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"Model praktek keperawatan profesional merupakan suatu model yang memberikan kesempatan bagi perawat untuk menunjukkan otonomi dan akontabilitas dalam memberikan asuhan keperawatan kepada klien. Suatu program evaluasi bagi model praktek keperawatan profesional diperlukan untuk mengkaji sejauhmana keefektifan model praktek keperawatan ini terhadap peningkatan pelayanan keperawatan di ruang model ini, Evaluasi dapat diarahkan kepada aspek struktur dimana komitmen organisasi pelayanan keperawatan akan dikaji, aspek proses dimana faktor pelibatan dan partisipasi dari seluruh komponen yang terlibat dalam pemberian asuhan keperawatan dinilai, serta aspek hasil dimana kepuasan klien dapat diukur. Program evaluasi ini seyogyanya dapat dilaksanakan minimal dua kali dalam tiga tahun, dimana evaluasi pertama merupakan informasi dasar bagi evaluasi selanjutnya.

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A professional nursing practice model is an approach that enables nurses to demonstrate their autonomy and accountability in delivering their care to patients. An evaluation program for a professional nursing practice model is required to assess the effectiveness of this model toward an improvement of nursing service in this model unit. The evaluation plan is involved in three aspects; structure, process, and outcome. The aspect of structure is evaluated to assess a commitment of the nursing service organization. The aspect of process is directed to evaluate an involvement and participation of all components in a nursing care delivery system. And finally, the aspect of outcome is assessed to determine the satisfaction of patients and the staff A program of evaluation is best to be conducted twice for a period of three years during which the first evaluation is used as a baseline data for an incoming evaluation."

"Saat ini praktek pelayanan keperawatan di rumah sakit belum mencerminkan praktek pelayanan profesional dimana aktivitas keperawatan belum sepenuhnya berorientasi pada pemenuhan kebutuhan pasien. MPKP merupakan salah satu upaya meningkatkan praktek pelayanan keperawatan di rumah Sakit. Pelaksanaan MPKP di RSCM masih mengalami hambatan yaitu penerapan proses keperawatan yang belum optimal yang disebabkan jumlah perawat yang belum seimbang dengan beban kerja perawat.Penelitian ini merupakan penelitian deskriptif analitik dengan menggunakan work sampling, populasi kegiatan keperawatan dengan jumlah sampel 1696 pengamatan. Tujuan penelitian untuk memperoleh gambaran beban kerja perawat di ruang rawat MPKP IRNA B RSCM.Hasil penelitian didapatkan beban kerja perawat berdasarkan klasifikasi pasien pada 88,4 jam. Proporsi kegiatan keperawatan langsung (51,1%) lebih besar dari kegiatan tak langsung (22,5%), kegiatan pribadi produktif 15,5% dan pribadi non produktif 10,95%. Kategori perawat PA lebih banyak melakukan kegiatan langsung, sedangkan perawat PP melakukan kegiatan langsung dan tidak langsung dengan proporsi yang hampir sama. Pada waktu tugas pagi, perawat lebih banyak melakukan kegiatan tidak langsung; sore hari kegiatan pribadi produktif dan malam hari kegiatan pribadi non produktif. Perawat PA mempunyai variasi beban kerja berat, normal dan ringan; sedangkan perawat PP mempunyai variasi beban kerja normal dan ringan pada pelaksanaan kegiatan keperawatan. Hasil uji statistik dengan chi - square didapatkan ada hubungan bermakna antara beban kerja perawat dengan pelaksanaan praktek keperawatan di ruang MPKP IRNA B RSCM.Penelitian ini hanya mengukur beban kerja perawat maka diajukan penelitian lanjutan untuk mengetahui faktor-faktor yang mempengaruhi beban kerja perawat.

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At this time nursing service practice in the hospital has not represented yet professional practice in which all nurse activities have not been based on patient's need. Professional Nursing Practice Model (PNPM) is one of the efforts in order to increase nursing service practice in the hospital. The implementation PNPM in Cipto Mangunkusumo Hospital still have some constraints such as nursing process is not optimal implemented due to number of nurses? activities was not inline with nurses' workload.This research is descriptive analysis using work sampling, populated is nurse activities, total sample consist of 1696 observation. The aim of the research was to get existing nurses' workload picture at the model unit (PNPM IRNA B RSCM). Population was nurses? activities with observation as total sample.The research showed that nurses' workload base on patient classification is 88,4 hours, the direct care (51.1%) indirect care (22,5%), personal productive activity (15,5%) and non productive activity (10,95%).Primary Nurse did the direct care and indirect care, while the Associate nurse did direct care more than indirect care. At the morning shift nurse did much indirect care than direct care, at the afternoon shifts nurse did much personal productive activities than direct care and indirect care, at night shifts nurse does much personal non productive activities than direct care and indirect care. Primary Nurse Workload has normal workload, and Associate Nurse had workload with range heavy to normal workload. The result of Chi-square test is significant relation between nurse work loads with implementation of nursing practice in PNPM IRNA B RSCM.Since this study based on chi-square result showed the was a significant relationship between nurses' workload and implementation of nursing practice in PNPM., it is recommended that the study about on factors which is influenced nurse workload in nursing practice services."

