PERAN PERAWAT SEBAGAICHANGE AGENT

By.Nursalam

ROLE OF THE PROFESSIONAL NURSEROLE OF THE PROFESSIONAL NURSE

ELEMENT

PATIENT ADVOCATE

CHANGE AGENT CONSULTANT

INTERPERSONAL PROCESS

EDUCATORCOLLABORATOR

CARE GIVER

CONSELORCOORDINATOR

TANTANGAN TANTANGAN DIDIERA GLOBALERA GLOBAL

MAMPU MERUBAH MINDSET

1. MAMPU MENGELOLA PERUBAHAN (MANAGEMENT OF CHANGES)

2. BEKERJASAMA DENGAN STAKEHOLDER YANG LAIN DALAM MENINGKATKAN KEMAMPUAN BERSAING

3. REORIENTASI STATUS (ALAT PRODUKSI PRODUSEN INVESTOR)

(*)

4. MENINGKATKAN NILAI ASET DALAM SKENARIO ASET (RUMAH-SAKIT, PENDK)

PASIEN

Widodo JP’2004

WHY WE NEED TOWHY WE NEED TOCHANGE?CHANGE?

The time are changed and we arechanged within them

“Perawat dan keperawatan menghadapi danberada dalam perubahan / proses berubah”

Society and its institutions are faced with a needfor change and not merely to react to change

(Basil & Cook, 1974)

Future NursesTomorrow’s nurses must rely on a strong dan diverse

knowledge base.

Our time has come. The opportunity is ours toreposition nursing as a powerful and essential force

in this changed environment: opportunity that isunchallenged remains dormant and useless. Nursing

must take its opportunity with courage and clearvision for future role and potential for making a moajor

positive impact on the health and well-being of thenations’s people …. (Strickland & Fishman – Nursing

Issues)

T E A MT = TOGETHERE = EVERYONE

A = ACCEPTM = MORE

CYCLE OF CHANGE & EFFECT?

C1: CONSUMER - PATIENTS / COMMUNITY - STUDENTS

C2: COMPANY C3:COMPETITORS- HOSPITAL- PSIK (PTN/S, STIKES) NURSES, AKPER, OTHERS

C4: CHANGECHANCE - CHALLENGING / TREATENED

•GLOBALE ISSUES

• MALPRACTICE

PELUANG KE DEPAN

MENGANTARKAN PENDAKIGUNUNG SAMPAI KE DUSUN

TERAKHIR SEBELUM PENDAKIAN

APA UPAYA MENGHADAPI PERSAINGAN?

JANGAN HANYAMEGNHANTARKAN KE

DEPAN PINTU GERBANGSAJA!

BAGAIMANA PERAWATBAGAIMANA PERAWAT SBGSBGAKTORAKTOR

CHANGE AGENT?CHANGE AGENT?

BERJUANG DGN -ITS

SAMAKANVISI

VISI KITA

Nursalam-08

SAMAKAN VISI PERAWATSAMAKAN VISI PERAWATSBG CHANGE AGENTSBG CHANGE AGENT

sikap positif belajar mandiri motivasi (visi diri) mind set - keterbukaan DON’T EXPECT TO MUCH POSTPHONE HAPPINESS

MELAKUKAN HAL YANG SAMA BERULANG-ULANGDan

MENGHARAPKAN HASILNYA BERBEDA

Perlu ada perubahan dalam cara berfikir dan bertindakPerlu dicari kunci yang SESUAI untuk meningkatkanMUTU KEPERAWATAN DI INDONESIA

LINGKUP KEGIATAN DLMLINGKUP KEGIATAN DLMCHANGE AGENTCHANGE AGENT

??

PRAKTIK DAN PELAYANAN

PENDIDIKAN

ILMU KEPERAWATAN – RISET

ORGANISASI PROFESI

11C-AC-A

PRAKTIK DAN PELAYANANPRAKTIK DAN PELAYANAN

1.1 PRAKTIK KEPERAWATAN1.1 PRAKTIK KEPERAWATANA. MODEL ASUHANA. MODEL ASUHAN KEPERAWATAN KEPERAWATAN …… ? ?B. B. UU UU ––PRAKTIKPRAKTIK PERAWAT! PERAWAT!

Aims

♦ Improve quality of nursing care

♦ Streamline and facilitate co-ordination of care

♦ Facilitate effective discharge planning and patient

education

♦ Manage and optimize patient length of stay

♦ Improve communication process

MANAGING NURSING CAREDELIVERY SYSTEMMODEL MAKPWard-Based Case Management

Standar :KebijakanInstitusi/Nas

Proses Kep. :- Pengkajian- Perencanaan- Intervensi- Evaluasi

Pendidikan Klien- Pencegahan peny.- Mempertahan- Informed consert- Rencana pulang

Sistem MAKP- Fungsional- Tim- Primer- Modular- Modifikasi

HUBUNGAN ANTARA KE 4 UNSUR DALAMPENERAPANAN MODEL MAKP

1. PENERAPAN MAKP2. TIMBANG TERIMA3. RONDE KEPERAWATAN4. PENGELOLAAN LOGISTIK & OBAT5. DISCHARGE PLANNING6. SUPERVISI7. DOKUMENTASI

FOKUS - MAKP

ASPEK ETIK Sistem Etik Azas EtikKode Etik

ASPEK HUKUM UU No. 23 Tahun 1992 PP No. 32 Tahun 1996 KEP MENKES No. 1239 Tahun 2001* UU PRAKTIK?

