The Influence Of Clinical Skills and Supervision Techniques On the Implementation Of Patient Safety Standards With Caring Behavior as An Intervening Variable in Inpatient Nurses at Rsau Soemitro

Dwi Yanti Elok Palupi; Kemala Rita; Nofierni Nofierni; Rokiah Kusumapradja

doi:10.61132/vitamin.v3i2.1197

Authors

Dwi Yanti Elok Palupi Universitas Esa Unggul
Kemala Rita Universitas Esa Unggul
Nofierni Nofierni Universitas Esa Unggul
Rokiah Kusumapradja Universitas Esa Unggul

DOI:

https://doi.org/10.61132/vitamin.v3i2.1197

Keywords:

Caring Behavior, Clinical Skills, Implementation of Patient Safety Standards, Supervisory Techniques

Abstract

The implementation of patient safety standards is a major challenge in healthcare services, particularly in hospitals such as RSAU Soemitro. Data indicates that there were 25 patient safety incidents in the Inpatient Installation in 2023, with falls being the most common case (9), followed by nosocomial infections, medication errors (4), and the absence of patient identification bracelets during surgery (7). This study aims to analyze the influence of clinical skills and supervisory techniques on the implementation of patient safety standards at RSAU Soemitro, with caring behavior as an intervening variable. This quantitative research employs a cross-sectional study design, using a sample of 110 nurses in the inpatient installation. Data collection was conducted using questionnaires, and data analysis was performed using SEM-PLS techniques. The results show that the implementation of patient safety standards is simultaneously influenced by clinical skills, supervisory techniques, and caring behavior. Caring behavior can be significantly influenced by both clinical skills and supervisory techniques. Additionally, the implementation of patient safety standards is influenced by clinical skills and supervisory techniques both directly and indirectly through caring behavior. Furthermore, caring behavior has been proven to be the most significant factor, contributing 53.1%. These findings suggest that hospital management should focus on interpersonal skills training to support better implementation of patient safety standards.

Downloads

Download data is not yet available.

References

Agbar, F., Zhang, S., Wu, Y., & Mustafa, M. (2023). Effect of patient safety education interventions on patient safety culture of health care professionals: Systematic review and meta-analysis. Nurse Education in Practice, 67, 103565. https://doi.org/10.1016/j.nepr.2023.103565

Aini, Q. (2020). Model of caring behavior influenced by culture and cognitive attitudes of safety patients: Case study of PKU Muhammadiyah Hospital in Bantul. Enfermería Clínica, 30, 272–275. https://doi.org/10.1016/j.enfcli.2020.06.062

Alikari, V., Fradelos, E., Zartaloudi, A., Kolovos, P., & Zyga, S. (2024). Nurses’ skill factors affecting nurses’ caring behaviors: A study in Greece. https://doi.org/10.20944/preprints202401.0464.v1

Amsrud, K., Lyberg, A., & Severinsson, E. (2019). The influence of clinical supervision and its potential for enhancing patient safety: Undergraduate nursing students’ views. Journal of Nursing Education and Practice, 5. https://doi.org/10.5430/jnep.v5n6p87

Ariani, K. R., & Putri, G. A. (2016). Pengaruh Belanja Modal Dan Dana Alokasi Umum Terhadap Kemandirian Daerah. Seminar Nasional dan The 3rd Call for Syariah Paper, 364–369.

Ashagere, M., Yeheyis, T., Addisu, D., Abera, W., Amlaku, T., Tadesse, F., Beyene, B., Samuel, T., & Daba, A. K. (2023). Caring behaviour and its associated factors among nurses organizational commitment working at public hospitals in Gamo zone, southern Ethiopia: A cross-sectional study. BMJ Open, 13(10), e072183. https://doi.org/10.1136/bmjopen-2023-072183

Biresaw, H., Asfaw, N., & Zewdu, F. (2020). Knowledge and skill of nurses towards patient safety and its associated factors. International Journal of Africa Nursing Sciences, 13, 100229. https://doi.org/10.1016/j.ijans.2020.100229

Bougie, R., & Sekaran, U. (2019). Research Methods For Business: A Skill Building Approach. Wiley.

Boyd, C. (2022). Clinical Skills for Nurses. Wiley.

Burnard, P., & Morrison, P. (1997). Caring and Communicating: Facilitators’ Manual: The Interpersonal Relationship in Nursing. Macmillan Education UK.

Byers, J. F., & White, S. V. (2004). Patient Safety: Principles and Practice. Springer Publishing Company.

Donaldson, L., Ricciardi, W., Sheridan, S., & Tartaglia, R. (2020). Textbook of Patient Safety and Clinical Risk Management. Springer International Publishing.

Donaldson, L., Ricciardi, W., Sheridan, S., & Tartaglia, R. (2021). Textbook of Patient Safety and Clinical Risk Management. Springer International Publishing.

Fayol, H. (2013). General and Industrial Management. Martino Publishing.

Ferdinand, A. (2014). Metode Penelitian Manajemen. BP Undip.

Ghozali, I. (2018). Aplikasi Analisis Multivariate dengan Program IBM SPSS 25 (9th ed.). Semarang: Badan Penerbit Universitas Diponegoro.

Hair, J. F. J., Black, W. C., Babin, B. J., & Anderson, R. E. (2019). Multivariate data analysis (8th ed.). Cengage Learning EMEA.

