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"Latar Belakang: Perilaku caring perawat merupakan salah satu faktor penentu kepuasan pasien di RS. Tujuan: mengeksplorasi perilaku caring untuk mengembangkan model perilaku caring perawat berbasis budaya NTT, menguji pengaruh model terhadap perilaku caring perawat dan kepuasan pasien. Metode: Mixed Metode, terdiri dari tahap I eksplatory design dan tahap II quasy experiment pretest-posttest control group design. Partisipan penelitian tahap I terdiri dari 14 tokoh masyarakat, 11 orang pimpinan RS, 10 orang pasien, dan 5 orang perawat pelaksana. Pemilihan partisipan secara purposive. Pengumpulan data menggunakan pedoman wawancara mendalam dan FGD. Analisis data menggunakan pendekatan Colaizzi. Sampel penelitian tahap II adalah perawat dan pasien yang dipilih secara purposive. Penentuan besar sampel menggunakan rumus beda proporsi pada dua kelompok. Besar sampel perawat 120 orang dan pasien 360 orang. Pengumpulan data menggunakan kuesioner yang telah teruji validitas dan reliabilitasnya. Analisis data menggunakan uji independent sampel t- test dan General Linear Model Repeated Measure (GLM-RM). Hasil: Penelitian tahap I menghasilkan 3-4 tema untuk setiap kelompok partisipan dan menghasilkan Model Floramora Berbasis Budaya NTT. Flora singkatan dari Flores, Sumba, Timor, dan Alor, yang merupakan empat suku besar di NTT. Mora merupakan sejenis bunga yang melambangkan caring adalah kasih dan kebaikan yang diwujudkan melalui budaya 3H: Hase, Hakneter, Haktaek (Menyapa, Menghargai, Menghormati) pasien dan keluarganya, budaya 4N: Nawas, Nopil, Nezel, Nimil (Nalar, Nafsu/semangat, Naluri, Nurani), budaya Karawa ya ole atamu gai’mu kada manuwara gu ole atamu (melayani pasien seperti perawat ingin dilayani), budaya su’u papa suru, sa’a papa laka (berbagi kasih dan tanggung jawab), budaya Halon No Viar (Berharap dan Percaya). Hasil penelitian tahap II menunjukkan implementasi model Floramora berpengaruh signifikan terhadap peningkatan perilaku caring perawat dan kepuasan pasien (p 0,001<0,05). Kesimpulan: Model ini berpengaruh signifikan terhadap peningkatan perilaku caring perawat dan kepuasan pasien. Saran: Model ini dapat diterapkan di RS guna meningkatkan perilaku caring perawat dan kepuasan pasien.

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Background: Nurse caring behavior is a significant variable in the establishment of patient contentment within a hospital setting. Objective: To explore caring behavior, to develop a Model of nurse caring behavior based on NTT culture, to examine the effect of the Model on nurse caring behavior and patient satisfaction. Method: Mixed Method, consisting of stage I exploratory design and stage II quasy experiment pretest-posttest control group design. Phase I research participants consisted of 14 community leaders, 11 hospital leaders, 10 patients, and five nurses. Selection of participants purposively. Data collection used in- depth interviews and FGD guidelines. Data analysis used the Colaizzi approach. Phase II research samples were nurses and patients who were selected purposively. Determination of sample size using the formula of different proportions in the two groups. The sample size is 120 nurses and 360 patients. Data collection used a questionnaire that has been tested for validity and reliability. Data analysis used independent sample t-test and General Linear Model Repeated Measure (GLM-RM). Results: Phase I research produced 3-4 themes for each participant group and produced the Floramora Model Based on NTT Culture. Flora stands for Flores, Sumba, Timor and Alor, which are the four major tribes in NTT. Mora is a type of flower that symbolizes caring, namely love and kindness which is manifested through 3H culture: Hase, Hakneter, Haktaek (Greeting, Appreciating, Respecting) patients and their families, 4N culture: Nawas, Nopil, Nezel, Nimil (Reason, Lust or passion, instinct, conscience), culture of Karawa ya ole atamu gai'mu kada manuwara gu ole atamu (serving patients like a nurse wants to be served), culture of su'u papa suru, sa'a papa laka (sharing love and responsibility), culture of Halon No Viar (Hope and Believe). The results of the second phase of the study showed that the implementation of the Floramora model had a significant effect on increasing nurse caring behavior and patient satisfaction (p 0.001 <0.05). Conclusion: This model has a significant effect on improving nurse caring behavior and patient satisfaction. Suggestion: This model can be applied in hospitals to improve nurse caring behavior and patient satisfaction."

