ABSTRACT
Background: Nursing care contributes to the safety and the quality of care of patients. During the COVID-19 pandemic, nurses became frontline care providers. Materials and Methods: A qualitative study was conducted using an online focus group discussion of eight nurse committee members from six hospitals. After the data were collected, the study continued with inductive thematic analysis. The data were organized and extracted to identify meaningful statements and formulate meanings. Inductive thematic analysis was used, resulting in three themes and six subthemes. Results: The themes related to managing the nursing workforce, schedules, rosters, shifts, goals of re-design staffing, and the nurse-patient ratio. Conclusions: The management of the nursing staffing was modified to protect nurses during the COVID-19 pandemic. The nurse manager redesigned workforce planning to ensure a safe environment for nurses.
ABSTRACT
Purpose: Diabetes has resulted in an increase in diabetic fatigue syndrome, which has a negative influence on health, particularly the risk of worsening quality of life (QoL) due to physical and mental limitations. The purpose of this study was to evaluate the experiences of patients with unregulated type 2 diabetes mellitus (T2DM) and diabetes fatigue syndrome. Methods: This study used a qualitative phenomenological design and focused on patients from four primary health centers (PHCs) in Surabaya, Indonesia with higher incidents of unregulated T2DM. Thirty participants were recruited using purposive sampling with the following inclusion criteria: adult T2DM patients, willing to participate in the study, and able to recount experiences associated with their illness. Data collection took place between April and June 2020 across 36 interview sessions. Semi-structured interviews were carried out face-to-face with each participant with the principles of social distancing applied due to the COVID-19 pandemic. Results: Analysis identified five themes and thirteen subthemes. The first theme was participants' experiences during blood glucose imbalance. Other themes included experiences of boredom with diet, physical and psychological distress, financial problems during treatment, and sexual problems. Conclusion: Participants with T2DM who experienced diabetes fatigue reported negative effects on their life, especially on health, functional daily activity, and finances. The results of this study can provide information for nurses and other healthcare providers to promote interventions for patients with T2DM, such as modifying lifestyle, self-acceptance, and self-efficacy.
ABSTRACT
This study aims to identify nurse managers implementation of the nursing supervision function during the COVID-19 pandemic. The method used is a case study starting with data collection through interviews surveys and document searches. The results showed that the head of the room had performed the supervisory directive function well (89%) but the nurses perception of the implementation of nursing supervision carried out by the head of the room during the COVID-19 pandemic was sufficient (77%). In conclusion nursing supervision activities during the COVID-19 pandemic were not optimal due to maintaining distance and minimizing close contact. The nursing supervision that can be carried out is the use of platforms to avoid direct contact and the possibility of nurses being exposed to COVID-19 infection. Keywords: COVID-19, Nursing Supervision, Digital Technology
ABSTRACT
This study aims to identify the determinants of nurse’s commitment to providing nursing care in the era of the COVID-19 pandemic. The research design used a cross-sectional approach involving 221 nurses and team leaders at two public hospitals in West Kalimantan. The results showed that the determinants of nurse’s commitment in providing nursing care in the era of the COVID-19 pandemic were emotional intelligence (p=0.001) and superior support (p=0.009). Each additional emotional intelligence point and support from superiors will increase nurses’ commitment to providing nursing care by 0.239 times and 0.125 times respectively. Factors of age, length of work, gender education level, marital status and work unit room were not related to nursing commitment (p > 0.05). In conclusion, the factor most related to nurses’ responsibility in providing nursing care in the era of the COVID-19 pandemic is emotional intelligence. Keywords: Nursing Care, COVID-19, Superior Support, Emotional Intelligence, Nurse Commitment
ABSTRACT
This study aims to identify the management function of the head of the room the level of staff burnout and develop problem solving solutions by preparing burnout management guidelines for nursing staff. The method used is a case study and analysis of results and implementation gaps with a discussion based on a literature review. The results showed that the perception of the head of the room related to the planning function was 53.7% the organizing function was 59.3% the manpower function was 53.7% the directive function was 55.6% and the control function was 55.6%. The burnout level of nursing staff is in the medium category. The emotional exhaustion dimension scored 50.5% the depersonalization dimension was 44.1% and the personal accomplishment dimension was 50.7%. In conclusion the implementation of the draft guideline for burnout management can be carried out well. The involvement of the team support from the Nursing Services Division and the Nursing Committee is needed in the preparation of the burnout management guide draft for nursing staff in hospitals. Keywords: Burnout COVID-19 Function Management Nurse Manager
ABSTRACT
Rumah Sakit rujukan khusus COVID-19 harus memberikan asuhan keperawatan yang baik, memberikan pelayanan yang aman, bermutu, dan efektif dalam upaya mempertahankan pelayanan yang sesuai dengan standar pelayanan keperawatan yang sudah ditentukan, salah satunya adalah dengan melakukan kegiatan pencegahan dan pengendalian infeksi atau lebih dikenal sebagai PPI, contoh kegiatan PPI adalah dengan melakukan pemantauan dan evaluasi kepatuhan pemakaian APD sesuai dengan Standar Operasional Prosedur atau SPO Rumah Sakit. Tujuan studi ini yaitu untuk mengidentifikasi kemampuan perawat kepala ruangan dalam “uji coba pelaksanaan pemantauan dan evaluasi kepatuhan pemakaian APD perawat rumah sakit X di unit COVID-19”. Metode pilot study ini adalah Penulis bertindak sebagai agen pembaharu kepatuhan penggunaan APD perawat di ruang perawatan. Responden dalam penelitian ini didapat melalui teknik purposive sampling, kriteria inklusi dalam studi ini adalah perawat yang bekerja di Unit COVID-19 rumah sakit X, dan didapatkan sebanyak 8 perawat. Hasil evaluasi menunjukan adanya kegiatan pemantauan dan evaluasi yang telah dilakukan oleh kepala ruangan, terdapat data pendokumentasian kepatuhan penggunaan APD perawat baik selama proses penggunaan APD dan juga selama perawat bertugas di ruangan. Studi ini mengungkapkan pentingnya pemantauan dan evaluasi untuk memudahkan dalam melakukan pendokumentasian dan analisis permasalah yang menyebabkan ketidakpatuhan perawat dalam penggunaan APD.