Pengaruh Faktor Individu Perawat dan Organisasi terhadap Pelaksanaan Early Warning Score di Ruang Rawat Inap
Keywords:
early warning score, faktor individu, organisasi
Abstract
Early Warning Score merupakan hal yang sangat penting untuk mengatasi masalah kesehatan pasien secara dini. Pelaksanaan Early Warning Score di ruang rawat inap RSUP H. Adam Malik Medan masih rendah. Rendahnya pelaksanaan Early Warning Score di ruang rawat inap RSUP H. Adam Malik Medan terkait dengan faktor individu dan faktor organisasi. Penelitian ini bertujuan untuk mengalisis pengaruh faktor individu (pengetahuan, pengalaman dan motivasi) dan organisasi (budaya organisasi, lingkungan organisasi dan kekuasaan) terhadap pelaksanaan Early Warning Score di ruang rawat inap RSUP H Adam Malik Medan. Penelitian ini adalah survei analitik dengan desain penelitian cross sectional. Populasi berjumlah 248 perawat dan sampel berjumlah 98 perawat. Pengumpulan data dengan data primer dan sekunder dan dianalisis dengan uji statistik Regresi Logistik Ganda dengan tingkat kepercayaan 95%. Hasil penelitian faktor individu (pengetahuan dan pengalaman) dan faktor organisasi (lingkungan organisasi dan power) berpengaruh, sedangkan Faktor individu (motivasi) dan faktor organisasi (budaya organisasi) tidak berpengaruh terhadap pelaksanaan early warning score. Variabel yang paling dominan mempengaruhi pelaksanaan early warning score di ruang rawat inap Rumah Sakit Umum Pusat H. Adam Malik Medan adalah variabel pengetahuan.
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Williams, D.J., Newman, A., Jones, C., & Woodard, B. (2011). Nurses’ perception of how rapid response teams affect the nurse, team and system. Journal of Nursing Care Quality 26 (3): 265-272
Atika Dhiah A. (2020). Persepsi Perawat Terhadap Penerapan Early Warning Score (Ews) Di Rsud Banyumas. Jurnal Ilmu Keperawatan dan Kebidanan. 11(1). 120-125.
Atkinson, L. R.,Atkinson,R. C., Smit, E. E., & Bem, D. J. (2013). Pengantar Psikologi Jilid II. Tangerang: Interkasara.
Bernardin, H. J., Joyce, E. A., & Russel. (1998). Human Resource Management: an Experential Approach, Mc Graw-Hill Co, Singapore. Textbook Online. Diunduh dari website https://lib.ugent.be/en/catalog /rug01:002066545 pada tanggal 01 Maret 2018 Pukul 22.00 WIB
Bylow, H., Karlsson, T., Claesson, A., Lepp, M., Lindqvist, J., & Herlitz, J. (2019). Self-learning training versus instructorled training for basic life support: a cluster randomized trial. Resuscitation. 139(1).122-132.
Chua, W. L., Legido-Quigley, H., Jones, D., Hassan, N. B., Tee, A., & Liaw, S. Y. (2019). A call for better doctor–nurse collaboration: A qualitative study of the experiences of junior doctors and nurses in escalating care for deteriorating ward patients. Australian Critical Care, (xxxx). https://doi.org/10.1016/j.aucc.2019.01.006.
Cooper, S., Cant, R., Porter, J., Missen, K., Sparkes, L., Mcconnell-Henry, T., & Endacott, R. (2012). Managing Patient Deterioration: Assessing Teamwork And Individual Performance. Emergency Medicine Journal, 30(5), 377-381.
Gazarian, PK., Henneman, EA., & Chandler, GE. (2010). Nurse decision making in the pre- arrest period. Clinical Nursing Research 19 (1): 21-37.
Hart, P. L., Spiva, L., Baio, P., Huff, B., Whitfield, D., Law, T. Mendoza, I. G. (2014). Medical-Surgical Nurses’ Perceived Self-Confidence And Leadership Abilities as First Responders in Acute Patient Deterioration Events. Journal of Clinical Nursing, 23(19-20), 276-2778.
Henriksen, K., Dayton, E., Keyes, M. A., Carayon, P., & Hughes, R. (2008). Understanding Adverse Event: A Human Factor Framework in Patient Safety and Quality : An Evidence-Based Handbook for Nurses. Journal Chapter 5, Rockville, MD Agency for Healthcare Research and Quality.
Jensen, J. K., Skår, R., & Tveit, B. (2019). Introducing the National Early Warning Score – A qualitative study of hospital nurses’ perceptions and reactions. Nursing Open. doi:10.1002/nop2.291
Jones S, Mullally M, Ingleby S, Buist M, Eddleston JM. (2011). Bedside electronic capture of clinical observations and automated clinical alerts to improves compliance with Early Warning Score protocol. Crit Care Resusc 2011; 13: 83-88.
