The Influence of Self-Efficacy and Effective Communication on Patient Education Practices Among Nurses with Nursing Supervision as Moderation at RSUP dr. Sitanala Tangerang
DOI:
https://doi.org/10.57250/ajst.v1i1.304Kata Kunci:
Self-Efficacy, Komunikasi Efektif, Praktik Edukasi Pasien, Supervisi KeperawatanAbstrak
Praktik pendidikan pasien pada perawat di RSUP Dr. Sitanala Tangerang sangat penting karena bertujuan untuk mempengaruhi perilaku pasien dan menghasilkan perubahan pengetahuan, sikap dan keterampilan yang diperlukan untuk mempertahankan atau meningkatkan kesehatan pasien. Faktanya, praktik edukasi pasien belum optimal karena kurangnya rasa percaya diri dan komunikasi yang tidak efektif, serta rendahnya dukungan supervisi keperawatan. Penelitian ini bertujuan untuk menganalisis pengaruh efikasi diri terhadap praktik pemberian edukasi pasien dengan supervisi keperawatan sebagai moderasinya. Metode penelitian kuantitatif karena menguji hipotesis yang telah ditentukan. Sampel dalam penelitian ini adalah total sampling yaitu seluruh perawat pelaksana di RSUP dr. Sitanala Tangerang sebanyak 155 orang. Teknik analisisnya menggunakan Structural Equation Modeling (SEM) dengan metode Partial Least Square (PLS). Hasil penelitian menunjukkan bahwa efikasi diri dan komunikasi efektif berpengaruh positif terhadap praktik pemberian edukasi pasien. Supervisi keperawatan mampu memoderasi pengaruh efikasi diri dan komunikasi efektif terhadap praktik pemberian edukasi pasien ke arah positif.
Referensi
Abu Sharour, L., Bani Salameh, A., Suleiman, K., Subih, M., El-Hneiti, M., Al-Hussami, M., … Al Omari, O. (2021). Nurses’ self-efficacy, confidence and interaction with patients with COVID-19: A cross-sectional study. Disaster Medicine and Public Health Preparedness, 1–5. https://doi.org/10.1017/dmp.2021.96
Adler, R. B., & Rodman, G. (2006). Understanding Human Communication. New York: Oxford University Press. https://doi.org/10.4324/9780203360149_chapter_10
Ali, H. A. E., Elmolla, M. A., & Banan, S. H. A. El. (2021). The relationship between nurse manager’s behavior and staff nurses autonomy. Egyptian Nursing Journal, 18(2), 58–66. https://doi.org/10.4103/ENJ.ENJ
Arnold, E., & Boggs, K. U. (2013). Interpersonal Relationships: Professional Communication Skills for Nurses. United State of America: Saunders.
Arumsari, D. P., Emaliyawati, E., & Sriati, A. (2017). Hambatan Komunikasi Efektif Perawat Dengan Keluarga Pasien Dalam Perspektif Perawat. Jurnal Pendidikan Keperawatan Indonesia, 2(2), 104. https://doi.org/10.17509/jpki.v2i2.4745
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191–215.
Bandura, A. (1986). Social foundations ofthought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall.
Bandura, A. (1995). Self-efficacy in changing societies. New York: Cambridge Press. https://doi.org/10.1109/EVER.2017.7935960
Bandura, A. (1997). Self-Efficacy: The Exercise of Control. New York: W. H. Freeman & Co.
Bandura, A. (2018). Toward a Psychology of Human Agency : Pathways and Reflections. Perspectives on Psychological Science, 13(2), 130–136. https://doi.org/10.1177/1745691617699280
Barrett, J. (1968). The Head Nurse: Her Changing Role. Appleton-Century-Crofts.
Bond, M., & Holland, S. (1998). Skills of Clinical Supervision for Nurses: A Practical Guide for Supervisees, Clinical Supervisors and Managers. Open University Press.
