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"Penelitian ini bertujuan untuk mendapat gambaran pelaksanaan Manajemen Sumber Daya Manusia berbasis kompetensi (MSDM berbasis kompetensi) dan hubungannya dengan kinerja perawat pelaksana. Metode penelitian adalah deskriptif korelasional dengan desain cross sectional. Tempat penelitian adalah di ruangan Rawat Inap dengan responden 178 perawat pelaksana melalui diambil secara acak dengan teknik quota sampling (jumlah populasi 271 orang). Pengumpulan data dilakukan tanggal 11 - 18 mei 2005. Hasil analisis diperoleh bahwa responden yang paling banyak adalah kelompok umur < 30 tahun (52.2%), lama kerja < 6 tahun (5L2%), Pendidikan DIII Keperawatan (82.1%) , jenis kelamin perempuan (76.8%), dan peringkat IV (63.7%), dan motivasi kurang baik (55.4%). Persepsi perawat pelaksana terhadap komponen MSDM berbasis kompetensi yang menyatakan baik: komponen rekrutmen dan seleksi 44%, pengembangan 42.9 %, penilaian kinerja 44%, imbalan 36.3%.Hasil analisis bivariat didapatkan bahwa MSDM berbasis kompetensi yang berhubungan dengan kinerja adalah rekrutmen dan seleksi (p=0.001), penilaian kinerja (p=0.008), dan imbalan (p=0.0I0). Untuk karakteristik individu yang berhubungan adalah umur (p = 0,001), lama kerja (p = 0,009), motivasi (p = 0,000), peringkat (p = 0,000). Persentase perawat dengan kinerja baik dan tidal( baik berimbang (50%). Komponen MSDM, dan karakteristik individu yang paling dominan berhubungan dengan kinerja adalah motivasi dengan OR=9.966 dan p=0.000, serta peringkat dengan OR = 3.445 dan p=0.002. Untuk itu Pimpinan rumah sakit sangat perlu untuk memelihara dan meningkatkan motivasi perawat pelaksana, dan mengevaluasi pelaksanaan MSDM berbasis kompetensi agar dapat memperbaiki mutu SDM dan pada akhimya akan meningkatkan kinerja.

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Human Resources Management Program (HRM) is a system that allows clinical nurses to have a.functional career ladder which lead to the consequences of increasing reward and compensation based on their clinical performance. The goal of this study was to ident ' factors related to the nurse clinical performance post implementation of Competency based Human Resources Management program. The number of subject participated in the study was 178 nurses who were selected by a quota sampling. The design was a cross sectional. The findings showed that the subjects were < 30 years old (52.2%), had working experience < 6 years (51.2%), have graduated from nursing diploma (82.1%), female (76.8%), and on the 40' grade of HRM (63.7%), and less motivation (55.4%) Some of the nurses' perception on the FIRM component gave positive response on the recruitment and selection component (44%), promotion (42.9%) clinical performance assessment (44%) and the reward (36.3%).

Further analyzes on the HRM program (bivariate), showed that the factors of HRM program that have relationship to the nurse clinical performance were recruitment and selection (p = 0.001), clinical performance assessment (p = 0.008) and reward (p = 0.010). The individual characteristics that have correlation to the nurse who perform good and less clinical performance were equal (50%). The Competency Based HRM and characteristics of individual component which dominantly related to the clinical performance was the motivation with the result of OR = 9.966 (p=.0.000), and the level of competency with result of OR = 3.445 (p=0.002) A recommendation to the nursing management officer is offered to always maintain and improve motivation of the nurses, evaluate the implementation of the competency based HRM program on the clinical performance and its logical consequences for nurses' welfare in order to improve the quality of human resources which could to professional nursing care provided to the patients."

