Process Evaluation: Standard, Effectiveness, Efficiency and Sustainability of Maternity Nursing Care

Laili Rahayuwati, Ermiati E, Mira Trisyani

Abstract


Although globally there is a change in the trend of epidemiology from infectious diseases to chronic diseases,
the prevalence and incidence of infectious diseases as well as MMR (Maternal Mortality Rate) and IMR (infant
mortality rate) in Indonesia is still high. In year 2000, Faculty of Nursing of the Universitas Padjadjaran in
collaboration with Hasan Sadikin Hospital built a model of treatment room, which was affiliated with obstetric
gynecology room for improving integrated quality of health care services and education. The model built in
this room aimed to : 1) Improve the quality of health care service; 2) to develop the student’s experiences with
patients; 3) Provide quality nurse education to support students; 4) encourage students to improve the results of
clinical prctice. The objective of process evaluation in this study was to give an insight to an appropriate model
for maternity nursing service. This results showed on the one hand , there are some records not yet achieved
an ideal standard , lack of effectiveness and efficiency of care delivery, namely: 1 ) the ratio of midwives and
patients are not ideal ; 2 ) No one consultant obstetrician gynecologist and one doctor for every room . As well as
challenges to sustainability care that meets the standards of maternity care. Conclusion: this study recommends
to take a comprehensive strategic planning for improving nursing and midwifery services that involve all
relevant stakeholders in the government, civil society, service delivery, education, and professional organizations.
Keywords:Effectiveness, efficiency, evaluation, maternity nursing care, standard.
Proses Evaluasi: Standar, Efektifitas, Efisiensi, dan Keberlangsungan
Pelayanan Keperawatan Maternitas
Abstrak
Meskipun secara global ada perubahan dalam tren epidemiologi dari penyakit menular ke penyakit kronis, prevalensi
dan insiden penyakit menular serta MMR (Angka Kematian Ibu) dan AKB (angka kematian bayi) di Indonesia
masih tinggi. Tahun 2000, Fakultas Keperawatan Unpad bekerja sama dengan Rumah Sakit Hasan Sadikin, Bandung
membangun sebuah model dari ruang perawatan, yang berafiliasi dengan ruang obstetrik ginekologi. Model yang
dibangun tersebut bertujuan untuk; 1) meningkatkan kualitas pelayanan kesehatan; 2) pengembangan pengalaman
mahasiswa dengan pasien; 3) penyediaan pendidik perawat yang berkualitas untuk mendukung mahasiswa; 4)
mendorong mahasiswa untuk meningkatkan hasil praktek klinis. Tujuan dari penelitian ini adalah memberikan
informasi dan evaluasi tentang standar, efektifitas, efisiensi, dan keberlangsungan (sustainaibility) pelayanan
keperawatan maternitas. Hasil penelitian menunjukkan: di satu sisi, ada beberapa catatan tidak belum tercapainya
standar ideal, kurang efektivitas dan efisiensi perawatan persalinan, yaitu: 1) rasio bidan dan pasien tidak ideal; 2)
ada satu konsultan ginekolog obstetri dan satu dokter untuk setiap kamar. Serta tantangan terhadap keberlangsungan
asuhan perawatan maternitas yang memenuhi standar. Kesimpulan: Penelitian ini merekomendasikan untuk
mengambil perencanaan strategis yang komprehensif untuk meningkatkan pelayanan keperawatan dan kebidanan
yang melibatkan semua pihak terkait di pemerintah, masyarakat sipil, pelayanan, pendidikan, dan organisasi profesi
Kata kunci:Asuhan keperawatan maternitas, efektifitas, efisiensi, evaluasi, standar


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DOI: https://doi.org/10.24198/jkp.v4i2.233
Abstract view : 188     PDF Downloads : 32

DOI (PDF): https://doi.org/10.24198/jkp.v4i2.233.g125

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