Efektivitas pelatihan tutorial simulasi Early Warning Score (EWS) COVID-19 dewasa terhadap pengetahuan dan kinerja tenaga kesehatan dalam pendokumentasian di RSUD Sanjiwani, Gianyar, Indonesia

Ni Komang Ady Tri Hapsari; I Gede Putu Darma Suyasa; Ni Putu Ayu Jelantik Sastamidhyani; Ni Made Dewi Wahyunadi

doi:10.15562/ism.v12i3.1102

Efektivitas pelatihan tutorial simulasi Early Warning Score (EWS) COVID-19 dewasa terhadap pengetahuan dan kinerja tenaga kesehatan dalam pendokumentasian di RSUD Sanjiwani, Gianyar, Indonesia

Ni Komang Ady Tri Hapsari ,

I Gede Putu Darma Suyasa ,

Ni Putu Ayu Jelantik Sastamidhyani ,

Ni Made Dewi Wahyunadi ,

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DOI: https://doi.org/10.15562/ism.v12i3.1102 |
Published: 2021-10-12

Abstract

Background: Monitoring vital signs in COVID-19 patients with severe symptoms could be conducted by documenting Early Warning Score (EWS). However, health care workers are not trained to apply EWS. The purpose of this study was to determine the effectiveness of the adult EWS COVID-19 simulation tutorial training on the knowledge and performance of health workers in documentation.

Methods: The research method used was Quasi Experiment with a pre-test post-test approach with control design. Samples were 40 health workers divided into 2 groups. The intervention group 1 was the health workers from the Kamboja Room by providing simulation tutorial training consisting of the Tutorial (Lecture) method, case studies and simulations, while the intervention group 2 was the Arjuna Room health worker by providing the Tutorial (Lecture) method. Data were analyzed using SPSS version 25 for Windows.

Results: There was a significant difference in knowledge and performance related to the documentation before and after training was carried out using the Wilcoxon Sign Rank Test (p<0.001). In addition, a significant difference was also found in the effectiveness of the training method using the Independent T-Test test for knowledge (p=0.041) and performance (p=0.029) in documentation.

Conclusion: Simulation Tutorial Training is more effective in increasing knowledge and performance of health workers in documentation compared to Tutorial Training (Lecture). Based on the results of this study, it is recommended to provide training using the Adult COVID-19 EWS Simulation Tutorial method on an ongoing basis

Latar Belakang: Monitoring tanda-tanda vital pada pasien dengan Coronavirus Disease-2019 (COVID-19) dengan gejala berat dapat dilakukan melalui pendokumentasian Early Warning Score (EWS). Namun, tenaga kesehatan belum mendapatkan pelatihan tentang EWS COVID-19. Penelitian ini bertujuan untuk mengetahui efektivitas pelatihan tutorial simulasi EWS COVID-19 dewasa terhadap pengetahuan dan kinerja tenaga kesehatan dalam pendokumentasian.

Metode: Desain penelitian ini adalah Quasi-eksperimental dengan pendekatan pre-test-post-test with control design. Sampel adalah 40 orang tenaga kesehatan yang terbagi dalam dua kelompok. Kelompok intervensi 1 yaitu tenaga kesehatan Ruang Kamboja dengan pemberian pelatihan tutorial simulasi yang terdiri dari metode Tutorial (Lecture), studi kasus, dan simulasi, sedangkan kelompok intervensi 2 yaitu tenaga kesehatan Ruang Arjuna dengan pemberian metode Tutorial (Lecture). Data dianalisis dengan SPSS versi 25 untuk Windows.

Hasil: Terdapat perbedaan yang bermakna antara pengetahuan dan kinerja dalam pendokumentasian sebelum dan setelah pelatihan dengan uji Wilcoxon Sign Rank Test (p<0,001). Disamping itu juga terdapat perbedaan yang bermakna efektivitas metode pelatihan dengan uji Independent T-Test untuk pengetahuan (p=0.041) dan untuk kinerja dalam pendokumentasian (p=0.029).

Kesimpulan: Pelatihan Tutorial Simulasi lebih efektif dalam meningkatkan pengetahuan dan kinerja tenaga kesehatan dalam pendokumentasian dibandingkan dengan Pelatihan Tutorial (Lecture). Berdasarkan hasil penelitian ini disarankan untuk memberikan pelatihan dengan metode Tutorial Simulasi EWS COVID-19 dewasa secara berkesinambungan.

