IndyantyWL, Eky (2014) Pengaruh Pengetahuan, Sikap, dan Perilaku Perawat tentang Flebotomi terhadap Kualitas Spesimen Laboratorium di RSUD Kabupaten Jombang. Magister thesis, Universitas Brawijaya.
Abstract
Kesalahan pra-analitik memberikan kontribusi paling besar pada kesalahan di laboratorium (46-77,1%). Kesalahan pra-analitik yang paling banyak yaitu kesalahan yang berhubungan dengan kualitas spesimen antara lain hemolisis, volume spesimen kurang, spesimen ada bekuan, kesalahan vacuum container / jenis antikoagulan, rasio volume spesimen dan antikoagulan yang tidak sesuai. Pelaksanaan flebotomi yang tidak tepat, kurangnya pengetahuan dan ketidakpatuhan dari petugas flebotomi dilaporkan sebagai penyebab kesalahan pra-analitik yang berhubungan dengan kualitas spesimen. Penelitian ini bertujuan untuk mengetahui pengetahuan, sikap, dan perilaku perawat tentang tindakan flebotomi serta pengaruhnya terhadap kualitas spesimen. Penelitian ini merupakan penelitian observasional analitik dengan pendekatan cross sectional. Populasi penelitian adalah 129 orang perawat pelaksana di Instalasi Rawat Inap RSUD Kabupaten Jombang dengan masa kerja minimal 1 tahun dipilih secara acak. Pengetahuan dan sikap responden tentang tindakan flebotomi diukur menggunakan kuesioner. Perilaku dan kualitas spesimen diukur melalui observasi dan wawancara. Analisis data yang digunakan adalah korelasi Spearman, independent sample t-test , dan multiple logistic regression . Terdapat korelasi positif yang bermakna antara pengetahuan perawat dan kualitas spesimen (r=0,190; p=0,031). Tidak terdapat perbedaan bermakna rata-rata skor sikap perawat tentang flebotomi berdasarkan kualitas spesimen laboratorium (p=0,698) dan tidak terdapat korelasi antara perilaku perawat dan kualitas spesimen (r=0,017; p=0,846). Pengetahuan, sikap, dan perilaku perawat tidak berpengaruh terhadap perubahan kualitas spesimen, diduga faktor peralatan yang digunakan untuk flebotomi memiliki peran dalam penentuan kualitas spesimen. Peningkatan pengetahuan, mempertahankan sikap positif, memperbaiki sikap negatif serta merevisi SPO pengambilan darah perlu dilakukan untuk meningkatkan kualitas pelayanan.
English Abstract
Pre-analytical errors contribute the biggest portions in laboratory errors (46-77.1 %). The most frequent pre-analytical errors encountered are related to specimen quality, i.e hemolysis, inadequate specimen volume, clotting in the specimen, invalid choice of vacuum container/type of anticoagulants, inappropriate specimen volume to anticoagulants ratio. Improper phlebotomy implementation, lack of knowledge and non compliance of nurse as a phlebotomy officers were reported as a cause of pre-analytical errors related to specimen qualities. Objective of this study is to describe the knowledge, attitudes, and behavior of the nurse regarding phlebotomy and their effect on the quality of the specimen. This is an observational analytic study with cross sectional approach. The study population was 129 randomly selected inpatient nurses (with minimum years of service 1 year). Respondents knowledge and attitudes about phlebotomy were measured using a questionnaire. Nurse`s behavior and the quality of the specimen were measured through observation and interviews. Data analysis was done with the use of Spearman correlation, independent sample t-test, and multiple logistic regression. There was a significant positive correlation between nurses knowledge and the quality of the specimen (r = 0.190; p =0.031). But there was no significant difference in the average score of nurses attitudes about phlebotomy based on the quality of laboratory specimens (p=0.698) and there was no correlation between the nurses behavior and the quality of the specimen (r=0.017; p=0.846). Knowledge, attitude, and behavior of nurses do not affect the quality of the specimen changes. It is suspected that equipment used for phlebotomy have a role in determining the quality of the specimen. Updating knowledge, maintaining positive attitudes, restoring negative attitudes, and improvement of SOP for blood sampling are all necessary to improve the quality of care.
| Item Type: | Thesis (Magister) |
|---|---|
| Identification Number: | TES/610.730 69/IND/p/041404443 |
| Subjects: | 600 Technology (Applied sciences) > 610 Medicine and health > 610.7 Education, research, nursing, services of allied health personnel |
| Divisions: | S2/S3 > Magister Manajemen Rumah Sakit, Fakultas Kedokteran |
| Depositing User: | Endro Setyobudi |
| Date Deposited: | 27 Aug 2014 15:08 |
| Last Modified: | 27 Aug 2014 15:08 |
| URI: | http://repository.ub.ac.id/id/eprint/157932 |
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