MAKP

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Irman Somantri SKp MKep

Disampaikan pada pelatihan manajemen ruangan

di RS Al Islam Bandung




Email irt_namosyahoocom

Hp 08122247799

Keperawatan Dasar FIKUnpad

Tim Pelatih ManajemenKeperawatan FIK-Unpad

Bidang Organisasi IPMMI

Alamat MargawangiEstate Jl Margakencana

IV No 92A Buah BatuBandun



Pendahuluan 3

Kepuasan Pasien

Upaya-upaya untukmeningkatkan mutuAsuhan keperawatan

Proses

Profesionalisme

keperawatan

Peningkatan KebutuhanMasyarakat Akan Layanan

Kesehatan Berkualitas

L

o k a k a r y a

N a s i o n a l

K e

p e r a w a t a n

Analisis Teori danPenelitian Tentang

Metode AsuhanKeperawatan



Mengapa Perlu MetodePenugasan

4

Perawat

METODEPENUGASAN

Pasien

DerajatKesehatan

uarr

Kepuasa

n

AskepProfesional



Manajemen Asuhan Keperawatan

Profesional

Model Pelayanan untuk memberikan asuhankepada masyarakat secara optimal yang dapatmeningkatkan kualitas hidup masyarakat



6

KriteriaPemilihanModel

Tingkatketergantungan

pasien

Costly ndash effective

Kualitasasuhan ampkepuasankonsumen

Jumlah ampkwalitas

pelaksanaasuhan

Memberikankepuasankerja bagi

pelaksananya



Jenis MAKP

Case Method

Fungsional

Team Modular Alokasi Pasien

Primer

Case Management

MPKP

dll



CASE METHOD ndash TOTALCARE Berpusat pada clientpasien

Perawat bertanggung jawab untuk melakukan asuhansecara komprehensif terhadap satu atau sekelompok pasien

pada shift dinas tertentu

secara konsisten pasien dilayani oleh Perawat yang sama dalam satu periode shift dinas

Dibutuhkan level kompetensi yang tinggi daripelaksana asuhan

8



Case Method of Patient care for an

8-hour shift

Nurse 8hour

Patient



Functional Method 10

Orientasi pada jenistugas tertentu

Pendekatan iniefisien dalam arti

bull Semua jenis pekerjaanakan terkelola danterkontrol

bull Waktu pengerjaan lebihsingkat

bull Seseorang dengan jenistugas tertentu untuk jangka waktu lamaakan menjadi sangattrampil terhadap tugastsb

Dibutuhkan uraiankerja protap jelaskontrol terstruktur



Functionalhellip

Charge Nurse

LVN

PO Meds

RN

Treatmentsadminssion

RN

IV Meds

Unit of 30 Patients

NA

Vital Signs

NA

HygieneSupplies



Functionalhelliphellip

a Trampil utk tugas tertentu

b Mudah memperolehldquokepuasan kerjardquo tugasselesai

c Kekurangan staf ahli dapatdiganti dgn perawatterampil yg segera dapatdilatih

d Memudahkan utk pesertadidik yg belajarketrampilan

a Yankep terpilah-pilah

b Proses kep sulitdilaksanakan

c Selesai tugas perawatcenderung melakukantugas non keperawatan

d Perawat hanya melihattugas sbg ketrampilansemata

KeuntunganKerugian



Hal ndash hal yang harus

dipertimbangkan13

Pendekatan fungsional lebih menekankan teknik ndash proseduril TIDAK memperhatikan keberadaanklien secara utuh dan unik

Pelayanan terfragmentasi kesinambunganasuhan tidak terjamin

Ada kemungkinan jenis tugas tertentu tidakteridentifikasi sehingga luput dari perhatian staf



14

Tenaga kep profesional Ketua tim

asisten perawat

teknikal

Keuntungana Memfasilitasi yankep komprehensif

b Memungkinkan penerapan proses kep

c Konflik antar staf dpt dikurangi mll pre-conference

d Proses belajar dlm tim amp kembangkan hub interpersonal

Tim sekelompokklien

Team Nursing



Team

Kerugian

1 Pre-conference sulit dilakukan pada waktu-waktu sibuk

2 Perawat yg belum berpengalaman shg perludorongan berlatih

3 Akontabel dlm tim kurang jelas

15



Prinsip Team Nursing16

Suatu model asuhan yang dilaksanakan oleh suatu teamterhadap satu atau sekelompok klienpasien

Team dipimpin oleh seorang perawat yang secara klinis

kompeten mempunyai kemampuan yang baik dalamkomunikasi mengorganisasi dan memimpin

