Faktor Personal Perawat dan Hubungannya dengan Penerapan Budaya Keselamatan Pasien di Rumah Sakit

Authors

  • Hendra Nasrija Fakultas Keperawatan, Universitas Airlangga
  • Mira Triharini Fakultas Keperawatan, Universitas Airlangga
  • Purwaningsih Purwaningsih Fakultas Keperawatan, Universitas Airlangga

DOI:

https://doi.org/10.32583/keperawatan.v16i3.1748

Keywords:

budaya keselamatan pasien, faktor personal, perawat

Abstract

Permasalahan terkait budaya keselamatan pasien telah menjadi perhatian serius dalam dunia kesehatan. Upaya yang dapat dilakukan ketika pimpinan rumah sakit ingin meningkatkan mutu pelayanan dan mereduksi permasalahan tersebut adalah dengan menciptakan budaya keselamatan pasien di kalangan perawat. Penelitian cross-sectional ini bertujuan untuk mengetahui faktor personal perawat dan hubunganya dengan penerapan budaya keselamatan pasien di rumah sakit. Penelitian analitik observasional ini dilakukan terhadap 190 perawat yang sesuai dengan kriteria inklusi, teknik sampling yang digunakan adalah purposive sampling. Pengumpulan data penelitian menggunakan kuesioner yang telah dinyatakan valid dan reliabel, data yang terkumpul kemudian diuji dengan chi square, nilai signifikansi yang digunakan adalah p-value < 0,05. Faktor personal perawat yang diteliti yaitu pengetahuan, sikap, motivasi, dan kompetensi memiliki hubungan yang signifikan dengan penerapan budaya keselamatan pasien di rumah sakit (p-value= 0.000). Semakin baik faktor personal perawat, maka akan semakin baik pula perilaku perawat berkaitan dengan penerapan budaya keselamatan pasien. Penguatan pada faktor personal perawat dapat membantu penyedia layanan kesehatan dalam meningkatkan kualitas pelayanan

References

Al-Surimi, K., Almuhayshir, A., Ghailan, K. Y., & Shaheen, N. A. (2022). Impact of Patient Safety Culture on Job Satisfaction and Intention to Leave Among Healthcare Workers: Evidence from Middle East Context. Risk Management and Healthcare Policy, 15, 2435–2451. https://doi.org/10.2147/RMHP.S390021

Alanazi, F. K., Sim, J., & Lapkin, S. (2022). Systematic review: Nurses’ safety attitudes and their impact on patient outcomes in acute‐care hospitals. Nursing Open, 9(1), 30–43. https://doi.org/10.1002/nop2.1063

Albaalharith, T., & A’aqoulah, A. (2023). Level of Patient Safety Culture Awareness Among Healthcare Workers. Journal of Multidisciplinary Healthcare, 16, 321–332. https://doi.org/10.2147/JMDH.S376623

Alrasheadi, B. A., Alamri, M. S., Aljohani, K. A., AL-Dossary, R., Albaqawi, H., Alharbi, J., … Almazan, J. U. (2022). Nurses’ Perception of Safety Culture in Medical−Surgical Units in Hospitals in Saudi Arabia. Medicina, 58(7), 897. https://doi.org/10.3390/medicina58070897

Aminayanti, N., Kusumapradja, R., & Arrozi, M. (2021). Pengaruh Pengetahuan, Sikap dan Motivasi Perawat Terhadap Pelaksanaan Keselamatan Pasien pada Unit Rawat Inap Rumah Sakit Umum Daerah Sekayu. Jurnal Health Sains, 2(7), 915–922. https://doi.org/10.46799/jhs.v2i7.223

Churruca, K., Ellis, L. A., Pomare, C., Hogden, A., Bierbaum, M., Long, J. C., … Braithwaite, J. (2021). Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals. BMJ Open, 11(7), e043982. https://doi.org/10.1136/bmjopen-2020-043982

Danielsson, M., Nilsen, P., Rutberg, H., & Årestedt, K. (2019). A National Study of Patient Safety Culture in Hospitals in Sweden. Journal of Patient Safety, 15(4), 328–333. https://doi.org/10.1097/PTS.0000000000000369

Farokhzadian, J., Dehghan Nayeri, N., & Borhani, F. (2018). The long way ahead to achieve an effective patient safety culture: challenges perceived by nurses. BMC Health Services Research, 18(1), 654. https://doi.org/10.1186/s12913-018-3467-1

Gunawan, N. P. I. N., Hariyati, R. T. S., & Gayatri, D. (2019). Motivation as a factor affecting nurse performance in Regional General Hospitals: A factors analysis. Enfermería Clínica, 29(S2), 515–520. https://doi.org/10.1016/j.enfcli.2019.04.078

Haskins, H. E. M., & Roets, L. (2022). Nurse leadership: Sustaining a culture of safety. Health SA Gesondheid, 27, 1–8. https://doi.org/10.4102/hsag.v27i0.2009

Kakemam, E., Gharaee, H., Rajabi, M. R., Nadernejad, M., Khakdel, Z., Raeissi, P., & Kalhor, R. (2021). Nurses’ perception of patient safety culture and its relationship with adverse events: a national questionnaire survey in Iran. BMC Nursing, 20(1), 60. https://doi.org/10.1186/s12912-021-00571-w

Kalteh, H. O., Mortazavi, S. B., Mohammadi, E., & Salesi, M. (2021). The relationship between safety culture and safety climate and safety performance: a systematic review. International Journal of Occupational Safety and Ergonomics, 27(1), 206–216. https://doi.org/10.1080/10803548.2018.1556976

