Efikasi Diri dan Sikap Perawat dalam Melaporkan Insiden Keselamatan Pasien di Rumah Sakit

Naadiyah Zakiyyah, Hanny Handiyani, Rr. Tutik Sri Hariyati, Enie Novieastari

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ABSTRACT

 

Nurses' negative attitudes in reporting patient safety incidents has an impact on the low number of reported incidents (underreporting). Reporting incidents is beneficial and can be a lesson to prevent the recurrence of similar incidents so it’s improve patient safety. Self-efficacy is a factor that encourages nurses to have a positive attitude towards reporting incidents. Efficacy is an individual's belief in their ability to overcome a particular task. This research aims to identify the relationship between self-efficacy and nurses' attitudes in reporting patient safety incidents in hospitals. This cross-sectional study involved 117 nurses selected using probability sampling. The study used the Reporting of Clinical Adverse Events (RoCAES) questionnaire and the General Self Efficacy (GSE) questionnaire. The results shows that there is a strong relationship between nurse’s self-efficacy and nurses' attitudes in reporting patient safety incidents (p= 0.001). High self-efficacy improves nurses' attitudes towards reporting incidents. Recommendations for hospitals to establish clear procedures regarding the types of incidents that must be reported, create a climate of no blame and shame, and promote nurses' self-efficacy by regularly holding training and sharing knowledge and experience in reporting patient safety incidents.

 

Keywords: Attitude; Nurse; Patient Safety Incident; Self-Efficacy

 

ABSTRAK

 

Masalah sikap perawat yang negatif dalam melaporkan insiden berdampak pada rendahnya angka insiden yang dilaporkan (underreporting). Pelaporan insiden bermanfaat sebagai pembelajaran untuk mencegah terulangnya kejadian serupa sehingga dapat meningkatkan keselamatan pasien. Efikasi diri merupakan faktor yang mendorong perawat untuk bersikap positif terhadap pelaporan insiden. Efikasi merupakan keyakinan individu terhadap kemampuan yang dimiliki dalam mengatasi suatu tugas tertentu. Penelitian ini bertujuan untuk mengidentifikasi hubungan efikasi diri dan sikap perawat dalam melaporkan insiden keselamatan pasien di rumah sakit. Penelitian cross-sectional ini melibatkan 117 perawat yang dipilih secara probability sampling. Penelitian menggunakan kuesioner Reporting of Clinical Adverse Events (RoCAES) dan kuesioner General Self Efficacy (GSE). Hasil didapatkan adanya hubungan yang kuat antara efikasi diri perawat dan sikap perawat dalam melaporkan insiden keselamatan pasien (p= 0,001). Efikasi diri yang tinggi meningkatkan sikap perawat terhadap pelaporan insiden. Rekomendasi bagi pihak rumah sakit untuk menetapkan prosedur yang jelas terkait jenis insiden yang harus dilaporkan, menciptakan iklim tidak menyalahkan dan memalukan, dan meningkatkan potensi efikasi diri perawat dengan rutin mengadakan pelatihan dan berbagi ilmu serta pengalaman dalam melaporkan insiden.

 

Kata Kunci: Efikasi Diri; Insiden Keselamatan Pasien; Perawat; Sikap


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Referensi


Berman, A., Synder, S. J., & Frandsen, G. (2016). Kozier & Erb’s Fundamentals of Nursing Concepts, Practice, and Process (Tenth Edition). Pearson.

Daud, A. (2022). Pelaporan Insiden Keselamatan Pasien.

De Miguel, M. S., de Elguea, J. O., Gómez-Gastiasoro, A., Urcola, F., Cid-Expósito, M. G., Torres-Enamorado, D., & Orkaizagirre-Gomara, A. (2023). Patient safety and its relationship with specific self-efficacy, competence, and resilience among nursing students: A quantitative study. Nurse Education Today, 121. https://doi.org/10.1016/j.nedt.2022.105701

Fathiyani, M. G., & Ayubi, D. (2022). Factors Affecting Patient Safety Incident Reporting. Journal Research of Social, Science, Economics, and Management, 1(8), 1103–1117. https://doi.org/10.36418/jrssem.v1i8.67

Gibson, J. L., Ivancevich, J. M., Donnelly, J. H., & Konopaske, R. (2012). Organizations Behavior, Structure, Processes (14th Edition). McGraw-Hill.

