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"Penerapan keselamatan pasien oleh perawat di Indonesia masih rendah. Penyebab penerapannya masih kurang yaitu perilaku caring perawat yang belum optimal, salah satunya pada pencegahan pasien jatuh. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara perilaku caring dengan penerapan keselamatan pasien oleh perawat. Metode penelitian menggunakan pendekatan cross sectional. Sampel penelitian merupakan 242 perawat yang sedang menjalani studi di Fakultas Ilmu Keperawatan Universitas Indonesia dan diambil menggunakan teknik purposive sampling. Alat pengumpulan data pada penelitian ini merupakan kuesioner dengan 68 item. Data yang terkumpul dianalisis secara univariat dengan tendensi sentral serta proporsi dan analisis bivariat dengan uji chi square. Hasil penelitian ini menunjukkan ada hubungan antara penerapan keselamatan pasien dengan perilaku caring oleh perawat (p=<0,001; OR=4,021; α=0,05). Penerapan berperilaku jujur, menumbuhkan harapan, serta membantu pasien memenuhi kebutuhan manusia masih belum optimal, sehingga dijadikan saran untuk perawat agar meningkatkan penerapannya.

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The level of patient safety application in Indonesia is relatively low. It happened because of caring behaviour that still not optimalized, including prevention of patient falls. This study aimed to identify the correlation of caring behaviour and patient safety application by nurse. The study design used correlation descriptive with a cross-sectional approach. The sample taken by purposive sampling method applied to 242 nurses that take a major in Faculty of Nursing Universitas Indonesia. All of the statistic data were obtained by questionnaire with 68 items on it. Collected data got analyzed by using central tendency and proportions, while chi square was tested for bivariate analyses. This study results indicated a correlation between patient safety and caring behaviour (p<0,001; OR=4,021; α=0,05). The researcher recommends that there should be a better improvement of nurse in honesty, enhancing hopes, and helping health patient with their human needs."

"Perilaku caring perawat dapat meningkatkan mutu pelayanan keperawatan dan kepuasan pasien. Perawat yang berperilaku caring meningkatkan hubungan saling bantu dan percaya antara perawat-pasien sehingga mempercepat penyembuhan. Penelitian ini bertujuan mengidentifikasi hubungan perilaku caring perawat yang dipersepsikan oleh pasien dengan kepuasan pasien di RSUD Tarakan Jakarta Pusat. Metode penelitian menggunakan deskripsi korelasi dengan pendekatan cross sectional melibatkan 145 pasien yang dipilih secara consecutive sampling. Data dianalisis dengan chi square, uji t, dan regresi logistik. Hasil penelitian menunjukkan ada hubungan antara perilaku caring perawat yang dipersepsikan oleh pasien dengan kepuasan pasien di ruang rawat inap (p<0,05; CI 95%). Faktor caritas yang paling berhubungan dengan kepuasan pasien adalah cinta kasih (OR = 0,320; CI 95%) dan mengambil keputusan (OR = 0,154; CI 95%) setelah dikontrol pendidikan. Hasil ini merekomendasikan manajer keperawatan untuk melakukan supervisi komunikasi terapeutik, penilaian kinerja komunikasi perawat, meningkatkan pendidikan formal maupun informal, dan memotivasi perawat agar berperilaku caring sehingga dapat meningkatkan kepuasan pasien.

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Nurse caring behavior can improve the quality of nursing care and patient satisfaction. Nurses who behave caring improving mutual aid relationship and trust between the nurse-patient so as to accelerate the healing. This study aim to identify the relationship of nurse caring behaviors perceived by the patient and patient's satisfaction in Tarakan Hospital in Central Jakarta. The research method using descriptive correlation with cross sectional study involving 145 patients were selected by consecutive sampling. Data were analyzed with chi square, t-test, and logistic regression.

The results showed relationship between nurse caring behaviors perceived by the patient and patient's satisfaction at the inpatient unit (p <0.05; CI 95%). Caritas factors most associated with patient satisfaction is love (OR = 0.320; CI 95%) and a decision (OR = 0.154; CI 95%) after controlling for education. This result suggests a nursing manager to supervise therapeutic communication, evaluation of nurse communication performance, improving nursing education in both formal and informal, and motivating nurses to caring that can improve patient satisfaction."

