan untuk menjadi bagian dari komunitas praktisi pembimbing klinik.

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The problem of patient safety which is caused by nursing students can effect disadvantage to patient. The clinical instructor have important role to guide nurse student in implementation patient safety program. Community of practice clinical instructor was predicted can increase the role of clinical instructor in patient safety program by student.

The purpose of this study is to explore the the influence community of practice clinical instructor to the role of clinical instructor in patient safety program by student. This research is pre experimental with the number of samples are 36 Ners student in ward RSISA who get guidance from clinical instructor. The data analysis that use of this research is wilcoxon test.

The result show that there is significant influence community of practice clinical instructor to the role of clinical instructor in patient safety program by student p < 0,001. The researcher suggests that the clinical instructor from education institution should be part in community of practice clinical instructor."

"Pelaksanaan keselamatan pasien oleh mahasiswa masih belum optimal sehingga diperlukan peningkatan peran pembimbing klinik melalui penerapan quality circle. Tujuan penelitian ini untuk mengidentifikasi pengaruh penerapan quality circle dalam meningkatkan pelaksanaan keselamatan pasien mahasiswa (pengetahuan, sikap, dan tindakan). Desain penelitian menggunakan quasi experiment pre test and post test nonequivalent control group design dengan sampel 34 mahasiswa keperawatan kelompok intervensi dan 34 mahasiswa kelompok kontrol di dua rumah sakit yang berbeda. Intervensi dilakukan dengan diterapkannya quality circle oleh pembimbing klinik yang berfokus pada permasalahan keselamatan pasien. Teknik sampling menggunakan consecutive sampling. Hasil penelitian menunjukkan terjadi peningkatan yang bermakna pada pengetahuan dan tindakan keselamatan pasien mahasiswa (p<0,001; α=0,05). Kesimpulan penelitian ini menunjukkan terdapat pengaruh penerapan quality circle terhadap pelaksanaan keselamatan pasien. Rekomendasi penelitian ini adalah perlunya pemanfaatan dan pengembangan teknik problem solving quality circle untuk mengoptimalkan pelaksanaan keselamatan pasien.

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Implementation of patient safety by nursing students is still not optimal so that the necessary increase in clinical instructor role through the application of quality circles. The purpose of this study to identify the effect of the application of quality circles in enhancing the implementation of patient safety of students (knowledge, attitudes, and skills). Quasi-experimental research design using pretest and posttest nonequivalent control group design with a sample of 34 nursing students of intervention group and 34 students of control group in two different hospitals. The intervention is done with the implementation of quality circle by clinical instructor that focuses on patient safety issues. The results showed an increase was significant in nursing student?s knowledge and actions of patient safety (p <0.001; α = 0.05). Conclusions of this study shows there are significant effect of the quality circle on the implementation of patient safety. Recommendations of this study is the need to utilize and develop quality circle as problem solving techniques to optimize the implementation of the patient safety."

"Budaya keselamatan memiliki peran penting dalam mewujudkan pelayanan keperawatan yang aman bagi pasien. Masih ditemui masalah terkait budaya keselamatan pasien dan sikap pelaporan insiden keselamatan pasien. Budaya keselamatan pasien dapat berhubungan dengan sikap perawat dalam pelaporan insiden. Penelitian ini bertujuan mengetahui hubungan budaya keselamatan pasien dengan sikap perawat dalam pelaporan insiden keselamatan pasien. Penelitian Cross Sectional menggunakan cluster sampling ini dilakukan dengan pengisian kuesioner yang melibatkan 400 perawat di tiga rumah sakit umum daerah di tiga kabupaten Derah Istimewa Yogyakarta. Hasil didapatkan adanya hubungan yang signifikan antara budaya keselamatan pasien dengan sikap perawat dalam pelaporan insiden keselamatan pasien p=0,005 . Hasil regresi linear menunjukkan variabel yang paling mempengaruhi sikap pelaporan secara berurutan yaitu jabatan, budaya keselamatan pasien, level kompetensi, masa kerja, dan usia perawat R2=0,892. Kesimpulan adalah bahwa budaya keselamatan pasien memiliki peran penting terkait sikap perawat dalam pelaporan insiden keselamatan pasien, upaya untuk memperkuat budaya keselamatan pasien dapat memperbaiki sikap perawat dalam pelaporan insiden keselamatan pasien. Rekomendasi yang diberikan yaitu perbaikan pengaturan staf di rumah sakit, penyelenggaraan pelatihan atau diskusi rutin sebagai tindak lanjut dari pelaporan insiden, menghilangkan budaya menyalahkan terkait pelaporan insiden, memberikan apresiasi kepada perawat yang bersedia melaporkan insiden, menumbuhkan budaya saling mendukung antar perawat dalam pelaporan insiden keselamatan pasien.

