AbstrakPatient safety adalah salah satu komponen kritis dari mutu pelayanan kesehatan. Banyak kesalahan pelayanan dikaitkan dengan budaya patient safety. Catatan tentang kesalahan pelayanan di berbagai negara menunjukkan angka yang mengkhawatirkan, sementara di Indonesia belum ada catatan resmi. Demikian halnya dengan budaya patient safety dan kesalahan pelayanan di rumah sakit Kota Jambi. Penelitian ini bertujuan untuk mengetahui budaya patient safety dan karakteristik kesalahan pelayanan di salah satu rumah sakit di Kota Jambi. Desain penelitian ialah cross sectional dan kualitatif. Populasi dan sampel adalah petugas yang melayani pasien secara langsung di ruang rawat inap rumah sakit yang diteliti (dokter, perawat, dokter gigi, dan bidan) dengan jumlah sampel 191 orang. Data dikumpulkan dengan teknik wawancara tidak langsung dengan menyebarkan angket yang diadopsi dari kuesioner yang telah distandardisasi oleh Agency for Healthcare Research and Quality dengan penambahan untuk pertanyaan tentang kesalahan pelayanan secara kualitatif. Analisis data dilakukan secara univariat dan kualitatif. Hasil penelitian menunjukkan budaya patient safety secara umum direspons positif hanya 14,7% responden pada tingkat unit dan 26,2% pada tingkat rumah sakit. Variasi kesalahan pelayanan menyangkut disiplin, komunikasi, dan kesalahan teknis yang disebabkan oleh faktor manusia dan kegagalan sistem. Kesimpulan dari hasil penelitian ini adalah budaya patient safety di salah satu rumah sakit di kota Jambi kurang baik dan ditemukan berbagai kesalahan pelayanan. Saran kepada pihak manajemen untuk menetapkan kebijakan pelaksanaan standar keselamatan pasien sesegera mungkin. PendahuluanPatient safety adalah konsep pasien yang sedang dalam pelayanan kesehatan dapat mencapai dampak yang diharapkan. Dalam hal injury, patient safety didefinisikan sebagai terbebas dari accidental injury dengan menjamin keselamatan pasien melalui penetapan sistem operasional, meminimalisasi kemungkinan kesalahan, dan meningkatkan pencegahan agar kecelakaan tidak terjadi dalam proses pelayanan. 1 Berbagai penelitian di dunia membuktikan banyak kejadian yang membahayakan pasien terjadi akibat kelalaian dalam proses pelayanan kesehatan, mulai dari kesalahan, kealpaan, dan kecelakaan yang menimbulkan dampak merugikan bagi pasien. Institute of
This study aims to analyze relationship of knowledge and attitude to diet of patients with type II diabetes mellitus in the working area of the Simpang IV Sipin Public Health Center, Jambi City, 2022. This research is a quantitative study using a cross sectional approach design. Population in this study are type II diabetes mellitus patients who visited the Simpang IV Sipin Public Health Center in 2021 with a total of 1,564 patients. Sample in this study is 94 respondents who suffered from type II diabetes mellitus using a proportional random sampling technique. Data analysis in this study is analyzed by bivariate analysis. The results show that there is a relationship between knowledge and diet of patients with type II diabetes mellitus in the working area of the Simpang IV Sipin Public Health Center, Jambi City, 2022. There is a relationship between attitude and diet of patients with type II diabetes mellitus in the working area of the Simpang IV Sipin Public Health Center, Jambi City, 2022.
Background. The misconception of nutritional principles causes dietary oversight, resulting in an excess or deficit of energy and specific nutrients essential for the proper course of pregnancy and a child's healthy growth. This review aims to evaluate the effectiveness of nutrition education in improving knowledge and dietary change conducted in pregnant women. Methods. This review study complies with the 2009 PRISMA guidelines. The studies included in this review are mainly studies with experimental designs. Databases used in searching relevant literatures such as PubMed, ScienceDirect, Willey online Library, Web of Science, Cochrane, and Proquest that were published from 2010 to 2021, full text, English version, experimental studies. Two review authors conducted studies screening based on the eligibility criteria, and extracted important points in the studies included. Quality of the studies included were assessed using EPHPP. Results. A total of 10 studies were identified in this review. Six studies in the high quality, and four studies in moderate quality. Overall outcomes of the studies included are Knowledge, Attitude, practice, dietary practice, awareness, hemoglobin blood level, and Gestational Weight Gain (GWG). Conclusion. Nutrition education in many methods has a power to improve knowledge, and dietary change of pregnant women. It implies the need for future large high quality trials using a standardized approach to measuring and reporting similar findings across studies. Keywords : Pregnancy, Pregnant women, Education, Nutrition
Background: Clinical Supervision (CS) is a process of learning and professional support for nurses and developing nursing practice through regular discussions with experienced and skillful colleagues. However, it remains challenging to ensure the effectiveness of its implementation across all healthcare organizations. This systematic review study aims to answer the question: What are the effects of CS on nurses’ perceptions and performance?. Methods: This systematic review was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and using a mixed method. The search was conducted in the online databases including PubMed, ScienceDirect, Cochrane library, Wiley Online Library, and ProQuest for studies related to effectiveness of CS published from 2000 to 2021. Additional studies were also added by reference/citation tracking. Methodological quality of the included studies was assessed using the McMaster Critical Review Form for both quantitative and qualitative studies (Version 2.0). Their risk of bias was assessed independently by two authors using the Cochrane Collaboration’s risk of bias assessment tool. The studies were qualitatively analyzed by the classification of their main findings, study design, and CS methods/models. Results: Of 1041 potentially relevant studies, 237 were removed due to being duplicates. After screening the titles and abstracts of the remaining, 793 removed and finally 11 studies that met the inclusion criteria were entered into the review process. The design of the studies was quasi experimental (n=3), randomized controlled trial (n=1), cross-sectional (n=5), and qualitative (n=2). All the included studies showed the significant effectiveness of CS presented in various methods used such as one-on-one CS and group CS. The CS increased nurses’ peer support and stress relief (restorative function), professional accountability (normative function) and skills and knowledge (formative function). Conclusion: CS is significantly effective in nursing practice. There is a growing need in the future for more experimental studies, taking into account the use of more appropriate methodologies.
Background. The misconception of nutritional principles causes dietary oversight, resulting in an excess or deficit of energy and specific nutrients essential for the proper course of pregnancy and a child’s healthy growth. This review aims to evaluate the effectiveness of nutrition education in improving knowledge and dietary change conducted in pregnant women. Methods. This review study complies with the 2009 PRISMA guidelines. The studies included in this review are mainly studies with experimental designs. Databases used in searching relevant literatures such as PubMed, ScienceDirect, Willey online Library, Web of Science, Cochrane, and Proquest that were published from 2010 to 2021, full text, English version, experimental studies. Two review authors conducted studies screening based on the eligibility criteria, and extracted important points in the studies included. Quality of the studies included were assessed using EPHPP. Results. A total of 10 studies were identified in this review. Six studies in the high quality, and four studies in moderate quality. Overall outcomes of the studies included are Knowledge, Attitude, practice, dietary practice, awareness, hemoglobin blood level, and Gestational Weight Gain (GWG). Conclusion. Nutrition education in many methods has a power to improve knowledge, and dietary change of pregnant women. It implies the need for future large high quality trials using a standardized approach to measuring and reporting similar findings across studies.
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