RESUMO
BACKGROUND: The implementation of Sharia Model Childbirth (SMC) is in accordance with Fatwa Majelis Ulama Indonesia (MUI) no l07/DSN-MUI/X/2016 on the practice of sharia principles in health services. Sharia services in hospitals are general. This SMC innovation is specific and comprehensive, covering prenatal, delivery and postnatal. This model was implemented in 2017 but has never been qualitatively evaluated. The purpose of this study was to evaluate the application of SMC in the maternity services from the perspective of midwives and staff of the Islamic service unit. MATERIALS AND METHODS: Applied qualitative research was conducted from 5 December 2021 to 31 January 2022. In-person in-depth interviews were conducted using semi-structured interview guidelines. Informants were taken from the midwives of the maternity room and the Islamic service installation until a fair saturation of data was achieved. Observational and documentation were conducted for the validity of the data. The data were analyzed thematically and presented in themes and sub-themes. RESULTS: The results of the study were on the work procedures implemented, and the obstacles and shortcomings found. Most of the procedures and accompanying regulations had been implemented. Participants revealed obstacles and shortcomings in this innovative program. The major obstacle found was that the patient's right to choose a female medical officer was not fulfilled because of the type of teaching hospital it was and the lack of female medical staff. The shortcomings were in the reading of prayers and remembrances, the understanding of the contents of the manual, and the design of the delivery room, which did not maintain privacy. CONCLUSION: Overall, SMC is being implemented, but there are obstacles and shortcomings in the implementation. Solutions and regulations in sharia services should urgently be found and enforced. The deficiencies in this innovative program must be corrected immediately.
RESUMO
Background: Hospital Survey on Patient Safety Culture (HSOPSC) is considered one of the most scientifically rigorous tools available with excellent psychometric properties. However, it is not yet available in an Indonesian version. Objective: This study aimed to determine the validity of the content and psychometric properties of HSOPSC 2.0 for use in Indonesian hospitals. Methods: The study was divided into three stages: translation, adaptation, and validation. Culture-adaptation was assessed using cognitive interviews with ten direct care nurses who worked in the hospital to evaluate their perceptions and the coherence of the translated items, response categories, and questionnaire directions. Content validity was also done by ten experts from academic and clinical settings. Finally, Confirmatory Factor Analysis (CFA) and reliability testing were conducted among 220 nurses from two Indonesian hospitals. Results: The cognitive test results indicated that the language clarity was 87.8 % and 84.5% for cultural relevance. The Content Validity Index (CVI) ranged between 0.73 to 1.00, while the construct validity results indicated that each factor had factor loadings above 0.4, from 0.47 to 0.65. The fit indices showed an acceptable fit for the data provided by the 10-factor model, with RMSEA = 0.052, SRMR = 0.089, and CFI = 0.87. The Pearson correlation coefficients between the ten subscales ranged from 0.276 to 0.579 (p < 0.05). The Cronbach's alpha for all sub-scales was more than 0.70, except for organizational learning - continuous improvement, response to error, and communication openness. Conclusion: This study offers initial evidence of the psychometric properties of the Indonesian-HSOPSC 2.0. Future studies are needed to examine its psychometric features to improve generalizability. However, nurses and other healthcare professionals could use the tool to measure hospital patient safety culture in Indonesia.
RESUMO
OBJECTIVE: This study aimed was to describe related factors of nurse practice in preventing fall risk in an inpatient ward at X General Local Hospital. METHOD: A descriptive, analytical quantitative with a cross-sectional approach was used in this study. The total of 95 nurses agreed to participate by using random sampling. Data collection using a structured questionnaire and observational form. The statistical model with a chi-square analysis was used in this study. RESULTS: The result showed a correlation between knowledge and nurse practice with OR 3.257 (1.375-7.715; p = 0.012), attitude and nurse practice with OR 4.286 (1.775-10.345; p = 0.002) training and nurse practicewith OR value 5.455 (2.233-13.322; p = 0.000). CONCLUSIONS: Local authority in the hospital must apply patient safety standards to reduce injury rates, both nurses and patients. Nurses need to follow the current trend of nursing science focusing on patient safety
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