"Pasien heart failure sering mengalami masalah intoleransi aktifitas dan keletihan yang membutuhkan intervensi manajemen energi untuk menghasilkan toleransi aktifitas, ketahanan, konservasi energi, dan self-care activity daily living. Penelitian bertujuan menganalisis faktor-faktor yang berhubungan dengan manajemen energi pasien heart failure. Desain cross sectional, sampel 132 responden, teknik consecutive sampling. Hasil menunjukkan hubungan signifikan antara pengetahuan, ansietas, dan dukungan sosial dengan manajemen energi, dan ansietas menjadi faktor dominan. Penelitian ini merekomendasikan untuk meningkatkan pengetahuan, menurunkan ansietas, dan meningkatkan dukungan sosial pasien heart failure, sehingga diharapkan dapat meningkatkan manajemen energi pasien heart failure.

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Patients with heart failure often experienced activity intolerance and fatique which need energy management intervention in order to gain activity tolerance, endurance, energy conservation, and self-care; activity daily living. This research aims was analyzing the factors dealing with energy management of the patients with heart failure. This research was using cross-sectional design and consecutive sampling technique with 132 respondents.

The finding of this research showed a significant association between knowlege, anxiety, and social support factors with energy management, among these variables anxiety becomes the dominant factor. This study recommends to improve knowledge, reduce anxiety and improve social support of the heart failure patients, which is expected to improve energy management of the heart failure patients."

"Kinerja perawat sangat penting untuk dikaji karena jumlah tenaga keperawatan pada umumnya merupakan jumlah tenaga terbesar di setiap rumah sakit. Menurut model teori perilaku dan kinerja oleh Gibson (1987 dalam Ilyas, 1999) bahwa ada tiga variabel yang mempengaruhi kinerja seseorang antara lain variabel individu diantaranya faktor demografis dan variabel organisasi. RSAB Harapan Kita Jakarta sebagai rumah sakit rujukan nasional khusus kasus anak dan ibu hamil/bersalin perlu mengetahui bagaimana kinerja perawat pelaksana di ruang rawat inap dan hubungannya dengan karakteristik demografis dan karakteristik organisasi. Penelitian ini menggunakan desain cross sectional dengan sampel 156 responden. Variabel independen yang diteliti adalah karakteristik demografis perawat meliputi umur, jenis kelamin, status perkawinan, pendidikan dan masa kerja. Karakterisatik organisasi mencakup kepemimpinan, struktur organisasi, imbalan dan desain pekerjaan. Variabel dependen yaitu kinerja perawat pelaksana di ruang rawat inap. Hasil penelitian ini menunjukkan bahwa semua variabel dari karakteristik demografis tidak ada hubungan dengan kinerja perawat, sedangkan ada dua variabel dari karakteristik organisasi yaitu kepemimpinan kepala ruangan (p = 0,023) dan struktur organisasi (p = 0,0001) berarti ada hubungan signifikan dengan kinerja perawat pelaksana di ruang rawat inap berdasarkan analisis bivariat dengan uji kai-kuadrat. Pada analisis multivariat dari dua variabel tersebut menunjukkan bahwa struktur organisasi merupakan variabel yang mempunyai hubungan paling bermakna dengan kinerja perawat pelaksana di ruang rawat inap dengan nilai p = 0,0021 dan odds rasio sebesar 3,15 dengan menggunakan uji regresi logistik. Mempertimbangkan hasil penelitian bahwa variabel struktur organisasi yang mempunyai hubungan paling signifikan dengan kinerja perawat, maka upaya peningkatan kinerja perawat pelaksana di ruang rawat inap tidak terlepas dari sosialisasi struktur organisasi yang ada disamping pengaruh berbagai faktor lainnya baik karakteristik demografis maupun karakteristik organisasi.

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An Analysis on Executing Nurse's Work and Its Correlation with Demographic Characteristic and Organizational Characteristic at Inpatient Unit of Harapan Kita Maternal Hospital RSAB JakartaTo study executing nurse's work is very important because they commonly constitute the biggest personnel in number in every hospital. According to Gibson's behavior and work theory (1987 in Ilyas, 1999), there are three variables that influence someone's work. Among of them is individual variable that consists of demography and organizational variable. Harapan Kita Maternal Hospital RSAB Jakarta as national reference maternal hospital should understand executing nurse's work at inpatient unit and its relation with demography and organizational characteristic.

