Electronic Theses and Dissertation

KEMENTERIAN PENDIDIKAN, KEBUDAYAAN, RISET DAN TEKNOLOGI UNIVERSITAS SYIAH KUALA
FAKULTAS KEPERAWATAN
PROGRAM STUDI MAGISTER KEPERAWATAN

TESIS
Januari, 2021

XV+ V BAB + 102 halaman + 14 tabel + 2 skema + 1 gambar + 20 lampiran

SURYANI USMAN
1712201010011

HUBUNGAN KARAKTERISTIK PERAWAT PENANGGUNG JAWAB PASIEN DAN TATALAKSANA MANAJEMEN PELAYANAN PASIEN OLEH CASE MANAGER DENGAN KINERJA PERAWAT PENANGGUNG JAWAB PASIEN
ABSTRAK
Kehadiran case manager di rumah sakit penting sebagai bagian dari penerapan pelayanan berfokus pada pasien (Patient Centered Care) dan berperan dalam membantu meningkatkan kolaborasi interprofesional. Case Manager berkolaborasi dengan perawat penanggung jawab pasien terkait asuhan keperawatan yang diberikan kepada pasien, sehingga penerapan tatalaksana manajemen pelayanan pasien oleh case manager yang baik akan berdampak pada baiknya kualitas kerja perawat penanggung jawab pasien. Tujuan penelitian adalah mengidentifikasi hubungan karakteristik perawat penanggung jawab pasien dan tatalaksana manajemen pelayanan pasien oleh case manager dengan kinerja perawat penanggung jawab pasien di Ruang Rawat Inap RSUD Tgk. Chik Ditiro Sigli. Penulisan ini menggunakan jenis kuantitatif dengan desain cross sectional. Penulis menggunakan teknik total sampling dan jumlah sampel adalah 75 perawat penanggung jawab pasien. Hasil penelitian yaitu umur perawat penanggung jawab pasien 78,7% berada pada kategori dewasa muda, jenis kelamin perawat penanggung jawab pasien mayoritas perempuan (80,0%), tingkat pendidikan perawat penanggung jawab pasien mayoritas DIII Keperawatan (53,3%), masa kerja perawat penanggung jawab pasien mayoritas lebih dari 5 tahun (58,7%). Ada hubungan antara umur (P=0,000), tingkat pendidikan (P=0,009), masa kerja (P=0,011), dan tatalaksana manajemen pelayanan pasien (P=0,006) dengan kinerja perawat penanggung jawab pasien. Hasil lainnya diperoleh bahwa tidak ada hubungan antara jenis kelamin (P=0,682) dengan kinerja perawat penanggung jawab pasien. Faktor yang paling dominan berhubungan dengan kinerja perawat penanggung jawab pasien adalah tatalaksana manajemen pelayanan pasien (QR=3,661). Seorang case manager harus mampu melaksanakan setiap tatalaksana manajemen pelayanan dengan baik agar asuhan keperawatan dapat diberikan secara optimal kepada pasien. Pimpinan rumah sakit dan manajer keperawatan diharapkan melakukan penguatan kepada case manager dalam bentuk program pelatihan mengenai tatalaksana manajemen pelayanan pasien secara berkala.

Kata Kunci : Case Manager, Karakteristik, Kinerja, Perawat Penanggung Jawab
Pasien, tatalaksana manajemen pelayanan pasien
Daftar Bacaan : 18 Buku, 6 Tesis, 53 jurnal, 12 sumber online (2010 - 2021)

MINISTRY OF EDUCATION, CULTURE, RESEARCH, AND TECHNOLOGY SYIAH KUALA UNIVERSITY NURSING FACULTY NURSING MASTER STUDY PROGRAM THESIS January 2021 XV + V chapters + 102 pages + 14 tables + 2 schematic + 1 figures + 20 appendices SURYANI USMAN 1712201010011 THE RELATIONSHIP NURSE IN CHARGE OF PATIENT CHARACTERISTICS AND THE MANAGEMENT OF PATIENT SERVICES PERFORMED BY THE CASE MANAGER WITH THE NURSE IN CHARGE OF PATIENT PERFORMANCE ABSTRACT The presence of a case manager in a hospital is important as part of implementing patient-centered care and plays a role in helping to improve interprofessional collaboration. The Case Manager collaborates with the nurse in charge of the patient regarding the nursing care provided to the patient so that the implementation of patient care management by a good case manager will have an impact on the quality of work of the nurse in charge of the patient. The objective of this study was to identify the relationship between the characteristics of the nurse in charge of the patient and the management of patient care by the case manager with the performance of the nurse in charge of the patient in the Inpatient Room of RSUD TGK. Chik Ditiro. This study used a descriptive correlation design with a cross-sectional approach. The author uses a total sampling technique and the sample amounted to 75 nurses in charge of patients. The results were the age of the nurse in charge of the patient is 78.7% in the young adult category, the majority gender of the nurse in charge of the patient is female (80.0%), the majority education level of the nurse in charge of the patient is DIII Nursing (53.3%), The majority working period of the nurse in charge of patients is more than 5 years (58.7%). There was a relationship between age (P=0.000), education level (P=0.009), years of service (P=0.011), patient care management (P=0.006), and the performance of the nurse in charge of the patient. Other results obtained that there is no relationship between gender (P = 0.682) with the performance of the nurse in charge of the patient. The most dominant factor related to the performance of the nurse in charge of the patient is the management of patient care (QR=3,661). A case manager must be able to carry out every service management procedure properly so that nursing care can be provided optimally to patients. Hospital leaders and nursing managers are expected to evaluate the performance of nurses in charge of patients and strengthen case managers in the form of a training program on the management of patient care periodically. Keywords: Case Manager, Characteristics, Performance, Nurse In Charge of Patient, The management of patient services performed Bibliography: 18 books, 6 Thesis, 53 Journal, 12 online sources (2010 - 2021)