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Peran Mediasi Komunikasi Tim Pada Pengaruh Budaya Keselamatan Dan Beban Kerja Terhadap Kepatuhan Protokol Patient Safety
Abstract
Kepatuhan perawat terhadap protokol patient safety merupakan unsur penting dalam mutu dan keselamatan pelayanan rumah sakit. Penelitian ini bertujuan menganalisis pengaruh budaya keselamatan pasien dan beban kerja terhadap kepatuhan perawat pada protokol patient safety, baik secara langsung maupun melalui komunikasi tim. Penelitian menggunakan pendekatan kuantitatif eksplanatori dengan desain survei analitik cross-sectional. Responden terdiri atas 180 perawat pelaksana RSUD Dr. R. Soedjati Soemodiardjo Purwodadi yang dipilih dengan proportionate stratified random sampling. Data dikumpulkan menggunakan kuesioner tertutup skala Likert dan dianalisis dengan IBM SPSS Statistics 29 serta PROCESS Macro Model 4 dengan bootstrap 5.000 sampel. Hasil menunjukkan bahwa budaya keselamatan pasien, beban kerja, dan komunikasi tim berpengaruh signifikan terhadap kepatuhan perawat. Model kepatuhan perawat memiliki R Square sebesar 0,577, sehingga 57,7% variasi kepatuhan dijelaskan oleh ketiga prediktor. Budaya keselamatan pasien berpengaruh terhadap kepatuhan perawat (B = 0,299; β = 0,289; p < 0,001), beban kerja berpengaruh terhadap kepatuhan perawat (B = 0,270; β = 0,261; p < 0,001), dan komunikasi tim memiliki pengaruh terbesar (B = 0,425; β = 0,374; p < 0,001). Efek tidak langsung budaya keselamatan pasien melalui komunikasi tim sebesar 0,1543 (BootLLCI = 0,0966; BootULCI = 0,2186), sedangkan efek tidak langsung beban kerja melalui komunikasi tim sebesar 0,1643 (BootLLCI = 0,1004; BootULCI = 0,2417). Komunikasi tim terbukti menjadi mediator parsial.
Kata Kunci: Budaya keselamatan pasien; beban kerja; komunikasi tim; kepatuhan perawat; patient safety
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DOI: https://doi.org/10.52643/marsi.v10i4.8595
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