Rofi'i, Muhamad
Indonesian National Nurses Association (INNA) of Central Java

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FAKTOR PENYEBAB PENUNDAAN OPERASI ELEKTIF DI RUMAH SAKIT PEMERINTAH DI SEMARANG Amurwani, Fitria Siswi; Rofi'i, Muhamad
Jurnal Ilmu Keperawatan Medikal Bedah Vol 1, No 1 (2018): Jurnal Ilmu Keperawatan Medikal Bedah
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (217.543 KB) | DOI: 10.32584/jikmb.v1i1.95

Abstract

Angka penundaan operasi elektif di Rumah Sakit Pemerintah Di Semarang masih tinggi dan kurang sesuai dengan indikator mutu klinis rumah sakit. Penundaan operasi elektif disebabkan karena faktor medis, faktor pasien, faktor logistik dan administrasi dan faktor lain-lain. Tujuan penelitian ini untuk mengetahui gambaran penyebab penundaan operasi elektif di Rumah Sakit Pemerintah di Semarang. Penelitian ini merupakan jenis penelitian deskripsi kuantitatif dengan metode survei. Pengumpulan data dilakukan dengan lembar observasi dan check list. Jumlah responden sebanyak 54 orang dengan teknik sampling jenuh. Data yang diperoleh diolah dengan menggunakan analisa univariat untuk mengetahui distribusi dan persentase masing-masing variabel. Karakteristik responden  sebagian besar adalah laki-laki (53,7%), usia paling banyak 41-60 tahun (40,7%),  tingkat pendidikan paling banyak SMA (25,9%), pekerjaan lain-lain berjumlah (53,7%), paling banyak dirawat di kelas III  (66,7%) dengan fasilitas Jamkesmas (42,6%). Lama penundaan operasi elektif paling banyak >5 hari (38,9%). Penundaan operasi elektif di Rumah Sakit Pemerintah di Semarang disebabkan karena faktor medis (48,1%), faktor pasien (14,8%), faktor logistik dan administrasi (27,8%) dan faktor lain-lain  (9,3%). Penundaan operasi elektif paling banyak disebabkan karena faktor medis dan sebagian besar disebabkan karena perubahan akut fungsi kardiovaskuler dan pernapasan, nilai laboratorium tidak normal dan pasien menolak operasi. Perawat diharapkan melakukan monitoring lebih intensive terhadap fungsi kardiovaskuler dan pernapasan, nilai laboratorium  dan memberikan edukasi serta motivasi pasien pre-operasi.
The Effects of Coaching of Head Nurses on the Quality of Discharge Planning Documentations Rahayu, Candra Dewi; Hartiti, Tri; Rofi'i, Muhamad
Jurnal Ners dan Kebidanan Indonesia Vol 5, No 3 (2017): NOVEMBER 2017
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (21.22 KB) | DOI: 10.21927/jnki.2017.5(3).157-164

Abstract

Quality discharge planning will improve the quality of nursing care and the patients’ independence, life quality, and self-efficacy. It also reduces the rate of disease recurrence, the length of stay (LOS), and the cost of care. Coaching is a method to increase professionalism in the delivery of nursing care. Coaching which is performed by nursing managers will enhance the skills, knowledge, and motivation of nurses in providing discharge planning. The aim of this study was to determine the effects of coaching of head nurses on the quality of discharge planning documentations. The study represented a quasi-experimental research with pre-post-test control group design. The samples were 70 nurses and 64 discharge planning documentations selected by non-probability sampling. The statistical analysis used was repeated ANOVA. The test results showed that after the training of coaching of the head nurses, the quality of discharge planning in the control group was 81.647 with a p-value of 0.198, and 98.412 in the intervention group with a p-value of 0.00 (α = 0.05). The results showed that the coaching of the head nurses had a significant effect on improving the nurses’ competence in the documentation of discharge planning. Coaching is a competence that nursing managers should have; therefore, it is suggested that head nurses provide guidance and supervision through continuous coaching to maintain and improve the quality of discharge planning.
Faktor-Faktor Yang Menghambat Perawat Dalam Pengisian Logbook Kompetensi Di Rumah Sakit Komsiyah, Komsiyah; Suhartono, Suhartono; Rofi'i, Muhamad
Jurnal Kepemimpinan dan Manajemen Keperawatan Vol 1, No 1 (2018)
Publisher : Persatuan Perawat Nasional Indonesia Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jkmk.v1i1.73

Abstract

Background: The logbook by the Nursing Committee is one of the methods used to ensure that nurses are competent to carry out the clinical authority given to them. The use of the nurse logbook is proven useful as a monitoring tool and evaluation of the clinical competencies implementation and nurses' accountability tools for the clinical assignments given to them. Objective: To identify the completeness of nurses' competency logbook documents at the Hospital. Method: This study used mixed methods, which is a method that combines quantitative and qualitative approaches with a sequential explanatory model, with 136 respondents in the first stage by observing 136 nurses log book, and in the second stage conducting in-depth interviews involving 9 main participants and 6 triangulation participants to find out the inhibiting factors for implementing the nurses' competency logbook. Results: From 136 log book of administrators nurses obtain 13 complete logbook (9.5%), 41 (30.1%) logbook completeness is sufficient, and 82 (60.3%) logbook completeness is less. The results of the In-depth Interview obtain 8 themes, namely the function of the logbook, the completeness of the logbook documentation, the timing of filling, the filling factor, the supporting / driving factors of the filling, and the impact of not carrying out the logbook filling on time. Conclusion: The need for re-socialization to all nurses in order to improve understanding of the correct logbook method, the need to increase nurse motivation through gradual and continuous supervision and the need to establish clear rewards related to the implementation of filling out the nurse logbook.