An integrative review of Indonesia’s quality of care

Abstract

High-quality health care services would give good health outcomes to society. Nursing service is part of the quality-of-care process. The study aimed to investigate the quality of care in Indonesian hospitals over the last 20 years. The integrative review method was used, and 36 studies in Indonesia were analyzed, following the procedure: problem recognition, literature finding, data assessment, data review, and presentation of the results. Currently, the quality of care in Indonesia is low. The quality of care has increased over time in line with technology and science, and the factors which are related to quality have increased broader. Those factors are hospital management factors, nurse, and nursing organization the hospital management factors, including nurses staffing, environment, and job design. Nursing staffing factors are nursing shortage, workload, job satisfaction, burnout, and turnover. Meanwhile, work environment factors include supervision, empowerment, nurse-physician relationship, managerial, surveillance, and case management. Job design factors are nursing rounds, care delivery, competencies, training needs, roles, and documentation. Besides, personal factors are education, gender, ability/skills, and critical thinking. Therefore, the complicated factors related to nursing quality need further studies to explore whether they give significant results to improve quality of care.

Holistic Psychosocial Approaches in the Care of Hispanic Victims of Trauma: An Overview

“…Nurses and MHCs can use the information presented in this article regarding psychosocial influences in Hispanic culture and holistic psychotherapeutic approaches in nursing care to treat Hispanic victims of trauma as the Hispanic population continues to grow. As emerging leaders in health care transformation, holistic nurses advocate for culturally tailored patient care with a focus on caring for the whole person rather than in fragmented pieces to help create supportive and therapeutic environments that promote comfort and healing (Juanamasta et al, 2021). Holistic nurses could advance practice in this area by collaborating with community leaders and promoting equitable, culturally sensitive, safe, congruent, and effective holistic care for Hispanic survivors of disasters.…”

“…Holistic nursing practice promotes a personalized and scientific approach to caring for Hispanic victims of trauma. Interventions that involve the Hispanic victim's mind, body, and soul are foundations of culturally tailored holistic nursing care (Juanamasta et al, 2021). Healthcare providers could reduce distress in Hispanic survivors of disasters by employing a diverse of methods such as alternative medicines, herbal remedies, religion and prayer, sleep hygiene, exercise, CBT, EW, mindfulness, and grounding practices.…”

“…In addition, researchers should explore differences in coping mechanisms between foreign-born and US-born Hispanic survivors. Nurses could in turn assist researchers with the development of culturally sensitive holistic interventions for these groups (Juanamasta et al, 2021).…”