Hubungan Kepatuhan Penerapan Pediatric Early Warning Score (PEWS) dengan Kepatuhan Menjaga Keselamatan Pasien di RSUI Harapan Anda Kota Tegal
DOI:
https://doi.org/10.62383/vimed.v2i4.2322Keywords:
Compliance, Early Intervention, Patient Safety, PEWS Implementation, Quality CareAbstract
In order for hospitals to detect and intervene early, pediatric patient care must be of high quality. When making clinical decisions, assessing the risk of clinical deterioration, and providing appropriate emergency and critical care, the Pediatric Early Warning Score (PEWS) can be an excellent tool for nurses. This study aims to determine how Harapan Anda Hospital in Tegal City applies patient safety compliance and adherence to PEWS implementation. A cross-sectional approach was used in this quantitative study. A complete sampling approach was used to generate a sample size of 88 nurses from various healthcare facilities, including pediatric inpatient wards, PICU, NICU, and the emergency department. Patient safety surveys and PEWS compliance surveys were used to collect data. Spearman's test was used to analyze the data. The results showed that the majority of individuals (45 out of 63) were categorized as compliant in the implementation of the Pediatric Early Warning Score (PEWS). Meanwhile, the majority of nurses, 41 out of 106, or 46.6%, were compliant in their efforts to ensure patient safety. There was a significant relationship between the compliance of PEWS implementation and patient safety at RSU Islam Harapan Anda Tegal City with a p-value of 0.000. The results of this study are expected to be applied by healthcare workers to implement PEWS according to procedure, in order to ensure pediatric patient safety quickly and accurately.
References
Achariasse, J. M., Nieboer, D., Maconochie, I. K., Smit, F. J., Alves, C. F., Greber-Platzer, S., Tsolia, M. N., Steyerberg, E. W., Avillach, P., Van Der Lei, J., & Moll, H. A. (2020). Development and validation of a paediatric early warning score for use in the emergency department: A multicentre study. The Lancet Child and Adolescent Health, 4(8).https://doi.org/10.1016/S2352-4642(20)30139-5
Adventus, E. (2019). Buku ajar promosi kesehatan. Jakarta: Fakultas Vokasi, Universitas Kristen Indonesia.
Aljumah, A. I., Islam, M. A., & Nuseir, M. T. (2020). Impacts of service quality, satisfaction and trust on the loyalty of foreign patients in Malaysian medical tourism. International Journal of Innovation, 451-467.
Anenengo, N., Djamaluddin, N., & Liputo, G. P. (2025). Hubungan pengetahuan dengan kepatuhan perawat terhadap pelaksanaan pencegahan risiko jatuh pada pasien rawat inap di RSUD Otanaha Kota Gorontalo. Jurnal Ilmiah Multidisiplin, 4(1), 270-276.https://doi.org/10.54923/researchreview.v4i1.145
Anggraeni, A. D., & Pangestika, D. D. (2020). Persepsi perawat terhadap penerapan early warning score (EWS) di RSUD Banyumas. Jurnal Ilmu Keperawatan dan Kebidanan, 11(1), 120.https://doi.org/10.26751/jikk.v11i1.762
Apriluana, G., Khairiyati, L., & Setyaningrum, R. (2016). Hubungan antara usia, jenis kelamin, lama kerja, pengetahuan, sikap dan ketersediaan alat pelindung diri (APD) dengan perilaku penggunaan APD pada tenaga kesehatan. Jurnal Publikasi Kesehatan Masyarakat Indonesia, 3(3), 82-87.
Ardenny. (2023). Hubungan beban kerja terhadap kinerja perawat di instalasi gawat darurat RSUD Dumai. Prosiding Seminar Nasional Dies Natalis Poltekkes Kemenkes Manado XXII Tahun 2023, 363-369.
Arikunto, S. (2020). Prosedur penelitian: Suatu pendekatan praktik. Jakarta: Rineka Cipta.
