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Penerapan model praktek keperawatan profesional di ruang rawat inap Elisabeth Rumah Sakit Bethesda Tomohon

ULAEN, Harry Nixon, Sri Werdati, SKM.,M.Kes

2004 | Tesis | S2 Ilmu Kesehatan Masyarakat

Perawat dan asuhan keperawatannya adalah satu kesatuan yang tidak dapat dipisahkan dari pelayanan kesehatan dirumah sakit, yang berlangsung terus-menerus selama dua puluh empat jam. Dan pelayanan keperawatan mempunyai peranan yang sangat penting terhadap pencapaian efisiensi, kualitas dan citra rumah sakit. Penelitian ini bertujuan untuk mengetahui apakah ada pengaruh dari penerapan Model Praktek Keperawatan Profesional (MPKP) dengan metode penugasan Tim-Primer terhadap kualitas pelaksanaan standar asuhan keperawatan (SAK) dan persepsi pasien terhadap tindakan keperawatan di ruang rawat inap Elisabeth RSU Bethesda Tomohon. Penelitian ini merupakan penelitian kuasi experimental dengan rancangan before and after tanpa kontrol. Subjek penelitian adalah perawat dan populasi penelitian adalah pasien dan rekam medik pasien di ruang rawat inap Elisabeth yang memenuhi kriteria, jumlah sampel adalah 84 dari populasi. Penelitian ini dilaksanakan selama tiga bulan, evaluasi dilakukan sebelum penerapan dan sesudah penerapan. Hasil penelitian menunjukkan terdapat perbedaan yang sangat bermakna pada penerapan MPKP dengan metode penugasannya terhadap kualitas pelaksanaan standar asuhan keperawatan dan persepsi pasien pada tindakan keperawatan. Dari analisis statistik memperlihatkan, setelah penerapan MPKP kualitas pelaksanaan standar asuhan keperawatan dan persepsi pasien pada tindakan keperawatan, hasilnya sangat bermakna ( p < 0,05 ). Kesimpulan dengan penerapan MPKP dan metode penugasannya, hasilnya meningkatkan kualitas pelaksanaan standar asuhan keperawatan dan persepsi pasien terhadap tindakan keperawatan. Saran dari penelitian ini adalah, Model MPKP dan metode penugasannya dapat diterapkan di ruang rawat inap lainnya, dan Model MPKP yang telah diterapkan diruangan rawat inap Elisabeth dan hasilnya perlu dijaga dalam rangka peningkatan kualitas asuhan keperawatan dan pelayanan kesehatan di Rumah Sakit Bethesda Tomohon.

Nurse and its nursing care are a unity that can not be separated from nursing service in the hospital, and continuosly going on for twenty-four hours. Moreover the nursing service an important role to achieve efficiency, quality and expressing the image of the hospital. This research aimed to identify effects of the application of Professional Nursing Care Delivery System with primary team assignment to get a better the implementation of nursing care standard and the perception of patients on nursing service in Elisabeth ward of Bethesda Hospital Tomohon. It was an quasi experimental research, before and after design without control. Subject and population of research were nurse, and patients with their medical record in the ward of Elisabeth which to fulfil of criteria, total samples consist of 84 patients and 84 patient’s medical record. The research was conducting for three months, while evaluation performed before intervention, and after intervention in the first month, the second month and third month. The results showed that there was a significant difference in applying Professional Nursing Care Delivery System with its assignment method on quality of implementation nursing care standard and patient’s perception toward the nursing service delivery. The statistical analysis prove that after applying Professional Nursing Care Delivery System, quality of implementation nursing care standard and patient’s perception on nursing service delivery had significant result ( p<0.005 ). From this research a conclusion can be drawn that applying Professional Nursing Care Delivery System ( MPKP ) and assignment method could increase quality of implementation nursing care standard and patient’s perception on the nursing service delivery. The research was suggested that Professional Nursing Practice Mode ( MPKP ) and assignment method should be applied in the other wards, and the applied Professional Nursing Care Delivery System and its result should be maintained in order to increase the quality of the nursing care and medical service in Bethesda Hospital Tomohon.

Kata Kunci : Manajemen Rumahsakit,Praktek Keperawatan,Rawat Inap, professional nursing care delivery system, quality nursing care, nursing care standard, patient’s perception


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