Skip to main content Skip to main navigation menu Skip to site footer
Jurnal Keperawatan Indonesia
Articles
VIEWS: 284
10.7454/jki.v25i1.1695
Submitted: 2023-01-26
Published: 2022-03-31

Implementation of Home Care Services by Community Health Centers (Puskesmas) in Makassar City, Indonesia

Faculty of Nursing Universitas Hasanuddin, Makassar 90245
Faculty of Nursing Universitas Hasanuddin, Makassar 90245
Faculty of Nursing Universitas Hasanuddin, Makassar 90245
Faculty of Nursing Universitas Hasanuddin, Makassar 90245
community health centers home care service nurses’ roles

Abstract

Home care services by health professionals, such as doctors, nurses, and other health care professionals, target to provide health care services, including health education, physical examination, or other treatments such as physical therapy or medication. This study aimed to evaluate the implementation of home care (nursing care and home care services) in Makassar City in accordance with government guidelines. A qualitative descriptive study was conducted by interviewing nurses (15 participants) from several community health centers (Puskesmas) in Makassar City, Indonesia who have implemented a home care program for at least a year. Four main themes had emerged, namely, management of home care services, nurses’ roles in home care services, perceived barriers, and community benefits. Despite some barriers, the home care programs delivered by health care professionals including nurses in Puskesmas in Makassar City have been well implemented in accordance with the guidelines. On the basis of the obstacles faced by the nurses, one recommendation is for the government to provide specific guidelines on the types of patients to be included in these services. The government also needs to ensure that the community knows the types of patients’ condition who can avail these services.

 

Abstrak

Dokumentasi Asuhan Keperawatan pada Rumah Sakit Terakreditasi. Dokumentasi asuhan keperawatan dinilai dalam akreditasi rumah sakit karena berisi seluruh tindakan keperawatan dan mencerminkan kualitas asuhan keperawatan yang diberikan. Akreditasi rumah sakit terdiri atas tiga fase yaitu fase persiapan, implementasi, dan pasca akreditasi. Pada tahap pasca akreditasi, biasanya terjadi penurunan kualitas pelayanan. Penelitian ini menelusuri kualitas dokumentasi asuhan keperawatan di Rumah Sakit X yang terakreditasi paripurna dengan menggunakan desain deskriptif kuantitatif melalui pendekatan retrospektif. Sebanyak 292 sampel dokumen diperoleh dengan teknik simple random sampling. Data dikumpulkan dengan menggunakan Instrumen Evaluasi Asuhan Keperawatan oleh Departemen Kesehatan Republik Indonesia. Hasil penelitian menunjukkan kualitas dokumentasi keperawatan tidak baik, dengan pencapaian rata-rata 80,81%. Komponen implementasi merupakan yang paling banyak terisi, sedangkan intervensi dan catatan asuhan keperawatan paling sedikit terisi. Sebagian besar indikator faktual memiliki kualitas yang baik, tetapi catatan lain memiliki kelengkapan yang buruk. Indikator observasi kualitas dokumentasi perlu dikaji ulang untuk mengetahui faktor-faktor yang memengaruhi penurunan kualitas dokumentasi keperawatan. Rumah sakit perlu meninjau dan meningkatkan dokumentasi keperawatan untuk mencegah penurunan kualitas dalam survei pasca akreditasi. Penggunaan teknologi informasi untuk dokumentasi dapat membantu perawat karena adanya standarisasi bahasa dan sistem yang saling terkait memfasilitasi dokumentasi seluruh proses perawatan, dan dengan demikian meningkatkan kelengkapannya.