This research used cross sectional design with 156 samples of respondents. The researched independent variable was demography characteristics of nurses covering age, sex, marital status, education and tenure. Organizational characteristic involved leadership, structure of organization, rewards and work design. And the dependent variable was executing nurses' work at inpatient unit of the hospital.

The findings indicated that there was no relation between the entire variables of demography characteristics with nurses' work. Meanwhile there were two variables of organizational characteristic, that were unit manager's leadership (p = 0.023) and structure of organization (p 0.0001), indicated a significant relation with executing nurses' work at inpatient unit based on bivariat analysis with chi-square test. The multivariat analysis of the two variables implied that the structure of organization was the variable that had the most significant relation with their work at inpatient unit with p = 0.0021 and odds ratio as much 3,15 with logistic regression test.

Considering the findings that structure of organization had the most significant relation with nurses' work, so the improvement of their work at inpatient unit could not be separated with socialization of organization structure and some influences of other factors either demography characteristic or organizational one."

"Pemberian konseling oleh apoteker dapat memperbaiki pengetahuan dan persepsi pasien yang mendapatkan terapi warfarin sehingga target nilai INR berhasil tercapai dan pasien dapat terhindar dari kejadian ESO warfarin. Warfarin adalah obat yang digunakan secara luas di dunia untuk terapi gangguan fungsi kardiovaskular. RS Jantung dan Pembuluh Darah Harapan Kita merupakan rumah sakit rujukan nasional kardiovaskular. Penelitian menggunakan rancangan kuasi eksperimen pre- dan post-test design dengan membandingkan penurunan nilai INR dan kemunculan Efek Samping Obat (ESO) pada pasien di kelompok uji yang memperoleh konseling disertai leaflet dan kelompok kontrol yang memperoleh leaflet saja. Tujuan penelitian ini untuk menilai pengaruh konseling dan pemberian leaflet terhadap nilai INR dan adanya ESO pada pasien rawat jalan yang menggunakan warfarin di poliklinik umum RS Jantung dan Pembuluh Darah Harapan Kita periode April-Oktober 2019. Sebesar 28 pasien kelompok kontrol dan 31 pasien kelompok uji dari hasil penelitian menunjukan pemberian leaflet dan konseling tidak berpengaruh terhadap penurunan nilai INR pasien rawat jalan yang menggunakan warfarin di RSJPDHK. Hasil analisis bivariat menggunakan uji T tidak berpasangan menunjukkan bahwa tingkat pendidikan pasien berpengaruh signifikan secara statistik terhadap penurunan nilai INR pasien rawat jalan yang menggunakan warfarin di RSJPDHK dengan nilai P sebesar 0,016 (p < 0,05).

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Providing counseling by pharmacists can improve the knowledge andperceptions of patients who get warfarin therapy so that the target INR value is achieved and patients can avoid the warfarin adverse drug reaction (ADR). Warfarin is a drug that is widely used in the world for the treatment of cardiovascular disorders. Harapan Kita Cardiovascular Hospital is a national cardiovascular referral hospital. The research method used was pre- and post-test design by comparing the decrease in the value of INR and the appearance of patients ADR in the test group who received counseling accompanied by leaflets and control groups who received leaflets only. The study used a quasi-experimental design pre- and post-test design by comparing the decrease in the value of INR and the emergence of ADR in patients in the test group  who received counseling accompanied by leaflets and control groups who received leaflets only. The purpose of this study was to assess the effect of counseling and leaflets on the value of INR and the presence of ESO in outpatients using warfarin in the general polyclinic of Harapan Kita Cardiovascular Hospital period from April to October 2019. A total of 28 patients in the control group and 31 patients in the test group from the results of the study showed that giving leaflets and counseling had no effect statistically on the decrease in the INR value of outpatients warfarin users at RSJPDHK. The results of the bivariate analysis using the unpaired T-test showed that the level of education of patients had a  statistically significant effect on the decrease in the value of INR outpatients using warfarin in RSJPDHK with a P value of 0.016 (p < 0.05)."

