scholarly journals Perbandingan Model Asuhan Keperawatan Profesional Tim dengan Primary Nursing dalam Peningkatan Kualitas Asuhan Keperawatan di Rumah Sakit Kota Medan

2021 ◽  
Vol 6 (2) ◽  
pp. 149
Author(s):  
Hendry Kiswanto Mendrofa ◽  
Muhammad Taufik Daniel Hasibuan

The development of science and technology that continues to progress, especially in the health sector requires changes in terms of service so that in providing more professional services in hospitals, nursing care must be of high quality. Nursing Law Number 38 of 2014 Article 3B states that nursing arrangements aim to improve the quality of nursing services, therefore the provision of quality nursing services is important in today's health services. The model of professional nursing care is divided into several models, namely primary, team and case nursing. Based on the results of a survey of research journals, the researchers concluded that there was no research that compared the professional nursing care team model with primary nursing in improving the quality of nursing care. The purpose of this study was to identify the use of the professional nursing care team model with the primary nursing model in improving the quality of nursing care. This type of research is a quantitative research type with a comparative design. The population in this study were all patients at the Inpatient Hospital where the study was conducted. The sampling technique used was purposive sampling technique. Data collection on the quality of nursing care used a quality scale patient assessment instrument – the acute care version (PAQS-ACV). This instrument was developed to assess the quality of nursing care. Data analysis in this study used an independent t-test. normality test using the Kolmorogov-Smirnov test with a significance value (p > 0.05). The results showed that there was a significant difference between the quality of nursing care in the team group and the quality of nursing care in the primary nursing group where the value of sig (2-tailed) was 0.008 where > 0.05, the results also showed that based on the results of the frequency distribution test the quality of nursing care was using the team model and the primary nursing model has a high majority value of nursing care quality, but there is a difference in the average value (mean) where the quality of nursing care in the nursing care model group in the team method group is 144.86 and the quality of nursing care in the primary nursing model group is 155.83. These results indicate that the quality of nursing care with the primary nursing model has a higher quality of care value than the group nursing care model with the team method. Based on the results of this study, it is recommended that hospitals can apply a professional nursing practice model, especially the primary nursing model to further improve the quality of nursing care provided.

2019 ◽  
Vol 2 (2) ◽  
pp. 237-245
Author(s):  
Hendry Kiswanto Mendrofa ◽  
Lammurni Sagala

Improving quality nursing care has become a major concern for all professional health care providers and consumers, research and literature on the quality of providing nursing care is still underdeveloped, especially in Indonesia. The model of primary nursing care (MAKP) nursing method is an assignment method where nurses are responsible to patients for 24 hours from the time the patient enters into discharge, this method embodies the independence of the nurses in implementing care and the model of primary nursing care (MAKP) method of nursing can increase the quality of nursing care services, the purpose of this study was to analyze the effect of the model of primary nursing care (MAKP) primary nursing methods on the quality of nursing care. This research is a Quasi Experimental Study with non-equivalent control group pretest-posttest design that is observing the effect of using the intervention and control groups without subject randomization. The population in this study were nurses who worked in inpatient and inpatient installations, the sampling technique in this study used purposive sampling technique. Data collection on the quality of nursing care using the Patient's Assessment of Quality Scale - Acute Care Version (PAQS-ACV) instrument, based on the results of the Content Validity Index (CVI) test of the Patient's Assessment of Quality Scale - Acute Care Version (PAQS-ACV) instrument was 0.98 and the results The reliability test of the Patient's Assessment of Quality Scale - Acute Care Version (PAQS-ACV) questionnaire obtained a Cronbach Alpha value of 0.66. The results showed that there was an influence on the application of the primary nursing care professional model (MAKP) primary nursing on improving the quality of nursing care, based on the results of the independent t-test, it was found that the sig (2-tailed) value was 0.00 where <0.05, it could be concluded that there were differences Significant between the quality of nursing care in the intervention group with the quality of nursing care in the control group, it is recommended that all hospitals, especially in North Sumatra, apply the model of primary nursing care method (MAKP) in primary nursing in the implementation of nursing duties in the inpatient room.   Meningkatkan asuhan keperawatan yang berkualitas telah menjadi perhatian utama bagi semua penyedia layanan kesehatan profesional dan konsumen, penelitian dan literatur  tentang  kualitas pemberian asuhan keperawatan masih belum berkembang khususnya di Indonesia. Model metode asuhan keperawatan (MAKP) primary nursing merupakan metode penugasan dimana perawat bertanggung jawab kepada pasien selama 24 jam mulai saat  pasien masuk sampai dengan keluar, metode ini mewujudkan kemandirian para perawat dalam melaksakan asuhan dan model metode asuhan keperawatan (MAKP) primary nursing dapat meningkatkan kualitas pelayanan asuhan keperawatan, Tujuan dari penelitian ini adalah menganalisis pengaruh model metode asuhan keperawatan profesional (MAKP) primary nursing terhadap kualitas asuhan keperawatan. Penelitian ini merupakan jenis penelitian Quasi Exsperimental Study dengan desain pretest-posttest non equivalent control group yaitu mengobservasi pengaruh dengan menggunakan kelompok intervensi dan kontrol tanpa randomisasi subjek. Populasi dalam penelitian ini yaitu perawat yang bekerja di instalasi rawat inap dan pasien rawat inap, teknik pengambilan sampel dalam penelitian ini menggunakan teknik purposive sampling. Pengumpulan data kualitas asuhan keperawatan menggunakan instrumen  Patient’s Assessment of Quality Scale – Acute Care Version (PAQS-ACV), berdasarkan hasil uji Content Validity Index (CVI) instrumen  Patient’s Assessment of Quality Scale – Acute Care Version (PAQS-ACV) adalah 0.98 dan hasil uji reliabilitas kuesioner Patient’s Assessment of Quality Scale – Acute Care Version (PAQS-ACV) didapatkan nilai Cronbach Alpha yaitu 0,66. Hasil penelitian menunjukkan bahwa ada pengaruh penerapan model metode asuhan keperawatan profesional (MAKP) primary nursing terhadap peningkatan kualitas asuhan keperawatan, berdasarkan hasil uji independend t-test di ketahui nilai sig (2-tailed) sebesar 0.00 dimana < 0.05 maka dapat disimpulkan bahwa ada perbedaan yang signifikan antara kualitas asuhan keperawatan pada kelompok intervensi dengan kualitas asuhan keperawatan pada kelompok kontrol, disarankan untuk seluruh rumah sakit khususnya wilayah sumatera utara menerapkan model metode asuhan keperawatan profesional (MAKP) primary nursing dalam pelaksanaan tugas keperawatan diruang rawat inap.


