The Effects of Implementing Profesional Nursing Practice Model on Quality of Nursing Care in the Hospital in Indonesia

Abstract

Until now the quality of nursing care in the hospital still low, even though nursing higher education already started in 1983.In order improve the quality of nursing care in the hospital it was needed restructuring, reengineering, and redesigning of nursing care delivery system through the implementation of Professional Nursing Practice Model (PNPM).The study was aimed to evaluate the effect of PNPM on the quality of nursing care in the hospital.The design used was quasi experiment  pre and post test with control group. The statistic used was chi-square and t-test.The result showed that in the intervention group, the improvement of patient and family satisfaction with nursing care (OR=114.28) was higher than  in the control group (OR=3.78). It was also found that the compliance of nurses to standard was higher in the intervention group (OR=235.5), compare to control group (OR=0). The study concluded that the implementation of  PNPM could improve the quality of nursing care in the hospital. Based on this result, in order to challenge the implementation of PNPM in the hospital it was suggested that the implementation of PNPM becomes an evaluation criteria for hospital accreditation specifically for nursing service

Key words : PNPM, quality of nursing care ,patient satisfaction, compliance of nurses