Process Evaluation: Standard, Effectiveness, Efficiency and Sustainability of Maternity Nursing Care
Abstract: Although globally
there is a change in the trend of epidemiology from infectious diseases to
chronic diseases, the prevalence and incidence of infectious diseases as well
as MMR (Maternal Mortality Rate) and IMR (infant mortality rate) in Indonesia
is still high. In year 2000, Faculty of Nursing of the Universitas Padjadjaran
in collaboration with Hasan Sadikin Hospital built a model of treatment room,
which was affiliated with obstetric gynecology room for improving integrated
quality of health care services and education. The model built in this room
aimed to : 1) Improve the quality of health care service; 2) to develop the
student’s experiences with patients; 3) Provide quality nurse education to
support students; 4) encourage students to improve the results of clinical
prctice. The objective of process evaluation in this study was to give an
insight to an appropriate model for maternity nursing service. This results
showed on the one hand , there are some records not yet achieved an ideal
standard , lack of effectiveness and efficiency of care delivery, namely: 1 )
the ratio of midwives and patients are not ideal ; 2 ) No one consultant
obstetrician gynecologist and one doctor for every room . As well as challenges
to sustainability care that meets the standards of maternity care. Conclusion:
this study recommends to take a comprehensive strategic planning for improving
nursing and midwifery services that involve all relevant stakeholders in the
government, civil society, service delivery, education, and professional
organizations.
Keywords: Effectiveness,
efficiency, evaluation, maternity nursing care, standard
Penulis: Laili Rahayuwati,
Ermiati E, Mira Trisyani
Kode Jurnal: jpkeperawatandd160312