References

Hikmawati I, Setiyabudi R. Epidemiology of COVID-19 in Indonesia: common source and propagated source as a cause for outbreaks. J Infect Dev Ctries. 2021;15(5):646-652.
Kostakis I, Smith GB, Prytherch D, Meredith P, Price C, Chauhan A, et al. The performance of the National Early Warning Score and National Early Warning Score 2 in hospitalised patients infected by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Resuscitation. 2021;159:150-157.
Ñamendys-Silva SA, Cherit GD. Recommendations for the management of critically ill adult patients with COVID-19. Recomendaciones de tratamiento para pacientes adultos graves con COVID-19. Gac Med Mex. 2020;156(3):246-248.
Weng Z, Chen Q, Li S, Li H, Zhang Q, Lu S, et al. ANDC: an early warning score to predict mortality risk for patients with Coronavirus Disease 2019. J Transl Med. 2020;18(1):328.
Myrstad M, Ihle-Hansen H, Tveita AA, Andersen EL, Nygård S, Tveit A, et al. National Early Warning Score 2 (NEWS2) on admission predicts severe disease and in-hospital mortality from Covid-19 - a prospective cohort study. Scand J Trauma Resusc Emerg Med. 2020;28(1):66.
Downey CL, Tahir W, Randell R, Brown JM, Jayne DG. Strengths and limitations of early warning scores: A systematic review and narrative synthesis. Int J Nurs Stud. 2017;76:106-119.
Kyriacos U, Jelsma J, Jordan S. Monitoring vital signs using early warning scoring systems: a review of the literature. J Nurs Manag. 2011;19(3):311-330.
Liao X, Wang B, Kang Y. Novel coronavirus infection during the 2019-2020 epidemic: preparing intensive care units-the experience in Sichuan Province, China. Intensive Care Med. 2020;46(2):357-360.
Damayanti R, Trisyani Y, Nuraeni A. Effects of Early Warning Score (EWS) Tutorial Simulation on Nurses’ Knowledge and Clinical Performance. Nurse Media Journal of Nursing. 2019;9(2):231–241.
Rahmi H, Suryalena. Pengaruh On the Job Training dan Off the Job Training terhadap Kinerja Karyawan (Studi Pada Karyawan Bagian Kantor PTPN V Unit Kebun Lubuk Dalam Kabupaten Siak). Jurnal Online Mahasiswa Fakultas Ilmu Sosial dan Ilmu Politik Universitas Riau. 2017;4(2):1-12.
Hake R. Analyzing Change/Gain Score. Indiana: Indiana University. 1999.
Yunding J, Haerianti M, Evidamayanti E, Evawaty E, Indrawati I. Pemberdayaan Perawat dalam Penerapan Nurse Early Warning System untuk Memantau Kondisi Pasien di Rumah Sakit. Jurnal Abdimas Kesehatan (JAK). 2020;2(2):135-138.
Fox A, Elliott N. Early warning scores: a sign of deterioration in patients and systems. Nurs Manag (Harrow). 2015;22(1):26-31.
Spångfors M, Molt M, Samuelson K. National Early Warning Score: A survey of registered nurses' perceptions, experiences and barriers. J Clin Nurs. 2020;29(7-8):1187-1194.
Ekawati FA, Saleh MJ, Astuti AS. Hubungan Pengetahuan Perawat Tentang NEWSS dengan Penerapannya. Jurnal Ilmiah Kesehatan Sandi Husada. 2020;11(1):413–422.
Prihati DR, Wirawati MK. Pengetahuan Perawat tentang Early Warning Score dalam Penilaian Dini Kegawatan Pasien Kritis. Jurnal Keperawatan. 2019;11(4):237-242.
Sudiwedani A, Darma GS. Analysis of the effect of knowledge, attitude, and skill related to the preparation of doctors in facing industrial revolution 4.0. Bali Medical Journal. 2020;9(2):524-530.
Kartikasari F, Yani A, Azidin Y. Pengaruh Pelatihan Pengkajian Komprehensif terhadap Pengetahuan dan Keterampilan Perawat Mengkaji Kebutuhan Klien di Puskesmas. Jurnal Keperawatan STIKES Suaka Insan. 2020;5(1):79-78.
Liaw SY, Wong LF, Lim EY, Ang SB, Mujumdar S, Ho JT, et al. Effectiveness of a Web-Based Simulation in Improving Nurses' Workplace Practice With Deteriorating Ward Patients: A Pre- and Postintervention Study. J Med Internet Res. 2016;18(2):e37.
Ozekcin LR, Tuite P, Willner K, Hravnak M. Simulation education: early identification of patient physiologic deterioration by acute care nurses. Clin Nurse Spec. 2015;29(3):166-173.
Liaw SY, Wong LF, Chan SW, Ho JT, Mordiffi SZ, Ang SB, et al. Designing and evaluating an interactive multimedia Web-based simulation for developing nurses' competencies in acute nursing care: randomized controlled trial. J Med Internet Res. 2015;17(1):e5.
Pratiwi TV, Wahyuningsih H, Rumiani. Pelatihan Kebersyukuran untuk Menurunkan Tingkat Stres pada Pasien Diabetes Mellitus Tipe 2. Nathiqiyyah: Jurnal Psikologi Islam. 2018;1(1):1-26.
Andriana SF. Analisis Faktor-Faktor Yang Mempengaruhi Keberhasilan Pelatihan Umkm Di Kecamatan Srandakan Kabupaten Bantul Yogyakarta [Skripsi]. Universitas PGRI Yogyakarta. 2016.
Saab MM, McCarthy B, Andrews T, Savage E, Drummond FJ, Walshe N, et al. The effect of adult Early Warning Systems education on nurses' knowledge, confidence and clinical performance: A systematic review. J Adv Nurs. 2017;73(11):2506-2521.
Ludikhuize J, de Jonge E, Goossens A. Measuring adherence among nurses one year after training in applying the Modified Early Warning Score and Situation-Background-Assessment-Recommendation instruments. Resuscitation. 2011;82(11):1428-1433.