Dalam model ini team dapat terdiri dari pelaksana asuhandengan level kemampuan yang berbeda tetapi semua aktifitas

team harus terkoordinasi secara baik



Teamhellip 17

Semua anggota team harus paham terhadappermasalahan klien ndash intervensi dan dampaknya ndash karenanya dibutuhkan case conference

secara periodik dan berkesinambungan

Dalam proses asuhan dibutuhkankesinambungan antar team untuk setiap shiftdinas (P- S ndash M) Dokumentasi akurattimbang terima berbasis pasien



Untuk berfungsinya team dibutuhkanmekanisme dan elemen mendasar sbb

18

COMMITMENT

Hasil kinerja

Perkembangan

diri

Produk

kolektif

PSolving

Technical

Interpersonal

Specific GoalCommon approach

Meaningful purpose

Mutual

Klp Kecil

Individual



Team Nursing

Charge NurseRN

TeamLeader RN

RN LVN NA

TeamLeader RN

RN LVN NA

Group of

Patients

Group of

Patients



Metode Alokasi Pasien (Kron 1984)

Merupakan aplikasi metode tim

sekelompok perawat apapun kualifikasinya dgnpengetahuan amp ketrampilan bervariasi bertugas

merawat sekelompok klien dgn tingkatketergantungan bervariasi pula

Keuntungan amp kerugian hampir sama dengantim

20



Modular

Perawat profesional dan vokasional bekerjasama utk merawat sekelompok klien dari mulai masuk ruangrawat hingga pulang (tanggung jawab total)

Metode ini juga memerlukan perawat ygberpengetahuan luas dan trampil kemampuankepemimpinan baik

2-3 perawat utk 8-12 klien

Keuntungan amp Kerugian= gabungan tim dan primer

namun biaya lebih rendah daripada primer

21



Primary Nursing

Tenaga kep profesional 4-5 klien

Bertanggung jwb thd kondisi klien semuakebutuhan amp koordinasi dgn tim kes lain

Bertg-jwb mulai klien masuk sampai pulang

pada saat tidak bertugas PN lain bertindaksbg associate PN yg liburtdk jaga



Primary Nursing

Patient

Total patient care

24 Hrday

PRIMARY NURSE

Associate (days) whenprimary nurse is not

available

Associate (evenings)when primary nurse is

not available

Associate (nights)when primary nurse is

not available

Communicatewith supervisors

Consults withphysician or other

healthcare providers



++++++++++++++++++

++++

Increasedcommunication withphysician amp otherhealthcare providers

Increase patient rapport

Work with professionalstaff

Autonomy

Motivation

Holistic Care

PrimaryNurse

Advantages

Keuntungan



Kerugian

- - - - - - -- - - - - - -- - - - - - -

Costly for theagency

RN may not wait24-hour

responsibility

RN may beinexperienced amp

lack of autonomy

PrimaryNurse

Disadvantages



Communication channels regarding patient care

26

Physician

Head Nurse

Team Leader

TeamMember

Patient

PrimaryPhysicianPrimaryNurse

Team Nursing

Primary Nursing



Why would someone choose to be a

primary nurse

Primary Nursing affords the opportunity forprofessional nurses to gain personal andprofessional satisfaction by experiencing the

essence of nursing--a caring relationship withthe patient over time

Thats important in todays challenginghealthcare environment

It has found Primary Nursing maximizes theeducation art and skill of RNs

27



CASE MANAGEMENT

integrasi layanan kesehatan untuk klienpasiensecara individu atau kelompok

Team multidisiplin tanggung jawab secara

kolaboratif dalam Kajian kebutuhan Klien

Menetapkan Rencana Tindakan ndash Implementasi ndash Evaluasi

Dari saat Pasien diterima dirujuk dan ataudipulangkan

28



Dalam Case Management

Diperlukan

1 Case manager

untuk menjalankan fungsi koordinasi dankolaborasi

2 CriticalClinical pathway

Panduan alur penanganan pasien secaraterintegrasi mis CP pasien dengan Gaduhgelisah etc

29



Case Management

Nursing Administration

MedicalNurse CaseManagers

AllMedicalPatients

PediatricNurse CaseManagers

AllPediatricPatients

OB NurseCase

Managers

All OBPatients

TraumaNurse CareManagers

AllTraumaPatients



Alur penanganan pasien dengan helliphelliphelliphelliphelliphelliphelliphellip Nama helliphelliphelliphelliphelliphelliphelliphelliphelliphellip Tanggal Masuk helliphelliphelliphelliphelliphelliphelliphelliphelliphellip

