[Karya Ilmiah Akhir ini merupakan analisis dari seluruh kegiatan praktik residensiNers Spesialis Keperawatan Medikal Bedah. Kegiatan tersebut meliputipenerapan model The Dynamic Nurse-Patient Relationship Ida Jean Orlandodalam asuhan keperawatan pasien gangguan sistem kardiovaskular, penerapanpraktik keperawatan berdasarkan pembuktian dan melakukan inovasikeperawatan. Pengkajian pasien pada model The Dynamic Nurse-PatientRelationship Ida Jean Orlando berfokus kepada kebutuhan pasien, apabilakebutuhan dipenuhi maka stres berkurang dan akan mendorong pencapaiankesehatan yang optimal. Tugas perawat adalah menemukan kebutuhan pasienyang tidak terpenuhi. Metaparadigmanya hanya ada tiga yaitu human, kesehatandan keperawatan. Elemen proses keperawatan terdiri dari tiga elemen yaituperilaku manusia, reaksi perawat dan tindakan keperawatan. Praktik keperawatanberdasarkan pembuktian yang dilakukan adalah massage untuk menurunkannyeri pada pasien post operasi jantung. Pelaksanaan inovasi keperawatan berupapenyusunan formulir pengkajian keperawatan, identifikasi masalah dan rencanatindak lanjut pasien dengan gangguan kardiovaskular di unit rawat jalan RumahSakit Jantung dan Pembuluh Darah Harapan Kita Jakarta., The final scientific paper is the analysis of all activities ofNers Spesialis Keperawatan Medikal Bedah practice. The activities included theimplementation of The Dynamic Nurse-Patient Relationship Ida Jean OrlandoModel in as the treatment for patients who suffer the cardiovascular systemdisturbances, the implementation of nursing practice based on evidence andinnovation on nursing, the review on patients of model The Dynamic Nurse-Patient Relationship Ida Jean Orlando which focuses on patient' needs, if theneeds can be fulfilled, the stress is decreased and can support the achievement ofan optimal health. The job of nurse is to find out the patient's unfulfilled needs.The meta-paradigm has only three elements namely human, health and nursing.The elements of nursing process consists of three elements namely humanbehaviour, nurse’s reaction and nursing action. Nursing practice based on theverification which was done namely massage to decrease pains for cardiac postoperationpatients. The implementation of innovation on nursing is thearrangement of forms for nursing studies: assesment and follow up action forpatients with cardiac disturbances at Out-Patient Unit of National CardiovascularCenter Harapan Kita Jakarta.]