Overview of Patient Safety Culture Among Nurses in Providing Services at Hospital
DOI:
https://doi.org/10.36590/kepo.v6i2.1516Keywords:
hospital, management, support, patient safetyAbstract
Nurses play a vital role in maintaining patient safety as they are at the frontline of healthcare services. Patient safety culture needs to be measured as an indicator of service quality. This study aimed to describe the patient safety culture among nurses at the Research Partner Hospital. This study was conducted at a Type C General Hospital located in Sukoharjo, using a descriptive quantitative method and a cross-sectional design. The sample consisted of 167 nurses selected through purposive sampling, with data collected via the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire. The results showed that the patient safety culture was categorized as "medium" (55,28%), reflecting a fairly good understanding however, it requires for safe services to meet a high expectation. Strong dimensions included teamwork within units (80,08%) and organizational learning, continuous improvement (83,63%). However, weak areas included open communication (47,70%), staffing (19,16%), patient handoffs (47,15%), and non-punitive responses to errors (26,74%). Therefore, the hospital needs to improve these weak aspects through training, enhanced communication, and stronger management support.
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References
Abdulla, M.A., Habas, S.E., Halabi, A., Hassan, M., Sohail, F., Alajmi, J., Elkordy, M.H. 2023. An Evaluation of Healthcare Safety Culture among Healthcare Professionals in Secondary and Tertiary Public Hospitals in the Middle East Region. Cureus. 15(2), 1-8. https://doi.org/10.7759/cureus.35299
AHRQ. 2016. Hospital Survei on Patient Survey Culture: User Comparative Data Based Report. Agenc for Healthcare Research and Quality.
Arini, T.P., Yulia, S., Romiko, R. 2018. Hubungan Kerjasama Tim dengan Penerapan Budaya Keselamatan Pasien di Ruang Rawat Inap Rumah Sakit Bhayangkara Palembang Tahun 2018. Masker Medika. 6(2), 406-416. https://jmm.ikestmp.ac.id/index.php/maskermedika/article/view/247
Bernstrøm, V.H., Alves, D.E., Ellingsen, D., Ingelsrud, M.H. 2019. Healthy Working Time Arrangements for Healthcare Personnel and Patients: A Systematic Literature Review. BMC Health Services Research. 19(193), 1-13. https://doi.org/10.1186/s12913-019-3993-5
Debora, W.E. 2020. Gambaran Budaya Keselamatan Pasien pada Perawat dalam Melaksanakan Pelayanan di Instalasi Rawat Inap RSD Balung Kabupaten Jember. [Skripsi]. Universitas Jember.
Dhamanti, I., Leggat, S., Barraclough, S., Tjahjono, B. 2019. Patient Safety Incident Reporting in Indonesia: An Analysis Using World Health Organization Characteristics for Successful Reporting. Risk Management and Healthcare Policy. 2019(12), 331-338. https://doi.org/10.2147/RMHP.S222262
Ekaningtyas, A., Salim, N.A., Panembahan, R. 2023. Faktor yang Berhubungan dengan Pelaporan Insiden Keselamatan Pasien oleh Perawat di RSUD Panembahan Senopati Bantul Yogyakarta. Jurnal Surya Muda. 5(1), 90-103. https://journals.umkaba.ac.id/index.php/jsm/article/view/187
Ginianta, R.O. 2024. Faktor-Faktor yang Mempengaruhi Budaya Keselamatan Pasien: Peran Intervensi Sikap. Journal of Hospital Management. 7(2), 106-122. https://ejurnal.esaunggul.ac.id/index.php/johm/article/view/8418
Gunawan, D., Hariyati, T.S. 2019. The Implementation of Patient Safety Culture in Nursing Practice. Enfermeria Clinica. 29(2), 139-145. https://doi.org/10.1016/j.enfcli.2019.05.007
Harlin, R., Chalidyanto, D., Permatasari, R.I. 2021. The Effect of Patient Safety Culture on the Quality of Nurses’ Performance. Jurnal Medicoeticolegal dan Manajemen Rumah Sakit. 10(1), 13-21. https://doi.org/10.18196/jmmr.v10i1.10279
Hastutik, I.S., Ghofir, A., Sari, L.K., Risnawati, N. 2019. Analisis Budaya Keselamatan Pasien sebagai Langkah Meningkatkan Keselamatan Pasien di Rumah Sakit Islam Jombang. Jurnal Conference on Research & Community Services. 1(1), 491-496. https://ejournal.stkipjb.ac.id/index.php/CORCYS/article/view/1220
Idris, H. 2017. Dimension of Patient Safety Culture. Jurnal Ilmu Kesehatan Masyarakat. 8(1), 1-9. https://media.neliti.com/media/publications/58039-ID-dimension-of-patient-safety-culture.pdf
Isnainy, U.C.A.S., Gunawan, M.R., Anjarsari, R. 2020. Hubungan Sikap Perawat dengan Penerapan Patient Safety pada Masa Pandemi Covid 19. Holistik Jurnal Kesehatan. 14(4), 674-679. https://ejurnalmalahayati.ac.id/index.php/holistik/article/view/3850/0
Iswari, D., Pertiwiwati, E., Rizany, I. 2023. Gambaran Budaya Keselamatan Pasien oleh Perawat di Rumah Sakit: Studi Literatur. Nerspedia. 5(5), 482-494. https://nerspedia.ulm.ac.id/index.php/nerspedia/article/view/250
Jovanda, V., Zukhra, R.M. 2022. Implementation of Patient Safety Culture by Nurses in the Inpatient Room at Arifin Achmad Hospital in Riau Province. Jurnal Ilmu Keperawatan. 10(1), 103-115. Https://Www.Google.Com/Url?Sa=T&Source=Web&Rct=J&Opi=89978449&Url=Https://Jurnal.Usk.Ac.Id/JIK/Article/Download/23250/15945&Ved=2ahukewja7dly98cnaxxkn2mghzjrbkoqfnoeca8qaq&Usg=Aovvaw33ljf0jcnkf1r2mprhevjy
Junie, A. 2022. Hubungan Sikap dan Kerja Sama Tim Perawat dengan Implementasi Sasaran Keselamatan Pasien di Ruang Rawat Inap RSUD H. Abdul Manap Kota Jambi Tahun 2022. [Skripsi]. Universitas Jambi.