"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. "

"Peran kepala ruang yang dijalankan dengan baik dapat menghasilkan keselamatan pasien yang baik. Tujuan penelitian ini untuk mengidentifikasi hubungan peran kepala ruang terhadap perilaku perawat dalam pelaksanaan keselamatan pasien. Penelitian ini menggunakan metode cross sectional. Sampel penelitian sebanyak 95 responden dengan tehnik convenience sampling. Hasil penelitian karakteristik perawat pelaksana rata-rata median umur 28,00 tahun, masa kerja 3,00 tahun, jenis kelamin mayoritas perempuan 75, 8, dan pendidikan mayoritas Diploma tiga keperawatan 83,2. Gambaran peran kepala ruang yang paling banyak dipersepsikan oleh perawat pelaksana adalah informational, sedangkan gambaran peran kepala ruang dipersepsikan optimal oleh perawat pelaksana. Gambaran perilaku perawat baik dalam melaksanakan keselamatan pasien. Tidak Ada hubungan antara peran kepala ruang terhadap perilaku perawat pelaksana p= 0,086. Saran untuk manajemen rumah sakit mengadakan pembinaan terhadap kepala ruang mengenai kemampuan pelaksanaan peran kepala ruang dan ditingkatkan melalui pendidikan secara formal ke jenjang Ners mengingat saat ini mayoritas perawat masih berpendidikan D3 keperawatan.

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The Correlation between Head Nurse Role and Staff Nurses Behavior in Implementing Patient Safety Program The head nurse role that is well run can produce better patient safety. The purpose of this study is to examine the correlation between head nurse role and staff nurses behavior in implementing patient safety program. This is cross sectional using method. Ninety five respondents were recruited using convenion sampling technique. The result shows there characteristics of nurses and the average median age of 28.00 years, 3.00 years working period, the majority of female sex 75, 8, and three nursing education Diploma majority of 83.2. Overview of the head nurse role of the most widely perceived by nurses are informational, while overview the of the head nurse role optimal perceived by nurses. Overview good behavior of nurses in implementing patient safety. There is no relationship between the head nurses role of the behavior of nurses p 0.086. Recommendations for the hospital management to hold coaching of head nurses role regarding the implementation of the head nurses role capabilities and enhanced through formal education to the level of nurses since currently the majority educated nurses still three nursing diploma."

"Upaya meningkatkan budaya keselamatan pasien memerlukan komitmen perawat yang dipengaruhi kepedulian perawat dalam melaksanakan birokrasi atau bureaucratic caring. Dua hal yang saling berkaitan yang dapat menjadi pondasi utama untuk menciptakan layanan yang berkualitas. Penelitian ini bertujuan untuk menganalisis faktor Bureaucratic caring yang berhubungan dengan Budaya Keselamatan Pasien. Metode penelitian yang digunakan adalah cross-sectional. Hasil penelitian Bureaucratic caring dari variable fisik (p = 0.001), sosio budaya (p = 0.001) , teknologi (p < 0.001), ekonomi (p = 0.007) edukasi (p < 0.001), politik (p = 0.011) dan legal (p < 0.001) masing masing variable memiliki hubungan dengan hasil p < 0,05 yang bermakna bahwa semua variable dari Bureaucratic caring memiliki hubungan dengan budaya keselamatan pasien p < 0,05. Kesimpulannya dari hasil uji Pemodelan Regresi Logistik Ganda didapatkan Odds Ratio (OR) dari variabel Legal adalah 4.6 dan merupakan yang paling besar pengaruhnya terhadap budaya keselamatan pasien dibandingkan variabel Bureaucratic caring lainnya setelah dikontrol variabel Edukasi, Teknologi, Fisik, Sosio budaya dan Ekonomi. Hasil ini menunjukan bahwa aspek legal harus menjadi acuan utama dalam meningkatkan budaya keselamatan pasien

