Hubungan pengetahuan dan sikap perawat terhadap kepatuhan skoring early warning score di ruang bethesda rumah sakit umum siloam kupang = the relationship between knowledge and attitude of nurses to compliance of scoring early warning score in bethesda siloam hospitals kupang

Situmorang, Augustinus Solagratia (2018) Hubungan pengetahuan dan sikap perawat terhadap kepatuhan skoring early warning score di ruang bethesda rumah sakit umum siloam kupang = the relationship between knowledge and attitude of nurses to compliance of scoring early warning score in bethesda siloam hospitals kupang. Bachelor thesis, Universitas Pelita Harapan.

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Abstract

Early Warning Score (EWS) is a proactive approach concept by defining a simple physiological parameter scoring. The nurses’ knowledge, attitudes and compliance are important factors for applying EWS effectively. The preliminary data which is taken from Siloam Hospitals Kupang indicates the high number of code blue incidents occuring at ward Bethesda, followed by the low compliance of Nurses in implementing EWS scoring. This descriptive correlational quantitative study used a cross-sectional approach by distributting questionnaires and observing 32 Nurses at Ward Bethesda Siloam Hospitals Kupang, and the sampling technique was total sampling. The result of univariate data analysis showed, 32 respondents (50%) were knowledgeable, 13 respondents (40,63%) were knoledgeable enough, and 3 respondents (9,37%) were less knowledeable. Respondents with positive and negative attitudes have the same proportion which is 16 respondents (50%). Most respondents were uncompliance to EWS scoring (Compliance : 11 respondents (34,37%); Uncompliance : 21 respondents (56,63%)). The result of chi square bivariate analysis showed that, there was a significant correlation between length of working to compliance of EWS scoring with p value = 0,037 < α (0,05), while there was no significant correlation between knowledge (p value = 0,930 > α) and attitude (p value = 0,147 > α) to compliance of EWS scoring. The lack of intuitive knowledge was the contributting factor of increasing uncompliance, so the Hospital need to improve the quality of EWS Implementation through regular training and monitoring compliance in clinical environment of the Hospital / Early Warning Score (EWS) merupakan konsep pendekatan proaktif dengan menetapkan skoring parameter fisiologis yang sederhana. Pengetahuan, sikap dan kepatuhan perawat, merupakan faktor yang penting untuk menerapkan EWS secara efektif. Data awal yang diperoleh dari Rumah Sakit Umum Siloam Kupang menunjukkan masih tingginya angka kejadian Code Blue yang terjadi di ruang Bethesda, diikuti dengan rendahnya kepatuhan perawat dalam melaksanakan skoring EWS. Penelitian kuantitatif deskriptif korelasional ini, menggunakan pendekatan cross-sectional dengan menyebarkan kuisioner dan mengobservasi 32 perawat di ruang Bethesda Rumah Sakit Umum Siloam Kupang, dan teknik pengambilan sample adalah total sampling. Hasil analisa data univariat diperoleh 32 responden (50%) berpengetahuan baik, 13 responden (40,63%) berpengetahuan cukup dan 3 responden (9,37%) berpengetahuan cukup. Responden dengan sikap positif dan negatif memiliki proporsi yang sama yakni 16 responden (50%). Sebagian Responden tidak patuh melakukan skoring EWS (Patuh : 21 responden (34,37%), tidak patuh : 11 Responden (56,63%)). Hasil analisa data bivariat Chi Square diperoleh terdapat hubungan bermakna antara Kepatuhan Skoring EWS terhadap lama kerja dengan p value = 0,037 < α (0,05), sedangkan tidak terdapat hubungan bermakna antar pengetahuan (p value = 0,930 > α ) dan sikap ( p value = 0,147 > α) terhadap kepatuhan skoring EWS. Kurangnya pengetahuan yang intuitif merupakan faktor penyebab tingginya presentase ketidakpatuhan, sehingga perlu adanya usaha Rumah Sakit dalam meningkatnya kualitas penerapan EWS melalui pelatihan berkala dan monitoring kepatuhan penerapanya di lingkungan klinis Rumah sakit.

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