Perbandingan Model Asuhan Keperawatan Profesional Tim dengan Primary Nursing dalam Peningkatan Kualitas Asuhan Keperawatan di Rumah Sakit Kota Medan

The development of science and technology that continues to progress, especially in the health sector requires changes in terms of service so that in providing more professional services in hospitals, nursing care must be of high quality. Nursing Law Number 38 of 2014 Article 3B states that nursing arrangements aim to improve the quality of nursing services, therefore the provision of quality nursing services is important in today's health services. The model of professional nursing care is divided into several models, namely primary, team and case nursing. Based on the results of a survey of research journals, the researchers concluded that there was no research that compared the professional nursing care team model with primary nursing in improving the quality of nursing care. The purpose of this study was to identify the use of the professional nursing care team model with the primary nursing model in improving the quality of nursing care. This type of research is a quantitative research type with a comparative design. The population in this study were all patients at the Inpatient Hospital where the study was conducted. The sampling technique used was purposive sampling technique. Data collection on the quality of nursing care used a quality scale patient assessment instrument – the acute care version (PAQS-ACV). This instrument was developed to assess the quality of nursing care. Data analysis in this study used an independent t-test. normality test using the Kolmorogov-Smirnov test with a significance value (p > 0.05). The results showed that there was a significant difference between the quality of nursing care in the team group and the quality of nursing care in the primary nursing group where the value of sig (2-tailed) was 0.008 where > 0.05, the results also showed that based on the results of the frequency distribution test the quality of nursing care was using the team model and the primary nursing model has a high majority value of nursing care quality, but there is a difference in the average value (mean) where the quality of nursing care in the nursing care model group in the team method group is 144.86 and the quality of nursing care in the primary nursing model group is 155.83. These results indicate that the quality of nursing care with the primary nursing model has a higher quality of care value than the group nursing care model with the team method. Based on the results of this study, it is recommended that hospitals can apply a professional nursing practice model, especially the primary nursing model to further improve the quality of nursing care provided.

Clinical decision-making of bachelor and clinical internship (professional) nursing students in Indonesia

Background: Clinical decision-making is an essential element of every professional nursing career. A nurse's aptitude for clinical decision-making influences the quality of the healthcare they provide. This research aims to describe the clinical decision-making among nursing students at Universitas Indonesia.Design and Methods: This research employed a cross-sectional design by sampling 216 students across several types and level of students programs in the University. The samples were selected using a stratified random sampling technique and met the inclusion criteria. The instrument of this research was the 2014 Nursing Decision Making Instrument (NDMI-R2014). The survey instrument was translated from English into Indonesian, and its validity and reliability were tested (α Cronbach value = 0.816).Results: The results of the univariate analysis revealed that students’ clinical decision-making abilities vary; 59.2% in the analysis category, 40.3% in the quasi-rational category, and 0.5% in the intuitive category.Conclusion: This research concludes that the clinical decision-making ability of bachelor and professional nursing students program is in the analysis category which indicate that students’ clinical decision-making abilities involve their explicit-theoretical knowledge and are supported by evidence-based practices. Therefore, their clinical decision-making can be logically defended, though it requires a longer duration of time to strengthen those abilities. The students’ clinical decision-making must continuously be improved to enable them to create precise decisions based on various situations and clinical conditions.

Systematic Review: Implementation of Primary Team Professional Nursing Practice Methods in Hospital

The hospital is a health service organization that provides comprehensive health services that achieve promotive, preventive, curative and rehabilitative aspects for the community. The application of the Professional Nursing Practice Method (MPKP) can illustrate the efforts of various countries to improve the quality of nursing care and the working environment of nurses in hospitals. The purpose of this study was to determine the application of MPKP in hospitals. This research design uses a literature review, which is a series of studies relating to the method of collecting library data, or research whose research objects are explored through various library information (books, encyclopedias, scientific journals, newspapers, magazines, and documents) from several journals that have been researched by previous researchers who have been screened with inclusion and exclusion criteria using several databases namely google shoolar, lib UI, and SINTA which will be used as a literature review in this study. There are 155 journals according to keywords which are screened into 10 journals according to the theme and analyzed which examines the application of the Professional Nursing Practice Method (MPKP). The results showed that the implementation of MPKP was in the good category and was more dominant, namely 40% in the nursing care system. In the application of the maximum Professional Nursing Practice Method (MPKP) and good categories, nurses must make professional values, professional relationships, management approaches, nursing care systems, and reward compensation systems according to nursing standards by looking at performance and determining the appropriate MPKP model.