Close, A. (1988). Patient education: a literature review. Gastrointestinal Nursing, 13, 203–213. https://doi.org/10.12968/gasn.2008.6.7.31099
Dewi, V. C., Sriningsih, N., & Winarni, L. M. (2021). Hubungan Kepatuhan Penerapan Komunikasi Sbar Dengan Keselamatan Pasien Pada Perawat Di Rsu Kabupaten Tangerang. Berkala Ilmiah Mahasiswa Ilmu Keperawatan Indonesia, 9(1), 39–45.
Djamaludin, D., & Chen, H. M. (2021). Knowledge, Self-Efficacy, and Performance of Patient Education in Heart Failure Among Nurses in Indonesia. Jurnal Keperawatan …, 7(2), 2010–2011. Diambil dari http://journal.stikep-ppnijabar.ac.id/index.php/jkk/article/view/239
Dziedzic, K., & Hammond, A. (2010). Rheumatology: Evidence-Based Practice for Physiotherapists and Occupational Therapists. London: Elsevier Ltd.
Ernawati, E., & Lusiani, M. (2019). Studi Fenomenologi: Pelaksanaan Patient Center Care Perspektif Pasien dan Perawat di RS dr. Dradjat Prawiranegara Serang. Faletehan Health Journal, 6(3), 83–90. https://doi.org/10.33746/fhj.v6i3.17
Falender, C. A., & Shafranske, E. P. (2004). Clinical supervision : a competency-based approach (Vol. 2). Washington, DC: American Psychological Association. https://doi.org/10.1177/1066480794022007
Falvo, D. R. (2011). Effective Patient Education: A Guide to Increased Adherence: A Guide to Increased Adherence. United State of America: Jones and Bartlett Publishers.
Fix, G. M., VanDeusen Lukas, C., Bolton, R. E., Hill, J. N., Mueller, N., LaVela, S. L., & Bokhour, B. G. (2018). Patient-centred care is a way of doing things: How healthcare employees conceptualize patient-centred care. Health Expectations, 21(1), 300–307. https://doi.org/10.1111/hex.12615
Forbes, R., Mandrusiak, A., Smith, M., & Russell, T. (2018). New-graduate Physical Therapists’ Self-efficacy to Perform Patient Education Is Influenced by Entry-level Training Experiences. Journal of Physical Therapy Education, 32(1), 46–54. https://doi.org/10.1097/jte.0000000000000022
Frampton, S. B., & Charmel, P. A. (2009). Putting patients fi rst: best practices in patient-centered care. San Francisco: Jossey-Bass.
Frampton, S. B., Guastello, S., Brady, C., Hale, M., Horowitz, S., Smith, S. B., & Stone, S. (2008). Patient-centered care improvement guide. Derby, CT: Planetree.
Genteis, M., Edgman-Levitan, S., Dalay, J., & Delbanco, T. L. (1993). Through the patient’s eyes: Understanding and promoting patient-centered care. San Francisco: Jossey-Bass.
Ghozali, I., & Latan, H. (2015). Partial Least Squares Konsep, Teknik dan Aplikasi Menggunakan Program Smart PLS 3.0 Untuk Penelitian Empiris (2 ed.). Semarang: Badan Penerbit Universitas Diponegoro, Semarang.
Gibson, J., Ivancevich, J., & Konopaske, R. (2011). Organizations: Behavior, Structure, Processes. New York: McGraw-Hill/Irwin.
Gilissen, J., Pivodic, L., Wendrich-van Dael, A., Cools, W., Vander Stichele, R., Van den Block, L., … Gastmans, C. (2020). Nurses’ self-efficacy, rather than their knowledge, is associated with their engagement in advance care planning in nursing homes: A survey study. Palliative Medicine, 34(7), 917–924. https://doi.org/10.1177/0269216320916158
Huesken, A., Hoffmann, R., & Ayed, S. (2021). Persistent effect of nurse-led education on self-care behavior and disease knowledge in heart failure patients. International Journal of Nursing Sciences, 8(2), 161–167. https://doi.org/10.1016/j.ijnss.2021.03.002
Indrawati, Y. (2014). Pengaruh Self Esteem, Self Efficacy Dan Kepuasan Kerja Terhadap Kinerja Karyawan (Studi Kasus Perawat RS Siloam Manado). Jurnal Riset Bisnis dan Manajemen, 2(4), 12–24.
