Pelaksanaan Discharge Planning di Ruang ICU RS X Jakarta

Abstract

ABSTRAKDischarge planning merupakan suatu proses yang kompleks yang bertujuan untuk menyiapkan pasien dalam masa transisi di rumah sakit sampai pasien tersebut kembali ke rumahnya, dimana pelaksanannya harus dibuat sejak awal pasien datang ke pelayanan kesehatan. Pelaksanaan discharge planning di rumah sakit dilakukan sebelum pasien pulang, atau sebelum pasien keluar dari unit layanan Pengamatan yang dilakukan penulis terhadap pelaksanaan discharge planning di ruang ICU, perawat lebih mengutamakan memperhatikan kondisi kritis pasien, sehingga melupakan pelaksanaan discharge planning. Tujuan tulisan ini adalah melakukan analisis terhadap pelaksanaan discharge planning di ruang ICU RS X Jakarta. Metode yang digunakan adalah metode analisis dengan menggunakan fishbone dengan asesmen yang dilakukan berupa observasi, wawancara dan pengumpulan data sekunder yang sudah ada di RS X Jakarta, setelah itu dilakukan pencarian literatur untuk mengidentifikasi akar masalahnya, sehingga bisa diusulkan rekomendasi untuk penyelesaian terhadap masalah tersebut. Dari hasil analisis ditemukan akar masalah yaitu pengetahuan perawat yang kurang tentang discharge planning dan kurang optimalnya sistem yang mendukung pelaksanaan discharge planning seperti format, SPO dan panduan. Rekomendasi yang di usulkan yaitu berupa perbaikan format discharge planning, revisi SPO, pembuatan panduan dan pelaksanaan pelatihan discharge planning.ABSTRACTDischarge planning is a complex process that aims to prepare patients in the transition period in the hospital until the patient returns to his home, where the implementation must be made from the beginning the patient comes to the health service. However, discharge planning was done before the patient returns, or before the patient left the service unit in Hospital. In the ICU room with critical patient conditions, nurses prioritize paying attention to the critical condition of the patient, thus forgetting the implementation of this discharge planning. For this reason, this paper aimed to analyze the implementation of discharge planning in the ICU of Jakarta X Hospital, literature study to identify the root of the problem, so that recommendations can be proposed to resolve the problem. The method was used an analysis using fishbone diagram with an assessment conducted in the observation form. Interview and secondary data collection from Jakarta X Hospital. Based on the analysis results, the root cause of the problem is knowledge of nurses who are less about discharge planning and less optimal systems that support the implementation of discharge planning such as format, SPO and guidelines. For this reason, recommendations for improvements were made in the form of redesigning the format of discharge planning, revision of SPO, making guidelines and implementing discharge planning training

Effectiveness of Health Management Education for Congestive Heart Failure Patients in Surabaya

“…The results of this study are in line with Wulandari and Hariyati's research (2019) showing that there is an influence on the implementation of discharge planning on family knowledge in treating CHF patients [19]. In addition, research conducted by Rispawati (2019) explained that the average value of knowledge before being given cardiac diet counseling was 47.87 and changed to 63.63 after being given cardiac diet counseling [11].…”

Discharge Planning on Congestive Heart Failure Patients who were Readmission after Hospitalization

“…Discharge planning is an interdisciplinary approach to continuity of care and a process that includes prediction, goal setting, planning, implementation, coordination, and evaluation and is a quality relationship between hospitals, public health services, non-governmental organizations, and other health care agencies (Wulandari & Hariyati, 2019). Another definition of discharge planning is a complex process that aims to prepare a patient for the transition in the hospital until the patient returns home.…”

Pengaruh Discharge Planning Menggunakan Media Booklet Terhadap Keterampilan Resusitasi Jantung Hands Only Keluarga Pasien Jantung

“…Faktor yang mempengaruhi keberhasilan kegiatan discharge planning yaitu : waktu yang dimiliki perawat, keterlibatan keluarga dan pasien, keikut sertaan tenaga kesehatan lain serta komunikasi antara pasien dan perawat (Wulandari & Hariyati, 2019). Menurut Khoirini, informasi merupakan faktor terbesar yang mempengaruhi pengetahuan keluarga pasien tentang resusitasi jantung hands only.…”