Brown, S. R., Garcia, D., & Agulnik, A. (2019). Scoping review of pediatric early warning systems (PEWS) in resource-limited and humanitarian settings. Frontiers in Pediatrics, 6, 1-9.https://doi.org/10.3389/fped.2018.00410
Cahyono, A. (2020). Hubungan karakteristik dan tingkat pengetahuan perawat terhadap pengelolaan keselamatan pasien di rumah sakit. Jurnal Ilmiah Widya, 97-102.
Carter, B., Saron, H., Blake, L., Chin-Kien Eyton-Chong, Dee, S., & Evans, L. (2022). Clinical utility and acceptability of a whole-hospital, proactive electronic paediatric early warning system (the DETECT study): A prospective e-survey of parents and health professionals. PLOS ONE, 17(9).https://doi.org/10.1371/journal.pone.0273666
Chapman, S. M., & Maconochie, I. (2019). Early warning scores in paediatrics: An overview. Archives of Disease in Childhood, 104(4).https://doi.org/10.1136/archdischild-2018-314807
Devi, L. K., Anisa, N. A., & Farida, N. (2023). Pengaruh kualitas pelayanan dan persepsi pasien atas kepuasan pasien rawat jalan di Rumah Sakit Muji Rahayu Surabaya. Profit: Jurnal Manajemen, Bisnis dan Akuntansi, 2(4), 306-323.https://doi.org/10.58192/profit.v2i4.1392
Dewi, R. (2016). Tinjauan pustaka penilaian kesadaran pada anak sakit kritis: Glasgow Coma Scale atau Full Outline Of Unresponsiveness. Sari Pediatri, 17(5).https://doi.org/10.14238/sp17.5.2016.401-406
Duncan, K. D., McMullan, C., & Mills, B. M. (2020). Early warning system: The next level of rapid response. Nursing, 2(2).
Ekawati, F. A., Saleh, M. J., & Astuti, A. S. (2020). Hubungan pengetahuan perawat tentang NEWSS dengan penerapannya. Jurnal Ilmiah Kesehatan Sandi Husada, 11(1), 413-422.https://doi.org/10.35816/jiskh.v11i1.317
Erdianto, & Sitinjak, L. (2020). Tingkat pemahaman mahasiswa Akademi Keperawatan Husada Karya Jaya tentang big data dalam praktik keperawatan. Jurnal Keperawatan Cikini, 1(2), 42-47.https://doi.org/10.55644/jkc.v1i2.33
Febrianti, H. (2024). Efektivitas pemantauan pediatric early warning scoring/system dalam electronic health record. Jurnal Keperawatan Tropis Papua, 4(2), 75-80.https://doi.org/10.47539/jktp.v4i2.253
Firmansyah, H. (2023). Peran perawat dalam penanganan kegawatan klinik di RS: Penerapan early warning dan code blue system. Nursing, 1-56.
Fitriyanti, L., & Suryati, S. (2021). Hubungan karakteristik perawat dengan motivasi kerja dalam pelaksanaan terapi aktivitas kelompok di Rumah Sakit Khusus Daerah Duren Sawit Jakarta Timur. J Heal Soc, 8(1).
Fitzsimons, J., MacDonell, R., Nicholson, A., & Martin, C. (2017). Paediatric early warning system (PEWS).
Furroidah, F., Maulidia, R., & Maria, L. (2023). Hubungan karakteristik perawat dengan tingkat pengetahuan dalam menerapkan pendokumentasian asuhan keperawatan. Jurnal Ilmiah Kesehatan Media Husada, 12(2), 26-28.https://doi.org/10.33475/jikmh.v12i1.314
Galleryzki, A. R., et al. (2023). Faktor-faktor yang mempengaruhi sikap perawat dalam keselamatan pasien: Systematic review. Journal of Holistics and Health Sciences, 5(1), 16-26.https://doi.org/10.35473/jhhs.v5i1.151
Graham, R., Margaret, A. M., & Andrea, M. S. (2020). Strategies to improve cardiac arrest survival. The National Academic Press.
Groot, J., et al. (2018). Implementing pediatric early warning scores systems in the Netherlands: Future implications. BMC Pediatrics, 18(1).https://doi.org/10.1186/s12887-018-1099-6
Hamzah, B. (2018). Teori motivasi dan pengukurannya. Jakarta: Bumi Aksara.
