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All Journal Jurnal Ilmiah Keperawatan Sai Betik Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN
Mashudi, Dudi
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Religion Arts Humanities Economics, Econometrics & Finance Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Optimization of Direction and Control Functions in Improving SOAP Writing in CPPT at X Hospital Tanlain, Susana Helen; Afriani, Tuti; Mashudi, Dudi
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 4, No 4 (2021): Budapest International Research and Critics Institute November
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v4i4.2825

Abstract

The provision of patient care in hospitals is carried out based on the concept of Patient-Centered Care (PCC). One of the dimensions of this PCC is the coordination and integration of care services. The integration of care services is carried out horizontally and vertically. The care provider professionals work as intra and interdisciplinary with interprofessional collaboration, assisted by an integrated patient development record written in SOAP form. As the most caregivers in hospitals, nurses must correctly record and document every patient's progress so that other professions can quickly use them. The phenomenon that occurs, doctors do not read or do not believe in the writings of nurses. Hospital X is a type a hospital, specifically in the intensive care unit; the average BOR in the last three months is 69.71%. Based on the observations, it was found that the writing of SOAP on integrated patient development records was not the same for every NurseNurse and not following the standards. So it is necessary to optimize the direction and control function of the Charge Nurse and the head of the room for writing SOAP on integrated patient development records to comply with Nursing Care Standards and SOPs for Hospital X. The method used is a pilot project, starting from data identification, problem analysis, problem priority setting, Plan Preparation of Action (POA), implementation, and evaluation. Data were collected by interview, observation, and survey methods using a google form containing questions about the knowledge and perceptions of nurses on writing SOAP on the integrated patient development record. With the direction and control/control, each level of the manager is expected to achieve organizational goals and improve the deviations found. For this reason, it is hoped that the hospital can accelerate the implementation of EMR synchronized with the nursing care standards that have been arranged and continue to carry out regular supervision in writing SOAP on the integrated patient development record.
OPTIMALISASI SUPERVISI PEMBERIAN EDUKASI PASIEN DAN KELUARGA PADA RS DI JAKARTA SELATAN Pratiwi, Laras Adythia; Yetti, Krisna; Mashudi, Dudi
Jurnal Ilmiah Keperawatan Sai Betik Vol. 16 No. 2 (2020): Jurnal Ilmiah Keperawatan Sai Betik
Publisher : Departement of Nursing, Poltekkes Kemenkes Tanjung Karang, Bandar Lampung, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jkep.v16i2.3097

Abstract

Keselamatan pasien dan kualitas perawatan adalah prioritas di semua layanan kesehatan termasuk rumah sakit. Rumah Sakit memfasilitasi pemberian edukasi yang merupakan faktor penunjang partisipasi pasien dan keluarga dalam proses optimalisasi asuhan.Studi kasus ini bertujuan untuk mengoptimalkan pelaksanaan supervisi pemberian edukasi pasien dan keluarga di RS Jakarta Selatan. Data dikumpulkan melalui observasi, penyebaran kuesioner dan wawancara. Analisis menggunakan diagram fishbone.Implementasi yang dilakukan dengan membuat instrumen supervisi pemberian edukasi dan observasi pendokumentasian pemberian edukasi pasien dan keluarga. Edukasi merupakan salah satu intervensi yang dilakukan oleh perawat. Pelaksanaan pemberian edukasi pasien dan keluarga dapat meningkatkan kualitas asuhan keperawatan. Perbaikan form pemberian edukasi pasien dan keluarga, pengesahan instrumen supervisi dan observasi pemberian edukasi pasien dan keluarga merupakan elemen penting dalam mencapai kualitas pelayanan keperawatan.
Evaluasi Pelaksanaan Pasca Pendidikan Keperawatan Berkelanjutan (PKB) Pada Perawatan Akhir Kehidupan Di Rumah Sakit X Jakarta Fahruji, Azis; Yetti, Krisna; Mashudi, Dudi
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 8 No 3 (2020): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (696.657 KB)

Abstract

Evaluation is an essential component of the continuing education process. Non-formal continuing nursingeducation program, consisting of seminars, training, workshops, conferences, symposiums, etc. End-of-lifepatient care is knowledge of the problems associated with illness and death, nursing competence is needed tomanage dynamic and complex situations around end-of-life care so that nurses who care for patients for daysfeel unready to provide care at the end of life. The aim is to evaluate the implementation of post-ContinuingNursing Education in the care of end-of-life patients by using fishbone. Case study design using frequencydistribution of test results, questionnaires and audit documentation with 75 samples then analyzed usingfishbone. The test results showed a value of> 85 (54.7%), understanding of the initial assessment showed avalue of> 85 (37.3%), the results of the documentation audit showed there was no documentation of 94% andthere was documentation of 6%. The nursing committee as a promoter of the implementation of activitiescoordinates with the field of nursing and nursing managers in carrying out evaluations of each continuingeducation program.
Optimalisasi Supervisi Pemberian Edukasi Pasien dan Keluarga pada Rumah Sakit di Jakarta Selatan Pratiwi, Laras Adythia; Yetti, Krisna; Mashudi, Dudi
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 8 No 2 (2020): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (675.355 KB)

Abstract

The Hospitals are obliged to facilitate patients and families by providing information and education.Education is a supporting factor in participating in the care optimization process. The quality of educationcan be improved by conducting supervision. Supervision is a process of supervising and giving direction bya nursing supervisor to improve the quality of service. This case study aims to optimize the implementationof supervision of patient and family education in hospitals in South Jakarta. Data collected throughobservation, questionnaire distribution and managerial team interviews. An analysis is carried out using afishbone diagram and statistical software. Implementation is carried out by making supervision instrumentsfor providing education and observing document of patient and family education. Results: Theimplementa The Hospitals are obliged to facilitate patients and families by providing information and education.Education is a supporting factor in participating in the care optimization process. The quality of educationcan be improved by conducting supervision. Supervision is a process of supervising and giving direction bya nursing supervisor to improve the quality of service. This case study aims to optimize the implementationof supervision of patient and family education in hospitals in South Jakarta. Data collected throughobservation, questionnaire distribution and managerial team interviews. An analysis is carried out using afishbone diagram and statistical software. Implementation is carried out by making supervision instrumentsfor providing education and observing document of patient and family education. Results:
Co-Authors Fahruji, Azis Krisna Yetti Pratiwi, Laras Adythia Tanlain, Susana Helen Tuti Afriani