Abstract
The development of science and technology that continues to progress, especially in the health sector requires changes in terms of service so that in providing more professional services in hospitals, nursing care must be of high quality. Nursing Law Number 38 of 2014 Article 3B states that nursing arrangements aim to improve the quality of nursing services, therefore the provision of quality nursing services is important in today's health services. The model of professional nursing care is divided into several models, namely primary, team and case nursing. Based on the results of a survey of research journals, the researchers concluded that there was no research that compared the professional nursing care team model with primary nursing in improving the quality of nursing care. The purpose of this study was to identify the use of the professional nursing care team model with the primary nursing model in improving the quality of nursing care. This type of research is a quantitative research type with a comparative design. The population in this study were all patients at the Inpatient Hospital where the study was conducted. The sampling technique used was purposive sampling technique. Data collection on the quality of nursing care used a quality scale patient assessment instrument – the acute care version (PAQS-ACV). This instrument was developed to assess the quality of nursing care. Data analysis in this study used an independent t-test. normality test using the Kolmorogov-Smirnov test with a significance value (p > 0.05). The results showed that there was a significant difference between the quality of nursing care in the team group and the quality of nursing care in the primary nursing group where the value of sig (2-tailed) was 0.008 where > 0.05, the results also showed that based on the results of the frequency distribution test the quality of nursing care was using the team model and the primary nursing model has a high majority value of nursing care quality, but there is a difference in the average value (mean) where the quality of nursing care in the nursing care model group in the team method group is 144.86 and the quality of nursing care in the primary nursing model group is 155.83. These results indicate that the quality of nursing care with the primary nursing model has a higher quality of care value than the group nursing care model with the team method. Based on the results of this study, it is recommended that hospitals can apply a professional nursing practice model, especially the primary nursing model to further improve the quality of nursing care provided.
Highlights
Penelitian Mendrofa & Sagala menyatakan bahwa ada perbedaan yang signifikan penerapan model asuhan keperawatan profesional (MAKP) primary nursing terhadap peningkatan kualitas asuhan keperawatan [5], hasil penelitian Adelia juga menunjukkan bahwa ada peningkatan kepuasan perawat dan pasien setelah dilaksanakan penerapan model asuhan keperawat profesional primary nursing [6]
The purpose of this study was to identify the use of the professional nursing care team model with the primary nursing model in improving the quality of nursing care
The results showed that there was a significant difference between the quality of nursing care in the team group and the quality of nursing care in the primary nursing group where the value of sig (2tailed) was 0.008 where > 0.05, the results showed that based on the results of the frequency distribution test the quality of nursing care was using the team model and the primary nursing model has a high majority value of nursing care quality, but there is a difference in the average value where the quality of nursing care in the nursing care model group in the team method group is 144.86 and the quality of nursing care in the primary nursing model group is 155.83
Summary
Penelitian ini merupakan jenis penelitian kuantitatif dengan dengan desain komperatif yaitu untuk membandingkan model asuhan keperawatan profesional tim dengan model primary nursing dalam peningkatan kualitas asuhan keperawatan dirumah sakit, Penelitian ini dilaksanakan di Rumah Sakit di kota Medan yang menggunakan model asuhan keperawatan profesional primary nursing dan model asuhan keperawatan profesional tim. Populasi dalam penelitian ini yaitu seluruh pasien di ruang rawat Inap Rumah Sakit yang menjadi tempat penelitian. Teknik pengambilan sampel dengan menggunakan teknik Purposive sampling yaitu peneliti dengan sengaja memutuskan untuk memilih sampel yang dinilai menjadi khas dari populasi atau memiliki pengetahuan tentang masalah yang akan diteliti [9]. Berdasarkan hasil uji content validity index (CVI) instrumen patient’s assessment of quality scale–acute care version (paqs-acv) diperoleh bahwa hasil CVI adalah 0.98. Hasil uji reliabilitas kuesioner Patient’s assessment of quality scale – acute care version (PAQS-ACV) didapatkan nilai cronbach alpha yaitu 0,66 [1]. Data yang telah terkumpul melalui kuesioner dianalisis baik bivariate untuk mengetahui perbandingan model primary nusing dan model tim terhadap kualitas asuhan keperawatan menggunakan uji independent t-test, sebelum melakukan uji, peneliti melakukan uji normalitas dengan menggunakan uji kolmorogov-smirnov test dengan nilai kemaknaan (p > 0,05)
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