Comparative Study of The Effect of Training on Nurses Performance Related To The Safety Targets of Fall Risk Patients at General Hospital Indonesian Christian University Jakarta

Patient’s Safety is part a service system in a hospital to give comfort and protection, so the patient feel more secured. Fall patient’s accident is mostly reported happen to adult patient when they were having a care unit. Patien’s safety training is purposed to add nurses performance motivation to prevent fall patient. This research is meant to see whether there is a connection between the workshop, attitude, motivetion of nurses performance and the patient safety from fall accident in General Hospital Indonesian Christian University, Jakarta. This research used quantitative method combine with comparative study design. This comperative study is conducted by comparing the nurses performance toward patient safety of fall accedent between those who had the trainng workshop and those who dont have the training workshop. The ammount of the sample to this research is 94 respondents, which is divided into two groups. 56 respondents who had the workshop training and 38 respondents who did not have workshop training. Then two these two groups are conducted an osbervation and being compared. The technique of sample taking is using total sampling technique. The result of this research showed that there is an influence of training (p=0,000) motivation (p = 0,010), to patient safety of fall accident prevention OR (Odd Ratio) valvue is 8,603 times higher than to thoses who did not have the patient safety training workshop. This research recommends the necessary to conduct a workshop training to develop attitude, motivation and standarized nurse performance to prevent patient fall accident risk. Keyword : Atitude; Motivation, Patient safety, Performance Nurses; Training Introduction Patient safety in a hospital is a service system in a hospital that provides protection for patients to be safe. Hospitals are required to apply patient safety standards. This includes measuring and identifying risks to patients, reporting and analyzing incidents, the ability to learn and follow up on incidents and implement solutions to prevent, reduce and minimize risks. The incidence of injuries from falls in hospital is often reported to adult patients while undergoing hospitalization. Treatment of patients hospitalized requires specific treatment, in connection with various conditions and various cases of disease. Each patient is a unique person with various disorders and uniqueness. In this case, there are various kinds of diseases with various patient conditions that will affect the way nursing services are provided. Service provision is of course adjusted to the patient's condition which is full of risks. There are many risks that may occur and one of them is Falling Patients. Dwi Rohyani, et al | Comparative Study of The Effect of Training on Nurses Performance.... Journal Educational of Nursing (JEN) Vol. 3 No. 2 (2020) 54 To prevent and anticipate falling patients with or without injury, it is necessary to carry out an assessment since the patient first entered the treatment room. Not only that, periodic or periodic reviews of the patient's risk of falling are also important. This fall risk assessment can be carried out since the patient starts registering or registering, namely by using a drop scale. This needs to be done through socialization orientation and training to nurses. The General Hospital of the Christian University of Indonesia has carried out 16 accreditation standards for 2011 and has completely passed the 2012 KARS version accreditation in 2015 and 2018 SNARS 1 accreditation passed PARIPURNA various things are done to implement patient safety goals. One of the indicators of the quality of the Indonesian Christian University Hospital is the safety target for falling patients. There are 148 nurses at Indonesian Christian University Hospital, 16 midwives, 30 nonmedical staff (TNMR), staff. In 2017, the number of employees who have attended the patien safety training is 148 people. Meanwhile, in 2018 there were 104 people. Based on the data obtained, in the implementation of the patient safety program at the General Hospital of the Christian University of Indonesia, there were patient safety incidents from 2015 to November 2016 in all service units. Patient Safety Incidents Fall 2014 to November 2016 The number of incidents included in the KPRS team at General Hospital of Indonesian Christian University Jakarta in January December 2015 recorded 20 incidents as follows KTD (unexpected events) 11 incidents (55%), KNC (near injury incidents) 7 incidents (35%), KTC (Non-Injury Incidents) 2 incidents (10%), while in January November 2016 there were 3 incidents as follows KTD (unexpected incidents) 19 incidents (48.17%), KNC (near injury incidents ) 10 incidents (25.64%), KTC (NonInjury Incidents) 10 incidents (25.64%) the data were patient safety incidents in the first, second, third, fourth and fifth targets. Meanwhile, KTD data on the risk of falling in hospitalization in 2017 amounted to 4 incidents, in 2015 KTD were 3 incidents and in 2018 KTD were 2 incidents with age categories ≥ 1 year, 15-30 years, 30-65 years, ≥ 65 years, which should be this should not happen (SPM 2008). The impact of all the above incidents if not resolved immediately is that the same incident will repeat itself, prolong treatment, injury, disability and death arise. Based on the description above, it can be understood that there is still a gap between the performance of the nurses at the Indonesian Christian University Hospital and the patient safety incident at the risk of falling in hospitalization. Supposedly, after training patien safety, there is an increase in knowledge, attitude and motivation so that the performance of nurses in implementing patient safety at risk of falling goes well. This means, no fall patient safety incidents occur. However, data at Indonesian Christian University Hospital still shows patient safety incidents at risk of falling. The impact of this is that patient care days increase. The purpose of this study was to determine the effect of patient safety training and confounding variables (characteristics, attitudes and motivation of nurses) on the performance of nurses implementing the patient's risk of falling safety targets. Methods This research is a quantitative study with a cross-sectional comparative study design, by comparing the performance of nurses on patient safety, the risk of falling between nurses who have received training and those who have not received training at Indonesian Christian University Hospital in April May 2019. The population of this study is a nurse who works at the Indonesian Christian University Hospital in the inpatient unit as many as 94 nurses. From the existing sample, 56 nurses have received training and 38 nurses have not received training. Results and Discussion Dwi Rohyani, et al | Comparative Study of The Effect of Training on Nurses Performance.... Journal Educational of Nursing (JEN) Vol. 3 No. 2 (2020) 55 Nurse Characteristics Table 1Frequency Distribution of Nurse Characteristics at General Hospital of Indonesian Christian University from April to May 2019 Nurse Characteristics Training Not Training Yet Amou nt (%) Amount (%) Age 20-40 year 44 78,57 30 78,94 41-60 year 12 21,43 8 21,06 Gender Man 3 5,36 4 10,53 Woman 53 94,64 34 89,47 Education 3-Year Diploma 34 60,71 30 78,94 Nursing Midwifery 22 39,29 8 21,06 Length of Working < 4 year 28 50,0 19 50,0 > 4 year 28 50,0 19 50,0