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Perawat merupakan ujung tombak dalam memberikan pelayanan langsung kepada pelanggan selama 24 jam. Mereka diharuskan untuk dapat memberikan pelayanan yang terbaik kepada pelanggan, sesuai dengan visi dan misi rumah sakit. Rumah Sakit Umum Pusat (RSUP) Fatmawati merupakan Rumah Sakit Tipe B terletak di Jakarta Selatan dengan kapasitas tempat tidur 605 (Mei 2010) 44.46% dari tempat tidur yang ada terdapat di ruang rawat kelas III. Belum pernah dilakukan penelitian mengenai kepuasan kerja perawat dibandingkan dengan kepuasan pasien terhadap pelayanan keperawatan kelas III di RSUP Fatmawati Jakarta. Penelitian ini bersifat deskriptif dengan rancangan cross sectional serta pendekatan kuantitatif dan kualitatif. Dari data kualitatif dan kuantitatif yang terkumpul dianalisis, diperoleh hasil tidak ada kesesuaian antara kepuasan kerja perawat dengan kepuasan pasien terhadap pelayanan keperawatan kelas III. Kata Kunci: Kepuasan kerja perawat dan kepuasan pasien
Nurses are front liner in providing direct services to customers for 24 hours. They are required to be able for providing the best service to the customers according to the company’s statement in their vision and mission. As General Hospital Center, Fatmawati is type B Hospital located in South Jakarta with a capacity of 605 beds (May 2010) and 44.46% of existing beds are 3 rd Class. There is no research concerning nurse job satisfaction compared with patients' satisfaction toward nursing services in the department of 3 rd grade in Fatmawati Hospaital of Jakarta. This descriptive research is utilizing contrivance of cross sectional with qualitative and quantitative approaches. The analysis result of qualitative and quantitative data is found that nurse’s job satisfaction is not appropriate to the patient satisfaction in nursing services. Keywords: Nurse’s job satisfaction and patient satisfaction
Hospitals have an obligation to prevent patient safety, one of which is to prevent the risk of patients falling. Compliance with efforts to prevent the risk of patients falling in the emergency room and children's room is still not up to standard Compliance is influenced by hedonic goals, gain goals, and normative goals. The purpose of this study was to analyze factors related to compliance with fall risk prevention efforts at Wonosari Hospital Yogyakarta. This study used explanatory sequential mixed method with cross sectional research design. The results of the study were that there was a significant relationship between motivation, reward, SOP and compliance with efforts to prevent the risk of patients falling at Wonosari Hospital Yogyakarta. The dominant factor in the study was motivation. This study recommends conducting regular and continuous momitoring and evaluation, the existence of reward punishment associated with service services, providing greater opportunities for self-development for nurses, modify the patient's bed by closing the hole in the handril of the pediatric patient's bed, supervise the head of the room, reward and punishment for PJ shifts, senior shift PJs sharing knowledge and guiding junior nurses, and attaching risk assessments of falling patients at the nurse station.
Komunikasi terapeutik merupakan kegiatan yang tidak terpisahkan dari asuhan keperawatan dalam rangka memelihara mutu pelayanan keperawatan secara komprehensif dan profesional. Pasien yang dirawat di rumah sakit umum mempunyai kerawanan gangguan psiko-sosial-spiritual yang menyertai gangguan fisik biologis. Dari studi pendahuluan diketahui masalah kecemasan pada pasien rawat Inap di RSUD Karawang cukup tinggi (79,31%), dengan demikian diperlukan intervensi keperawatan berupa komunikasi terapeutik. Selama ini bentuk komunikasi antara perawat-pasien pada umumnya lebih bersifat komunikasi sosial, belum mengarah kepada komunikasi yang bertujuan terapeutik. Oleh karena itu perlu adanya penelitian mengapa hal ini terjadi. Penelitian ini bertujuan untuk mendapatkan gambaran dan melihat hubungan antara karakteristik perawat meliputi; usia, jenis kelamin, pendidikan, dan masa kerja serta tingkat pengetahuan perawat dengan pelaksanaan komunikasi terapeutik dalam asuhan keperawatan di Ruang Rawat Inap RSUD Karawang. Penelitian ini merupakan penelitian analitik yang menggunakan desain penelitian cross sectional. Hipotesa yang dibuktikan dalam penelitian ini adalah adanya hubungan antara karakteristik perawat meliputi umur, jenis kelamin, pendidikan dan masa kerja dengan pelaksanaan komunikasi terapeutik dan adanya hubungan antara tingkat