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"Tujuan penelitian cross sectional ini untuk mengidentifikasi hubungan peran kepala ruang dengan sikap etis perawat pelaksana terhadap klien yang dipersepsikan oleh perawat pelaksana di RSUD Tasikmalaya. Hasil penelitian pada 112 perawat menunjukkan peran decisional berhubungan signifikan dengan sikap etis perawat pelaksana terhadap klien (p=0,002). Peran kepala ruang secara komposit berhubungan signifikan dengan sikap etis perawat pelaksana terhadap klien (p=0,008) dan peran decisional merupakan peran kepala ruang yang paling berhubungan (p=0,005). Karakteristik perawat yang terbukti sebagai confounding adalah umur, lama kerja dan jenis kelamin. Hal ini perlu ditindaklanjuti oleh pimpinan Rumah Sakit dengan penyusunan pedoman pelaksanaan etik keperawatan.

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The aim of this cross sectional research was to identify the relationship between the role of head nurse and nurse`s ethical attitude to client which perceived by nurse`s in Tasikmalaya Public Hospital. Result of the research on 112 nurse`s indicated that the decisional role of head nurse is significantly associated with nurse`s ethical attitude to client (p=0,002). The role of headnurse in composite significantly associated with nurse`s ethical attitude to client (p=0,008) and the decisional role has most relationship with nurse`s ethical attitude to client (p=0,005). Nurse?s characteristic as confounding is age, working experience, and gender. It`srecommended for hospital leaders to develop a nursing ethic guidance."

"ABSTRAKDokumentasi catatan perkembangan pasien terintegrasi belum optimal karena kurangnya pemahaman perawat dalam melakukan penulisan, dan keseragaman dari isi kaidah penulisan, serta belum optimalnya dukungan dari kepala ruang. Tujuan penelitian mengidentifikasi pengaruh penguatan peran kepala ruang dengan pendekatan teori Orlando terhadap pelaksanaan pendokumentasian catatan perkembangan pasien terintegrasi. Metode pre eksperiment design dengan one group pre test and post test design without control, dengan sampel 115 dokumen catatan perkembangan pasien terintegrasi, teknik cluster sampling, melalui analisis Wilcoxon, Spearman dan Kruskal Wallis test. Hasil penguatan peran kepala ruang dengan pendekatan teori Orlando meningkatkan kualitas pelaksanaan pendokumentasian catatan perkembangan pasien terintegrasi secara bermakna p=0,0001; ?=0,025 . Kesimpulan kemampuan perawat pelaksana meningkat bermakna dalam pelaksanaan pendokumentasian catatan perkembangan pasien terintegrasi melalui penguatan peran kepala ruang dengan pendekatan teori Orlando. Rekomendasi adanya kebijakan, pendampingan, evaluasi, dan monitoring dari manajer keperawatan serta pengembangan melalui workshop penerapan peran kepala ruang dan pelaksanaan pendokumentasian catatan perkembangan pasien terintegrasi.

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ABSTRACTDocumentation of integrated patient development records has not been optimal due to lack of understanding of nurses in writing, and uniformity of the content of writing rules, and there has not yet optimal support from the head nurses. The purpose of this study was to identify the impact of strengthening the role of the head nurse using the Orlando rsquo s theoretical approach on the implementation in documented of integrated patient development records. The method used Pre experimental design with one group pre test and post test design without control, samples on this study are 115 documents of integrated patient development record, cluster sampling technique, analyzed used with Wilcoxon, Spearman and Kruskal Wallis test analysis. The result showed that the role strengthening of the head nurse with the Orlando rsquo s theoretical approach significantly improves the quality of implementation for documented of integrated patient development record p 0.0001 0,025 . The conclusion of nursing abilities of the implementers increased significantly in the implementation in documented of integrated patient development record. It is recommended can used as reference to make policies, assistance, evaluation and monitoring of nursing managers and development through workshops on the role of the head nurses and documentation of integrated patient development records."

"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."

