THE RELATION OF KNOWLEDGE AND
ATTITUDES ABOUT PATIENT SAFETY IN RESIDENT OBSTETRICS
AND GYNECOLOGY DURING SERVICES IN DELIVERY ROOM AT
DR SARDJITO HOSPITAL YOGYAKARTA
Fadhilah Armaijn, Ova Emilia, Irwan Taufiqur Rachman
Department of Obstetrics and Gynecology Faculty of Medicine
Gadjah Mada University/ Sardjito Hospital
Yogyakarta
ABSTRACT
Background: The traditional medical Oath of ‘first do no harm’ is something that is very rarely breached either intentionally by a doctor, nurse or other health practitioner. Resident is health workers who perform services directly to patients that’s why their knowledge and attitudes towards patient safety are very useful
Objective: To determine the relationship of the level of knowledge with the attitudes about patient safety in obstetrics and gynecology resident while
services in delivery room at Dr DR Sardjito hospital.
Methods: Descriptive methods with cross sectional approach, accompanied by a qualitative research The study involved 90 residents of Obstetrics and Gynecology at Sardjito Hospital Yogyakarta , by filling out a questionnaire. Knowledge assessed based on the number of correct answers and categorized into good and bad. Attitudes toward patient safety was assessed using a Safety Attitude Questionnaire (SAQ) labor and delivery version. Reliability was measured using Cronbach’s alpha. The qualitative
data collection (interviews) conducted to support the descriptive data.
Result: Cronbach’s Alpha value for SAQ= 0.862, and the question of
knowledge = 0.702. Between 77 responden who had good level of knowlage, only 53,2% had a good level of attitudes, and between 13 who has bad level of knowlage, there were 10 responden with good level of attitudes (76,9%) (RP 0,69;95%CI 0,44-1,04; p= 0,11). Elements of stress recognition on the attitude were getting the lowest average value (3.50 ± 0.56). From the qualitative data were known that the resident had desire for a reduction in working hours as well as improved communication and collaboration between teams. Althogh most of resident had a good level of knowledge and attitudes about patient safety, there were no meaning because of p value was >0,05 (OR 2,69;95%CI 0,66-10,9; p= 0,17).
Conclusion: Clinically, a good level of knowledge about patien safety improving a good level of attitude towards patient safety.
Keywords: Knowledge- attitude- patient safety- resident obstetrics