Strengthening Patient Safety through RE-PRO Clinical Supervision
Abstract
Abstract:
Patient safety is central to healthcare quality, yet compliance with Patient Safety Goals (PSGs) remains challenging in hospitals. Clinical supervision is crucial to reinforce adherence. This study evaluated the effectiveness of the Reflective-Proctor (RE-PRO) clinical supervision model in improving PSG compliance among nurses.
A quasi-experimental design with pre-test and post-test control groups was conducted in two type-C hospitals in Bali, Indonesia. Participants included 266 nurses and 6 supervisors, divided into intervention and control groups. The intervention group received RE-PRO supervision, while the control group continued conventional supervision. Compliance with six PSG indicators (patient identification, effective communication, safe medication, correct procedure/site, infection prevention, fall risk reduction) was assessed using validated observation checklists. Data were analyzed with Wilcoxon and Mann-Whitney tests.
Baseline characteristics between groups were comparable (p > 0.05). The control group showed no significant improvements in PSG compliance (p > 0.05). In contrast, the intervention group demonstrated significant improvement across all six indicators after RE-PRO implementation (p = 0.001). Overall PSG compliance in the intervention group was significantly higher than in the control group post-intervention (p = 0.001).
The RE-PRO clinical supervision model effectively enhanced nurses’ compliance with Patient Safety Goals compared with conventional supervision. This model is recommended for wider adoption in hospital nursing management to strengthen patient safety outcomes.
Keywords: Clinical supervision, RE-PRO, Patient Safety Goals, nursing management.
Keywords
References
Agustina, F. U., Afriani, T., & Handiyani, H. (2020). Analisis Fungsi Supervisi Kepala Ruangan Dalam Pengurangan Risiko Jatuh Di Rumah Sakit X Jakarta: A Pilot Project. Dunia Keperawatan: Jurnal Keperawatan Dan Kesehatan, 8(3), 468. https://doi.org/10.20527/dk.v8i3.7768
Albaalharith, T., & A’Aqoulah, A. (2023). Level of Patient Safety Culture Awareness Among Healthcare Workers. Journal of Multidisciplinary Healthcare, 16(February), 321–332. https://doi.org/10.2147/JMDH.S376623
Ernawati, E., Damris, D. M., Revis, A., & Elrifda, S. (2022). How Effective is Clinical Supervision in Nursing? A Systematic Review. Journal of Client-Centered Nursing Care, 8(2), 69–78. https://doi.org/10.32598/JCCNC.8.2.426.1
Falender, C. (2022). Competency Based Clinical Supervision: A View To The Future. International Journal of Supervision in Psychotherapy, 4, 73–83. https://doi.org/10.47409/ijsp.2022.4.5
Fatonah, S., & Yustiawan, T. (2020). Supervisi Kepala Ruangan dalam Menigkatkan Budaya Keselamatan Pasien. Jurnal Keperawatan Silampari, 4(1), 151–161. https://doi.org/10.31539/jks.v4i1.1408
Ghallab, F., & Elewa, A. (2024). Impact Of Patient Safety Training Program On Nursing Staff Impact For Patient Safety Compliance With Safety Goals And Safety Culture. January. https://doi.org/10.5281/zenodo.10121697
Halawa, C. W. D. J., Ginting, C. N., & Lubis, Y. E. P. (2023). Workload Analysis Using the Work Sampling Method for Pharmaceutical Personnel at the Royal Prima Hospital Pharmacy Installation in Medan in 2022. Ahmar Metastasis Health Journal, 2(4), 207–215. file:///C:/Users/ASUS/Downloads/4.+Pengaruh+Kunjungan+Antenatal+Care+Dan+Pengalaman+Persalinan+Terhadap+Depresi+Pada+Ibu+Hamil.pdf
Hernawati, H., Zulfendri, Z., & Saidah Nasution, S. (2021). Pengaruh Sikap terhadap Kepatuhan Perawat pada Penerapan Budaya Keselamatan Pasien di RS Mitra Sejati. Jurnal Health Sains, 2(5), 604–620. https://doi.org/10.46799/jhs.v2i5.160
Lyphout, C., Bergs, J., Stockman, W., Deschilder, K., Duchatelet, C., Desruelles, D., & Bronselaer, K. (2022). Patient safety incidents during interhospital transport of patients: A prospective analysis. International Emergency Nursing, 36(July), 22–26. https://doi.org/10.1016/j.ienj.2017.07.008
Martin, P., Lizarondo, L., Kumar, S., & Snowdon, D. (2021). Impact of clinical supervision on healthcare organisational outcomes: A mixed methods systematic review. PLoS ONE, 16(11 November), 1–27. https://doi.org/10.1371/journal.pone.0260156
Moureaud, C., Hertig, J. B., & Weber, R. J. (2021). Guidelines for Leading a Safe Medication Error Reporting Culture. Hospital Pharmacy, 56(5), 604–609. https://doi.org/10.1177/0018578720931752
Mubarok, A. (2020). Supervisi Kelas Oleh Kepala Sekolah Classroom Supervision By The Principal. JIEM (Journal of Islamic Education Management), 4. https://doi.org/10.24235/jiem.v4i1.6824
Nuritasari, R. T., Rofiqi, E., Fibriola, T. N., & Ardiansyah, R. T. (2020). The Effect of Clinical Supervision on Nurse Performance. Jurnal Ners, 14(3 Special Issue), 161–164. https://doi.org/10.20473/jn.v14i3(si).16956
O’Donnell, C., Markey, K., Murphy, L., Turner, J., & Doody, O. (2023). Cultivating support during COVID-19 through clinical supervision: A discussion article. Nursing Open, 10(8), 5008–5016. https://doi.org/10.1002/nop2.1800
Parwa, D., Krisnawati, M. S., & Yanti, E. D. (2019). Hubungan Supervisi dan Motivasi Dengan Kepatuhan Perawat Mencuci Tangan Di RSUD. Jurnal Kepemimpinan Dan Manajemen Keperawatan, 2(1), 28. https://doi.org/10.32584/jkmk.v2i1.281
Sudariani, P. W. (2019). Pengembangan Model Kompetensi Kepemimpinan Kepala Ruang Sebagai Upaya Peningkatan Motivasi Dan Kinerja Perawat Pelaksana (studi kasus: Rumah Sakit Umum Daerah Kota Mataram, Nusa Tenggara Barat). Jurnal NERS, 11(2), 176. https://doi.org/10.20473/jn.v11i22016.176-185
Tulasi, M., Sinaga, M., & Kenjam, Y. (2021). Faktor yang Berhubungan dengan Kinerja Perawat di Rumah Sakit Umum Daerah Kefamenanu Kabupaten Timor Tengah Utara. Media Kesehatan Masyarakat, 3(1), 90–98. https://doi.org/10.35508/mkm.v3i1.2990
WHO. (2024). Global Patient Safety Report 2024. In Αγαη (Vol. 15, Issue 1).
Wulandari, R. Y., Nugroho, T. A., & Febrianti, C. D. (2021). Hubungan Pengetahuan dan Sikap Perawat Terhadap Pelaksanaan Identifikasi Patient Safety di Ruang Rawat Inap Rumah Sakit. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 6, 215–218. https://doi.org/10.30604/jika.v6is1.789
DOI: https://doi.org/10.33992/icmahs.v3i1.4763
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
POLTEKKES KEMENKES DENPASAR
Address: Jl. Sanitasi No.1, Sidakarya, Denpasar Selatan, Kota Denpasar, Bali 80224 (0361) 710447
