Analysis of Factors Related to the Role of Nurses as Care Givers in the Implementation of Patient Safety Through the Compliance Model Approach in the Emergency Room
Analysis
Abstract
Nurses in carrying out their role as care givers have the task of caring for patients, making decisions, communicating and collaborating with other health teams. The Emergency Room is part of the hospital that provides initial treatment for patients. The implementation of patient safety carried out by nurses is a form of compliance in every action or interaction with patients in accordance with a compliance theory or known as the "Compliance Model" (Charles et al, 2003). The design in this study was analytical observation using a cross-sectional approach. This study was conducted in the Emergency Room of Dr. Soedomo Trenggalek Hospital in March - April 2019. The population in this study were all nurses in the Emergency Room of Dr. Soedomo Trenggalek Hospital as many as 30 people with the sample being nurses in the Emergency Room of Dr. Soedomo Trenggalek Hospital. The sampling procedure was carried out using total sampling. The researcher used an instrument in the form of a questionnaire. The factor that most influences the role of nurses as care givers in implementing patient safety through the compliance model approach in the Emergency Room is the nurse's attitude. Hospitals are required to provide continuous education and training, periodic socialization of training results to improve the knowledge and skills of officers in implementing patient safety so that it has an impact on optimal nurse performance. Patient safety as a global issue must be included in the education curriculum and become a target for student competency achievement so that new nurses can implement patient safety.
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Jack Needleman, Peter Buerhaus, Soeren Mattke, Mauren Stewart, Katya Zelevinsky. 2010. Nurse-Staffing Levels and The Quality of Care in Hospotals. N Engl J Med, 346:1715-1722
JCHO. 2010. Improving Hand Off Communication. www.jci patient safety.org/15427.2010
J. Richard Hackman, Greg R Oldman. 2011. Motivation Through the Design of Work: Test of a Theory. Organizational Behavior and Human Perfomance . Vol 16, issue 2 pages 250-279
Kaveh Shonjaja, BW Duncan, KM McDonald, RM Wachter.2011. Making Health Care Safer: A Critical Analysis of Patient Safety Practices. 43(1), 668
Khon LT (Origon) J, M., and Donaldson, MS. 2010. To Err is Human Building a Safer health System. The National Academic Washington, http://www.nap.edu/openbook-php?isbn+0309068371
Komite Keselamatan Pasien Rumah Sakit (KKP-RS). Pedoman Pelaporan Insiden Keselamatan Pasien(IKP) (Patient Safety Incident Report). Edisi 2.2010. Jakarta
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Kreitner, Robert dan Knicki, Angelo. 2015. Perilaku Organisasi, buku 1 dan 2, Jakarta: Salemba Empat
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Mohr, P Batalden, P. Barach. 2013. Integrating Patient Safety Into The Clinical Microsystem. BMJ Quality & Safety. Volume 13, Issue suppl 2
Mointeiro, Danielli Leite Campos. 2015. Attitudes Towards Money and Motivational Orientation to Work in Brazilian Young Workers. Pp 11-30
Murphy DM. Shannon K. Pugliese. G. 2011. Patient Safety and the Risk Management Professional. Chapter 3. Risk Management Handbook for Health Care Organizations editor Robeta Carroll, American society For Health care Risk Management.
Nainggolan, Mei J(2010). Pengaruh Pelaksanaan Supervisi Kepala Ruangan terhadap Kinerja Perawat Pelaksana di Rumah Sakit Islam Malahayati Medan. Medan : Universitas Sumatera Utara.
Notoatmodjo, S. 2010. Pengantar Pendidikan dan Ilmu Perilaku Kesehatan. Andi Offset. Jakarta. Rineka Cipta.
Notoatmojo, S. (2012). Promosi Kesehatan dan Ilmu Perilaku. Jakarta: Rineka Cipta
Notoatmojo, S. 2014. Ilmu Perilaku Kesehatan. Jakarta: Rineka Cipta.
