Nurses’ Intention and Behavior in Reporting Adverse Event: Application of Theory of Planned Behavior
Abstract
Data menunjukkan bahwa secara global jumlah pelaporan insiden keselamatan pasien masih rendah, begitu juga di Rumah Sakit Baptis Batu, Jawa Timur. Penelitian ini bertujuan untuk mengetahui pengaruh antara sikap, norma subjektif, dan perceived behavioral control (PBC) terhadap niat dan untuk menentukan hubungan antara PBC dan niat terhadap perilaku perawat dalam melaporkan kejadian tidak diharapkan (KTD). Penelitian ini menggunakan pendekatan potong lintang dan dilakukan di Rumah Sakit Baptis Batu pada tanggal 16-31 Maret 2016. Pengambilan data dilakukan dengan menggunakan kuesioner yang dibagikan kepada 82 (dari 85) perawat yang bekerja di Rumah Sakit Baptis Batu. Data dianalisis menggunakan regresi linier berganda dan korelasi Spearman. Hasil penelitian menunjukkan bahwa sikap (B = 0.496; nilai p = 0.000) dan PBC (B = 0.766; nilai p = 0.037) secara signifikan memengaruhi niat untuk melaporkan KTD, sedangkan norma subjektif (B= -0.087; nilai p = 0.540) tidak berpengaruh terhadap niat melaporkan KTD. Tidak terdapat hubungan antara PBC (r = 0.037; nilai p = 0.739) dan niat (r = 0.031; nilai p = 0.783) terhadap perilaku melaporkan KTD. Temuan ini menunjukkan bahwa niat perawat dalam melaporkan KTD dipengaruhi oleh sikap dan PBC, bukan norma subjektif. Sebaliknya, niat dan PBC tidak berhubungan dengan perilaku melaporkan KTD. Data show that globally the number of patient safety incident reporting remains low, also at Baptis Batu Hospital, East Java. This study aimed to determine the influence between attitude, subjective norm and perceived behavioral control (PBC) to the intention and to determine relation between PBC and intention toward nurses’behavior in reporting adverse event. This study used cross sectional approach and conducted at Baptis Batu Hospital from March 16th to March 31st, 2016. Data measurement was done using questionnaires that were distributed to 82 (of 85) nurses working at Baptis Batu Hospital. Data were analyzed using multiple linear regression and Spearman correlation. The results showed that attitude (B = 0.496; p value = 0.000) and PBC (B = 0.766; p = 0.037) significantly influenced the intention to report adverse events, while subjective norm (B = -0.087; p value = 0.540) did not influence the intention to report adverse events. There was no relation found between PBC (r = 0.037; p = 0.739) and intention (r = 0.031; p value = 0.783) to behavior of reporting adverse event. These findings indicated that nurses’ intention in reporting adverse event was influenced by attitude and PBC, not subjective norm. In contrast, intention and PBC did not relate to adverse event reporting behavior.
References
1. Departemen Kesehatan Republik Indonesia. Panduan nasional keselamatan pasien rumah sakit (patient safety). Jakarta: Departemen Kesehatan Republik Indonesia; 2008.
2. Bowie P. Leadership and implementing a safety culture. Journal Practice Nurse. 2010; 40: 32-5.
3. Aranaz-Andres J, Aibar-Remon C, Limon-Ramirez R, Amarilla A, Restrepo F, Urroz O. Prevalence of adverse events in the hospitals of five Latin American countries: results of the ‘Iberoamerican study of adverse events’ (IBEAS). Biomedic Medical Journal Quality and Safety Journal. 2011: 1043-51.
4. Komite Keselamatan Pasien Rumah Sakit. Laporan insiden keselamatan pasien. Jakarta: Badan Pusat Statistik; 2011.
5. Iskandar H, Maksum H, Nafisah. Faktor penyebab penurunan pelaporan insiden keselamatan pasien di rumah sakit. Jurnal Kedokteran Brawijaya 2014; 28: 72-7.
6. Ajzen I. Behavioral interventions based on the theory of planned behavior. ResearchGate; 2006 [cited 2016 25 August]. Available from: https://www.researchgate.net/publication/245582784_Behavioral_Inter ventions_Based_on_the_Theory_of_Planned_Behavior.
7. Cote F, Gagnon J, Houme P, Abdeljelil A, Gagnon M. Using the theory of planned behaviour to predict nurses’ intention to integrate research evidence into clinical decision-making. Journal of Advanced Nursing. 2011; 68(10): 2289-98.
