Penerapan SPO Pelaksanaan Asuhan Keperawatan di Ruang Sub Instalasi Rawat Inap X Rumah Sakit Militer Jakarta: Pilot Study

Putri Nilasari, Rr Tutik Sri Hariyati, Siti Anisah

Abstract


Asuhan keperawatan yang holistik merupakan asuhan yang seharusnya diberikan oleh perawat. Namun diketahui perawat pernah melewatkan satu dari beberapa kegiatan dalam asuhan keperawatan. Studi ini bertujuan mendeksripsikan pelaksanaan asuhan keperawatan di ruang sub instalasi rawat inap X RS Militer Jakarta. Metode yang digunakan yaitu pilot study melalui 23 dokumen rekam medis, observasi dan wawancara dengan pasien dan keluarga. Tahap dimulai dengan pengkajian awal, analisis fishbone, PDSA (Plan-Do-StudyAction), implementasi dan evaluasi. Implementasi berupa pembuatan draft SPO dan pengoptimalan formulir, sosialisasi, pendampingan, dan video roleplay. Hasil studi menunjukkan terdapat peningkatan pada proses evaluasi jalannya asuhan keperawatan mencapai 78,26%. Sementara pada tindakan keperawatan yang menunjukkan peningkatan yang signifikan pada pemenuhan kebutuhan mandi mencapai 75%, ROM mencapai 70%, duduk di kursi roda dan berjuntai mencapai 100%. Keberhasilan dipengaruhi oleh sumber daya material berupa SPO serta dukungan dan peran dari manajer perawat. Rekomendasi studi ini dapat menjadi dasar dalam pengoptimalan pelaksanaan asuhan keperawatan di rumah sakit.  


Keywords


Asuhan keperawatan, Manajer perawat, Tindakan keperawatan

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DOI: http://dx.doi.org/10.20527/dk.v8i2.8026

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