Nursalam, 2011. Manajemen Keperawatan. Edisi 3. Jakarta. Salemba Medika.
Nursalam. 2013. Metode Penelitian Ilmu Keperawatan. Pendekatan Praktis. Edisi 3. Penerbit Salemba Medika
Paparella, T., Stickles Goods, K., Freeman, S., Kasari C.2011. Thr Emergence of Nonverbal Joint Attention and Requesting Skills in Young Children with Autism, Journal of Communication Disorder, 44, 569-583
Pascale Carayon, Tosha B. Wetterneck, A. Joy Rivera-Rodrigues. 2013. Human Factors Systems Approach To Healhcare Quality And Patient Safety. HHS Public Access
Patient Safety Resource Centre. 2013. Patient Safety First: 2008-2010-The Compaign Review.
Pat Croskerry, Geeta Singhal, Silvia Mamede. 2013. Cognitive Deblasing 1: Origins Of Bias And Theory Of Debiasing. European Journal of Hospital Pharmacy. BMJ Quality & Safety.
Polit & Beck. 2010. Essentials of Nursing Reasearch Apparaising Evidence for Nursing Practice(4ed). Philadelphia: Lippincott William & Wilkins.
Riduwan. 2010. Skala Pengukuran Variabel-variabel Penelitian. Alfabeta, Bandung
Reader T, Fkin R., Mearns, K. & Cuthberison B, 2016. Interdisiplinary Communication in the Intensive Care Unit. British Journal of Anaesthesia, 347-352
Robbins, And Coulter Marry. 2012. Management. New Jersey: Pearson Education, Inc.
Robbins, Sethepen P. dan Timothy A. Judge. 2010. Organization Behavior, Perilaku Organisasi, Penerjemah Diana Angelica Ria Cahyani dan Abdul Rasyid. Jakarta: Salemba Empat
Sammer, CE, James BM,2011. Patient Safety Culture: The Nursing Unit Leaders Role, The Online Journal of Applied Psichology. 84(3): 416-27
Setiowati D, 2010. Hubungan Kepemimpinan Efektif Head Nurse dengan Penerapan Budaya Keselamatan pasien oleh Perawat Pelaksana di RSUPN Dr. Cipto Mangunkusumo Jakarta. Universitas Indonesia.
Stephen P. Robbins, Timothy A. Judge. 2010. “Perilaku organisasi Organizational Behavior”. Buku 1 dan 2. Jakarta: Salemba Empat.
Suharsimi Arikunto. 2010. Prosedur Penelitian. Suatu Pendekatan Praktik. Cetakan 14. Jakarta: Rineka Cipta
Suzanne C. Beyea, Mary Jo Slattery, Linda J Von Reyn,2010. Outcomes of a Simulation-Based Nurse Residensy Program. Clinical Simulation in Nursing. Volume 6, Issue 5, Pages e169-e175
Thomas E. Sextion J. Neilands. T. Frankel A., Helmreich R. 2015. The Effect of Executive Walk Round on Nurse Safety Climate BMC. Health Services Research 5;28
Vincent C., 2010. Patient Safety 2nd Edition Wiley-Black Well, BMJ Books.
Wong Jiahui, Beglaryan Hasmik.2014. Strategies For Hospitals to Improve Patient Safety: A Review of the Research. The Change Foundation. Creative Change for Better Health.
World Health organization (WHO). 2010. Better Knowledge for Safer Care. Human Factors in Patient Safety of Topic and Tools. Report for Method & Measures of Working Group. WHO. Patient safety. April. 2010.
