Optimalisasi Model Praktik Keperawatan Primer di Ruang Elisabet Rumah Sakit Immanuel Bandung

Authors

  • Tiarmaida Sitio Rumah Sakit Immanuel Bandung
  • Alexander Mela Rumah Sakit Immanuel Bandung
  • Asep Suhendar Rumah Sakit Immanuel Bandung
  • Sari Ratna Dewi Rumah Sakit Immanuel Bandung

DOI:

https://doi.org/10.55606/klinik.v4i2.3902

Keywords:

Development, Primary Nursing, Assignment Method (MPKP)

Abstract

The Professional Nursing Practice Model (MPKP) serves as a framework for the provision of nursing care, facilitating professional nurses in exercising their autonomy in the planning, execution, and assessment of nursing interventions directed towards clients. This investigation was undertaken to evaluate the advancement of the primary nursing practice model within the inpatient Elizabeth Room of Immanuel Hospital. Employing a pre-experimental research design characterized by a one-group control framework, the study utilized a pre-test and post-test methodology within the same cohort. The findings of this research reveal a notable enhancement in knowledge following the application of the primary nursing practice model. Prior to the model's implementation, a majority of nurses achieved scores that predominantly fell within the moderate category, with only a limited number attaining the highest scores, as evidenced by four primary nurses who received a minimum score of 7 (70%). Subsequent to the model's implementation, the distribution of scores exhibited a more uniform pattern, with an increased number of nurses attaining optimal scores, including two nurses who reached the maximum score of 10 (100%), and the average evaluation following the introduction of the primary nursing practice model was calculated to be 92.43%. This improvement can be postulated as a consequence of the primary nursing practice model's approach, which underscores the significance of holistic care and individual accountability in the delivery of health services. In light of these findings, we advocate for the adoption of the primary nursing practice model in inpatient care settings, as it demonstrably contributes to the enhancement of patient quality and safety within nursing services in hospitals, thereby necessitating ongoing clinical leadership training for primary nurses, in conjunction with efforts to elevate the formal educational qualifications of nurses who currently possess diploma-level credentials.Assignment Method (MPKP)

References

Ariga, R. A. (2021). Standar praktik keperawatan profesional, asuhan keperawatan dan pendidikan keperawatan (1 ed., Vol. 1). Deepublish.

Bertoldi, F., & Roat, O. (2019). The Nurse Manager’s Role in the Primary Nursing Care Model: A Review of Clinical and Management Aspects. American Journal of Nursing Science, 8(1), 9. https://doi.org/10.11648/J.AJNS.20190801.12

Boro, M. F. V., & Rahman, L. O. A. (n.d.). Optimalisasi Fungsi Staffing Kepala Ruangan Dalam Penjadwalan Waktu Kerja Dan Istirahat Untuk Mengurangi Workload Pada Perawat Pelaksana Di Masa Pandemi. https://doi.org/10.31539/joting.v3i2.2214

Brzozowski, S. L., King, B., & Steege, L. M. (2023). Nurses’ perception of identity, practice and support needed in primary care: A descriptive qualitative study. Journal of Advanced Nursing, 79(9), 3337–3350. https://doi.org/10.1111/JAN.15640

Cocchieri, A. (2023a). Describing Nurses’ Competence in Primary Nursing Care Model: A Cross-sectional Study Conducted in an Italian Teaching Hospital. The Open Nursing Journal, 17(1). https://doi.org/10.2174/18744346-V17-E230217-2022-165

Cocchieri, A., Magon, G., Cavalletti, M., Cristofori, E., & Zega, M. (2021). Exploring hospital compliance with the primary nursing care model: validating an inventory using the Delphi method. BMC Nursing, 20(1), 1–8. https://doi.org/10.1186/S12912-021-00712-1/TABLES/4

Dedi, B., & Dwiantoro, L. (2021). Kepemimpinan dan Manajemen Pelayanan Keperawatan (Teori, Konsep dan Implementasi). Trans Info Media.

Direktorat Bina Pelayanankeperawatan Dan Keteknisian Medik Kementerian Kesehatan Republik Indonesia. (2012). Modul SP2KP PMK Menuju World Class Hospital.