2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Erna Julianti ◽  
Fajar Tri Waluyanti ◽  
Allenidekania Allenidekania

The Parents' satisfaction of premature babies is very important as one of the basic steps in determining the quality of nursing service. This study aims to identify parental satisfaction in the perinatology. Consecutive sampling technique was conducted to select 59 parents of premature babies as research respondents. Instrument in this study uses EMPATHIC N. The data was analyzed with Pearson test. The results showed that the average of premature babies’ care score was 161.93 and the average of parents’ satisfaction score was 280.07. Nursing care should be evaluated to improve the performance of nurses and the quality of care of premature babies and parents’ satisfaction.


2019 ◽  
Vol 1 (1) ◽  
pp. 85-93
Author(s):  
Tiara Putri Ryandini ◽  
Lukman Hakim

The lack of patient satisfaction is due to the increasing demands of the patient's needs, but this is not accompanied by improvements in nurses' actions. If the customer feels dissatisfied with a service provided, then that service can be ascertained to be ineffective and inefficient. This is especially important for public services. Providing services to the community as done by RSUD Dr. R. Koesma Tuban, needs to get attention, especially in the quality of services to suit the needs and expectations of the community. This study focuses on the quality of nursing services and the level of patient satisfaction in the Asoka Hospital Dr. R. Koesma Tuban. This study aims to determine the relationship between the quality of nursing services with the level of patient satisfaction in the Asoka Hospital Dr. R. Koesma Tuban. This study uses analytic survey research with cross sectional approach, while the data analysis used is the Spearman Rank correlation test. The population used in this study were patients in the Asoka room of RSUD dr. R. Koesma Tuban who fit the inclusion criteria as many as 155, with a large sample of 112 respondents using a simple random sampling technique. The results showed that most patients were quite satisfied with the quite good nursing services. Spearmen Correlation Test Results (rs) obtained, the variable quality of nursing services (p <0.05) has a relationship to the level of patient satisfaction with moderate correlation (r = 0.476) and the direction of the positive correlation which means the better the quality of nursing services, the higher the level of satisfaction patient.Almost half of the nurses at Asoka Room  RSUD dr. R. Koesma Tuba have a good quality nursing service. Almost half of the patient at Asoka Room RSUD dr. R. Koesma Tuban feel satisfy with nurse’s service; there is a correlation between the quality of nurse service and the level of patient satisfaction  at Asoka Room RSUD dr. R. Koesma Tuban.