Hanaratri, Y., & Hardyanti, A. (2025). Pengaruh pendidikan profesional berkelanjutan pada pelatihan asuhan keperawatan anak dalam meningkatkan pengetahuan perawat anak di Rumah Sakit Bunda Group. Manuju: Malahayati Nursing Journal, 7(4), 1610-1621.https://doi.org/10.33024/mnj.v7i4.19288
Hasanah, (2020). Analisis faktor berhubungan dengan tingkat kepatuhan perawat dalam melaksanakan prosedur transfusi darah di departemen Kitlam. Stikes Hang Tuah Surabaya.
Hasibuan, M. (2020). Manajemen sumber daya manusia. Jakarta: Bumi Aksara.https://doi.org/10.31219/osf.io/x3j64
Henneman, E. A. (2017). Recognizing the ordinary as extraordinary: Insight into the "way we work" to improve patient safety outcomes. Am. J. Crit. Care, 26, 272-277.https://doi.org/10.4037/ajcc2017812
Heryana, A. (2020). Etika penelitian. Jakarta: Prodi Kesehatan Masyarakat Universitas Esa Unggul.
Hurlock, E. B. (2019). Psikologi perkembangan: Suatu pendekatan sepanjang rentang kehidupan. Jakarta: Erlangga.
Ismainar, H. (2020). Keselamatan pasien di rumah sakit. Jakarta: Deepublish.
Julianto, M. (2019). Peran dan fungsi manajemen keperawatan dalam manajemen konflik. Fatmawati Hospital Journal, 1-7.
KARS. (2017). Standar Nasional Akreditasi Rumah Sakit Edisi 1. Jakarta: Komisi Akreditasi Rumah Sakit (KARS).
Kartika, L., Wanda, D., & Nurhaeni, N. (2021). The modified pediatric early warning score innovation project (mPEWS-InPro) mobile-based application development: Another way of monitoring a child's clinical deterioration. Pediatric Nursing, 47(1), 38.https://doi.org/10.62116/PNJ.2021.47.1.38
Khatimah, S. K., Wanda, D., & Rachmawati, I. N. (2022). Penggunaan PEWS dalam mengidentifikasi kegawatan pasien anak di unit gawat darurat. Journal of Telenursing, 4(1), 188-196.https://doi.org/10.31539/joting.v4i1.3323
Khrisnan, Y., Vankar, U. V., Shredaran, P. S., & Gazel, S. (2020). Clinical audit of a paediatric emergency warning score (PEWS) in the paediatric oncology unit of a newly established tertiary cancer institute. Pediatric Hematology Oncology Journal, 5(3).https://doi.org/10.1016/j.phoj.2020.06.006
Krisnawati, S., & Lestari, Y. T. (2018). Stres kerja dan konflik kerja pengaruhnya terhadap kinerja karyawan. Jurnal Riset Manajemen dan Bisnis (JRMB) Fakultas Ekonomi UNIAT, 3(1), 287-292.https://doi.org/10.36226/jrmb.v3iS1.146
Kristina, S. A., Lienaningrum, A. S., & Aditama, H. (2021). Assessing patient satisfaction with community pharmacy services in Yogyakarta, Indonesia. International Journal of Pharmaceutical Research, 13(1).https://doi.org/10.31838/ijpr/2021.13.01.652
Kurniawan, W., & Agustini, A. (2021). Metodologi penelitian kesehatan dan keperawatan. Cirebon: LovRinz Publishing.
Lambert, V., Matthews, A., MacDonell, R., & Fitzsimons, J. (2017). Pediatric early warning system to detect and respond to clinical deterioration in children: A systematic review. Pubmed, 7(3).https://doi.org/10.1136/bmjopen-2016-014497
