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"Supervisi konsisten mempengaruhi kinerja perawat tetapi pelaksanaannya pada pelayanan keperawatan di Indonesia cenderung bersifat pengawasan dan kurang memberikan upaya-upaya untuk mendidik, memotivasi, melatih, dan memberi arahan. Model supervisi klinik educative, supportive and Administrative Cycle (ESA-C) dibuat untuk meningkatkan nilai positif dari supervisi. Model ini disintesa dari model supervisi Kadushin, Proctor dan mengintegrasikannya dengan teori interpersonal relationships Peplau serta nilai caratif Watson. Penelitian bertujuan menguji efektifitas model supervisi klinik ESA-C dalam meningkatkan kinerja perawat, menggunakan desain kuasi eksperimen pre-post test pada dua kelompok. Dua rumah sakit dirandom dari 5 rumah sakit umum, sampel diambil secara random sebanyak 90 perawat dan 270 pasien secara purposif. Hasil penelitian menunjukkan model supervisi klinik ESA-C mampu meningkatkan kinerja perawat secara signifikan (p Value < 0.05) pada dimensi task performance: keterampilan teknis sebesar 2%, pemberian edukasi 9%, pemberian dukungan emosionl kepada pasien 14%, dan contextual performance: pemberian bantuan bagi pasien dan keluarga 21%. Model ini disarankan digunakan pada pelayanan keperawatan terutama di rumah sakit dalam upaya meningkatkan kinerja perawat dalam memberikan asuhan keperawatan kepada pasien.

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Supervision is a consistent variable that affect to job performance. Unfortunately, the supervision that had done only just controlled rather than an effort to educating, coaching, directing, and nurse potential reinforcement. ESA-C clinical supervision model that developed is to eliminate negative side of supervision these times. Educative, supportive, and administrative cycle of clinical supervision model was a result from synthesize of Kadushin's, Proctor's, Heron's, Faugier's, and Experimental's models. The ESA-C model was synthesizing with interpersonal relationship from Peplau's and carative value from Watson's. ESA-C clinical supervision model use a group approach in an educative supervision and individual approach for supportive and administrative supervision.

The purpose of this research is to determine the effect of ESA-C clinical supervision model to increasing nurses' job performance. This research used quasi experiment design with intervention and control group. The sample of this research use a random method to 90 nurses (each group has 45 nurses) and 270 patients (each group has 135 patients).

The result of this research revealed that ESA-C clinical supervision model can increase nurses' job performance including task performance dimension (clinical skill, patient education, emotional support) and contextual job performance (assisting patient and the family). This research recommended the using of ESA-C model in hospital to increasing nurses' job performance in giving of nursing care to the patient."

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Jumlah lansia dengan hipertensi semakin meningkat di Indonesia, namun sebagian berlanjut mengalami komplikasi hipertensi sebagai akibat tekanan darah yang tidak berkontrol. Pengembangan model asuhan keperawatan lanjut usia berbasis komunitas ini merupakan salah satu usaha dalam meningkatkan outcome status kesehatan lansia dengan hipertensi dengan mengoptimalkan sumber-sumber yang ada dimasyarakat. Penelitian ini bertujuan mengidentifikasi masalah dan kebutuhan lanjut usia dengan hipertensi, mengembangkan model asuhan keperawatan lanjut usia dengan hipertensi berbasis komunitas, serta mengidentifikasi pengaruhnya terhadap manajemen diri hipertensi, kelola masa lansia, dukungan keluarga, tekanan darah, dan kualitas hidup lansia dengan hipertensi. Desain penelitian merupakan riset operasional. Tahap pertama menggunakan studi kualitatif dengan 64 partisipan, tahap ke dua pengembangan model, dan tahap ketiga penelitian quasy experiment pre-post with control group dengan 80 lansia hipertensi. Tahap pertama didapatkan 8 tema yaitu:1) Keluhan terkait penuaan dan hipertensi, 2) Pengetahuan dan kepercayaan tentang hipertensi, 3) Perubahan perilaku setelah hipertensi, 4) Hambatan pelayanan kesehatan bagi lansia, 5) Kebutuhan dalam mengelola hipertensi untuk lansia, 6) Dukungan pengelolaan penyakit, 7) Perilaku manajemen diri hipertensi, dan 8) Kepatuhan minum obat. Tahap kedua diperoleh model asuhan keperawatan lanjut usia dengan hipertensi berbasis komunitas yang memiliki komponen lanjut usia dengan hipertensi yang memiliki 4P perilaku manajemen diri, keluarga dengan 5 tugas keluarga, kader hipertensi dengan 5 tugas kader hipertensi, kelompok swabantu lanjut usia dengan hipertensi, dan perawat dengan 4 tugas perawat. Tahap ketiga implementasi model asuhan keperawatan lanjut usia dengan hipertensi berbasis komunitas berpengaruh secara bermakna terhadap manajemen diri hipertensi, kelola masa lansia, dukungan keluarga, tekanan darah sistolik dan tekanan darah diastolik, dan  kualitas hidup lansia.