Nursing staff’s experience of appearance issues in various nursing situations

Background Health care professionals frequently interact with unknown patients in a process involving appearance-based judgements and priority-setting, all of which has an effect on health care equality. The healthcare provider–patient interaction is also highly relevant for the awareness and support of patients’ appearance concerns, with an associated possibility for improving patients’ satisfaction with their appearance and health. The aim was therefore to explore nursing staff’s experience of patients’ appearance issues in various nursing situations, with the purpose to facilitate awareness raising and knowledge development. Method A qualitative research approach with focus group interviews was chosen due to the exploratory aim of the study. Five semi-structured focus group interviews were conducted with 24 nursing staff in total (19 women and five men). The participants’ ages varied (20 to 45 years) as did their professional nursing experience. The interviews lasted approximately one hour, were digitally recorded, transcribed verbatim and analysed through thematic analysis. Results The thematic analysis resulted in the two themes Patient perspective and Professional nursing role, with associated subthemes. The findings showed the importance and impact of appearance issues in nursing situations and how these are linked to the health of the patients. Some groups of patients were identified as more vulnerable than others, which was associated with health care inequalities and health disparities. Value-based strategies along with knowledge, and skills for holistic person-centred care were identified as important resources for the development of appearance-related awareness and support in various nursing situations. Conclusion Strategies for improvement can be realised through the educational system for nursing staff, but mainly by using collective reflective learning forums in different workplaces. An empowerment approach is considered a useful framework for the implementation of holistic person-centred care, functioning as a resource for appearance-related awareness and support in various nursing situations. However, more research is needed on the complex and challenging phenomenon of appearance issues in nursing situations. Knowledge development related to successful person-centred strategies for appearance-related awareness and support is important, especially strategies with a salutogenic perspective.

Hubungan Antara Perilaku Caring Perawat Terhadap Kepuasan Pasien Saat Pandemi Covid-19 di Ruang Perawatan Salah Satu Rumah Sakit Swasta di Yogyakarta

ABSTRCT Background: Patient satisfaction is one of the factors used to evaluate the quality of service in the hospital, and is one of the factors determining the image of a health service institution. Nursing service satisfaction is obtained from consumer assessments regarding the quality and performance of the benefits received from products or services. Quality nursing services can be realized through the provision of nursing care based on the caring behavior of nurses. Caring behavior must always be carried out by nurses in all conditions, even during the current COVID-19 pandemic situation. In the preliminary study conducted, Elisabeth 4's inpatient room was the room that experienced the lowest decrease in customer satisfaction. Purpose: The purpose of this study was to determine the relationship between nurse caring behavior and patient satisfaction during the COVID-19 pandemic in Elisabeth 4 Hospital's inpatient room. Panti Rapih, Yogyakarta. Methods: This type of research is a descriptive correlation. This research is a quantitative study with a cross sectional design. Using non probability sample techniques, purposive sample. The sample used was 37 respondents. Data collection techniques using a questionnaire that is given directly to the respondent in Januari 2021 sampai Februari 2021. Results: The highest nurse caring behavior was in the good category, 83.8% of the total respondents. The highest level of satisfaction is "Satisfied" 54.1% of the total respondents and "Very Satisfied" as much as 43.2% of the total respondents. Based on the results of the Spearman rho test, P value 0.007 is, this means that there is a significant relationship between nurse caring behavior and the level of patient satisfaction. The Correlation Coefficient value is positive, which indicates that there is a strong relationship between nurse caring behavior and the level of patient satisfaction. Conclusion: There is a significant relationship between nurse caring behavior and patient satisfaction. The direction of the positive correlation shows that the higher the nurse's caring behavior, the higher the patient's satisfaction in nursing services. Suggestion: It is necessary for nurses to increase knowledge, attitudes and skills especially when carrying out their role as executor of professional nursing actions. Panti Rapih Hospital management should continue to encourage the spirit of caring behaviour during the COVID-19 pandemic, by improving the physical, mental and spiritual health of nurses so that nurses can provide professional nursing services.