"Latar belakang: Angka kejadian infeksi dapat diturunkan dengan pelaksanaan Pencegahan dan Pengendalian Infeksi (PPI) dalam asuhan keperawatan secara komprehensif oleh Perawat. Pada kenyataannya asuhan keperawatan yang komprehensif pada pasien dengan risiko infeksi masih rendah. Perawat membutuhkan model peran yang baik dari kepala ruang dan fungsi manajemen kepala ruang memberi pengaruh positif pada pelaksanaan PPI. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi dan menganalisis hubungan peran dan fungsi manajemen kepala ruang dengan pelaksanaan PPI dalam asuhan keperawatan. Metode: Penelitian kuantitatif dengan rancangan cross sectional dilakukan pada 221 perawat yang bekerja di rumah sakit pemerintah di Jakarta yang dipilih dengna menggunakan teknik purposive sampling. Instrumen penelitian terdiri dari peran kepala ruang, fungsi manajemen kepala ruang, dan pelaksanaan PPI dalam asuhan keperawatan yang disebarkan pada responden melalui tautan google form. Hasil uji validitas dan reliabilitas instrumen mendapatkan nilai r = 0,313-0,818 dan cronbach’s alpha = 0,922-0,945. Hasil: Hasil penelitian ini mendapatkan ada hubungan peran kepala ruang dengan pelaksanaan PPI dalam asuhan keperawatan dengan kekuatan sedang dan arah positif  (p = 0,0001, r = 0,489), demikian juga  fungsi manajemen kepala ruang mempunyai hubungan dengan pelaksanaan PPI dalam asuhan keperawatan dengan kekuatan kuat dan arah positif  (p = 0,0001, r = 0,515. Faktor yang paling memengaruhi pelaksanaan PPI dalam asuhan keperawatan yaitu fungsi pengorganisasian (nilai koefisien Beta = 1,145), fungsi pengendalian (nilai koefisien Beta = 1,125), peran decisional (nilai koefisien Beta = 1,145), dan peran interpersonal (nilai koefisien Beta = -1,010). Kesimpulan: Penelitian ini menyimpulkan bahwa peran dan fungsi manajemen kepala ruang berhubungan dengan pelaksanaan PPI dalam asuhan keperawatan. Faktor yang paling memengaruhi pelaksanaan PPI dalam asuhan keperawatan adalah fungsi pengorganisasian. Rekomendasi yang diberikan yaitu meningkatkan peran dan fungsi kepala ruang dalam PPI terutama fungsi perngorgaisasian untuk mengoptimalkan pelaksanaan PPI dalam asuhan keperawatan dan peningkatan pelaksanaan PPI dalam asuhan keperawatan terutama pada tahap diagnosis keperawatan.

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The incidence of infection can be reduced by implementing the Infection and Prevention Control (IPC) in comprehensive nursing care by nurses. In fact, comprehensive nursing care for patients with risk of infection is still low. Nurses need a good role model from the head nurse and the management function of the head nurse have a positive influence on the implementation of IPC.

Method: This study aimed to identify and analyze the relationship between the role and function of head nurse management and the implementation of IPC in nursing care. Quantitative research with cross sectional design was conducted on 221 nurses who worked in government hospitals in Jakarta who were selected using purposive sampling technique. The research instrument consisted of the role of the head nurse, the management function of the head nurse, and the implementation of IPC in nursing care which was distributed to respondents via the google form link.

Results: The results of the validity and reliability test of the instrument get r value = 0.313-0.818 and Cronbach's alpha = 0.922-0.945. The results of this study found that there was a relationship between the role of the head nurse and the implementation of IPC in nursing care with moderate strength and a positive direction (p = 0.0001, r = 0.489), and the management function of the head nurse had a relationship with the implementation of IPC in nursing care with strong strength and positive direction (p = 0.0001, r = 0.515. The factors that most influence the implementation of IPC in nursing care are the organizational function (Beta coefficient value = 1.145), control function (Beta coefficient value = 1.125), decisional role (Beta coefficient value = 1.145), and interpersonal roles (Beta coefficient value = -1.010).

