Professional description of caregiver based on SNARS 1st edition in RSUD Makassar City
Stella Bakti Lakka
, Alimin Maidin, Rini Anggraeni, Irwandy
Corresponding author
Hospital Management Department, Faculty of Public Health Hasanuddin University, Indonesia
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Ady" "apellidos" => "Mangilep" ] 3 => array:1 [ "apellidos" => "Irwandy" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130862120303429?idApp=UINPBA00004N" "url" => "/11308621/00000030000000S6/v1_202010100748/S1130862120303429/v1_202010100748/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "titulo" => "Professional description of caregiver based on SNARS 1st edition in RSUD Makassar City" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "1" "paginaFinal" => "4" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Stella Bakti Lakka, Alimin Maidin, Rini Anggraeni, Irwandy" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Stella Bakti" "apellidos" => "Lakka" "email" => array:2 [ 0 => "stellabakti@gmail.com" 1 => "pmc@agri.unhas.ac.id" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Alimin" "apellidos" => "Maidin" ] 2 => array:2 [ "nombre" => "Rini" "apellidos" => "Anggraeni" ] 3 => array:1 [ "apellidos" => "Irwandy" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Hospital Management Department, Faculty of Public Health Hasanuddin University, Indonesia" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Hospital Accreditation in Indonesia is carried out to assess hospital compliance with accreditation standards. The accreditation standard for hospitals came in January 2018, named National Standard for Accreditation of Hospitals Edition 1 (SNARS Edition 1) where the accreditation standard was new nationally in Indonesia<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">1</span></a> As a follow-up to this provision; the hospital will do several things, namely accrediting resources for professional and health workforce.<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">2</span></a> The most influential thing in implementing home accreditation standards 2012 version of the illness, especially in nursing care at Hermina Podomoro Hospital Jakarta is the integration of all health services, especially the focus on patients, then the patient's medical record file is integrated and documented all in the Integrated Patient Development Record (CPPT). Starting the patient came, did the registration, examination until the patient left. Meanwhile, all nursing actions are in nursing care.<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">3</span></a> These six policies now play a role in the implementation of nursing care at the Hermina Podomoro Hospital in Jakarta based on 2012 hospital accreditation standards.<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">4</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">The quality of hospital services can be known from the professional appearance of hospital personnel, the efficiency, and effectiveness of services, and patient satisfaction. Patient satisfaction is determined by the overall service: admission services, doctors, nurses, food, medicine, facilities and equipment, facilities and physical environment of the hospital and administrative services. As health workers, nurses and other health workers must have the right solution to provide better service than before so that patient satisfaction is achieved to the maximum, by providing quality and quality services so that good job characteristics occur to patient satisfaction.<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">5</span></a> The goal of this study is to know the picture of Professional Care Provider (PPA) in the inpatient installation of Makassar City Hospital in 2019.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Method</span><p id="par0015" class="elsevierStylePara elsevierViewall">The research method used in this study is a qualitative research method with a phenomenological approach which is a type of qualitative research to explore the phenomena, reality, and information and experience of an individual or group that appears about the implementation of SNARS edition 1 in Makassar City Hospital. This research was conducted at Makassar City Hospital in March-May 2019. Data collection methods used in this study are in-depth interviews (in-depth interviews), namely conducting a question and answer with informants and observations or observations. The data analysis technique used in this research is descriptive analysis.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Results</span><p id="par0020" class="elsevierStylePara elsevierViewall">According to hospital accreditation instruments issued by the Hospital Accreditation Committee (KARS) in 2018 that patients are the hospital's greatest responsibility and of course much-needed communication, coordination, and standardization of processes that will support professional care providers in implementing them to patients. The results of this study will be discussed how the image of the Professional Care Provider (PPA) of care regulations, care processes, and patient care facilities that are part of a patient-focused service that is able to answer the research objectives.