Meningkatkan Kualitas Layanan dan Keselamatan Pasien Melalui Optimalisasi Manajemen Keperawatan di Unit Rawat Inap Rumah Sakit Medika Sangatta

Abstrak

Introduction: Improving the quality of nursing services and patient safety requires effective nursing management, particularly in inpatient settings. The assessment at the Inpatient Installation of Medika Sangatta Hospital identified several management problems, including suboptimal nursing assignment methods, inadequate clinical supervision, ineffective quality control and measurement systems, and limited implementation of nursing management functions.

Objective: The purpose of this community service was to optimize nursing management functions to improve the quality of nursing services and patient safety in the Inpatient Installation of Medika Sangatta Hospital.

Method: This community service was conducted through a systematic problem-solving approach consisting of an initial assessment, identification of management problems, strategic analysis using the Strengths, Weaknesses, Opportunities, and Threats (SWOT) framework, prioritization of problems using the Urgency, Seriousness, and Growth (USG) method, and identification of root causes using Fishbone analysis. Based on the identified priorities, interventions included the socialization and optimization of nursing management, strengthening of clinical supervision by head nurses, implementation of structured SBAR (Situation, Background, Assessment, Recommendation) communication during shift handovers, and reinforcement of quality and patient safety monitoring.

Result: The assessment identified several weaknesses in nursing management, including suboptimal nursing assignment methods, inadequate understanding of roles and work mechanisms, limited clinical supervision, suboptimal nursing care management, and ineffective quality control and measurement systems. SWOT analysis identified organizational strengths, weaknesses, opportunities, and threats that influenced nursing service management. USG analysis was used to determine priority problems, while Fishbone analysis identified root causes related to human resources, materials, methods, measurement, and equipment. The implementation of nursing management optimization contributed to improved clinical supervision, more structured communication during handovers through SBAR, better adherence to nursing service and patient safety procedures, and strengthening of the patient safety culture. The intervention also supported reductions in patient safety events, including patient falls and medication errors, as well as improvement in inpatient satisfaction.

Conclusion: Optimization of nursing management through SWOT, USG, and Fishbone analysis followed by targeted interventions can support improvements in nursing service quality and patient safety in inpatient settings. Strengthening clinical supervision, structured communication, and quality monitoring should be continued as part of sustainable nursing management improvement.