"Perawat pada ruang rawat Inap RS Husada bertanggung jawab atas keberhasitan pelayanan keperawatan yang ditunjukan dengan kualitas dokumentasi asuhan keperawatan. Keberhasilan pelayanan dipengaruhi oleh manajemen waktu dan karakteristik perawat. Sampai saat ini, masih sedikit penelitian yang berfokus pada pengkajian mengenai hal tersebut.Tujuan penelitian ini untuk melihat hubungan antara karakteristik perawat dan manajemen waktu dengan dokumentasi asuhan keperawatan perawat pelaksana di Ruang, Rawat Inap RS Husada Jakarta. Penelitian ini menggunakan desain deskriptif korelasi yang bersifat cross sectional. Tempat penelitian adalah Rumah Sakit Husada yang meliputi 19 (sembilan belas) ruang rawat, dengan melibatkan 131 perawat pelaksana sebagai responden.Data didapat dengan cara mengevaluasi dokumentasi yang di buat responden dengan cara menilai aspek pengkajian, diagnosa, rencana tindakan dan evaluasi. Hasil uji statistik menunjukan 56,5% dokumentasi asuhan keperawatan baik sesuai dengan standar Dep. Kes. 1998. Hasil uji statistik bivariat chi-square menunjukkan bahwa ada hubungan yang bermakna antara variabel usia (p=0,004), pendidikan (p = 0,001), lama kerja (p = 0,006) dan manajemen waktu P = 0,013).Uji statistik regresi logistik dapat dilakukan karena hasil analisis bivariatnya untuk menentukan kandidat seluruhnya memiliki nilai p value < 0,25. Dari keempat variabel tersebut yang paling dominan memiliki hubungan dengan dokumentasi asuhan keperawatan adalah variabel pendidikan setelah dikontrol variabel manajemen waktu.Hasil penelitian ini merekomendasikan kepada pimpinan RS Husada untuk melakukan pengkajian ulang terhadap peran dan fungsi perawat sehingga perawat pelaksana mempunyai otoritas dan akuntabilitas yang lebih besar. Selain itu diperlukan peningkatan pendidikan bagi perawat pelaksana tentang manajemen waktu dan dokumentasi asuhan keperawatan. Rekomendasi juga diberikan untuk para peneliti lain yang bermaksud mengadakan penelitian tentang dokumentasi asuhan keperawatan perawat pelaksana agar melibatkan lebih banyak variabel yang diteliti dengan desain yang berbeda serta menggunakan instrumen.Daftar Pustaka: 58 (1991 - 2001)Nurses at the in-patient wards of Husada Hospital had responsibility on the successfulness of an optimum nursing services which could be revealed by their quality of nursing documentation. This successful of nursing services was influenced by factors such as nurses' characteristic and time management in the Hospital.

Therefore, this research analyzed, the relation between nurses' characteristics and time management with their documentation of nursing care in in-patient ward of Husada Hospital.

The purpose of this research was to identify the relationship between nurses' characteristic and time management with their documentation of nursing. This research was a descriptive correlation which used a cross sectional research design. The place of this research was at Husada Hospital which involving 19 in-patient wards and 131 nursing associates as respondents.

The data were obtained by evaluating the nursing documentation which was developed by the respondents. This documentation, then examined on its quality of the assessment, diagnosis, planning, intervention and evaluation. The result revealed that 56,5% of documentation was good, along with Dep. Kes. 1998 standard of documentation. Hence, the result of bivariate chi-square statistical test show that there was a significant relationship between variables; age (p=O,004), education (p=4,OO1 ), nurse's length of work (p=O,006) and time management (p=4,013 ).

Multivariate test of analysis, using logistic regression, tested that, from these 4 variables above, the education variable was the most dominant variable (p Wald=,001), after controlled by the time management variable (p wald=0,008).

This research recommended to the Hospital manager to do the re-assessment toward the nurses role and function. have more authority and accountability. Recommendation also given to the other researcher to assess the documentation of nursing care variables, different design and instruments.

Bibliography: 58 ( 1991- 2001 )"

"ABSTRAKMotivasi dan komitmen organisasi merupakan faktor yang meningkatkan dan membangun kinerja perawat secara konstruktif dalam menghasilkan kualitas asuhan keperawatan yang bermutu. Penelitian ini bertujuan untuk mengetahui hubungan motivasi dan komitmen organisasi dengan kinerja perawat dalam pelaksanaan dokumentasi asuhan keperawatan di sebuah Rumah Sakit di Bekasi. Jenis penelitian ini adalah deskriptif korelasi dengan rancangan cross sectional. Sampel penelitian ini adalah seratus enam perawat pelaksana dengan menggunakan kuesioner dan observasi dokumentasi asuhan keperawatan. Analisis dengan univariat, bivariat (chi square), dan multivariat (regresi logistik berganda). Hasil penelitian menunjukkan bahwa ada hubungan antara motivasi dan kinerja perawat dalam pelaksanaan dokumentasi asuhan keperawatan (p= 0,000; α= 0,05). Motivasi ekstrinsik memengaruhi kinerja perawat dua puluh enam kali lebih tinggi (OR= 26,708) setelah dikontrol oleh variabel umur, status kepegawaian, dan masa kerja. Perlu dilakukan audit dokumentasi sebagai bagian dari penilaian kinerja perawat.ABSTRAKMotivation and Organizational Commitment Determine Nursing Quality and Performance in ones Hospital Bekasi. Motivation and organizational commitment is a factor that can increase positive attitudes towards work and build constructively nurses performance in producing quality nursing care quality. Study is to examine the relationship between motivation and commitment to the organization's performance in implementing nursing documentation of nursing care in hospitals Bekasi. This descriptivestudy with cross sectional correlation. Sample of 106 nurses using questionnaires and observation documentation of nursing care with univariate analysis, bivariate (chi-square) and multivariate (multiple logistic regression). The research results concluded there was relationship between motivation with nurses' performance in implementing nursing care documentation (p= 0.000; α = 0.05). Extrinsic motivation could affect the performance of nurses 26 times higher (OR= 26.708) after controlled by age, employment status, and years of service. Audit documentation needs to be done as part of the performance assessment nurse."