Asuhan keperawatan berkelanjutan adalah suatu proses asuhan keperawatan secara komprehensif dengan melibatkan pasien dalam pengambilan keputusan dan penyusunan rencana asuhan keperawatan dari pasien masuk hingga pasien pulang sesuai dengan kebutuhan pasien. Implementasi asuhan keperawatan berkelanjutan dapat meningkatkan kepuasan pasien, meningkatkan outcomes pasien, dan mengurangi jumlah pasien datang kembali ke rumah sakit. Di ruang rawat inap sudah terdapat Standar Prosedur Operasional (SPO) Kontinuitas Pelayanan Pasien yang mencakup asuhan keperawatan dari pasien masuk hingga pasien pulang. Metode analisis menggunakan metode observasi dan wawancara. Berdasarkan hasil analisis, perawat di ruang rawat inap medikal dan bedah dewasa telah mengimplementasikan setiap tahap SPO Kontinuitas Pelayanan Pasien. Implementasi asuhan keperawatan berkelanjutan di ruang rawat inap perlu dipertahankan dan terus diimplementasikan selama merawat pasien namun pada SPO Kontinuitas Pasien perlu mengatur proses follow up care sebagai salah satu bagian dari asuhan keperawatan berkelanjutan.

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Continuity of nursing care is a process of nursing care in a comprehensive manner by involving the patient in decision making and preparation of a nursing care plan from the patient in until the patient returns according to the patient's needs. Implementation of continuous nursing care can increase patient satisfaction, improve patient outcomes, and reduce the number of patients readmission. Methods of analysis using observation and interview methods. In the inpatient room there is already a Standard Operating Procedure (SOP) Continuity of Patient Services which includes nursing care from the patient entering until the patient returns. Based on the results of the analysis, nurses in adult medical and surgical inpatient rooms have implemented each stage of the Continuity of Patient Services procedures. The implementation of continuous nursing care in the inpatient room needs to be maintained and continues to be implemented while caring for the patient but in the Continuity of Patient Services SPO it is necessary to regulate the follow-up care process as a part of continuous nursing care.