Manajemen Keperawatan Rawat Inap dalam Kaitannya dengan Pelaksanaan Asuhan Keperawatan di Rumah Sakit Umum Daerah Kraton Kabupaten Pekalongan

Abstract

Universitas Diponegoro Fakultas Kesehatan Masyarakat Program Magister Ilmu Kesehatan Masyarakat Konsentrasi Administrasi Rumah Sakit 2013 ABSTRAK Mohamad Khoirudin Manajemen Keperawatan Rawat Inap dalam Kaitannya dengan Pelaksanaan Asuhan Keperawatan di Rumah Sakit Umum Daerah Kraton Kabupaten Pekalongan xi + 118 halaman + 17 tabel + 2 gambar + 6 lampiran Latar belakang penelitian ini adalah penyelenggaraan manajemen kepala ruang belum baik seperti fungsi perencanaan, pengorganisasian, penggerakan dan penilaian dalam manajemen keperawatan sangat menentukan pelayanan keperawatan di ruang rawat inap oleh perawat pelaksana dalam melaksanakan manajemen asuhan keperawatan kepada klien. Penelitian ini bertujuan menganalisis persepsi perawat pelaksana terkait penyelenggaraan manajemen kepala ruang dalam pelaksanaan asuhan keperawatan di ruang rawat inap RSUD Kraton Pekalongan. Penelitian ini merupakan observasional dengan pendekatan kualitatif. Informan utama adalah perawat pelaksana di ruang rawat kenanga 3 orang, seruni 3 orang dan anggrek 3 orang melalui wawancara mendalam terkait penyelenggaraan manajemen kepala ruang dalam pelaksanaan asuhan keperawatan di ruang rawat inap RSUD Kraton Pekalongan. Informan triangulasi adalah kepala ruang kenanga, kepala ruang seruni, kepala ruang anggrek, kasie asuhan keperawatan dan kabid keperawatan RSUD Kraton. Hasil penelitian menunjukkan penyelenggaraan manajemen kepala ruang belum baik seperti fungsi perencanaan (tenaga keperawatan menggunakan rumus bervariasi seperti Gillies-Douglas-PPNI, alat keperawatan menggunakan panduan manajemen logistik-standar Depkes, jenis kegiatan asuhan keperawatan menggunakan metode bervariasi seperti fungsional-tim-MPKP), pengorganisasian (sudah menyusun struktur organisasi,sudah melakukan koordinasi kegiatan asuhan keperawatan, belum membuat kelompok kerja kegiatan asuhan keperawatan), penggerakan (sudah membuat jadual dinas, sudah memberi motivasi/pengarahan,sudah melakukan pertemuan berkala) dan penilaian (sudah menilai kegiatan asuhan keperawatan, sudah menilai pengendalian alat / obat–obatan, sudah menilai pencatatan asuhan keperawatan). Studi dokumentasi penerapan standar asuhan keperawatan belum sesuai dengan standar Depkes yaitu < 80 %. Disarankan bagi kepala ruang untuk meningkatkan penyelenggaraan fungsi perencanaan, pengorganisasian, penggerakan dan penilaian dalam manajemen keperawatan di ruang rawat inap. Bagi perawat pelaksana untuk meningkatkan ketrampilan individu dalam memberikan asuhan keperawatan sesuai standar profesi dan Depkes > 80% Kata Kunci : Manajemen Keperawatan, Rawat Inap, Asuhan Keperawatan Diponegoro University Faculty of Public Health Master’s Program in Public Health Majoring in Hospital Administration 2013 ABSTRACT Mohamad Khoirudin Inpatient Nursing Management in Relation with the Implementation of Nursing Care at Kraton Public Hospital in District of Pekalongan xi + 118 pages + 17 tables + 2 figures + 6 enclosures The management of nursing care implemented by head of room such as functions of planning, organizing, actuating, and evaluating determines quality of nursing services at inpatient unit by a nurse towards a client. This research aimed to analyze perceptions of a nurse about the management of nursing care done by a room leader at inpatient unit of Kraton Public Hospital in Pekalongan District. This was observational research with qualitative approach. Number of main formants was 9 persons consisted of 3 persons at ylang room, 3 persons at chrysanthemums room, and 3 persons at orchid room. Furthermore, data were collected using a method of indepth interview regarding the management of nursing care implemented by head of room at inpatient unit of Kraton Public Hospital in Pekalongan District. Moreover, informants for triangulation purpose were three room leaders, head of nursing care section, and head of nursing department at the hospital. The results of this research showed that room leaders had not optimally implemented management yet. In terms of the functions of planning, a nurse used various formulas such as Gillies-Douglas-PPNI, nursing tools used a guideline of logistic-standard management published by Ministry of Health, and nursing care activities used various methods such as functional-team-MPKP. In terms of organizing, they had arranged an organizational structure and also had coordinated the activities of nursing care but they had not made a work group in their nursing care activities. Furthermore, in terms of actuating, they had arranged an official schedule, had motivated, and had done regular meeting. In terms of evaluating, they had assessed nursing care activities, equipment/drugs control, and a nursing care record. Additionally, a documentation study indicated that the implementation of nursing care (<80%) had not complied a ministry of health standard. As a suggestion, room leaders need to improve the nursing management functions namely planning, organizing, actuating, and evaluating at inpatient unit. In addition, nurses need to improve their individual skills in providing nursing care in accordance with a Ministry of Health standard (>80%). Key Words : Nursing Management, Inpatient, Nursing Care