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Efforts to improve patient safety culture require nurse commitment which is influenced by nurse concern in carrying out bureaucratic caring. Two interrelated things that can be the main foundation for creating quality services. This study aims to analyze the factors of Bureaucratic Caring related to Patient Safety Culture. The research method used is cross-sectional. The results of the Bureaucratic Caring study of physical (p = 0.001), socio-cultural (p = 0.001), technological (p < 0.001), economic (p = 0.007) educational (p < 0.001), political (p = 0.011) and legal (p < 0.001) variables each variable have a relationship with the results of p <0.05 which means that all variables from Bureaucratic caring have a relationship with patient safety culture p < 0.05. In conclusion, from the results of the multiple logistic regression modeling test, it was found that the Odds Ratio (OR) of the legal variable was 4.6 and had the greatest influence on patient safety culture compared to other Bureaucratic caring variables after controlling for educational, technological, physical, socio-cultural and economic variables. These results indicate that legal aspects must be the main reference in improving patient safety culture"

"Pendahuluan: Perilaku caring merupakan aspek fundamental perawat dalam melakukan asuhan keperawatan meliputi sikap, pengetahuan dan ketrampilan secara profesional yang berdampak terhadap pelayanan dan asuhan keperawatan serta keselamatan pasien. Tujuan: untuk mengidentifikasi hubungan karakteristik kepribadian dengan perilaku caring perawat. Metode: Menggunakan rancangan cross sectional dengan sampel berjumlah 124 perawat yang bekerja di RS Pemerintah Jakarta. Instrumen penelitian terdiri dari karakteristik perawat, perilaku caring perawat, karakteristik model kepribadian Core Self Evaluation (CSE) dan karakteristik tipe kepribadian Dominance, Imfluence, Steadiness dan Compliance (DISC). Hasil uji validitas dan reliabilitas instrumen perlaku caring yaitu 0,361 – 0,784  (cronbach’s alpha 0,835) dan hasil model kepribadian CSE yaitu 0,361-0,834 (cronbach’s alpha 0,789).Hasil: Karakteristik model kepribadian CSE mempunyai hubungan yang sedang dan arah positif (p=0,0001, r=0,496) dengan perilaku caring, dan yang paling besar korelasinya adalah self efficacy  (p = 0,0001, r = 0,528), dan yang paling rendah korelasinya emotional stability (p= 0,0006, r = 0,243).  Sedangkan tipe kepribadian DISC dan karakteristik perilaku caring perawat tidak mempunyai hubungan (p>0,05). Kesimpulan: karakteristik model kepribadian CSE berhubungan dengan perilaku caring perawat sedangkan karakteristik tipe kepribadian DISC dan karakteristik perawat tidak mempunyai hubungan dengan perilaku caring perawat. Rekomendasi mempertimbangkan penelitian selanjutnya hubungan karakteristik kepribadian perawat dengan perilaku caring perawat menurut persepsi pasien.

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Introduction: Caring behavior is a fundamental aspect of nurses in carrying out nursing care including attitudes, knowledge and professional skills that have an impact on nursing care and care and patient safety. Objective: to identify the relationship between personality characteristics and nurse caring behavior.

Methods: Using a cross sectional design with a sample of 124 nurses who work in the Jakarta Government Hospital. The research instrument consisted of nurse characteristics, nurse caring behavior, Core Self Evaluation (CSE) personality model characteristics and Dominance, Imfluence, Steadiness and Compliance (DISC) personality types. The results of the validity and reliability test of the caring treatment instrument were 0.361 - 0.784 (cronbach's alpha 0.835).

The results  CSE personality model were 0.361-0.834 (cronbach's alpha 0.789). 0001, r = 0.496) with caring behavior, and the one with the highest correlation was self efficacy (p = 0.0001, r = 0.528), and the lowest correlation was emotional stability (p = 0.0006, r = 0.243). Meanwhile, the DISC personality type and the caring behavior characteristics of nurses had no relationship (p> 0.05). Conclusion: the characteristics of the CSE personality model are related to the caring behavior of nurses, while the characteristics of the DISC personality type and the characteristics of nurses have no relationship with the caring behavior of nurses. Recommendations to consider further research with different respondents, for personality characteristics using nurse respondents while caring behavior uses patient perceptions."

