scholarly journals Pengembangan Model Praktek Keperawatan Profesional (PKP) di RSUP – Cipto Mangunkusumo dan Hasil Yang Dicapai

2014 ◽  
Vol 2 (5) ◽  
pp. 157-165
Author(s):  
Ratna S Sudarsono

Model Praktek Keperawatan Profesional (PKP) diartikan sebagai suatu system (struktur, proses dan nilai-nilai professional) yang memungkinkan perawat professional mengatur pemberian asuhan keperawatan termasuk lingkungan yang diperlukan. Melalui pengembangan model ini terdapat otonomi dan akontabilitas perawat, pengembangan professional dan penekanan pada mutu asuhan keperawatan. Berdasarkan hal tersebut pada model PKP yang dikembangkan di RSCM diperlukan penataan 3 (tiga) komponen utama dalam pemberian asuhan keperawatan yaitu ketenagaan; metoda pemberian asuhan dan dokumentasi keperawatan. Pada model ini metoda pemberian asuhan keperawatan yang digunakan adalah tim primer (kombinasi metoda keperawatan primer dan metoda tim). Model ini dikembangkan di ruang rawat penyakit dalam dengan kapasitas 30 tempat tidur. Setelah model dimplementasikan +/- 8 bulan, hasil yang dicapai menunjukkan, secara kualitatif perawat primer merasakan kebanggaan professional, perawat asosiet mengatakan pekerjaan lebih terencana dan dokter menilai, bahwa mereka merasakan kerjasama dengan perawat lebih baik dibandingkan dengan ruang rawat lainnya. AbstractProfessional nursing practice model (PNPM) is a system (structure, process and values) that supports nurse control over the delivery of nursing care and the environment in which care is delivered. This model ensure nurse autonomy, nurse accountability, and professional development. It also emphasizes on high quality of care. In order to develop the model at Cipto mangunkusumo hospital, it is needed to focus on three main components. The components are nursing manpower, method of nursing care delivery and nursing documentation. The method of nursing care delivery used in this model is a primary team which is the combination of primary nursing and team method. The model was developed at medical word with 30 beds. After eight month implementation, a qualitative evaluation showed that primary nurses felt a professional pride, associate nurses stated that tasks are more organized and doctors assured that collaboration with nurses in the model unit is better than in order places.Keywords: Professional nursing practice model, primary team, primary nurse.

2014 ◽  
Vol 2 (5) ◽  
pp. 166-171
Author(s):  
Elly Nurachmah

Model praktek keperawatan professional merupakan suatu model yang memberikan kesempatan bagi perawat untuk menunjukkan otonomi dan akuntabilitas dalam memberikan asuhan keperawatan kepada klien. Suatu program evaluasi bagi model praktek keperawatan professional diperlukan untuk mengkaji sejauh mana keefektifan model keperawatan ini terhadap peningkatan pelayanan keperawatan di ruang model ini. Evaluasi dapat diarahkan kepada aspek struktur dimana komitmen organisasi pelayanan keperawatan akan dikaji, aspek proses dimana factor pelibatan dan partisipasi dari seluruh komponen yang terlibat dalam pemberian asuhan keperawatan dinilai, serta aspek hasil dimana kepuasaan klien dapat diukur. Program evaluasi ini seyogyanya dapat dilaksanakan minimal dua kali dalam tiga tahun, dimana evaluasi pertama merupakan informasi dasar bagi evaluasi selanjutnya. AbstractA professional nursing practice model is an approach that enables nurses to demonstrate their autonomy and accountability in delivering their care to patients. An evaluation program for a professional nursing practice model is required to assess the effectiveness of this model toward an improvement of nursing service in this model unit. The evaluation plan is involved in three aspects: structure, process, and outcome. The aspect of structure is evaluated to assess a commitment of the nursing service organization. The aspect of process is directed to evaluate an involvement and participation of all components in a nursing care delivery system. And finally, the aspect of outcome is assessed to determine the satisfaction of patients and the staff. A program of evaluation is best to be conducted twice for a period of three years during which the first evaluation is used as a baseline data for an incoming evaluation.Keywords: A professional nursing practice model, a program evaluation, structure, process, outcome.


2021 ◽  
Vol 9 (T4) ◽  
pp. 253-260
Author(s):  
Novita Kurnia Sari ◽  
Titi Savitri Prihatiningsih ◽  
Lely Lusmilasari

BACKGROUND: Professional nursing practice can be used as a standard reference for implementing nursing care to help nurses provide quality care in accordance with their authorities. AIM: The review is purposed to synthesis the pieces of literature telling the development and / or application and / or assessment of a professional nursing practice to determine the crucial elements. METHODS: This study was guided by the following framework for a scoping review, using electronic databases including ScienceDirect, EBSCO, ProQuest, Pubmed, and Google Scholar within keywords of professional nursing practice, model, nurse and conceptual framework. RESULTS: Of a total of 2870 paper found, 28 papers were selected. This study seven key elements: health system competency, professional value, reward and performance evaluation, leadership, nursing care, professional development, and basic care competency. CONCLUSION: A professional nursing practice would provide the minimum standard of quality nursing practice.


2018 ◽  
pp. 3-19
Author(s):  
Mary Koithan

The discipline of nursing has always had a holistic ontology and epistemology that aligns with the unitary paradigm. Yet nursing practice has not always been consistent with these perspectives. This chapter describes concepts and principles of integrative nursing, which offer a way of being-knowing-doing that advances the health and wellbeing of persons, families, and communities through caring/healing relationships in a manner that honors historical roots and transforms nursing care delivery. Six principles provide a framework that can shape the way nurses use evidence to select therapeutic strategies from the full range of possible interventions to support whole person/whole systems healing.


