The Effect of Implementing 3S (SIND, SINO, SINI)-based Orthopedic Nursing Care Instrument in Improving Nursing Service Quality and Patient Safety in Indonesia Hospital
https://doi.org/10.33860/jik.v18i2.3702
Keywords:
Instrument, Nursing Care, Nursing Service Quality, Orthopedic, Patient SafetyAbstract
Along with the increasing of orthopedic disorders incidence, the provision of orthopedic nursing care in Indonesia is also increasing. The Indonesian National Nurses Association (INNA) has published nursing care standards as a reference for nurses in providing nursing care and standardizing nursing care terminologies. Standard-based orthopedic nursing care instruments have been developed, but their effectiveness has not been investigated in improving the quality of nursing services and patient safety. This study aimed to identify the effect of the application of 3S-based Orthopedic Nursing Care (3S-ONC) on the quality of nursing services and patient safety. Descriptive quantitative analysis using a quasi-experimental method with a pretest and posttest with control group design, involving 106 respondents (53 control, 53 intervention), recruited by purposive sampling technique. In the intervention group, nurses provided nursing care by applying the 3S-based Orthopedic Nursing Care (3S-ONC) instrument. The study showed that in both groups, most of the nurses were in the early adult category, dominated by female sex and most of them had professional education level. There were significant differences in the quality of nursing services (p 0.046; α 0.05) and patient safety (p 0.000; α 0.05) between the intervention group and the control group after the application of the 3S-ONC instrument. The 3S-ONC instrument can improve the quality of nursing services and the safety of patients with orthopedic disorders in hospitals.The 3S-ONC instrument can be considered for the development of a paper-based or computer-based nursing care documentation system to further improve the quality of nursing services and patient safety in healthcare facilities, especially in hospital.
References
Gani A, Bhat S, Gupta A. Pattern & prevalence of orthopaedic outdoor patients at a tertiary level care hospital in Jammu, India. JK Science [Internet]. 2016 Jan 1 [cited 2024 Sep 6];18:155–8. Available from: https://jkscience.org/archives/volume183/9-Original%20Article.pdf
Syed MA, Azim SR, Baig M. Frequency of orthopedic problems among patients attending an orthopedic outpatient department: a retrospective analysis of 23 495 cases. Ann Saudi Med [Internet]. 2019 May;39(3):172–7. Available from: http://www.annsaudimed.net/doi/10.5144/0256-4947.2019.172
Cieza A, Causey K, Kamenov K, Hanson SW, Chatterji S, Vos T. Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet [Internet]. 2020 Dec 19;396(10267):2006–17. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0140673620323400
Ministry of Health Republic of Indonesia. 2018 Indonesia Basic Health Research Results [Internet]. 2018 [cited 2022 Sep 4]. Available from: https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan%20Riskesdas%202018%20Nasional.pdf
Brent L, Hommel A, Maher AB, Hertz K, Meehan AJ, Santy-Tomlinson J. Nursing care of fragility fracture patients. Injury [Internet]. 2018 Aug 1;49(8):1409–12. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0020138318303462
Meinberg EG, Agel J, Roberts CS, Karam MD, Kellam JF. Fracture and Dislocation Classification Compendium—2018. J Orthop Trauma [Internet]. 2018;32. Available from: https://journals.lww.com/jorthotrauma/fulltext/2018/01001/fracture_and_dislocation_classification.1.aspx
Fuzier R, Rousset J, Bataille B, Salces-y-Nédéo A, Maguès JP. One half of patients reports persistent pain three months after orthopaedic surgery. Anaesth Crit Care Pain Med [Internet]. 2015;34(3):159–64. Available from: https://www.sciencedirect.com/science/article/pii/S2352556815000569
Noorisa R, Apriliwati D, Aziz A, Bayusentono S. The characteristic of patients with femoral fracture in department of orthopaedic and traumatology RSUD dr. Soetomo Surabaya 2013-2016. Journal Orthopaedi and Traumatology Surabaya [Internet]. 2019 Dec 9;6(1):1–11. Available from: https://e-journal.unair.ac.id/JOINTS/article/view/9160
