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Latar belakang Pelayanan kesehatan yang bermutu mempakan salah satu kcbutuhan dasar bagi semua masyarakal. Masyarakat menuntut layanan yang lcbih baik, yaitu suatu layanan yang tidak hanya semala mendapatkan pemeriksaan fisik, tetapi juga suatu Iayanan yang ramah, berkesinambungan dapat diterima dan wajar Serta bermulu. Pengukuran mutu layanan dapat di lakukan secara subyektif mnupun secara obyektiti Pengukuran secara obyektif adalah pengukuran terhadap profesionalisme pelayanan seperti Standard Operating Procedurs. Standard Operating Procedurs adalah Suatu perangkat inslruksil langkah-langkah yang di bakukan untuk menyelesaikan suatu proses kerja rutin tertenlu. Kasus diare merupakan kasus yang paling sering di jumpai di rumah sakit. Penatalaksanaan kasus diare pada anak sangat panting, karena kesalahan pada penanganan, dimana konsentrasi terhadap kebutuhan keseimbangan cairan dan elektrolit dapat berakibat fatal yaitu kemalian. Dalam pengawasan pasien ini perawat dalam menjalankan tugasnya dituntut mtuk dapat menjalankan SOP yang telah di buat dan ditetapkan oleh mmah sakit pcnyedia jasa Iayanan kesehatan. Tujuan: Penelitian yang penulis lakukan bemgjuan untuk menjawab pertanyaan mengenai bagaimana gambaran serta apakah ada monitoring dan evaluasi pelaksanaan SOP wuhan keperawatan anak dengan diana oleh perawat di ruang rawat Rumah Sakit Rawa Lumbu. Metode penelitian: Rancangan penelitian ini adalah kualitatif dan kuantitatif dengan menganalisa data secara retrospektif dan dengan melakukan metode wawancara serta Focus Group Discussion terhadap perawat pclaksana, kepala unit ruangan, kepala bidang pcrawat dan dokter spesialis anak Rumah Sakit Rawa Lumbu. Hasil penelitian: Semua responden mengetahu adanya SOP diare pada anak dan mereka mengemhui bahwa sebagian perawat tidak menjalankan SOP tesebut, hal tersebut tenjadi di karenakan perbandingan jumlah perawat dan jumlah tempat tidur tidak seimbang Sementara itu monitoring dan evaluasi terhadap SOP belum pemah dilakukan. Kesimpulan: SOP muhan keperawatan diare pada anak saat ini sudah baik, tetapi pefawat ada sebagian yang belum memahami SOP tersebut dan belum secara lengkap menempkan SOP asuhan keperawatan diare pada anak di karenakan beban kerja perawai yang tinggi. Hal tersebut disebabkan antara Iain adalah tidak tersedianya alat penunjang kcgiatan pelaksanaan SOP juga tidak seimbangnya perbandingan jumlah perawai dan jumlah tcmpax tidur
Background: High quality health services were one of the basic needs in all communities. Community was urging for better services, services which do not only comprising of physical diagnosis, but also kind, continual, acceptable, appropriate and high quality services. Assessment of services quality could be done by either subjective or objective ways. Objective assessment was assessment of services professionalism such as Standard Operating Procedures (SOP). SOP is an instruction or steps protocol that has to be standardized in order to finish some routine work process. Diarrhea cases were ease which very probable to found in hospital. Management of diarrhea cases in children is very important, because of error in handling, such as in the concentration of electrolyte and fluid balance needs, could causing final consequences, in the end was death. When watching these patients, nurses who doing these jobs were urged to do SOP that have been made and signed by the hospital which supplying health services. Aim: Study which writer done was aimed to answer quwtions about how is the description and is there any monitoring and evaluation of children with diarrhea nursing care SOP implementation by nurses in Rawa Lumbu Hospital treatment room. Researching method: this study was designed using qualitative and quantitative method by analyzing data retrospectively and by doing interview method and Focus Group Discussion with practitioner nurses, head of the room unit, and podiatrist ofllawa Lumbu Hospital. Result of the study: All respondents knew the existence of diarrhea in children SOP and they knew that some nurses were not implementing the SOP caused by comparison of nurses and beds amount was unbalanced. ln the other hand, monitoring and evaluation of SOP were never being done before. Conclusion: Diarrhea in children nursing care SOP were good these time, but there were some nurses who have not understand these SOP and have not completely implementing the Diarrhea in children nursing care SOP because of nurse’s high workloads. This could be caused by such thing as instrument of the SOP implementation were not provided and the unbalanced number of comparison between nurses and beds amount.
