Optimalisasi Pengelolaan Asuhan Keperawatan di Instalasi Rawat Jalan Rumah Sakit X

ABSTRAKKualitas asuhan keperawatan menjadi elemen kunci mutu pelayanan di rumah sakit. Fenomena yang terjadi di instalasi rawat jalan ialah pemberian asuhan keperawatan yang sangat minim. Tujuan penelitian: mengoptimalkan pengelolaan asuhan keperawatan di instalasi rawat jalan. Metode: Metode yang digunakan studi pilot, identifikasi masalah dengan teknik wawancara terstruktur, observasi, dan pengisian kuesioner kepada 28 perawat. Analisis masalah dilakukan dengan metode fish bone, pemecahan masalah menggunakan metode plan, do, check, action. Hasil: Terjadi peningkatan pengetahuan perawat terhadap proses asuhan keperawatan sebelum (17,80%), sesudah implementasi (82,3%), dan didapati empat faktor yang memengaruhi pemberian asuhan di instalasi rawat jalan, yaitu sumber daya manusia, sistem kerja yang jelas antarbagian, dokumentasi manual di luar keperawatan, dan fasilitas dan sarana yang kurang memadai. Diskusi: pengelolaan asuhan keperawatan membutuhkan dukungan manajemen. Kesimpulan: sebaiknya manajer melakukan perencanaan untuk peningkatan kualitas asuhan keperawatan melalui pengarahan pelayanan kepada visi rumah sakit, peningkatan pendidikan, peningkatan motivasi, dan berkoordinasi dalam pengadaan fasilitas dan sistem layanan guna optimalisasi pengelolaan asuhan keperawatan.Kata kunci: asuhan keperawatan, pengelolaan, rawat jalan.OPTIMIZATION OF NURSING CARE MANAGEMENT AT OUTPATIENT INSTALLATION OF X HOSPITALAbstractThe quality of nursing care is a key element of hospital service quality. A phenomenon that occurs in outpatient care is providing nursing care at the minimum. Objective: To optimize the nursing care management t outpatient installation. Methods: This study employed pilot study, identifying problem using structured interview technique, observation, and filling out questionnaires to 28 nurses. Problems were analyzed using fish bone and solved using plan, do, check, action method. Results: There was an increase in nurses’ knowledge about the process of nursing care before (17.80%) and after the implementation (82.3%), and there were 4 factors that affected the provision of care in outpatient installation, namely human resources, a clear job system between departments, manual documentation beyond nursing, and inadequate facilities and infrastructure. Discussion: Nursing care management requires support from the management. Conclusion: Managers should plan on increasing the quality ofnursing care by directing services to the vision of the hospital, improving education, increasing motivation, and coordinating in the procurement of facilities and service systems in order to optimize the nursing care management.Keywords: nursing care, management, outpatient