Pengaruh Clinical Pathway Terhadap Mutu Pelayanan Keperawatan dan Kepuasan Pasien

Jurnal Ilmiah Ilmu Keperawatan Indonesia

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Title Pengaruh Clinical Pathway Terhadap Mutu Pelayanan Keperawatan dan Kepuasan Pasien
Pengaruh Clinical Pathway Terhadap Mutu Pelayanan Keperawatan dan Kepuasan Pasien
 
Creator widjaja, lenny
Wijayanti, Catharina Dwiana
Tjitra, Emiliana
 
Description ABSTRACT
At X Hospital, 6 Clinical Pathways (CPs), 4 medical surgeries and 2 infectious diseases have been performed by nurse since 2014. To improve the quality of nursing services and patient satisfaction, a study was conducted on the effect of increasing the application of CP. The design of this study was a quasi experimental pre-post test and with a control group. The study group was determined based on the distribution of 6 CP cases and the type of inpatient services (private and government insurance). The study was conducted for 8 weeks in 4 nursing wards. During the first 4-week and after the intervention CP documents were auditted, analyzed the quality of nursing services and patient the standard X hospital forms. CP refreshing was given to 35 nurses of the intervention group selected satisfaction using by purposive sampling technique from 2 predetermined nursing wards   The characteristics of nurses between the study groups did not differ, except more proportion of male nurses in the intervention than in control groups (22,9% vs 3,0%) Characteristics of inpatients,  at before and after the intervention between the study groups were varied in age ,  and admitted diagnosis.  The application of CP at pre-test was incomplete in both study groups, and after CP refreshing there was an improvement implementation of CP only in the intervention group (0 vs 68,6%). The quality of nursing services also improved only in the intervention group (62,9% vs 97,1%). Patient satisfaction  had not significantly improved in both study group, either at  pre or post tests.Overall, characteristics of nurse and patient and refreshing of CP did not affect the implementation of CP, quality of nursing services and patient satisfaction. While the of CP affected patient satisfaction, and the quality of nursing services affected the patient satisfaction. In conclusion, increasing the implementation of CP can improve the quality of nursing services and patient satisfaction.
Keywords: Clinical Pathway, quality of nursing services, patient satisfaction
Pendahuluan: Untuk Peningkatan  mutu pelayanan keperawatan dan kepuasan pasien di RS X, dilakukan penelitian penerapan CP. Tujuan: Penelitian ini bertujuan untuk Untuk mengetahui pengaruh CP terhadap mutu pelayanan keperawatan dan kepuasan pasien di Rumah Sakit. Metode: Rancangan penelitian ini kuasi eksperimen pre-post tes dan dengan kelompok kontrol, selama delapan minggu di empat unit perawatan. Hasil: arakteristik perawat antara kelompok penelitian tidak berbeda, kecuali proporsi perawat laki-laki lebih banyak di kelompok intervensi  (22,9% vs 3,0%). Karakteristik pasien yang dirawat pada sebelum dan sesudah intervensi antar kelompok penelitian beragam,umur dan diagnosis penyakit MRS. Penerapan CP pada awal penelitian dilakukan tidak lengkap di kedua kelompok penelitian, dan setelah penyegaran CP  terjadi perbaikan penerapan CP hanya di kelompok intervensi (0 vs 68,6%). Mutu pelayanan keperawatan juga membaik hanya di kelompok intervensi (62,9% vs 97,1%). Kepuasan pasien tidak mengalami perbaikan yang bermakna di kedua kelompok penelitian setelah penelitian.Hasil multivariat karateristik perawat, pasien serta penyegaran CP tidak mempengaruhi penerapan CP, mutu pelayanan keperawatan dan kepuasaan pasien. Penerapan CP mempengaruhi kepuasan pasien dan mutu pelayanan keperawatan memberikan pengaruh terhadap kepuasan pasien. Kesimpulan : peningkatan penerapan CP dapat memperbaiki mutu pelayanan keperawatan dan kepuasan pasien.
 
Publisher STIKIM Press
 
Date 2019-09-27
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
 
Format application/pdf
 
Identifier http://journals.stikim.ac.id/index.php/jiiki/article/view/364
10.33221/jiiki.v9i03.364
 
Source Jurnal Ilmiah Ilmu Keperawatan Indonesia; Vol 9 No 03 (2019): Jurnal Ilmiah Ilmu Keperawatan Indonesia Edisi September 2019; 616-622
2354-8177
2252-4096
10.33221/jiiki.v9i03
 
Language eng
 
Relation http://journals.stikim.ac.id/index.php/jiiki/article/view/364/290
 
Rights Copyright (c) 2019 Jurnal Ilmiah Ilmu Keperawatan Indonesia
http://creativecommons.org/licenses/by-nc-sa/4.0
 

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