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Indonesia has a large number of elderly who live with hypertension, but some continue to experience hypertension complications as a result of uncontrolled blood pressure. The development of the model community-based nursing care for the elderly with hypertension is one of the efforts to improve the health status outcomes of the elderly with hypertension by optimizing existing resources in the community. This study aims: 1) to identify the problems and needs of elderly with hypertension, 2) to develop the model of community-based nursing care for elderly with hypertension and 3) to assess the effectiveness of the model on self-management of the elderly with hypertension, health status: blood pressure, the elderly developmental tasks attainment,  quality of life of the elderly with hypertension and the family disease management. This is operational research design. The first step is a qualitative study with 64 participants, the second step is the model development, and the third step is the quasi-experiment research with pre-post control groups with 80 elderly with hypertension. The first study found 8 themes, namely: 1) problems related to aging and hypertension, 2) knowledge and beliefs about hypertension 3) behavior changes after hypertension, 4) Barriers to health services for the elderly, 5) the needs to manage hypertension for the elderly, 6) Disease management support, 7) hypertensive self-management behavior, and 8) medication compliance. The second step is the development of community-based nursing care for the elderly with hypertension. Components of the model are elderly with hypertension with 4 self-management behavior tasks, the elderlys family with 5 family health tasks, the hypertension cadre with 5 tasks, the elderly self-help group with hypertension, and the primary care nurses. The third step is the evaluation of the model. There is a significant improvement in hypertension self-management, health status of the elderly (reduction of systolic blood pressure and diastolic blood pressure), the elderly developmental tasks attainment, the quality of life of the elderly, and the family disease management.

 

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"Masalah psikososial dan kesehatan jiwa bagi penyintas COVID-19 yang paling banyak ditemukan adalah ansietas. Situasi pandemi membuat peneliti mengembangkan model dukungan kesehatan jiwa dan psikososial berbasis telenursing. Penelitian bertujuan untuk menguji efektivitas model dukungan kesehatan jiwa dan psikososial terhadap ansietas, resiliensi dan self transendence. Metode penelitian ini merupakan operational research terdiri atas 3 tahap, yaitu tahap pertama desain kualitatif deskriptif fenomenologi menggali permasalahan psikososial pada penyintas COVID-19. Tahap kedua merupakan pengembangan model teori dan aplikasi android. Tahap ketiga dilakukan uji efektivitas model dukungan kesehatan jiwa dan psikososial pada penyintas COVID-19 dan keluarga. Penelitian dilakukan di Bogor. Penelitian tahap 1 dilakukan pada penyintas COVID-19, keluarga dan perawat. Jumlah sampel tahap 1 : 46 responden. Hasil penelitian tahap 1 diperoleh 4 tema. Penelitian tahap 3 menggunakan desain quasy experiment dengan control group pre-post test design. Total sampel pada penelitian tahap 3 adalah 360 orang. Intervensi pada penyintas al : TKN 1-3, CBT, MBSR dan SHG dan intervensi pada keluarga : TKN 1-4. Hasil penelitian ditemukan bahwa model dukungan kesehatan jiwa dan psikososial dapat menurunkan ansietas, meningkatkan resiliensi dan self transendence secara bermakna (pValue<0,005). Rekomendasi penelitian ini bahwa perlunya pengembangan upaya preventif dan promotif melalui variasi cara sesuai dengan perkembangan teknologi.

