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Kata Kunci : Formulir Informed consent, Kelengkapan, Tindakan Bedah, Rekam Medis
This study explores the completeness of filling surgery informed consent forms at Hospital X in 2016. The aim of this study is to illustrate the degree of completeness of filled in consent forms pertaining to surgical actions. The design of this study uses a quantitative method through questionnaires, a qualitative method through in-depth interviews and document review informed consent forms through checklists, and also the use of secondary data. Results of this study shows that an average of 56.9% of consent forms were completely filled. This study also reveals that there is a lack of Standard Operating Procedure and criteria about completed informed consent forms for surgery, which may be one of the factors contributing to incomplete surgery informed consent forms at Hospital X.
Keyword : Informed consent Form, Completeness, Surgical, Medical Record
ABSTRAK Nama : Ida Ayu Eka Tirta Arini Program Studi : Kajian Administrasi Rumah Sakit Judul : Kelengkapan Pengisian Informed Consent Pada Pasien Operasi di Rumah Sakit Risa Sentra Medika Mataram Tahun 2016 Tesis ini membahas tentang kelengkapan pengisian informed consent pada pasien operasi di Rumah Sakit Risa Sentra Medika tahun 2016 dan faktor – faktor yang berhubungan. Penelitian ini merupakan penelitian kuantitatif dengan rancangan Cross Sectional Study. Sampel diambil secara acak, yaitu 235 lembar informed consent pada rekam medis pasien operasi bulan Januari hingga Desember 2016 di Rumah Sakit Risa Sentra Medika serta pengisian kuisioner oleh 10 orang dokter spesialis. Hasil penelitian menunjukkan bahwa rata – rata pengisian lembar informed consent pada pasien operasi di Rumah Sakit Risa Sentra Medika tahun 2016 adalah 21 item terisi atau sebesar 61% dan bagian yang paling banyak tidak terisi adalah bagian pemberian informasi yaitu sebesar rata – rata 7 item terisi (41%). Bagian informasi yang paling jarang diberikan adalah informasi tentang alternatif tindakan, yaitu hanya sebanyak 51 lembar dari 235 lembar informed consent yang didata (21,7%). Berdasarkan uji korelasi Spearman Rank, faktor yang memiliki hubungan dengan kelengkapan pengisian informed consent tersebut adalah faktor motivasi dan jenis tindakan operasi. Hal yang dapat disarankan adalah melakukan penyegaran pengetahuan tentang informed consent dan komunikasi efektif kepada dokter spesialis; lembar informed consent juga perlu dikaji ulang agar sesuai aturan identifikasi pasien. Kata kunci : informed consent , dokter spesialis, komunikasi efektif
ABSTRACT Name : Ida Ayu Eka Tirta Arini Study Program : Master of Hospital Administration Title : The Completeness of Informed Consent Sheets In Surgery Patients at Risa Sentra Medika Hospital Mataram in 2016 This thesis discusses the completeness of informed consent in surgery patients at Risa Sentra Medika Hospital in 2016 and related factors. This research is a quantitative research with cross sectional study design. Samples were taken at random, ie 235 informed consent sheets in medical records of surgery patients from January to December 2016 at Risa Sentra Medika Hospital and filled out questionnaires by 10 specialist doctors. The results showed that the average of filling of informed consent sheet in operation patients at Risa Sentra Medika Hospital in 2016 was 21 items filled or 61% and the most unfilled part was the information giving section which was 7 items in average ( 41%). The most rarely informed section of information is information on alternative actions, ie only 51 sheets of 235 informed consent sheets (21.7%). Based on Spearman Rank correlation test, factors that are related to the completeness of the filling of informed consent are motivational factors and types of surgical measures. It may be suggested to refresh knowledge of informed consent and effective communication to a specialist; the informed consent sheet also needs to be reviewed to fit the patient identification rules. Keywords : informed consent , specialist, effective communication