Analisis praktik residensi spesialis Keperawatan Medikal Bedah dengan kekhususan pada sitem nefrologi bertujuan mengaplikasikan peran perawat sebagai pemberi asuhan, pengelola, pendidik, dan peneliti. Peran pemberi asuhan dan pendidik diaplikasikan saat perawatan pasien kelolaan utama dengan kasus Chronic Kidney Disease dan 30 pasien dengan masalah nefrologi melalui pendekatan teori Virginia Henderson. Peran perawat sebagai pengelola dan peneliti (case manager) dibuktikan saat penyusunan evidence based nursing (EBN) mengenai penerapan hand and foot massage dalam mengurangi fatigue pasien hemodialisis dan proyek inovasi mengenai “Buku Harian Pasien HD” dalam mengontrol Interdyalitic Weight Gain (IDWG). Seluruh rangkaian praktik tersebut merupakan perwujudan asuhan keperawatan holistik untuk mencapai kualitas pelayanan prima.

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The analysis of the practice of medical-surgical nursing specialist residency with specialization in the nephrology system aims to apply the role of nurses as caregivers, managers, educators, and researchers. The role of caregivers and educators was applied when treating primary patients with Chronic Kidney Disease cases and 30 patients with nephrological problems through Virginia Henderson's theoretical approach. The role of nurses as managers and researchers (case managers) was proven during the preparation of evidence based nursing (EBN) regarding the application of hand and foot massage in reducing fatigue in hemodialysis patients and in the innovation project "HD Patient Diary" in effort to control Interdyalitic Weight Gain (IDWG). This whole series of practices is the embodiment of holistic nursing care to achieve excellent service quality.