M. Georgaka, D., Mparmparousi, M., & Vitos. (2022). Early warning systems. Hosp. Chronicles, 7(3), 37-43.
Maharani, N., Sari, F. M., & D. (2024). Faktor-faktor yang berhubungan dengan kinerja perawat di puskesmas perawatan Betungan Kota Bengkulu. Student Scientific Journal, 2(2), 137-146.https://doi.org/10.33088/jbj.v2i2.563
Manurung, et al. (2023). Motivasi dan kepatuhan perawat dalam penerapan sasaran keselamatan pasien risiko jatuh. Jurnal Binawan Student Journal, 5(2).https://doi.org/10.54771/bsj.v5i2.861
Mcelroy, T. A., Hassani, K., Swartz, E. N., & Waibel, S. (2019). Implementation study of a 5-component pediatric early warning system (PEWS) in an emergency department in British Columbia, Canada, to inform provincial scale up. BMC Emergency Medicine, 19(1).https://doi.org/10.1186/s12873-019-0287-5
Mia, K. P. (2022). Hubungan kepatuhan penerapan PEWS dengan response time dan keselamatan pasien di RSIA Muhammadiyah Kota Probolinggo. Universitas Strada Indonesia.
Mochizuki, K. S. (2016). Importance of respiratory rate for the prediction of clinical deterioration after emergency department discharge: A single-center, case-control study. Acute Medical Surgical, 4, 172-178.https://doi.org/10.1002/ams2.252
Mogopa, C. P., Pondang, L., & Hamel, R. S. (2017). Hubungan penerapan metode tim dengan kinerja perawat pelaksana di Irina C RSUP Prof. Dr. R. D. Kandou Manado. e-journal Keperawatan (e-Kp), 5(1).
Muttaqin, A. (2019). Asuhan keperawatan klien dengan gangguan sistem kardiovaskuler. Jakarta: Salemba Medika.
Notoatmodjo, S. (2019). Metodologi penelitian kesehatan. Jakarta: Rineka Cipta.
Notoatmodjo, S. (2021). Promosi kesehatan dan perilaku kesehatan. Jakarta: Rineka Cipta.
Nugraheni, E., Susanti, I. H., & Triana, N. Y. (2024). Hubungan burnout dengan motivasi kerja perawat. Jurnal Penelitian Perawat Profesional, 6(2), 537-548.
Nursalam. (2018). Konsep dan penerapan metodologi penelitian ilmu keperawatan. Pedoman skripsi, tesis, dan instrumen penelitian keperawatan. Jakarta: Salemba Medika.
Oktamia, R. (2022). Hubungan perilaku caring perawat terhadap kepatuhan pengkajian ulang nyeri di ruang intensif care unit (ICU) Rumah Sakit Dr. Saiful Anwar Malang. Fakultas Ilmu Kesehatan, Universitas Brawijaya.
Pabundu. (2017). Budaya organisasi dan peningkatan kinerja perusahaan. Jakarta: Bumi Aksara.
Papalia, et al. (2018). Human development (Psikologi perkembangan). Jakarta: Salemba Medika.
Potter & Perry. (2018). Fundamental keperawatan 1, Edisi 8. Jakarta: Salemba Medika.
Prihati, D. R., & Wirawati, M. K. (2019). Pengetahuan perawat tentang early warning score dalam penilaian dini kegawatan pasien kritis. Jurnal Keperawatan, 11(4).https://doi.org/10.32583/keperawatan.v11i4.531
Putra, A. A., Rejeki, S., & Kristina, T. N. (2016). Hubungan persepsi perawat tentang karakteristik pekerjaannya dengan kepatuhan dalam pendokumentasian asuhan keperawatan. Jurnal Keperawatan Notokusumo, 4(1), 89.
Rachmawati, H. (2022). Hubungan tingkat pengetahuan perawat tentang Paediatric Early Warning Score System (PEWSS) terhadap kemampuan pemantauan klinis pasien anak di Gedung A RSUPN Dr. Cipto Mangunkusumo Jakarta (Doctoral dissertation, Universitas Binawan).
Rahmawani, A., & Rahman, L. O. A. (2023). Pengembangan sistem informasi manajemen keperawatan anak Pediatric Early Warning System (PEWS) berbasis elektronik: Sebuah tinjauan literatur. Jurnal Inovasi Kesehatan Adaptif, 5(5), 1-7.
