Main Article Content
This study aims to analyze the practice of communication and documentation practices in nursing and the relationship of its influence with patient safety at Ashari Pemalang Hospital. The scope of the research is on the practice of communication and documentation practices carried out in the nursing practice as well as the links and their effects on patient safety. This study uses a quantitative analytic approach with the instrument used i.e. questionnaire. Research data obtained by observation; library research and interviews. The population in this study were all nurses in the treatment room at Pemalang Ashari Hospital as many as 200 nurses. The sample for the purpose of this study was taken using the Slovin Formula which was obtained as many as 133 nurses. Based on the results of this study note that nursing communication and documentation in the nursing process at this hospital has a positive and significant effect on patient safety practices. Simultaneously the two variables have a positive and significant effect on the safety practices of patients undertaking treatment. Generally nurses practice communication with patients, and carry out documentation of the nursing process undertaken by patients. Patients who obtain health services at this hospital obtain a good guarantee of safety. This study shows that the documentation variable in the nursing process has a positive and greatest influence on patient safety practices with an estimated standard based on the results of the analysis with the SEM Model at 0.455. While the effect of nursing communication is only at 0.249. Results of this study, patient safety practices more influenced by the role of documentation in the nursing process.
Hidayat A, Aziz Alimul. Introduction to the nursing process documentation. Jakarta: EGC; 2002.
Alvarado K, Lee RE, Fram N, Boblin S, Poole N. Transfer of accountability: Transforming shift handover to enhance patient safety. Health Care Quarterly. 2006;(9):75–79.
Angood. Why the joint comission cares about handoffs strategy. Forum: Reducing Risk during Handoffs. 2007;25(1):5–7.
KKP-RS: Pedoman Pelaporan Keselamatan Pasien. Jakarta: KKP-RS. Mukti AG; 2007.
Mitchell Pamela. Defining patient safety and quality care. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008.
Brady PW, Goldenhar LM. A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognized patient risk. BMJ Quality and Safety. 2009;23(2):153-161.
Sutanto H. Analysis of implementation of patient safety in Deli Medan General Hospital. University of Northern Sumatra. Field; 2014.
Patricia Potter, Anne Perry, Patricia Stockert. Fundamentals of nursing. 10th edition. Amy Hall.
MB Dunning III, Fischbach FT. Nurses’quick reference to common laboratory & diagnostic tests /. – 5th ed. Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins; 2011.
McCorry, Mason. Communication skills for the healthcare professional. Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins; 2011.
Flicek CL. Communication: A dynamic between nurses and physicians. MED-Surg Nursing. 2012;21(6).
Mulyana. Health and therapeutic communication: An Intercultural Perspective. Jakarta: PT Remaja Rosdakarya; 2016.
Smith L, Mounter P. Effective Internal Communication. GB and US Published by Kogan Page Limited; 2008.
Rushton R. The power of connection: How to become a master communicator in your workplace, your head space and at your place. First published in 2018 by John Wiley & Sons Australia Ltd; 2018.
Rosenberg MB. Nonviolent communication: A language of Life. Puddle Dancer Press. California; 2015.
Alqattan H, Cleland J, Morrison Z. An evaluation of patient safety culture in a secondary care setting in Kuwait. J Taibah Univ Med Sci. 2018;13(3):272–280.
Al-etreby, Waleed, Al-Harthy, Abdulrahman, Karim, Shabir, Al-Jabry, Mahmoud, Dumlao, Lori, Taisy, Joy, Stephen, Ma, Barraquias, Ahmed, Dudin, Eman, Abdullah. Impact of improved critical lab results documentation on patients' safety in ICU, A prospective study. International Journal of Health Sciences and Research. 2015;675.
Ali Z. Dasar-Dasar Dokumentasi Keperawatan. Jakarta: EGC. Allen, Carol Vastel; 2009.
Martin, Guy, Khajuria, Ankur, King, Dominic, Arora, Sonal, Ashrafian, Hutan, Darzi Ara. The impact of mobile technology on teamwork and communication in hospitals: A systematic review. Journal of the American Medical Informatics Association. 2018;26.
Jylhä Virpi, Oikarainen Ashlee, Perälä Marja-Leena, Holopainen Arja. Facilitating evidence-based practice in nursing and midwifery in the WHO European Region; 2017.