Yule, S., Flin, R. Dovies, J. & Mckee, L. 2012. Health Care CEO. Leadership Style ad Safety in Proceding of the Human Factors and Ergonomic Society, New York, September
Adams, G. James, 2010. Quality dan Patient Safety in Emergency Medicine. Emergency Medicine, 208, 1731-1742.e2
Adolfina, Carini Natasya, Rita N. Taroreh. 2017. Analisis perbandingan Kinerja Pegawai di Politeknik Negeri Manado. ISSN. 2303-1174
Ahaddyah, Rachma, M. (2012). Analisis Pelaksanaan Supervisi Keperawatan di RSUD Kota Depok tahun 2012. Program Ilmu Kesehatan Masyarakat. Fakultas Kesehatan Masyarakat Universitas Indonesia.
Aisha, hardjomidjojo, 2013, Effects of Working Ability, Working Condition, Motivation and Incentive on Employees Multi-Dimensional Performance, International Journal of Innovation, Management and Technology, Vol. 4, No. 6, 35-41, Desember 2013
Alastair Adair, Jim Berry, Stainley McGreal. 2011. Valuation of Residential Property: Analysis of Participant Behavior. Journal of Property Valuation and Investment. 14(1): 20-35
Anwar Prambudu Mangkunegara. 2014. Manajemen Sumber Daya Manusia. Bandung: Remaja Rosdakarya.
Airifin, Z. 2011. Penelitian Pendidikan : Metode dan Paradigma Baru.
Bandung : Remaja Rosdakarya.
Ariyani, 2013, Hubungan Pengetahuan dan Sikap Perawat dengan Kepatuhan Pelaksanaan Keselamatan Pasien (patient safety) di RS Sawerigading, Jurnal Keperawatan, Vol. 11 No. 2, 54-62
Ayudyawardini S.D. 2012. Pengembangan Model Budaya Keselamatan Pasien Yang Sesuai di Rumah Sakit Ibu Anak Tumbuh Kembang Cimanggis Tahun 2012. Thesis, FKM-UI
Aziz Alimul Hidayat. 2010. Metode Penelitian Keperawatan Teknik Analisis Data. Cetakan Kedua. Jakarta: Salemba Medika
Anwar, S (2010). Sikap Manusia: Teori dan Pengukuranya . Edisi Kedua. Yogyakarta : Pustaka Pelajar
Baard, P.P., Deci, E.L., & Ryan, R.M.2011, Intrinsic Need Satisfaction: A Motivational basis of performance and well-being in two work settings. Unpublished manuscript, Fordham University.
Badi’ah A, 2010, Hubungan Motivasi Perawat dengan kinerja Perawat di Ruang Rawat Inap Rumah Sakit Daerah Panembahan Senopati Bantuk. Jurnal Manajemen Pelayanan Kesehatan. Volume 12 (2), 74-81
Barbara, K., Erb, G, et al. (2010). Buku Ajar Fundamental Keperawatan (konsep, Proses dan Praktik) Volume 2, Jakarta : EGC
Benner , P, 1984. From novice to expert: excellence and p[ower in clinical nursing practice, Menlo Park: Addison-Wesley, p. 13-14
Cahyono, B , 2012, Membangun Budaya Keselamatan Pasien Dalam Praktik Kedokteran, Yogyakarta; Kanisius
Canadian Patient Safety Institute (CPSI). 2010, The Safety Competencies. Enhacing Patient Safety Aross the Health Professions, First Edition (rev, August 2009),
Charles H, Le Grand. Building a Culture of Compliance, IBS America. 2013
Charles Vinsent, 2010, Patient Safety 2nd Edition Wiley-Black Well. BMJ Books.
Dahlan S,M, 2014, Statistik untuk Kedokteran dan Kesehatan; Deskriptif Bivariat dan Multivariat dilengkapi dengan menggunakan SPSS Edisi 5. Penerbit Salemba Madika Jakarta.
Dahlan S,M, 2011, Statistik untuk Kedokteran dan Kesehatan. Edisi 5 Cetakan ketujuh, Salemba Medika Jakarta.
Dahlan S,M, 2014, Analisis Regresi Linear. Disertai Praktek dengan SPSS. Salemba Medika Jakarta.