Implementation of Primary Team Professional Nursing Practice Methods In Hospital: A Systematic Review

Background: The hospital is a health service organization that provides comprehensive health services that achieve promotive, preventive, curative and rehabilitative aspects for the community. The application of the Professional Nursing Practice Method (MPKP) can illustrate the efforts of various countries to improve the quality of nursing care and the working environment of nurses in hospitals.Purpose: The purpose of this study was to determine the application of MPKP in hospitals.Methods: This research design uses a literature review, which is a series of studies relating to the method of collecting library data, or research whose research objects are explored through various library information (books, encyclopedias, scientific journals, newspapers, magazines, and documents) from several journals that have been researched by previous researchers who have been screened with inclusion and exclusion criteria using several databases namely google shoolar, lib UI, and SINTA which will be used as a literature review in this study. There are 155 journals according to keywords which are screened into 10 journals according to the theme and analyzed which examines the application of the Professional Nursing Practice Method (MPKP). Results: The results showed that the implementation of MPKP was in the good category and was more dominant, namely 40% in the nursing care system. In the application of the maximum Professional Nursing Practice Method (MPKP) and good categories, nurses have to make professional values, professional relationships, management approaches, nursing care systems, and reward compensation systems according to nursing standards by looking at performance and determining the appropriate MPKP model. Conclusion: The better the implementation of the Professional Nursing Practice Method (MPKP) is carried out, the better the services provided by the hospital to patients

RELATIONSHIP OF PROFESSIONAL NURSING CARE METHODS (MAKP) TEAM WITH NURSE SATISFACTION

Hospital health services cannot be separated from nursing services which have a role in improving the health status of patients. The team method is the organization of nursing services using a team consisting of groups of clients and nurses. Nurse performance is a measure of the quality of service in a hospital. Performance is influenced by individual variables, psychological variables and organizational variables. This study aims to determine the relationship between professional nursing care management (MAKP) TEAM and nurse satisfaction in the hospital. The type of research used is descriptive analytic research with a "cross sectional" approach. Population of 60 people and sample of 60 people, the sampling technique was used with total sampling. MAKP TEAM data collection with nurse satisfaction through questionnaires. The statistical test used the chi-square test. The results of the bivariate analysis of the relationship between the Professional Nursing Care Method (MAKP) TEAM and the Satisfaction of Nurses in the Inpatient Room of the Sari Mutiara Lubuk Pakam Hospital from the results of the chi square test obtained a value of p = 0.000 <0.05, where Ha is accepted, which means there is a relationship between professional nursing care methods ( MAKP) Team with Nurse satisfaction.So from the results of the research conducted there was a relationship between the TEAM Professional Nursing Care Method (MAKP) and the Satisfaction of Nurses in the Inpatient Room of the Sari Mutiara Lubuk Pakam Hospital. It is hoped that the head of the room will increase his role in aspects of the management function. It is hoped that the hospital will increase teamwork in the application of the team method in the inpatient room so as to produce nurse satisfaction and produce perceived job satisfaction among nurses. It is hoped that the next researchers will be able to conduct more in-depth research on nurses who work in the hospital.

Gambaran kinerja kepala ruangan dan ketua tim di Ruang Model Praktik Keperawatan Profesional (MPKP) Rumah Sakit Jiwa Daerah Provinsi Jambi

