Perceived implementation of patient safety compliance among nursing supervisors in military hospitals: a descriptive qualitative study
Downloads
Introduction: Patient safety incidents remain high in Indonesia and are a significant responsibility of nursing supervisors working in military hospitals. The purpose of this study was to explore the understanding and perception of nursing supervisors in implementing patient safety compliance in military hospitals.
Methods: A descriptive qualitative approach was conducted with nursing supervisors at a military hospital through in-depth interviews. A total of 25 nursing supervisors from military hospitals participated in the interviews. The content analysis was employed to analyze the interview data.
Results: Five themes were identified in this study: patient safety as our responsibility, implementation in practice, support in safety initiatives, barriers to safety goals, and tech-driven safety efficiency.
Conclusions: The findings underscore that an in-depth understanding by nursing supervisors is critical to fostering appropriate behavior, particularly in achieving patient safety goals. Nursing supervisors articulated expectations for improvements in healthcare quality. As healthcare professionals, nursing supervisors must grasp the significance of a patient safety approach and be adept at executing it to enhance the quality of care, which will, in turn, lead to better healthcare outcomes.
Bramasta, D. bayu and Firdaus, F. (2023) Mengenal Arti Penting Trisila TNI AL: Disiplin, Hierarki, dan Kehormatan Militer [Get to know the importance of the TNI AL Trisila: Discipline, Hierarchy and Military Honor], Kompas.com tren.
Butler, F.K. (2017) ‘Tactical Combat Casualty Care: Beginnings’, Wilderness and Environmental Medicine, 28(2), pp. S12–S17. Available at: https://doi.org/10.1016/j.wem.2016.12.004.
Carter, N. et al. (2014) ‘The use of triangulation in qualitative research’, Oncology Nursing Forum, 41(5), pp. 545–547. Available at: https://doi.org/10.1188/14.ONF.545-547.
Chatzi, A. V. and Malliarou, M. (2023) ‘The need for a nursing specific patient safety definition, a viewpoint paper’, International Journal of Health Governance, 28(2), pp. 108–116. Available at: https://doi.org/10.1108/IJHG-12-2022-0110.
Conlon, L., Wiechula, R. and Garlick, A. (2019) ‘Hermeneutic Phenomenological Study of Military Nursing Officers’, Nursing Research, 68(4), pp. 267–274. Available at: https://doi.org/10.1097/NNR.0000000000000342.
Creswell, J.W. and Creswell, J.D. (2018) Research Design: Qualitative, quantitative, and mixed methods approaches. 5th edn. Los Angeles: SAGE Publications Inc.
Dhamanti, I. et al. (2021) ‘Factors contributing to under-reporting of patient safety incidents in Indonesia: leaders’ perspectives’, F1000Research, 10, p. 367. Available at: https://doi.org/10.12688/f1000research.51912.1.
Eka Safitri, J., Qodir, A. and Ari Kurniyanti, M. (2023) ‘Hubungan Tingkat Kepatuhan Perawat Dalam Pelaksanaan Spo Pemasangan Infus Terhadap Kejadian Phlebitis Di Rs’, Media Husada Journal Of Nursing Science, 4(1), pp. 25–35. Available at: https://doi.org/10.33475/mhjns.v4i1.118.
Elliott, B. (2015) ‘Military nurses’ experiences returning from war’, Journal of Advanced Nursing, 71(5), pp. 1066–1075. Available at: https://doi.org/10.1111/jan.12588.
Fikri, M.K., Rizany, I. and Setiawan, H. (2022) ‘Hubungan Motivasi Kerja dengan Kepuasan Kerja Perawat pada Masa Pandemi COVID-19 di Rawat Inap’, Jurnal Kepemimpinan dan Manajemen Keperawatan, 5(1), pp. 38–46. Available at: https://doi.org/10.32584/jkmk.v5i1.1362.
Goodman, P. et al. (2013) ‘Military nursing care of Iraqi patients’, Military Medicine, 178(9), pp. 1010–1015. Available at: https://doi.org/10.7205/MILMED-D-13-00055.
Graneheim, U.H. and Lundman, B. (2004) ‘Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness’, Nurse Education Today, 24(2), pp. 105–112. Available at: https://doi.org/10.1016/j.nedt.2003.10.001.
Guanche-Sicilia, A. et al. (2021) ‘Prevention and treatment of phlebitis secondary to the insertion of a peripheral venous catheter: A scoping review from a nursing perspective’, Healthcare (Switzerland), 9(5), pp. 1–24. Available at: https://doi.org/10.3390/healthcare9050611.
Heideveld-Chevalking, A.J. et al. (2018) ‘Development and validation of a Self-assessment Instrument for Perioperative Patient Safety (SIPPS)’, BJS Open, 2(6), pp. 381–391. Available at: https://doi.org/10.1002/bjs5.82.
Kemenkes, R. (2020) Sistem pelaporan insiden keselamatan pasien, Perhimpunan Rumah Sakit Seluruh Indonesia.
Larasati, A. and Dhamanti, I. (2021) ‘Literature Review: Implementation of Patient Safety Goals in Hospitals in Indonesia’, Jurnal Media Gizi Kesehatan Masyarakat, 10(1), pp. 138–148.
Lazar, E.J., Fleischut, P. and Regan, B.K. (2013) ‘Quality measurement in healthcare’, Annual Review of Medicine, 64, pp. 485–496. Available at: https://doi.org/10.1146/annurev-med-061511-135544.
