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The general objective of this study was to describe the dimensions of the cultureof patient safety factors that affect patient safety climate at the ABC Hospital. So theidentification of these factors can increase patient safety in the hospital ABC. Thisresearch is analytic survey with cross sectional study design / cross sectional. In a crosssectional study, because the independent variables and dependencies variables thatoccurred in the course of a study object was collected simultaneously (at the same time).The results of this study, the description of the perception of nurses on patient safetyclimate at the Hospital of the ABC, which most nurses consider patient safety climate isbad. Of the 12 dimensions of patient safety by using HSOPSC got 7 of them have apositive view of nurses : Organization Learning (92.2%), Teamwork within theDepartment (53.2%), Feedback and Communication About Error (56.4%), Staffing(54.8%), communication oponess (64.5%), Teamwork Across Hospital Units (53.2%),and the Hospital handoffs and transitiions (53.2%). Dimensions with the highest score isthe Learning Organization (92.2%). While the dimension with the lowest score is non-punitive response to error (46.8%) and hospital management support (46.7%). Therelationship between the three variables of research is to have a positive relationship,which if positive climatenya patient safety, the support of management, reporting systemsand the adequacy of its resources is also positive.Keyword : patient safety, patient safty climate, patient safety survey.
ABSTRAK
Dalam beberapa dekade terakhir, perhatian pemberi layanan kesehatan mulai berfokus kepada keselamatan pasien. Rumah sakit serta berbagai instansi layanan kesehatan yang lain semakin sadar akan pentingnya patient safety. Patient safety akan mudah diwujudkan apabila instansi tersebut mempunyai patient safety climate positif. Penelitian ini dilaksanakan pada salah satu rumah sakit tipe B milik pemerintah yang berencana membuat program patient safety sehingga membutuhkan pengukuran patient safety climate sebagai langkah awal dalam pembuatan program. Penelitian melihat hubungan faktor manajemen, lingkungan kerja dan individu terhadap patient safety climate serta faktor apa yang paling mempengaruhinya. Berdasarkan hasil penelitian didapatkan bahwa faktor lingkungan kerja dan individu mempunyai hubungan dengan patient safety climate, sedangkan faktor individu mempunyai pengaruh yang sangat besar terhadap patient safety climate.
ABSTRACT
In the last decade, there is increasing interest in healthcare provider about issues relevant to patient safety. Hospital and another healthcare organization are become aware of the important to improve patient safety. It would be more easy for that organization to increase patient safety if they have a positive patient safety climate. This research was held in one of the government hospital, as first step to make patient safety programme. In this research analyzed relationship between management, work environment and individual factor to patient safety climate. Significant relationship was found between patient safety climate to work environment and also individual factor. The finding conclude that individual factor has the greatest influence to patient safety climate
Metode: Metode penelitian kuantitatif dengan desain studi cross sectional untuk menganalisis hubungan faktor demografi (jenis kelamin, masa kerja, unit kerja dan status pernikahan) dan faktor psikososial (komitmen organisasi, gaya kepemimpinan, kepuasan kerja, dukungan sosial, kontrol kerja, beban kerja dan beban emosional) dengan kejadian burnout. Sampel terdiri dari 93 perawat rawat jalan dan rawat inap yang diambil dengan teknik Proportional Stratified Random Sampling. Penelitian berlangsung dari bulan November hingga Desember 2019.
Hasil: Burnout pada perawat unit rawat jalan dan rawat inap sebesar 50,5%. Terdapat dua variabel yang berhubungan dengan burnout yaitu jenis kelamin (p = 0,04) dan beban kerja dengan (p = 0,005).
Simpulan: Hasil telitian mendapatkan laki-laki berisiko 3,8 kali mengalami burnout dibandingkan rekan kerjanya yang wanita. Diduga sebagai penyebabnya yaitu laki-laki jarang menyalurkan rasa stres mereka dan sulit untuk bersosialisasi atau terbuka ketika membicarakannya. Faktor psikososial hanya beban kerja berhubungan dengan burnout, di mana beban kerja berat sebagai faktor risiko.
Objectives
WHO has designated burnout as a phenomenon of work fatigue and classifies it into the
latest international disease. This study aims to determine psychosocial factors and the
incidence of burnout in outpatient and inpatient nurses at A.A. Hospital in 2019.
Methods
Quantitative research methods with cross sectional study design to analyze the
relationship between demographic factors (gender, years of service, work units and
marital status) and psychosocial factors (organizational commitment, leadership style, job
satisfaction, social support, work control, workload and emotional burden ) with a burnout
event. The sample consisted of 93 outpatient and inpatient nurses taken by the
Proportional Stratified Random Sampling technique. The research took place from
November to December 2019
Results
Burnout in outpatient and inpatient nurses by 50.5%. There are two variables related to
burnout, namely gender (p = 0.04) and workload with (p = 0.005).
Conclusions
The results of a study found that men had a risk of experiencing burnout 3.8 times
compared to their female colleagues. It is suspected that the cause is that men rarely
channel their stress and find it difficult to socialize or be open when talking about it.
Psychosocial factors only workload associated with burnout, where heavy workload is a
risk factor.
Safety climate is a worker's perception of the importance of safe behavior at work in relation towards policies, safety, procedures, practices, and overall safety interests and priorities. A poor safety climate will be characterized by increased worker stress, poor safety communication, and lack of support thus normalizing unsafe behavior, decreasing situational awareness, and increasing the likelihood of accidents. Safety climate measurements can be used by companies as a leading indicator in establishing / improving existing safety programs. This study aims to analyze the safety climate profile in the support point area at PT X in 2025 based on the dimensions of management commitment, safety communication, rules and procedures, supportive environment, personal accountability, and training. The research design used is cross sectional with data collection methods using questionnaires (primary data). The number of samples analyzed was 118 respondents. Data analysis was used through descriptive and inferential analysis (Mann Whitney and Kruskal Wallis Test). The results of this study indicate that the safety climate profile in the PT X support point area in 2025 is good, with an average score of 5.18. All dimensions measured get an average score of 4.98 - 5.31. The average safety climate score in the age, tenure, and education groups showed significant differences in the dimensions of management commitment, safety communication, and training.