IOM. (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. In Journal For Healthcare Quality (Vol. 24). https://doi.org/10.1111/j.1945-1474.2002.tb00463.x
Jeeza, H., Hongkrailert, N., & Sillabutra, J. (2015). Effect of efficacy on nursing performance in Indira Gandhi Memorial Hospital, Maldives. Journal of Public Health and Development, 13(2), 33–44.
Jung, M. J., & Roh, Y. S. (2021). A validation study of the Korean version of the nurses’ patient education questionnaire. International Journal of Environmental Research and Public Health, 18(11). https://doi.org/10.3390/ijerph18115609
Kozier, B., Erb, G. L., Bergman, A., Snyder, S., & Frandsen, G. (2017). Fundamentals of Canadian Nursing: Concepts, Process, and Practice. Canada: Pearson Education Canada.
Kron, T., & Durbin, E. (1971). The Management of Patient Care: Putting Leadership Skills to Work. Philadelphia: Philadelphia, Saunders.
Kuipers, S. J., Cramm, J. M., & Nieboer, A. P. (2019). The importance of patient-centered care and co-creation of care for satisfaction with care and physical and social well-being of patients with multi-morbidity in the primary care setting. BMC Health Services Research, 19(1), 1–9. https://doi.org/10.1186/s12913-018-3818-y
Lainsamputty, F., Purnawinadi, I. G., Santoso, R. B. E., & Babu, V. A. B. (2022). Efikasi diri dan kesiapsiagaan perawat rumah sakit terhadap bencana. NERS: Jurnal Keperawatan, 18(1), 37–45. https://doi.org/10.25077/njk.18.1.37-45.2022
Lele, D. M., Setiawan, D., & Sulhadi. (2018). Clinical Supervision Instrument Development for Junior High School Teacher Based on Android. Journal of Research and Educational Research Evaluation, 7(1), 94–100.
Lippmann, W. (1922). Public Opinion. United State of America: Harcourt, Brace and Company.
Locke, E. A., & Latham, G. P. (2013). New developments in goal setting and task performance. In New Developments in Goal Setting and Task Performance. https://doi.org/10.4324/9780203082744
Lord, H., Loveday, C., Moxham, L., & Fernandez, R. (2021). Effective communication is key to intensive care nurses’ willingness to provide nursing care amidst the COVID-19 pandemic. Intensive and Critical Care Nursing, 62(April 2020), 102946. https://doi.org/10.1016/j.iccn.2020.102946
Maddux, J. E. (1995). Self-Efficacy, Adaptation, and Adjustment: Theory, Research, and Application. USA: Springer US.
Malawat, K. Y., Pratiwi, L. A., & Gayatri, D. (2020). Determinan Perilaku Perawat dalam Pemberian Edukasi Pasien pada Rumah Sakit di Jakarta Selatan. Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan, 8(3), 511. https://doi.org/10.20527/dk.v8i3.9389
McDonough, K., Crimlisk, J., Nicholas, P., Cabral, H., Quinn, E. K., & Jalisi, S. (2016). Standardizing nurse training strategies to improve knowledge and self-efficacy with tracheostomy and laryngectomy care. Applied Nursing Research, 32, 212–216. https://doi.org/10.1016/j.apnr.2016.08.003
Meyers, K., Rodriguez, K., Brill, A. L., Wu, Y., La Mar, M., Dunbar, D., … Golub, S. A. (2018). Lessons for Patient Education Around Long-Acting Injectable PrEP: Findings from a Mixed-Method Study of Phase II Trial Participants. AIDS and Behavior, 22(4), 1209–1216. https://doi.org/10.1007/s10461-017-1871-x
Murali, K. M., Mullan, J., Roodenrys, S., Hassan, H. C., Lambert, K., & Lonergan, M. (2019). Strategies to improve dietary, fluid, dialysis or medication adherence in patients with end stage kidney disease on dialysis: A systematic review and meta-analysis of randomized intervention trials. PLoS ONE, 14(1), 1–27. https://doi.org/10.1371/journal.pone.0211479
Murtagh, J. (2012). Murtagh’s Patient Education. McGraw-Hill Australia, Vol. 6, hal. 369. Australia: McGraw-Hill Australia. Diambil dari https://www.researchgate.net/publication/269107473_What_is_governance/link/548173090cf22525dcb61443/download%0Ahttp://www.econ.upf.edu/~reynal/Civil wars_12December2010.pdf%0Ahttps://think-asia.org/handle/11540/8282%0Ahttps://www.jstor.org/stable/41857625
Oermann, M. H., Harris, C. H., & Dammeyer, J. A. (2001). Teaching by the nurse: How important is it to patients? Applied Nursing Research, 14(1), 11–17. https://doi.org/10.1053/apnr.2001.9236
Oyetunde, M. O., & Akinmeye, A. J. (2015). Factors Influencing Practice of Patient Education among Nurses at the University College Hospital, Ibadan. Open Journal of Nursing, 05(05), 500–507. https://doi.org/10.4236/ojn.2015.55053
Park, M. Y. (2005). Nurses’ perception of performance and responsibility of patient education. Taehan Kanho Hakhoe chi, 35(8), 1514–1521. https://doi.org/10.4040/jkan.2005.35.8.1514
Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. (2013). Fundamentals of nursing. United States of America: Elsevier Mosby.