Author(s):  
Zaenal Zaenal ◽  
Noer Saudah ◽  
Imam Zaenuri ◽  
Rini Mustamin

The purpose of the study: to find out the description of the caring behavior of nurses in the ward of the Makassar City General Hospital. Methods: This study used a descriptive survey using a non-probability sampling technique, namely consecutive sampling. The sample in this study was 77 people according to the inclusion criteria and exclusion criteria. Collecting data using a questionnaire Care Q (the Nurse Behavior Caring Study) based on the opinion of Larson (1998, in Watson 2004). Questionnaire sheet. Results: The results showed that the caring behavior of nurses at the Makassar City General Hospital in general was mostly good (79.2%). , explanation and facilities (79.9 %), comfort (79.9 %), trusting relationship (71.4 %). Discussion: In the application of caring behavior nurses need to integrate various dimensions of caring behavior which include readiness and willingness, explanations and facilities, comfort, mutual trust relationships to improve the quality of nursing services which have an impact on increasing patient satisfaction and decreasing hospital days. Conclusion: Nurse caring behavior in Makassar City General Hospital in general is mostly good Suggestion: Nurses are expected to cultivate a culture of caring for patients by reminding each other among colleagues to improve the quality of nursing services


2019 ◽  
Vol 3 (1) ◽  
pp. 21
Author(s):  
Rosiana Nur Imallah ◽  
Anindita Farda Khusnia

Discharge planning is one indicator of ongoing nursing services that if performed well by the nurses will be able to improve the quality of nursing services and patient satisfaction. One influential factor is the leadership of the head nurse, especially in the function of directing to nurses when carrying out discharge planning. The directional function carried out by the head nurse is in the form of giving motivation, supervision and conflict management. The purpose of this study was to determine the relationship between the function of directional head nurse and the implementation of discharge planning nurses. The study design was descriptive correlational with a cross sectional time approach. The sample in this study were 56 nurses in the inpatient room of PKU Muhammadiyah Yogyakarta Hospital with a sampling technique using simple random sampling. The instrument used was a head nurse directional function questionnaire and discharge planning questionnaire implementation. The data analysis using the Kendall Tau statistical test. The results of this study showed that the assessment of direction function of head nurse were 27 people (48.2%) within adequate category, the implementation of discharge planning were 39 people (69.6%) within good category. The results of the Kendall Tau analysis test were p = 0.002 ( p <0.05). There is a relationship between the function of direction of head nurse to discharge planning nurses. 


2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Rusdi Rusdi

Background: Patients’ handover with SBAR method is one of the indicators in the patient safety target, yet at Dirgahayu Hospital data shows that to achieve effective communication: SBAR in the medical surgery ward for the January to September 2018 period is only 80% - 90% and there are some incident findings including KTD 8 events, KNC 3 events, KPC 3 events. Objective: To find out the Effectiveness of Handover with SBAR Method to the Nursing Care Quality. Method: This study used a descriptive analytic design with cross sectional approach, which was conducted in December 2018 and the number of samples was 92 people selected by using the proportionate random sampling technique. Variable measurements were performed using questionnaires and observation sheets. Results: the effectiveness of handover with SBAR method to the quality of nursing care at Dirgahayu Samarinda Hospital is at ρ-value = 0.001. Conclusion: Patients’ handover with SBAR method greatly influences the safety of patients in hospitals, so that it can improve the quality of nursing care.  


2018 ◽  
Vol 6 (1) ◽  
pp. 68
Author(s):  
Gusti Ayu Krisma Yuntari ◽  
Pande Putu Januraga ◽  
I Ketut Suarjana

AbstractBackground and purpose: Several hospitals in Indonesia have developed a model of nursing care known as MAKP (Professional Nursing Care Model) to improve the quality of nursing services. Sanjiwani Hospital, Gianyar has applied this model. The aim of this study is to explore the perception of nurses towards this approach and assess its association with job satisfaction.  Methods: A cross-sectional survey was conducted with 92 nurses working at the inpatient ward at Sanjiwani Hospital, Gianyar. Data were collected from July-August 2017 by interview using questionnaires. Data collected included  the characteristics of respondents (age, gender, education, and employment status), nurses’ perception towards the application of MAKP, and nurses’ job satisfaction.Results: Nursing staff demonstrated perception score of ≥15 on leadership elements (68.5%), communication (72.2%), coordination (84.8%), delegation (80.4%), and supervision (66, 3%). Nursing staff with a score of ≥15 in coordination perception (AOR=4.48; 95%CI: 1.14-17.54), delegation (AOR=4.00; 95%CI: 1.21-13.23) and supervision (AOR=3.35; 95%CI: 1.25-8.88) expressed higher job satisfaction. While aspects of leadership (AOR=0.98; 95%CI: 0.29-3.79) and communication (AOR=0.76; 95%CI: 0.19-3.05) were not significantly associated with job satisfaction.Conclusions: The majority of nurses have a positive perception towards the MAKP approach. The better perception on coordination, supervision and delegation are found to increase job satisfaction. The results imply that coordination, supervision and delegation should be considered in order to increase job satisfaction in other hospitals.


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