Dahlan S,M, 2014, Statistik untuk Kedokteran dan Kesehatan; Deskriptif Bivariat dan Multivariat dilengkapi dengan menggunakan SPSS Edisi 6. Penerbit Salemba Madika Jakarta.
Departemen Kesehatan R,I 2010, Paanduan Nasional Keselamatan Pasien Rumah Sakit, Jakarta : Bhakti Husada
Donald C Lantu, 2015, Servant Leadership Theory Development dan Measurement, 115, 387-393
Dwi Prahasto, 2010, Medical Eror di Rumah Sakit & Upaya untuk menimalkan Resiko, Jurnal Manajemen Pelayanan Kesehatan 7(01)
Edmondson, 2013, Speaking up in The Operating Room, How Tearm Leaders Promote Learning in interdisciplinary Action Terarms, Journal of mManagement Studies, 40, 1419-1452
Etzioni, A, 2014, A Comprehensive analysis of Complex Organizations (re.ed), New York; Free Press
Fin R, & Yule S, 2014, Leadership and Safety Health Care, Lessons From Industry, Quality & Safety in Health Care, 13
Fred Luthans, Carolyn M Youssef-Morgan. 2017. Annual Review of Organizational Psychology and Organizational Behavior. Vol. 4: 339-366
Gerri Kaufman, Dorothy Mccaughan. 2013. The Effect of Organizational Culture on Patient Safety. Nursing Standart: Official Newspaper of the Royal College og Nursing. 27(43):50-56
Gibson J.L Ivancevich and Deonnley Jr. 2012. Organisasi: Perilaku, Struktur, Proses Jilid 1. Tangerang: Bina Rupa Aksara.
Griffiths, Peter., Renz Anna., Rafferty Anne Marie., 2010. The Impact of Organization and Management Factors on Infection Control in Hospitals: a Scoping Review. London: King’s College London, University of London
Haig, H. M., Sutton, S., & Whittington, J. (2016). National Patient Safety Goals. “SBAR: A Shared Mental Model for Improving Communication Between Clinicians, “Joint Commission Journal on Quality & Patient Safety, 32(3)
Hasibuan. 2010. Manajemen Sumber Daya Manusia. Jakarta: Bumi Aksara
Haynes. 2013. Surgical Safety Checklist to Reduce Morbidity and Mortality Population New England. Journal of Medicine 360
Heather N Rassmussen, Michael F Scheier, Joel B. Greenhouse. 2010. Optimism and Physical Health: A Meta-Analytic Review HHS Public Access. 37(3): 239-256
Ika Kasmita Sari. Faktor-Faktor Yang Berhubungan Dengan Burnout Perawat Di RSUD Haji Makassar. 2015
Indah Lestari. Pengembangan Compliance Model Bagi Perawat Dalam Melaksanakan Standart Prosedur Operasional Patient Safety Berbasis Compliance Pressure. Surabaya. Universitas Airlangga . 2016.
Indrasuti. 2010. Analisis Hubungan Perilaku Caring Dan Motivasi Dengan Kinerja Perawat Pelaksana Menerapkan Prinsip Etik Keperawatan Dalam Asuahan Keperawatan Di RSUD Sragen. Tesis. Universitas Indonesia
Institute of Medicine: To Err Is Human: Building a Safer Health System Washington DC: Nation Academy Press, 2011.