Prediksi LOS helliphelliphelliphelliphelliphelliphellip

Langkah Penanganan Indikator Klinis Intervensi

Keterangan

1 Orientasi

2 Kajian awalPemeriksaan hellip

helliphellip

3 Terapi

4 Discharge PlanningIndikator pemulangan

Kebutuhan paska rawat

Penyiapan keluarga

5 Pemenuhan kebutuhan

Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)



Tujuan Pengembangan MPKP

Meningkatkan kualitas asuhan keperawatan melalui

penataan sistem pemberian asuhan keperawatan

baik struktur proses dan nilai-nilai yang diyakini

dalam pemberian asuhan keperawatan



Sejarah

Fakultas Ilmu Keperawatan UniversitaIndonesia dengan RSUPN CiptoMangunkusumo Jakarta di ruangan

penyakit dalam (juni 1996) Bulan Oktober 1999 diperluas ruangan

rawat bedah RSUPN Cipto MangunkusumoJakarta dan RS Persahabatan Jakarta



Pengertian MPKP

Sistem (struktur proses dan nilai-nilai profesional)

yang memungkinkan perawat profesional mengatur

pemberian asuhan keperawatan termasuk

lingkungan untuk menopang pemberian asuhankeperawatan tersebut



Jenis MPKP

Spesialis dan Doktoralkeperawatan Riset

Semua Tenaga minimal D3Keperawatan

Karu dan Ka Tim Ners Metode Tim Primer

Tenaga Spesialis Keperawatansbg Konsultan Bimbingan

RisetI Sp 10 PP

M t d M difik i K t



Metode Modifikasi Keperawatan

Primer

1 primer asuhan berkesinambungan tanggung jawab amp tanggung gugat

2 satu orang perawat profesional perawat

primer 3 Dalam Kep Primer hubungan profesional

dapat ditingkatkan profesi lainmemahamikondisi klien secara detail sehingga mampumelakukan hubungan kolaborasi secaraoptimal



4 Metode keperawatan primer tidak digunakansecara murni karena butuh jumlah Ners gtgt

5 Ketika jenis Tenaga berbeda metode tim

penting perawat dengan kemampuan yanglebih tinggi dapat mengarahkan danmembimbing perawat lain dibawah tanggung jawabnya

6 Metode tim tidak digunakan secara murni tanggung jawab asuhan keperawatanterfragmentasi pada berbagai anggota timsehingga sukar menunjukkan akuntabilitas