Conclusions: This study concludes that the role and management function of head nurse are related to the implementation of IPC in nursing care. The factor that most influences the implementation of IPC in nursing care is the function of organization. This study recommend to increase the role and management function of the head nurse in IPC  to optimize the implementation of IPC in nursing care and increase the implementation of PPI in nursing care, especially nursing diagnosis."

"Pendahuluan : Indonesia berada pada peringkat kedua sebagai negara dengan beban TB (Tuberkulosis) tertinggi di dunia setelah India. Pemerintah telah menetapkan program penanggulangan TB melalui Peraturan Presiden Nomor 67 Tahun 2021, dan secara teknis dalam Peraturan Menteri Kesehatan Republik Indonesia Nomor 67 Tahun 2016, yang bertujuan untuk menurunkan angka kejadian TB di Indonesia. Tujuan : Untuk mengidentifikasi hubungan peran, fungsi manajemen kepala ruang dan implementasi program nasional penanggulangan TB dalam pelayanan keperawatan. Metode : Penelitian ini menggunakan pendekatan Cross Sectional, dengan desain survei analitik. Pengambilan sampel dengan teknik total sampling sebanyak 77 orang perawat yang bekerja di ruangan perawatan TB Rumah Sakit tipe A di Manado. Instrumen yang digunakan adalah kuesioner peran kepala ruang,  fungsi manajemen kepala ruang, dan pelaksanaan kegiatan prognas TB dalam pelayanan keperawatan, yang disebarkan melalui tautan Google Form. Hasil uji validitas dan realibilitas dengan nilai 0,376-0,932 dan Cronbach’s Alpha 0,708-0,964. Hasil : Peran kepala ruang berhubungan dengan implementasi prognas TB dengan kekuatan hubungan positif dan kuat (r = 0,699, p= 0,0001). Fungsi manajemen kepala ruang juga menunjukkan hubungan positif dan kuat dengan implementasi Prognas TB (r = 0,714, p = 0,0001). Yang paling berhubungan dengan implementasi prognas TB dalam pelayanan keperawatan adalah peran Decisional (Nilai koefisien beta = 1,423) dan fungsi pengendalian (Nilai koefisien beta = 1,064). Kesimpulan : Peran dan fungsi manajemen kepala ruang berhubungan dengan implementasi prognas penanggulangan TB dalam pelayanan keperawatan, dimana faktor yang paling berhubungan adalah peran pengambilan keputusan oleh kepala ruang (Decisional Role). Rekomendasi yang diberikan adalah mengoptimalkan peran dan fungsi kepala ruang termasuk dalam implementasi kegiatan prognas TB dalam pelayanan keperawatan, sehingga dapat menunjang penanggulangan tuberkulosis.

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Introduction : Indonesia is second rank as the country with the higest burden of TB (Tuberculosis) in the world. The goverment has established a TB control program trough presidential regulation number 67 in 2021, and technical regulation as the Minister of Health Republic Indonesia Number 67 in 2016, wich aims to reduce the incidence of TB in Indonesia. Objective : To identify the relationship between the role, management function of the head nurse and implementation of the national TB control program in nursing services. Method : This research use the cross sectional approach, with an analytical survey design. Samples were taken using a total sampling technique of 77 nurses who worked at the TB treatment room, at type A hospital in Manado. The instrument used was a questionnaire on the role of the head nurse, the management function of the head nurse, and the implementation of TB Program activities in nursing services, wich was distributed by Google Form link. Validity and realibility test results with values of 0.376-0.932 and Cronbach’s Alpha 0.708-0.964. Results :The role of the head nurse is realated to implementation of the national TB program with a positive and strong relationship (r = 0.699, p = 0.0001). The management function of the head nurse also shows a positive and strong relationship with the implementation of the TB program (r = 0.714, p = 0.0001). What is most related to the implementation of the TB program in nursing services is the decisional role (beta coefficient value = 1.423) and the control function (beta coefficient value = 1.064). Conclusion : The role and management function of the head nurse are related to the implementation of the national TB control program in nursing services, were the most related factor is the decisional role of the head nurse. The recommendation given is to optimize the role and management function of the head nurse, including the implementation of the national TB control program in nursing services, so that it can support to prevention of tuberculosis."