Rumah Sakit Karya Medika Bekasi merupakan rumah sakit swasta yang terletak di wilayah Kabupaten Bekasi. Dalam dunia perumahsakitan dituntut untuk melakukan perubahan, agar mampu mempersiapkan produk maupun sumber daya manusia yang berdaya saing dalam menghadapi persaingan bebas di pasar ASEAN maupun di pasar global. Pelayanan keperawatan di Rumah Sakit kedudukannya sangat strategis, oleh karena proses pelayanan dilaksanakan secara terus menerus selama 24 jam, sehingga baik buruknya pelayanan di Rumah Sakit sangat tergantung dari penampilan kinerja tenaga keperawatan yang memberikan asuhan keperawatan kepada pasien atau keluarga.Aktivitas pelayanan keperawatan merupakan subsistem dari pelayanan kesehatan yang sifatnya memberikan bantuan kepada pasien untuk memelihara kesehatan atau untuk kesembuhan. Kebutuhan pasien akan ketergantungan dari tenaga keperawatan yaitu berfluktasi yang sesuai dengan kondisi pasien. Hal ini berpengaruh kepada jumlah sumber Daya Manusia (tenaga perawat)yang dibutuhkan untuk memberikan asuhan keperawatan kepada pasien dengan baik dan benar. Penelitian yang dilakukan yaitu Analisis Terhadap Aktivitas Keperawatan Kaitannya dengan beban Kerja Perawat di Ruang Rawat inap Kelas III; penelitian ini menggunakan metode work sampling serta perawat pelaksana sebagai sampelnya.Dari hasil penelitian diperoleh, bahwa di ruang perawatan Asoka, aktivitas keperawatan langsung mengambil porsi terbanyak (44,39%),dibandingkan dengan aktivitas lain/non keperawatan (29,91%) serta aktivitas keperawatan tidak langsung (25,30%), serta total waktu produktif yang dibutuhkan untuk pelayanan keperawatan yaitu 76,65%. Jumlah waktu pelayanan keperawatan/ asuhan keperawatan yang diberikan dari scoarang perawat kepada pasien selama 24 jam yaitu 6,38 jam/pasien/24 jam; Sedangkan di ruang perawatan Tulip, aktivitas keperawatan langsung mengambil porsi waktu terbaniyak (41,30%), dibandingkan dengan aktivitas non keperawatan t lainnya (29,72%) maupun aktivitas keperawatan tidak langsung (28,98%), serta total waktu produktif yang dibutuhkan untuk pelayanan keperawatan yaitu 75,82%. Jumlah waktu pelayanan keperawatan/asuhan keperawatan yang diberikan dari seorang perawat kepada pasien selama 24 jam yaitu 4,16 jam/pasien/24 jam.Hasil penelitian ini memperlihatkan, bahwa aktivitas keperawatan langsung lebih tinggi, jika dibandingkan dengan aktivitas keperawatan tidak langsung maupun aktivitas lainnya/non keperawatan, Oleh karena penelitian ini hanya mengukur pemanfaatan waktu kerja dilakukan oleh tenaga keperawatan dalam memberikan pelayanan asuhan keperawatan kepada pasien atau keluarganya.Disarankan untuk aktivitas adminisirasi, transportasi serta kurir pasien seyogyanya dilaksanakan oleh tenaga non keperawatan, agar tenaga keperawatan yang ada dapat memberikan pelayanan keperawatan lebih banyak kepada pasien dalam upaya meningkatkan kualitas asuhan keperawatan.
Analysis Of The Nursery Activity Relating to the Working Burden of Nurses in the Stay - Care Room Third Class Of Karya Medika Bekasi HospitalKarya Medika Bekasi hospital is a private hospital which is located in the area of Bekasi Regency. In the world of hospitalization it is forced to always make changes, in doing so able to prepare both competitive product and human resource to face the competition both in ASEAN and global market. The nursery service in the hospital has a very strategic position, because the process of service is performed continually for 24 hours, so the bad and good effect of the service in the hospital mainly relics on the performance of the nursery force that gives care to patients or families.The activity of nursery service is a subsystem of the health service that gives help to patients to maintain their health or recovery. The patients' needs will be relied on the nursery service to fluctuate based on the patients' condition. This effects to the number of human resource (nurses) that are needed to give nursery service well and correctly to the patients. The research performed is The Analysis On The Nursery Activity Relating To The Working Burden Of Nurse In The Stay - Care Room Third Class, the method used is Work Sampling and the sample is the nurses/nursery forces.From the result of the research, it is gained that in the Asoka care room, the nursery service directly gets the most portion (44,39%), compared with other activity/ non - nursery (29,91%) and indirect nursery activity (25,30%), and the productive time total needed is 76,65%. The nursery service time given by a nurse for 24 hours is 6,38 hours/patient/24 hours ; whereas in the Tulip stay- care room, the direct nursery service gets the most portion (41,30%), compared with the non - nursery activity/ others (29,72%) as well as the indirect nursery activity (28,98%), and the productive time total needed is 75,82%. The amount of time of the nursery service given by a nurse to the patient for 24 hours is 4,16 hours / patient / 24 hours.This research result shows that the direct nursery service is higher compared with the indirect nursery service or other activities/non - nursery. Because this research only examines the usage of working hours performed by nursery force 1 nurses to give nursery service to patients or families.It's suggested that an administration activity, transportation as well as patients courier be performed by non- nursery force, so that the existing nursery force can be consistent to give the nursery service to patients in order to improve the quality of the nursery service.