Rashvand, F., Ebadi, A., Vaismoradi, M., Salsali, M., Yekaninejad, M. S., Griffiths, P., & S. C. (2020). The assessment of safe nursing care: Development and psychometric evaluation. Journal of Nursing Management, 25, 22-36.https://doi.org/10.1111/jonm.12424
Ratanto, R., Ningtyas, R., Lubis, V. H., Afrianti, N., Deswani, D., Arini, D., ... & Suryati, S. (2023). Manajemen patient safety: Meningkatkan kualitas pelayanan kesehatan dan keselamatan pasien. PT. Sonpedia Publishing Indonesia.
Restuning, D., & Wirawati, M. K. (2019). Pengetahuan perawat tentang early warning score dalam artikel riwayat artikel nurses' knowledge about early warning score in the early assessment of the emergency of critical patients. Jurnal Keperawatan, 11(4), 237-242.https://doi.org/10.32583/keperawatan.v11i4.531
Rusmawati, A., Ellina, A. D., Fawzi, A., & Musa, K. I. (2022). Pediatric Early Warning Score (PEWS) application compliance with response time and patient safety. STRADA: Jurnal Ilmiah Kesehatan, 11(1), 37-44.https://doi.org/10.30994/sjik.v11i1.889
Rusmianingsih, N. (2023). Korelasi pengetahuan perawat dengan kelengkapan pendokumentasian asuhan keperawatan di Rumah Sakit Kuningan Medical Center. Journal of Nursing Practice and Education, 3(2), 171-178.https://doi.org/10.34305/jnpe.v3i2.733
Sambeeck, S., et al. (2018). Pediatric Early Warning System scores: Lessons to be learned. Journal of Pediatric Intensive Care, 7(1), 27-32.https://doi.org/10.1055/s-0037-1602802
Satyaningrum, I. R., et al. (2022). Metodologi penelitian. Pekalongan: Cendikia Press.
Setiyawan, I. M. K., Wati, D. K., Hartawan, I. N. B., Suparyatha, I. B. G., & Lestari, M. P. L. (2020). Validitas modified pediatric early warning system/score di Rumah Sakit Umum Pusat Sanglah. Intisari Sains Medi, 11(3), 1443-1450.
Simamora, (2018). Manajemen sumber daya manusia. Yogyakarta: STIEY.
Simanjuntak, P. (2018). Manajemen dan evaluasi kerja. Jakarta: FEUI.
Smet, B. (2017). Psikologi kesehatan. Jakarta: PT. Gramedia Widiasama Indonesia.
Sugiyono. (2019). Metodologi penelitian kombinasi. Bandung: Alfabeta.
Sulastri, S., Ma'ruf, H., & Maulana, H. (2023). Early warning score system (EWSS) implementation factors by nurses as early detection efforts worsening of COVID-19 patients in the treatment room. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 9(4).https://doi.org/10.33755/jkk.v9i4.496
Suryoputri, A. D. (2019). Perbedaan angka kepatuhan cuci tangan petugas kesehatan di RSUP Karyadi. Universitas Diponegoro.
Suwaryo, P. A. W., Sutopo, R., & Utoyo, B. (2019). Pengetahuan perawat dalam menerapkan early warning score system (EWS) di ruangan perawatan. Jurnal Ilmiah Kesehatan Keperawatan, 15(2), 64-74.https://doi.org/10.26753/jikk.v15i2.376
Swarjana, (2017). Metodologi penelitian kesehatan. Jakarta: Rineka Cipta.
Vincent, G. (2018). Total quality management. Jakarta: PT Gramedia Pusaka Utama.
Wahyudi, P., Indriati, G., & B. (2019). Gambaran skor pediatric early warning score (PEWS) pada pola rujukan pasien anak di instalasi gawat darurat. Jom Psik, 1(2), 1-8.
WHO. (2020). Guidelines on hand hygiene in health care.
Widiastuti, L. (2017). Efektivitas early warning score dalam deteksi kegawatdaruratan di trauma center Rumkital Dr. Midiyato S Tanjungpinang. Jurnal Keperawatanwatan, 7(2).
Wiratmo, P. A., Karim, U. N., & Purwayuningsih, L. (2021). Hubungan antara pengetahuan dan sikap perawat mengenai keselamatan pasien terhadap penerapan nursing early warning scoring system (NEWSS). Journals of Ners Community, 12(3), 232-244.
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