The collaboration practice in health services most often in hospitals is hospital team between nurses and doctors. Barriers that make collaboration not maximized due to lack of communication between them. The purpose of this study was to determine the relationship between the communication quality of nurses and doctors with patient satisfaction. The research method used a quantitative analytic design with a Cross Sectional approach. The number of research samples is 77 patients in the inpatient ward. The sampling technique used Accidental Sampling. Data analysis used Spearman Rank statistical test. The results showed that the communication quality of nurses and doctors in the very good category was 98.7%, patient satisfaction was in the very satisfied category 94.8% and there was a relationship between the communication quality of nurses and doctors with patient satisfaction, the value (p = 0.000 < 0.05) with correlation coefficient 0.490 moderate relationship. The results show that collaborative practice between nurses and doctors must be maintained and interprofessional collaboration education is an effective strategy to build collaboration since health education between nurses and doctors. Keywords: doctors, communication, nurses, patient satisfaction
There are many stories of COVID-19 nurses who express feelings of anxiety, fear of being infected and infecting loved ones. This feeling makes their struggle hard in providing nursing care. They have to fight the fear of being infected. This study explored how nurses struggle to harmonize professional obligations with the instinct to protect their own safety. The research design used a qualitative method with a phenomenological approach. The participants ware COVID-19 nurses at the Banjarmasin Private Hospital taken by simple random sampling. The results of the study obtained five themes, namely the mechanism for placing nurses in the COVID-19 ward, the perception of nurses when assigned to the COVID-19 ward, the expectations desired by nurses, the response of the family members of COVID-19 nurses and the positive impact pandemic for nurses. Even though every nurse’s experiences various stressors, in the end they still show their commitment as health workers. have an adequate support both from hospital setting or their families. Their realize that their duties not only for patient recovery but also for the better life of community. Keywords: COVID-19, Nursing care, Professionalism, Stressor, Support system ABSTRAK Banyak kisah perawat COVID-19 yang mengungkapkan perasaan cemas, takut tertular dan menulari orang yang disayang. Perasaan ini membuat perjuangan mereka berat dalam memberikan asuhan keperawatan. Mereka harus melawan rasa takut terinfeksi. Penelitian ini mengeksplorasi bagaimana perawat berjuang untuk menyelaraskan kewajiban profesional dengan naluri untuk melindungi keselamatan mereka sendiri. Desain penelitian menggunakan metode kualitatif dengan pendekatan fenomenologis. Partisipan perawat COVID-19 di RS Swasta Banjarmasin diambil secara simple random sampling. Hasil penelitian didapatkan lima tema yaitu mekanisme penempatan perawat di bangsal COVID-19, persepsi perawat saat ditugaskan di bangsal COVID-19, harapan yang diinginkan perawat, respon anggota keluarga COVID-19 perawat dan pandemi dampak positif bagi perawat. Meskipun setiap perawat mengalami berbagai stressor, pada akhirnya mereka tetap menunjukkan komitmennya sebagai tenaga kesehatan. Perawat memiliki dukungan yang memadai baik dari lingkungan rumah sakit maupun keluarganya. Mereka menyadari bahwa tugasnya tidak hanya untuk kesembuhan pasien tetapi juga untuk kehidupan masyarakat yang lebih baik. Kata Kunci: Asuhan Keperawatan, COVID-19, Profesionalisme, Stressor, Support System
Penyebaran Covid-19 menjadikan permasalahan serius yang berdampak pada perubahan sistem pelayanan di rumah sakit. Menjadi tantangan bagi perawat jika selalu melaksanakan handover di samping tempat tidur pasien karena berisiko tinggi terpapar Covid-19. Tujuan program adalah optimalisasi nursing handover masa pandemi untuk tetap menjamin efektifitas kesinambungan perawatan tanpa mengesampingkan prinsip patient safety. Program ini dirancang dengan mengadakan workshop untuk perawat dan pendampingan pelaksanaan di rawat inap percontohan di rumah sakit swasata Banjarmasin. Bedside handover di kamar pasien saat pandemi dilakukan kurang dari 2 menit demi menjaga kepuasan pasien namun tetap meminimalkan waktu kontak dengan pasien. Formulir handover tidak hanya diterapkan untuk ruang rawat inap, tetapi juga untuk ruang-ruangan lain yang berkaitan dengan tindakan pasien. Pentingnya pelaksanaan dan dokumentasi nursing handover adalah untuk menjamin aspek legal etik asuhan keperawatan. Saran yang diharapkan adalah peningkatan kegiatan supervisi keperawatan untuk menjamin pelaksanaan nursing handover tetap sesuai dengan standar yang ditetapkan. Rumah sakit disarankan mengembangkan dokumentasi asuhan keperawatan digital guna menyikapi tantangan new normal.
Professional nurses according to the book National Accreditation National Standard edition 1.1 are as one of the one Professional Care Provider (PPA). As a PPA who provides care for 24 hours in hospital, it demands that nurses as care professionals must have competence. According to SNARS edition 1.1 hospitals are required to have nursing credential regulations includes evaluation and verification of education, registration, permits, authority, training and experience, Hospitals must also plan for nursing human resources by having qualification standards and Staff Authority (KKS). This study aims to explore in depth efforts to optimize the implementation of credentials according to the National Hospital Accreditation Standards. The research design used in this research is a qualitative research design with a phenomenological approach . Data were obtained through in-depth interviews with 10 participants and document studies. As a result, there are themes of credential implementation efforts with sub-themes of credentialing and credentialing processes, availability of clinical authority and white papers, involvement of bestari partners, competency assessor training, and technology-based. Credentials and credentials can improve quality, protect patient safety, maintain nursing care service standards and provide protection to nurses. Keywords: Credentials, Clinical Authority, White Paper, Competency Assessor ABSTRAK Perawat profesional menurut buku Standar Nasional Akreditas Nasional edisi 1.1 adalah sebagai salah satu Profesional Pemberi Asuhan (PPA). Sebagai PPA yang memberikan asuhan selama 24 jam di rumah sakit, maka menuntut perawat sebagai profesional pemberi asuhan harus mempunyai kompetensi. Sesuai SNARS edisi 1.1 rumah sakit wajib mempunyai regulasi kredensial keperawatan meliputi evaluasi dan verifikasi pendidikan, registrasi, izin, kewenangan, pelatihan dan pengalaman, Rumah sakit juga harus merencanakan SDM Keperawatan dengan mempunyai standar Kualifikasi dan Kewenangan Staf (KKS). Penelitian ini bertujuan mengekspolarasi secara mendalam upaya optimalisisasi pelaksanaan kredensial sesuai Standar Nasional Akredetasi Rumah Sakit. Desain penelitian yang digunakan pada penelitian adalah desain penelitian kualitatif dengan pendekatan fenomenologi. Data diperoleh melalui wawancara mendalam dengan 10 partisipan dan studi dokumen. Hasilnya terdapat tema upaya implementasi kredensial dengan sub tema proses kredensial dan rekredensial, ketersedian kewenangan klinis dan buku putih, keterlibatan mitra bestari, pelatihan asessor kompetensi, dan berbasis teknologi. Kredensial dan rekredensial dapat menigkatkan mutu, perlindunga terhadap keselamatan pasien, mempertahankan standar pelayanan asuhan keperawatan dan memberikan perlindungan kepada perawat. Kata Kunci: Kredensial, Kewenangan Klinis, Buku Putih, Asessor Kompetensi
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