Gordhon, Y., & Padayachee, N. (2020). Evaluating the knowledge, attitudes and practices of healthcare workers towards adverse drug reaction reporting at a public tertiary hospital in Johannesburg. International Journal of Africa Nursing Sciences, 12. https://doi.org/10.1016/j.ijans.2020.100191

Harsul, W., Irwan, A. M., & Sjattar, E. L. (2020). The relationship between nurse self-efficacy and the culture of patient safety incident reporting in a district general hospital, Indonesia. Clinical Epidemiology and Global Health, 8(2), 477–481. https://doi.org/10.1016/j.cegh.2019.10.013

Kemenkes. (2022). KMK No HK.01.07/Menkes/1128/2022 Tentang Standar Akreditasi Rumah Sakit.

Kim, J. E., Jiang, Y. H., & Dee, V. (2023). Psychometric Properties of General Self-Efficacy (GSE) Scale Korean Version for Older Korean Immigrants with Diabetes: A Cross-Sectional Study in the United States. Nursing Reports, 13(2), 844–854. https://doi.org/10.3390/nursrep13020074

Kusumawati, A. S., Handiyani, H., & Rachmi, S. F. (2019). Patient safety culture and nurses’ attitude on incident reporting in Indonesia. Enfermeria Clinica, 29, 47–52. https://doi.org/10.1016/j.enfcli.2019.04.007

Magon, A., Conte, G., Dellafiore, F., Arrigoni, C., Baroni, I., Brera, A. S., Avenido, J., De Maria, M., Stievano, A., Villa, G., & Caruso, R. (2023). Nursing Profession Self-Efficacy Scale—Version 2: A Stepwise Validation with Three Cross-Sectional Data Collections. Healthcare (Switzerland), 11(5). https://doi.org/10.3390/healthcare11050754

Mohamed, M., Hamed, M., & Konstantinidis, S. T. (2021). Barriers to Incident Reporting among Nurses: A Qualitative Systematic Review.

Naome, T., James, M., Christine, A., & Mugisha, T. I. (2020). Practice, perceived barriers and motivating factors to medical-incident reporting: A cross-section survey of health care providers at Mbarara regional referral hospital, southwestern Uganda. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-05155-z

Ramírez, E., Martín, A., Villán, Y., Lorente, M., Ojeda, J., Moro, M., Vara, C., Avenza, M., Domingo, M. J., Alonso, P., Asensio, M. J., Blázquez, J. A., Hernández, R., Frías, J., & Frank, A. (2018). Effectiveness and limitations of an incident-reporting system analyzed by local clinical safety leaders in a tertiary hospital: Prospective evaluation through real-time observations of patient safety incidents. Medicine (United States), 97(38). https://doi.org/10.1097/MD.0000000000012509

Robbins, S. P., & Judge, T. A. (2013). Organizational Behavior (15th Edition). Pearson Education Inc.

Schwarzer, R., & Jerusalem, M. (1995). General Self-Efficacy Scale (GSE).

Wanda, M. Y., Nursalam, N., & Wahyudi, A. S. (2020). Analisis Faktor yang Mempengaruhi Pelaporan Insiden Keselamatan Pasien pada Perawat. Fundamental and Management Nursing Journal, 3(1), 1–10. https://doi.org/10.20473/fmnj.v2i2.17284

Ward, C. S., & Mangion, D. (2023). Nurses’ attitudes and barriers to incident reporting in Malta’s acute general hospital. British Journal of Nursing, 32(4), 194–200. https://doi.org/10.12968/bjon.2023.32.4.194

Wilson, B., Bekker, H. L., & Fylan, F. (2008). Reporting of clinical adverse events scale: A measure of doctor and nurse attitudes to adverse event reporting. Quality and Safety in Health Care, 17(5), 364–367. https://doi.org/10.1136/qshc.2006.021691

Zhao, X., Shi, C., & Zhao, L. (2022). Nurses’ Intentions, Awareness and Barriers in Reporting Adverse Events: A Cross-Sectional Survey in Tertiary Hospitals in China. Risk Management and Healthcare Policy, 15, 1987–1997. https://doi.org/10.2147/RMHP.S386458




DOI: https://doi.org/10.33024/mahesa.v4i6.14210

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