Pengembangan Clinical Pathway Stroke Hemoragik Berbasis 3S (SDKI, SLKI, SIKI)
Abstract
This study aims to develop a clinical pathway for hemorrhagic stroke patients based on the 3S (SDKI, SLKI, SIKI). The method used is Research and Development with stages including literature study, observation evaluation, validity and reliability testing, and Focus Group Discussion (FGD). The research results show that developing a 3S-based hemorrhagic stroke clinical pathway is by clinical practice guidelines and service quality. The results of Pearson's product-moment correlation test are <0.514, and the reliability of the Cronbach alpha test is 0.906. Conclusion: The development of a 3S-based hemorrhagic stroke clinical pathway was prepared with nursing diagnoses, including ineffective airway clearance, decreased intracranial adaptive capacity, acute pain, impaired physical mobility, and risk of fluid imbalance. The development of a 3S-based hemorrhagic stroke clinical pathway is generally in good categories in terms of Functionality, Efficiency, and Usability so that it can be recommended for use by nurses and can improve the quality of hospital services.
Keywords: Clinical Pathway, SDKI, SIKI, SLKI, Hemorrhagic Stroke
References
Agus, T. P., Suratri, M. A. L. & Fajarwati, T. (2021). Studi Kasus di Indonesia: Kepatuhan Pengisian Clinical Pathway Stroke Iskemik dan STEMI di Beberapa Rumah Sakit Tahun 2019. Media Penelitian dan Pengembangan Kesehatan, 31(4), 319–326. https://doi.org/10.22435/mpk.v31i4.4955
Ainy, R. E. N. & Nurlaily, A. P. (2021). Asuhan Keperawatan Pasien Stroke Hemoragik dalam Pemenuhan Kebutuhan Fisiologis: Oksigenasi. Journal of Advanced Nursing and Health Sciences, 2(1), 21–25. https://jurnal.ukh.ac.id/index.php/KN/article/view/723
Allen, M., James, C., Forst, J., Liabo, K., Pearn, K., Monks, T., Everson, R., Stein, K., & James, M (2022). Use of Clinical Pathway Simulation and Machine Learning to Identify Key Levers for Maximizing the Benefit of Intravenous Thrombolysis in Acute Stroke. AHA Journals, 53(9), 2758–2767. https://doi.org/10.1161/STROKEAHA.121.038454
Ariyanti, H. R., Nursalam, N. & Yuwono, S. R. (2020). The Development of Nursing Diagnosis-based Indonesian Nursing Diagnosis Standard on Clinical Clinical Pathway among Patients with Stroke Infarction. International Journal of Nursing and Health Services (IJNHS), 3(2), 261–266. https://doi.org/10.35654/ijnhs.v3i2.196
Fajrinur, F., Handini, M. C., Tarigan, F. L., Harefa, K., & Ginting, D. (2022). Ketidaklengkapan Pengisian Dokumen Clinical Pathway Kanker Paru (Studi Kualitatif di RSUP H. Adam Malik tahun 2021). Journal of Healthcare Technology and Medicine, 8(1), 477–488. https://doi.org/10.33143/jhtm.v8i1.2047
Jang, Y. J., Park, D., Kim, H. S., Lee, C., H., Byun, H. Y., Yoon, C., H., Lee, E., S., Shin, H., Chun, S., Lim., S, & Oh, M. (2020). Assessment of the Implementation of Critical Pathway in Stroke Patients: A 10-Year Follow-Up Study. BioMed Research International, 2020. https://doi.org/10.1155/2020/3265950
Julianti, V. S., Sjaaf, A. C. & Wibowo, A. (2022). Strategi Implementasi Clinical Pathway Terhadap Mutu Pelayanan Obstetri. The Indonesian Journal of Health Promotion, 5(3), 56–61. https://doi.org/10.56338/mppki.v5i3.2200
KARS. (2015). Pedoman Penyusunan Panduan Praktik Klinis dan Clinical Pathway dalam Asuhan Terintegrasi sesuai Standar Akreditasi Rumah Sakit 2012. https://perdatinaceh.files.wordpress.com/2018/01/pedoman-penyusunan-cp-ppk-dalam-asuhan-terintegrasi-who-persi-kars-idi-2015.pdf