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The most common psychosocial and mental health problem for COVID-19 survivors is anxiety. Pandemic situation has led researchers to develop a model of mental health and psychosocial support based on telenursing. This study aims to examine the effectiveness of a telenursing on the anxiety, resilience, and self-transcendence of COVID-19 survivors. This research method is operational research. The first stage uses a descriptive phenomenological qualitative design. The second stage was the development of a theoretical model and an Android application. The third stage was to examine the effectiveness of the mental health and psychosocial support model. Phase 1 research was conducted on COVID-19 survivors, families, and nurses. Phase 3 of research was conducted using a quasy experiment design with a control group pre-post test design. The total sample was 360 people. Respondents in the intervention group were given the nursing intervenstions as follow: TKN 1-3, CBT, MBSR, and SHG, while family intervention was TKN 1-4. The results of the study found that mental health and psychosocial support model can reduce anxiety and increase resilience and self-transcendence significantly (p-value <0.005). This study recommends that it is necessary to develop preventive and promotional efforts in accordance with technological developments."

"ABSTRAKGizi buruk, AKI dan AKB masih menjadi masalah di Indonesia. Penelitian ini bertujuan untuk mengetahui hubungan antara perilaku merawati tim pelayanan kesehatan primer dengan capaian program gizi dan KIA di Indonesia. Penelitian dilakukan dengan dua tahap, tahap pertama studi kualitatif untuk membangun konstruk instrumen perilaku merawati tim pelayanan kesehatan primer program gizi dan KIA; tahap kedua studi kuantitatif untuk melihat hubungan antara perilaku merawati tim pelayanan kesehatan primer dengan capaian program gizi dan KIA. Wawancara dilakukan terhadap 64 pelaksana gizi, 128 pelaksana kesehatan ibu dan 128 pelaksana kesehatan anak untuk mengukur perilaku merawati tim pelayanan kesehatan primer program gizi dan KIA, serta 3200 ibu bayi/balita untuk mengukur capaian program gizi dan KIA. Hasil penelitian menunjukan terdapat hubungan antara perilaku merawati pimpinan kepada pelaksana, antar pelaksana, pelaksana kepada kader dan pelaksana kepada ibu bayi/balita dengan capaian program gizi; terdapat hubungan antara perilaku merawati pimpinan kepada pelaksana, antar pelaksana dengan capaian program kesehatan ibu; Terdapat hubungan antara perilaku merawati pimpinan kepada pelaksana, antar pelaksana, pelaksana kepada kader dan pelaksana kepada ibu bayi/balita dengan pencatatan dan pelaporan program gizi dan KIA. Kesimpulan menunjukan bahwa terdapat hubungan antara perilaku merawati tim pelayanan kesehatan primer dengan capaian serta pencatatan dan pelaporan program gizi dan KIA. Saran agar dibuat kebijakan untuk menerapkan perilaku merawati pada tim pelayanan kesehatan primer program gizi dan KIA di Indonesia.

