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"Penyakit kronis semakin meningkat menyebabkan angka kematian dan kecacatan cukup tinggi. Pasien dengan penyakit kronis mempunyai angka rawat inap berulang dan menyebabkan peningkatan anggaran pelayanan kesehatan. Berulangnya perawatan menunjukan kepuasan, efikasi diri, dan kepatuhan masih menjadi hambatan. Penggunaan aplikasi Telenursing peka budaya menjadi alternatif peningkatan kepuasan, efikasi diri, kepatuhan pasien pada proses keperawatan berkelanjutan. Tujuan penelitian menghasilkan model Telenursing peka budaya untuk intervensi keperawatan berkelanjutan peka budaya dan mengevaluasi pengaruhnya terhadap kepuasan, efikasi diri, kepatuhan pada pasien penyakit kronis. Penelitian ini menggunakan desain research and development melalui tiga tahapan. Penelitian tahap pertama melibatkan 23 pasien, 9 keluarga, dan 14 tokoh adat. Tahap kedua menghasilkan Model Telenursing peka budaya dengan aplikasi interaktif. Tahap ketiga melibatkan 100 pasien sebagai responden. Hasil penelitian teridentifikasi empat tema menjadikan dasar pengembangan model, terciptanya model intervensi keperawatan berbasis aplikasi bernama SUSTER KITA dengan aplikasi interaktif smartphone saat dievaluasi terbukti berpengaruh terhadap kepuasan, efikasi diri, dan kepatuhan. Model Telenursing peka budaya untuk intervensi keperawatan berkelanjutan menggunakan aplikasi SUSTER KITA efektif terhadap kepuasan, efikasi diri, dan kepatuhan. Model Telenursing peka budaya untuk intervensi keperawatan berkelanjutan dapat diadopsi untuk meningkatkan kualitas asuhan keperawatan.

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Chronic diseases are increasing, causing a high mortality and disability rate. Patients with chronic diseases have a recurrent number of hospitalizations which leads to an increase in health care budgets. Repeated treatments show that satisfaction, self-efficacy, and adherence are still obstacles. An alternative to using culture-based Telenursing applications is an alternative to increasing satisfaction, self-efficacy, and patient adherence in the continuous nursing process. The study aimed to generate a culture-based Telenursing model for culture-based continuous nursing interventions and evaluate its effect on satisfaction, self-efficacy, and adherence in chronic patients. This research uses a research and development design through three stages. The first research phase involved 23 patients, 9 families, and 14 traditional leaders. The second stage produces a culture-based Telenursing Model with interactive applications. The third stage involves 100 patients as respondents. The results of the study identified four themes that made the basis for model development, the creation of an application-based nursing intervention model called SUSTER KITA with a smartphone interactive application when evaluated proved to affect satisfaction, self-efficacy, and adherence. A culture-based Telenursing model for continuous nursing interventions using the Suster Kita application is effective in improving satisfaction, self-efficacy, and adherence. Culture-based Telenursing models for ongoing nursing interventions can be adopted to improve the quality of nursing care."

"Latar Belakang: Tingginya tingkat kelelahan, belum optimalnya kepuasan kerja dan kualitas hidup berhubungan dengan sejumlah cedera dan risiko cedera perawat di rumah sakit. Tujuan: Uuntuk menguji efektifitas model Pencegahan Risiko Cedera Perawat terhadap tingkat kelelahan, kepuasan kerja dan kualitas hidup perawat di rumah sakit. Metode: Desain uji efektifitas menggunakan quasi eksperiment pre-post test design with control group terhadap 125 perawat dengan analisis t-test. Keseluruhan tahap penelitian menggunakan desain Multiphase Mixed Methods Research mencakup tahap eksplorasi untuk pengembangan model terhadap 21 partisipan (kualitatif) dan 176 partisipan (kuantitatif); tahap pengembangan dengan konsultasi pakar, analisis komponen model dengan Confirmatory Factor Analysis terhadap 324 partisipan dan uji keterbacaan; serta tahap uji efektifitas. Hasil: Model Pencegahan Risiko Cedera Perawat terdiri dari sumber dukungan, upaya pencegahan dan proteksi diri perawat. Hasil penelitian menunjukkan Model Pencegahan Risiko Cedera Perawat efektif menurunkan tingkat kelelahan dan meningkatkan kepuasan kerja perawat, sedangkan terhadap kualitas hidup tidak ditemukan pengaruh yang siginifikan. Tingkat kelelahan perawat dan kepuasan perawat secara bersama – sama berpengaruh terhadap kualitas hidup perawat. Kesimpulan: Pengambil kebijakan perlu menjadikan Model Pencegahan Risiko Cedera sebagai standar strategi intervensi terkait K3 perawat dan rumah sakit perlu melakukan program berkelanjutan untuk mitigasi risiko cedera perawat mengacu pada model yang telah diuji efektifitasnya.

