Evaluasi Pelaksanaan Sistem Pemberian Asuhan Keperawatan di Ruang Rawat Inap Terhadap Kinerja Perawat
Abstrak: Nursing service is
part of hospital service that supports the process of healing and recovery of the
patient. Quality of nursing service reflects quality of service to patients.
Model of Professional Nursing Practice (MPNP) is a method to improve quality of
nursing care. It is a system that includes structure, process, and professional
values that enable professional nurses to manage nursing care. Performance of
professional nurses is reflected in behavior of nurses in managing patients.
Presently nursing service has not met expectation of patients and their
families. The practice of nursing service in most of hospitals in Indonesia has
not reflected the practice of professional service. Some previous studies
revealed that performance of nurses had not met the standard, it mostly
belonged to average. Therefore Grhasia Hospital implements 3 categories of
service: service based on MPNP, toward MPNP and non MPNP which have not been
evaluated. Objective: The objective of the study was to identify the difference
in performance of nurses in providing mental health nursing service in the ward
with MPNP, toward MPNP, and non MPNP.
Method: The study used cross sectional design and descriptive comparative
approach, involving 31 nurses and 60 medical records at the ward of Class 1, L2
and L2A of Grhasia Hospital Yogyakarta. Data were obtained through
questionnaire and documentation study.
Result: The result of the study showed compliance of nurses with nursing
care standard of nurse performance in the ward with MPNP in average was 92.61%,
toward MPNP in average was 77.64%, and non MPNP was in average 75.99%. Based on
perception of nurses, performance in the ward with MPNP was in average 3.35, in
the ward toward MPNP was in average 2.85, and in the ward non MPNP was in
average 2.81. The result of statistical analysis showed there was difference in
performance between ward with MPNP, toward MPNP and non MPNP in compliance with
standard of nursing care with score of p=0,001 (p<0.05).
Conclusion: Performance in the ward with MPNP was in good category, in
the ward toward MPNP was also in good category, whereas in the ward non MPNP
was in average category, There was significant difference in performance
between the ward with MPNP, toward MPNP and non MPNP. The management of Grhasia
Hospital should adopt MPNP of nursing care system in all the wards.
Penulis: Ibrahim Rahmat Antom
Kurnia Mariyono Sedyowinarso
Kode Jurnal: jpkedokterandd120167
