Abstrak Kualitas perawat ditentukan oleh kompetensi hard skills dan soft skills. Caring sebagai bagian dari soft skills adalah esensi mendasar pada profesi perawat. Penilaian pasien mengenai soft skills caring perawat adalah indikator dari kualitas pelayanan keperawatan. Tujuan penelitian untuk mengembangkan model pelatihan soft skills caring dan mengidentifikasi model tersebut terhadap kualitas keperawatan dan kepuasan pasien. Desain pra-eksperimental dengan pretest-posttest tanpa kontrol dengan melibatkan 53 perawat dan 53 pasien pada dua rumah sakit swasta di Kota Bandung. Instrumen penelitian diadaptasi dari Caring Nurse Patient Interactions Scale (CNPI) dan kepuasan pasien diadaptasi dari patient satisfaction with nursing care. Intervensi terdiri dari pemberian materi selama 3 hari, post pelatihan 2, 4 dan 6 minggu. Analisis data dilakukan untuk melihat perubahan penilaian soft skills caring perawat serta kepuasan pasien sebelum dan sesudah intervensi-pelatihan menggunakan uji paired t-test. Analisis General Linier Model Repeated Measure (GLM-RM) dipergunakan untuk analisis follow-up 4 dan 6 minggu. Hasil penelitian menunjukkan model pelatihan soft skills caring terbukti efektif meningkatkan penilaian perawat dan kepuasan pasien, serta dapat dimanfaatkan bagi perawat di rumah sakit. Kata kunci: soft skills caring, perawat, kualitas pelayanan keperawatan Abstract The quality of nursing care was determined by they hard and soft skills competence. Soft skill of caring was the basic competence of nurses, it was affecting patient satisfaction. This study aimed to: a) develop the model of training soft skills caring, b)identify the training model for increasing the quality of nursing care and patient satisfaction. The study was pretest-posttest pre-experimental design without control. The sampples including 53 nurses and 53 patients at two private hospitals in Bandung, West Java Province, Indonesia. The instrument was adapted from Caring Nurse Patient Interactions Scale (CNPI) while patient satisfaction assesment was adapted from patient satisfaction with nursing care. The interventions was soft skills training for 3 days, while the soft skill were assesed at in 2, 4 and 6 weeks post intervention. The pre and 2 weeks post intervention were analysed using paired t-test, while the 4 and 6 weeks follow-up soft skill post itervention was analyzed by GLM-RM. The results show that soft skill training are effective for improving nurse’s competence and increasing patient satisfaction. Futher training can be implemented to increase quality of nursing care and patients satisfaction. Keywords: soft skills, training, quality of nursing, patient satisfaction
ABSTRAKLatar Belakang: Bedah Sesar adalah suatu persalinan buatan, dimana janin dilahirkan melalui suatu insisi pada dinding perut dan dinding rahim serta berat janin di atas 500 gram. Dampak yang terjadi setelah bedah sesar adalah nyeri dan gangguan tidur. Tujuan: Untuk mengetahui hubungan intensitas nyeri dengan kualitas tidur pada ibu pasca bedah sesar. Metode: Menggunakan pendekatan cross sectional. Sampel penelitian berjumlah 42 ibu pasca bedah sesar yang diambil dengan teknik accidental sampling. Pengambilan data dilakukan di RS TK II Dustira Cimahi, menggunakan lembar kuesioner Maternal Pain Questionnaire (MPQ) untuk pengukuran intensitas nyeri dan The Pittsburgh Sleep Quality Index (PSQI) untuk pengukuran kualitas tidur. Data dikumpulkan pada bulan Mei 2017. Analisis data menggunakan uji Chi-Square. Hasil penelitian: Intensitas nyeri yang tertinggi terjadi pada klien pasca bedah sesar yaitu intensitas nyeri hebat dengan 22 responden (52,4%) dan tidak nyaman terdapat 20 responden (47,6%). Lebih dari setengah responden mengalami kualitas tidur yang buruk yaitu 28 responden (66,7%). Ada hubungan antara intensitas nyeri dengan kualitas tidur pada pasien pasca bedah sesar. Diskusi: Faktor yang memengaruhi kualitas tidur pasien adalah sakit yang disebabkan oleh nyeri. Nyeri pasien setelah seksio sesaria karena terputusnya kontinuitas jaringan (trauma pembedahan) sehingga terjadi gangguan kualitas tidur. Semakin berat nyeri, maka semakin terganggu kualitas tidur pasien. Kesimpulan: Terdapat hubungan yang bermakna antara intensitas nyeri dengan kualitas tidur pada pasien pasca bedah sesar. Pelayanan kesehatan diharapkan melibatkan peran aktif keluarga untuk mengatasi penanganan nyeri pasien pasca bedah sesar, sehingga pasien memiliki kualitas tidur baik.Kata Kunci: Bedah sesar, nyeri, kualitas tidurRelationship Between Pain Intensity With Sleep Quality of Patient Post Caesarean SectionABSTRACTBackground: Cesarean section is an artificial birth, in which the fetus is born through an incision in the abdominal wall and uterine wall and the weight of the fetus is above 500 grams. Impacts that occur after caesarean section are pain and sleep disorders. Aim: To know the relation of pain intensity with sleep quality of mothers post cesarean section. Method: Using cross sectional approach. The sample of the study were 42 post-cesarean mothers taken by accidental sampling technique. The data was collected at RS TK. II Dustira Cimahi using Maternal Pain Questionnaire (MPQ) questionnaire for pain intensity measurement and The Sleep Sleep Quality Index (PSQI) for sleep quality measurement, in May 2017. The MPQ and PSQI questionnaires in this study were not tested for validity and reliability because this questionnaire was standard. Data analysis using Chi-Square test. Results: The highest intensity of pain occurred in the client after cesarean section with severe pain intensity with 22 respondents (52,4%) and uncomfortable there were 20 respondents (47,6%) and more than most client experience poor sleep quality that is 28 respondents ( 66.7%) but there are still clients who experienced good sleep quality 14 respondents (33.3%). The result of the study is that there is a correlation between pain intensity and sleep quality in post cesarean patients. Discussion: The factor that influences the patient’s sleep quality is pain caused by pain. Post sectio caesaria pain due to tissue continuity (trauma from surgery) is interrupted resulting in sleep quality disruption. The more severe the pain, the more disturbed the patient’s sleep quality. Conclusion: There was a significant relationship between the intensity of pain and sleep quality in post-caesarean section patients. Health services are expected to involve the active role of the family to overcome the pain management of post-cesarean patients, so that patients have good quality sleep.Keywords: Cesarean section, pain, sleep quality