Jack Needleman, Peter Buerhaus, Soeren Mattke, Mauren Stewart, Katya Zelevinsky. 2010. Nurse-Staffing Levels and The Quality of Care in Hospotals. N Engl J Med, 346:1715-1722
JCHO. 2010. Improving Hand Off Communication. www.jci patient safety.org/15427.2010
J. Richard Hackman, Greg R Oldman. 2011. Motivation Through the Design of Work: Test of a Theory. Organizational Behavior and Human Perfomance . Vol 16, issue 2 pages 250-279
Kaveh Shonjaja, BW Duncan, KM McDonald, RM Wachter.2011. Making Health Care Safer: A Critical Analysis of Patient Safety Practices. 43(1), 668
Khon LT (Origon) J, M., and Donaldson, MS. 2010. To Err is Human Building a Safer health System. The National Academic Washington, http://www.nap.edu/openbook-php?isbn+0309068371
Komite Keselamatan Pasien Rumah Sakit (KKP-RS). Pedoman Pelaporan Insiden Keselamatan Pasien(IKP) (Patient Safety Incident Report). Edisi 2.2010. Jakarta
Kostopolou, O. 2010 Diagnostic Error, Psychological Theories and Research Implications. In B. Hurwit & A. Sheikh (Eds) Health Care Error and Patient Safety. Chichester. Wilet-Blackwell
Kreitner, Robert dan Knicki, Angelo. 2015. Perilaku Organisasi, buku 1 dan 2, Jakarta: Salemba Empat
Krisanata, A. (2016). Faktor-faktor yang berhubungan dengan praktik universal precautions pada perawat dalam upaya pencegahan Healthcare Associated Infections (HAIs) di ruang rawat inap RSUD Tugurejo Semarang.
Kusnanto, 2010. Pengantar Profesi Dan Praktik Keperawatan Profesional.
Jakarta:EGC
Lia Mulyati, Dedy Rachman, Yana Herdiana. 2016. Faktor Determinan Yang Mempengaruhi Budaya Keselamatan Pasien di RS Pemerintah Kabupaten Kuningan. JKP. Volume 5 Nomor 3 Desember 2017
Lacknan NA, Mains DA, Sinqh KP. 2010. Whay is Patient safety Culture? A Review of The Literature. J. Nurs Scholarsh. 42(2):156
Manojlovich Milisa, Cathy L Antonakos, david L Ronis. 2010. Intensive Care Units, Communacation Between Nurses and Physcians, and Patients’ Outcomes . AJCC.
McGoven, G, 2010, Factors Affecting Universal Precautions Compliance, Journal of Business and Psychology, Vol. 200. No. 151. Pg 149-158
Mohr, P Batalden, P. Barach. 2013. Integrating Patient Safety Into The Clinical Microsystem. BMJ Quality & Safety. Volume 13, Issue suppl 2
Mointeiro, Danielli Leite Campos. 2015. Attitudes Towards Money and Motivational Orientation to Work in Brazilian Young Workers. Pp 11-30
Murphy DM. Shannon K. Pugliese. G. 2011. Patient Safety and the Risk Management Professional. Chapter 3. Risk Management Handbook for Health Care Organizations editor Robeta Carroll, American society For Health care Risk Management.
Nainggolan, Mei J(2010). Pengaruh Pelaksanaan Supervisi Kepala Ruangan terhadap Kinerja Perawat Pelaksana di Rumah Sakit Islam Malahayati Medan. Medan : Universitas Sumatera Utara.
Notoatmodjo, S. 2010. Pengantar Pendidikan dan Ilmu Perilaku Kesehatan. Andi Offset. Jakarta. Rineka Cipta.
Notoatmojo, S. (2012). Promosi Kesehatan dan Ilmu Perilaku. Jakarta: Rineka Cipta
Notoatmojo, S. 2014. Ilmu Perilaku Kesehatan. Jakarta: Rineka Cipta.
Nursalam, 2011. Manajemen Keperawatan. Edisi 3. Jakarta. Salemba Medika.
Nursalam. 2013. Metode Penelitian Ilmu Keperawatan. Pendekatan Praktis. Edisi 3. Penerbit Salemba Medika
Paparella, T., Stickles Goods, K., Freeman, S., Kasari C.2011. Thr Emergence of Nonverbal Joint Attention and Requesting Skills in Young Children with Autism, Journal of Communication Disorder, 44, 569-583
Pascale Carayon, Tosha B. Wetterneck, A. Joy Rivera-Rodrigues. 2013. Human Factors Systems Approach To Healhcare Quality And Patient Safety. HHS Public Access
Patient Safety Resource Centre. 2013. Patient Safety First: 2008-2010-The Compaign Review.
