Kepatuhan Perilaku Perawat dalam Re-Assessment Pasien Resiko Jatuh dengan Pendekatan Theory of Planned Behaviour (TPB)

Ade Putrina, Harmayetty Harmayetty, Ilya Krisnana

= http://dx.doi.org/10.20473/fmnj.v2i2.12846
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Abstract


Pendahuluan: Re-assessment menjadi salah satu indikator dari IPSG (International Patients Safety Goal) yaitu assesmen ulang yang dilakukan setiap shift jaga keperawatan. Meningkatnya beban kerja perawat menyebabkan re-assessment pasien jatuh jarang dilakukan dan dapat berpengaruh pada nilai dan mutu dari Rumah Sakit. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan kepatuhan re-assessment pasien risiko jatuh di IRNA Bedah RSUD Dr. Soetomo Surabaya.

Metode: Penelitian ini menggunakan desain deskriptif korelasi dengan pendekatan cross-sectional. Populasi sebanyak 215 perawat dan didapatkan 127 perawat pelaksana pada 9 ruang perawatan dengan simple random sampling. Variabel independen adalah sikap, norma subjektif, perceived behavior control, dan intensi. Variabel dependen adalah kepatuhan re-assessment pasien risiko jatuh. Data diperoleh dengan kuesioner sikap, norma subjektif, perceived behavior control, intensi, dan kepatuhan re-assessment dan dianalisis dengan Spearman’s Rho dengan α=0.05.

Hasil: Ada hubungan antara sikap (p=0,010), norma subjektif (p=0,001), perceived behavior control (p=0,007),  dengan intensi dan intensi (p=0,000) dengan kepatuhan re-assessment pasien risiko jatuh.

Kesimpulan: Intensi memiliki hubungan yang paling kuat dalam kepatuhan re-assessment pasien resiko jatuh, sehingga niat yang baik akan diikuti dengan kepatuhan yang baik dalam melakukan re-assessment pasien risiko jatuh. Sikap, norma subjektif, dan perceived behavior control juga dapat menjadi faktor dalam peningkatan kepatuhan perawat dalam melakukan re-assessment pasien risiko jatuh. Kepala ruangan diharapkan dapat meningkatkan fungsi pengawasan dan kontrol terhadap kepatuhan perawat dalam melakukan re-assessment pasien risiko jatuh dan peneliti selanjutnya dalam mengembangkan penelitian ini degan variabel yang berbeda dan dengan menggunakan pendekatan teori keperawatan yang berbeda.

Keywords


re-assessment; fall risk; compliance; behaviour; international patients safety goals

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