Studi fenomenologi: pengalaman perawat dalam melakukan pengkajian pasien baru di ruang chrysant rumah sakit siloam sriwijaya palembang = phenomenological study: nursing experience in patient admission assessment in chrysant room rumah sakit siloam sriwijaya palembang.

Sefrianila, Grace Ivo (2018) Studi fenomenologi: pengalaman perawat dalam melakukan pengkajian pasien baru di ruang chrysant rumah sakit siloam sriwijaya palembang = phenomenological study: nursing experience in patient admission assessment in chrysant room rumah sakit siloam sriwijaya palembang. Bachelor thesis, Universitas Pelita Harapan.

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Abstract

When the patient is admitted to the hospital, the medical staff, especially the nurse, take anamnesis to the patient about the complaint or the problem. Accurate, complete, and truthful assessment of data is essential for the next step in providing nursing care according to individual response (Muttaqin, 2008). Researchers still find an assessment that is not done accurately and completely, especially in the Chrysant room where researchers practice. The nurse did not conduct a direct assessment to the patient but had completed the documentation of the new patient assessment. The purpose of this study is to know the experience of nurses in patient admission assessment in the Chrysant Room of Rumah Sakit Siloam Sriwijaya Palembang. This research uses qualitative research method of phenomenology with data collection through interview and double check. The results of this study indicate that nurses performing new patient assessments are not all complete according to the assessment format. The nurse has a driving factor in conducting the assessment, the benefits gained in conducting assessments and barriers in conducting the assessment. The patient review sheet is almost all fully completed by the nurse except the body weight and height are not all filled ie 66.66% of the total sample, malnutrition screening score 83.33%, ambulance 83.33%, marital status 83.33%, education 88.33% and preferred learning method 83.33%. While direct assessment to patients is not all done according to the assessment format such as 0% pupil assessment, 0% light reaction, body weight and height 83.33%, blood pressure 66.66%, pulse 50%, respiration 66.66%, temperature 66.66%, pain score 50%, nutrition 83.33% and 16.66%. It can be concluded that the study conducted by nurse in Chrysant room Rumah Sakit Siloam Sriwijaya Hospital Palembang can be said complete but not accurate where not all the assessment is done directly to the patient but already filled in the assessment sheet. The number of samples studied was six nurses. This research was conducted in October-November 2017 in Chrysant Room of Rumah Sakit Siloam Sriwijaya Palembang / Ketika pasien masuk rumah sakit staf medis khususnya perawat melakukan pengkajian (anamnesis) terhadap pasien mengenai keluhan atau masalahnya. Pengkajian yang akurat, lengkap sesuai kenyataan, dan kebenaran data sangat penting untuk langkah selanjutnya dalam memberikan asuhan keperawatan sesuai respon individu (Muttaqin, 2008). Peneliti masih menemukan pengkajian yang tidak dilakukan dengan akurat dan lengkap khususnya di ruang Chrysant tempat peneliti melakukan praktik. Perawat tidak melakukan pengkajian langsung kepada pasien namun sudah melakukan pengisian dokumentasi pengkajian pasien baru. Tujuan penelitian ini adalah untuk mengetahui pengalaman perawat dalam melakukan pengkajian pasien baru di ruang Chrysant Rumah Sakit Siloam Sriwijaya Palembang. Penelitian ini menggunakan metode penelitian kualitatif fenomenologi dengan pengumpulan data melalui wawancara dan double check. Hasil penelitian ini menunjukan bahwa perawat melakukan pengkajian pasien baru tidak semua lengkap sesuai format pengkajian. Perawat memiliki faktor pendorong dalam melakukan pengkajian, manfaat yang diperoleh serta hambatan dalam melakukan pengkajian. Lembar pengkajian pasien hampir semua terisi lengkap oleh perawat kecuali berat badan dan tinggi badan masih belum semua terisi yaitu berjumlah 66,66% dari total keseluruhan sampel, malnutrition screening score 83,33%, alat ambulasi 83,33%, status pernikahan 83,33%, pendidikan 88,33% dan metode belajar yang disukai 83,33%. Sedangkan pengkajian langsung kepada pasien tidak semua dilakukan sesuai format pengkajian seperti pengkajian pupil 0%, reaksi cahaya 0%, berat badan dan tinggi badan 83,33%, tekanan darah 66,66%, nadi 50%, pernapasan 66,66%, suhu 66,66%, skor nyeri 50%, nutrisi 83,33% dan 16,66%. Hal ini dapat disimpulkan bahwa pengkajian yang dilakukan perawat di ruang Chrysant Rumah Sakit Siloam Sriwijaya Palembang dapat dikatakan lengkap namun tidak akurat dimana tidak semua pengkajian dilakukan langsung kepada pasien namun sudah terisi di lembar pengkajian. Jumlah sampel yang diteliti adalah enam perawat. Penelitian ini telah dilakukan pada bulan Oktober-November 2017 di ruang Chrysant Rumah Sakit Siloam Sriwijaya Palembang.

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