Evaluasi Lama Waktu Pelaksanaan Keterampilan Keperawatan pada Objective Structured Clinical Evaluation di Comprehensive Clinical Nursing Skills

https://doi.org/10.22146/jkkk.29017

Heny Suseani Pangastuti(1*), Sri Setiyarini(2)

(1) Departemen Keperawatan Medikal Bedah, Fakultas Kedokteran, Universitas Gadjah Mada, Yogyakarta
(2) Departemen Keperawatan Dasar dan Emergensi, Fakultas Kedokteran, Universitas Gadjah Mada, Yogyakarta
(*) Corresponding Author

Abstract


Background: “Comprehensive Clinical Nursing Skills (CCNS)" is a compulsory subject for students of School of Nursing Faculty of Medicine Universitas Gadjah Mada who have already finished the academic stage, in order to prepare them to get into the internship stage. In this subject, students learn essential skills and will then be evaluated through Objective Structured Clinical Evaluation (OSCE) method. The length of examination is 7 minutes. However, there has been no previous study to identify whether such duration is adequate for students to perform particular nursing skills.
Objective: To identify the average length of each nursing skill evaluated through OSCE in School of Nursing Faculty of Medicine Universitas Gadjah Mada, Yogyakarta.
Methods: This study was a descriptive study with cross-sectional approach. It was conducted in August 2008 in School of Nursing Faculty of Medicine Universitas Gadjah Mada. The population was all students who undertook OSCE CCNS in August 2008. The samples were 41 respondents by total sampling. Data were collected via observation sheets and stop watch. Data were analyzed using simple statistics to report the mean length of each nursing skill.
Results: The average length of time of 8 nursing skills were shown as follows: average length for health education was 3 minutes 56 seconds (SD ± 58,35 seconds), restrain 6 minutes 4 seconds (SD ± 59,12 seconds), delivery of baby 5 minutes 42 seconds (SD ± 57,78 seconds), CPR 5 minutes (SD ± 58,25 seconds), tracheostomy care 5 minutes 11 seconds (SD ± 1 minute 1,68 seconds), drug injection 5 minutes 22 seconds (SD ± 55,6 seconds), communication 5 minutes 23 seconds (SD ± 1 minute 13,27 seconds) and vital sign examination 5 minutes 42 seconds (SD ± 53,55 seconds). The means of other skills (NGT insertion, wound care, and new born care) could not be analyzed because more than 25% of participants could not finish those skills in 7 minutes, so the results could be bias.
Conclusion: The average length of time of nursing skills implementation in OSCE CCNS was 5 minutes 17 seconds with standard deviation 22,63 seconds.


ABSTRAK

Latar Belakang: "Comprehensif Clinical Nursing Skills (CCNS)” wajib diikuti oleh seluruh mahasiswa yang telah menyelesaikan tahap akademik. Program ini dilakukan untuk mempersiapkan mahasiswa memasuki tahap internship. Pada program ini mahasiswa belajar dan dievaluasi kompetensinya pada keterampilan tertentu seperti komunikasi, pemeriksaan klinis ataupun prosedur klinis melalui metode Objective Structured Clinical Evaluation (OSCE). Lamanya waktu untuk ujian keterampilan yang digunakan di PSIK selama ini adalah 7 menit, walaupun begitu belum pernah dilakukan penelitian untuk menentukan apakah waktu tersebut cukup bagi mahasiswa melakukan suatu keterampilan keperawatan.  
Tujuan: Mengetahui rata-rata waktu pelaksanaan masing-masing keterampilan keperawatan yang diujikan pada OSCE-CCNS di Program Studi llmu Keperawatan, Fakultas Kedokteran, Universitas Gadjah Mada, Yogyakarta.
Metode: Penelitian ini merupakan penelitan deskriptif observasional yang dilakukan di PSIK FK UGM pada bulan Agustus 2008. Populasi penelitian adalah seluruh mahasiswa peserta OSCE CCNS periode bulan Agustus 2008, dan sampel diambil dengan cara total sampling dengan 41 peserta Data diperoleh dengan menggunakan instrumen berbentuk lembar observasi dan alat bantu stopwatch. Analisis data dilakukan menggunakan statistik sederhana untuk mengetahui rata-rata lama waktu pelaksanaan keterampilan keperawatan.
Hasil: Hasil penelitian lama waktu pelaksanaan pada delapan keterampilan keperawatan menujukkan hasil rata-rata untuk keterampilan pemberian pendidikan kesehatan 3 menit 56 detik (SD ± 58.35 detik), pemasangan restrain 6 menit 4 detik (SD ± 59,12 detik), menolong persalinan 5 menit 42 detik (SD ± 57,78 detik), RJP 5 menit (SD ± 58,25 detik), perawatan trakeostomi 5 menit 11 detik (SD ± 1 menit 1,68 detik), injeksi obat 5 menit 22 detik (SD ± 55,6 detik, komunikasi 5 menit 23 detik (SD ± 1 menit 13,27 detik) dan pemeriksaan tanda vital 5 menit 42 detik (SD ± 53,55 detik). Tiga keterampilan lainnya, yaitu pemasangan NGT, perawatan luka dan perawatan bayi baru lahir tidak dianalisis karena jumlah mahasiswa yang tidak dapat menyelesaikan keterampilan tersebut lebih dari 25%, sehingga dapat menimbulkan bias.
Kesimpulan: Rata-rata lama waktu pelaksanaan delapan keterampilan keperawatan pada OSCE CCNS PSIK FK UGM adalah 5 menit 17 detik dengan standar deviasi 22,63 detik.  


Keywords


waktu; keterampilan keperawatan; OSCE

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References

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DOI: https://doi.org/10.22146/jkkk.29017

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