"ABSTRAKPenilaian kinerja merupakan salah satu alat untuk meningkatkan motivasi danproduktifitas, tetapi karena penilaian kinerja merupakan hal yang sensitif untuksebagian orang, maka penilaian kinerja dapat juga menimbulkan penolakan dankecurigaan yang berakibat pada menurunnya motivasi kerja. Tesis ini bertujuanmenganalisis persepsi dokter spesialis jantung terhadap penilaian kinerja di RSJantung dan Pembuluh Darah di Harapan Kita. Penelitian ini adalah penelitiangabungan kuantitatif dan kualitatif. Responden dalam penelitian ini melibatkanseluruh dokter spesialis jantung penuh waktu yang melakukan pelayananmedis. Data kuantitatif diolah dengan analisis deskriptif univariat, dan datakualitatif diolah dengan content analysis. Hasil penelitian ini menunjukkan dokterspesialis jantung yang memiliki persepsi negatif terhadap penilaian kinerja lebihbanyak daripada yang memiliki persepsi positif. Persepsi yang negatif terutamadisebabkan oleh metode penilaian yang dianggap belum sesuai. Tidak adanyamekanisme feedback dan transparansi merupakan pokok masalah. Motivasi kerjajuga lebih banyak yang negatif dengan variabel ekspektasi sebagai inti masalah,disebabkan oleh tidak adanya mekanisme feedback. Karakteristik individusebagian besar merupakan generasi X, laki-laki, yang memprioritaskan karir danbutuh diberikan feedback. Saran dari penelitian ini agar pihak manajemenmemberlakukan sistem feedback secara teratur yang berfokus pada percakapandan perkembangan. Penelitian ini juga menyarankan manajemen yang bermitradengan kepala kelompok staf medik dalam penilaian, penyesuaian bobot penilaiandengan tugas, dan revisi komponen integritas pada penilaian kinerja agar berbasiskontribusi.

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ABSTRACTPerformance appraisal is one tool to increase motivation and productivity, butbecause it's sensitive for some people, performance appraisal can also lead torejection and suspicion that results in a decrease in work motivation. This thesisaims to analyze the perception of cardiologists on performance appraisal atNational Cardiovascular Center Harapan Kita. This research is a quantitative andqualitative research. Respondents in this study involves all full-time cardiologistswho perform medical services. Quantitative data is processed by descriptiveunivariate analysis, and qualitative data is processed with content analysis. Theresults of this study indicate cardiologists who have a negative perception ofperformance appraisal are more than those who have positive perceptions.Negative perceptions are mainly due to the assessment methods that areconsidered not appropriate. The absence of feedback and transparencymechanisms is central to the problem. Job motivation is also more negative thanpositive with the expectation variable as the core of the problem, caused by theabsence of feedback mechanism. Individual characteristics are largely generationX, men, who prioritize careers and need to be given feedback. Suggestions fromthis research are for the management to implement a regular feedback system thatfocuses on conversation and development. The study also suggests thatmanagement partner with the head of the medical staff group in the assessment,adjustment of assignment weighting and tasks, and the revision of the integritycomponent on performance appraisal for contribution-based systems."

"Penelitian ini bertujuan untuk mengevaluasi efektivitas Pelatihan Service Excellence bagi pegawai di Rumah Sakit Jantung dan Pembuluh Darah Harapan Kita tahun 2012. Penelitian dilakukan terhadap pegawai yang telah mengikuti Pelatihan Service Excellence di tahun 2010 sebanyak 50 orang dan juga terhadap 30 pasien. Pengumpulan data dilakukan dengan cara penyebaran kuesioner, observasi, wawancara, dan telaah data sekunder yang terkait dengan pelatihan. Penelitian ini bersifat deskriptif analitik dengan menggunakan rancangan cross-sectional. Kerangka konsep penelitian ini terdiri dari variabel independen (evaluasi pada tingkat reaksi, tingkat pembelajaran, tingkat perilaku, tingkat hasil) dan variabel dependen (efektivitas pelatihan).Dari hasil penelitian, diperoleh bahwa gambaran evaluasi pelatihan pada keempat level menunjukkan hasil yang baik. Namun, evaluasi pada tingkat perilaku menunjukkan hasil yang negatif dengan kategori implementasi perilaku yang belum memenuhi standar layanan prima sebesar 53,3%. Dari hasil uji Chi Square, diperoleh bahwa variabel yang berhubungan dengan efektivitas pelatihan adalah tingkat hasil (level result). Peneliti menyarankan agar pihak manajemen lebih aktif melakukan evaluasi pasca pelatihan secara berkala dan berkesinambungan.

