Kepatuhan Perawat dalam Melaksanakan Standar Prosedur Operasional Pemasangan Infus di Rumah Sakit PKU Muhammadiyah Gombong
DOI:
https://doi.org/10.18196/mmjkk.v14i1.2471Keywords:
compliance of nurse, Standard Operating Procedure of Peripheral Venous Catheter Insertion, kepatuhan perawat, Standar Prosedur Operasional pemasangan infusAbstract
Pemasangan infus merupakan prosedur invasif dan merupakan tindakan yang sering dilakukan di rumah sakit (RS), namun hal ini berisiko tinggi terjadinya Hospital Acquired Infection (HAIs). Tindakan pemasangan infus akan berkualitas apabila dalam pelaksanaannya selalu patuh pada Standar Prosedur Operasional (SPO) yang telah ditetapkan demi terciptanya pelayanan kesehatan yang bermutu. Penelitian ini bertujuan untuk mengetahui bagaimana kepatuhan perawat dalam melaksanakan SPO pemasangan infus di RS PKU Muhammadiyah Gombong. Penelitian ini merupakan penelitian kualitatif dengan rancangan studi kasus yang hasilnya disajikan secara deskriptif. Populasi yakni seluruh perawat RS PKU Muhammadiyah Gombong dengan jumlah sampel 42 responden. Data dikumpulkan dengan cara observasi lembar check list SPO Pemasangan Infus RS PKU Muhammadiyah Yogyakarta dan wawancara mendalam. Hasil observasi menunjukkan bahwa seluruh perawat tidak patuh (100%) dalam melaksanakan SPO pemasangan infus. Hasil wawancara mendalam menunjukkan bahwa komitmen, hubungan sosial, kelangkaan, resiprositas, validasi sosial dan otoritas terkait kepatuhan perawat belum terwujud dengan baik dalam hal pelaksanaan SPO pemasangan infus. Hal ini dapat disebabkan karena kurangnya sosialisasi dan evaluasi SPO pemasangan infus. Disimpulkan bahwa seluruh perawat tidak patuh dalam melaksanakan SPO pemasangan infus di RS PKU Muhammadiyah Gombong.
Peripheral venous catheter insertion is an invasive procedure and frequently used in hospitalized patients but it could increase the risk of Hospital Acquired Infection (HAIs). Peripheral venous catheter insertion would be in best practice if the implementation is based on Standard Operating Procedure (SOP) in order to get the best quality of medical services. This research aims to know the compliance of nurse in implementing SOP of peripheral venous catheter insertion in RS PKU Muhammadiyah Gombong. This research is a qualitative case study design that the results are presented descriptively. Population consisted of all nurses in RS PKU Muhammadiyah Gombong with the number of samples were 42 respondents. Data was collected by observating the check list of SOP of Peripheral Venous Catheter Insertion and in-depth interviews. The result of observation showed that all of nurses do not comply (100%) the SOP of Peripheral Venous Catheter Insertion. The result of in-depth interviewsshowed that commitment, liking, scarcity, reciprocity, social proof and authority relating compliance in implementing SOP of Peripheral Venous Catheter Insertion have not been done well in RS PKU Muhammadiyah Gombong. Perhaps it is because the lack of socialization and evaluation of SOP of Peripheral Venous Catheter Insertion. It was concluded that all of nurses do not comply the SOP of Peripheral Venous Catheter Insertionin RS PKU Muhammadiyah Gombong.
References
Andares. Analisa Hubungan Karakteristik Perawat dan Tingkat Kepatuhan Perawat dalam Pelaksanaan Protap Pemasangan Infus di Rumah Sakit Badrul Aini Medan, Tesis. Medan: Program Pasca Sarjana, Minat Mag-ister Kesehatan Universitas Sumatera Utara. 2009.
Hinlay. 2006. Terapi Intravena pada Pasien di Rumah Sakit. Yogyakarta: Nuha Medika.
Mulyani, Cokro Aminoto & Nurlaila. Tinjauan Pelaksanaan Standar Operasional Prosedur (SOP) Pemasangan Infus pada Pasien di Instalasi Gawat Darurat (IGD) RS PKU Muhammadiyah Gombong. 2011. http:// www.menulisproposalpenelitian.com/2011/09/ tinjauan-pelaksanaan-standar.html
Pasaribu M. Analisis Pelaksanaan Standar Operasional Prosedur Pemasangan Infus. Jakarta: Salemba Medika. 2006
Milgram, S. Behavioral Study of Obedience. J Abnormal Soc Psychol, 1963; 67 (4): 371-378.
Carpenito L.J. Diagnosa Keperawatan; Aplikasi pada Praktik Klinis, 6th edn. Jakarta: EGC. 2000.
Cialdini R, Martin. The Science of Compliance. United States of America: Arizona State Uni-versity. 2004.
SPO Rumah Sakit PKU Muhammadiyah Gombong. Standar Operasional Prosedur Pemasangan Infus. Gombong. 2010.
Department of Health, Queensland Govern-ment. Guideline for Peripheral Intravena Cath-eter (PIVC). Australia. 2013. https://www. health.qld.gov.au/qhpolicy/docs/gdl/qh-gdl- 321-6-5.pdf
Notoatmodjo S. Pendidikan dan Perilaku Kesehatan. Jakarta: Rineka Cipta. 2003.
Mangkunegara. Evaluasi Kinerja SDM. Bandung: Refika Aditama. 2006.
Syarif A. Faktor-faktor yang Berhubungan dengan Kepatuhan Perawat dalam Melaksa-nakan Standar Operasional Prosedur Pema-sangan Infus di Ruang Merak RSUP Dr. Kariadi Semarang. Tesis. Yogyakarta: Program Pasca Sarjana, Minat Magister Rumah Sakit, Universitas Gajah Mada. 2012.
Kusumadewi, S. Hardjajani, T. & Priyatama, AN. Hubungan antara Dukungan Sosial Peer Group dan Kontrol Diri dengan Kepatuhan ter¬hadap Peraturan pada Remaja Putri di Pondok Pesantren Modern Islam Assalam Sukoharjo. Jurnal Ilmiah Psikologi Candrajiwa, 2012; 1 (2): 1-10.
Fernald LD. Psychology: Six Perspectives 1st Edition. Los Angeles: SAGE Publications. 2007.
Widyaningtyas KS. Analisis Faktor-faktor yang Mempengaruhi Kepatuhan Perawat dalam Pendokumentasian Asuhan Keperawatan. Tesis. Semarang: Program Pasca Sarjana, Minat Magister Keperawatan, Universitas Diponegoro. 2010.
McLeod SA. Simply Psychology; Milgram Ex-periment. 2007. Retrieved from http:// www.simplypsychology.org/milgram.html.
Puspitawati. Faktor-faktor yang Mempengaruhi Kepatuhan Pelaksanaan SOP pemasangan Kateter Intravena terhadap Kejadian Phlebi¬tis. Tesis, Jakarta: Program Pasca Sarjana, Minat Magister Kesehatan, Universitas Indo¬nesia. 2011.
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