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Based on observations from researchers, that there are regulations that have been implemented or implemented by the treatment room based on SNARS Edition 1 of 2018 and have been said to be 100% Completely Fully complied based on the assessment method of SNARS accreditation. The results of in-depth interviews that have been conducted, it is known that the hospital set regulations for the provision of uniform care to patients. From 3 informants interviewed said that there were regulations regarding uniform care at the hospital. This was revealed from the results of the following interview:<span class="elsevierStyleDisplayedQuote" id="dsq0005"><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">“<span class="elsevierStyleItalic">There are regulations for the provision of uniform and integrated care set by hospitals for childcare namely service standards, implementing competencies, decrees, etc. There are regulations between service units, such as decree, etc. Integrated patient discharge plans, such as patients have gone home, then there is written in the RM and given education drug problems that still exist and must be spent, and if there are complaints can come to control again</span>”.</p></span></p><p id="par0030" class="elsevierStylePara elsevierViewall">(I5, 41 Years)<span class="elsevierStyleDisplayedQuote" id="dsq0010"><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">“<span class="elsevierStyleItalic">The hospital establishes and provides regulations regarding uniform care and so far I have found SK, etc. There is a regulation that regulates services for all care integrated into surgical care, especially now that it is SNARS accredited and it must be present and complete</span>”.</p></span></p><p id="par0035" class="elsevierStylePara elsevierViewall">(I7, 32 Years)<span class="elsevierStyleDisplayedQuote" id="dsq0015"><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">“<span class="elsevierStyleItalic">There are regulations to work together to provide a uniform care process. We make SPM every month, there is a format given and there we can see how many doctors are today, how many nurses are there are patients with Pleditis today</span>”.</p></span></p><p id="par0040" class="elsevierStylePara elsevierViewall">(I8, 44 Years)</p><p id="par0045" class="elsevierStylePara elsevierViewall">The results of in-depth interviews that have been conducted, it is known that the hospital set regulations that govern the method of giving instructions. From 4 informants interviewed, 2 informants said that there were regulations regarding the method of giving instructions and 2 other informants said that patients who were given treatment both in radiology and laboratory, must be in accordance with clinical indications.<span class="elsevierStyleDisplayedQuote" id="dsq0020"><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">“<span class="elsevierStyleItalic">As far as I am there is a regulation regarding the method of giving instructions. Especially now that the hospital has implemented SNARS Accreditation, so it should be there</span>”.</p></span></p><p id="par0050" class="elsevierStylePara elsevierViewall">(I5, 41 Years)</p><p id="par0055" class="elsevierStylePara elsevierViewall">The results of in-depth interviews that have been carried out, it is known that the Hospital establishes the regulation of clinical and diagnostic actions that are requested, carried out and received the results, and stored in the patient's medical record file. 3 informants interviewed said that there are regulations for every clinical action and written in the patient's medical record.<span class="elsevierStyleDisplayedQuote" id="dsq0025"><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">“<span class="elsevierStyleItalic">All clinical and diagnostic measures requested, there must be regulation. Can be seen in the RM for each treatment</span>”.</p></span></p><p id="par0060" class="elsevierStylePara elsevierViewall">(I1, 44 Years)</p><p id="par0065" class="elsevierStylePara elsevierViewall">The results of in-depth interviews that have been conducted, it is known that there is a Regulation directing dialysis patient care (dialysis) in Makassar City Hospital. From 2 informants interviewed said that there were regulations regarding directing dialysis (dialysis) patient care in Makassar City Hospital.<span class="elsevierStyleDisplayedQuote" id="dsq0030"><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">“<span class="elsevierStyleItalic">Yes, there are regulations regarding dialysis patients at this hospital. Because we do care based on existing regulations</span>”.</p></span></p><p id="par0070" class="elsevierStylePara elsevierViewall">(I21, 60 Years)</p><p id="par0075" class="elsevierStylePara elsevierViewall">The results of in-depth interviews that have been conducted, it is known that the provision of care for all patients is integrated and coordinated between service units and is evidenced by the existence of CPPT. From 7 informants interviewed, 3 informants stated that there were regulations between service units for all patients integrated between service units, and 4 informants stated that care plans were integrated and coordinated among service units.<span class="elsevierStyleDisplayedQuote" id="dsq0035"><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">“<span class="elsevierStyleItalic">There are regulations governing care that are integrated between service units</span>”.