Handayani, E. T., & Kuntarti, K. (2022). Nurses’ caring behavior on patient safety goals. Journal of Public Health Research, 11(2), jphr.2021.2741. https://doi.org/10.4081/jphr.2021.2741

Hi Ukum, M. (2021). Nurse caring behavior analysis with fall risk patient safety in surgical care of Mokoyurli Hospital Buol District. Journal of Applied Nursing and Health, 3(1), 28–33. https://doi.org/10.55018/janh.v3i1.22

Hughes, R. G., & Clancy, C. M. (2019). Nurses’ skill in patient safety. Journal of Nursing Care Quality, 24(1).

Inocian, E. P., Hill, M. B., Felicilda-Reynaldo, R. F. D., Kelly, S. H., Paragas, E. D., & Turk, M. T. (2022). Supervision techniques that influence caring behaviors of undergraduate nursing students: An integrative review. Nurse Education in Practice, 63, 103391. https://doi.org/10.1016/j.nepr.2022.103391

Julita, D., Putra, A., Satria, B., Kamil, H., & Yuswardi, Y. (2020). Head nurses’ supervision and its correlation with patient safety in Aceh hospital setting, Indonesia. https://doi.org/10.5220/0008395401290135

Kalsoom, Z., Victor, G., Virtanen, H., & Sultana, N. (2023). What really matters for patient safety: Correlation of nurse skill with international patient safety goals. Journal of Patient Safety and Risk Management, 28(3), 108–115. https://doi.org/10.1177/25160435221133955

Kasmiaty, Baharuddin, Fattah, M. N., Mulfiyanti, D., Ermawati, Umanailo, M. C. B., & Hadi, I. (2021). The influence of supervision of heads of rooms and knowledge of implementing nurses on patient safety through the quality of nursing services at the regional hospital. Proceedings of the International Conference on Industrial Engineering and Operations Management, 3214–3222. https://doi.org/10.46254/sa02.20210876

Kelsey, R. (2016). Patient Safety: Investigating and Reporting Serious Clinical Incidents. CRC Press.

Khodiyatussolihah, K., Rita, K., & Hilmy, R. (2022). Analysis of nurse workload on implementation of patient safety and teamwork with caring behavior as mediation variables at Metro Hospitals Cikupa. Jurnal Health Sains, 3, 1610–1624. https://doi.org/10.46799/jhs.v3i11.644

Leininger, M. M. (1988). Caring: An Essential Human Need. Wayne State University Press.

Li, Z.-Y., Yang, Y.-P., Wang, Q., Zhang, M.-X., Luo, C.-W., Zhu, L.-F., Tung, T.-H., & Chen, H.-X. (2024). Association between abusive supervision and nurses’ withholding voice about patient safety: The roles of impression management motivation and speak-up-related climate. BMC Nursing, 23(1), 256. https://doi.org/10.1186/s12912-024-01921-0

Luciani, M., Ardenghi, S., Rampoldi, G., Russo, S., Bani, M., Strepparava, M. G., Di Mauro, S., & Ausili, D. (2024). The influence of supervision techniques on caring behavior. Nurse Education Today, 137, 106154. https://doi.org/10.1016/j.nedt.2024.106154

Lynch, R. L. (2012). Strategic Management. Pearson.

Nisa, E. Z., Aulia, D., & Nasution, S. S. (2021). Effect of supervision on the actions of implementing nurses in the implementation of patient safety at PTPN IV Kebun Laras Hospital, Simalungun Regency. International Journal of Science and Healthcare Research, 6(49), 244–250.

Oktavia, R., & Rismawati, R. (2022). Metode Penelitian Pendidikan Pendekatan Kuantitatif, Kualitatif, dan. In Jurnal Ilmu dan Riset.... Alfabeta.

Panesar, S., Carson-Stevens, A., Salvilla, S., & Sheikh, A. (2014). Patient Safety and Healthcare Improvement at a Glance. Wiley.

Perry, A. G., Potter, P. A., & Elkin, M. K. (2011). Nursing Interventions & Clinical Skills. Elsevier Health Sciences.

Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2016). Fundamentals of Nursing - E-Book. Elsevier Health Sciences.

Rebeiro, G., & Wilson, D. (2016). Fundamentals of Nursing: Clinical Skills Workbook eBook ePub. Elsevier Health Sciences.

Richardson, R., & Keeling, J. (2021). Clinical Skills: An Introduction for Nursing and Healthcare. Scion Publishing.

Robbins, S. P., & Judge, T. A. (2017). Organizational Behavior. Pearson Education Limited.

Roper, T. A. (2014). Clinical Skills. OUP Oxford.

Ruswanti, E., & Januarko, M. U. (2015). Panduan Penulisan Laporan Ilmiah: Atensi, Kredibilitas Perusahaan, Iklan Dua Sisi Terhadap Niat Beli Jasa Penerbangan Elang Air. CV. Andi Offset. Yogyakarta.

Seo, J.-K., & Lee, S. E. (2022). Mediating roles of patient safety knowledge and caring behavior in the relationship between supervision techniques and patient safety goal: A structural equation modeling analysis. BMC Nursing, 21(1), 335. https://doi.org/10.1186/s12912-022-01123-6

Smith, M. C., Turkel, M. C., & Wolf, Z. R. (2012). Caring in Nursing Classics: An Essential Resource. Springer Publishing Company.

Sutrisno, H., Susanto, D. S., & Haryadi, H. (2019). An analysis of nurse leadership, patient safety culture and nurses' caring behavior: The role of work engagement. Nursing and Health Sciences, 21(1), 70–77. https://doi.org/10.1111/nhs.12528

Zohar, D. (2008). Safety Climate in Health Care Organizations: The Case of the Surgical Environment. The Society for the Advancement of Management Studies.