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Safety culture has important role in realizing a safe nursing service for patients. Problems related to patient safety culture and patient safety incident reporting are still encountered. The safety culture of the patient may relate to the nurse 39 s attitude in incident reporting. This study aims to determine the relationship of patient safety culture with the attitude of the nurses in reporting patient 39 s safety incidents. Cross sectional study using cluster sampling was conducted by filling a questionnaire involving 400 nurses at three regional public hospitals in three districts in the province of Yogyakarta special region.

The result shows that there is a significant correlation between patient safety culture and nurse attitude in reporting patient 39 s safety incident p 0,005 . Linier regression result shows consecutively that their position, patient safety culture, level of competence, year of service and age affect their attitude in reporting an accident R2 0,892.

The conclusion is that the patient safety culture has an important role in the nurse 39 s attitude in reporting the patient 39 s safety incident, efforts to strengthen the patient 39 s safety culture could improve the nurse 39 s attitude in reporting the patient 39 s safety incident.

Recommendations include improvements in hospital staffing, regular training or regular discussions as a follow up to incident reporting, eliminating a culture of incident reporting error, giving appreciation to nurses willing to report incidents, fostering a mutually supportive culture among nurses in reporting patient safety incidents. "

"ABSTRAKPembimbing klinik sangat berperan dalam proses pembelajaran mahasiswa yangmelaksanakan tindakan langsung kepada pasien di rumah sakit. Penelitian inibertujuan untuk mengidentiftkasi hubungan peran pembimbing klinik denganpelaksanaan keselamatan pasien oleh mahasiswa di rumah sakit. Respondenpenelitian sebanyak 196 mahasiswa tingkat akhir Stikes terdiri dari 38 mahasiswaNers, 56 mahasiswa D3 Keperawatan, dan 102 mahasiswa D3 Kebidanan. Semuamahasiswa melaksanakan praktik di rumah sakit yang sama. Desain penelitiancross seksional. Hasil penelitian dengan regresi logistik didapatkan ada hubunganbermakna antara peran pembimbing klinik dengan pelaksanaan keselamatanpasien yang dilaksanakan oleh mahasiswa setelah dikontrol dengan jenispendidikan (p = 0,02; CI=1,19-3,71). Rekomendasi dari hasil penelitian antaralain perlu ditingkatkan peran pembimbing klinik dan pelaksanaan keselamatanpasien oleh mahasiswa.

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ABSTRACTClinical instructor has an important role in student's learning process inimplementing direct intervention toward patient within the hospital. The purposeof this study is to determine thecorrelation between the role of clinical instructorand patient safety implementation by the studentin Karawang district hospital.This is descriptive correlational method which is recruited 196 students in theirfinal year in STIKES Kharisma Karawang as respondents. These respondentswere studying in bachelor nursing 38 students, diploma nursing 56 student anddiploma in midwifery program 102 student. The result shows significantcorrelation between the role of clinical instructor and patient safetyimplementation by the student where education as a confounding factor werecontrolled (p = 0,02; CI=1,19-3,71).It is recommended that training for clinicalinstructor in patient safety and evaluation."

"Latar Belakang: Kelelahan pada perawat dan keselamatan pasien merupakan masalah Internasional. Upaya untuk mengurangi kelelahan kerja pada perawat sangat penting dalam upaya memberikan kualitas dan pelayanan yang aman. Teknik relaksasi pernafasan Deep Relax Inspiration ndash; Pursed Lip Breathing DRI-PLB yang dipilih dalam penelitian ini berdasarkan teori bahwa metode ini akan meningkatkan oksigenasi dan membawa efek relaksasi yang akan menyebabkan menurunnya kelelahan. Penelitian ini bertujuan untuk mengetahui pengaruh dari latihan relaksasi pernapasan Deep Relax Inspirasi ndash; Pursed Lip Breathing DRI-PLB terhadap kelelahan kerja perawat. Metode: Sebuah studi pre-post intervensi dilakukan pada 39 perawat IGD. Kelelahan kerja diukur secara Subyektif dengan menggunakan Kuesioner Alat Ukur Perasaan Kelelahan Kerja KAUPK2 dan Visual Analog Fatigue Scale, dan secara Obyektif dengan waktu reaksi. Intervensi berupa latihan relaksasi pernapasan Deep Relax Inspirasi ndash; Pursed Lip Breathing DRI-PLB selama sepuluh menit di tengah shift kerja. Data itu diambil dalam enam hari berturut-turut untuk setiap subyek penelitian. Hasil: Berdasarkan Kuesioner Alat Ukur Perasaan Kelelahan Kerja KAUPK2, didapatkan peningkatan yang signifikan pada tingkat kelelahan kerja 71,8 kelelahan sedang-berat pada pra-intervensi, dan 46,2 pasca-intervensi, p

