Knowledge-Management-Based-Nursing Care Model Improves Patient Adherence to Tuberculosis Treatment
Introduction: Pulmonary tuberculosis remains prominent as one of public health problems in the world. Patients' non-compliance to treatment is a significant contributor to drug resistance. This study aimed to develop and to test the efficacy of a nursing care model to prevent non-compliance.
Methods: This study consisted of two phases: phase one, model development, used a descriptive analytic, and phase two, model testing, employed a quasi-experimental design. Participants, comprised both patients and nurses at two health care centres in Surabaya, were recruited by consecutive sampling. Data were collected by interview, self-administered-questionnaires, check-list and focused group discussion. Data analyses were performed using both partial least squares and Wilcoxon signed rank test.
Results: The model was statistically effective to improve nearly all aspects of patients' compliance to TB treatment (knowledge, discipline in taking medications regularity of controls, and abilities to monitor the results of treatment with p < 0.05), except for abilities to cope with drug adverse effects (p = 1.000). This is possible because seldom do patients aware of the medication side effects, so their experiences were probably limited.
Conclusion: This study concludes that the KM nursing care model was proven effective to improve patients' adherence to treatment. Future study is suggested to evaluate the impact of the KM nursing care model in bigger population.
Asna, K. (2011). Hubungan Antara Pengetahuan dan Sikap Terhadap Kesehatan Reproduksi dengan Perilaku Seksual Pra Nikah pada Siswa di SMA Negeri 14 Kota Semarang Tahun 2010/2011. Skripsi. Retrieved 2 12, 2015, from Digilib Unnes: http://lib.unnes.ac.id/7559/1/10361.pdf.
Bratinau, C., & Orzea, I. (2010). Organizational Knowledge Creation. Management Marketing Challenges for Knowledge Society, 5(3), 41-62.
Burton, T. (2013). Client Education. In J. Crisp, C. Taylor, C. Douglas, & G. Reberio, Fundamentals of Nursing (4th ed) (pp. 217-243). Chatswood: Elsevier Australia.
Carpenito-Moyet, L. (2010). Nursing diagnosis: application to clinical practice (13th ed.). China: Wolter Kluwer, Lippincott William & Wilkins.
Cross, R., & Cummings, J. (2004). Tie and Network Correlates of Individual Performance in Knowledge-Intensive Work. Academic Management Journal, 47(6), 928-937.
Dharma, K. (2011). Metodologi penelitian keperawatan panduan melaksanakan dan menerapkan hasil penelitian. Jakarta: CV. Trans Info Media.
Frost, A. (2010). The SECI Model and Knowledge Conversion. Retrieved 9 3, 2014, from An Education KM Site: http://www.knowledge-management-tools.net/knowledge-conversion.html.
Ghazali, Imam, & Fuad. (2006). Structural Equation Modeling, Teori Konsep dan Aplikasi. Semarang: Badan Penerbit Universitas Diponegoro.
Ghozali, I. (2008). Structural Equation Modeling Metode Alternatif dengan Partial Least Square. Semarang: Badan Penerbit Universitas Diponegoro.
Glisby, M., & Holden, N. (2003 ). Contextual Contraints in Knowledge Management Theory; The Cultural Embeddedness of Nonaka's Knowledge-Creating Company. Knowledge and Process Management, 10(1), 29-36.
Gourlay, S. (2010). Conceptualizing knowledge creation: A critique of Nonaka's theory. Retrieved 9 3, 2014, from Kingston Education: http://eprints/kingston.ac.uk/339/1/gourlay-S.339.pdf.
Hidayat, A. (2006). Pengantar kondep dasar keperawatan (ed. 2). Jakarta: Salemba Medika.
Hsia, T., Lin, L., Wu, J., & Tsai, H. (2006). A framework for designing nursing knowledge management systems. Interdisciplinary Journal of Information, Knowledge, and Management, 1, 13-22.
Ignatavicius, D., & Workman, M. (2010). Medical surgical nursing: Patient-centered collaborative care (6th ed.). St. Louis Missouri: Saunders Elsevier.
Imansyah, R. (2010, May 1). Scientia Potentia Est. Retrieved May 28, 2014, from Nonaka & Takeuchi SECI Model: http://imansyah.blog.binusian.org/knowledge-management/nonaka-takeuci-seci-model/.
