Peningkatan Budaya Keselamatan Pasien Melalui Peningkatan Motivasi Perawat dan Optimalisasi Peran Kepala Ruang

Abstract

A poor patient safety culture will have an impact on increasing the incident rate or the risk of an incident. The patient safety culture is an important matter that needs to be considered by the hospital. The objectives of this research are finding out the relationship among nurse motivation, role of head nurse, and patient safety culture. This was a descriptive correlational study with cross sectional approach. The number of samples was 49 nurses. This study used chi-square test. Data were gathered by means of questionnaires about nurse motivation, role of head nurse, and patient safety culture. Results of this research describe 25 respondents (51%) had good motivation, 27 respondents (55.1%) had good role of head nurse, and 26 respondents (66.7) had good patient safety culture. The results showed that there was a relationship between nurse motivation and patient safety culture whith p value of 0.003 (p value < α 0,05) and there was a relationship between role of head nurse and patient safety culture with p value of 0.003 (p value < α 0,05). There was a relationship between nurse motivation and patient safety culture and there was a relationship between role of head nurse and patient safety culture. Nurse’s motivation needs to be improved so that the quality of health workers is better and the efforts of the head nurse in carrying out his/her role in his/her unit need to be made more affective to optimize the patient safety culture.

Peran Kepala Ruang dalam Meningkatkan Budaya Keselamatan Pasien di Rumah Sakit: Literature Review

“…Sebesar 50% responden dalam suatu penelitian yang dilakukan oleh Chegini, Kakemam, Jafarabadi, & Janati (2020), melaporkan bahwa kepala ruangan melakukan pembinaan atas insiden keselamatan pasien yang terjadi dan 43% perawat memiliki niat untuk melaporkan insiden tersebut. Peran kepala perawat tergolong baik karena dapat mengembangkan sistem pelaporan, melibatkan dan berkomunikasi dengan pasien dan keluarga, serta berupaya mencapai motivasi staf perawat untuk penerapan budaya keselamatan pasien (Wulandari, Yulia & Triwijayanti, 2019). Dalam menyikapi peran kepala perawat setelah suatu masalah/insiden keselamatan pasien terjadi diharapkan kepala perawat dapat mengambil tindakan yang berpusat pada pasien, adanya keberanian untuk mereformasi model atau sistem dalam upaya untuk mencegah kejadian yang tidak diharapkan terjadi lagi, adanya sikap terbuka dan tidak saling menyalahkan, serta dapat mengenali dengan cepat adanya kejadian yang serupa (Liukka, Hupli & Turunen, 2018).…”

Analisis Pengaruh Budaya Keselamatan Pasien, Budaya Organisasi, Dan Lingkungan Yang Mendukung Terhadap Motivasi Melaporkan Insiden Keselamatan Pasien-Systematic Riview

“…Menurut Agency of Healthcare Research and Quality (AHRQ) dalam Hospital Survey on Patient Safety Culture Versi 2.0 pada 2019 dalam membangun budaya keselamatan pasien di Rumah Sakit terdapat beberapa aspek yang perlu diperhatikan salah satunya yaitu Pelaporan kejadian keselamatan pasien (7). Beberapa penelitian menyimpulkan bahwa budaya keselamatan pasien secara simultan berpengaruh signifikan terhadap sikap dan motivasi melaporkan insiden keselamatan pasien serta tingkat pelaporan insiden keselamatan pasien (8) (9).…”

The Implementation of Patient Safety by Nurses Based on Work Design

“…Other studies also proved similar results. Wulandari et al (2019) stated that there was a significant relationship between nurse motivation and patient safety culture; the better the nurse's motivation, the better the nurse's performance in implementing patient safety culture. Therefore, the head of the room needs to motivate according to the needs, so that the nurses can carry out service activities based on patient safety principles.…”