Tingkat kepuasan pasien terhadap pelayanan keperawatan di Indonesia mayoritas masih kurang puas. Penyebab ketidakpuasan pasien diantaranya faktor kesalahan identifikasi, komunikasi, pemberian obat, dan risiko jatuh. Penelitian bertujuan untuk mengidentifikasi hubungan penerapan keselamatan pasien dengan kepuasan pasien di Rumah Sakit X. Desain penelitian menggunakan pendekatan cross sectional dengan menyebarkan kuesioner kepada 143 pasien. Pengambilan sampel menggunakan cluster random sampling dengan cara menetapkan jumlah sampel yang memenuhi kriteria inklusi, kemudian diberikan kuesioner hingga terpenuhi jumlah sample, dan melakukan penelitian pada setiap sampel yang terpilih. Data dianalisis menggunakan independent t-test dan uji chi-square. Hasil penelitian didapatkan ada hubungan penerapan keselamatan pasien dengan kepuasan pasien (p= 0,001; OR=1,216; α= 0,05). Karakteristik pasien berupa umur, jenis kelamin, pendidikan, pekerjaan, dan kelas rawat tidak berhubungan dengan kepuasan pasien (p= 0,331; 0,818; 0,949; 1,000; dan 0,382; α= 0,05). Hasil penelitian juga didapatkan bahwa penerapan aspek keselamatan pasien berupa reassessment pasien risiko jatuh dan dimensi kehandalan (memberi petunjuk, memberi penjelasan) ketika akan melakukan tindakan keperawatan masih belum optimal sehingga menjadi saran untuk ditingkatkan agar kepuasan pasien di rumah sakit X semakin meningkat.

Nurses provide care equally and do not discriminate between men and women. However, male nurses face challenges and obstacles, especially when they take care of female patients. This study aimed to explore the experiences of male nurses who look after female patients by using a descriptive qualitative design with a phenomenological approach. Ten male nurse participants aged 26-43 years and having an experience of caring for female patients for at least 2 years were included in this study. Seven themes were identified: the discomfort of female patients and male nurses; patient's trust and privacy; the identification of factors affected by body image, age, and types of sensitive areas and actions; attention to the religion, personal beliefs, ethics, and culture of patients; professionalism, role, and competencies of nurses; communication strategies and asking for female nurses for assistance based on team methods; and the view of males in the nursing profession. This study focused on two of the main themes: attention to the religion, personal beliefs, ethics, and cultures of patients and communication strategies and asking female nurses on the team for help. Results suggest that nursing facilities need to improve their patient-focused services by considering a patient's ethical and cultural concerns, using communication strategies, and seeking team assistance when needed in accordance with a hospital's national accreditation standards.

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Background: The increase in COVID-19 cases in Indonesia has resulted in changes in the hospital workflow, including the staffing process and scheduling, especially in the isolation units. Nurse managers are working hard in the scheduling system to ensure high-quality care is provided with the best human resources. Objective: This study aimed to explore the experiences of nurse managers in managing staff nurses’ work schedules during the COVID-19 pandemic. Methods: A qualitative descriptive design was used in this study. Eleven nurse managers from three COVID-19 referral hospitals were selected using purposive sampling. Data were collected using online semi-structured interviews. Thematic analysis was used for data analysis, and data were presented using a thematic tree. Consolidated criteria for reporting qualitative research (COREQ) checklist was used as a reporting guideline of the study. Results: Four themes were developed: (i) Nurse shortage, (ii) Strategically looking for ways to fulfill the workforce, (iii) Change of shift schedule, and (iv) Expecting guidance from superiors and compliance from staff. Conclusion: The lack of nurse staff is a problem during a pandemic. Thus, managing personnel effectively, mobilizing and rotating, and recruiting volunteers are strategies to fulfill the workforce during the pandemic. Using a sedentary shift pattern and sufficient holidays could prevent nurses from falling ill and increase compliance with scheduling. In addition, a staffing calculation formula is needed, and top nursing managers are suggested to provide guidance or direction to the head nurses to reduce confusion in managing the work schedule during the pandemic.

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Caring behavior as a core competence of nursing students should be developed during the educational period. This study aimed to explore nursing students’ experiences in developing their caring behavior during nursing education. The study employed focus group discussions involving seven nursing students enrolled in the 3rd, 5th, and 9th semesters, and recent graduates of the baccalaureate nursing program in Indonesian. Data were analyzed using concept analysis with Colaizzi’s model. The results showed that besides their parents, the peer group was the most significant contributor to the development of their caring behaviors, followed by lecturers, senior students, nurses, and their patients. This study recommended that the faculty engage peer groups, senior students, and lecturers in the mentoring program to cultivate a caring culture among nursing students and measure the effectiveness of the program to change nursing students’ caring behaviors.

AbstrakPengawasan dapat menurunkan angka kejadian HAIs dan pengawasan dapat menjadi dasar perbaikan pelayanan dalam meningkatkan keselamatan pasien. Data HAIs sering tidak lengkap sehingga perbaikan mutu sulit untuk dilaksanakan. Penelitian ini bertujuan untuk mengetahui pengaruh penggunaan pengawasan HAIs berbasis komputer terhadap kelengkapan dokumentasi dan kepuasan perawat dalam menggunakan sistem. Desain penelitian yang digunakan adalah pre eksperimen dengan rancangan pre test post test without control. Jumlah sampel dokumen 71 dokumen dan 25 perawat, diambil secara purposive sampling. Analisis menggunakan Wilcoxon test dan t-dependent test. Hasil menunjukan adanya perbedaan yang bermakna antara kelengkapan dokumentasi sebelum dan sesudah penggunaan sistem (p= 0,0). Selain itu, hasil penelitian ini juga menunjukkan ada peningkatan kepuasan perawat sebagai pengguna sistem pengawasan HAIs sebelum dan sesudah intervensi (p= 0,01). Peningkatan ini menunjukkan sistem pengawasan HAIs berbasis komputer berpengaruh terhadap kelengkapan dokumen dan kepuasan perawat. Hasil penelitian dapat menyarankan untuk migrasi dari catatan yang berbasis manual ke dokumentasi berbasis elektronik. PendahuluanSalah satu tujuan sasaran keselamatan pasien adalah mengurangi resiko infeksi akibat perawatan. Infeksi akibat perawatan ini harus dikelola melalui proses pencegahan dan pengendalian (JCI, 2011).Infeksi yang sering terjadi sebagai akibat dari perawatan kesehatan berhubungan dengan pemasangan alat-alat kesehatan. Singh, Pandya, Patel, Paliwal, Wilson & Trivedi (2010) menyatakan bahwa penggunaan alat kesehatan ini akan meningkatkan resiko terjadinya infeksi, terutama berkaitan dengan lama pemasangan.