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ABSTRACTMalnutrition, maternal mortility rate (MMR) and infant mortility rate (IMR) still be a problem in Indonesia. This research is aim to know relationship between caring of primary health care team and achievement of nutrition and maternal and child health programme in Indonesia. The research is done in two stages. First stage is qualitative research that is building the instrument construction of caring in primary health care team on nutrition and maternal and child health (MCH) programme. Second stage is quantitative research to know relationship between caring in primary health care team and achievement on nutrition and maternal and child health programme. Interview to use the structured questions to 64 nutrition staffs, 128 maternal health staffs, 128 child health staff and 3200 infant/child-under-five-years? mother at 64 community health centers (puskesmas) in Indonesia. The result of research shows that there are the significant relationships between caring of leader to staff, among staffs, staff to health cadre, staff to infant/child-under-five-years? mother and achievement of nutrition programme. There are the significant relationships between caring of leader to staff, among staffs and achievement of maternal health programme. There are the significant relationships between caring leader to staff, among staffs, staff to health cadre, staff to infant/child-under-five-years? mother and achievement of child health programme. There are the significant relationships between caring leader to staff, among staffs, staff to health cadre, staff to infant/child-under-five-years? mother and reporting and recording of nutrition and maternal and child health programme. The conclusion show that there are significant relationships between caring in primary health care team and the achievement as well as reporting and recording on nutrition and maternal and child health program. Recomendation is that the policy to apply the caring by primary health care team of nutrition and maternal and child health programme in Indonesia be considered."

"[Pengendalian TB paru di Kota Depok masih berorientasi pada pelaksanaan program pengendalian TB nasional, belum terintegrasi dengan pelaksanaan Perawatan Kesehatan Masyarakat sehingga klien TB belum mandiri melakukan perawatan TB. Model P2K3 dikembangkan berdasarkan integrasi model perawatan diri, model perawatan berbasis komunitas dan pendekatan perawatan yang berpusat pada klien. Penelitian ini bertujuan untuk mengetahui efektivitas model pemberdayaan perawat, kader, keluarga dan klien (P2K3) terhadap tingkat kemandirian klien dalam perawatan TB Paru, menggunakan desain kuasi eksperimen pre-post test pada dua kelompok. Penelitian dilakukan di 15 wilayah kerja Puskesmas di Kota Depok dengan kasus TB tertinggi. Penelitian terdiri dari tahap pengembangan model dan pengujian efektivitas model. Sampel diambil secara purposif sebanyak 108, terdiri dari 54 kelompok kontrol dan 54 kelompok intervensi. Hasil menunjukkan model P2K3 efektif untuk meningkatkan kemandirian klien TB Paru sebesar 40,2%. Penerapan model ini perlu didukung dengan kebijakan pelayanan kesehatan dari Dinas Kesehatan. Model P2K3 dan modulnya direkomendasikan digunakan oleh perawat di komunitas sebagai acuan pemberdayaan kader, keluarga dan klien TB Paru;