ABSTRACT: DESCRIPTION OF THE PERFORMANCE OF THE HEAD OF THE ROOM AND TEAM HEAD IN THE MODEL ROOM OF PROFESSIONAL NURSING PRACTICE (MPKP) A REGIONAL MENTAL HOSPITAL OF JAMBI PROVINCE Background The Model of Professional Nursing Practice (MPKP) has been implemented in several countries, including in various Indonesian asylums. Jambi Provincial Mental Hospital has implemented a Model of Professional Nursing Practice (MPKP), but its implementation has not been implemented in its entirety. The role and function of the head of the room and the head of the team is critical to the development of the performance of the implementing nurses in the space that has implemented the MPKP. This research aims to find out the picture of the performance of the head of the room and the team leader in the Model Room of Professional Nursing Practice (MPKP) of Jambi Provincial Psychiatric Hospital year 2020.Method This research is quantitative research. This research was conducted in the MPKP room of Jambi Provincial Psychiatric Hospital conducted on March 26 – April 6, 2020. The population in this study was the entire head of the room as many as 10 people and the team leader as many as 20 people in the MPKP room at Jambi provincial asylum in March-April 2020. The sample in this study was as many as 30 people with total sampling techniques. Data collection is done by interviewing and filling out questionnaires. Data analyzed univariately.Result: The results of this study showed that the head of the room had a good performance and was less good each as much as 5 (50%) Respondents. The team leader had a good performance and was underperforming by 10 (50%) of each respondent.Conclusion The results of this study show that both the head of the room and the team leader has not been optimal performance. It is recommended that the hospital conduct training and training in the form of workshops and seminars to increase the knowledge of the head of the room and the head of the team to implement 4 pillars of MPKP. Keywords: Performance, Katim, Karu, MPKP INTISARI : GAMBARAN KINERJA KEPALA RUANGAN DAN KETUA TIM DI RUANG MODEL PRAKTIK KEPERAWATAN PROFESIONAL (MPKP) RUMAH SAKIT JIWA DAERAH PROVINSI JAMBI Latar Belakang Model Praktek Keperawatan Profesional (MPKP) telah dilaksanakan dibeberapa negara, termasuk di berbagai rumah sakit jiwa Indonesia. Rumah Sakit Jiwa Daerah Provinsi Jambi telah menerapkan Model Praktek Keperawatan Profesional (MPKP), namun pelaksanaannya belum secara keseluruhan. Peran dan fungsi kepala ruangan dan ketua tim sangat penting untuk perkembangan kinerja perawat pelaksana pada ruang yang telah menerapkan MPKP. Penelitian ini bertujuan untuk mengetahui gambaran kinerja kepala ruangan dan ketua tim di Ruang Model Praktik Keperawatan Profesional (MPKP) Rumah Sakit Jiwa Daerah Provinsi Jambi Tahun 2020.Metode Penelitian ini adalah penelitian kuantitatif. Penelitian ini dilakukan di ruang MPKP Rumah Sakit Jiwa Daerah Provinsi Jambi yang dilakukan pada tanggal 26 Maret – 6 April 2020. Populasi dalam penelitian ini adalah seluruh kepala ruangan sebanyak 10 orang dan dan ketua tim sebanyak 20 orang di ruang MPKP di Rumah Sakit Jiwa Daerah Provinsi Jambi pada bulan Maret-April 2020. Sampel dalam penelitian ini sebanyak 30 orang dengan teknik total sampling. Pengumpulan data dilakukan dengan wawancara dan pengisian kuesioner. Data dianalisis secara univariat.Hasil Hasil penelitian ini menunjukkan bahwa kepala ruangan memiliki kinerja yang baik dan kurang baik masing-masing sebanyak 5 (50%) responden.Ketua tim memiliki kinerja yang baik dan kurang baik masing-masing sebanyak 10 (50%) responden.Kesimpulan Hasil penelitian ini menunjukkan bahwa baik kepala ruangan dan ketua tim memiliki kinerja yang belum optimal. Sebaiknya rumah sakit mengadakan pelatihan dan diklat dalam bentuk workshop dan seminar agar menambah pengetahuan kepala ruangan dan ketua tim untuk menerapkan 4 pilar MPKP. Kata Kunci: Kinerja, Katim, Karu, MPKP

Revisiting ‘Discipline’ in Relation to Caring Science as Sacred Science: Revisiting Discipline of Nursing

The purpose of this manuscript is to invite a revisiting of the concept of the “discipline” of Nursing, with attention to the spiritual consciousness of “Nurse” within the sacred concept of self-caring and caring-healing consciousness. The notion of including the spiritual, evolving consciousness of “Nurse,” in harmony with evolution of Professional Nursing, is congruent with a mature disciplinary matrix of caring science as sacred science. This congruence between Nurse/Nursing contributes to the evolution of Nursing, Holistic Practices and Era III unitary transformative disciplinary thinking.