Theory of Reason Action to Predict Perception of Professionalism and Implementation of Patient Safety among Clinical Nurses: A Path Analysis

Authors

  • Miralda Nasta Indah Anggraini Prodi MARS Universitas Esa Unggul
  • Rian Adi Pamungkas
  • Wahyuni D Purwat

DOI:

https://doi.org/10.35654/ijnhs.v4i5.517

Keywords:

Patient Safety

Abstract

Background: Patient safety is a fundamental principle of health care and the right of every patient in receiving health services. Patient safety performance as the quality of a hospital organization is affected by the performance of nurses. Objective: This study aimed at investigating the implementation of the theory of reason action model to explain the perception of professionalism and the implementation of patient safety in nurses. Method: The design of this study is a correlational quantitative analytic study with a cross-sectional approach. The analysis technique used is path analysis. The sample of this study was all nurses at Hospital ABC Tangerang, with as many as 105 respondents. Results: This research showed that 1) workload and motivation variables simultaneously affected the implementation of patient safety with the perception of professionalism as an intervening variable (probability level 0.285> 0.05), 2) there was a negative and significant effect of workload on the implementation of patient safety (p-value 0.012 <0.05),3) there was a negative and significant effect of workload on the perception of professional (p-value 0.000 <0.05), 4) motivation variable positively affected the implementation of patient safety (p-value 0.032 <0.05)5) motivation variable positively affected the perception of professional (p-value 0.000 <0.05) and 6) the perception of professionalism positively affected the implementation of patient safety (p-value 0.000 <0.05). Conclusion: Nurses who have a high motivation to work will behave and act professionally to the duties and responsibilities so that the implementation of patient safety can be achieved. Management should manage the remuneration system of nurses, monitoring, evaluation, and the human resources management system so that the implementation of patient safety remain qualified

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References

(1) Johnstone MJ, Kanitsaki O. Patient safety and the integration of graduate nurse into effective organizational clinical risk management system and process: An Australian study. J Quality Management in Health Care 2008; 17(2) 162-173.

(2) Brickell, TA, Carla MA. Emerging Issues and Challenges for Improving Patient safety in Mental Health: A Qualitative Analysis of Expert Perspective. J of Patient safety 2011; 7(1):39-44.

(3) Institute of Medicine (IOM). To Err is Human, Building a Safer Health System. America; 2000.

(4) Barrow Momodou. Measuring the Current Patient Safety Culture in the Gambian Public Hospital [Thesis]. Taipei: Taipei Medical University: 2012.

(5) Komite Keselamatan Pasien Rumah Sakit (KKPRS). Pedoman Pelaporan Insiden Keselamatan Pasien (IKP). Jakarta; 2015.

(6) Ajzen I and Fishbein M. Understanding attitudes and predicting social behavior. Englewood Cliffs, NJ: Prentice-Hall; 1980.

(7) Leape, L.L, Bates DW, Cullen DJ, et al., 1995. System Analysis of Adverse Drug Events. The J of the American Meical Association 1995; 274 (1): 35-43.

(8) Alquwez, Cruz N, Almoghairi JP, Al-otaibi, et al. Nurses’ perceptions of patient safety culture in three hospitals in Saudi Arabia. Journal of Nursing Scholarship 2018; 50(4) 422-431.

(9) Ammouri AA, Tailakh AK, Muliira JK, Geethakrishnan R, Al Kindi SN. Patient safety culture among nurses. J International Nursing Review 2015; 62(1) 102-110.

(10) Marquis BL, Huston CJ. Kepemimpinan dan Manajemen Keperawatan: Teori dan Aplikasi. Jakarta: EGC; 2000.

(11) Gillies DA. Nursing Management a System Approach. Philadelphia;1994.

(12) Abdullah S, Kholil H, Agung P. Application of Structural Equation Modeling (SEM) for Analysis of the Effect of Perception on Professionality, Knowledge and Motivation of Nurses on the Implementation of Patient Safety Programs 2019. Asian Journal of Research in Nursing and Health 2019; 2(2): 1-12.

(13) McClelland DC. Toward a theory of motive acquisition. J American Psychologist 1965; 20(5): 321–333.

(14) Francisco DHP, Climent GD, Melian JMR, et al. Influence of Workload on Primary Care Nurses' ’Health and Burnout, Patient Safety, and Quality of Care: Integrative Review. J Healthcare 2020; (8)12: 1-14.

(15) Alshammari F, Pasay-an E, Alboliteeh, et al. A survey of hospital healthcare professionals’ toward patient safety culture in Saudi Arabia. International J of Africa Nursing Sciences 2019;11(6):1-6.

(16) Hair JF, Black WC, Babin BJ, Anderson R. Multivariate Data Analysis. Pearson; 2019.

(17) Hooper DCJ, Mullen MR. Structural equation modelling: Guidelines for determining model fit. Electronic J Business Research Methods 2008; 6(1):53-60.

(18) Alhassan RK, Spieker N, Ostenberg PV, et al. Association between health worker motivation and healthcare quality efforts in Ghana. J Human Resources Healt 2013; 11(37): 1-11.

(19) Manuaba. Hubungan Beban Kerja dan Kapasitas Kerja. Jakarta: Rinek Cipta; 2000.

(20) Liu LF, Lee S, Chia PF, et al. Exploring the Association Between Nurse Workload and Nurse-Sensitive Patient Safety Outcome Indicators. J of Nursing Research 2012; (20)12: 300-308.

(21) Elsayad HSA, Shazly MM, Mahmoud SI. Nurses Perception towards Nursing Workload and its Effect on Nurses Errors at Benha University Hospital. J Egytian Journal of Health Care 2017; 5(8): 53-64.

(22) Halawa A, Setiawan S, Syam B. Nurse’s Perception of Role in Patient Safety. J of Telenursing 2021; 3(1):73-84.

(23) Reed ES, Jones RK. Gibson’s theory of perception: a case of hasty epistemologizing. J Philosophy of science 1978; 45(4): 519-530.

(24) Renggayuni A, Yusuf M. Motivasi External Perawat dalam Menerapkan Patient safety. Online Journal Unsyiah 2016; 1(1): 1-7.

(25) Krinawati KM, Wijaya PG, Suarjana K. Hubungan Motivasi dan Komitmen kerja Perawat Dengan Penerapan Keselamatan Pasien di Ruang Intensif RSUP Sanglah Denpasar. J Communty of Publishing in Nursing 2016; 4(3): 29-35.

(26) World Health Organization (WHO). Patient Safety – factsheet, 2020 https://www.who.int/news-room/fact-sheets/detail/patient-safety.

(27) Davis R, Savvapoulou M, Shergil R, et al. Predictors of healthcare professionals’attitudes towards family involvementin safety-relevant behaviours: a cross-sectional factorial survey study. BMJ Open 2014; (4) 9:1-8.

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Published

2021-10-20