INFLUENCE LEADERSHIP, COMMUNICATION AND TEAMWORK TOWARDS THE IMPLEMENTATION OF PATIENT SAFETY TARGETS AMONG NURSES AT BERIMAN REGIONAL HOSPITAL IN BALIKPAPAN

Abstract

Background : Patient safety is one of the indicators of hospital service quality, but patient safety incidents (PSI) still often occur, such as Adverse Events (KTD), Near Injury Incidents (KNC), and Potential Injury Incidents (KPC). Based on the data obtained, the number of PSI at Beriman Balikpapan Hospital in the 2021-2023 period increased significantly by 102.3%, with an increase in KTD of 22.2%. The causes of this increase in incidents need to be examined, especially related to the role of nurses as a profession with direct and continuous interaction with patients. Several PSIs turned out to occur related to the failure to implement patient safety targets in the hospital. On the other hand, the results of the patient safety culture survey at Beriman Hospital showed low scores in the aspects of teamwork, staffing , and information that contributed to the increase in PSI. Thus, development strategies, such as improving leadership, communication, and teamwork, are needed to support the implementation of patient safety targets in this hospital. Objective: To analyze the influence of Leadership, Communication, and Teamwork on the Implementation of Patient Safety in Nurses at Beriman Balikpapan Hospital. Method: Quantitative research using survey method by distributing questionnaires to 133 nurses working at RSUD Beriman Balikpapan to be analyzed using logistic regression technique. Results: Leadership has a significant influence on the Implementation of SKP (p=0.036), Communication has a positive and significant influence on the Implementation of SKP (p=0.014), and Teamwork has a positive and significant influence on the Implementation of SKP (p=0.00). The most dominant variable influencing the Implementation of Patient Safety Targets is the work team (70.89%).