Pengalaman Perawat dalam Pelaksanaan Sistem Pemberian Pelayanan Keperawatan Profesional di RSUD Cibabat: Studi Fenomenologi

Oyoh Oyoh, Irman Somantri, Nanan Sekarwana

Abstract




Pelayanan kesehatan bermutu merupakan salah satu wujud dari tuntutan masyarakat di era globalisasi saat ini. Implementasi Sistem Pemberian Pelayanan Keperawatan Profesional (SP2KP) sebagai salah satu upaya dalam peningkatan mutu pelayanan di Rumah Sakit. Penerapan SP2KP yang tidak sesuai standar akan berpengaruh terhadap kualitas pelayanan kesehatan. Penelitian yang mengkaji tentang pengalaman perawat dalam melaksanakan SP2KP masih terbatas. Penelitian ini bertujuan untuk mengeksplorasi pengalaman perawat dalam pelaksanaan SP2KP. Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Pengumpulan data dilakukan dengan cara indepth interview. Partisipan adalah perawat yang terlibat dalam pelaksanaan SP2KP di ruang penyakit dalam yang berjumlah 7 partisipan. Pengambilan sampel dilakukan dengan cara purposive. Analisis dilakukan dengan metode Colaizzi. Dari hasil penelitian teridentifikasi 5 tema, yaitu: 1) Ketidaksamaan persepsi tentang SP2KP. 2) Hambatan melaksanakan SP2KP dengan baik. 3) Tanggung jawab dan tuntutan organisasi, 4) Hambatan menyeimbangkan tanggung jawab dan tuntutan organisasi. 5) Perlu peningkatan keterampilan profesional dan reward. Hasil penelitian menunjukan bahwa pelaksanaan SP2KP belum berjalan optimal karena beberapa kendala diantaranya: kurangnya komitmen dan dukungan dari berbagai pihak, perspektif antar perawat yang masih beragam dan unik. Untuk itu hendaknya pihak menejemen rumah sakit meningkatkan dukungan terhadap perawat SP2KP, melakukan penyelelarasan perspektif antar perawat, melakukan supervisi dan pengawasan dalam pelaksanaan SP2KP di ruangan, melengkapi fasilitas sesuai kebutuhan pasien dan merekrut perawat agar jumlah tenaga perawat sesuai dengan jumlah pasien, sehingga pelaksanaan SP2KP bisa berjalan optimal dan mutu pelayanan rumah sakit lebih meningkat.

Kata kunci : Fenomenologi, perawat, SP2KP.

 

 

Nurse Experience in the Implementation of Professional Nursing Services System at Cibabat Hospital: Phenomenology Study

 

Abstract

Quality health services is one manifestation of the demands of society in this current era of globalization. Implementation of Professional Nursing Services System (SP2KP) as one of the efforts in improving the quality of service in the Hospital. Implementation of SP2KP that does not meet the standards will affect the quality of health services. Researches on the experience of nurses in implementing SP2KP are barely conducted. Therefore, this study aims to explore the experience of nurses in the implementation of SP2KP. This research uses qualitative method with phenomenology approach. Data collection is collected by in-depth interview. Participants were nurses who are involved in the implementation of SP2KP in the internal disease room which amounted to 7 participants. Sampling is collected by purposive method. The analysis was done by using Colaizzi method. As a result, there were identified 5 themes, namely: 1) Inequality of perceptions about SP2KP. 2) Obstacles to implement SP2KP well. 3) Responsibilities and demands of the organization, 4) Obstacles to balance organizational responsibilities and demands. 5) Need improvement of professional skill and reward. The results showed that the implementation of SP2KP has not run optimally because of several obstacles such as: lack of commitment and support from various parties, nurse perspectives are still diverse and unique. As a solution for the problem, the hospital management should increase the support to SP2KP nurses, to align the perspectives between nurses, to supervise and supervise SP2KP implementation in the room, to complete the facilities according to the needs of the patients and to recruit the nurses so that the number of nurses in accordance with the number of patients, so that the SP2KP implementation can run optimally and the quality of hospital services will increase.

 

Keywords: Phenomenology, nurse, SP2KP.

 




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DOI: https://doi.org/10.24198/jkp.v5i3.678

DOI (PDF): https://doi.org/10.24198/jkp.v5i3.678.g179

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