DETERMINAN TINDAKAN MANDIRI PERAWAT : ACTIVITY OF DAILY LIVING, CARING & SUPPORT AND REHABILITATION DI RUANG RAWAT INAP RSUD DR. M. HAULUSSY AMBON

Abstract

Independent nursing actions are the actions undertaken by nurses to promote the healing and self-care of patients. These actions have not been optimally implemented by nurses in hospitals and therefore result in increased decubitus cases and length of stay (LOS). Some factors are associated with these actions. This study aimed to investigate the influencing and dominant factors of independent nursing actions. The study employed a correlative analysis with a cross-sectional design. The population was all nurses (n=212) at the inpatient wards of dr. M. Haulussy public hospital in Ambon. A probability sampling was used to recruit the samples of 165 nurses. Data were collected through questionnaires and observations and analyzed using the Spearman rank correlation (bivariate analysis) and multiple linear regression (multivariate analysis). The results showed that the activity of daily living, caring & support and rehabilitation which had been undertaken by nurses were included in the good category. The factors of age, gender, knowledge, education, the length of work, experience, ability, knowledge, and workload were associated with the nurses’ independent actions. Furthermore, the experience had a coefficient value of 0.093, while the education, gender, ability, and knowledge had a value of 0.686, 0.856, 0.041 and 0.878 consecutively with a significance value of 0.000, indicating that these variables independently affected the actions. The variable with the most dominant effect was the knowledge with a correlative coefficient value of 0.450. This study concluded that the associated factors of nursing actions were the age, gender, education, length of work, experience, knowledge, family responsibility, ability, and workload. The most dominant factor associated with the independent nursing actions was the knowledge with the highest beta coefficient value. Based on the findings, it is suggested that the hospital management makes efforts to promote the nursing independent actions by increasing the nurses’ knowledge through training and advanced study to a higher level.