Providing health services requires quality resources to produce a good outcome. Thus, human resources should be viewed as assets and even hospital investments. Nurses who are the largest proportion of workforce in health services will contribute to the success of the service if they can perform their duties and functions according to standards. Nurses who have good ability and motivation will contribute to the task of administering hospital health services through nursing services. Conversely, nurses who do not perform nursing care properly and correctly can cause problems in patient care. Therefore, this research was conducted with the aim of looking at the relationship between the abilities, motivation and supervision of nurses on the completeness of nursing care documentation in the Imanuel Hospital Sumba ward. This study used a quantitative observational research design with cross-sectional data collection methods by observing or measuring each research variable once at a time. In this study, the research subjects were nurses at Imanuel General Hospital. Subjects were asked to fill out a questionnaire on ability, motivation and supervision. The scores for each questionnaire item are summed. A total score is 100%, a score of 65% or more is considered good, while a score less than 65 is considered insufficient. Of the 22 nurse respondents who served in the inpatient room of Imanuel Sumba Hospital, whose nursing care was then traced, there were 8 nurses (36.4%) whose complete nursing care was categorized as good, and the remaining 14 people (63.6%) had complete care. nursing is in a poor category. Nurses who have good knowledge 17 (77.3%) and less good 5 (22.7%). Nurses who have good skills are 16 (72.7%) and less good 6 (27.3%). Nurses with good motivation are 5 (22.7%) and less 17 (77.3%). Nurses who stated good supervision were 9 (40.9%) and less 13 (59.1%). There is no significant relationship between knowledge (p value = 0.613) and skills (p value = 0.624) with the completeness of nursing care. There is a significant relationship between motivation (p value = 0.039) and supervision (p value = 0.043) with the completeness of nursing care
Nursing Care Document is an indicator to prove that the Nurses are doing good nursing care to clients in internal room. Purpose of the research is to get a clear description on nursing care document and its related factors in internal room. Research methodology is qualitative method through in depth interview and observation to 8 informan which charge with the nursing care document and its related Factors.
ABSTRAK Kepuasan pasien merupakan salah satu indicator untuk mengukur mutu pelayanan kesehatan dan dapat digunakan sebagai tolok ukur bagi Rumah Sakit, hal ini penting karena hasil pengukuran tingkat kepuasan pasien dapat diperoleh karakteristik, dimensi dan indikator apa saja jasa RS yang membuat pasien tidak puas.Sehingga pihak manajemen atau pimpinan RS harus melakukan koreksi atau perbaikan, karena tanpa perbaikan, hasil pengukuran tingkat kepuasan pasien menjadi tidak bermanfaat. Tujuan dari penelitian ini adalah diperolehnya gambaran kepuasan, karakteristik pasien yang berhubungan dengan tingkat kepuasaan serta diperolehnya gambaran kepuasan dari servqual yaitu factor tampilan fisik (tangible), Emphati (Emphaty), ketanggapan ,(responsiveness),jaminan (assurance) dan reliability pada pelayanan kesehatan /asuhan keperawatan pada pasien rawat inap di ruang perawatan umum RS Sentra Medika cisalak Depok.Analisis yang digunakan adalah univariat dan bivariate sedangkan uji statistiknya yang di gunakan adalah chi Square. Untuk pemecahan masalah atau alternatif pemecahan masalah menggunakan digram kartesius. Hasil penelitian diperoleh bahwa tingkat kepuasan pasien berdasarkan rata ? rata dimensi adalah sangat puas yang nilainya 70.9 %.Hasil uji bivariate menunjukan bahwa factor yang berhubungan dengan kepuasan adalah pendidikan dan cara pembayaran. Dari diagram kartesius diperoleh gambaran yang menjadi prioritas utama untuk segera diperbaiki yaitu dimensi reliability yaitu yang berkaitan dengan ketepatan waktu, informasi hasi setiap tindakan (Assurance) dan dimensi emphaty dimana perawat perlu menyediakan waktu untuk mendengarkan keluhan pasien. Saran yang diberikan manajemen menbuat perbaikan ? perbaikan yang berhubungan dengan pemberian asuhan keperawatan, terutama pada kuadran I dan penlitian lanjut yang perlu dilakukan adalah yang berkaitan dengan kinerja keperawatan.
