Implementasi Sistem Keperawatan Kesehatan Masyarakat pada Pasien Perawatan di Rumah (Home Care) di RS PKU Muhammadiyah Surakarta

Novitasari, Ratih (2017) Implementasi Sistem Keperawatan Kesehatan Masyarakat pada Pasien Perawatan di Rumah (Home Care) di RS PKU Muhammadiyah Surakarta. Masters thesis, Universitas Sebelas Maret.

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      Qualitative Study on The Implementation of Public Health Nursing System on Home Care Patients in PKU Muhammadiyah Hospital Surakarta Ratih Novitasari1), Rita Benya Adriani2), Eti Poncorini Pamungkasari3) 1) Master Program in Public Health, Sebelas Maret University 2) Health Politeknik of Surakarta 3) Faculty of Medicine, Sebelas Maret University ABSTRACT Background: Dynamic changes of disease development call for improvement in health care. In light of this context, public health nursing with home care has an increasing role in the management of diseases. Comprehensive public health nursing requires partnership between healthcare providers, patients, and their environment. In Indonesia the focus of nursing remains on hospital care, while rarely on home care that fulfils the need of the community. This study aimed to examine the implementation of public health nursingon home care patients. Subjects and Method: This was a qualitative study with case study approach. This study was carried out at PKU Muhammadiyah Hospital, Surakarta, from February to March 2017. The key informants of this study included nurses, home care coordinator, doctors, dieticians, and physiotherapists. Methods of data collection included interview and archival review. Data were analyzed in stages normally employed in case study. Results: The objectives of home care have generally been understood by most health providers. On the other hand the objectives of home care have not well-understood by the families of the patients, leading to inconsistency with the objective. The standart of program is not yet suitable to be guidlines for all health care team and they need to have a measurable achivement target. There is a need to increase resources necessary for the nurses, particularly improvement in competency, as well as case selection, review, planning, coordinating, and evaluation. Likewise, collaboration between health care provider, patients, and their families, need to be improved in order to maximize home care. Communication between nurses with patient and family as well as other health team needs to be improved. The nurse has had an attitude that supports the service of home care. A conducive external environment conditions need to be maintained through agreement between the health provider with the patient or family Conclusion: There is a need to strenghten commitment of all parties involved in home care. The objectives of home care need to be understood by all parties. Hospitals are expected to have stronger responsibility with both work procedure in order to deliver optimal health care. By doing so, the public health nursing with home care will be able to fulfill the need of the community. Keywords: implementation, public health nursing, home care

      Item Type: Thesis (Masters)
      Subjects: R Medicine > R Medicine (General)
      Divisions: Fakultas Kedokteran
      Depositing User: rifqi imaduddin
      Date Deposited: 17 Oct 2017 16:41
      Last Modified: 17 Oct 2017 16:41

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