Pat Croskerry, Geeta Singhal, Silvia Mamede. 2013. Cognitive Deblasing 1: Origins Of Bias And Theory Of Debiasing. European Journal of Hospital Pharmacy. BMJ Quality & Safety.
Polit & Beck. 2010. Essentials of Nursing Reasearch Apparaising Evidence for Nursing Practice(4ed). Philadelphia: Lippincott William & Wilkins.
Riduwan. 2010. Skala Pengukuran Variabel-variabel Penelitian. Alfabeta, Bandung
Reader T, Fkin R., Mearns, K. & Cuthberison B, 2016. Interdisiplinary Communication in the Intensive Care Unit. British Journal of Anaesthesia, 347-352
Robbins, And Coulter Marry. 2012. Management. New Jersey: Pearson Education, Inc.
Robbins, Sethepen P. dan Timothy A. Judge. 2010. Organization Behavior, Perilaku Organisasi, Penerjemah Diana Angelica Ria Cahyani dan Abdul Rasyid. Jakarta: Salemba Empat
Sammer, CE, James BM,2011. Patient Safety Culture: The Nursing Unit Leaders Role, The Online Journal of Applied Psichology. 84(3): 416-27
Setiowati D, 2010. Hubungan Kepemimpinan Efektif Head Nurse dengan Penerapan Budaya Keselamatan pasien oleh Perawat Pelaksana di RSUPN Dr. Cipto Mangunkusumo Jakarta. Universitas Indonesia.
Stephen P. Robbins, Timothy A. Judge. 2010. “Perilaku organisasi Organizational Behavior”. Buku 1 dan 2. Jakarta: Salemba Empat.
Suharsimi Arikunto. 2010. Prosedur Penelitian. Suatu Pendekatan Praktik. Cetakan 14. Jakarta: Rineka Cipta
Suzanne C. Beyea, Mary Jo Slattery, Linda J Von Reyn,2010. Outcomes of a Simulation-Based Nurse Residensy Program. Clinical Simulation in Nursing. Volume 6, Issue 5, Pages e169-e175
Thomas E. Sextion J. Neilands. T. Frankel A., Helmreich R. 2015. The Effect of Executive Walk Round on Nurse Safety Climate BMC. Health Services Research 5;28
Vincent C., 2010. Patient Safety 2nd Edition Wiley-Black Well, BMJ Books.
Wong Jiahui, Beglaryan Hasmik.2014. Strategies For Hospitals to Improve Patient Safety: A Review of the Research. The Change Foundation. Creative Change for Better Health.
World Health organization (WHO). 2010. Better Knowledge for Safer Care. Human Factors in Patient Safety of Topic and Tools. Report for Method & Measures of Working Group. WHO. Patient safety. April. 2010.
Yule, S., Flin, R. Dovies, J. & Mckee, L. 2012. Health Care CEO. Leadership Style ad Safety in Proceding of the Human Factors and Ergonomic Society, New York, September
Published
2025-07-17
How to Cite
WULANDARI, Dewi; IXORA, Ixora.
Analysis of Factors Related to the Role of Nurses as Care Givers in the Implementation of Patient Safety Through the Compliance Model Approach in the Emergency Room.
Jurnal Keperawatan Terapan, [S.l.], v. 11, n. 1, p. 68-79, july 2025.
ISSN 2442-6873.
Available at: <https://ojs.poltekkes-malang.ac.id/index.php/JKT/article/view/5435>. Date accessed: 19 july 2025.
doi: https://doi.org/10.31290/jkt.v11i1.5435.
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Original Articles
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