pengetahuan perawat tentang komunikasi terapeutik dengan pelaksanaan komunikasi terapeutik. Instrumen yang digunakan adalah kuesioner tentang karakteristik perawat, pengukuran tingkat pengetahuan perawat tentang langkah-langkah komunikasi terapeutik dengan menggunakan soal tes pilihan ganda sebanyak 20 butir. Instrumen untuk mengukur pelaksanaan komunikasi terapeutik berdasarkan teori yang dikemukakan Stuart dan Sundeen (1987), yaitu empat tahap komunikasi terapeutik yang dituangkan ke dalam 30 butir pernyataan dengan menggunakan skala bertingkat dari mulai tidak pernah sampai selalu dengan rentang nilai 1 - 5. Instrumen telah diuji reliabilitasnya dengan menggunakan rums Alpha Crontach. Sampel penelitian adalah 94 orang tenaga perawat fungsional yang bekerja di ruang rawat inap RSUD Karawang (total sampling). Hasil penelitian menunjukkan bahwa dari keseluruhan responden sebanyak 47,9% melaksanakan komunikasi terapeutik balk dan 52,1% kurang. Tingkat pendidikan dan masa keda perawat terbukti berhubungan bermakna dengan pelaksanaan komunikasi terapeutik. Sedangkan variabel umur, jenis kelamin dan tingkat pengetahuan tidak berhubungan dengan pelaksanaan komunikasi terapeutik. Hasil uji multivariat menunjukan bahwa dari kedua variabel tersebut ternyata yang paling dominan berhubungan dengan pelaksanaan komunikasi terapeutik adalah variabel masa kerja. Berdasarkan hasil penelitian ini penulis menyarankan kepada Manajemen RSUD Karawang untuk meningkatkan taraf pendidikan perawat ke jenjang yang lebih tinggi, mengadakan pelatihan-pelatihan tentang komunikasi terapeutik, mengupayakan ratio perawat-pasien ke taraf yang memadai, membuat sistem penugasan dan pelaksanaan supervisi dari atasan langsung, adanya protap dan dokumentasi pelaksanaan komunikasi terapeutik. Kepada peneliti lanjutan perlu dikembangkan penelitian tentang pelayanan komunikasi terapeutik dari sudut pandang klien dengan metoda dan teknik penelitian kualitatif.
Therapeutic communication is an inseparable activity in nursing care to keep up good quality nursing that is comprehensive and professional Patients in the general hospitals are susceptible to altered psycho-social-spiritual related to altered physic biologist. Anxiety is the most common problem at the patient in RSUD Karawang faced by (79,31%), so intervention is highly needed in the form of therapeutic communication. Communication between nurse-patients is more common in a form of social communication, not yet using communication leading to therapeutic goals. Thus a research is needed to explain why it happens. The research goal is to describe and to examine the relation between nurse characteristics including age, gender, education, work period and nurses' knowledge with the implementation of therapeutic communication conducted in the wards of the general hospital (RSUD) Karawang. This is an analytic research that using cross sectional design. The hypothesis tested in this research are correlation between nurse's characteristics; age, gender, education, work period and nurses' knowledge about therapeutic communication with its implementation in the nursing process. The instrument of this research is questionnaires concerning nursing characteristics and nurse' knowledge on steps in practicing therapeutic communication by using 20 multiple-choice questions. The instrument for measuring the implementation of therapeutic communication is based on Stuart and Sundeen's theory (1987) consisting of four steps in therapeutic communication broken in to 30 questions, graded from "never" up to "always" with a range from 1 to 5. The research sample is 94 fungsionals nurse that work in the ward of RSUD Karawang (total sampling). The result of this research showed that less than half of the respondents (47,9%) are considered good and more than half (52,1%) are bad in implementing therapeutic communication. Education and works period are significantly related to the implementation of therapeutic communication, while age, gender, and grade of knowledge had been proven to be not related of the two significantly related variables the most dominant one is work period. Based on this research it is recommended that the management of the RSUD Karawang improve their nurse's educational level, conducted training on therapeutic communication, adjusted bed nurse ratio, and develop operating standard in implementing therapeutic communication, with supervision from the direct manager and keeping continuing documentation. Research in the implementation of therapeutic communication service from patient's point of view is recommended.