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Optimization of the primary nursing care model to improve the quality of nursing services: Optimalisasi implementasi model asuhan keperawatan profesional metode primer dalam peningkatan mutu pelayanan keperawatan Linda, Baiq; Mardiati; Dodi Wijaya; Dewa, Dewa Gede Sanjaya Putra
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 4 No. 1 (2026): May 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v4i1.472

Abstract

The Professional Nursing Care Model (PNCM) using the primary method emphasizes patient-centered care by assigning one primary nurse with full responsibility for managing comprehensive nursing services throughout a patient’s hospitalization. However, its implementation in inpatient units has not been fully optimal, as reflected in issues related to continuity of care, unclear role distribution, and the absence of standardized operational guidelines. This community service initiative aimed to optimize the implementation of the PNCM–Primary Method to enhance the quality of nursing services in inpatient settings. The program was conducted through several stages, including situational analysis, development and implementation of standardized operational procedures (SOPs), structured role assignment for primary nurses, and continuous training and mentoring. Evaluation methods included direct observation, feedback from nursing staff, and audits of nursing documentation. The results indicated notable improvements in the continuity and coordination of care, increased accuracy and completeness of nursing documentation, and higher patient satisfaction levels. Nurses also demonstrated improved understanding of their roles, stronger accountability, and more effective communication within interprofessional teams. Additionally, the establishment of clear guidelines supported consistency in care delivery. In conclusion, optimizing the PNCM–Primary Method effectively improved the quality of nursing services, strengthened professional responsibility, and promoted a more patient-centered approach. This model is recommended for sustained implementation across inpatient units as part of ongoing quality improvement and accreditation readiness efforts.
Critical Thinking and Nurses' Caring Behavior in Clinical Practice: A Cross-sectional Study Ailsa Ayu Fadhilla; Nurfika Asmaningrum; Dodi Wijaya; Nurul Arifah; Dwi Yoga Setyorini; Desy Listyaningrum
Journal of Bionursing Vol 8 No 2 (2026): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2026.8.2.20635

Abstract

Background: Caring behavior is essential in nursing professionalism and is linked to the quality of nursing care. Nurses are responsible for providing holistic, patient-centered healthcare that includes various dimensions of well-being. However, nursing practice often lacks a holistic approach, especially as patient cases become more complex. Balancing critical thinking skills with caring behavior is crucial to meet the demands of nursing practice. Objective: To examine the association between critical thinking skills and caring behavior among ward inpatient nurses at Perkebunan Jember Klinik Hospital. Methods: A cross-sectional correlational study was conducted among all 82 nurses in tbe inpatient ward through total sampling. Critical thinking ability were measured using a NCT-4 Practice, and Caring behavior were assessed using Caring Behavior Questionnaire. Descriptive statistics were calculated for participant characteristics and study variables. The association between critical thinking skills and caring behavior was tested using Kendall’s Tau C (a =0,05). Results: Participants had a median age of 35 years and the work experience of nurses 10,5 years, were most female (76,8%), with the nurses’ highest education is in the nursing profession (72%) and the majority nurses are married (93,9%). The majority partisipants also attended the training (91,5%). Kendall’s Tau C indicated a statistically significant, weak correlation between critical thinking skills and caring behavior, with moderate critical thinking skills tending to be associated (|τ| = 0,376, p = 0,000), with caring conduct that is nonetheless considered to be deficient Conclusion: Critical thinking skills were significantly correlation with caring behavior among ward inpatient nurses.The development of evidence-based practice and the enhancement of clinical reasoning capacity through training and independent literature exploration are recommended to improve daily clinical critical thinking skills.
Co-Authors Achmad Sigit Agus Meriroja Ahmad Rifai Ailsa Ayu Fadhilla Aldri Frinaldi Alfid Tri Afandi Alwan Wijaya Aminah, Dewi Angelina Paramitha Astuti Dos Santos Anggia Astuti Anisah Ardiana Anisah Ardiana Anisah Ardiana Anisah Ardiana Ardho Yuwono Wisnugati Ardiana, Anisa Arif Candra Artha Aziz Putra Adhitama Bagus Setyo Prabowo Bratajaya, Ika Mardiyah Cahyani, Nurul Eko Chandra Aji Wijaya Chandra Aji Wijaya, Chandra Aji Chandra, Eka Yufi Septriana Cucik Fariasih Denny Rifki Desy Listyaningrum Dewa Ayu Dwi Chandra Yadnya Sari Dewa, Dewa Gede Sanjaya Putra Diafani, Riris Diana Rochma Dwi Yoga Setyorini Eka Yufi Septriana Candra Endrian Kurniawan, Dicky Erti Ikhtiarini Dewi Essy Sonontiko Evan Wahyuningsih Fariasih, Cucik Faridayanti, Erny Feri Ekaprasetia Gigih Permana Kusuma Putra Grace Pakilaran Gunarto, Sugito Tri Gunawan, Arif Candra Hadi Prayitno, Hadi Hanny Handiyani Hanny Rasni Hartini Mansyur Ika Mardiyah Bratajaya Ika Rachmawati Indri Safitri, Resti Kurniasih, Wahyu Kusnul Kotimah, Kusnul Linda, Baiq Lulu Dewanti Lulu Dewanti Mardiati Muhamad Hasan Basri Muhamad Zulfatul A’la Muhammad Nur, Kholid Rosyidi Murni Herawaty Sitanggang Nguyen, Tuan Van Ningrum, Teysya Dwi Nur Yuliani Nur Yuliani Nurfika Asmaningrum Nurfika Asmaningrum Nurfika Asmaningrum Nurfika Asmaningrum Nurfika Asmaningrum Nurul Arifah Pradika Ghozi Syamsir Pramesti Arnetha Indriyanti Pravita Dwi Ariyani Rahmawati, Iis Reikatiffany, Amellia Reni Reni Indrayani Restanto, Didik Pudji Resti Indri Safitri Retno Purwandari Retno Utami Ria Aridya Liarucha Rifatul Ula, Shobrina Rizeki Dwi Fibriansari Rizky Amalia, Dinda Rondhianto Rondhianto Sari, Maya Mustika Satriawan, Handi Dwi SISWOYO Sitanggang, Murni Hermawaty Sitorus, Ratna Sofia Rosa Dewi Sonontiko Sayekti, Essy Sugito Tri Gunarto Sugiyanta Sugiyanta Suhari Suparman Suparman Sutriani Undariningsih Syamsiar, Pradika Ghozi Sya’roni, Sya’roni Tantut Susanto Wahyuni, Nining Wijaya, Alwan Yennike Tri Herawati Yennike Tri Herawati Yulia Kurniawati Yuliah Ernawati Yunita Selly Santoso Yuriasti, Eni Yuriasti, Nining Wahyuni Zainal Abidin Zainal Abidin Zuhrotul Rofiqoh