Kartikasari, B.K., Samirah, S., Zairina. 2023. The Assessment of Patient Safety Culture among Doctors, Nurses and Pharmacists in a Public Hospital in Indonesia. Jurnal Manajemen dan Pelayanan Farmasi. 13(2), 104-112. https://doi.org/10.22146/jmpf.83575
Kelananingrum, H., Suryoputro, A., Widjanarko, B. 2023. Analisis Upaya Manajemen dalam Pembentukan Budaya Keselamatan di Sebuah Rumah Sakit di Kota Semarang. Jurnal Kesehatan Masyarakat. 5(1), 347-362.
Maulina, P.R., Darnoto, S., Astuti, D., Porusia, M. 2023. Hubungan Sikap Kerja dengan Kejadian Keluhan Musculoskeletal pada Perawat di Rumah Sakit. Environmental Occupational Health and Safety Journal. 3(2), 161-172. http://dx.doi.org/10.24853/eohjs.3.2.161-172
Mulyawati, S.D., Setyaningsih, Y., Denny, H.M. 2024. Penerapan Budaya Keselamatan dengan Menggunakan Metode Hospital Survey of Patient Safety Culture (HSOPSC) di Rumah Sakit: Literature Review. Jurnal Kesehatan Masyarakat. 8(1), 19-30. https://journal.universitaspahlawan.ac.id/prepotif/article/view/23328
Mutarobin, Hardiyan, D., Rosmiatin, M. 2018. Gambaran Patient Safety Culture pada Perawat Unit Rawat Jalan dan Rawat Inap Rumah Sakit Jantung di Wilayah Jakarta. Jurnal Keperawatan Poltekkes Kemenkes Jakarta 1. 1-13. https://www.poltekkesjakarta1.ac.id/gambaran-patient-safety-culture-pada-perawat-unit-rawat-jalan-dan-rawat-inap-rumah-sakit-jantung-di-wilayah-jakarta-2/
Nainggolan, S.S.N. 2021. Penerapan Komunikasi SBAR (Situation, Background, Assesment, Recomendation) oleh Perawat di Rumah Sakit Pusri Palembang. Jurnal Kesehatan Saelmakers. 4(1), 167-176. https://journal.ukmc.ac.id/index.php/joh/article/view/80
Negara, A.N. 2018. Hubungan Persepsi Perawat tentang Pasien Safety dengan Budaya Keselamatan Pasien di RSUD A.W. Sjahranie Samarinda Tahun 2018. [Skripsi]. Politeknik Kesehatan Kalimantan Timur.
Neuhaus, C., Grawe, P., Bergström, J., St. Pierre, M. 2022. The Impact of to Err is Human on Patient Safety in Anesthesiology. A Bibliometric Analysis of 20 Years of Research’. Frontiers in Medicine. 16(9),1-11. https://doi.org/10.3389/fmed.2022.980684
Permenkes. 2017. Peraturan Menteri Kesehatan Republik Indonesia Nomor 11 Tahun 2017 Tentang Keselamatan Pasien. Menteri Kesehatan Republik Indonesia.
Pratiwi, E.A. 2022. Pengaruh Budaya Keselamatan Pasien dan Leader Coaching Behaviour Manajer Keperawatan terhadap Pelaporan Insiden Keselamatan Pasien. [Tesis]. Universitas Muhammadiyah Yogyakarta.
Rahayu, S.B. 2017. The Influence of Staffing Dimension on Patient Safety Incidents Base on Agency for Healtcare Research and Quality (AHRQ) in RSU Haji Surabaya. Jurnal Administrasi Kesehatan Indonesia. 5(1), 41-51. https://e-journal.unair.ac.id/JAKI/article/view/7049
Susatia, B., Kusbaryanto, Sundari, S. 2021. Faktor-Faktor yang Mempengaruhi Penerapan Budaya Keselamatan Pasien di RSI Unisma Malang. Jurnal Informasi Kesehatan Indonesia. 7(1), 1-10. https://heanoti.com/index.php/hn/article/view/hn50801
Tambajong, M.G., Pramono, D., Utarini, A. 2022. Artikel Penelitian Adaptasi Linguistik Kuesioner Hospital Survey on Patient Safety Culture ke Versi Indonesia. The Journal of Hospital Accreditation. 4(1), 17-27. https://rsumardilestari.com/docs/pdf_2023061408415364891ae1aeb97.pdf
Wahyuda, O., Suyasa, P.G.D., Adianta, K.A., Sasthamidyani, P.A.J. 2024. Analisis Faktor-Faktor yang Berhubungan dengan Budaya Keselamatan Pasien di Rumah Sakit. Jurnal Keperawatan, 16(1), 27-36. https://journal2.stikeskendal.ac.id/index.php/keperawatan/article/view/1278/927
Yarnita, Y., Maswarni. 2019. Budaya Keselamatan Pasien pada Perawat di Instalasi Perawatan Intensive RSUD Arifin Achmad Provinsi Riau. Jurnal Keperawatan Priority. 2(2), 109-119. https://jurnal.unprimdn.ac.id/index.php/jukep/article/view/570