tenaga keperawatan

5 Patient Care



1 ProfessionalValue

4 ProfessionalRelationship

5 Patient CareDeliveryPILAR MPKP

Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient

Nurse ndash Other Team






Email irt_namosyahoocom

Hp 08122247799

Keperawatan Dasar FIKUnpad

Tim Pelatih ManajemenKeperawatan FIK-Unpad

Bidang Organisasi IPMMI

Alamat MargawangiEstate Jl Margakencana

IV No 92A Buah BatuBandun



Pendahuluan 3

Kepuasan Pasien


Proses

Profesionalisme

keperawatan



L

o k a k a r y a

N a s i o n a l

K e

p e r a w a t a n






4

Perawat

METODEPENUGASAN

Pasien

DerajatKesehatan

uarr

Kepuasa

n

AskepProfesional




Profesional




6



pasien



Jumlah ampkwalitas

pelaksanaasuhan


pelaksananya



Jenis MAKP

Case Method

Fungsional


Primer

Case Management

MPKP

dll








8




8-hour shift

Nurse 8hour

Patient












Functionalhellip

Charge Nurse

LVN

PO Meds

RN


RN

IV Meds

Unit of 30 Patients

NA

Vital Signs

NA

HygieneSupplies












KeuntunganKerugian




dipertimbangkan13






14


asisten perawat

teknikal





Tim sekelompokklien

Team Nursing



Team

Kerugian




15











Teamhellip 17







18

COMMITMENT

Hasil kinerja

Perkembangan

diri

Produk

kolektif

PSolving

Technical

Interpersonal


Meaningful purpose

Mutual

Klp Kecil

Individual



Team Nursing

Charge NurseRN

TeamLeader RN

RN LVN NA

TeamLeader RN

RN LVN NA

Group of

Patients

Group of

Patients








20



Modular






21



Primary Nursing







Primary Nursing

Patient

Total patient care

24 Hrday

PRIMARY NURSE


available


not available


not available






++++++++++++++++++

++++




Autonomy

Motivation

Holistic Care

PrimaryNurse

Advantages

Keuntungan



Kerugian

- - - - - - -- - - - - - -- - - - - - -



responsibility


lack of autonomy

PrimaryNurse

Disadvantages




26

Physician

Head Nurse

Team Leader

TeamMember

Patient


Team Nursing

Primary Nursing




primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient






Pendahuluan 3

Kepuasan Pasien


Proses

Profesionalisme

keperawatan



L

o k a k a r y a

N a s i o n a l

K e

p e r a w a t a n






4

Perawat

METODEPENUGASAN

Pasien

DerajatKesehatan

uarr

Kepuasa

n

AskepProfesional




Profesional




6



pasien



Jumlah ampkwalitas

pelaksanaasuhan


pelaksananya



Jenis MAKP

Case Method

Fungsional


Primer

Case Management

MPKP

dll








8




8-hour shift

Nurse 8hour

Patient












Functionalhellip

Charge Nurse

LVN

PO Meds

RN


RN

IV Meds

Unit of 30 Patients

NA

Vital Signs

NA

HygieneSupplies












KeuntunganKerugian




dipertimbangkan13






14


asisten perawat

teknikal





Tim sekelompokklien

Team Nursing



Team

Kerugian




15











Teamhellip 17







18

COMMITMENT

Hasil kinerja

Perkembangan

diri

Produk

kolektif

PSolving

Technical

Interpersonal


Meaningful purpose

Mutual

Klp Kecil

Individual



Team Nursing

Charge NurseRN

TeamLeader RN

RN LVN NA

TeamLeader RN

RN LVN NA

Group of

Patients

Group of

Patients








20



Modular






21



Primary Nursing







Primary Nursing

Patient

Total patient care

24 Hrday

PRIMARY NURSE


available


not available


not available






++++++++++++++++++

++++




Autonomy

Motivation

Holistic Care

PrimaryNurse

Advantages

Keuntungan



Kerugian

- - - - - - -- - - - - - -- - - - - - -



responsibility


lack of autonomy

PrimaryNurse

Disadvantages




26

Physician

Head Nurse

Team Leader

TeamMember

Patient


Team Nursing

Primary Nursing




primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient







4

Perawat

METODEPENUGASAN

Pasien

DerajatKesehatan

uarr

Kepuasa

n

AskepProfesional




Profesional




6



pasien



Jumlah ampkwalitas

pelaksanaasuhan


pelaksananya



Jenis MAKP

Case Method

Fungsional


Primer

Case Management

MPKP

dll








8




8-hour shift

Nurse 8hour

Patient












Functionalhellip

Charge Nurse

LVN

PO Meds

RN


RN

IV Meds

Unit of 30 Patients

NA

Vital Signs

NA

HygieneSupplies












KeuntunganKerugian




dipertimbangkan13






14


asisten perawat

teknikal





Tim sekelompokklien

Team Nursing



Team

Kerugian




15











Teamhellip 17







18

COMMITMENT

Hasil kinerja

Perkembangan

diri

Produk

kolektif

PSolving

Technical

Interpersonal


Meaningful purpose

Mutual

Klp Kecil

Individual



Team Nursing

Charge NurseRN

TeamLeader RN

RN LVN NA

TeamLeader RN

RN LVN NA

Group of

Patients

Group of

Patients








20



Modular






21



Primary Nursing







Primary Nursing

Patient

Total patient care

24 Hrday

PRIMARY NURSE


available


not available


