Electronic Theses and Dissertation

KEMENTERIAN PENDIDIKAN, KEBUDAYAAN, RISET DAN TEHNOLOGI
UNIVERSITAS SYIAH KUALA
FAKULTAS KEPERAWATAN
PROGRAM STUDI MAGISTER KEPERAWATAN

TESIS
Juni 2023
XV + V BAB + 85 Halaman + 22 Tabel + 1 Gambar + 19 Lampiran
Cut Nana Mardiana
2112201010023
Determinan Budaya Keselamatan Pasien Pada Perawat di Rumah Sakit Umum Daer ah Aceh Timur
ABSTRAK
Keselamatan pasien melibatkan partisipasi dari semua petugas kesehatan terutama perawat. Perawat memiliki peranan penting untuk mewujudkan patient safety di rumah sakit yaitu sebagai pemberi pelayanan keperawatan. Penelitian ini bertujuan untuk mengidentifikasi determinan budaya keselamatan pasien pada perawat di Rumah Sakit Umum Daerah Aceh Timur dengan desain cross sectional study. Sampel penelitian berjumlah 166 perawat, dengan tehnik total sampling. Pengumpulan data menggunakan kuesioner Hospital Survey on Patient Safety Culture (HSOPSC) dan Safety Attitude Questionaire (SAQ). Data dianalisis menggunakan uji statistik deskriptif, chi square dan regresi logistik berganda dengan hasil menunjukkan bahwa faktor yang berhubungan dengan budaya keselamatan pasien adalah faktor kerjasama dalam unit (p=0,050), pembelajaran organisasi dan perbaikan berkelanjutan (p=0,000), umpan balik dan komunikasi tentang kesalahan (p=0,006) dan frekuensi pelaporan kejadian (p=0,000). Sedangkan faktor yang tidak berhubungan adalah harapan supervisor/manager dan tindakan promosi (p=0,285), dukungan dari pihak dari managemen untuk keselamatan pasien (p=0,259), keseluruhan persepsi mengenai keselamatan pasien (p=0,376), keterbukaan komunikasi (p=1,000), kerjasama antar unit (p=0,246), staffing (p=1,000), pergantian shift dan perpindahan pasien (p=0,128), respon tidak meghakimi terhadap kesalahan (p=0,262), dan faktor yang paling dominan berhubungan dengan budaya keselamatan pasien adalah pembelajaran organisasi dan perbaikan berkelanjutan pada kategori baik (p=0,000) dengan OR 18,394 (95% CI: 1,227-275,664).

Kata kunci : Budaya keselamatan pasien, pembelajaran organisasi, perawat
Daftar Pustaka : 10 Buku, 1 Tesis, 26 Jurnal, 6 Sumber Online (2004-2022)

MINISTRY OF EDUCATION, CULTURE, RESEARCH AND TECHNOLOGY UNIVERSITAS SYIAH KUALA FACULTY OF NURSING MASTER PROGRAM OF NURSING SCIENCE THESIS Mei 2023 xiii + V Chapters + 85 Pages + 22 Tables + 1 Figures + 19 Appendices Cut Nana Mardiana 2112201010023 Determinants of Patient Safety Culture in Nurses at East Aceh Regional General Hospital ABSTRACK Patient safety requires the active participation of all healthcare professionals, particularly nurses. Nurses have a fundamental role in delivering nursing care and promoting patient safety within the hospital. The objective of this study is to identify the determinants of patient safety culture among nurses at East Aceh Regional General Hospital. Employing a quantitative approach, the study utilized a cross-sectional design. The sample consisted of 166 nurses, selected through a total sampling technique. Data collection was conducted using reliable questionnaires. Data analysis involved the application of chi-square statistical tests and multiple logistic regression. The findings revealed significant associations between patient safety culture and factors such as teamwork within the unit (p=0.050), organizational learning and continuous improvement (p=0.000), feedback and communication regarding errors (p=0.006), as well as the frequency of incident reporting (p=0.000). Conversely, factors including supervisor/manager expectations and promotional actions (p=0.285), management support for patient safety (p=0.376), communication openness (p=1.000), shift changes and patient transfers (p=0.128), and a non-punitive response to errors (p=0.262) showed no significant association with patient safety culture. The factor demonstrating the strongest correlation with patient safety culture was identified as organizational learning and continuous improvement in the good category (p=0.000), exhibiting an odds ratio of 18.394 (95% CI: 1.227-275.664). Key words : Patient safety, Organizational learning, nurse References : 6 Books, 1 Thesis, 25 Journals, 6 Online Sources (2004-2022)