Pengembangan Program Ronde Klinis Keperawatan di Rumah Sakit Umum Daerah Kota Padangsidimpuan

Abstract

Nursing clinical round is a proactive process in which nurses visit patients routinely in order to fulfill patients’ basic need. The objective is to get information about the patients’ illness and to make the patients involved in decision making related to their nursing process. Nursing round is aimed to fulfill the patients’ need routinely and to make sure about their safety, and they can get information about their illness, the following examination, and the treatment process. The objective of the research was to develop clinical nursing round program in Padangsidimpuan General Hospital. The research was conducted within 8 weeks, and it was one action research cycle which consisted of reconnaissance, planning, acting & observing, and reflecting. The data were gathered by conducting interviews, participant observation, questionnaire distribution, and Focus Group Discussion (FGD). Participants in the research were 19 nurses in the Inpatient VIP Specific Room of Padangsidimpuan General Hospital. The data were analyzed quantitatively and qualitatively. Qualitative data were analyzed by using content analysis technique, while quantitative data were patients’ satisfaction with nursing service which was presented in frequency distribution tables. Quantitative data were nurses’ work satisfaction which were analyzed by using wilcoxon test with pvalue = 0.02 which indicated that there was the difference in nurses’ work satisfaction before and after the application of nursing clinical round. This research produced nursing clinical round which consisted of structure and job description of nursing clinical round, reference framework of nursing clinical round, Standard Operating Procedure (SOP) of nursing clinical round, and the workflow of nursing clinical round which was in line with the condition of the hospital. The research had an impact on the increase in patients’ satisfaction with the nursing service and the increase in the nurses’ work satisfaction. It is recommended that the nursing management perform supervision for nursing clinical round in the inpatient rooms in order to improve the quality of nursing service.

Ronde klinis keperawatan merupakan suatu proses proaktif dimana perawat melakukan kunjungan kepada pasien secara rutin untuk memenuhi kebutuhan pasien baik kebutuhan dasar maupun kebutuhan untuk mendapatkan informasi tentang penyakitnya dan melibatkan pasien dalam pengambilan keputusan terkait proses perawatannya. Ronde keperawatan bertujuan untuk memenuhi kebutuhan pasien secara rutin dan memastikan keselamatan pasien ronde keperawatan juga bertujuan agar pasien mendapatkan informasi mengenai penyakitnya, pemeriksaan lanjutan dan proses keperawatan yang akan dijalaninya. Penelitian ini bertujuan untuk mengembangkan program ronde klinis keperawatan di RSUD Kota Padangsidimpuan. Penelitian ini dilakukan selama 8 minggu dan merupakan 1 siklus action research yang terdiri reconnaissance, planning, acting & observing dan reflecting. Metode pengumpulan data adalah wawancara, observasi partisipan, penyebaran kuisioner dan Focus Group Discussion (FGD). Partisipan dalam penelitian berjumlah 19 orang perawat di ruang rawat inap VIP Khusus RSUD Kota Padangsidimpuan. Analisis data dilakukan secara kuantitatif dan kualitatif. Data kualitatif dianalisa dengan menggunakan teknik content analysis. Data kuantitatif berupa kepuasan pasien terhadap pelayanan keperawatan disajikan dalam tabel distribusi frekuensi. Data kuantitatif berupa kepuasan kerja perawat dianalisa dengan menggunakan uji wilcoxon dengan hasil pvalue = 0,02 yang menunjukkan adanya perbedaan kepuasan kerja perawat sebelum dan sesudah aplikasi ronde klinis keperawatan. Penelitian ini menghasilkan program ronde klinis keperawatan yang terdiri dari struktur dan uraian tugas tim ronde keperawatan, kerangka acuan ronde klinis keperawatan, SOP ronde klinis keperawatan dan alur pelaksanaan ronde klinis keperawatan yang sudah sesuai dengan kondisi di RSUD Kota Padangsidimpuan. penelitian ini berdampak pada peningkatan kepuasan pasien terhadap pelayanan keperawatan dan peningkatan kepuasan kerja perawat. Penelitian ini merekomendasikan kepada pimpinan keperawatan supaya melakukan supervisi ronde klinis keperawatan di ruang rawat inap untuk meningkatkan mutu pelayanan keperawatan.