not available






++++++++++++++++++

++++




Autonomy

Motivation

Holistic Care

PrimaryNurse

Advantages

Keuntungan



Kerugian

- - - - - - -- - - - - - -- - - - - - -



responsibility


lack of autonomy

PrimaryNurse

Disadvantages




26

Physician

Head Nurse

Team Leader

TeamMember

Patient


Team Nursing

Primary Nursing




primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient







Profesional




6



pasien



Jumlah ampkwalitas

pelaksanaasuhan


pelaksananya



Jenis MAKP

Case Method

Fungsional


Primer

Case Management

MPKP

dll








8




8-hour shift

Nurse 8hour

Patient












Functionalhellip

Charge Nurse

LVN

PO Meds

RN


RN

IV Meds

Unit of 30 Patients

NA

Vital Signs

NA

HygieneSupplies












KeuntunganKerugian




dipertimbangkan13






14


asisten perawat

teknikal





Tim sekelompokklien

Team Nursing



Team

Kerugian




15











Teamhellip 17







18

COMMITMENT

Hasil kinerja

Perkembangan

diri

Produk

kolektif

PSolving

Technical

Interpersonal


Meaningful purpose

Mutual

Klp Kecil

Individual



Team Nursing

Charge NurseRN

TeamLeader RN

RN LVN NA

TeamLeader RN

RN LVN NA

Group of

Patients

Group of

Patients








20



Modular






21



Primary Nursing







Primary Nursing

Patient

Total patient care

24 Hrday

PRIMARY NURSE


available


not available


not available






++++++++++++++++++

++++




Autonomy

Motivation

Holistic Care

PrimaryNurse

Advantages

Keuntungan



Kerugian

- - - - - - -- - - - - - -- - - - - - -



responsibility


lack of autonomy

PrimaryNurse

Disadvantages




26

Physician

Head Nurse

Team Leader

TeamMember

Patient


Team Nursing

Primary Nursing




primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient






6



pasien



Jumlah ampkwalitas

pelaksanaasuhan


pelaksananya



Jenis MAKP

Case Method

Fungsional


Primer

Case Management

MPKP

dll








8




8-hour shift

Nurse 8hour

Patient












Functionalhellip

Charge Nurse

LVN

PO Meds

RN


RN

IV Meds

Unit of 30 Patients

NA

Vital Signs

NA

HygieneSupplies












KeuntunganKerugian




dipertimbangkan13






14


asisten perawat

teknikal





Tim sekelompokklien

Team Nursing



Team

Kerugian




15











Teamhellip 17







18

COMMITMENT

Hasil kinerja

Perkembangan

diri

Produk

kolektif

PSolving

Technical

Interpersonal


Meaningful purpose

Mutual

Klp Kecil

Individual



Team Nursing

Charge NurseRN

TeamLeader RN

RN LVN NA

TeamLeader RN

RN LVN NA

Group of

Patients

Group of

Patients








20



Modular






21



Primary Nursing







Primary Nursing

Patient

Total patient care

24 Hrday

PRIMARY NURSE


available


not available


not available






++++++++++++++++++

++++




Autonomy

Motivation

Holistic Care

PrimaryNurse

Advantages

Keuntungan



Kerugian

- - - - - - -- - - - - - -- - - - - - -



responsibility


lack of autonomy

PrimaryNurse

Disadvantages




26

Physician

Head Nurse

Team Leader

TeamMember

Patient


Team Nursing

Primary Nursing




primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient






Jenis MAKP

Case Method

Fungsional


Primer

Case Management

MPKP

dll








8




8-hour shift

Nurse 8hour

Patient












Functionalhellip

Charge Nurse

LVN

PO Meds

RN


RN

IV Meds

Unit of 30 Patients

NA

Vital Signs

NA

HygieneSupplies












KeuntunganKerugian




dipertimbangkan13






14


asisten perawat

teknikal





Tim sekelompokklien

Team Nursing



Team

Kerugian




15











Teamhellip 17







18

COMMITMENT

Hasil kinerja

Perkembangan

diri

Produk

kolektif

PSolving

Technical

Interpersonal


Meaningful purpose

Mutual

Klp Kecil

Individual



Team Nursing

Charge NurseRN

TeamLeader RN

RN LVN NA

TeamLeader RN

RN LVN NA

Group of

Patients

Group of

Patients








20



Modular






21



Primary Nursing







Primary Nursing

Patient

Total patient care

24 Hrday

PRIMARY NURSE


available


not available


not available






++++++++++++++++++

++++




Autonomy

Motivation

Holistic Care

PrimaryNurse

Advantages

Keuntungan



Kerugian

- - - - - - -- - - - - - -- - - - - - -



responsibility


lack of autonomy

PrimaryNurse

Disadvantages




26

Physician

Head Nurse

Team Leader

TeamMember

Patient


Team Nursing

Primary Nursing




primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient











8




8-hour shift

Nurse 8hour

Patient












Functionalhellip

Charge Nurse

LVN

PO Meds

RN


RN

IV Meds

Unit of 30 Patients

NA

Vital Signs

NA

HygieneSupplies












KeuntunganKerugian




dipertimbangkan13






14


