| dc.contributor.author | AYU FITRI, DUANE | |
| dc.date.accessioned | 2018-10-17T03:32:47Z | |
| dc.date.available | 2018-10-17T03:32:47Z | |
| dc.date.issued | 2018 | |
| dc.identifier.uri | http://repository.umy.ac.id/handle/123456789/22186 | |
| dc.description | Latar Belakang: Stroke masih menjadi salah satu masalah utama kesehatan, bukan hanya di Indonesia namun dunia. Dengan adanya perbaikan proses pelayanan stroke diharapkan dapat menunjang outcome kualitas pelayanan stroke yang lebih baik, yaitu dengan pemberlakuan clinical pathway (CP). Tujuan penelitian ini adalah mengeksplore implementasi CP infark cerebri pada unit rawat inap Rumah Sakit PKU Muhammadiyah Bantul.
Metode: Penelitian mix-method secara convergent parallel design dengan desain studi kasus. Sampel kuantitatif adalah rekam medis pasien infark cerebri secara total sampling (Juni 2016-November 2016, n=27) dan checklist ICPAT. Sampel kualitatif adalah dokter, perawat dan orang-orang yang terlibat implementasi CP infark cerebri diperoleh dari deep interview dengan teknik purposive sampling.
Hasil dan Pembahasan: ICPAT dimensi 1 (format CP) konten dan mutu baik. Dimensi 2 (dokumentasi CP) konten moderate dan mutu baik. Dimensi 3 (pengembangan CP) konten moderate dan mutu baik. Dimensi 4 (penerapan CP) konten dan mutu kurang. Dimensi 5 (pemeliharaan CP) konten dan mutu moderate. Dimensi 6 (peran organisasi) konten dan mutu baik. Tingkat kepatuhan kelengkapan formulir CP sebesar 22% dan isi CP sebesar 0%. Kendala terbanyak karena kesibukan petugas dan keterbatasan waktu.
Kesimpulan dan Saran: Tingkat kepatuhan implementasi CP infark cerebri masih kurang. Perlu sosialisasi, training, evaluasi rutin serta fasilitator waktu penuh.
Kata Kunci: Implementasi, Clinical Pathway, infark cerebri | en_US |
| dc.description.abstract | Background: Stroke remains one of the major health problems, not only in Indonesia but also in the world. The improvement of stroke service process is expected to support better outcomes of stroke service quality. One of the clinical management used is the implementation of clinical pathway. The purpose of this study was to explore the implementation of CP cerebral infarction in the inpatient unit of Bantul PKU Muhammadiyah Hospital.
Method: A mix-method study with case study design. The quantitative sample is the patient's total cerebral infarct medical record (June 2016-November 2016, n = 27) and ICPAT checklist. Qualitative samples are doctors, nurses and people involved in the implementation of CP cerebri infarction obtained from deep interview with purposive sampling technique.
Results and Discussion: ICPAT dimension 1 (CP format) content and quality are good. Dimension 2 (CP documentation) moderate content and good quality. Dimension 3 (CP development) moderate content and good quality. Dimension 4 (implementation CP) content and quality are poor. Dimension 5 (maintenance CP) content and quality are moderate. Dimension 6 (role of organization) content and quality are good. Compliance rate of completeness of CP form is 22% and content of CP is 0%. Most constraints due to busyness of the officer and time constraints.
Conclusions and Suggestions: The cerebral infarct CP implementation compliance level was poor. Need socialization, training, regular evaluation and full time facilitator.
Keywords: Implementation, Clinical Pathway, cerebral infarction | en_US |
| dc.language.iso | other | en_US |
| dc.publisher | MMR UMY | en_US |
| dc.subject | Implementation | en_US |
| dc.subject | Clinical Pathway, | en_US |
| dc.subject | cerebral infarction | en_US |
| dc.title | EVALUASI IMPLEMENTASI CLINICAL PATHWAY INFARK CEREBRI PADA UNIT RAWAT INAP RUMAH SAKIT PKU MUHAMMADIYAH BANTUL | en_US |
| dc.type | Thesis | en_US |