Keene CM, Kong VY, Clarke DL, Brysiewicz P. The effect of the quality of vital sign recording on clinical decision making in a regional acute care trauma ward. Chinese J Traumatol [Internet]. 2017;20(5):283–7. Available from: https://doi.org/10.1016/j.cjtee.2016.11.008
Kyriacos, U, Jelsma J . & Jordan S. (2011). Monitoring vital signs using early warning scoring systems: a review of the Literature. Journal of Nursing Management. 19(1). 311-330.
Martanti R, Noviyanto M., Prasojo, A.J. (2015). Hubungan Tingkat Pengetahuan dengan Ketrampilan Petugas dalam Pelaksanaan Triage di Instalasi Gawat Darurat RSUD Wates: Media Ilmu Kesehatan. 4(2).
Mok, W., Wang, W., Cooper, S., Ang, E. N. K., & Liaw, S. Y. (2015). Attitudes Towards Vital Signs Monitoring In The Detection of Clinical Deterioration: Scale Development and Survey of Ward Nurses. International Journal for Quality in Health Care, 27(3), 207-213.
Mulyana D.S. (2013). Analisis Penyebab Insiden Kesehatan Pasien oleh Perawat di Unit Rawat Inap Rumah Sakit X Jakarta. Tesis. FKM. UI..
National Early Warning Score (NEWS). (2-13). Standardising The Assesment of Acute – Illness Severity in The NHS. Royal College of Physician.
National Early Warning Score Development and Implementation Group (NEWSDIG). (2012). National Early Warning Score (NEWS): standardising the assessment of acute-illness severity in the NHS. London: Royal College of Physicians. (471)2.
National Clinical Effectiveness Committe. (2013). Acutely ill patients in hospital recognition of and respond to acute illness in adults in hospital. NICE clinical guideline No. 50. London; 2007
Nolan, J. P., Soar, J., Ziderman, D. A., et al. (2012). European Resuscitation Council Guidelines for Resuscitation. Resuscitation. 81(1). 1219-1276.
Notoatmodjo, S. (2014). Ilmu Perilaku dan Pendidikan Kesehatan. Jakarta: EGC.
Petersen, J. A., Rasmussen, L. S., & Rydahl-Hansen, S. (2017). Barriers And Facilitating Factors Related to Use of Early Warning Score Among Acute Care Nurses: A Qualitative Study. BMC Emergency Medicine, 17(1).
Ranupandojo, H., & Husnan, S. (2002). Manajemen Personalia, Yogyakarta: BPFE.
Robin, S. P., & Timothy, J. (2013). Organizational Behavior. ISBN-13:978-0-13-283487-2. Textbook. Diunduh dari website http://bba12.weebly.com/ uploads/9/4/2/8/9428277/organizational_behavior_15e_-_stephen_p_ robbins__timothy_a_judge_pdf_qwerty.pdf
Royal College of Physicians (2017). “National Early Warning Score (NEWS) 2: Standardising the assessment of acute-illness severity in the NHS”. Updated report of a working party. London: RCP, 2017
Spooner, B., Fallaha, J., Kocierz, L., Smith, C., Smith, S., & Perkins, G. (2017). An evaluation of objective feedback in basic life support (BLS) training. Resuscitation. 73 (3). 417- 424.
Stafseth SK, Grønbeck S, Lien T, Randen I, Lerdal A. (2015). The experiences of nurses implementing the Modified Early Warning Score and a 24-hour on-call Mobile Intensive Care Nurse : An exploratory study. Intensive Crit Care Nurs [Internet]. 2016;34:33–41. Available from: http://dx.doi.org/10.1016/j.iccn.2015.07.008
Subhan Nurul. (2017). Implementasi Early Warning Score pada Kejadian Henti Jantung di Ruang Perawatan Rumah Sakit Dr. Hasan Sadikin Bandung yang Ditangani Tim Code Blue Selama Tahun 2017. Jurnal Anestesi Perioperatif. 7(1), 33-41.
Suwaryo Putra Agina Widyaswara Suwaryo. (2019). Pengetahuan Perawat Dalam Menerapkan Early Warning Score System (EWSS) di Ruang Perawatan, urnal Ilmiah Kesehatan Keperawatan. 15(2). 64-73.
Williams, D.J., Newman, A., Jones, C., & Woodard, B. (2011). Nurses’ perception of how rapid response teams affect the nurse, team and system. Journal of Nursing Care Quality 26 (3): 265-272
Published
2021-12-01
How to Cite
Pakpahan, E., Lubis, A., & Sudaryati, E. (2021). Pengaruh Faktor Individu Perawat dan Organisasi terhadap Pelaksanaan Early Warning Score di Ruang Rawat Inap. Jurnal Keperawatan, 13(4), 845-858. https://doi.org/https://doi.org/10.32583/keperawatan.v13i4.1578
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Articles