asisten perawat

teknikal





Tim sekelompokklien

Team Nursing



Team

Kerugian




15











Teamhellip 17







18

COMMITMENT

Hasil kinerja

Perkembangan

diri

Produk

kolektif

PSolving

Technical

Interpersonal


Meaningful purpose

Mutual

Klp Kecil

Individual



Team Nursing

Charge NurseRN

TeamLeader RN

RN LVN NA

TeamLeader RN

RN LVN NA

Group of

Patients

Group of

Patients








20



Modular






21



Primary Nursing







Primary Nursing

Patient

Total patient care

24 Hrday

PRIMARY NURSE


available


not available


not available






++++++++++++++++++

++++




Autonomy

Motivation

Holistic Care

PrimaryNurse

Advantages

Keuntungan



Kerugian

- - - - - - -- - - - - - -- - - - - - -



responsibility


lack of autonomy

PrimaryNurse

Disadvantages




26

Physician

Head Nurse

Team Leader

TeamMember

Patient


Team Nursing

Primary Nursing




primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient







8-hour shift

Nurse 8hour

Patient












Functionalhellip

Charge Nurse

LVN

PO Meds

RN


RN

IV Meds

Unit of 30 Patients

NA

Vital Signs

NA

HygieneSupplies












KeuntunganKerugian




dipertimbangkan13






14


asisten perawat

teknikal





Tim sekelompokklien

Team Nursing



Team

Kerugian




15











Teamhellip 17







18

COMMITMENT

Hasil kinerja

Perkembangan

diri

Produk

kolektif

PSolving

Technical

Interpersonal


Meaningful purpose

Mutual

Klp Kecil

Individual



Team Nursing

Charge NurseRN

TeamLeader RN

RN LVN NA

TeamLeader RN

RN LVN NA

Group of

Patients

Group of

Patients








20



Modular






21



Primary Nursing







Primary Nursing

Patient

Total patient care

24 Hrday

PRIMARY NURSE


available


not available


not available






++++++++++++++++++

++++




Autonomy

Motivation

Holistic Care

PrimaryNurse

Advantages

Keuntungan



Kerugian

- - - - - - -- - - - - - -- - - - - - -



responsibility


lack of autonomy

PrimaryNurse

Disadvantages




26

Physician

Head Nurse

Team Leader

TeamMember

Patient


Team Nursing

Primary Nursing




primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient















Functionalhellip

Charge Nurse

LVN

PO Meds

RN


RN

IV Meds

Unit of 30 Patients

NA

Vital Signs

NA

HygieneSupplies












KeuntunganKerugian




dipertimbangkan13






14


asisten perawat

teknikal





Tim sekelompokklien

Team Nursing



Team

Kerugian




15











Teamhellip 17







18

COMMITMENT

Hasil kinerja

Perkembangan

diri

Produk

kolektif

PSolving

Technical

Interpersonal


Meaningful purpose

Mutual

Klp Kecil

Individual



Team Nursing

Charge NurseRN

TeamLeader RN

RN LVN NA

TeamLeader RN

RN LVN NA

Group of

Patients

Group of

Patients








20



Modular






21



Primary Nursing







Primary Nursing

Patient

Total patient care

24 Hrday

PRIMARY NURSE


available


not available


not available






++++++++++++++++++

++++




Autonomy

Motivation

Holistic Care

PrimaryNurse

Advantages

Keuntungan



Kerugian

- - - - - - -- - - - - - -- - - - - - -



responsibility


lack of autonomy

PrimaryNurse

Disadvantages




26

Physician

Head Nurse

Team Leader

TeamMember

Patient


Team Nursing

Primary Nursing




primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient















KeuntunganKerugian




dipertimbangkan13






14


asisten perawat

teknikal





Tim sekelompokklien

Team Nursing



Team

Kerugian




15











Teamhellip 17







18

COMMITMENT

Hasil kinerja

Perkembangan

diri

Produk

kolektif

PSolving

Technical

Interpersonal


Meaningful purpose

Mutual

Klp Kecil

Individual



Team Nursing

Charge NurseRN

TeamLeader RN

RN LVN NA

TeamLeader RN

RN LVN NA

Group of

Patients

Group of

Patients








20



Modular






21



Primary Nursing







Primary Nursing

Patient

Total patient care

24 Hrday

PRIMARY NURSE


available


not available


not available






++++++++++++++++++

++++




Autonomy

Motivation

Holistic Care

PrimaryNurse

Advantages

Keuntungan



Kerugian

- - - - - - -- - - - - - -- - - - - - -



responsibility


lack of autonomy

PrimaryNurse

Disadvantages




26

Physician

Head Nurse

Team Leader

TeamMember

Patient


Team Nursing

Primary Nursing




primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient







dipertimbangkan13






14


asisten perawat

teknikal





Tim sekelompokklien

Team Nursing



Team

Kerugian




15











Teamhellip 17







18

COMMITMENT

Hasil kinerja

Perkembangan

diri

Produk

kolektif

PSolving

Technical

Interpersonal


Meaningful purpose

Mutual

Klp Kecil

Individual



