HUBUNGAN KARAKTERISTIK PERAWAT, SIKAP, BEBAN KERJA, KETERSEDIAAN FASILITAS DENGAN PENDOKUMENTASIAN ASUHAN KEPERAWATAN DI RAWAT INAP BPRSUD KOTA SALATIGA ( Relationship among Nurse’s Characteristics, Attitude, Work Burden, Supervision and Documenting Activities of Nursing Care at Inpatient Unit of Salatiga City Public Hospital Year 2007)

Abstract

Nursing activity is one of services activities at a hospital. The main task of nurses in providing nursing care towards a patient is to analyze patients’ need, to make a planning, to evaluate the result of nursing care, and to document nursing care. This was an explanatory research using cross sectional approach and quantitative-qualitative method. Subject of this research was eight persons who were the head of room, and 56 nurses. Measurement of supervision was conducted by in-depth interview and analyzed by Content Analysis. Variables of characteristics, attitude, work burden, and facility were measured quantitatively. Sample was carried out by using purposive sampling. Statistical analysis for quantitative data used Rank Spearman test. Percentage of respondents who have good knowledge (52%) pvalue 0,0001, good attitude (57%) p value 0,000, moderate work burden (37%) p value 0,011, availability of a form (61%) p value 0,001 and availability of nursing care (59%). p value 0,001 . Percentage of nursing care documenting activities for each step is namely early diagnosis (43%), advance diagnosis (29,6%), nursing plan (29,8%), treatment (57,8%), evaluation (53,4%), and nursing care record (69%). In terms of statistical analysis, the factor of knowledge, attitude, work burden, and facility have significant relationship with documenting activities of nursing care. Otherwise, the factors of age, length of work, and education do not have significant relationship with documenting activities of nursing care. To improve implementation of nursing care documenting activities, there needs to improve the knowledge of nurses, to re-evaluate indirect activities of work burden, to monitor and to evaluate regularly, to do reporting and recording activities, and to publish the procedure of writing nursing care documentation. Kegiatan keperawatan merupakan salah satu kegiatan pelayanan yang ada di Rumah Sakit, tugas perawat dalam memberikan asuhan keperawatan pada pasien antara lain mengkaji kebutuhan pasien, merencanakan tindakan keperawatan, melaksanakan rencana tindakan, mengevaluasi hasil asuhan keperawatan yang telah diberikan serta mendokumentasikan asuhan keperawatan . Penelitian ini merupakan penelitian eksplanatory survey dengan menggunakan dua pendekatan kuantitatif dan kualitatif, sedangkan waktu pengumpulan data secara cross sectional. Subyek penelitian 8 Kepala bangsal dan 56 orang perawat pelaksana. Pengukuran supervisi dengan wawancara mendalam yang selanjutnya dilakukan content analisis, untuk pengukuran karakteristik, sikap, beban kerja dan fasilitas pengambilan sampelnya secara proposif dengan analisis kuantitatif. Pengolahan data penelitian dengan tehnik deskriptif dan analitik dengan uji korelasi Rank Sperman. Hasil analisis menunjukan pengetahuan perawat 52% yang mempunyai pengetahuan baik pvalue 0,0001. Sikap yang baik mencapai 57% p value 0,000. Beban kerja sedang 37% p value 0,011. Format tersedia 61% p value 0,001. Standar asuhan keperawatan tersedian 59% p value 0,001 serta hasil pendokumentasian asuhan keperawatan penkajian 43%, diagnose 29,6%, perencanaan keperawatan 29,8%, tindakan 57,8%, evaluasi 53,4%, catatan asuhan keperawatan 69%. Hasil analisis statistik untuk variabel pengetahunan, sikap, beban kerja serta fasilitas ada berhubungannya dengan pendokumentasian asuhan keperawatan, sedangkan untuk variabel umur, masa kerja dan pendidikan tidak ada hubungan. Kesimpulan untuk meningkatkan pelaksanaan praktek pendokumentasian asuhan keperawatan pengetahuan perawat perlu ditingkatkan, beban kerja perawat yang merupakan kegiatan tidak langsung perlu dievaluasi kembali, monitoring dan evaluasi perlu dilaksanakan secara rutin dan terus menerus serta dilakukan pencatatan dan pelaporan, erlu diterbitkan prosedur tetap penulisan dokumentasi asuhan keperawatan.