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This study aims to evaluate of the ?Service Excellence? Training effectiveness for employees at the at the Harapan Kita Cardiac and Blood Vessel Hospital Jakarta, Year 2012. This research was conducted on 50 employees who have attended on Service Excellence Training in 2010 and also 30 patients. Data were collected from questionnare, observation, interviewing, and training?s database analysis. This study is descriptive analytic with cross-sectional design. Conceptual framework of this study consists of the independent variables (evaluation on the reaction level, learning level, behaviour level, result level) and the dependent variable (training effectiveness).

From the research, found that on the fourth level of training evaluation showed good results. However, the evaluation at behavioral level showed negative result with the behavioral implementation category that does not meet the standards of excellent service at 53.3%. From the results of Chi Square test, obtained that the variables related to the effectiveness of training is the result level. Researcher suggests the management to evaluate this training periodically and continuously."

"

Consensus Statement of Standards for Interventional Cardiovascular Nursing Practice menetapkan  domain standar praktik interventional keperawatan kardiovaskular  meliputi mampu berfikir kritis dan menganalisis intervensi kardiovaskular dalam praktik keperawatan, terlibat dalam hubungan terapeutik dan hubungan profesional untuk meningkatkan pelayanan dan pengalaman dalam pemberian asuhan keperawatan.  The dynamic nurse-patient relationship model telah digunakan sebagai teori dasar dalam memberikan asuhan keperawatan pada praktik keperawatan, yang menekankan  prinsip-prinsip dasar pemikiran kritis, pendekatan yang berpusat pada klien intervensi serta berorientasi pada tujuan, dan penggunaan  rekomendasi intervensi keperawatan berbasis bukti. Penerapan The dynamic nurse-patient relationship model pada praktik residensi menetapkan penurunan curah jantung sebagai diagnosis keperawatan utama pada pasien kelolaan utama dan 30 pasien lainnya, dengan cardiac care sebagai pilihan intervensi keperawatan untuk mengoptimalkan fungsi jantung dan menurunkan beban kerja jantung. CAM-ICU sebagai instrumen diagnostik memiliki keandalan yang sempurna untuk menilai delirium pasca pembedahan jantung (sensitifitas 100% dan spesitifitas 100%), lain halnya BHIS sebagai istrumen untuk menilai risiko kejadian SSI pasca pembedahan jantung memiliki keandalan yang sedang ( sensitifitas 70% dan spesitifitas 67%), artinya BHIS perlu dikembangkan kembali dengan memperhatikan faktor-faktor yang berhubungan dengan kejadian SSI.

 

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The Consensus Statement of Standards for Interventional Cardiovascular Nursing Practice has established the standard domain of interventional cardiovascular nursing practices which includes the ability to think critically and to analyze cardiovascular interventions in nursing practice, engaging in therapeutic relationships and professional relationships to improve service and experience in providing nursing care. The dynamic nurse-patient relationship model has been used as a primary theory, providing nursing care approach into nursing practice which emphasizes the basic principles of critical thinking, client-centered and intervention-oriented approaches, and the use of evidence-based nursing intervention recommendations. The dynamic nurse-patient relationship model in residency practice establishes a decrease in cardiac output as the main nursing diagnosis in primary management patients and 30 other patients, with cardiac care as the choice of nursing intervention to optimize cardiac function and reduce cardiac workload. CAM-ICU as a diagnostic instrument has perfect reliability to assess delirium after cardiac surgery (100% sensitivity and 100% specificity). BHIS as an instrument to assess the risk of SSI events after cardiac surgery has moderate reliability (70% sensitivity and 67% specificity), meaning that BHIS needs to be developed by taking into account the factors related to SSI events.