Team Nursing

Charge NurseRN

TeamLeader RN

RN LVN NA

TeamLeader RN

RN LVN NA

Group of

Patients

Group of

Patients








20



Modular






21



Primary Nursing







Primary Nursing

Patient

Total patient care

24 Hrday

PRIMARY NURSE


available


not available


not available






++++++++++++++++++

++++




Autonomy

Motivation

Holistic Care

PrimaryNurse

Advantages

Keuntungan



Kerugian

- - - - - - -- - - - - - -- - - - - - -



responsibility


lack of autonomy

PrimaryNurse

Disadvantages




26

Physician

Head Nurse

Team Leader

TeamMember

Patient


Team Nursing

Primary Nursing




primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient






14


asisten perawat

teknikal





Tim sekelompokklien

Team Nursing



Team

Kerugian




15











Teamhellip 17







18

COMMITMENT

Hasil kinerja

Perkembangan

diri

Produk

kolektif

PSolving

Technical

Interpersonal


Meaningful purpose

Mutual

Klp Kecil

Individual



Team Nursing

Charge NurseRN

TeamLeader RN

RN LVN NA

TeamLeader RN

RN LVN NA

Group of

Patients

Group of

Patients








20



Modular






21



Primary Nursing







Primary Nursing

Patient

Total patient care

24 Hrday

PRIMARY NURSE


available


not available


not available






++++++++++++++++++

++++




Autonomy

Motivation

Holistic Care

PrimaryNurse

Advantages

Keuntungan



Kerugian

- - - - - - -- - - - - - -- - - - - - -



responsibility


lack of autonomy

PrimaryNurse

Disadvantages




26

Physician

Head Nurse

Team Leader

TeamMember

Patient


Team Nursing

Primary Nursing




primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient






Team

Kerugian




15











Teamhellip 17







18

COMMITMENT

Hasil kinerja

Perkembangan

diri

Produk

kolektif

PSolving

Technical

Interpersonal


Meaningful purpose

Mutual

Klp Kecil

Individual



Team Nursing

Charge NurseRN

TeamLeader RN

RN LVN NA

TeamLeader RN

RN LVN NA

Group of

Patients

Group of

Patients








20



Modular






21



Primary Nursing







Primary Nursing

Patient

Total patient care

24 Hrday

PRIMARY NURSE


available


not available


not available






++++++++++++++++++

++++




Autonomy

Motivation

Holistic Care

PrimaryNurse

Advantages

Keuntungan



Kerugian

- - - - - - -- - - - - - -- - - - - - -



responsibility


lack of autonomy

PrimaryNurse

Disadvantages




26

Physician

Head Nurse

Team Leader

TeamMember

Patient


Team Nursing

Primary Nursing




primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient














Teamhellip 17







18

COMMITMENT

Hasil kinerja

Perkembangan

diri

Produk

kolektif

PSolving

Technical

Interpersonal


Meaningful purpose

Mutual

Klp Kecil

Individual



Team Nursing

Charge NurseRN

TeamLeader RN

RN LVN NA

TeamLeader RN

RN LVN NA

Group of

Patients

Group of

Patients








20



Modular






21



Primary Nursing







Primary Nursing

Patient

Total patient care

24 Hrday

PRIMARY NURSE


available


not available


not available






++++++++++++++++++

++++




Autonomy

Motivation

Holistic Care

PrimaryNurse

Advantages

Keuntungan



Kerugian

- - - - - - -- - - - - - -- - - - - - -



responsibility


lack of autonomy

PrimaryNurse

Disadvantages




26

Physician

Head Nurse

Team Leader

TeamMember

Patient


Team Nursing

Primary Nursing




primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient







18

COMMITMENT

Hasil kinerja

Perkembangan

diri

Produk

kolektif

PSolving

Technical

Interpersonal


Meaningful purpose

Mutual

Klp Kecil

Individual



Team Nursing

Charge NurseRN

TeamLeader RN

RN LVN NA

TeamLeader RN

RN LVN NA

Group of

Patients

Group of

Patients








20



Modular






21



Primary Nursing







Primary Nursing

Patient

Total patient care

24 Hrday

PRIMARY NURSE


available


not available


not available






++++++++++++++++++

++++




Autonomy

Motivation

Holistic Care

PrimaryNurse

Advantages

Keuntungan



Kerugian

- - - - - - -- - - - - - -- - - - - - -



responsibility


lack of autonomy

PrimaryNurse

Disadvantages




26

Physician

Head Nurse

Team Leader

TeamMember

Patient


Team Nursing

Primary Nursing




primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient






Team Nursing

Charge NurseRN

TeamLeader RN

RN LVN NA

TeamLeader RN

RN LVN NA

Group of

Patients

Group of

Patients








20



Modular






21



Primary Nursing







Primary Nursing

Patient

Total patient care

24 Hrday

PRIMARY NURSE


available


not available


not available






++++++++++++++++++

++++




Autonomy

Motivation

Holistic Care

PrimaryNurse

Advantages

Keuntungan