Johnson, B., & Webber, P. (2015). An Introduction to Theory and Reasoning in Nursing (4th ed). Philladelphia: Wolters Kluwer Lippincott Williams & Wilkins.
Lau, F. (2004). Toward a conceptual knowledge management framework in health. Perspectives in Health Information Management, 1(8), 1-11.
Maseda, D., Suba, B., & Wongkar, D. (2013). Hubungan Pengetahuan dan Sikap tentang Bahaya Merokok dengan Perilaku Merokok pada Remaja Putri di SMA Negeri 1 Tompasobaru. Retrieved 2 12, 2015, from Jurnal Keperawatan Universitas Sam Ratulangi: http://ejournal.unsrat.ac.id/index.php/jkp/article/view/2176.
Nonaka, I., Toyama, R., & Konno, N. (2000). SECI, Ba and leadership: a unified model of dynamic knowledge creation. Long Range Planning, 33, 5-34.
Notoatmodjo, S. (2010). Metodologi Penelitian Kesehatan. Bandung: Rineka Cipta.
Nugrahini, D., Anna, A., & Emaliyawati, E. (2012). Hubungan Tingkat Pengetahuan dengan Perilaku Sadari pada Mahasiswa Fakultas Ilmu Keperawatan Universitas Padjadjaran. Retrieved 2 12, 2015, from Jurnal Unpad: http://jurnal.unpad.ac.id/ejournal/article/viewFile/729/775.
Nurdiansyah, D. (2014, 4 1). STATSDATA: Partial Least Square. Retrieved 9 3, 2014, from STATSDATA: http://www.statsdata.my.id/2012/07/partial-least-square.html.
Olaolorum, I., & Oladejo, F. (2012). A conceptual framework for community pediactrics using knowledge management. Computing, Information Systems & Develompemnt Informatics, 3(4), 14-19.
Potter, A., Perry, A., Stockert, P., & Hall, A. (2013). Fundamental of Nursing (8th ed). Canada: Elsevier Mosby.
Potter, P., Perry, A., Stockert, P., & Hall, A. (2013). Fundamentals of Nursing (8th ed). St. Louis Missouri: Elsevier Mosby.
Purba, Y. (2009). Hubungan Karakteristik, Pengetahuan, dan Sikap Remaja Laki-laki terhadap Kebiasaan Merokok di SMU Parulian 1 Medan Tahun 2009. Retrieved 2 12, 2015, from Perpustakaan Universitas Sumatera Utara: http://repository.usu.ac.id/bitstream/123456789/14657/1/09E02607.pdf.
RI, K. K. (2011, KemenKes RI:. Jakarta: Kemenkes RI.). Stop TB. Terobosan menuju akses universal. Strategi nasional pengendalian TB di Indonesia 2010-2014. Retrieved Agustus 16, 2013, from Dirjen Pengendalian Penyakit dan Penyehatan Lingkungan: http://www.searo.who.int/indonesia/topics/tb/stranas_tb-2010-2014.pdf?ua=1.
Setiarso, B., Harjanto, N., & Subagyo, H. (2009). Penerapan Knowledge Management pada Organisasi. Yogyakarta: Graha Ilmu.
Shi, SongGe, & Jia. (2010). The Application of Socialization Externalization Combination Internalization Model in Library Knowledge Management. International Conference on Mechanical Engineering and Automation Advances in Biomedical Engineering, 10, pp. 359-363.
Suprapti, W. (2010, 5 30). Pengaruh Pengetahuan, Ketrampilan dan Sikap Terhadap Kinerja Pegawai pada Dinas Pengelolaan SUmber Daya Air Propinsi Jawa Tegah. Tesis. Retrieved 1 20, 2015, from Universitas Diponegoro: http://eprints.undip.ac.id/12332/.
Surabaya, T. e. (2014). Identitas Puskesma Kalijudan. Retrieved 1 20, 2015, from Pemerintah Kota Surabaya, Dinas Kesehatan: http://dinkes.surabaya.go.id/portal/index.php/puskesmas/pkm-kalijudan/.
WHO. (2013). Stop TB Partnership: The Global plan to stop TB 2011-2015. Retrieved Agustus 13, 2013, from World Health Organisation: http://www.stoptb.org/assets/documents/global/plan/TB_GlobalPlanToStopTB2011-2015.pdf.
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