Ikatan Dokter Anak Indonesia
Indonesian Pediatrics Society

Pemahaman Perawat Mengenai Medication Safety Practice (MSP) di Bangsal Perawatan Kanker Anak RSUP Dr. Sardjito

Sri Mulatsih, Iwan Dwiprahasto, Sutaryo
Abstrak

Latar belakang. Prosedur aman pemberian obat (medication safety practice/MSP), khususnya kemoterapi, dari sudut pandang manajemen sangat penting dikaji dengan harap luaran yang lebih baik pada pasien kanker anak.
Tujuan. Mengetahui pemahaman perawat terhadap MSP pada pemberian kemoterapi untuk pasien kanker anak dengan LLA di RSUP Dr. Sardjito
Metode. Dilakukan penelitian dengan rancang bangun pra dan pasca kuasi eksperimental. Subjek adalah perawat yang melakukan pelayanan pasien kanker anak. Intervensi berupa sosialisasi kebijakan, buku panduan, dan pelatihan MSP. Diukur luaran tingkat pemahaman perawat sebelum dan sesudah intervensi dengan menggunakan kuesioner.
Hasil. Tidak ada perbedaan karakteristik subjek (24 pra dan 23 pasca intervensi). Dibandingkan pra intervensi, pada pasca intervensi didapatkan peningkatan jumlah perawat yang mendapat materi MSP (82% vs 46%, p=0,027), pemahaman MSP (87% vs 42%), dan implementasi MSP (100% vs 71%, p=0,019). Pasca intervensi juga didapatkan peningkatan tindakan identifikasi pasien, prinsip 6 benar cara pemberian obat, perencanaan pemberian dan peresepan kemoterapi sesuai protokol, penggunaan formulir pemesanan dan peresepan obat kempoterapi yang standar, dan labelisasi obat kemoterapi yang standar.
Kesimpulan. Pemahaman perawat mengenai MSP meningkat setelah dilakukan pelatihan dan sosialisasi buku pedoman. Implementasi MSP mengalami peningkatan di beberapa jenis tindakan, namun masih diperlukan peningkatan pemahaman khususnya pengertian MSP dan jenis tindakan MSP. Diperlukan metoda pelatihan yang lebih spesifik untuk meningkatkan pemahaman MSP khususnya perawat. Sari Pediatri 2016; 17(6):463-8.

 

Nurse’s Understanding about Medication Safety Practice (MSP) at Childhood Cancer Care Ward at Dr. Sardjito Hospital, Yogyakarta, Indonesia

Background. Safety procedures in the administration of drugs (medication safety practices/MSP) particularly for chemotherapy when viewed from the management standpoint are very important to be studied, for better outcomes for pediatric cancer patients.
Methods. The study was conducted with the design pre and post quasi-experimental. Subjects were nurses who are assigned to care for childhood cancer patients. Intervention are socialization of policies, handbooks and training on MSP. Outcomes: the level of understanding of nurses before and after intervention, using questionnaires.
Results. No differences in subjects characteristics (24 pre-intervention and post-intervention 23) before and after the intervention. Compared to pre-intervention, post-intervention found an increased of the number of nurses who received MSP material (82% vs 46%, p=0.027), MSP understanding (87% vs 42%), and the implementation of MSP (100% vs 71%, p=0.019 ). In addition the post-intervention also found increased in actions for patient identification, six principles of correct way of drug administration, planning, administration and prescription of appropriate chemotherapy protocol, use the booking form and the standard prescription, and standard drug labeling of chemotherapy.
Conclusion. Nurses understanding about MSP increased after training and socialization of guidebook. Implementation of MSP increased in some kind of action, but still needs to improve understanding of the particular sense of MSP and the type action for MSP. Further specific training methods are required to improve the understanding of the MSP especially for the nurses.
Sari Pediatri 2016; 17(6):463-8.


Kata kunci: comprehension-nurse-medication safety practice


Unduh Fulltext (dibutuhkan Adobe Acrobat)