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Pulmonary tuberculosis control in Depok has not been integrated to the implementation of the Community Health Care Program, so that the clients? self-care independence in their TB treatment still low. The nurse, community workers, family and clients empowerment model was developed based on integration of self-care model, community based care model, and patient centered care approach. This study aims to determine the effectiveness of nurse, health volunteers, family and clients empowerment model to the level of pulmonary tuberculosis clients? self-care independence that applied quasi-experimental design with nonequivalent group pretest-posttest method. This study consisted of model development and testing of the model?s effectiveness. It was held in 15 areas of Public Health Centers in Depok that have high prevalence of TB cases. The samples size were 108 that taken purposively. It was consisted of 54 the control group and 54 intervention group. The result showed that the model is effective for improving pulmonary tuberculosis clients? level of self-care independence as 40,2%. The application of this model needs to be supported by the policy of the Health Office Authority. This model was recommended to implement by nurses in the community as referral to empower community workers, family and pulmonary TB clients;Pulmonary tuberculosis control in Depok has not been integrated to the implementation of the Community Health Care Program, so that the clients’ self-care independence in their TB treatment still low. The nurse, community workers, family and clients empowerment model was developed based on integration of self-care model, community based care model, and patient centered care approach. This study aims to determine the effectiveness of nurse, health volunteers, family and clients empowerment model to the level of pulmonary tuberculosis clients’ self-care independence that applied quasi-experimental design with nonequivalent group pretest-posttest method. This study consisted of model development and testing of the model’s effectiveness. It was held in 15 areas of Public Health Centers in Depok that have high prevalence of TB cases. The samples size were 108 that taken purposively. It was consisted of 54 the control group and 54 intervention group. The result showed that the model is effective for improving pulmonary tuberculosis clients’ level of self-care independence as 40,2%. The application of this model needs to be supported by the policy of the Health Office Authority. This model was recommended to implement by nurses in the community as referral to empower community workers, family and pulmonary TB clients;Pulmonary tuberculosis control in Depok has not been integrated to the implementation of the Community Health Care Program, so that the clients’ self-care independence in their TB treatment still low. The nurse, community workers, family and clients empowerment model was developed based on integration of self-care model, community based care model, and patient centered care approach. This study aims to determine the effectiveness of nurse, health volunteers, family and clients empowerment model to the level of pulmonary tuberculosis clients’ self-care independence that applied quasi-experimental design with nonequivalent group pretest-posttest method. This study consisted of model development and testing of the model’s effectiveness. It was held in 15 areas of Public Health Centers in Depok that have high prevalence of TB cases. The samples size were 108 that taken purposively. It was consisted of 54 the control group and 54 intervention group. The result showed that the model is effective for improving pulmonary tuberculosis clients’ level of self-care independence as 40,2%. The application of this model needs to be supported by the policy of the Health Office Authority. This model was recommended to implement by nurses in the community as referral to empower community workers, family and pulmonary TB clients, Pulmonary tuberculosis control in Depok has not been integrated to the implementation of the Community Health Care Program, so that the clients’ self-care independence in their TB treatment still low. The nurse, community workers, family and clients empowerment model was developed based on integration of self-care model, community based care model, and patient centered care approach. This study aims to determine the effectiveness of nurse, health volunteers, family and clients empowerment model to the level of pulmonary tuberculosis clients’ self-care independence that applied quasi-experimental design with nonequivalent group pretest-posttest method. This study consisted of model development and testing of the model’s effectiveness. It was held in 15 areas of Public Health Centers in Depok that have high prevalence of TB cases. The samples size were 108 that taken purposively. It was consisted of 54 the control group and 54 intervention group. The result showed that the model is effective for improving pulmonary tuberculosis clients’ level of self-care independence as 40,2%. The application of this model needs to be supported by the policy of the Health Office Authority. This model was recommended to implement by nurses in the community as referral to empower community workers, family and pulmonary TB clients]"

"ABSTRAKPenerapan asuhan keperawatan di rawat jalan rumah sakit umum saat ini belum optimal. Masalah yang ditemukan di rawat jalan adalah klien belum mampu merawat diri, belum puas terhadap asuhan keperawatan, dan belum mendapatkan informasi tentang perawatan diri. Penelitian ini bertujuan untuk mengidentifikasi pengaruh implementasi model asuhan keperawatan rawat jalan Inayah (AKRJI) terhadap perawatan diri dan kepuasan klien di rawat jalan rumah sakit umum. Penelitian ini menggunakan metode kuantitatif dengan metoda quasi eksperimen dan analisis Uji-T Paired, Uji-T Unpaired, analisis regresi linier ganda dan R Square untuk menilai Kesesuaian Fit Model. Penelitian ini dilakukan di Rawat Jalan Rumah Sakit Umum. Intervensi dilakukan pada 9 perawat pelaksana di rawat jalan medikal bedah yang dilatih menggunakan model AKRJI, setelah itu perawat tersebut melaksanakannya pada 1000 klien rawat jalan. Sampel penelitian ini 2000 klien untuk kelompok kontrol dan kelompok intervensi rawat jalan medikal bedah.Hasil penelitian memperlihatkan kenaikan kemampuan perawatan diri dan kepuasan secara bermakna pada klien intervensi yang menunjukkan lebih tinggi hasilnya dibandingkan kelompok kontrol. Faktor yang paling berpengaruh adalah pelaksanaan Model AKRJI. Kesesuaian model AKRJI fit menjelaskan model yang dapat meningkatkan perawatan diri dan kepuasan klien. Saran Model AKRJI dapat dilaksanakan pada pelayanan keperawatan di rawat jalan rumah sakit umum.