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Background: Nurse fatigue and patient safety is an international issue. The effort to reduce nurse fatigue is very important to give a quality and safe service. Deep Relax Inspiration ndash Pursed Lip Breathing technique is chosen in this study based on theoretically that this method will improve oxygenation and brings relaxation effect that will reduce the fatigue in return. This study aimed to determine the effect of Deep Relax Inspiration ndash Pursed Lip Breathing DRI PLB technique to nurse's fatigue.

Method: A pre post intervention study was carried out to a total of 39 emergency nurses. The fatigue was measured Subjectively with Work Fatigue Measurement Questionnaire KAUPK2 and Visual Analogue Fatigue Scale, and Objectively with count of reaction time. The intervention was ten minutes Deep Relax Inspiration ndash Pursed Lip Breathing exercise in the middle of the work shift. The data was taken in six consecutive days for each subject.

Result: Based on the Work Fatigue Measurement Questionnaire KAUPK2, there was significant improvement on the level of fatigue 71.8 moderate severe fatigue in pre intervention, to 46.2 in post intervention, p"

"Keselamatan pasien merupakan indikator kualitas pelayanan yang berdampak pada kepuasan pasien. Ketidakpatuhan terhadap penerapan keselamatan pasien dapat menimbulkan insiden keselamatan pasien. Pelaksanaan penerapan keselamatan pasien yang belum optimal berkaitan dengan human error (beban kerja, pemanfaatan waktu dan sumber daya manusia, dan pembagian beban kerja yang belum sesuai). Dibutuhkan kemampuan perawat primer/ketua tim sebagai lini terdepan dalam pemberian asuhan melalui pelaksanaan pendelegasian yang efektif. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara pelaksanaan pendelegasian dengan penerapan keselamatan pasien. Rancangan penelitian adalah penelitian kuantitatif dengan pendekatan cross sectional pada 160 perawat pelaksana yang diambil secara total sampling pada salah satu rumah sakit di Jakarta. Analisis dilakukan dengan uji chi square dan regresi logistik ganda.  Hasil penelitian menunjukkan ada hubungan antara pelaksanaan pendelegasian dengan penerapan keselamatan pasien (p 0,001; OR 4,302 2,215-8,356). Bidang Keperawatan membuat perencanaan capaian indikator mutu melalui pelaksanaan SKP yang belum optimal.  Kepala ruangan melakukan monitoring dan evaluasi terhadap  pelaksanaan pendelegasian yang dilakukan perawat primer/ketua tim.

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Patient safety is an indicator of service quality that has an impact on patient satisfaction. Non-compliance with the application of patient safety could lead to incidents of patient safety. The implementation of patient safety that is not optimal is related to human error (workload, utilization of time and human resources, and the division of workload that is not appropriate). It takes the ability of the primary nurse / team leader as the frontline in providing care through the implementation of effective delegation. This study aims to identify the relationship between the implementation of delegation and the application of patient safety. The study design was a quantitative study with a cross sectional approach. The samples were taken on 160 nurses with a total sampling method at one hospital in Jakarta. The analysis was done by chi square test and multiple logistic regression. The results showed that there was a relationship between the implementation of delegation and the application of patient safety (p 0.001; OR 4.302; CI 2.215-8.356) Director of Nursing makes planning the achievement of quality indicators through the implementation of patient safety goals that is not optimal The head manager monitoring and evaluation implementation of the delegations carried out by the primary nurse / team leader."

"ABSTRAKKeselamatan pasien merupakan prinsip dasar dari pelayanan kesehatan yangmemandang bahwa keselamatan merupakan hak bagi setiap pasien dalammenerima pelayanan kesehatan. Penelitian ini menggunakan disainpenelitiancross sectional yang menggunakan pendekatan kuantitatif dengansample 100 tenaga kesehatan. Penelitian ini bertujuan untuk menganalisiskinerja tenaga kesehatan dalam upaya pelaksanaan program keselamatan pasien(patient safety). Hasil penelitian menunjukkan bahwa kinerja tenaga kesehatandalam pelaksanaan program keselamatan pasien (patient safety) antara lainketepatan identifikasi pasien, peningkatan komunikasi yang efektif, peningkatankeamanan obat yang perlu diwaspadai, kepastian tepat-lokasi, tepat-prosedur,tepat-pasien operasi, pengurangan risiko infeksi terkait pelayanan kesehatan danpengurangan risiko pasien jatuh sudah tercapai secara optimal.

