Abstract
The concept of caring is used by nurses in providing nursing care. However, there are factors that influence nurses’ caring attitudes, such as job stress and dehumanization, which make nurse caring behavior decrease. Our program offers a solution to build a caring culture for cancer nurses. The activities carried out were the socialization of the caring culture to nurses, training for the head nurse as a change agent who guided nurses, assignment from the head of the hospital to the head nurse, and a guidance program for the head nurse as a champion to nurses. After the activity was finished, we evaluated the implementation of caring culture by focus group discussion for the head nurse. As a result, eight themes were obtained: observation guidance about caring behavior to help champions monitor and increase the nurses’ caring attitudes, training about caring to help nurses change their caring attitude, excessive workload makes nurses display less-caring behavior, Whatsapp application helps socialize caring culture, spiritual power from the inside fosters caring behavior, support from hospital leaders for caring behavior, needs for caring behavior training and therapeutic communication for all health care providers and administrative staff, needs for caring behavior standard operating procedures (SOP) and guidance from senior nurses. The number of nurses who behave caring well also increase by 38% after intervention (p = 0.021). The result of FGD can be suggestions for the hospital of ways to improve the caring culture.
References
Ajzen, I. (1991). The theory of planned behaviour. Organizational Behaviour and Human Decision Process, 211(50), 179–211.
Alligood (2014). Nursing Theorists and Their Works. Eighth Edition. St. Louis: Mosby Elsevier, Inc.
Aliftitah, S., & Suprayitno, E. (2017). Hubungan Perilaku Caring Perawat dengan Kecemasan Pasien Pra Operasi Di Ruang Bedah Rsud Dr. H. Moh. Anwar Sumenep. Jurnal Ilmu Kesehatan, 2(1), 17–22.
Bandura, A. (1978). The self system in reciprocal determinism. American Psychologist, 33(4), 344–358. Retrieved from https://doi.org/10.1037/0003-066X.33.4.344.
Bucco, T. (2015). The Relationships between Patients’Perceptions of Nurse Caring Behaviors, Nurses’Perceptions of Nurse Caring Behaviors and Patient Satisfaction in The Emergency Department. UMI Dissertation Publishing. Seton Hall University. Retrieved from ProQuest LLC.
Creswell, J. W. (2014). Research design-qualitative, quantitative, and mixed method approaches. Los Angeles: SAGE Publication, Inc.
Drake, J. (2016). Tools That Measure Caring: A Systematic Literature Review of the Impact of Caring. Walden University. Retrieved from ProQuest LLC.
Feudtner, C., Santucci, G., Feinstein, J. A., Snyder, C. R., Rourke, M. T., & Kang, T. I. (2007). Hopeful thinking and level of comfort regarding providing pediatric palliative care: a survey of hospital nurses. Pediatrics, 119(1), e186–e192. http://doi.org/10.1542/peds.2006-1048.
Fuller, S. (2015). The role of nurse leaders in improving health. Nursing Times, 111(3), 12–14.
Glanz, K., Rimer, B. K., & Viswanath, K. (2008). Health behavior and health education: Theory, research, & practice (4 th). San Francisco: Jossey-Bass.
Glembocki, M. M., & Dunn, K. S. (2010). Building an Organizational Culture of Caring: Caring Perceptions Enhanced with Education. The Journal of Continuing Education in Nursing, 41(12), 565–570. http://doi.org/10.3928/00220124-20100701-05.
Handiyani, H., Kurniawidjaya, M., Irawaty, D., & Damayanti, R. (2017). Model Pembelajaran Berbasis Keselamatan untuk Membentuk Perilaku Mencegah Cedera Jarum Suntik Mahasiswa Keperawatan di Wahana Praktik. Universitas Indonesia.
Johnson, D. G. (2017). Emotional Intelligence and Caring Behaviors : Is There A Relationship ? Gardner-Webb University Hunt School of Nursing. Retrieved from ProQuest LLC.