</p></span></p><p id="par0080" class="elsevierStylePara elsevierViewall">(I8, 44 Years)</p><p id="par0085" class="elsevierStylePara elsevierViewall">The results of in-depth interviews that have been conducted, it is known that HR at Makassar City Hospital has conducted EWS training as contained in regulations to improve the quality of hospitals that are undergoing SNARS accreditation. Of the 11 informants interviewed, as many as 7 informants stated that in this hospital there were regulations on the application of EWS, and there was evidence of training in the medical record. 3 informants said that the treatment carried out by the PPA was good and immediate action was taken against the patients concerned, and 1 the informant felt that the PPA had not been able to deal with patients who had complaints, and explained it in a language not understood by the patient's family.<span class="elsevierStyleDisplayedQuote" id="dsq0040"><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">“<span class="elsevierStyleItalic">There are regulations regarding the implementation of the early warning system (EWS). And of course there is also evidence of training and in RM</span>.”</p></span></p><p id="par0090" class="elsevierStylePara elsevierViewall">(I5, 41 Years)</p><p id="par0095" class="elsevierStylePara elsevierViewall">The results of in-depth interviews that have been conducted, it is known that the management of pain in some treatments have not been said to be good and not in accordance with existing standards in the hospital, and providing education about pain management to patients has been carried out as needed. From 7 informants interviewed, 1 informant said that in providing pain management care based on nursing care standards, 2 informants said that pain patients received services to treat pain as needed, 3 informants said that PPA had provided treatment if the patient felt pain, and 2 informants said that they were not satisfied with the PPA response to patients who experience pain.<span class="elsevierStyleDisplayedQuote" id="dsq0045"><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">“<span class="elsevierStyleItalic">Pain management performed by nurses here refers to the standard of nursing care used by nurses in pain management</span>”.</p></span></p><p id="par0100" class="elsevierStylePara elsevierViewall">(I1, 44 Years)</p><p id="par0105" class="elsevierStylePara elsevierViewall">The results of in-depth interviews that have been conducted, it is known that the care of high-risk patients and the provision of high-risk services is given based on clinical practice guidelines and legislation. High-risk patient care and high-risk service delivery are provided based on clinical practice guidelines and legislation. Of the 4 informants interviewed, 3 informants said that there was always training conducted by staff on high-risk patients. Evidenced by the training documents, and 1 informant said that there are clinical therapy regulations for high-risk patients.<span class="elsevierStyleDisplayedQuote" id="dsq0050"><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">“<span class="elsevierStyleItalic">There is evidence of developing high-risk services into the hospital quality improvement program and evidence of the accreditation document is in the PMKP room itself</span>”.</p></span></p><p id="par0110" class="elsevierStylePara elsevierViewall">(I13, 50 Years)</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Discussion</span><p id="par0115" class="elsevierStylePara elsevierViewall">Efforts to ensure the quality of nursing care services in Makassar City Hospital in the field of nursing make the Quality Control and Improvement Program a guide in carrying out these quality control and improvement activities, this is in line with research Nugraha, Dewi A, Listiowati E (2014) in which hospitals set policies on the use of drugs to watch out for such as the list of drug names for High Allert.<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">6</span></a> Providing the most appropriate services in a hospital to support and respond to each patient's unique needs, requires high-level planning and coordination. When viewed between the previous SNARS accreditation and 2012 Accreditation, both of them provide Patient Services based on the same regulations, the same care process and the same facilities.<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">4</span></a> The final part is the process of further intervention in the form of giving the patient's diet or providing education.<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">7</span></a> Professional competence in nursing practice is not only psychomotor and clinical diagnostic skills but also abilities in interpersonal and communication skills. Registered nurses are expected to communicate in various formats and in all fields of practice.