Pratiwi, L. A., Yetti, K., & Mashudi, D. (2020). Optimalisasi Supervisi Pemberian Edukasi Pasien dan Keluarga pada Rumah Sakit di Jakarta Selatan. Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan, 8(2), 231. https://doi.org/10.20527/dk.v8i2.7758
Proctor, B. (2010). Training for the supervision alliance. Routledge Handbook of Clinical Supervision. https://doi.org/10.4324/9780203843437.ch3
Putri, T. D. E., & Febrian, N. (2021). Self-Efficacy Dan Kinerja Perawat Dalam Memberikan Asuhan Keperawatan : Literature Review. Jurnal Keperawatan Widya Gantari Indonesia, 5(1), 37. https://doi.org/10.52020/jkwgi.v5i1.2585
Redman, B. K. (2004). Advances in Patient Education. New York: Springer Publishing Company, Inc.
Rivai, F., Sidin, A. I., & Kartika, I. (2016). Faktor yang Berhubungan Dengan Implementasi Keselamatan Pasien Di RSUD Ajjappannge Soppeng Tahun 2015. Jurnal Kebijakan Kesehatan Indonesia, 05(04), 152–157.
Sari, R. D., Kartikasari, D., & Herya Ulfah, N. (2021). Impact of Effective Communication on the Quality of Excellent Service and Patient Satisfaction in the Outpatient Department. KnE Life Sciences, 2021(ISMoPHS 2020), 232–244. https://doi.org/10.18502/kls.v0i0.8883
Setiawan, A., Keliat, A. B., Rustina, Y., & Prasetyo, S. (2019). The Effectiveness of Educative, Supportive, and Administrative Cycle (ESA-C) Clinical Supervision Model in Improving the Performance of Public Hospital Nurses. KnE Life Sciences, 2019, 41–56. https://doi.org/10.18502/kls.v4i15.5734
Sibiya, M. N. (2018). Effective Communication in Nursing. In Nursing. London: IntechOpen. https://doi.org/10.5772/intechopen.74995
Sinaga, E., Lubis, A. N., Linda, F., & Siregar, S. (2020). The influence of self-efficacy on nurse performance in mitra sejati hospital. European Journal of Molecular & Clinical Medicine, 07(10), 1351–1359.
Tobias, C., Ives, J. E., & Garnham, A. P. (2016). Nursing supervision: challenges and opportunities for success. Learning Disability Practice, 19(6), 33–38. https://doi.org/10.7748/ldp.2016.e1734
Vaňková, M., & Bártlová, S. (2015). Historical and foreign legacy for the supervision concept in the Czech nursing. Kontakt, 17(1), 32–41.
Wood, J. T. (2015). Interpersonal Communication - Everyday Encounters (8th Edition, Ed.). Boston, MA: Cengage Learning.
Wylie, R. C. (1979). The Self-Concept: Volume 2 Theory and Research on Selected Topics. Lincoln: University of Nebraska Press.