 

Keywords: ida jean orlando, delirium, CAM-ICU, surgical site infection, cardiac surgery, low cardiac output, respiratory muscle training.

"

"Tingginya angka kejadian rawat inap pasien gagal jantung memiliki resiko kejadian rawat ulang yang sama bila manajemen diri pasien gagal jantung tidak baik. Manajemen diri dipengaruhi oleh berbagai faktor yang beragam dan penelitian ingin mengetahui faktor yang berhubungan dengan manajemen diri pasien gagal jantung. Penelitian ini adalah penelitian cross sectional dengan metode pengambilan data retrospektif pada 70 pasien gagal jantung di ruang rawat jalan. Hasil penelitian menunjukkan bahwa faktor dukungan keluarga dan faktor aktifitas pelayanan keperawatan merupakan faktor yang paling dominan dalam mempengaruhi kemampuan manajemen diri pasien gagal jantung (p value=0.000, OR=50.1, CI 95% dan p value=0.013, OR=7.3, CI 95%). Hasil penelitian menyarankan agar pelayanan keperawatan pasien gagal jantung mengutamakan program manajemen diri baik di institusi pelayanan kesehatan hingga sampai di rumah sehingga dukungan keluarga lebih optimal.

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The high incidence of hospitalized patients with heart failure will have a risk of re-hospitalization rate if the self-management of patiens with heart failure is insufficient. Self-management is influenced by many factors. This study investigated factors associated with self-management of patients with heart failure.The study used a cross-sectional approach with retrospective data collection method in 70 respondents in outpatient clinics.

The results found that the factor of family support and nursing care activities are the most dominant factors influencing the ability of self-management in patients with heart failure (p value=0.000, OR=50.1, 95%CI and p value=0.013, OR=7.3, 95%CI). The results of this study suggested that in providing care of patients with heart failure, a self-management program should become a priority both for health care institutions and patients at home so that the family support is more optimal."

"ABSTRAKNama : Annisa Dea SariProgram Studi : Ilmu Kesehatan MasyarakatJudul : Analisis Kualitas Asuhan Keperawatan di Rawat Inap RS.Jantung danPembuluh Darah Harapan KitaPembimbing : dr. Agustin Kusumayati, M.Sc., PhdKualitas pelayanan di rumah sakit menjadi penting karena bila memiliki kualitas rendahmaka dapat membahayakan pasien. Perawat sebagai profesi yang 24 jam berhubungandengan pasien, turut menentukan mutu pelayanan. Depkes RI 2005 menyatakanpenerapan standar asuhan keperawatan untuk mengukur, memantau dan menyimpulkanapakah pelayanan sudah mengikuti persyaratan. Tujuan penelitian untuk melihatgambaran kualitas asuhan keperawatan melalui kinerja perawat. Pengukuran kualitasasuhan keperawatan dinilai melalui pelaksanaan asuhan dan pendokumentasi asuhan Muller-Staub, 2008 . Penelitian menggunakan desain deskriptf dengan cross sectionalstudy. Sampel penelitian menggunakan simple random sampling pada seluruh perawatdi rawat inap RSJPDHK sebanyak 159 orang. Pengumpulan data dilakukan melaluikuesioner dan observasi. Hasil penelitian yaitu sebanyak 56 perawat usia muda,57,2 pendidikan sarjana, 86,2 perawat perempuan, 57,2 pengetahuan baik tentangasuhan keperawatan, 64 perawat memiliki motivasi tinggi, 54,7 perawat memilikipersepsi positif, 66 perawat merasa beban kerja berat, 40,9 pelaksanaan asuhankeperawatan sesuai standard dan 63,5 pendokumentasian sesuai standar, hal inidipengaruhi oleh motivasi, pengetahuan dan beban kerja. Rekomendasi untukmanajemen keperawatan yaitu memberikan pelatihan tentang asuhan keperawatan,resosialisasi SPO pendokumentasian, bimbingan dan monitoring evaluasi penerapanstandar asuhan keperawatan.Kata Kunci : Kinerja perawat, pelaksanaan asuhan keperawatan, pendokumentasianasuhan keperawatan