Lestari, I. (2016) Disertasi: Development Of Compliance Model for Nurse In Implementing Standard Procedure Operating Of Patient Safety Based On Compliance Pressure. Disertasi Thesis, Universitas Airlangga.
Lindberg, M. and Skytt, B. (2020) ‘Continued wearing of gloves: a risk behaviour in patient care’, Infection Prevention in Practice, 2(4), p. 100091. Available at: https://doi.org/10.1016/j.infpip.2020.100091.
Md Vera Susiladewi, I.A. et al. (2023) ‘Implementation of Intravenous Catheter Treatment to Prevent Phlebitis: A Cross-Sectional Study’, Nursing and Health Sciences Journal (NHSJ), 3(1), pp. 91–95. Available at: https://doi.org/10.53713/nhs.v3i1.179.
Meinarno, E.A. and Sarwono, S.W. (2018) Psikologi Sosial. 2nd edn. Jakarta: Salemba Humanika.
Michaud, J. et al. (2019) ‘Militaries and global health: peace, conflict, and disaster response’, The Lancet, 393(10168), pp. 276–286. Available at: https://doi.org/10.1016/S0140-6736(18)32838-1.
Neringa Kalpokas (2023) Strategies for Handling Qualitative Data Management - ATLAS.ti, Guides.
Pelzang, R. and Hutchinson, A.M. (2020) ‘How is patient safety understood by healthcare professionals? the case of Bhutan’, Journal of Patient Safety, 16(1), pp. 106–109. Available at: https://doi.org/10.1097/PTS.0000000000000450.
Pramesona, B.A. et al. (2023) ‘A qualitative study of the reasons for low patient safety incident reporting among Indonesian nurses’, Revista Brasileira de Enfermagem, 76(4), pp. 1–8. Available at: https://doi.org/10.1590/0034-7167-2022-0583.
Reineck, C. et al. (2018) ‘Army nurse readiness instrument: psychometric evaluation and field administration.’, Military medicine, 166(11), pp. 931–939.
Rizany, I. et al. (2019) ‘The Impact of Nurse Scheduling Management on Nurses’ Job Satisfaction in Army Hospital: A Cross-Sectional Research’, SAGE Open, 9(2). Available at: https://doi.org/10.1177/2158244019856189.
Saputra Mokoagow, D. et al. (2024) ‘Sistem Informasi Manajemen Rumah Sakit dalam Meningkatkan Efisiensi: Mini Literature Review’, COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat, 3(10), pp. 4135–4144. Available at: https://doi.org/10.59141/comserva.v3i10.1223.
Saunders, B. et al. (2018) ‘Saturation in qualitative research: exploring its conceptualization and operationalization’, Quality and Quantity, 52(4), pp. 1893–1907. Available at: https://doi.org/10.1007/s11135-017-0574-8.
Sukendar, S. et al. (2021) ‘Juridical Review of Nurse’s Legal Responsibility for Patient Safety in Self Nursing Practice’, UNIFIKASI : Jurnal Ilmu Hukum, 8(2), pp. 167–175. Available at: https://doi.org/10.25134/unifikasi.v8i2.2693.
The Joint Commission (2024) National Patient Safety Goals | The Joint Commission.
Tong, A., Sainsbury, P. and Craig, J. (2007) ‘Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups’, International Journal for Quality in Health Care, 19(6), pp. 349–357. Available at: https://doi.org/10.1093/intqhc/mzm042.
Toyo, E.M. et al. (2022) ‘Evaluasi Sistem Pelaporan Insiden Keselamatan Pasien Dengan Metode HMN Di Rumah Sakit’, Majalah Farmasetika, 8(1), p. 56. Available at: https://doi.org/10.24198/mfarmasetika.v8i1.41357.
Tuck, C.M., Haynie, K. and Davis, C. (2014) Emergency Preparedness and Response in the School Setting - The Role of the School Nurse.
Wahyuni, I. et al. (2023) ‘Pentingnya Komponen Infrastruktur Sistem dan TIK Dalam Mendukung Transformasi Digital di Rumah Sakit’, Jurnal Sistem Informasi Kesehatan Masyarakat Journal of Information Sistems for Public Health, VIII(3), pp. 8–17.
Wau, H. and Purba, D.I.G. (2019) ‘Patient Satisfaction Reviewed from Dimension Reliability in Community Health Center’, Jurnal Medicoeticolegal dan Manajemen Rumah Sakit, 8(3), pp. 151–157. Available at: https://doi.org/10.18196/jmmr.83101.
World Health Organization (2019) Patient safety.
Zare, A. et al. (2021) ‘How do medical gloves affect manual performance? Evaluation of ergonomic indicators’, International Journal of Industrial Ergonomics, 81(November 2020), p. 103062. Available at: https://doi.org/10.1016/j.ergon.2020.103062.
Zolot, J. (2017) ‘Nurse Perception of Workplace Safety Affects Patient Care’, American Journal of Nursing, 117(2), p. 14. Available at: https://doi.org/10.1097/01.NAJ.0000512286.71113.23.
Copyright (c) 2024 Jurnal Ners
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with Jurnal Ners agree to the following terms:
- Authors transfer the Copyright and grant Jurnal Ners the right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to remix, adapt and build upon the work with an acknowledgment of the work's authorship and of the initial publication in Jurnal Ners.
- Authors are permitted to copy and redistribute the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Jurnal Ners.
Jurnal Ners requires a formal written declaration and transfer of copyright from the author(s) for each article published. We, therefore, ask you to complete and return this form, retaining a copy for your own records. Your cooperation is essential and appreciated. Any delay will result in a delay in publication. The form can be downloaded HERE.