Background: International policy recommends Interprofesional Education (IPE) to improve the practice of interprofessional In an effort to improve the practice of professional nurses, the IPE is the strategy of forming professional conduct of nurses in team work and collaboration between other health professionals, especially doctors in critical care. Objective: to identify the effect of IPE model of team work and collaboration of the attitudes of nursing students in an intensive care unit of Hospital. Methods: This study was conducted with The quasi-experimental design. The number of 30 subjects (15 intervention and 15 control group) by random sampling. The intervention consisted of 1) pretest 2) the provision of material interprofessional education modules on subjects of critical nursing for 2 weeks, 2) posttest. Paired t tests were used to determine the effects of interprofessional Education. Independence t-test were used to determine the difference effect of interprofessional Education. The instrument used was The Attitudes towards interprofessional Health Care Teams Scales to measure the attitude of teamwork and Interprofesional Collaboration Scales to measure the attitude of collaboration. Results: There were differences rates of team work and collaboration attitudes of nurses before and after on intervention group. There werenot differences rates of team work and collaboration attitudes of nurses before and after on control group. There were differences scores of the attitude of team work and collaboration between the intervention and control groups. Conclusions and Recommendations: Giving IPE modules for nurses are commonly regarded to be an essential strategy for improving team work and collaboration attitudes on nurses student at intensive care unit of hospital. Keyword: Interprofessional Education, team work, collaboration, nurses student.
Background. Cesarean section is an artificial birth, in which the fetus is born through an incision in the abdominal wall and uterine wall and the weight of the fetus is above 500 grams. Impacts that occur after caesarean section are pain and sleep disorders. Aim. To know the relation of pain intensity with sleep quality of mothers post cesarean section. Research methods. Using cross sectional approach. The sample of the study were 42 post-cesarean mothers taken by accidental sampling technique. The data was collected at RS TK. II Dustira Cimahi using Maternal Pain Questionnaire (MPQ) questionnaire for pain intensity measurement and The Sleep Sleep Quality Index (PSQI) for sleep quality measurement, in May 2017. Data analysis using Chi-Square test . Results. The highest intensity of pain occurred in the client after cesarean section with severe pain intensity with 22 respondents (52,4%) and uncomfortable there were 20 respondents (47,6%) and more than most client experience poor sleep quality that is 28 respondents ( 66.7%) but there are still clients who experienced good sleep quality 14 respondents (33.3%). The statistical test results obtained p significance number p = 0,000 thus p <α (0.000 <0.05), then H0 is rejected. Conclusion. There was a significant relationship between the intensity of pain and sleep quality in post-caesarean section patients. Keywords: Cesarean Section, Pain, Sleep Quality
The prevalence of coronary artery disease (CAD) is increasing and becomes a major health problem nowadays. CAD has an impact on various aspects of the sufferer's life, both physical, psychosocial, and spiritual which affect the patient's Quality of Life (QOL). The main effort that can be done to maintain or improve the quality of life is with the patient's medication adherence. The existence of social restrictions during the COVID-19 pandemic has become a current issue regarding access to treatment of patients with CAD in hospitals so it has not been depicted regarding medication adherence and quality of life of patients with CAD during the pandemic, especially in Indonesia. This study aims to analyze the association between medication adherence and the quality of life of patients with CAD during the COVID-19 pandemic. The study method used is analytical observational with a cross-sectional approach. Primary data were collected from patients with CAD who were outpatient at the Cardiology Clinic of Private Hospital Type A in Bandung, Indonesia with accidental sampling technique. The study was conducted in January 2022 with the minimum sample being 70 respondents (Slovin formula). Data collection uses The Modified-Morisky Adherence Scale-8 (MMAS-8) questionnaire to assess medication adherence and the Seattle Angina Questionnaire-7 (SAQ-7) Questionnaires to assess the quality of life of patients with CAD. The statistical test is Chi-Square. The result showed that 34 (48.6%) respondents had low medication adherence and 43 (61.4%) respondents had good QOL. There was an association between medication adherence and QOL (p-value 0.009). Adhering to treatment can improve the quality of life of patients with CAD.
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