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The Effect of Patient Safety Culture and Leader Coaching Behaviour Nursing Managers on Patient Safety Incident Reporting at Panembahan Senopati Hospital, Yogyakarta

Witri Andi Pratiwi(1*), Qurratul Aini(2)
(1) Master of Hospital Administration, Muhammadiyah University of Yogyakarta
(2) Master of Hospital Administration, Muhammadiyah University of Yogyakarta
(*) Corresponding Author
DOI : 10.30604/jika.v6i3.843

Abstract

Every year, millions of patients worldwide suffer from disability, injury, or death due to unsafe medical practices. The Hospital Safety Committee in 2007 reported Patient Safety Incident (PSI) in Yogyakarta is 3rd out of eight provinces. One of the causes of the high PSI is an ineffective PSI reporting system. Patient Safety Culture (PSC) was recommended by the Institute of Medicine to prevent PSI. The presence of lead follow-up in the form of coaching in health affects the development of PSC. This study aims to know the effect of PSC and leader coaching behavior (LCB), nursing managers, on PSI reporting at Panembahan Senopati hospital. This study was a cross-sectional survey design. The sample was 134 nurses who served on the ward with inclusion and exclusion criteria. Data analysis used multiple linear regression. This study shows that there is a significant effect of PSC and LCB nursing managers on PSI reporting (R = 0,582; F-count= 88,545; p less than 0,05), which is indicated by the t-count of PSC on PSI reporting is 2,110 and t-count of LCB nursing managers on PSI reporting is 11,868 so that there is a significant effect of PSC and LCB nursing managers on PSI reporting.



Di seluruh dunia, terdapat jutaan pasien yang mengalami cacat, cedera, maupun kematian setiap tahun akibat medical error. Berdasarkan laporan Komite Keselamatan Pasien Rumah Sakit, Insiden Keselamatan Pasien (IKP) di Yogyakarta menempati urutan ke tiga tertinggi diantara delapan provinsi. Salah satu penyebab tingginya IKP adalah pelaporan IKP yang tidak efektif. Institute of Medicine merekomendasikan untuk membangun Budaya Keselamatan Pasien (BKP) guna mencegah terjadinya IKP. BKP dapat ditingkatkan dengan adanya tindak lanjut oleh pemimpin berupa coaching terhadap semua staf yang berperan pada pelayanan kesehatan. Penelitian ini untuk mengetahui pengaruh BKP dan Leader Coaching Behaviour (LCB) manajer keperawatan terhadap pelaporan IKP di RSUD Panembahan Senopati. Penelitian ini menggunakan desain penelitian cross sectional survey. Sampel dari penelitian ini adalah 134 perawat yang bertugas dibangsal, serta memenuhi kriteria inklusi dan eksklusi. Analisis data menggunakan regresi linier berganda. Hasil penelitian ini menunjukkan bahwa BKP dan LCB manajer keperawatan berpengaruh secara signifikan terhadap pelaporan IKP (R = 0,582; F hitung = 88,545; p kurang dari 0,05) yang ditunjukkan oleh nilai t hitung variabel BKP terhadap pelaporan IKP sebesar 2,110 dan t hitung variabel LCB manajer keperawatan terhadap pelaporan IKP sebesar 11,868. Kesimpulan: Terdapat pengaruh BKP dan leader coaching behaviour manajer keperawatan yang signifikan secara simultan terhadap pelaporan IKP.

Keywords


Pelaporan insiden keselamatan pasien; manajer keperawatan; budaya keselamatan pasien; Patient Safety Culture; Leader Coaching Behaviour; Patient safety incident reporting; Nursing Managers

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