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ABSTRACT

Application of nursing care in outpatient general hospital currently not optimal. Problems were found in outpatient client is not able to care for themselves, not satisfied with the nursing care, and no information about self care. This study aimed to identify the effect of implementasion Inayah outpatient nursing care models (IONC) to self care and satisfaction in outpatient general hospital. This study uses the quantitative method with quasi-experimental and analysis T Test, multiple linear regression analysis and R Square to assess the suitability Fit Model. This research was conducted at the Outpatient General Hospital. Interventions conducted on 9 nurses in medical-surgical outpatient, who trained using IONC model, after which the nurse implement at 1000 outpatient clients. The research sample is 2000 clients for the control group and the intervention group outpatient medical-surgical.

The results showed the increase in the ability of self care and satisfaction significantly in the intervention showed a higher result than the control group. The most influential factor is the implementation of the IONC Model. IONC fit fitness model describes a model that can improve self care and satisfaction. Suggestions the IONC Model can be carried out on an outpatient nursing care in general hospitals."

"ABSTRAKDepresi merupakan salah satu gangguan psikologis yang terjadi pada ibu postpartum.Kejadian depresi postpartum Indonesia mencapai 20 dan di Provinsi Riau 15-20 ,angka tersebut harus ditekan menjadi 1 . Penelitian ini bertujuan untuk memperolehmodel yang efektif dalam mencegah depresi postpartum. Penelitian ini terdiri daridua tahap yaitu tahap pengembangan model dan uji model. Hasil penelitian tahappengembangan model diperoleh 7 tema terkait pengalaman adaptasi ibu hamil dari9 partisipan. Model ini berupa intervensi edukasi yang diberikan kepada ibu hamildan suami yang terdiri dari 4 komponen yaitu edukasi untuk mengurangistimulus, meningkatkan koping, meningkatkan respons adaptasi yang efektif sertameningkatkan dukungan sosial suami dalam upaya mencegah terjadinya depresipostpartum. Penelitian uji model menggunakan desain quasi experiment pre-post testwith control group, dengan teknik consecutive sampling terhadap 108 responden.Hasil penelitian menunjukkan bahwa Model Pencegahan Depresi Postpartm-Ratuefektif dalam meningkatkan pengetahuan, sikap, respons adaptasi fisiologis, konsepdiri, fungsi peran, interdependen, dukungan sosial suami, serta menurunkan kejadiandepresi postpartum. Dukungan sosial suami merupakan satu-satunya variabel yangpaling berpengaruh signifikan terhadap kejadian depresi postpartum. Model inidiharapkan dapat digunakan sebagai upaya preventif dalam mencegah terjadinyadepresi postpartum. Penelitian selanjutnya diharapkan untuk dapat mengembangkanintervensi lain dalam upaya mencegah depresi postpartum.Kata kunci: ibu hamil, suami, depresi postpartum

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ABSTRACTName Ratu KusumaStudent ID 1006753274Study Program Doctor of Nursing, Faculty of NursingUniversitas Indonesia.Title The Effectiveness of Ratu rsquo s Postpartum Depression PreventionModel towards the Prevention of Postpartum DepressionDepression is one of psychological disorders experienced among pregnant women.The incidence of postpartum depression in Indonesia reaches 20 and in Riau itselfreaches 15 20 , the particular number needs to be stresed to 1 . This study aims toobtain effective model in preventing postpartum depression. The study consisted intotwo phases, which were the development of the model and the trial itself. Theoutcome of the development of the model was seven themes related to the adaptiveexperiences of the pregnant women from nine participants. The model was aneducational intervention consisting of four main components which are education indecreasing stimulus, increasing coping, increasing effective response of adaptation, aswell as increasing social support of the husband in preventing the incidence ofpostpartum depression. The model was executed by quasi experiment pre post testwith control group design towards 108 respondents. The result showed that theRatu rsquo s Postpartum Depression Prevention Model was effective in increasingknowledge, attitude, behavior, physiological adaptation response, self concept, rolefunction, interdependent, and the social support of the husband, as well as loweringthe incidence of postpartum depression. The social support of the husband was themost signifiacnt variable towards the incidence of postpartum depression. This modelis expected to be used in preventing postpartum depression. In the future, theupcoming research is excpected to develop another intervention in preventing post partum depression."