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ABSTRACTABSTRACTName Annisa Dea SariStudy Program Public HealthTitle Analysis Quality Of Nursing Care On Inpatient Ward AtNational Cardiovascular Center Hospital Harapan Kita 2018Counsellor dr. Agustin Kusumayati, M.Sc., Ph.DQuality of health services in hospitals has become important considering that patientscould be endangered by poor quality services. As a profession which requires 24 hourscontact with the patient, nurses contribute to the quality of health services. The Ministryof Health of Indonesia 2005 stated that the purpose of applying the nursing carestandard is to measure, monitor, and conclude whether or not a service has been doneaccording to the requirements. The purpose of this study is to see and understand thequality of nursing care through the nurses rsquo performance. Nursing care qualitymeasurement is assessed through the implementation and documentation of care Muller Staub, 2008 . This study is a descriptive study using cross sectional studydesign. Samples are chosen through simple random sampling on all nurses of theinpatient care at RSJPDHK, which are 159 nurses. Data collection was done throughquestionnaire and observation. Results show 56 respondents are young adult, 57,2 are bachelor graduates, 86,2 female, 57,2 have good knowledge on nursing care,64 have high motivation, 54,7 have positive perception, 66 feel to have highworkload, 40,9 implemented nursing care according to standard and 63,5 documented according to standard. These results were affected by motivation,knowledge and workload. Recommendations for the nursing management are tofacilitate training on nursing care, resocialization of the documentation SPO, guidance,and monitoring and evaluation of the standard nursing care application.Keywords Nurse performance, nursing care implementation, nursing caredocumentation"

"ABSTRAKPerawatan mulut merupakan salah satu intervensi keperawatan di ruang perawatan intensif untuk mencegah infeksi pneumonia nosokomial dan prioritas utama pada pasien dengan ventilator. Penelitian ini bertujuan untuk mengetahui gambaran sikap dan praktik perawatan mulut pasien dengan ventilator di ruang perawatan intensif Rumah Sakit Jantung dan Pembuluh Darah Harapan Kita. Penelitian ini merupakan penelitian deskriptif dengan tehnik total sampling yang melibatkan 96 perawat intensif RS Jantung dan Pembuluh Darah Harapan Kita. Hasil penelitian menunjukkan bahwa 86 perawat memiliki sikap positif , 53 perawat menggunakan instrumen pengkajian, 68 perawat melakukan pengkajian 1-3 kali sehari, 75 perawat menempatkan perawatan mulut sebagai prioritas tinggi, 51 perawat melakukan perawatan mulut 1-3 kali sehari, 90 perawat menggunakan sikat gigi dan pasta gigi 1-3 kali sehari. Hambatan utama yang dihadapi perawat dalam melakukan perawatan mulut yaitu takut terjadi aspirasi, waktu yang tersedia tidak cukup serta ada ETT di rongga mulut. Penelitian ini menyarankan bahwa perlunya dukungan dari manajemen rumah sakit untuk mensosialisasikan SOP serta memfasilitasi pelatihan untuk meningkatkan kualitas perawat dalam perawatan mulut.

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ABSTRACTOral care is one of the nursing interventions due to prevent pneumonia nosocomial infection and as a top priority for patients with ventilators. The study is to determine the description of nurse rsquo s attitude and perception of oral care practice of patients with ventilators in the intensive care unit of National Cardiac Center Harapan Kita. This is a descriptive study with total sampling technique which is involving 96 intensive nurses of National Cardiac Center Harapan Kita.. The results of study showed that 86 of the nurses have positive attitudes, 53 were use assessment instrument, 68 were performed 1 3 times daily assessments, 75 were put oral care as a top priority, 51 were performe oral care 1 3 times a day , 90 of nurses use toothbrush and toothpaste 1 3 times a day. The main problem in performing oral care are due to aspiration, timing and the presence of ETT in the oral cavity. The support from hospital management to disseminate SOP and perform oral training for nurses are needed. "