PK I

PK II

PK V

PK IV

PK III

1.3 PENATAAN

PENJENJANGAN KARIERPENJENJANGAN KARIR

1. PERAWAT KLINIK (PK)

2. PERAWAT MANAJER (PM)

3. PERAWAT PENDIDIK (PP)

4. PERAWAT PENELITI RISET (PR)

SYARAT PENJENJANGAN KARIER PK

1. PENDIDIKAN MIN. DIII KEP

2. PENGALAMAN KERJA

3. PROGRAM SERTIFIKASI

4. UJI KOMPETENSI NAS

5. PENATAAN REWARD SYSTEM

1.4 ROLE1.4 ROLE C C AA RR EEC = Communication

A = Activity (Pattients’ Need )

R = Responsiveness(ETHIC & LEGAL)

E = Education /ENTERPREUNER

Smile and behappy whileyou can, lifewill go on…Ha Ha Ha

!!!

C:COMMUNICATION

A: ACTIVITY,A: ACTIVITY,EXCELLENCE SKILLSEXCELLENCE SKILLS

RRRESPONSIVENESSRESPONSIVENESS

LEGAL ASPECT

1. UU-KES 23/1992

2. KEPMENKES 1239/2001

ETHICAL ASPECT

1. KODE ETIK PPNI

2. PRINSIP ETIK

NILAI MORAL DANBUDAYA

SOFT SKILLS NERS TanggungTanggung jawabjawab dandan TanggungTanggung

gugat:SSgugat:SS Empati:SSEmpati:SS BerfikirBerfikir kritis:HSkritis:HS & SS & SS Disiplin:SSDisiplin:SS Leadership:HSLeadership:HS & SS & SS KreativitasKreativitas dandan inovatif:HSinovatif:HS & &

SSSS Inisiatif:SSInisiatif:SS KomunikatifKomunikatif: HS & SS: HS & SS Team work: HS & SSTeam work: HS & SSAntusiasAntusias: SS: SSAsertifAsertif: SS: SSTanggapTanggap: SS: SS

Berdedikasi:SSBerdedikasi:SSTelitiTeliti: SS: SSPercayaPercaya diridiri: SS: SSBerperilakuBerperilaku etisetis: SS: SSProblem solving: HS & SSProblem solving: HS & SSEntrepreneurship HS & SSEntrepreneurship HS & SSMenghargaiMenghargai hasilhasil karyakarya orangorang lain: lain:

SSSSAltruistikAltruistik: SS: SSLifelong Lifelong learning:SSlearning:SSDecision making Decision making dalamdalam ASKEP ASKEPConscienceConscienceRisk takingRisk taking

Nursalam-08

SoftskillSoftskill

E: E: EDUCATIONEDUCATIONThe Power To Make AThe Power To Make A

Difference!Difference!

22C - AC - A

PENDIDIKANPENDIDIKAN

PENATAAN SISTEM PEND. TINGGIPENATAAN SISTEM PEND. TINGGI

KEPERAWATANKEPERAWATAN

A. KOMPETENSI

B. POLA

C. REGULASI

D. KUALITAS SDM (PENGAJAR)

E. FASILITAS PEMBELAJARAN

F. METODE (AKADEMIK – PROFESI)

How Education is Changed

DoingEmphasisTheoryFlexibleClassesProgrammedLearning toolsMistakesFearedGeneratorsStudentsPassiveFacilitatorLeadershipExpertWho & HowExpectationsWhatStudentOwnershipTeacherProcessFokusContent

New EntrepreneurialEducation

Old IndustrialEducation

BACA

INGGRIS

KOMPUTER

PEMBEKALAN KOMPETENSIPEMBEKALAN KOMPETENSIKHUSUS KHUSUS –– BERSAING BERSAING

1.STANDAR PRAKTIK– INTERNATIONAL(VIA PENGALAMAN PRAKTIK – RS?)

2.BAHASA ASING (MINIMAL – ENGLISH);ARAB, MANDARIN, JEPANG,PERANCIS)

3.TRANSCULTURAL?

4.ASUHAN KEPERAWATAN KHUSUS (i.e.KRITIS; HIV; HOME CARE;, DLL)

PERSIAPKANPERSIAPKAN

1.NETWORKING DGN STAKEHOLDER

2.HASIL UJI – TOEFL & IELTS DLL

3.PRACTICE – ENCILEX (NURSING EXAM)

3 3 C-AC-ASAINS DANSAINS DANTEKNOLOGITEKNOLOGI

(RISET)(RISET)

PENGEMBANGAN ILMU KEPERAWATAN - RISET

HOW TO APPLY IN CARING

LEARNING PROCESS

Stress PERCEPTION

(-)

RESP. BIOLOGICAL

HPA-AXIS (cortisol -)

Induce Immune response

Immune responseModulation

)

MODEL ofCARING

ADAPTATION

COPING(+)

-Utilizing sos. Support-Looking for silver Lining-Acceptance-Rasionalisation

CARE

44C-AC-A

PERAN ORGANISASIPROFESI (PPNI) YANG

OPTIMAL DLM SISTEMKESEHATAN NASIONAL

CAPTURINGCAPTURINGCONSUMERCONSUMER’’S MINDS MIND

DOCTOR

BRAND

SERVICE

POSITIONING/PROCESS

NURSES OTHERS HEALTH PROFESSION

KESIMPULAN

CHANGE AGENTCHANGE AGENTKOREK KOREK APIAPI

KOREK: (Kolektivitas, PengOrganisasian, Re-tail, Efisien & Efektif, Komitmen)

A P I”A = AKTUALITAS

P = PRODUKTIFITAS

I = INOVATIF

HARUS KUWATHARUS KUWATK= KEMAUANU= UANGW= WAKTUA= ALAT –SARANAT= TENAGA (KUALITAS & KUANTITAS)

GOOD LUCK!GOOD LUCK!

“You don’t have to be great to get started, butyou have to get started to be great”

--------- Les Brown ----------