"Penelitian ini bertujuan menyusun model kepemimpinan berbasis spiritual yangtepat untuk meningkatkan komitmen organisasi perawat pelaksana sertapemilihan gaya penanganan konflik yang asertif dan kerja sama yang tinggi untukkepala ruangan. Pendekatan yang digunakan adalah riset operasional. ModelKepemimpinan Berbasi Spiritual ini dibentuk oleh konstruk perilaku kesadarandiri, etis, visioner, altruism, dan kolaborasi kerja tim Sampel sebanyak 133perawat manajer tingkat bawah dari delapan rumah sakit umum di KalimantanBarat. Hasil analisis statistik Structural Equation Modelling SEM menunjukkanmodel ini memenuhi semua kriteria goodness of fit Chi-square=0,631; p=0,427 .Dimensi kesadaran diri berpengaruh signifikan terhadap dimensi etik, visioner,altruism dan kolaborasi kerja tim CR>1,96;

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This research aimed to develop a spiritual-based leadership model that wouldenhance nurses organizational commitment and the selection of assertive and highcooperation of conflict handling style for the head nurses of the ward. Theapproach used was operational research. Spiritual-based Leadership Model wasformed by the construct of self-awareness, ethical, visionary, altruism, andcollaborative teamwork of behavior. Samples were 133 of low level nursemanagers of the eight general hospitals in West Kalimantan. Statistical analysisStructural Equation Modelling SEM showed this model met all the criteria ofgoodness of fit Chi-square = 0.631; p = 0.427 . Dimensions of self-awarenesshad significant effect on the ethical, visionary, altruism and collaborativeteamwork dimentions CR>1,96 ; p < 0.05 . Recommendations, the final productof the model modules and curriculum is applied to general hospitals in the form p.p1 margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Helvetica of training."

"Praktik pengikatan orang dengan skizofrenia masih dilakukan di rumah sakit jiwa.. Seringkali pengikatan didasarkan pada alasan subyektif, belum ada instrumen standar untuk menentukan keputusan tindakan pengikatan. ODGJ yang diikat mengeluh bahwa mereka tidak dapat memahami alasan mereka dilakukan diikat. ODGJ menjadi dendam dan tidak kooperatif ketika diikat, bahkan dapat meningkatkan tingkat agitasi. Tujuan penelitian adalah untuk menyusun instrumen prediktor pengikatan orang dengan skizofrenia (ODS) di rumah sakit jiwa. Metoda yang digunakan dalam penelitian adalah gabungan metode kualitatif dan kuantitatif.Hasil yang diperoleh adalah tersusunnya instrumen prediktor pengikatan Akemat (IP2 Akemat) pada ODS di rumah sakit jiwa yang terdiri dari 4 instrumen meliputi Instrumen Perilaku ODS, Instrumen Kebijakan dan SOP, Instrumen Sarana dan Prasarana Pengikatan, dan Instrumen Keberadaan Petugas yang valid, reliabel, sensitif, dan spesifik dalam menentukan tindakan pengikatan ODS di rumah sakit jiwa. Studi memperoleh skor sebagai titik cutoff untuk menentukan tindakan pengikatan atau tidak melakukan tindakan pengikatan. Diskusi: Instrumen IP2 Akemat direkomendasikan untuk digunakan dalam menetapkan apakah ODS perlu diikat.