Marquis, B. L., & Huston, C. J. (2015). Leadership roles and managment functions in nursing: Theory and application (8th ed.). Philadelphia: Wolters Kluwer Health. Lippincott Williams & Wilkins. Retrieved from www.ebook777.com.
Mc Millan, M. O. (2017). The Effects of Watson’ s Theory of Human Caring on the Nurse Perception and Utilization of Caring Attributes and the Impact on Nurse Communication. Gardner-Webb University Hunt School of Nursing in. Retrieved from ProQuest LLC.
Merrill, K. C. (2011). The relationship among nurse manager leadership style, span of control, staff nurse practice environment, safety climate, and nurse-sensitive patient outcomes. The University of Utah.
Novieastari, E., & Gunawijaya, J. (2017). Buku Pedoman Asuhan Keperawatan Peka Budaya pada Pasien Berpenyakit Kronis. Jakarta, Indonesia: Fakultas Ilmu Keperawatan Universitas Indonesia.
Nuraini, T., Gayatri, D., & Irawaty, D. (2018). Validity and reliability of the Comfort Assessment Breast Cancer Instrument in breast cancer palliative care. Enfermeria Clinica, 28. http://doi.org/10.1016/S1130-8621(18)30059-7
Oemiati, R., Rahajeng, E., & Kristanto, A. Y. (2011). Prevalensi Tumor dan Beberapa Faktor yang Mempengaruhinya di Indonesia. Buletin Penelitian Kesehatan, 39(4), 190–204.
Potter, P., & Perry, A. (2009). Fundamental of Nursing: Concepts, Process, and Practice (7th ed). Singapore: Elsevier.
Pramudjono, P. (2015). The Influences of Organizational Culture, Moral Hierarchy Level, and Motivation towards the Teacher’s Commitment. American Journal of Educational Research, 3(1), 20–24. http://doi.org/10.12691/education-3-1-5.
Ramchandran, K., & Von Roenn, J. (2013). Palliative care always. Oncology (Williston Park), 27(1), 3–6, 27–30, 32–4.
Rufaidah, S., Qurrotul, A., & Istioningsih, I. (2018). Hubungan Perilaku Caring Perawat Dengan Los (Length Of Stay) pada Pasien Rawat Inap. Jurnal Keperawatan, 10(1), 44–52.
Sibandze, B. T. (2018). The process by which nurses in swaziland develop a values-based practice : a mixed-methods study. George Mason University. Retrieved from ProQuest LLC
Talenta, C. (2016). Hubungan Burnout dengan Perilaku Caring Perawat di Rumah Sakit Kanker Dharmais Jakarta. Universitas Indonesia, Jakarta, Indonesia.
Tomey, A. M., & Alligood, M. R. (2010). Nursing theorist and their work (7 th edition). St. Louis: The C.V Mosby Elsevier.
Walker, D. K., & Polancich, S. (2015). Doctor of nursing practice: the role of the advanced practice nurse. In Seminars in Oncology Nursing (Vol. 31, pp. 263–272).
Watson, J. (2007). Watson’s Theory of Human Caring and Subjective Living Experiences: Carative Factors. Texto Contexto Enferm, Florianopolis, 16(1), 129–35. http://doi.org/10.15680/IJIRSET.2015.0402009.
Yoo, W., Chih, M. Y., Kwon, M. W., Yang, J., Cho, E., McLaughlin, B., … Gustafson, D. H. (2013). Predictors of the change in the expression of emotional support within an online breast cancer support group: A longitudinal study. Patient Education and Counseling, 90(1), 88–95. http://doi.org/10.1016/j.pec.2012.10.001.
Recommended Citation
Nuraini, Tuti; Novieastari, Enie; and Yetti, Krisna
(2019).
Evaluation of nursing care behavior culture program’s implementation at Dharmais Cancer Hospital.
ASEAN Journal of Community Engagement, 3(1).
Available at: https://doi.org/10.7454/ajce.v3i1.140
