INFLUENCE OF NURSING CLINICAL PATHWAY IMPLEMENTATION TO LENGTH OF STAY OF NON HEMORRHAGIC STROKE PATIENTS IN BUKITTINGGI ACHMAD MOCHTAR HOSPITAL



fitrianola rezkiki(1*)

(1) stikes fort de kock bukitttinggi
(*) Corresponding Author

Abstract


Lenght of stay is indicator of serving quality and nursing care to measure hospital efficiency level. Neurology ward is one of the wards that experience increasing of length of stay from 5,91 to 7,38. The cause of length of stay increasing is nursing care management that according to Calhoun can be formulated to nursing clinical pathway. The purpose of this study is to analyze influence of nursing clinical pathway implementation to length of stay of non hemorrhagic stroke patients in neurology ward Bukitttinggi Achmad Mochtar Hospital. The designs of this study used non-equivalent post test only control group design approach. Sample of this study were taken by purposive sampling with total of 32 samples consist of 16 sample as intervention group and another 16 samples as control group. Data analyzing used t-test independent. The result shows that there is significant influence for average length of stay of stroke non hemorrhagic patients that were given nursing clinical pathway compared to the group that is not given nursing clinical pathway with p value 0,001 (p value ≤ 0,05. According to this study, hospital should implement nursing clinical pathway when doing nursing care to patients in ward and also hospital should make policy related to nursing clinical payhway implementation..

 


Keywords


quality, length of stay, nursing clinical pathway

Full Text:

PDF

References


Agustina. (2009). Prevalensi Stroke Iskemik Pada Pasien Rawat Inap Di Rsup Fatmawati Jakarta Selatan Pada Tahun 2008.

Arikunto. (2006). Prosedur penelitian, suatu pendekatan praktek cetakan ketigabelas. Jakarta : Rineka Cipta

Azwar. (1996). Menjaga mutu pelayanan kesehatan. Jakarta : Pustaka Sinar Harapan

Byron, C. (2000). Uncomplicated pregnancy : Clinical pathway genesis based on the nursing process.

Bloomington. (2009). Neuroscience services ischemic, hemorrhagic stroke clinical pathway. Indiana

Davalos. (2012). Citicolin in the treatment of acute ischemic stroke : An international, randomised, multicentre, placebo controlled study.

Departemen Kesehatan RI Pusat Pendidikan Tenaga Kesehatan. (2005). Perawatan 1 : Dasar-dasar keperawatan. Jakarta : Depkes RI

Departemen Kesehatan RI Pusat data dan informasi. (2007). Peta kesehatan Indonesia tahun 2005. Jakarta : Depkes RI

Doengoes. (2000). Rencana asuhan keperawatan : Pedoman untuk perencanaan dan pendokumentasian perawatan pasien. Jakarta : EGC

Ersifa. (2013). Guideline neurovaskuler. Hiperglikemia pada acute sichemic stroke. Jakarta

Firmanda, D. (2006). Pedoman penyusunan clinical pathways dalam rangka implementasi sistem drgs casemix di rumah sakit. Jakarta

Gillies. (1996). Nursing management a system approach 3 rd ed. Philadelphia : WB Saunders Company

Hastono. (2007). Basic data analysis for health research training : Analisis data kesehatan. Depok : FKMUI

Keliat. (2011). Manajemen keperawatan psikososial : CMHN (Intermediate course). Jakarta : EGC

Kurniadi. (2013). Manajemen keperawatan dan prospektifnya : Teori, konsep, dan aplikasi. Jakarta : Badan Penerbit Fakultas Kedokteran Universitas Indonesia

Lapau, B. (2012). Metode penelitian kesehatan : Metode ilmiah penulisan skripsi. tesis dan disertasi. Jakarta : Yayasan Pustaka Obor Indonesia

Louise, J. (2005). Evaluation of the effectiveness of a clinical pathway for bronchiolitis.

Mansjoer, A. (2002). Kapita selekta kedokteran (edidi 3 jilid 2). Jakarta : Penerbit Media Ausculapius FKUI

Mardjono, M & Sidharta, P. (2010). Neurologi klinis dasar. Jakarta : Penerbit Dian Rakyat

Menteri Kesehatan Republik Indonesia. (2008). Standar pelayanan minimal rumah sakit. Jakarta

Muninjaya, A. G. 2004. Manajemen kesehatan. Jakarta : EGC

Notoatmodjo, S. 2010. Metodologi penelitian kesehatan. Jakarta : Rineka Cipta

Nurlina. (2013). Penerapan Standar Asuhan Keperawatan Di Ruang Rawat Inap Rsud Labuang Baji Makassar Tahun 2013, (101), 1–12.

Nursalam. 2011. Manajemen keperawatan aplikasi dan praktek keperawatan profesional. Jakarta : Salemba Medika

Pohan, I. 2012. Jaminan mutu layanan kesehatan: Dasar-dasar pengertian dan penerapan. Jakarta : EGC

Potter, P.A. 2006. Buku ajar fundamental keperawatan : Konsep, proses dan praktik. Jakarta : EGC

Price, S. A & Wilson, L.M. 2006. Patofisiologi. Konsep Klinis Proses-Proses Penyakit. Jakarta : EGC

Puspitarini, R., & Lestari, T. (2009). analisis average length of stay ( avlos ) pasien rawat inap pada kasus typhoid fever di rumah sakit umum daerah sragen periode tri wulan iv tahun 2008, iii(1), 84–93.

Rahma, P. A. 2013. Implementasi clinical pathway untuk kendali mutu dan kendali biaya pelayanan kesehatan. Majalah Dental

Sastroasmoro, S., & Ismail, S. (2010). Dasar-dasar metodologi penelitian klinis (Edisi-3). Jakarta : Sagung Seto

Smeltzer & Bare. (2002). Buku ajar keperawatan medikal bedah edisi 8. Volume 2. Alih bahasa . Jakarta : EGC

Sugiyono. 2010. Metode penelitian pendidikan pendekatan kuantitatif, kualitatif, dan R & D. Bandung : Alfabeta.

Supardi, M.D. 2006. Metodologi penelitian. Mataram : Yayasan Cerdas Press

Swartz, M.H. 2002. Buku ajar diagnostik fisik. Jakarta : EGC

Terry, G. 2006. Prinsip-prinsip manajemen. Jakarta : Bumi Aksara

Wahyuni. 2009. Statistika Kedokteran dan aplikasi SPSS, Jakarta: Bamboedoea Communication

Wartawan. (2012). Analisis lama..., I Wayan Wartawan, FKM UI, 2012.

Yasman. (2012). Penerapan integrated care pathways ( icp ) sebagai bagian sistem informasi manajemen keperawatan, (1106122972), 1–16.

_________ 2012. Laporan audit penatalaksanaan stroke non hemoragic pasien rawat inap di rsdm surakarta.

_________ 2013. Nursing clinical pathway. (http : // nursininformatic.wordpress.com/ 2013/ 12/ 09 diunggah tanggal 12 Maret 2014)


Refbacks



Copyright (c) 2018 Jurnal Ipteks Terapan

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Online ISSN : 2460-5611 | Print ISSN : 1979-9292

Publish by LLDIKTI Wilayah X (Sumatera Barat, Riau, Jambi dan Kepulauan Riau)

Jl. Khatib Sulaiman No 1 Kota Padang. Kode Pos 25144. Telp 0751-7056737. Fax 0751-7056737. Website:http://www.kopertis10.or.id

Web Analytics Made Easy - StatCounter View My Stats

Creative Commons License 

This work is licensed under a Creative Commons Attribution 4.0 International License.