Tingkat Ketergantungan dan Lama Perawatan Pasien Rawat Observasi di IGD

Erlan Nurmansyah, F Sri Susilaningsih, Setiawan S

Abstract


Ketidakseimbangan jumlah pasien dan ketersediaan ruang rawat dapat berakibat pada memanjangnya masa rawat
pasien di Instalasi Gawat Darurat (IGD). Hal tersebut berdampak pada bertambahnya aktivitas dan beban kerja
perawat selama pasien menunggu ketersediaan ruang rawat inap di ruang IGD. Berdasarkan situasi tersebut,
penting untuk mengidentifikasi tingkat ketergantungan pasien selama periode rawat observasi dan rata-rata waktu
yang digunakan untuk perawatan pasien rawat observasi selama pasien menjadi tanggung jawab perawat IGD.
Penelitian deskriptif dilakukan melalui observasi terhadap pasien yang menjalani rawat observasi di IGD dan
intervensi keperawatan yang diterima, serta jumlah waktu yang dipergunakan dalam perawatan tersebut. Teknik
consecutive sampling dipergunakan untuk menetapkan pasien sebagai sampel penelitian.dan sebanyak 74 pasien
rawat observasi dilibatkan dalam penelitian ini. Data dianalisis secara deskriptif. Hasil penelitian menunjukkan
bahwa sebaran tingkat ketergantungan pasien rawat observasi adalah ketergantungan minimal (37,84%), sedang
(25,68%), agak berat (24,32%), dan maksimal (12,16%). Rata-rata waktu yang digunakan untuk perawatan pasien
rawat observasi 19 menit/perawat/shift dan total waktu 3,72 jam perhari. Implikasi penelitian bagi rumah sakit
yaitu perlu dilakukan evaluasi terhadap adanya peningkatan beban kerja perawat IGD dan perencanaan kebutuhan
ruang transientdi luar IGD.

Kata kunci:Beban kerja perawat, gawat darurat, ketergantungan pasien

Abstract
An imbalances between number of patients beimg admitted in Emergency Department (ED) and the availability
of beds in it’s department have an impact on the length of stay of patient who actually have to be discharged from
ED. This problem will affect to the additional nurses activity and the workload, as these pastient should wait to the
availability of rooms for the inpatient care in the transient rooms. Based on this situation, it is important to identify
the level of dependency of patient during the observation period in transient rooms, and the time consumtion
for delivering nursing care service, since it’s being the responsibility of ED nurses. This data was collected
through observations and analyzed with descriptive analysis (percentage). Consecutive sampling technique was
administered 74 patients who receives nusing service in this transient room involved in this study. The results of
this study obtained that distribution of level dependency of observed patients was minimal dependency (37.84%),
medium (25.68%), (24.32%) is higher dependency, and maximal dependency (12.16%). The average time
consumtion for nursing care delivery is 19 minutes/nurses/shift, and the total time consumtion is 3,72 hours/day.
The implication of this study is for the Hospital need to evaluate the additional workload of the ED nurses, and
need to plan the availability of transient room out side the ED.

Key words:Nursing workload, emergency, patient dependency


Full Text:

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DOI: https://doi.org/10.24198/jkp.v2i3.89

DOI (PDF): https://doi.org/10.24198/jkp.v2i3.89.g84

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