Kang, S., Ho, T. T. T., & Lee, N.-J. (2021). Comparative Studies on Patient Safety Culture to Strengthen Health Systems Among Southeast Asian Countries. Frontiers in Public Health, 8, 600216. https://doi.org/10.3389/fpubh.2020.600216

Karande, S., Marraro, G., & Spada, C. (2021). Minimizing medical errors to improve patient safety: An essential mission ahead. Journal of Postgraduate Medicine, 67(1), 1–3. https://doi.org/10.4103/jpgm.JPGM_1376_20

Khan, H., Rehmat, M., Butt, T. H., Farooqi, S., & Asim, J. (2020). Impact of transformational leadership on work performance, burnout and social loafing: a mediation model. Future Business Journal, 6(1), 40. https://doi.org/10.1186/s43093-020-00043-8

Lee, S. E., Scott, L. D., Dahinten, V. S., Vincent, C., Lopez, K. D., & Park, C. G. (2019). Safety Culture, Patient Safety, and Quality of Care Outcomes: A Literature Review. Western Journal of Nursing Research, 41(2), 279–304. https://doi.org/10.1177/0193945917747416

Mardani, A., Griffiths, P., & Vaismoradi, M. (2020). The Role of the Nurse in the Management of Medicines During Transitional Care: A Systematic Review. Journal of Multidisciplinary Healthcare, 13, 1347–1361. https://doi.org/10.2147/JMDH.S276061

Marshall, T. M. (2020). Risk perception and safety culture: Tools for improving the implementation of disaster risk reduction strategies. International Journal of Disaster Risk Reduction, 47, 101557. https://doi.org/10.1016/j.ijdrr.2020.101557

Michel, P., Roberts, T., Porro, Z., Es-seddiqi, H., Saillour, F., Quenon, J.-L., … Qointard, B. (2016). What are the Barriers and Facilitators to the Implementation and/or Success of Quality Improvement and Risk Management in Hospitals: A Systematic Literature Review. Journal of Epidemiology and Public Health Reviews, 1(4), 1–8. https://doi.org/10.16966/2471-8211.123

Pelzang, R., & Hutchinson, A. M. (2018). Patient safety issues and concerns in Bhutan’s healthcare system: a qualitative exploratory descriptive study. BMJ Open, 8(7), e022788. https://doi.org/10.1136/bmjopen-2018-022788

Pratiwi, A., Sudiro, & Fatmasari, E. Y. (2017). Analisis Persepsi Perawat Terhadap Budaya Keselamatan Pasien Dengan Pendekatan Institute For Healthcare Improvement Di RSJD dr. Amino Gondohutomo Kota Semarang. Jurnal Kesehatan Masyarakat (e-Journal), 5(1), 32–39.

Ravi, D., Tawfik, D. S., Sexton, J. B., & Profit, J. (2021). Changing safety culture. Journal of Perinatology, 41(10), 2552–2560. https://doi.org/10.1038/s41372-020-00839-0

Redley, B., Douglas, T., Hoon, L., de Courten, B., & Hutchinson, A. M. (2022). Nurses’ harm prevention practices during admission of an older person to the hospital: A multi‐method qualitative study. Journal of Advanced Nursing, 78(11), 3745–3759. https://doi.org/10.1111/jan.15351

Rodziewicz, T. L., Houseman, B., & Hipskind, J. E. (2023). Medical Error Reduction and Prevention. In StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK499956/

Sonmez Cakir, F., & Adiguzel, Z. (2020). Analysis of Leader Effectiveness in Organization and Knowledge Sharing Behavior on Employees and Organization. SAGE Open, 10(1), 1–14. https://doi.org/10.1177/2158244020914634

Tappen, R. M., Wolf, D. G., Rahemi, Z., Engstrom, G., Rojido, C., Shutes, J. M., & Ouslander, J. G. (2017). Barriers and Facilitators to Implementing a Change Initiative in Long-Term Care Using the INTERACT Quality Improvement Program. The Health Care Manager, 36(3), 219–230. https://doi.org/10.1097/HCM.0000000000000168

Vaismoradi, M., Tella, S., A. Logan, P., Khakurel, J., & Vizcaya-Moreno, F. (2020). Nurses’ Adherence to Patient Safety Principles: A Systematic Review. International Journal of Environmental Research and Public Health, 17(6), 2028. https://doi.org/10.3390/ijerph17062028

Vlayen, A., Hellings, J., Barrado, L. G., Haelterman, M., Peleman, H., Schrooten, W., & Claes, N. (2015). Evolution of patient safety culture in Belgian acute, psychiatric and long-term care hospitals. Safety in Health, 1(1), 2. https://doi.org/10.1186/2056-5917-1-2

Wijaya, A. S., Dewi, A., & Dwita, D. M. (2015). Analisis Budaya Keselamatan Pasien di RSU PKU Muhammadiyah Bantul. Jurnal Medicoeticolegal Dan Manajemen Rumah Sakit, 4(1), 1–9.

Zaitoun, R. A., Said, N. B., & de Tantillo, L. (2023). Clinical nurse competence and its effect on patient safety culture: a systematic review. BMC Nursing, 22(1), 173. https://doi.org/10.1186/s12912-023-01305-w

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Published

12/11/2023

How to Cite

Nasrija, H., Triharini, M., & Purwaningsih, P. (2023). Faktor Personal Perawat dan Hubungannya dengan Penerapan Budaya Keselamatan Pasien di Rumah Sakit. Jurnal Keperawatan, 16(3), 993–1002. https://doi.org/10.32583/keperawatan.v16i3.1748