Sprague S, Petrisor B, Scott T, Devji T, Phillips M, Spurr H, et al. What Is the Role of Vitamin D Supplementation in Acute Fracture Patients? A Systematic Review and Meta-Analysis of the Prevalence of Hypovitaminosis D and Supplementation Efficacy. J Orthop Trauma [Internet]. 2016;30(2). Available from: https://journals.lww.com/jorthotrauma/fulltext/2016/02000/what_is_the_role_of_vitamin_d_supplementation_in.1.aspx
Metsemakers WJ, Onsea J, Neutjens E, Steffens E, Schuermans A, McNally M, et al. Prevention of fracture-related infection: a multidisciplinary care package. Int Orthop [Internet]. 2017 Dec 22;41(12):2457–69. Available from: http://link.springer.com/10.1007/s00264-017-3607-y
Olatubi MI, Oyediran OO, Faremi FA, Salau OR. Knowledge, Perception, and Utilization of Standardized Nursing Language (SNL) (NNN) among Nurses in Three Selected Hospitals in Ondo State, Nigeria. Int J Nurs Knowl [Internet]. 2019 Jan 1;30(1):43–8. Available from: https://doi.org/10.1111/2047-3095.12197
Müller-Staub M, Lavin MA, Needham I, van Achterberg T. Meeting the criteria of a nursing diagnosis classification: Evaluation of ICNP®, ICF, NANDA and ZEFP. Int J Nurs Stud [Internet]. 2007;44(5):702–13. Available from: https://www.sciencedirect.com/science/article/pii/S0020748906000629
Müller-Staub M, Lunney M, Odenbreit M, Needham I, Lavin MA, Van Achterberg T. Development of an instrument to measure the quality of documented nursing diagnoses, interventions and outcomes: the Q-DIO. J Clin Nurs [Internet]. 2009 Apr 1;18(7):1027–37. Available from: https://doi.org/10.1111/j.1365-2702.2008.02603.x
De Groot K, Triemstra M, Paans W, Francke AL. Quality criteria, instruments, and requirements for nursing documentation: A systematic review of systematic reviews. J Adv Nurs [Internet]. 2019 Jul 1;75(7):1379–93. Available from: https://doi.org/10.1111/jan.13919
Johnson L, Edward KL, Giandinoto JA. A systematic literature review of accuracy in nursing care plans and using standardised nursing language. Collegian [Internet]. 2018 Jun 1;25(3):355–61. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1322769617302305
Yontz LS, Zinn JL, Schumacher EJ. Perioperative Nurses’ Attitudes Toward the Electronic Health Record. Journal of PeriAnesthesia Nursing [Internet]. 2015 Feb 1;30(1):23–32. Available from: https://doi.org/10.1016/j.jopan.2014.01.007
Usselman E, Borycki EM, Kushniruk AW. The evaluation of electronic perioperative nursing documentation using a cognitive walkthrough approach. Stud Health Technol Inform [Internet]. 2015 Feb 14;208:331–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25676997
Githemo GK. Quality of nursing care through patient participation: An integration of Orem’s theory to the nursing process in Kiambu and Thika hospitals [Internet]. University of Nairobi; 2017 [cited 2024 Sep 5]. Available from: http://hdl.handle.net/11295/102891
Ministry of Health Republic of Indonesia. Regulation of Minister of Health, Republic of Indonesia No. 11 of 2017 Concerning Patient Safety [Internet]. Ministry of Health Republic of Indonesia Jakarta: https://www.kemhan.go.id/itjen/wp-content/uploads/2017/03/bn308-2017.pdf; 2017 p. 1–58. Available from: www.peraturan.go.id
Liu X, Zheng J, Liu K, Baggs JG, Liu J, Wu Y, et al. Hospital nursing organizational factors, nursing care left undone, and nurse burnout as predictors of patient safety: A structural equation modeling analysis. Int J Nurs Stud [Internet]. 2018;86:82–9. Available from: https://www.sciencedirect.com/science/article/pii/S0020748918301172
Abu-El-Noor NI, Abu-El-Noor MK, Abuowda YZ, Alfaqawi M, Böttcher B. Patient safety culture among nurses working in Palestinian governmental hospital: a pathway to a new policy. BMC Health Serv Res [Internet]. 2019;19(1):550. Available from: https://doi.org/10.1186/s12913-019-4374-9
Klemetti S, Ingadottir B, Katajisto J, Lemonidou C, Papastavrou E, Valkeapää K, et al. Skills and Practices of European Orthopedic Nurses in Empowering Patient Education. Res Theory Nurs Pract [Internet]. 2018 Nov 1;32(4):382–99. Available from: http://connect.springerpub.com/lookup/doi/10.1891/1541-6577.32.4.382
Abdul Rahman H, Jarrar M, Don MS obri. Nurse Level of Education, Quality of Care and Patient Safety in the Medical and Surgical Wards in Malaysian Private Hospitals: A Cross-sectional Study. Glob J Health Sci. 2015 Nov 1;7(6):331–7.