Author(s):  
Maria Flynn ◽  
Dave Mercer

There is an ongoing professional debate about the nature of effective nursing leadership. It is important that general adult nurses have an understanding of definitions and key principles of leadership, and the leadership skills and attributes which are relevant to nursing care delivery. Exploring these issues will support nurses in reflecting on their role and responsibilities, examining how, as a leader of care, they can enhance nursing practice and improve the patient experience. This chapter considers the broad principles of leadership which are relevant to general adult nurses and their practice.


2015 ◽  
Vol 21 (1) ◽  
pp. 26-29 ◽  
Author(s):  
Jane Baynton

Primary Nursing is a model of care delivery that has been shown to improve the quality of care provided to patients and enhance the nurse–patient relationship. Although there is considerable attention in the literature on Primary Nursing concerning inpatient hospital units, there has been no discussion of Primary Nursing in short-stay units. Our hospital aimed to introduce Primary Nursing into all the units including short-stay. Staff were educated about the role of the primary nurse using Koloroutis’s (2004) Relationship-Based Care model, comprising three crucial relationships: care provider’s relationship with patients and families, with self, and with colleagues. The primary nurse develops the plan of care for individual patients based on their therapeutic relationship, which is sustained for the patient’s length of stay in the unit.


2000 ◽  
Vol 44 (12) ◽  
pp. 2-626-2-629
Author(s):  
Shirley M. Moore ◽  
Constance Visovsky

Common nursing functions, previously done in face-to-face interactions, are beginning to be done using computer interactions, thus changing the work environment of nurses. This paper reports experiences from a series of projects about the potential impact of electronic care delivery systems on nurses' work systems. Nurses' attitudes towards technology, values central to nursing practice and nursing functional roles are important factors to consider when designing computerized nursing care delivery systems.


Author(s):  
Pedro Parreira ◽  
Paulo Santos-Costa ◽  
Manoel Neri ◽  
António Marques ◽  
Paulo Queirós ◽  
...  

This article analyzes the work methods based on care design, identification of needs, care organization, planning, delivery, evaluation, continuity, safety, and complexity of care, and discharge preparation. It describes the diagnosis of the situation, goal setting, strategy selection, implementation, and outcome evaluation that contribute to adopting a given work conception and/or method for nursing care delivery. Later, the concepts underlying the several methods—management theories and theoretical nursing concepts—are presented, with reference to relevant authors. The process of analysis and selection of the method is explained, highlighting the importance of diagnosis of the situation, goal setting, strategy selection, implementation, and outcome evaluation. The importance of various elements is highlighted, such as structural aspects, nature of care, target population, resources, and philosophy of the institution, which may condition the adoption of a method. The importance of care conceptualization is also underlined. The work methods are presented with a description of the key characteristics, advantages, and disadvantages of the task-oriented method (functional nursing) and patient-centered methods: individual, team nursing, and primary nursing. A critical and comparative analysis of the methods is then performed, alluding to the combination of person-centered methods.


2021 ◽  
pp. 1-23
Author(s):  
Emma Stevens ◽  
Elizabeth Price ◽  
Elizabeth Walker

Abstract The concept of dignity is core to community district nursing practice, yet it is profoundly complex with multiple meanings and interpretations. Dignity does not exist absolutely, but, rather, becomes socially (de)constructed through and within social interactions between nurses and older adult patients in relational aspects of care. It is a concept, however, which has, to date, received little attention in the context of the community nursing care of older adults. Previous research into dignity in health care has often focused on care within institutional environments, very little, however, explores the variety of ways in which dignity is operationalised in community settings where district nursing care is conducted ‘behind closed doors’, largely free from the external gaze. This means dignity (or the lack of it) may go unobserved in community settings. Drawing on observational and interview data, this paper highlights the significance of dignity for older adults receiving nursing care in their own homes. We will demonstrate, in particular, how dignity manifests within the relational aspects of district nursing care delivery and how tasks involving bodywork can be critical to the ways in which dignity is both promoted and undermined. We will further highlight how micro-articulations in caring relationships fundamentally shape the ‘dignity encounter’ through a consideration of the routine and, arguably, mundane aspects of community district nursing care in the home.


2016 ◽  
Vol 34 (1) ◽  
pp. 28-34 ◽  
Author(s):  
Katie Nadeau ◽  
Kerri Pinner ◽  
Katie Murphy ◽  
Kristin M. Belderson

The primary nursing care model optimizes relationship-based care. Despite using a primary nursing model on a pediatric hematology/oncology inpatient unit, it was hypothesized patients and nurses were dissatisfied with the structure of primary care teams and inconsistency of primary assignments. The purpose of this study was to evaluate patient/family and nurse perceptions of our current care model through assessing gaps in its operationalization and satisfaction. This study used a descriptive cross-sectional design featuring patient/family and nurse surveys. Of the 59 patient/family respondents, 93.2% prefer to have a primary nurse care for them and 85% are satisfied with how often they are assigned a primary care team member. Similarly, 63% of the 57 nurse respondents are satisfied with the current implementation of our primary nursing model and 61% state the model reflects good continuity of care. Yet 80.7% of nurses believe safety would improve for a patient whose nurse works shifts consecutively even if not a primary nurse. Overall, patients, families, and nurses value care continuity and meaningful nurse–patient relationships, which is fundamental to primary nursing.


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