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Jurnal Keperawatan Indonesia
Articles
VIEWS: 460
10.7454/jki.v22i1.615
Submitted: 2023-03-20
Published: 2019-03-29

Kepuasan Pasiten terhadap Penerapan Keselamatan Pasien di Rumah Sakit

Persahabatan Hospital, Jakarta 13230
Faculty of Nursing, Universitas Indonesia, Depok 16424
Faculty of Nursing, Universitas Indonesia, Depok 16424
kepuasan pasien keselamatan pasien penerapan

Abstract

Tingkat kepuasan pasien terhadap pelayanan keperawatan di Indonesia mayoritas masih kurang puas. Penyebab ketidakpuasan pasien diantaranya faktor kesalahan identifikasi, komunikasi, pemberian obat, dan risiko jatuh. Penelitian bertujuan untuk mengidentifikasi hubungan penerapan keselamatan pasien dengan kepuasan pasien di Rumah Sakit X. Desain penelitian menggunakan pendekatan cross sectional dengan menyebarkan kuesioner kepada 143 pasien. Pengambilan sampel menggunakan cluster random sampling dengan cara menetapkan jumlah sampel yang memenuhi kriteria inklusi, kemudian diberikan kuesioner hingga terpenuhi jumlah sample, dan melakukan penelitian pada setiap sampel yang terpilih. Data dianalisis menggunakan independent t-test dan uji chi-square. Hasil penelitian didapatkan ada hubungan penerapan keselamatan pasien dengan kepuasan pasien (p= 0,001; OR=1,216; α= 0,05). Karakteristik pasien berupa umur, jenis kelamin, pendidikan, pekerjaan, dan kelas rawat tidak berhubungan dengan kepuasan pasien (p= 0,331; 0,818; 0,949; 1,000; dan 0,382; α= 0,05). Hasil penelitian juga didapatkan bahwa penerapan aspek keselamatan pasien berupa reassessment pasien risiko jatuh dan dimensi kehandalan (memberi petunjuk, memberi penjelasan) ketika akan melakukan tindakan keperawatan masih belum optimal sehingga menjadi saran untuk ditingkatkan agar kepuasan pasien di rumah sakit X semakin meningkat.


Abstract

Patient Satisfaction Against Patient Safety Application at Hospital. The level of patient satisfaction with nursing services in Indonesia is mostly unsatisfied. The cause of patient dissatisfaction is due to misidentification, miscommunication, medication errors, and inappropriate risk management of falls. This study aimed to identify the relationship between the application of patient safety and patient satisfaction at Hospital X. The study design used a cross-sectional approach by distributing questionnaires to 143 patients. Sampling using cluster random sampling by determining the number of samples that meet the inclusion criteria, then given a questionnaire until the number of samples is met, and conduct research on selected samples. Data were analyzed using independent t-test and chi-square test. The results showed that there was a correlation between the application of patient safety and patient satisfaction (p= 0.001, OR= 1.216; α= 0.05). Patient characteristics in the form of age, gender, education level, occupation, and nursing class were not related to patient satisfaction (p= 0.331; 0.818; 0.949; 1,000; and 0.382; α= 0.05). The results also found that the application of patient safety aspects in the form of reassessing patients to falling risks and dimensions of reliability (giving instructions, giving explanations) when going into nursing actions was not optimal so that suggestions were increased so that patient satisfaction at hospitals X increased.