Kerugian

- - - - - - -- - - - - - -- - - - - - -



responsibility


lack of autonomy

PrimaryNurse

Disadvantages




26

Physician

Head Nurse

Team Leader

TeamMember

Patient


Team Nursing

Primary Nursing




primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient











20



Modular






21



Primary Nursing







Primary Nursing

Patient

Total patient care

24 Hrday

PRIMARY NURSE


available


not available


not available






++++++++++++++++++

++++




Autonomy

Motivation

Holistic Care

PrimaryNurse

Advantages

Keuntungan



Kerugian

- - - - - - -- - - - - - -- - - - - - -



responsibility


lack of autonomy

PrimaryNurse

Disadvantages




26

Physician

Head Nurse

Team Leader

TeamMember

Patient


Team Nursing

Primary Nursing




primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient






Modular






21



Primary Nursing







Primary Nursing

Patient

Total patient care

24 Hrday

PRIMARY NURSE


available


not available


not available






++++++++++++++++++

++++




Autonomy

Motivation

Holistic Care

PrimaryNurse

Advantages

Keuntungan



Kerugian

- - - - - - -- - - - - - -- - - - - - -



responsibility


lack of autonomy

PrimaryNurse

Disadvantages




26

Physician

Head Nurse

Team Leader

TeamMember

Patient


Team Nursing

Primary Nursing




primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient






Primary Nursing







Primary Nursing

Patient

Total patient care

24 Hrday

PRIMARY NURSE


available


not available


not available






++++++++++++++++++

++++




Autonomy

Motivation

Holistic Care

PrimaryNurse

Advantages

Keuntungan



Kerugian

- - - - - - -- - - - - - -- - - - - - -



responsibility


lack of autonomy

PrimaryNurse

Disadvantages




26

Physician

Head Nurse

Team Leader

TeamMember

Patient


Team Nursing

Primary Nursing




primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient






Primary Nursing

Patient

Total patient care

24 Hrday

PRIMARY NURSE


available


not available


not available






++++++++++++++++++

++++




Autonomy

Motivation

Holistic Care

PrimaryNurse

Advantages

Keuntungan



Kerugian

- - - - - - -- - - - - - -- - - - - - -



responsibility


lack of autonomy

PrimaryNurse

Disadvantages




26

Physician

Head Nurse

Team Leader

TeamMember

Patient


Team Nursing

Primary Nursing




primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient






++++++++++++++++++

++++




Autonomy

Motivation

Holistic Care

PrimaryNurse

Advantages

Keuntungan



Kerugian

- - - - - - -- - - - - - -- - - - - - -



responsibility


lack of autonomy

PrimaryNurse

Disadvantages




26

Physician

Head Nurse

Team Leader

TeamMember

Patient


Team Nursing

Primary Nursing




primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient






Kerugian

- - - - - - -- - - - - - -- - - - - - -



responsibility


lack of autonomy

PrimaryNurse

Disadvantages




26

Physician

Head Nurse

Team Leader

TeamMember

Patient


Team Nursing

Primary Nursing




primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient







26

Physician

Head Nurse

Team Leader

TeamMember

Patient


Team Nursing

Primary Nursing




primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient







primary nurse





27



CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient






CASE MANAGEMENT






28




Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient







Diperlukan

1 Case manager




29



Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient






Case Management



AllMedicalPatients



OB NurseCase

Managers

All OBPatients


AllTraumaPatients






Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient









Keterangan

1 Orientasi


helliphellip

3 Terapi



Penyiapan keluarga


Dasar

31





MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient








MPKP

ModelPelayanan

Fragmentasi

MPKP

Sitorus (1998)










Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient













Sejarah






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient






Pengertian MPKP







Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient






Jenis MPKP





RisetI Sp 10 PP

M t d M difik i K t




Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient







Primer











tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient










tenaga keperawatan

5 Patient Care



1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient






1 ProfessionalValue



Caring

Relationships

Actuating

Physical Facilities

Controlling

Organizin g

Planning

Nurse - Patient




MAKP

Documents

Transcript of MAKP