Sibandze BT, Scafide KN. Among nurses, how does education level impact professional values? A systematic review. Int Nurs Rev [Internet]. 2018 Mar 28;65(1):65–77. Available from: https://onlinelibrary.wiley.com/doi/10.1111/inr.12390
Mhlanga-Mutangadura T, Johnson GS, Schnabel RD, Taylor JF, Johnson GC, Katz ML, et al. A mutation in the Warburg syndrome gene, RAB3GAP1, causes a similar syndrome with polyneuropathy and neuronal vacuolation in Black Russian Terrier dogs. Neurobiol Dis [Internet]. 2016 Feb 26;86:75–85. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0969996115300930
Rapin J, D’Amour D, Dubois CA. Indicators for Evaluating the Performance and Quality of Care of Ambulatory Care Nurses. Nurs Res Pract [Internet]. 2015 Aug 24;2015:1–8. Available from: http://www.hindawi.com/journals/nrp/2015/861239/
Widiasari W, Handiyani H, Novieastari E. Kepuasan pasien terhadap penerapan keselamatan pasien di rumah sakit. Jurnal Keperawatan Indonesia [Internet]. 2019 May 9;22(1):43–52. Available from: https://jki.ui.ac.id/index.php/jki/article/view/1001
Bowling AM. The Effect of Simulation on Skill Performance: A Need for Change in Pediatric Nursing Education. J Pediatr Nurs [Internet]. 2015 May 13;30(3):439–46. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0882596314003728
Zarifsanaiey N, Amini M, Saadat F. A comparison of educational strategies for the acquisition of nursing student’s performance and critical thinking: simulation-based training vs. integrated training (simulation and critical thinking strategies). BMC Med Educ [Internet]. 2016 Dec 16;16(1):294. Available from: http://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-016-0812-0
Moldskred PS, Snibsøer AK, Espehaug B. Improving the quality of nursing documentation at a residential care home: a clinical audit. BMC Nurs [Internet]. 2021;20(1):103. Available from: https://doi.org/10.1186/s12912-021-00629-9
Stanley M, Pollard D. Relationship between knowledge, attitudes, and self-efficacy of nurses in the management of pediatric pain. Pediatr Nurs [Internet]. 2013 Sep 13 [cited 2024 Sep 6];39:165–71. Available from: https://www.proquest.com/scholarly-journals/relationship-between-knowledge-attitudes-self/docview/1440019389/se-2?accountid=17242
Gao S, Guo Y, Chen J, Li L. Factors affecting the performance of knowledge collaboration in virtual team based on capital appreciation. Information Technology and Management [Internet]. 2016 Jun 1;17(2):119–31. Available from: http://link.springer.com/10.1007/s10799-015-0248-y
Karaca A, Durna Z. Patient satisfaction with the quality of nursing care. Nurs Open [Internet]. 2019 Apr 4;6(2):535–45. Available from: https://onlinelibrary.wiley.com/doi/10.1002/nop2.237
Mitchell PH. Defining Patient Safety and Quality Care [Internet]. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. 2008. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25009854
Yu PJ, Tsao LI, Liu CY. Development of the Self-Perceived Safety of Orthopedic Post-Surgery Inpatients (SPSOPSI) Scale. Healthcare [Internet]. 2022 Nov 22;10(12):2343. Available from: https://www.mdpi.com/2227-9032/10/12/2343
Ünver S, Yeniğün SC. Patient Safety Attitude of Nurses Working in Surgical Units: A Cross-Sectional Study in Turkey. Journal of PeriAnesthesia Nursing [Internet]. 2020 Dec 1;35(6):671–5. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1089947220301052
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with Poltekita : Jurnal Ilmu Kesehatan agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
This work is licensed under a Creative Commons Attribution-ShareAlike 2.0 Generic License.
Poltekita : Jurnal Ilmu Kesehatan is licensed under a Creative Commons Attribution-Share Alike 4.0 International License
You are free to:
- Share, copy and redistribute the material in any medium or format
- Adapt, remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