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The practice of restraint people with schizophrenia is still carried out in mental hospitals. Often restraining is based on subjective reasons, there is no standard instrument to determine the decision of restraint. People with shyzophrenic (PWS) who were tied complained that they could not understand the reason they had been bound. PWS becomes vengeful and uncooperative when tied up, it can even increase the level of agitation. The aim of the study was to compile predictive instruments for restraint people with schizophrenia (ODS) in mental hospitals. The method used in the study is a combination of qualitative and quantitative methods.The results obtained were the arrangement of Akemat restraint predictors (Akemat IP2) for PWS in mental hospitals consisting of 4 instruments that valid, reliable, sensitive , and specific including PWS Behavior Instruments, Policy and SOPs Instruments, Infrastructure for Restraint Instruments, and Health Provider Existence Instruments in determining restraint for PWS in mental hospitals. The study obtained a score as a cutoff point to determine the restraint or unrestraint. Discussion: The Akemat IP2 instrument is recommended for use in determining whether PWS needs to be restrained."

"Keselamatan dan kepuasan pasien merupakan indikator kualitas pelayanan belum terpenuhi secara optimal. Model budaya belajar perawat membentuk perawat kompeten dalam penerapan sasaran keselamatan pasien. Penelitian bertujuan mengidentifikasi budaya belajar tentang keselamatan pasien, mengembangkan model budaya belajar perawat dan mengidentifikasi pengaruhnya terhadap kompetensi perawat, keselamatan dan kepuasan pasien. Desain operasional riset, tahap pertama kualitatif fenomenologi dengan sembilan partisipan, tahap kedua pengembangan model, dan tahap ketiga desain quasi eksperiment pre-post test design with control group dengan 139 responden perawat dan 240 responden pasien.Hasil penelitian tahap pertama didapat sembilan tema yaitu arti keselamatan, persiapan penerapan, fokus keselamatan, implemetasi, masalah, tahapan budaya belajar, aktivitas pembelajaran dan dukungan pengembangan budaya belajar. Tahap kedua diperoleh model budaya belajar "SAYA perawat" tentang sasaran keselamatan pasien dengan komponen, perawat; Sistem dukungan, aktivitas pembelajaran dan tahapan budaya belajar. Tahap ketiga model budaya belajar "SAYA Perawat" tentang sasaran keselamatan pasien berpengaruh secara bermakna terhadap kompetensi perawat dalam penerapan sasaran keselamatan pasien (p 0,0001), keselamatan (p 0,0001) dan kepuasan pasien (p 0,0001). Terdapat hubungan bermakna kompetensi perawat dalam penerapan keselamatan pasien dengan keselamatan (p 0,0001) dan kepuasan pasien (p 0,0001). Model budaya belajar ini agar dapat diimplementasikan di ruang perawatan untuk memenuhi keselamatan dan kepuasan pasien.

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Safety and patient satisfaction which are indicators of quality cannot be optimaly fulfilled. Learning culture models about patient safety form nurses competent in the application of patient safety. This study aims to identify nurses learning culture about patient safety, develop a model of nurse learning culture and identify its affect on nurses competency, patient safety and satisfaction. The research design used operational research, the first phase used qualitative phenomenology with nine participants, the second stage is the development of the model, and the third stage is the quasi experimental design pre-post test design with control group with 139 nurses and 240 patient respondents.

The results of the first phase of research obtained nine themes, namely the meaning of safety, preparation for application, focus on safety, implementation, problems, stages of learning culture, learning activities and support for the development of a learning culture. The second stage was obtained learning culture models "SAYA Nurses" about patient safety goals is fit and valid there have components, nurses as the subject of development; support systems, learning activities and the learning culture stage . The third stage of the learning culture model "SAYA Nurses about patient safety goals has a significant effect on nurses' competence (p 0,0001), patient safety (p 0,0001) and satisfaction (p 0,0001). There is a significant relationship between nurses' competence with patient safety (p 0,0001) and satisfaction (p 0,0001). The learning culture models to be implemented in the ward to safety and satisfaction."