Keywords: Application, patient satisfaction, patient safety

References

  1. Batbaatar, E., Dorjdagva, J., Luvsannyam, A., Savino, M.M., & Amenta, P.(2017). Determinants of patient satisfaction: A systematic review. Perspect Public Health, 137 (2), 89–102. https://doi.org/10.1177/175791391663413.
  2. Bauk, I., Rahman, K.A., & Ariyanti, S. (2013). Hubungan karakteristik pasien dengan kualitas pelayanan: Persepsi pasien pelayanan Rawat Inap RSUD Majene Tahun 2013. Jurnal Passcasarjana Universitas Hasanuddin, 1–12. Retrieved from http://pasca.unhas.ac.id/jurnal/files/dc1197b354ffd8ddac0952874bd9475c.pdf.
  3. Bener, A., & Ghuloum, S. (2013). Gender difference on patients’ satisfaction and expectation towards mental health care. Niger J Clin Pract., 16 (3), 285–291. doi: 10.4103/1119-3077.113448.
  4. Butar-butar, J., & Simamora, R. H. (2016). Hubungan Mutu Pelayanan Keperawatan dengan Tingkat Kepuasan Pasien Rawat Inap di RSUD Pandan Kabupaten Tapanuli Tengah. Jurnal Ners Indonesia, 6 (1), 51–64.
  5. Collinson, L., Thorne, K., Dee, S., MacIntyre, K., & Pidgeon, G. (2013). RMO patient safety forums in New Zealand agents for change. NZMJ, 26 (1380), 89–92. Retrieved from http://journal.nzma.org.nz/journal/126-1380/5790/
  6. Dzomeku, V.M., Ba-Etilayoo, A., Tulukuu, P., & Mantey, R. E. (2013). In-patient Satisfaction with Nursing Care: A Case Study at Kwame
  7. Nkrumah University of Science and Technology Hospital. International Journal of Research In Medical and Health Sciences, 2(1), 19–24.
  8. Hafid, M.A. (2014). Hubungan kinerja perawat terhadap tingkat kepuasan pasien pengguna yankestis dalam pelayanan keperawatan di RSUD Syech Yusuf Kabupaten Gowa. Jurnal Kesehatan, VII (2), 368–375.
  9. Hidayati, A.N., Suryawati, C., & Sriatmi, A. (2014). Analisis hubungan karakteristik pasien dengan kepuasan pelayanan rawat jalan Semarang Eye Center (SEC) Rumah Sakit Islam Sultan Agung Semarang. Jurnal Kesehatan Masyarakat, 2 (1), 9–14.
  10. Hilmawan, F.A., Suprapti, E., & Solechan, A. (2014). Hubungan antara penerapan standart opeational procedure (SOP) pemberian obat prinsip enam benar dengan tingkat kepuasan pasien di RSUD Ungaran (Karya Ilmiah, STIKes Telogorejo Semarang). Retrieved from http://ejournal.stikestelogorejo.ac.id/index.php/ilmukeperawatan/article/view/266/291.
  11. Kementerian Kesehatan Republik Indonesia (Kemenkes RI). (2010). Profil kesehatan Indonesia 2009. Jakarta: Kepala Pusat Data dan Surveillance Epidemologi.
  12. Kitapci, O., Akdogan, C., & Dortyol, İ.T. (2014). The impact of service quality dimensions on patient satisfaction, repurchase intentions and word-of-mouth communication in the public healthcare industry. Procedia - Social and Behavioral Sciences, 148, 161–169. https://doi.org/10.1016/j.sbspro.2014.07.030
  13. Klaipetch, P. (2016). Nursing quality management (Paper presented at visiting study program of quality nursing service with international standard of Medicine Siriraj Hospital, Mahidol University). Bangkok: Faculty of Madicine Siriraj Hospital, Mahidol University.
  14. Lombogia, A., Rottie, J., & Karundeng, M. (2016). Hubungan perilaku dengan kemampuan perawatan dalam melaksanakan keselamatan pasien (Patient Safety) di Ruang Akut Instalasi Gawat Darurat RSUP Prof.DR.R.D. Kandou Manado. e-Journal Keperawatan, 4 (2), 1–8. Retrieved from https://ejournal.unsrat.ac.id/index.php/jkp/article/view/12916.
  15. Oroh, M.E., Rompas, S., & Pondaag, L. (2014). Faktor-faktor yang berhubungan dengan tingkat kepuasan pasien rawat inap terhadap pelayanan keperawatan di Ruang Interna RSUD Noongan. Jurnal Keperawatan, 2 (2), 1–7. Retrieved from https://ejournal.unsrat.ac.id/index.php/jkp/article/view/5220
  16. Özlü, Z.K., & Uzun, O. (2015). Evaluation of Satisfaction with Nursing Care of Patients Hospitalaized in Surgical Clinics of Different Hospitals. International Journal of Caring Sciences, 8 (1), 19–24.
  17. Peraturan Menteri Kesehatan Republik Indonesia (Permenkes RI) Nomor 741 Tahun 2008 tentang Standar Pelayanan Minimal Bidang Kesehatan di Kabupaten/Kota. Jakarta: Biro Hukum dan Organisasi, Sekretariat Jenderal Departenen Kesehatan RI.
  18. Philip, N.S. (2014). Exploring holistic nurse manager roles with new patient satisfaction dimensions and expectations (Dissertasion, University of Phoenix). Arizona, United States. Retrieved from https://pqdtopen.proquest.com/pubnum/3648302.html
  19. Potter, P., Perry, A., Stockert, P., & Hall, A. (2017). Fundamentals of Nursing (8th ed.). Southern Illinois: Elsevier Inc.
  20. Scharein, P., & Trendelenburg, M. (2013). Critical incidents in a tertiary care clinic for internal medicine. BMC Res Notes, 6 (276),1–7. doi: 10.1186/1756-0500-6-276.
  21. Siti, M., Zulpahiyana, & Indrayana, S. (2015). Komunikasi terapeutik perawat berhubungan dengan kepuasan pasien. Jurnal Ners dan Kebidanan Indonesia, 4 (1), 30–34. https://doi.org/http://dx.doi.org/10.21927/jnki.2016.4(1).30-34.
  22. Tateke, T., Woldie, M., & Ololo, S. (2012). Determinants of patient satisfaction with outpatient health services at public and private hospitals in Addis Ababa, Ethiopia. African Journal of Primary Health Care & Family Medicine, 4 (1), 384. https://doi.org/10.4102/phcfm.v4i1.384.
  23. Taylor, J.S. (2015). Improving patient safety and satisfaction with standardized bedside handoff and walking rounds. Clinical journal of oncology nursing, 19 (4), 414–416. doi: 10.1188/15.CJON.414-416.
  24. Utama, P.Y., Prihartini, A.E., & Listyorini, S. (2013). Analisis tingkat kepuasan pasien rawat inap rumah sakit islam sultan agung semarang dilihat dari dimensi kualitas pelayanan. Jurnal Ilmu Administrasi Bisnis, 2 (2), 1–9.
  25. Yasmini, Y., Widjijati, W., Rinami, R., Purwasih, S., Sersanti, W., Lavisa, H., & Ivon, N. (2016). Hubungan caring perawat pelaksana dengan kepuasan pasien di Ruang Rawat Inap SMC RS Telogorejo (Karya Ilmiah, STIKES Telogorejo Semarang). Retrieve from http://ejournal.stikestelogorejo.ac.id/index.php/ilmukeperawatan/article/view/680/677.

How to Cite

Widiasari, W., Handiyani, H., & Novieastari, E. (2019). Kepuasan Pasiten terhadap Penerapan Keselamatan Pasien di Rumah Sakit. Jurnal Keperawatan Indonesia, 22(1), 43–52. https://doi.org/10.7454/jki.v22i1.615