Kata Kunci: akreditasi, asuhan keperawatan, dokumentasi keperawatan, rumah sakit

References

  1. Birt, L., Scott, S., Cavers, D., Campbell, C., & Walter, F. (2016). Member checking: A tool to enhance trustworthiness or merely a nod to validation? Qualitative Health Research, 26 (13), 1802–1811. doi: 10.1177/1049732316654870.
  2. Braun, K.L., & Conybeare, C. (2017). Active aging in Asia: Community care policies and programs in Hong Kong, Japan, Korea, and Singapore. Innovation in Aging, 1 (suppl_1), 685–685. doi: 10.1093/geroni/igx004.2447.
  3. Creswell, J.W., & Poth, C.N. (2018). Qualitative inquiry & research design: Choosing among five approaches (4th Ed.). SAGE.
  4. Dinas Kesehatan Kota Makassar. (2015). Home care guidelines: 24 hours home care service. Dinas Kesehatan Kota Makassar.
  5. Feltner, C., Jones, C.D., Cené, C.W., Zheng, Z.-J., Sueta, C.A., Coker-Schwimmer, E.J.L., Arvanitis, M., Lohr, K.N., Middleton, J.C., & Jonas, D. E. (2014). Transitional care interventions to prevent readmissions for persons with heart failure. Annals of Internal Medicine, 160 (11), 774. doi: 10.7326/m14-0083.
  6. Frieden, T.R. (2014). Six components necessary for effective public health program implementation. American Journal of Public Health, 104 (1), 17–22. doi: 10.2105/AJPH.2013.301608.
  7. Genet, N., Boerma, W., Kroneman, M., Hutchinson, A., & Saltman, R.B. (2012). Home are across Europe: Current structure and future challenges. WHO. Retrieved from https:// www. euro.who.int/en/publications/abstracts/home-care-across-europe.-current-structure-and-future-challenges-2012
  8. Haswira, M., Wahidin, W., & Ahmad, S. (2019). Evaluation of home care program implementation in the Bara-baraya Puskesmas Makassar City. Jurnal Administrasi Negara, 25 (3), 212–228. doi: 10.33509/jan.v25i3.889.
  9. Health Office South Sulawesi. (2017). Rencana kerja Dinas Kesehatan Provinsi Sulawesi Selatan 2018 (Action plan of Health Office South Sulawesi Province for 2018). Dinas Kesehatan Sulawesi Selatan. Retrieved from https://e-renggar.kemkes.go.id/file2018/e-performance/2-199005-tahunan-480.pdf
  10. Holloway, I. (2017). Qualitative research in nursing and healthcare (4th Ed.). Wiley Blackwell.
  11. ICT Services and System Development and Division of Epidemiology and Global Health. (2015). OpenCode 4. University of Umeå. Retrieved from https://www.umu.se/en/department-of-epidemiology-and-global-health/research/op en-code2/
  12. Jaringan Inovasi Pelayanan Publik Sulsel. (2019). Homecare (pelayanan kesehatan ke rumah) 24 jam Kota Makassar. Retrieved from http://jipp.sulselprov.go.id/direktori/read/114.
  13. Kadar, K.S., McKenna, L., & Francis, K. (2014). Scoping the context of programs and services for maintaining wellness of older people in rural areas of Indonesia. International Nursing Review, 61 (3), 310–317. doi: 10.1111/inr.12105.
  14. McKenna, L., & Copnell, B. (2020). Fundamentals of nursing and midwifery research. Routledge.
  15. Miles, M.B., Huberman, A.M., & Saldaña, J. (2014). Qualitative data analysis: A methods sourcebook (3rd Ed.). SAGE Publications, Inc.
  16. Ministry of Health Republic of Indonesia. (2014). Peraturan menteri kesehatan Republik Indonesia no. 9/2014 (Ministry of health Republic of Indonesia regulation no 9/2014). Retrieved from http://pelayanan.jakarta.go.id/down load/regulasi/permen-kesehatan-nomor-9-tahun-2014-tentang-klinik.pdf
  17. Ministry of Health Republic of Indonesia. (2018). Riset dasar kesehatan (The results of basic health research) 2018. Ministry of Health Republic of Indonesia. Retrieved from http:// www.depkes.go.id/resources/download/info-terkini/materi_rakorpop_2018/Hasil%20Riskesdas%202018.pdf
  18. Ministry of Health Republic of Indonesia. (2019). Indonesia health profile 2018. Ministry of Health Republic of Indonesia. Retrieved from https://pusdatin.kemkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/PROFIL_KESEHATAN_2018_1.pdf
  19. Palesy, D., Jakimowicz, S., Saunders, C., & Lewis, J. (2018). Home care in Australia: An integrative review. Home Health Care Services Quarterly, 37 (2), 113–139. doi: 10.1080/01621424.2018.1438952.
  20. Putra, A., Usman, J., & Abdi, A. (2018). Inovasi pelayanan publik bidang kesehatan berbasis home care di kota Makassar. KOLABORASI: Jurnal Administrasi Publik, 3 (3), 294–309. doi: 10.26618/kjap.v3i3.1053.
  21. Shahsavari, H., Nasrabadi, A.N., Almasian, M., Heydari, H., & Hazini, A. (2018). Exploration of the administrative aspects of the delivery of home health care services: A qualitative study. Asia Pacific Family Medicine, 17, 1. doi: 10.1186/s12930-018-0038-x.
  22. Speziale, H.S. (2011). Qualitative research in nursing: Advancing the humanistic imperative (5th Ed.). Wolters Kluwer Health/Lippincott Williams & Wilkins.
  23. Sumini, Sukamdi, Pangaribowo, E.H., Keban, Y.T., & Darwin, M. (2020). Elderly care: A study on community care services in Sleman, DIY, Indonesia. Journal of Aging Research, 2020, 3983290. doi: 10.1155/2020/3983290.
  24. Suprapto, S. (2018). Efektivitas penggunaan layanan homecare dalam pelayanan kesehatan pada puskesmas Barombong kota Makassar. Jurnal Ilmiah Kesehatan Sandi Husada, 6 (2), 1–5. doi: 10.35816/jiskh.v6i2.51.
  25. Tóthová, V., Bártlová, S., Šedová, L., Treslova, M., Chloubová, I., & Prošková, E. (2014). The nurse's role in preventive care in the field of community nursing. Neuro Endocrinol Lett, 35 (Suppl 1), 26–33.
  26. Widyastoeti, T.H. (2020). Draft concept of home care services development [Draft konsep pengembangan pelayanan home care oleh Direktur Pelayanan Kesehatan Rujukan]. PERSI. Retrieved from https://persi.or.id/wp-content/uploads/2020/11/event5-01.pdf
  27. Wojtak, A., & Stark, L. (2016). “Uberizing” home care in Ontario. Healthcare Management Forum, 29 (4), 149–152. doi: 10.1177/08404 70416642772.
  28. World Health Organization. (2021). Ageing and health: Key fact. WHO. Retrieved from https://www.who.int/news-room/fact-sheets/ detail/ageing-and-health
  29. Zeng, Z., Shuai, T., Yi, L.-J., Wang, Y., & Song, G.-M. (2015). Application of home health nursing abroad: A literature review. Chinese Nursing Research, 2 (4), 93–95. doi: 10.1016/j.cnre.2015.09.006.

How to Cite

Kadar, K. S., Ardillah, F., Puspitha, A., & Erfina , E. (2022). Implementation of Home Care Services by Community Health Centers (Puskesmas) in Makassar City, Indonesia. Jurnal Keperawatan Indonesia, 25(1), 32–41. https://doi.org/10.7454/jki.v25i1.1695