"Angka kejadian medication errors dalam proses medikasi masih sangat tinggi di seluruh dunia. Kesalahan dalam pemberian obat dapat dilakukan oleh setiap anggota tim kesehatan termasuk perawat. Teknologi informasi dapat digunakan untuk membantu mewujudkan proses pengobatan yang aman. Berbagai penelitian merekomendasikan penerapan teknologi informasi untuk meningkatkan keamanan dan keselamatan dalam proses medikasi oleh perawat. Banyak kendala yang dihadapi dalam mengadopsi dan menerapkan sistem medikasi berbasis teknologi informasi di rumah sakit. Penelitian ini bertujuan untuk menilai efektivitas penerapan sistem medication safety berbasis teknologi informasi di ruang rawat rumah sakit. Penelitian ini menggunakan pendekatan action research yang terdiri dari 3 (tiga) tahap, yaitu: tahap pertama identifikasi masalah dengan desain studi kualitatif, tahap kedua pemecahan masalah, dan tahap ke tiga uji coba dan evaluasi dengan disain kuasi eksperimen. Besar sampel 188 responden, 94 kelompok intervensi dan 94 kelompok kontrol. Intervensi berupa pelatihan, sosialisasi, pendampingan dan penerapan sistem medication safety keperawatan berbasis teknologi informasi. Hasil penelitian ada perbedaan yang efektivitas antara sebelum dan sesudah penerapan SMeSTa-Nurse. Ada perbedaan efektivitas sistem medikasi antara rumah sakit yang menerapkan SMeSTa-Nurse dengan yang tidak menerapkan. Ada perbedaan efisiensi waktu sistem medikasi rumah sakit yang menerapkan SMeSTa-Nurse dengan yang tidak menerapkan. Ada perbedaan efisiensi biaya sistem medikasi rumah sakit yang menerapkan SMeSTa-Nurse dengan yang tidak menerapkan. Ada perbedaan kepuasan perawat terhadap SMeSTa-Nurse antara rumah sakit yang menerapkan SMeSTa-Nurse dengan yang tidak menerapkan. Ada hubungan yang signifikan antara faktor pendidikan perawat dengan efektivitas penerapan SMeSTa-Nurse di rumah sakit. Hasil penelitian ini merekomendasikan untuk meningkatkan pendidikan dan pengetahuan perawat tentang medikasi berbasis teknologi, meningkatkan peran manajer keperawatan dalam implementasi sistem medikasi berbasis teknologi informasi dan penelitian selanjutnya tentang dampak penerapan sistem medikasi berbasis teknologi informasi terhadap angka mediation errors.

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The incidence of medication errors in the medication process remains exorbitant. Errors in drug administration can be made without exception by members of the health team, including nurses. Information technology can be used to help realize a safe treatment process because it is considered an innovation in improving safety in the process of administering drugs to patients. Various studies recommend the application of information technology to improve security and safety in the medical process by nurses. Many obstacles are usually encountered in adopting and implementing information technology-based medical systems in hospitals. This study aims to assess the effectiveness of the application of information technology-based medication safety systems in hospital wards. This study using an action research approach consists of three stages: problem identification with a qualitative study design; problem solving; and trial and evaluation with a quasi-experimental design. The data was collected from 188 nurses, 94 in the intervention group and 94 in the control group. Interventions were training, socialization, assistance, and application of information technology-based nursing medication safety systems. The results showed that there was a difference in the effectiveness of the application of SMeSTa-Nurse within groups and differences in the effectiveness of the medication system between groups. There was a difference in the time efficiency of hospital medication systems between groups and differences in the cost-efficiency of hospital medication systems between groups. There was a difference in nurse satisfaction across groups. There was also a significant relationship between nurse education factors and the effectiveness of implementing SMeSTa-Nurse in hospitals. The results of this study recommend increasing the education and knowledge of nurses, increasing the role of nursing managers in the implementation of information technology-based medication systems, and further research on the impact of implementing information technology-based medication systems on the number of mediation errors."