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Background: High fatigue levels, suboptimal job satisfaction, and quality of life are associated with a number of injuries and the risk of injury to nurses in hospitals. Aim: This study aims to examine the effectiveness of the Risk Injury Prevention Model in the levels of fatigue, job satisfaction, and quality of life for nurses in hospitals. Methods: The design of the effectiveness test used a quasi-experimental pre-post test design with a control group on 125 nurses using a t-test analysis. All stages of the research used a Multiphase Mixed Methods Research design including an exploratory stage for developing a model for 21 participants (qualitative) and 176 participants (quantitative); development stage with expert consultation, analysis of model components with Confirmatory Factor Analysis of 324 participants and readability test; as well as the effectiveness test stage. Result: The Risk Injury Prevention Model consisted of the sources of support, prevention efforts, and self-protection among the nurses. The results showed that the Risk Injury Prevention Model was effective in reducing the fatigue levels and improving the nurses’ job satisfaction while it had no significant effects on the quality of life. The levels of fatigue and job satisfaction simultaneously affected the nurses’ quality of life. Conclusion: Policy makers are recommended to make the Risk Injury Prevention Model as a standard intervention strategy related to the occupational safety and health (OSH) of nurses, and hospitals need to carry out a sustainable program to mitigate the risk of injury among nurses by referring to the model that has been tested for its effectiveness."

"Latar Belakang: Ketidaknyamanan kerja perawat semakin meningkat akibat stres, kelelahan serta kecemasan tertular Covid-19 yang mengakibatkan penurunan kinerja dan berdampak pada pelayanan yang tidak aman. Perawat manajer dapat memodifikasi lingkungan kerja menggunakan teknologi terapi sinar biru yang memiliki panjang gelombang nanometer untuk meningkatkan kenyamanan kerja perawat. Penelitian ini bertujuan untuk mengembangkan alat kenyamanan kerja menggunakan nano wave light emitting diode (Nano-LED) dan mengukur efektifitasnya terhadap kenyamanan dan efikasi diri perawat di ruang perawatan Covid-19. Metode: Penelitian ini menggunakan desain Research and Development dengan tiga tahap penelitian. Penelitian tahap 1 mengidentifikasi masalah dan kebutuhan peningkatan kenyamanan kerja menggunakan Nano-LED, tahap 2 mengembangkan alat Nano-LED, dan tahap 3 mengukur efektifitasnya terhadap kenyamanan kerja dan efikasi diri perawat. Penelitian dilakukan di dua rumah sakit rujukan Covid-19 di wilayah DKI Jakarta sebagai kelompok intervensi dan kelompok kontrol. Jumlah sampel sebanyak 187 perawat menggunakan total sampling. Analisis data menggunakan uji Wilcoxon, Mann Whitney dan regresi linear berganda. Hasil: Penelitian tahap 1 menemukan 5 tema. Partisipan perawat manajer dan perawat pelaksana melalui focus group discussion mengonfirmasi perlunya peningkatan kenyamanan kerja perawat menggunakan Nano-LED. Tahap 2 menghasilkan alat Nano-LED blue turquoise light SMD 2835 panjang gelombang 460—470 nm. Tahap 3 diperoleh hasil ada perbedaan signifikan peningkatan rerata kenyamanan kerja (p < 0,001) dan efikasi diri perawat (p < 0,001) sebelum dan setelah intervensi pada responden kelompok intervensi. Selanjutnya ditemukan ada perbedaan signifikan peningkatan rerata kenyamanan kerja perawat (p = 0,002) dan efikasi diri perawat (p = 0,001) antara kelompok intervensi dan kelompok kontrol setelah intervensi. Kesimpulan: Intervensi Nano-LED efektif meningkatkan kenyamanan kerja dan efikasi diri perawat. Hasil penelitian merekomendasikan agar Nano-LED dapat diaplikasikan di ruang rawat untuk meningkatkan kenyamanan kerja dan efikasi diri perawat.