Abstract Patient?s satisfaction is the first indicator of the measurement of health quality and the hospital standard and it is an important factor because the result of the measurement of patient satisfactory level shows characteristic, dimension and hospital indicator services that make patient that felt dissatisfied. The Hospital management has to conduct a necessary action to make a correction on the problem because without reparation all the result measurement patient is unused. This research aims to know the description of patient satisfaction rate and characteristics that related with patient satisfaction and to get the description of satisfaction from service quality factor, like physical factor or tangible, empathy, responsiveness, reliability and assurance of the health service to the patient who were stayed in the hospital for general health care treatment at RS Sentra Medika, Cisalak. The research use to descriptive analytic while the researcg method use is longitude survey to 99 samples patien who take care of stay in RS Sentra Medika. The analysis system were used univariate and bivariate and for the statistical examine used chi square system. Result of the research showed that patient satisfaction level base on average dimension was satisfying at the rate level of 70.90%. From the research of bivariate showed that the factor which had relation to patient?s satisfaction is education and payment system. From the Cartersius diagram, we notice that the priority problem which need to be corrected was reliability dimension. This means is related to the time frame, information on the result of medical action ( Assurance) and empathy dimension where the nurse have give their time to listen to the patient. The suggestion to the management is to make proper corrections which related to deliver the training, especially on the first quadrant. Further research that need to be conduct is on nursing job quality.
Dokumentasi keperawatan merupakan bukti dari pelaksanaan keperawatan yang menggunakan metode proses keperawatan, berisi tentang catatan respon pasien terhadap tindakan medis dan tindakan keperawatan serta merupakan indikator mutu asuhan keperawatan. Agar pelayanan keperawatan berkualitas maka perawat diharapkan dapat menerapkan asuhan keperawatan dengan pendokumentasian yang benar.
Penelitian ini bertujuan untuk menganalisis kelengkapan dokumen asuhan keperawatan terkait dengan faktor individu, faktor organisasi dan faktor psikologis, menggunakan metode kualitatif dengan teknik pengumpulan data observasi dan wawancara mendalam. Observasi memungkinkan peneliti mengamati langsung tantangan perawat dalam melengkapi dokumen pengkajian, diagnosa keperawatan, rencana tindakan, implementasi, evaluasi dan catatan keperawatan.
Hasil penelitian menunjukkan bahwa secara umum pengisisan kelengkapan dokumentasi asuhan keperawatan di rumah sakit Santo Antonio masih di bawah standar Depkes. Perawat sudah menyadari pentingnya pendokumentasian asuhan keperawatan. Kendala yang dihadapi antara lain kurangnya tenaga dan kurangnya fasilitas yang ada seperti petunjuk teknis pengisian dokumentasi asuhan keperawatan. Selain itu, belum pernah dilakukan pelatihan terkait dengan pendokumentasian asuhan keperawatan. Perawat memanfaatkan hasil dokumentasi sebagai materi komunikasi kemajuan kondisi pasien, namun dokter belum memanfaatkan secara maksimal hasil dokumentasi yang dibuat oleh perawat.
Saran dari penelitian ini adalah agar pihak manajemen memenuhi jumlah tenaga, mengadakan pelatihan dan seminar, membuat petunjuk teknis pengisian dokumentasi asuhan keperawatan, menerapkan supervise berjenjang serta membuat lembar catatan pasien yang terintegrasi dari seluruh tenaga kesehatan. Saran untuk Kemenkes adalah mengembangkan peraturan yang memberikan pemisahan yang jelas antara tugas dokter dan tugas perawat.
Nursing documentation is an evidence of the implementation of nursing, using the nursing process method, which is contains the report of the patients’ response to the medical and nursing care also an indicator of the nursing care quality. In order to support the nursing care quality, the nurse should applied itself with proper documentation.
The aim of this research is to analyze the completion of the nursing care document, in relation to the individual, organizational, and psychological factors by using qualitative methods such as observation and in-depth interviews. This study is allow to observed nurses challenges to complete the document, diagnose, treatment planning, implementation, evaluation and medical record.
The study revealed that nursing care document completion in Saint Antonio hospital is still below standard even the nurses realized the importance of documenting nursing care. Challenges were found are the nurses work load, no technical guideline for completing the nursing document, no trainings and no workshops for the nurses. Nurses are going to use the results of the documentation to discuss the progress of patient’s condition, but clinicians do not use it as expected.
The study suggests the management to increase the number of personnel, to held trainings and seminars for nurses, to develop technical guideline for nursing documentation, to implement head nurse’s supervision and also create an integrated record sheet based on various personal’s health. Recommendation for Ministry of Health is to provide regulation of clear duty of nurses and doctors.