"ABSTRAKPenelitian ini dengan jenis deskriptif korelatif dengan pendekatan cross seksional ini bertujuan untuk mendapatkan gambaran “Hubungan penerapan tindakan keselamatan pasien oleh perawat pelaksana dengan kepuasan pasien di Irna Bedah dan Medik RSU Dr. Soetomo Surabaya”. Populasi penelitian ini adalah pasien yang dirawat di Irna Bedah dan Medik RSU Dr. Soetomo Surabaya berjumlah 112responden berdasarkan rumus uji beda proporsi. Analisis data menggunakan langkah-langkah univariat, bivariat dan multivariat. Hasil penelitian menggambarkan bahwa tidak terdapat hubungan yang bermakna antara perhatian pada rupa dan nama obat (p=0,633), pengendalian cairan elektrolit pekat (p=0,803), kebersihan tangan (p=0,298), pencegahan salah sambung slang (0,153), dan kepastian tindakan yang benar pada sisi yang benar (p=0,056) dengankepuasan pasien. Terdapat hubungan yang bermakna antara identifikasi pasien (p=0,001), komunikasi saat operan (p=0,024), injeksi (p=0,030), dan akurasi ketepatan pemberian obat (p=0,000) dengan kepuasan pasien. Faktor yang paling berhubungan pada penerapan tindakan keselamatan pasien oleh perawat dengankepuasan pasien adalah akurasi ketepatan pemberian obat (p=0,000 O R=34,818 CI 95% 4,819-224,870). Usulan penelitian selanjutnya diantaranya merekomendasikan untuk penelitian lanjutan yang bertujuan menggali lebih dalam penerapan program keselamatan pasien di rumah sakit.

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ABSTRACTThis research is merely a descriptive correlative design with a cross sectional approach which has purposed to identify “The relationship between Patient Safety Implementation conducted by Nurses and Patient’s Satisfaction at Irna Medical and Surgical at RSU Dr.Soetomo Surabaya”. The population of this research was patient, who stayed at Irna Surgical and Medical ward at RSU Dr.Soetomo Surabaya. A hundred and twelve respondents were involved in the study. Theunivariat, bivariat and multivariat were used to analyze the data. The results revealed that there are no significant correlation between color and names of the drugs, control of concentrated electrolyte solution, hand hygiene, prevention of catheter and tubing mis-connections, and ensuring the correct procedure on correct body location site with patient’s satisfaction. There is a significantcorrelation between patient identification, communication during patient hand overs, single use of injection devices, and drug accuracy and patient’s satisfaction. The most correlating factor in applying patient safety intervention conducted by nurses toward patient’s satisfaction is drug accuracy. Further, recommendation is directed to have further research in order to explore deeper on the implementation of patient safety program."

"Perilaku caring adalah inti dari keperawatan dan merupakan fokus sentral yang menyatu dalam praktik keperawatan. Asuhan keperawatan yang bermutu dengan memperlihatkan sikap caring kepada pasien memiliki hubungan dengan kepuasan pasien. Penelitian ini bertujuan mengetahui hubungan antara enam faktor karatif perilaku caring Watson yang dipersepsikan perawat dengan kepuasan pasien di Ruang Rawat Inap Dewasa Rumah Sakit Umum Tangerang. Penelitian deskriptif korelasi dengan rancangan cross sectional ini menggunakan sampel sejumlah 97 perawat dan 97 pasien. Pengumpulan data dengan kuesioner dan analisis menggunakan univariat dan bivariat (Chi Square). Hasil penelitian menunjukkan ada hubungan bermakna antara enam faktor karatif perilaku caring Watson yang dipersepsikan perawat dengan kepuasan pasien dengan p value 0,034 (α = <0.05). Rumah sakit perlu membudayakan enam faktor karatif perilaku caring dalam setiap asuhan keperawatan yang diberikan kepada pasien.

