Kepatuhan perawat Anestesi dalam memberi pelayanan standar asuhan keperawatan Anestesi di Rumah Sakit Pemerintah Propinsi Bengkulu

HAJAR, Ibnu, dr. Bambang Suryono Soewondo, SpAn

2005 | Tesis | S2 Ilmu Kesehatan Masyarakat (Perilaku dan Promosi

Latar Belakang : Perkembangan keperawatan anestesi di Indonesia hingga saat ini masih tertinggal jauh dari perkembangan profesi keperawatan. Di RS Pemerintah Propinsi Bengkulu tenaga perawat anestesi masih belum memenuhi standar ketenagaan RS yang ditetapkan oleh standar RS seluruh Indonesia. Pelayanan anestesi dibebankan kepada perawat anestesi, karena dokter spesialis anestesiologi tidak ada yang bertugas di RS Bengkulu. Tujuan: Penelitian ini bertujuan untuk mengetahui tingkat kepatuhan perawat anestesi dalam memberi asuhan keperawatan anestesi dengan berpedoman standar asuhan keperawatan anestesi. Metode: Penelitian ini merupakan penelitian observasional dengan rancangan cross sectional. Populasi penelitian adalah semua perawat anestesi yang bertugas di 4 Rumah Sakit Pemerintah Propinsi Bengkulu. Data dikumpulkan menggunakan kuesioner dan check list. Analisis data dilakukan secara kuantitatif yaitu dengan uji statistik korelasi product moment dan regresi linier berganda. Hasil. Semua rumah sakit pemerintah di Bengkulu belum mempunyai SOP Asuhan Keperawatan Anestesi dan rata-rata tingkat kepatuhan perawat anestesi terhadap standar asuhan keperawatan anestesi hanya 61,1 persen. Hasil uji korelasi menunjukan bahwa jenis kelamin perawat anestesi tidak berhubungan (r=0,006; p=0,976), namun umur perawat anestesi berhubungan dengan kepatuhannya (r=0,437; p=0,016). Pengetahuan dan sikap perawat anestesi terhadap asuhan keperawatan anestesi berhubungan dengan kepatuhan perawat terhadap terhadap asuhan keperawatan anestesi (r=0,747; p=0,000 dan r=0,609; p=0,000). Tugas rangkap yang dimiliki perawat anestesi tidak berhubungan (r=0,185; p=0,328), sedangkan masa kerja perawat anestesi berhubungan dengan kepatuhan (r=0,428; p=0,018). Hasil uji regresi linier berganda menunjukan faktor individu, faktor psikologi dan faktor organisasi secara bersama-sama mempengaruhi kepatuhan perawat anestesi sebesar 61,1 persen (R2=0,611; p=0,001). Pengetahuan menjadi faktor yang paling dominan mempengaruhi kepatuhan perawat anestesi terhadap asuhan keperawatan anestesi. Kesimpulan : Tingkat kepatuhan perawat anestesi terhadap standar asuhan keperawatan anestesi masih rendah karena dipengaruhi faktor individu, faktor psikologis dan faktor organisasi.

Background: The development of anesthesia nursing in Indonesia until this time still far beyond from the development of nursing profession. In government owned hospital of Bengkulu, anesthesia nurse still not yet fulfilled the standard of hospital employment that is stated by the standard of hospital in Indonesia. Anesthesia service is burdened to the nurse anesthesia since there was no anesthesiology doctor who is in charge in the hospital of Bengkulu. Objective: This research was aimed to find out the compliance level of anesthesia nurse in giving anesthesia-nursing care that based on the standard of anesthesia nursing care. Method: This was observational research with cross-sectional design. The research population was all anesthesia nurses employed in 4 Governmental Hospitals of Bengkulu Province. Data were collected using questionnaires and checklist. Data were analyzed quantitatively by product momment correlation-statistic test and multiple linear regression. Results: All governmental hospitals in Bengkulu have not owned SOP of anesthesia nursing care and average level of anesthesia nursing compliance with standard Anesthesia Nursing Care was only 61.1%. The results of correlation test indicated that sex of anesthesia nurse did not have relationship (r=0.006- p=0.876), but age of anesthesia nurse had relationship with compliance (r=0.437; p=0.016). Knowledge and attitude of anesthesia nurse toward anesthesia nursing care had relationship with nurse compliance anesthesia (r=0.747; P=0.000 and r=0.609; p=0.000). Double task of anesthesia nurse did not have relationship (r=0.185; p=0.328), whereas service year of anesthesia nurse had relationship with compliance (r=0.428; p=0.018). The results of multiple linear regression test indicated that the factors of individuals, psychology, and organization collectively affected the anesthesia nurse compliance as much as 61.1% (R2=0 .611; p=0.001). The knowledge became most dominant factor to affect the anesthesia nurse compliance with the anesthesia nursing care. Conclusion: The level of anesthesia nurse compliance with standard anesthesia nursing care was still low because it was affected by individual, psychological and organizational factors.

Kata Kunci : Promosi Kesehatan,Kepatuhan Perawat,Standar Asuhan Keperawatan