Kass, B., Domquest, C., Meisel, A., Holmberg, C., Rieckmann, N., & Reinhold, T. (2021). Cost-effectiveness of Patient Navigation Programs for Stroke Patients-A Systematic Review. PLoS ONE, 16(10), 1–12. https://doi.org/10.1371/journal.pone.0258582
Nizar, T. E., Nurwahyuni, A. & Candi, C. (2020). Systematic Review: The Influence of Clinical Pathway Implementation on Length of Stay and Patient Outcome of Stroke Infarct Patients. Proceedings of the International Conference of Health Development. Covid-19 and the Role of Healthcare Workers in the Industrial Era (ICHD 2020), 8–15. https://doi.org/10.2991/ahsr.k.201125.002
Pertiwi, G. M. D., Elawati, D. & Nurwahyuni, A. (2022). Dampak Implementasi Clinical Pathway pada Perawatan Pasien Stroke di Rumah Sakit : A Scoping Review. Jurnal Ilmiah Indonesia, 7(6), 8214-8242. https://doi.org/10.36418/syntax-literate.v7i6.7795
PPNI (2017) Standar Diagnosis Keperawatan Indonesia: Definisi dan Indikator Diagnostik (1st ed.). Jakarta: DPP PPNI
PPNI (2018) Standar Intervensi Keperawatan Indonesia: Definisi dan Tindakan Keperawatan (1st ed.). Jakarta: DPP PPNI
PPNI (2019) Standar Luaran Keperawatan Indonesia: Definisi dan Kriteria Hasil Keperawatan (1st ed.). Jakarta: DPP PPNI
Shoamanesh, A., Lindsay, M. P., Castellucci, L. A., Cayley, A., Crowther, M., Wit, K. d., English, S. W., Hoosein, S., Huynh, T., Kelly. M., O'Kelly, C. J., Teitelba, J., Yip. S., Dowlatshahi, D., Smith. E. E., Foley. N., Pikula, A., Mountain, A., Gubitz, G., & Gioia, L C. (2021). Canadian Stroke Best Practice Recommendations: Management of Spontaneous Intracerebral Hemorrhage, Update 2020. International Journal of Stroke, 16(3), 321–341. https://doi.org/10.1177/1747493020968424
Sugiarti, I. & Junaedi, F. A. (2022). Pendampingan Pembuatan Clinical Pathway dalam Peningkatan Mutu Pelayanan Kesehatan. Jurnal Pengabdian Masyarakat (JUPEMAS), 3(2), 108-116. http://dx.doi.org/10.36465/jupemas.v3i2.1009
Surbakti, M. B. (2020). Pentingnya Diagnosa Keperawatan bagi Perawat. Available at: https://doi.org/10.31219/osf.io/xcqfu
Widodo, H., Nursalam, N., & Wahyuni, E. D. (2020). Analysis of Implementation of Perioperative Care Instrument Based on Standards of Nursing Diagnosis, Intervention and Outcomes in Indonesia. Jurnal Ners, 15(1), 57–62. https://doi.org/10.20473/jn.v15i1sp.18911
Yusnita, E. D., Darliana, D. & Amalia, R. (2022). Manajemen Keperawatan pada Pasien Stroke Hemoragik di Ruang Saraf : Suatu Studi Kasus. JIM Fkep, 1(2), 10–17. https://jim.usk.ac.id/FKep/article/view/19888
Ainy, R. E. N. & Nurlaily, A. P. (2021). Asuhan Keperawatan Pasien Stroke Hemoragik dalam Pemenuhan Kebutuhan Fisiologis: Oksigenasi. Journal of Advanced Nursing and Health Sciences, 2(1), 21–25. https://jurnal.ukh.ac.id/index.php/KN/article/view/723
Allen, M., James, C., Forst, J., Liabo, K., Pearn, K., Monks, T., Everson, R., Stein, K., & James, M (2022). Use of Clinical Pathway Simulation and Machine Learning to Identify Key Levers for Maximizing the Benefit of Intravenous Thrombolysis in Acute Stroke. AHA Journals, 53(9), 2758–2767. https://doi.org/10.1161/STROKEAHA.121.038454
Ariyanti, H. R., Nursalam, N. & Yuwono, S. R. (2020). The Development of Nursing Diagnosis-based Indonesian Nursing Diagnosis Standard on Clinical Clinical Pathway among Patients with Stroke Infarction. International Journal of Nursing and Health Services (IJNHS), 3(2), 261–266. https://doi.org/10.35654/ijnhs.v3i2.196