Draper, D. A., Felland, L., Liebhaber, A., & Melichar, L. (2008). The role of nurses in hospital quality improvement. 3, 1–8. https://pubmed.ncbi.nlm.nih.gov/18496934/

Elizabeth, Murray. (2017). Nursing leadership and management for patient safety and quality care. F.A. Davis Company, 409.

Gonçalves, I., Mendes, D. A., Caldeira, S., Jesus, É., & Nunes, E. (2023a). The Primary Nursing Care Model and Inpatients’ Nursing-Sensitive Outcomes: A Systematic Review and Narrative Synthesis of Quantitative Studies. International Journal of Environmental Research and Public Health, 20(3). https://doi.org/10.3390/IJERPH20032391

Gonçalves, I., Mendes, D. A., Caldeira, S., Jesus, É., & Nunes, E. (2023b). The Primary Nursing Care Model and Inpatients’ Nursing-Sensitive Outcomes: A Systematic Review and Narrative Synthesis of Quantitative Studies. International Journal of Environmental Research and Public Health 2023, Vol. 20, Page 2391, 20(3), 2391. https://doi.org/10.3390/IJERPH20032391

Ilumin, M. P. (2003). A continuous quality improvement (CQI) initiative: focusing on primary nurse accountability. Nephrology Nursing Journal : Journal of the American Nephrology Nurses’ Association, 30(1), 33–37. https://europepmc.org/article/MED/12674947

Kang, B., Oh, E. G., Kim, S., Jang, Y., Choi, J. Y., Konlan, K. D., & Lee, H. (2024). Roles and experiences of nurses in primary health care during the COVID-19 pandemic: a scoping review. BMC Nursing, 23(1), 1–14. https://doi.org/10.1186/S12912-024-02406-W/FIGURES/2

Kurniati, T., Titihalawa, E. M., & Suradika, A. (2016). Penerapan Metode Primer di Ruang Rawat Inap dalam Rangka Peningkatan Mutu Pelayanan Asuhan Keperawatan di Rumah Sakit Hermina Bekasi Tahun 2016. FIK-UMJ.

Manthey, M., & Wessel, S. (2015). Primary Nursing: Person-Centered Care Delivery System Design. 225.

Mhlanga, M., Zvinavashe, M., Haruzivishe, C., & Ndaimani, A. (2016). Quality Nursing Care: A concept analysis. http://www.questjournals.org/jmdsr/papers/vol3-issue1/D312530.pdf

Miller, B., & Martinez Rogers, N. (2023). Enhancing Knowledge of Registered Nurses Working in the Primary Care Setting. https://www.bls.gov/ooh/healthcare/registered-nurses.htm

Nursalam. (2014). Manajemen Keperawatan: Aplikasi Dalam Praktik Keperawatan Profesional (Edisi Ke 4). Salemba Medika.

Sumampow, M., Novieastari, E., Rachmi, S. F., Yatnikasari, A., & Kamil, H. (2023). Optimalisasi Implementasi Asuhan Keperawatan Primer. Journal of Telenursing (Joting). https://doi.org/10.31539/joting.v5i2.7901

Ventura‐Silva, J. M. A., Martins, M., Trindade, L. L., Faria, A. C., Barros, S. C. da C., Castro, S. F., Rocha, C. G. da, Mendes, M., & Ribeiro, O. M. P. (2024). Implementation of the Primary Nursing Care Model in a Hospital Service: A Quasi‐Experimental Study. Nursing Forum, 2024(1). https://doi.org/10.1155/2024/5549115

Wuryanto, E. (2024). Implementation of Regulations and Policies for Nursing Care Quality in Hospitals Worldwide. Jurnal Kepemimpinan Dan Manajemen Keperawatan, 7(1), 63–70. https://doi.org/10.32584/jkmk.v7i1.2881

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Published

2025-05-21

How to Cite

Tiarmaida Sitio, Alexander Mela, Asep Suhendar, & Sari Ratna Dewi. (2025). Optimalisasi Model Praktik Keperawatan Primer di Ruang Elisabet Rumah Sakit Immanuel Bandung. Jurnal Ilmiah Kedokteran Dan Kesehatan, 4(2), 491–505. https://doi.org/10.55606/klinik.v4i2.3902