<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">8</span></a></p><p id="par0120" class="elsevierStylePara elsevierViewall">There is an individualized care plan for each patient created and documented that was described by the PPA team. CPPT (Integrated Patient Development Record) contains the date of admission of patients, hours of care, what professions will later record the progress of patients, as well as the names and signatures of the professions that record the progress of these patients during shift changes to be more coordinated. Integrated patient development records (CPPT) can provide direction to the PPA team in communicating both with fellow teams and with patients.<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">9</span></a> This is in line with Ryandini's research (2018) which says that the integrated and complete documentation in the Inpatient if done by the PPA team namely doctors, nurses, pharmacists, nutritionists, in accordance with standards set by the Hospital.<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">10</span></a> The new paradigm in health care that Patient-Centered Care (PCC) is a form of health care where patients as the main service center in hospitals where approaches that involve patients and facilities are obtained. This can be seen from the outcomes of better health services, proper allocation of resources, and achieving greater patient and family satisfaction.<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">11</span></a> This is in line with research by Nurlina, Hadju, & Nontji (2013), where the availability of facilities in nursing care services is also sufficient because in each treatment room available Askep format, complete SOP, and other supporting facilities.<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">12</span></a></p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Conclusion</span><p id="par0125" class="elsevierStylePara elsevierViewall">There is an individualized care plan for each patient created and documented that was described by the PPA team. All patient care processes by PPA must be recorded in a patient medical record file in a coherent manner in accordance with the care journey experienced by patients in Makassar City Hospital, starting from the Initial Assessment to the Resume Return.</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Conflict of interest</span><p id="par0130" class="elsevierStylePara elsevierViewall">The authors declare no conflict of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:9 [ 0 => array:3 [ "identificador" => "xres1396851" "titulo" => "Abstract" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Objective" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Methods" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Conclusion" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec1279930" "titulo" => "Keywords" ] 2 => array:2 [ "identificador" => "sec0005" "titulo" => "Introduction" ] 3 => array:2 [ "identificador" => "sec0010" "titulo" => "Method" ] 4 => array:2 [ "identificador" => "sec0015" "titulo" => "Results" ] 5 => array:2 [ "identificador" => "sec0020" "titulo" => "Discussion" ] 6 => array:2 [ "identificador" => "sec0025" "titulo" => "Conclusion" ] 7 => array:2 [ "identificador" => "sec0030" "titulo" => "Conflict of interest" ] 8 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2019-11-08" "fechaAceptado" => "2020-06-02" "PalabrasClave" => array:1 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec1279930" "palabras" => array:3 [ 0 => "SNARS" 1 => "PPA" 2 => "Accreditation" ] ] ] ] "tieneResumen" => true "resumen" => array:1 [ "en" => array:3 [ "titulo" => "Abstract" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">This research was conducted to find out the description in Inpatient Installation of Makassar City Public Hospital in 2019.</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The research method used in this study is a qualitative research method with a phenomenological approach at Makassar City General Hospital.</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Some regulations have been carried out or implemented by the treatment room based on SNARS 1st Edition of 2018 and have been said to be 100% fulfilled Complete for each element of assessment, both regulation and documentation based on assessment methods from SNARS accreditation.</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">In improving the quality of the Hospital, the hospital needs to run each service process properly by SNARS 1st Edition.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Objective" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Methods" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Conclusion" ] ] ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Peer-review under responsibility of the scientific committee of the 4th International Conference Hospital Administration (ICHA4). Full-text and the content of it is under responsibility of authors of the article.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:12 [ 0 => array:3 [ "identificador" => "bib0065" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Standar akreditasi rumah sakit" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "KARS" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:1 [ "fecha" => "2011 September" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0070" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Wahyudi S. Tanggung Jawab Rumah Sakit terhadap Kerugian Akibat Kelalaian Tenaga Kesehatan dan Implikasinya. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2021 February | 1 | 0 | 1 |
| 2020 December | 1 | 0 | 1 |