Fajrinur, F., Handini, M. C., Tarigan, F. L., Harefa, K., & Ginting, D. (2022). Ketidaklengkapan Pengisian Dokumen Clinical Pathway Kanker Paru (Studi Kualitatif di RSUP H. Adam Malik tahun 2021). Journal of Healthcare Technology and Medicine, 8(1), 477–488. https://doi.org/10.33143/jhtm.v8i1.2047
Jang, Y. J., Park, D., Kim, H. S., Lee, C., H., Byun, H. Y., Yoon, C., H., Lee, E., S., Shin, H., Chun, S., Lim., S, & Oh, M. (2020). Assessment of the Implementation of Critical Pathway in Stroke Patients: A 10-Year Follow-Up Study. BioMed Research International, 2020. https://doi.org/10.1155/2020/3265950
Julianti, V. S., Sjaaf, A. C. & Wibowo, A. (2022). Strategi Implementasi Clinical Pathway Terhadap Mutu Pelayanan Obstetri. The Indonesian Journal of Health Promotion, 5(3), 56–61. https://doi.org/10.56338/mppki.v5i3.2200
KARS. (2015). Pedoman Penyusunan Panduan Praktik Klinis dan Clinical Pathway dalam Asuhan Terintegrasi sesuai Standar Akreditasi Rumah Sakit 2012. https://perdatinaceh.files.wordpress.com/2018/01/pedoman-penyusunan-cp-ppk-dalam-asuhan-terintegrasi-who-persi-kars-idi-2015.pdf
Kass, B., Domquest, C., Meisel, A., Holmberg, C., Rieckmann, N., & Reinhold, T. (2021). Cost-effectiveness of Patient Navigation Programs for Stroke Patients-A Systematic Review. PLoS ONE, 16(10), 1–12. https://doi.org/10.1371/journal.pone.0258582
Nizar, T. E., Nurwahyuni, A. & Candi, C. (2020). Systematic Review: The Influence of Clinical Pathway Implementation on Length of Stay and Patient Outcome of Stroke Infarct Patients. Proceedings of the International Conference of Health Development. Covid-19 and the Role of Healthcare Workers in the Industrial Era (ICHD 2020), 8–15. https://doi.org/10.2991/ahsr.k.201125.002
Pertiwi, G. M. D., Elawati, D. & Nurwahyuni, A. (2022). Dampak Implementasi Clinical Pathway pada Perawatan Pasien Stroke di Rumah Sakit : A Scoping Review. Jurnal Ilmiah Indonesia, 7(6), 8214-8242. https://doi.org/10.36418/syntax-literate.v7i6.7795
PPNI (2017) Standar Diagnosis Keperawatan Indonesia: Definisi dan Indikator Diagnostik (1st ed.). Jakarta: DPP PPNI
PPNI (2018) Standar Intervensi Keperawatan Indonesia: Definisi dan Tindakan Keperawatan (1st ed.). Jakarta: DPP PPNI
PPNI (2019) Standar Luaran Keperawatan Indonesia: Definisi dan Kriteria Hasil Keperawatan (1st ed.). Jakarta: DPP PPNI
Shoamanesh, A., Lindsay, M. P., Castellucci, L. A., Cayley, A., Crowther, M., Wit, K. d., English, S. W., Hoosein, S., Huynh, T., Kelly. M., O'Kelly, C. J., Teitelba, J., Yip. S., Dowlatshahi, D., Smith. E. E., Foley. N., Pikula, A., Mountain, A., Gubitz, G., & Gioia, L C. (2021). Canadian Stroke Best Practice Recommendations: Management of Spontaneous Intracerebral Hemorrhage, Update 2020. International Journal of Stroke, 16(3), 321–341. https://doi.org/10.1177/1747493020968424
Sugiarti, I. & Junaedi, F. A. (2022). Pendampingan Pembuatan Clinical Pathway dalam Peningkatan Mutu Pelayanan Kesehatan. Jurnal Pengabdian Masyarakat (JUPEMAS), 3(2), 108-116. http://dx.doi.org/10.36465/jupemas.v3i2.1009
Surbakti, M. B. (2020). Pentingnya Diagnosa Keperawatan bagi Perawat. Available at: https://doi.org/10.31219/osf.io/xcqfu
Widodo, H., Nursalam, N., & Wahyuni, E. D. (2020). Analysis of Implementation of Perioperative Care Instrument Based on Standards of Nursing Diagnosis, Intervention and Outcomes in Indonesia. Jurnal Ners, 15(1), 57–62. https://doi.org/10.20473/jn.v15i1sp.18911
Yusnita, E. D., Darliana, D. & Amalia, R. (2022). Manajemen Keperawatan pada Pasien Stroke Hemoragik di Ruang Saraf : Suatu Studi Kasus. JIM Fkep, 1(2), 10–17. https://jim.usk.ac.id/FKep/article/view/19888