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Caring behaviour is the core of nursing and also as focal point in nursing practice. Good quality of nursing practice which demonstrates caring intention has significant relationship with patient satisfaction. This research has objective to recognize the relationship among six factors of carative in Watson's caring behaviour which are perceived by nurses through patient satisfaction level in the Inpatient Care Unit of Rumah Sakit Umum Tangerang. The research of descriptive correlation with cross sectional design observed objects of 97 nurses and 97 patients. The data were collected through questionnaires with univariate and bivariate (Chi Square) method for data analysis. This research recognized significant relationship between six factors of carative of caring behaviour with nurse's perception through patient satisfaction level with p value of 0,034. The hospital is required to cultivate six factor of caring behaviuor in their each nursing practice deliverables to the patients."

"Caring merupakan ciri khas perawat yang menentukan kualitas sebuah layanan. Namuntidak semua perawat memiliki perilaku caring yang baik. Salah satu penyebabrendahnya perilaku caring adalah rendahnya efikasi caring perawat yang menyebabkankurangnya keyakinan dan kemampuan diri untuk membina hubungan caring dalammemberikan asuhan keperawatan. Penelitian ini bertujuan untuk mengetahui pengaruhpelatihan efikasi caring terhadap perilaku caring perawat. Penelitian ini menggunakandesain kuantitatif dengan metode quasi eksperimen dengan pendekatan pre-post testdesign with control group. Partisipan adalah 50 perawat pada kelompok intervensi diRSUD Kota Dumai dan 50 perawat pada kelompok control di RSUD Kecamatanmandau. Hasil penelitian menunjukkan ada pengaruh pelatihan efikasi caring terhadapperilaku caringperawat dengan nilai p = 0,0001, ada perbedaan bermakna pada nilaiperubahan perilaku caring baik di kelompok intervensi p = 0,0001 maupundikelompok kontrol p = 0,021 dengan ? = 0,005 dan pengetahuan memiliki hubunganbermakna dengan perilaku caring perawat. Pelatihan mampu meningkatkan efikasicaring sehingga perilaku caring perawat juga meningkat. Manajer perlu memikirkanupaya untuk mempertahankan perilaku caring yang telah dicapai terutama denganmeningkatkan pengetahuan perawat mengenai efikasi caring.

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Caring is a characteristic of nurses that determine the quality of a service. But not allnurses have good caring behaviors. One of the causes of low caring behavior is the lowefficacy of caring that leads to lack of confidence and self ability to foster caringrelationships in providing nursing care. This study aimed to determine the effects ofcaring efficacy training on caring behavior of nurses. This research used quantitativedesign with quasi experimental method with approach of pre post test design withcontrol group. Participants were 50 nurses in the intervention group at RSUD Dumaiand 50 nurses in the control group at RSUD Mandau.

The results showed that there wasan effect of caring efficacy training on caring nurse behavior with p value 0.0001,there was significant difference in the value of caring behavior change in bothintervention group p 0.0001 and control group p 0,021 with 0.005 andknowledge have significant relationship with caring behavior of nurse. Training canimprove caring efficiency and increasescaring nurse behavior. Managers need to thinkabout efforts to maintain caring behavior that has been achieved primarily byincreasing the nurse's knowledge aboutcaring efficacy."

"This research is merely correlational descriptive design which purposed to identify on correlation of individual factor and organisation factor with nurse caring behaviour at Treatment Instalationt at RSUD Kota Bandung. The population of this research are thoroughly staff nurses at 4 treatment room unit. Number of research samples are 43 nurses totally conducted. Data analysis are initiated from univariat test, bivariat and proceeded with multivariate tests. The results describe that there is a significant correlation among individual factors (age and experience) and organisation factor (leadership, compensation, organisation structure, and job desain) with nurse caring behaviour. The Head of Room Unit as a leader should posses a high ability to empowering others, in line with that a responsibility. Organitation structure that must be see. Nurse as public service agents need to improve quality and quantity during performing their duty and responsible, they need to provide opportunity to attending skill development training. Further research recommendation should be conducted in depth review by nurse caring behaviours. "