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ABSTRACTPatient safety is a fundamental principle of health care that considers that safety isa right for every patient in receiving health care. This study used across-sectionalstudy design that uses a quantitative approachwith a sample of 100 healthprofessionals. This study aims to analyze the performance of health workers in theimplementation of patient safety programs (patient safety). The results showedthat the performance of health workers in the implementation of patient safetyprograms (patient safety), among others, the accuracy of patient identification, anincrease ineffective communication, the increase indrug safety’s supervision,right-certainty of the location, right-procedure, right-surgery patients, the riskreduction healthcare associated infections and patient falls risk reduction has beenachieved optimally."

"[ABSTRAKKeselamatan Pasien ( Patient Safety ) telah menjadi issue yang sangat penting dalam pelayanan kesehatan. Setiap orang ingin mendapatkan pelayanan kesehatan yang aman dan bebas dari cedera yang tidak diinginkan.Melalui penelitian ini, dianalisis kualitas dan kuantitas tenaga perawat terhadap persepsi insiden keselamatan pasien di Rumah Sakit X. Studi dilakukan pada 44 orang perawat dan bidan dengan menggunakan desain cross sectional untuk melihat hubungan antara variabel pengetahuan, pendidikan, kemudahan penggunaan alat,kerjasama tim,pengalaman bekerja, disiplin dan jumlah tenaga perawat terhadap insiden keselamatan pasien.

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ABSTRACTPatient safety has become a very important issue in health care. Everyone wants to get health care that is safe and free from unwanted injuries.Through this study, analyzed the quality and quantity of nurses perceptions of patient safety incidents in the hospital X. The study was conducted on 44 nurses and midwives using cross sectional design to examine the relationship between the variables of knowledge, education, ease of use tools, work experience, discipline and the number of nurses on patient safety incidents.;Patient safety has become a very important issue in health care. Everyone wants to get health care that is safe and free from unwanted injuries.Through this study, analyzed the quality and quantity of nurses perceptions of patient safety incidents in the hospital X. The study was conducted on 44 nurses and midwives using cross sectional design to examine the relationship between the variables of knowledge, education, ease of use tools, work experience, discipline and the number of nurses on patient safety incidents., Patient safety has become a very important issue in health care. Everyone wants to get health care that is safe and free from unwanted injuries.Through this study, analyzed the quality and quantity of nurses perceptions of patient safety incidents in the hospital X. The study was conducted on 44 nurses and midwives using cross sectional design to examine the relationship between the variables of knowledge, education, ease of use tools, work experience, discipline and the number of nurses on patient safety incidents.]"

"Budaya keselamatan pasien merupakan pondasi utama dalam pelaksanaan keselamatan pasien. Penelitian ini bertujuan untuk mengetahui pengaruh pemberdayaan champion keselamatan pasien terhadap penerapan budaya keselamatan pasien di Rumah Sakit Haji Jakarta. Metode penelitian ini menggunakan pre-experiment design: pretest-posttest without control group design, sampel yang digunakan 81 perawat. Data analisis dengan menggunakan Mc Nemar. Hasil menunjukkan terdapat peningkatan persentasi penerapan budaya keselamatan pasien setelah program pemberdayaan champion keselamatan pasien dengan pengaruh yang tidak bermakna secara statistik (p= 0,451; CI= 0.084-0.928). Penelitian ini merekomendasikan perlunya pengembangan champion keselamatan pasien dengan memperhatikan kriteria kelayakan sebagai champion keselamatan pasien serta membangun program pemberdayaan champion keselamatan pasien berkelanjutan sesuai kebutuhan rumah sakit.

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The culture of patient safety is the main foundation in the implementation of patient safety. This study aimed to determine the influence of the patient safety champion empowerment on the application of patient safety culture in Jakarta Hajj Hospital.

This research method used pre-experimental design: pretest-posttest without control group design, the sample was 81 nurses. Data were analyzed using Mc Nemar test.

The results showed there was an increase in the percentage of the implementation of a patient safety culture after the program of patient safety champions empowerment had been implemented, which was not statistically significant (p = 0.451; CI = 0084-0928).

It is recommended to develop the patient safety champions by taking into account the eligibility criteria as a patient safety champion and to build a sustainable program of patient safety champion empowerment that suitable to the needs of the hospital."