"Latar Belakang:Mortalitas dan morbiditas pasien di rumah sakit masih tinggi akibat kurangnya keselamatan pasien. Strategi terpenting untuk meningkatkan keselamatan pasien adalah denganmembangun budaya keselamatan pasien. Tujuandari penelitian ini adalah untuk mengukur pengaruh model budaya positif keselamatan pasien “IDA” terhadap pelaksanaan keselamatan pasien di rumah sakit. Metode.Design adalahaction riset yang terdiri dari: Tahap pertama adalah identifikasi masalah, tahap kedua adalah pengembangan model, tahap ketiga evaluasi efektivitas model. Data dikumpulkan secara kuantitatif dan kualitatif. Kualitatif dengan FGD dan wawancara pada 26 pimpinan dihasilkan empat tema. Penelitian kuantitatif dengan menggunakan instrumen safety attitude questionnaire, quality and safety self efficacy scale, hospital survey on patient safety culture, safety motivation questionnaire scale, safety consciousness scale, dan kuesioner pelaksanaan keselamatan pasien. Tahap dua pengembangan model hasil dari elaborasi tiga teori dan penerapannya dilaksanakan pada 192 orang perawat pelaksana dan 18 orang kepala ruangan di tiga rumah sakit yang telah terakrediatsi paripurna. Tahap tiga diukur efektivitas model pada pelaksanaan keselamatan pasien pada 192 responden kelompok intervensi dan 191 responden kelompok kontrol, sampel diambil dengan cluster random sampling. Hasil Penelitian: Model budaya positif keselamatan pasien “IDA” berpengaruh terhadap dimensi individu: pengetahuan perawat, sikap, motivasi, kesadaran, safety self efficacydan pelaksanaan keselamatan pasien (p<0,05) dan terhadap dimensi individu kepala ruangan: pengetahuan dan sikap kepala ruangan (p<0,05). Pengaruh positif juga terhadap dimensi organisasi dan dimensi lingkungan. Sebagai dampaknya maka terdapat perbedaan secara bermakna pada sasaran keselamatan pasien sebelum dan setelah dilakukan intervensi model “IDA”. Model “IDA” juga diukur efektivitasnya terhadap kelompok kontrol dan semua variabel berbeda bermakna (p<0,05). Kesimpulan dan Saran: model “IDA” berpengaruh terhadap perilaku keselamatan pasien dan capaian sasaran keselamatan pasien oleh perawat. Model “IDA”perlu diterapkan dirumah sakit agar keselamatan pasien tercapai.

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Background: The mortality and morbidity of patients in the hospital are still high due to the lack of patient safety. The most important strategy for improving patient safety is to build a culture of patient safety. The purpose of this study was to measure the effect of a positive culture model of patient safety "IDA" on the implementation of patient safety in hospitals. Method.Design is an action research consisting of: The first stage is problem identification, the second stage is the development of the model, the third stage is the evaluation of the effectiveness of the model. Data were collected quantitatively and qualitatively. Qualitative with FGD and interviews with 26 leaders resulted in four themes. Quantitative research using the instrument safety attitude questionnaire, quality and safety self-efficacy scale, hospital survey on patient safety culture, safety motivation questionnaire scale, safety consciousness scale, and patient safety implementation questionnaire. The second stage of the development of the model results from the elaboration of three theories and its application was carried out on 192 implementing nurses and 18 heads of rooms in three hospitals who had been fully accredited. Stage three measured the effectiveness of the model in the implementation of patient safety in 192 respondents in the intervention group and 191 respondents in the control group, the sample was taken by cluster random sampling. Results: The positive culture model of patient safety "IDA" affects the individual dimensions: knowledge of nurses, attitudes, motivation, awareness, safety self efficacy and implementation of patient safety (p <0.05) and on the individual dimensions of the head of the room: knowledge and attitude of the head. room (p <0.05). The positive influence is also on the organizational and environmental dimensions. As a result, there are significant differences in patient safety goals before and after the "IDA" model intervention. The effectiveness of the "IDA" model was also measured against the control group and all variables were significantly different (p <0.05). Conclusions and suggestions: the "IDA" model affects the implementation and achievement of patient safety goals. The "IDA" model needs to be applied in hospitals so that patient safety is achieved."