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Background: Nurses' work discomfort due to stress, fatigue and anxiety of contracting Covid-19 can have an impact on decreasing performance and unsafe services for patients. Nurse managers can modify the work environment using blue light therapy technology which has a nanometer wavelength to increase the comfort of nurses' work. The research aims to develop a work comfort tool using a nano wave light emitting diode (Nano-LED) and measure its effectiveness on the comfort and self-efficacy of nurses in the Covid-19 ward. Methods: The study used a Research and Development design with three phases of research. Phase 1 research identifies problems and needs for increasing work comfort using Nano-LED, phase 2 develops Nano-LED device, and phase 3 measures its effectiveness on work comfort and nurse self-efficacy. The study was conducted at two Covid-19 referral hospitals in the DKI Jakarta area as an intervention group and a control group. The number of samples was 187 nurses using total sampling. Data analysis used Wilcoxon test, Mann Whitney and multiple linear regression. Result: Phase 1 study found 5 themes. Participant nurse managers and nurse staffs through focus group discussions confirmed the need to increase the comfort of nurses' work using Nano-LED. Phase 2 produces a Nano-LED blue turquoise light SMD 2835 with a wavelength of 460—470 nm. Phase 3 showed that there was a significant difference in the average increase in work comfort (p < 0.001) and nurses' self-efficacy (p < 0.001) before and after the intervention in the intervention group respondents. Furthermore, it was also found that there was a significant difference in the average increase in nurses' work comfort (p = 0.002) and nurses' self-efficacy (p = 0.001) between the intervention group and the control group after the intervention. Conclusion: The Nano-LED intervention is effective in increasing the work comfort and self-efficacy of nurses. The results of the study recommend that Nano-LED can be applied in the treatment room to increase work comfort and nurse self-efficacy."

"Latar Belakang: Pelayanan keperawatan di Puskesmas saat ini belum sepenuhnya menampilkan kemandirian profesi keperawatan sehingga kinerja dan kepuasan kerja perawat terkait pemberian asuhan keperawatan menjadi tidak optimal. Model Tata Kelola Klinis Pelayanan Keperawatan INPRO merupakan upaya penataan kegiatan pelayanan keperawatan dalam gedung puskesmas untuk meningkatkan kinerja dan kepuasan kerja perawat puskesmas. Penelitian ini bertujuan untuk menguji efektifitas model tata kelola klinis pelayanan keperawatan INPRO terhadap peningkatan kinerja dan kepuasan perawat di Puskesmas. Metode: Penelitian ini merupakan penelitian operasional dengan tiga tahap penelitian. Tahap pertama yakni penelitian eksplorasi melalui studi kuantitatif dan kualitatif dengan jumlah responden studi kuantitatif sebanyak 96 responden dan 18 partisipan untuk studi kualiatif. Tahap kedua, proses pengembangan model melibatkan 3 pakar dan 7 responden untuk uji keterbacaan .Tahap ketiga merupakan uji efektivitas model dengan disain kuantitatif kuasi eksperimen pre-post test with control group, dengan jumlah responden sebanyak 56 responden yang terbagi dalam dua kelompok. Hasil: Penelitian tahap 1 teridentifikasi 6 temuan yang menunjukkan bahwa perlu upaya penataan pelayanan keperawatan didalam gedung puskesmas. Tahap 2 dihasilkannya model tata kelola pelayanan keperawatan INPRO dalam gedung Puskesmas yang berlandaskan pada otonomi profesi, kepemimpinan dan hubungan profesional. Tahap 3 diperoleh hasil terdapat perbedaan signifikan peningkatan rerata kepuasan kerja (p<0,05) dan kinerja perawat (p<0,05) sebelum dan sesudah intervensi pada kelompok intervensi. Kesimpulan: Model tata kelola klinis pelayanan keperawatan Inpro efektif dapat meningkatkan kepuasan dan kinerja perawat. Saran: Model ini dapat digunakan pada pelayanan keperawatan dalam gedung puskesmas untuk meningkatkan kepuasan dan kinerja perawat.

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Background: Nursing services at Community Health Centers (Puskesmas) currently do not fully display the independence of the nursing profession so that Nurse performance and job satisfaction regarding to providing the nursing care was not optimal. The INPRO Nursing Service Clinical Governance Model is an effort to manage nursing service activities for increasing the satisfaction and performance of nurses. This study aims to examine the effectiveness of the INPRO nursing service clinical governance model for increasing nurse satisfaction and performance at community health center. Methods: This study used an operational research with three stages of research. The first stage is exploratory research through quantitative and qualitative studies with 96 respondents and 18 participants for qualitative studies. The second stage is the model development process involved 3 experts and 7 respondent to test readability.. The third stage is a test of the effectiveness of the model with a quasi experiment pre-post test with control group design, with a total of 56 respondents divided into two groups. Results: Stage 1 research identified 6 findings that showed that efforts were needed to manage nursing services. stage 2 produced a clinical governance model of INPRO nursing services at Puskesmas based on professional autonomy, leadership and professional relationships. Stage 3 obtained the results that there was a significant difference in the average increase in job satisfaction (p<0.05) and nurse performance (p<0.05) before and after the intervention for the intervention group. Conclusion: The clinical governance model of Inpro nursing services can effectively improve nurse satisfaction and performance. Suggestion: This model can be used for nursing services at puskesmas to improve nurse satisfaction and performance."