The Need to Develop Nursing Care System in West Java

Abstract

Health care system at variety of services in west Java used patient center care which focused on medical treatment, whereas the patient needs other intervention to resolve their problems. The aim of this research focus on knowing the nursing care services problems which effect quality of care. This study used mixed method and the techniques to collect data were observation, provides question sheets to be filled and small group discussion. The samples were taken purposively which involve 40 chief of nursing officer from 40 hospitals in west Java. The results shows that only two of forty hospital developed a standard operational procedure for nursing services. No system for nursing care for patient. Most of them used routine strategy which not related to the patient needs while the services should covered several aspects to meet the patient needs (physical, psychological, social and spiritual). Inadequate facilities and infrastructure for the services. No privacy room for nurse’s activities. Nurses should done other activities which no related to nursing care. These conditions indicate the need of change and the system of nursing care should be developed based on patient needs. Key words: Nursing Care, Nursing Care System, Patient Needs.