Increased application of the 'six right' principle in the administration of drugs by nurses among the inpatient room through the supervision of the reflective model



Eni Nuryani(1Mail), Lucky Dwiantoro(2), Devi Nurmalia(3),
(1) Universitas Diponegoro Semarang, Indonesia
(2) Diponegoro University Semarang, Indonesia
(3) Diponegoro University Semarang, Indonesia

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Copyright (c) 2020 Jurnal Aisyah : Jurnal Ilmu Kesehatan



Submitted : 2019-12-02
Published : 2020-05-15

Abstract


The Six Rights Of Medication Administration is a procedure and legality for nurses in the hospital. The results of previous study indicate that nurses' compliance in applying Six Rights Of Medication Administration is still low. Reflective supervision model is needed to improve the correct application of six rights on medication administration in a very interactive and active way of learning. This study was aimed to evaluate the influence of reflective supervision model on the correct application of the six rights of medication administration by nurses at the inpatient ward. The design used was Quasy experimental method with pre and post test control group, with the reflective supervision model intervention is given to the intervention group for two weeks. Population of this study is all nurses at the inpatient ward. The number of samples was 78 nurses, consisting of 39 nurses as an intervention group and 39 nurses as a control group. Purposive sampling technique (non probability sampling) is used as the sampling method to determine the number of sample of this study. Wilcoxon and Mann-Whitney used to process statistical analysis. The result show that there were differences on the the correct application of  the six rights of medication by nurses after intervention between intervention group and control group ( ? = 0,000 < 0,05 ). Result from  spearman rho correlation shows that rho = 0,657 means there is a strongly significant influence  of reflective supervision model to correct application of six rights on medication administration by nurses. Suggested to all of the chief of nurses at the inpatient wards to provide a routinely reflective supervision model to maintain and improve the correct application of six rights on medication administration by nurses.

 


Abstrak

Prinsip enam benar  obat merupakan prosedur dan legalitas bagi perawat di rumah sakit. Hasil riset sebelumnya perawat dalam menerapkan prinsip enam benar obat masih rendah. Supervisi model reflektif diperlukan  untuk meningkatkan ketepatan penerapan prinsip enam benar  obat dengan cara yang sangat interaktif dan aktif belajar. Tujuan penelitian ini adalah untuk mengetahui pengaruh supervisi model reflektif terhadap ketepatan penerapan prinsip enam benar obat oleh perawat. Penelitian dilakukan dengan metode Quasy experimental pre-post test control group design, intervensi supervisi model reflektif diberikan kepada kelompok intervensi selama 2 minggu. Populasi adalah perawat di ruang rawat inap. Jumlah sampel adalah 78 perawat terdiri atas kelompok intervensi 39 perawat dan kelompok kontrol 39 perawat.  Pengambilan sampel dilakukan dengan teknik purposive sampling (non probability sampling). Analisa statistik menggunakan Wilcoxon dan Mann-Whitney. Hasil penelitian menunjukkan bahwa terdapat perbedaan ketepatan penerapan prinsip enam benar obat oleh perawat sesudah diberikan intervensi (p = 0,000 < 0,05). Hasil uji Korelasi Spearman bahwa nilai Rho = 0,657 dapat disimpulkan terdapat pengaruh yang signifikan kuat supervisi model reflektif terhadap ketepatan penerapan prinsip enam benar obat oleh perawat. Disarankan bagi kepala ruang untuk memberikan supervisi model reflektif secara rutin untuk mempertahankan dan meningkatkan ketepatan penerapan prinsip enam benar obat oleh perawat.


Keywords


Kata kunci: Supervisi, Model Reflektif, Prinsip Enam Benar Obat

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