8. Godin G, Belanger-Gravel A, Eccles M, Grimshaw J. Healthcare professionals intentions and behaviours: a systematic review of studies based on social cognitive theories. Implementations Science. 2008; 3(36): 1- 12.
9. Javadi M, Kadkhodaee M, Yaghoubi M, Maroufi M, Shams A. Applying theory of planned behaviour in predicting of patient safety behaviours of nurses. Materia Socio Medica Journal. 2013; 25: 52-5.
10. Cooke R, French D. How well do the theory of reasoned action and theory of planned behaviour predict intentions and attendance at screening programmes? A meta-analysis. Psychology and Health. 2008; 23(7): 745-65.
11. Jansma J, Wagner C, Bijnen A. Residents’ intention and actions after patient safety education. BMC Health Services Research. 2010; 10: 1-9.
12. Mulyana D. Analisis penyebab insiden keselamatan pasien oleh perawat di unit rawat inap rumah sakit X Jakarta. Jakarta: Universitas Indonesia; 2013.
13. Kingston M, Evans S, Smith B, Berry J. Attitudes of doctor and nurses towards incident reporting: a qualitative analysis. Medical Journal of Australia. 2004; 181: 36-9.
14. Hung C, Lee B, Liang H, Chu T. Factors influencing nurses’ attitudes and intentions toward medication administration error reporting. Japan Journal of Nursing Science. 2016: 1-10.
15. Gavaza P, Brown C, Lawson K, Rascati K, Steinhardt M, Wilson J. Effect of social influences on pharmacists’ intention to report adverse drug events. Journal of the American Pharmacists Association. 2012; 52: 622-9.
16. Jansma J, Zwart D, Leistikow I, Kalkman C, Wagner C, Bijnen A. Do specialty registrars change their attitudes, intentions and behaviour towards reporting incidents following a patient safety course. BMC Health Services Research. 2010; 10: 1-9.
17. Kotler P. Manajemen pemasaran. Jakarta: PT. Indeks; 2003.
18. Cahyono S. Membangun budaya keselamatan pasien dalam praktik kedokteran. Yogyakarta: Kanisius; 2008.
19. Mahajan R. Critical incident reporting and learning. British Journal of Anaesthesia. 2010; 105(1): 69-75.
20. Kim J, Kim S, Jung Y, Kim E. Status and problems of adverse event reporting systems in Korean Hospitals. Healthcare Informatic Research. 2010; 16(3): 166-76.
21. Hastuti A. Penerapan budaya keselamatan pasien sebagai upaya pencegahan kejadian tidak diinginkan (KTD). Jurnal Kebidanan dan Keperawatan. 2013; 9(1): 19-28.
22. Petrova E, Baldacchino D, Camileri M. Nurses’ perceptions of medication errors in Malta. Nursing Standard Journal. 2010; 24(33): 41-8.
23. Teng C, Ho L, Chen W. Improving health professional services: applying the theory of reasoned action to examine determinants of intention to report patient safety events. Management Review. 2009; 28: 137-40.
24. Harper M, Helmreich R. Identifying barriers to the success of a reporting system. Advances in Patient Safety. 2005; 3: 167-79.
25. Hwang J, Lee S, Park H. Barriers to the operation of patient safety incident reporting systems in Korean General Hospitals. Healthcare Informatic Research. 2012; 18(4): 279-86.
26. Mascherek A, Gehring K, Bezzola P, Schwappach D. Using the theory of planned behaviour to model antecendent of surgical checklist use: a cross-sectional study. BMC Health Services Research. 2015; 15: 462-70.
27. Cassista J, Payne-Gagnon J, Martel B, Payne-Gagnon M. Applying theory to understand and modify nurse intention to adhere to recommendations regarding the use of filter needles: an intervention mapping approach. Nursing Research and Practice. 2014: 1-8.
28. Aiken L. Psychological testing and assesment. Boston: Allyn Bacon; 2002.
29. Elrifda S. Budaya patient safety dan karakteristik kesalahan pelayanan: implikasi kebijakan di salah satu rumah sakit di Kota Jambi. Kesmas: Jurnal Kesehatan Masyarakat Nasional. 2011; 6(2): 67-76.
Recommended Citation
Ekayani NP , Wardhani V , Rachmi AT ,
et al.
Nurses’ Intention and Behavior in Reporting Adverse Event: Application of Theory of Planned Behavior.
Kesmas.
2017;
11(3):
138-144
DOI: 10.21109/kesmas.v11i3.1091
Available at:
https://scholarhub.ui.ac.id/kesmas/vol11/iss3/7
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