EVALUASI PELAKSANAAN DISCHARGE PLANNING DI RUANG RAWAT INAP RSD KALABAHI KABUPATEN ALOR

ABSTRAK (bahasa Indonesia)
Aisa Hamapu. R011181721. EVALUASI PELAKSANAAN DISCHARGE PLANNING DI RUANG RAWAT INAP RSD KALABAHI KABUPATEN ALOR, dibimbing oleh Ariyanti Saleh dan Nurmaulid.
Latar Belakang: Discharge planning merupakan salah satu indicator untuk menentukan keberhasilan pelayanan kesehatan di rumah sakit. Keberhasilan pelaksanaan discharge planning di mulai dari pasien pertama kali ke rumah sakit sampai hari pemulangan. Proses Discharge planning harus di lakukan secara komprehensif yang multi disiplin sehingga mencakup semua pemberi layanan kesehatan yang terlibat dalam memberikan pelayanan kesehatan pada pasien. Tujuan: mengevaluasi pelaksanaan discharge planning di ruang rawat inap (Ruang ICU, RPA, VIP/VVIP, RPBI, RPPD). Metode: Jenis penelitian yang di gunakan adalah penelitian kuantitatif noneksperimental dengan desain penelitian deskriptif. Hasil: penelitian ini menunjukan. Pelaksanaan discharge planning di Ruang Rawat Inap (ICU, RPA, VIP/VVIP, RPBI, RPPD) tidak dilaksanakan dengan baik dan optimal. Hal ini dilihat dari nilai mean pada pelaksanaan discharge planning dibawah dari 14 namun pada hasil uji pelaksanaan discharge planning pada tiap ruangan menunjukan pada ruang ICU memiliki nilai skor tertinngi atau mendekati nilai mean 14 adalah mean (10.54), Ruang Anak nilai mean (9.96), Ruang VIP/VVIP nilai mean (8.83), Ruang Perawatan Bedah Infeksi nilai mean (9.31) dan nilai mean terendah adalah pada ruang perawatan penyakit dalam dengan nilai rata-rata mean (8.70). Kesimpulan dan saran: Diagnosa medis terbanyak adalah Congestive Hearth Failure dan diagnosa keperawatan terbanyak yaitu penurunan curah jantung sedangkan status pasien dipulangkan mayoritas diijinkan pulang adalah 100%. Pelaksanaan discharge planning di ruang rawat inap RSD Kalabahi tidak dilaksanakan dengan baik dan optimal selain itu ada perbedaan pelaksanaan discharge planning pada tiap ruang rawat inap yang signifikan dimana pada ruang ICU pelaksanaan discharge planning nya lebih baik dari ruang perawatan lain sedangkan format yang digunakan di semua ruang rawat inap memiliki kesamaan format. Sehingga diharapkan perawat di tiap ruang perawatan masing-masing lebih memperhatikan pelaksanaan discharge planning dan di jadikan rutinitas pada tiap ruang rawat inap sehingga meminimalkan hari rawat, dan kunjungan berulang oleh karena itu pelaksanaan discharge planning harus di laksanakan dengan optimal.perlu adanya pelatihan dan sosialisai pelaksanaan discharge planning serta pentingnya supervisi kepala seksi keperawatan, kepala-kepala ruangan dalam discharge planning dan penting juga mempersiapkan draf SPO pelaksanaan discharge planning agar menjadi rutinitas dalam pelayanan kesehatan.

ABSTRACT (bahasa Inggris) Aisa Hamapu. R011181721. EVALUATION OF IMPLEMENTATION DISCHARGE PLANNING IN INPATIENT ROOM OF RSD KALABAHI, ALOR DISTRICT, supervised by Ariyanti Saleh and Nurmaulid.
Background: Discharge planning is one indicator to determine the success of health services at the hospital. Successful implementation discharge planning starting from the first patient to the hospital until the day of discharge. Process Discharge planning must be done in a multidisciplinary comprehensive so that it includes all health care providers involved in providing health services to patients.
Objective: evaluate implementation discharge planning in the inpatient room (ICU Room, RPA, VIP / VVIP, RPBI, RPPD).
Method: quantitative research non-experimental with a descriptive research design.
Result: this research shows that implementation of discharge planning in the Inpatient Room (ICU, RPA, VIP / VVIP, RPBI, RPPD) are not implemented properly and optimally. This can be seen from the value the mean on implementation discharge planning below than 14 but on the results of the implementation test discharge planning in each room, it shows that the ICU room has the highest score or approaches the value the mean 14 is mean ( 10.54), RPA room value mean ( 9.96), VIP / VVIP room value the mean (8.83), Infection Surgery Treatment Room value mean ( 9.31) and value the mean the lowest was in the internal medicine ward with an average value mean ( 8.70).
Conclusions and suggestions: Most medical diagnoses are Congestive Hearth Failure and the most nursing diagnoses were decreased cardiac output, while the majority of patients were discharged home 100%. Implementation of discharge planning in the inpatient room of RSD Kalabahi was not carried out properly and optimally besides that there were significant differences in the implementation of discharge planning in each inpatient room where in the ICU room the implementation was discharge planning it is better than other wards while the format used in all inpatient wards has the same format. So it is expected that the nurses in each treatment room pay more attention to the implementation discharge planning and made a routine in each inpatient room so as to minimize the days of hospitalization, and repeated visits therefore implementation discharge planning must be carried out optimally. there is a need for training and implementation socialization discharge planning as well as the importance of supervision of the head of the nursing section, the heads of the room discharge planning and it is also important to prepare a draft SPO for implementation discharge planning so that it becomes routine in health services.