INTERVENSI PELATIHAN CARING: SOLUSI PENINGKATAN KOMPETENSI PERAWAT DALAM MANAJEMEN KELUHAN PASIEN DI RUANG INTENSIF
Abstract
Keluhan pasien di ruang intensif sering kali disebabkan oleh komunikasi yang kurang efektif dan minimnya penerapan sikap caring oleh perawat. Pelatihan caring behaviour berbasis teori Swanson menjadi strategi efektif untuk meningkatkan kompetensi perawat, kualitas pelayanan, dan kepuasan pasien. Pendekatan caring mencakup enabling, doing for, maintaining belief, being with, dan knowing, yang membantu perawat memberikan layanan lebih empatik. Penelitian ini menggunakan desain quasi-experimental dengan sampel 42 perawat yang dipilih melalui proportionate stratified random sampling. Kelompok intervensi menerima pelatihan caring, sementara kelompok kontrol mendapat pelatihan berbasis SOP rumah sakit. Evaluasi dilakukan melalui pre-test dan post- test menggunakan instrumen berbasis teori Swanson dengan 20 item skala likert lima tingkat. Analisis data menggunakan uji t-test menunjukkan peningkatan signifikan dalam kemampuan perawat menangani keluhan pasien (p kurang dari 0,05). Peningkatan terjadi pada aspek doing for (bantuan sesuai kebutuhan pasien) dan knowing (pemahaman terhadap kebutuhan pasien dan keluarga). Pelatihan caring terbukti lebih efektif dibandingkan pelatihan berbasis SOP rumah sakit. Oleh karena itu, pelatihan ini perlu diterapkan secara berkala dalam pengembangan profesional perawat guna meningkatkan kualitas pelayanan keperawatan dan kepuasan pasien.
References
Benceković, Ž., Čerfalvi, V., Režek, B., Hadžić, N., & Vujanić, E. (2018). Patient Complaints – a Tool for Improving Quality of Nursing Care. Croatian Nursing Journal, 2(2), 129–139. https://doi.org/10.24141/2/2/2/5
Calmita, H. J. C., & Boag, B. R. (2021). The impact of clinical skills training on hospital nursing care towards acquisition of improved care quality: a systematised review. European Heart Journal, 42(Supplement_1), 3148. https://doi.org/10.1093/eurheartj/ehab724.3148
Chaghari, M., Saffari, M., Ebadi, A., & Ameryoun, A. (2017). Empowering Education: A New Model for In-service Training of Nursing Staff. Journal of Advances in Medical Education & Professionalism, 5(1), 26–32.
Giardina, T. D., Korukonda, S., Shahid, U., Vaghani, V., Upadhyay, D. K., Burke, G. F., & Singh, H. (2021). Use of patient complaints to identify diagnosis-related safety concerns: A mixed-method evaluation. BMJ Quality and Safety, 30(12), 996–1001. https://doi.org/10.1136/bmjqs-2020-011593
Jerng, J. S., Huang, S. F., Yu, H. Y., Chan, Y. C., Liang, H. J., Liang, H. W., & Sun, J. S. (2018). Comparison of complaints to the intensive care units and those to the general wards: an analysis using the Healthcare Complaint Analysis Tool in an academic medical center in Taiwan. Critical Care (London, England), 22(1), 335. https://doi.org/https://doi.org/10.1186/s13054-018-2271-y
Jiang, Y., Ying, X., Zhang, Q., Tang, S. R., Kane, S., Mukhopadhyay, M., & Qian, X. (2014). Managing patient complaints in China: A qualitative study in Shanghai. BMJ Open, 4(8), 1–11. https://doi.org/10.1136/bmjopen-2014-005131
Lam, J. N. H., Lau, V. I., Priestap, F. A., Basmaji, J., & Ball, I. M. (2020). Patient, Family, and Physician Satisfaction With Planning for Direct Discharge to Home From Intensive Care Units: Direct From ICU Sent Home Study. Journal of Intensive Care Medicine, 35(1), 82–90. https://doi.org/10.1177/0885066617731263
Lukmanulhakim, & Firdaus, W. (2018). Pemenuhan Kebutuhan Keluarga Pasien Kritis di Ruang Intensive Care Unit (ICU) RSUD DR. Drajat. Jurnal Keperawatan Dan Kebidanan, 9(1), 104–110. https://doi.org/10.26751/jikk.v9i1.379
Mårtensson, S., Hodges, E. A., Knutsson, S., Hjelm, C., Broström, A., Swanson, K. M., & Björk, M. (2021). Caring Behavior Coding Scheme based on Swanson’s Theory of Caring – development and testing among undergraduate nursing students. Scandinavian Journal of Caring Sciences, 35(4), 1123–1133. https://doi.org/10.1111/scs.12927
Ming, Y., Wei, H., Cheng, H., Ming, J., & Beck, M. (2019). Analyzing Patients’ Complaints: Awakening of the Ethic of Belonging. Advances in Nursing Science, 42(4), 278–288. https://doi.org/10.1097/ANS.0000000000000278
Muhadi, M. (2016). Studi Penanganan Komplain Pasien Di Instalasi Rawat Jalan (Irj) Rsud Dr. Soetomo. Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo, 2(1), 8. https://doi.org/10.29241/jmk.v2i1.47
Putra, K. R., Sutadi, H., Setyowati, S., & Hariyati, R. T. S. (2021). The impact of nurse manager caring behaviors and work environment on burnout syndrome among nurses. Kontakt, 23(2), 90–96. https://doi.org/10.32725/kont.2021.019
Shalaby, S. A., Janbi, N. F., Mohammed, K. K., & Al-harthi, K. M. (2018). Assessing the caring behaviors of critical care nurses. Journal of Nursing Education and Practice, 8(10), 77. https://doi.org/10.5430/jnep.v8n10p77
Susanti, M., Febrianti, L., Emrita, R., Hilmawati, H., Wahyudi, W., & Syafrida, S. (2022). The Effect of Caring Training on the Implementation of Caring Behavior and Work Culture of Nurses in Providing Services to COVID-19 Patients in an Indonesia’s National Referral Hospital. Open Access Macedonian Journal of Medical Sciences, 10(E), 655–661. https://doi.org/10.3889/oamjms.2022.8761
Widiyastutik, T., Syah, T. Y. R., & Wihidi, K. R. (2022). The Effect of Nurse Caring and Complain Handling on The Intention of Revisits With Trust Mediation. Anna Medika Hospital Study, 3(7).
Windarwati, H. D., Lestari, R., Hidayah, R., Hasan, H., Ati, N. A., Kusumawati, M. W., Dumar, B., & Rahayu, G. (2024). Institutional and family support impact on health‐related quality of life of children with autism spectrum disorders during the COVID‐19 pandemic. Journal of Child and Adolescent Psychiatric Nursing, 37(1), e12450. https://doi.org/https://doi.org/10.1111/jcap.12450
Wirtz, J., & Lovelock, C. (2021). Complaint Handling and Service Recovery. Services Marketing, October 2021, 442–475. https://doi.org/10.1142/9781944659806_0013
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