By.

Nursalam

PERAN PERAWAT SEBAGAI

CHANGE AGENT
ROLE OF THE PROFESSIONAL NURSE

ELEMENT

COORDINATOR CONSELOR

CARE GIVER

COLLABORATOR EDUCATOR

INTERPERSONAL PROCESS

CHANGE AGENT CONSULTANT

PATIENT ADVOCATE
 TANTANGAN DI
ERA GLOBAL

1. MAMPU MENGELOLA PERUBAHAN (*)

(MANAGEMENT OF CHANGES)
 MAMPU MERUBAH MINDSET

2. BEKERJASAMA DENGAN STAKEHOLDER

YANG LAIN DALAM MENINGKATKAN
KEMAMPUAN BERSAING

3. REORIENTASI STATUS (ALAT PRODUKSI 

PRODUSEN  INVESTOR)

4. MENINGKATKAN NILAI ASET DALAM PASIEN

SKENARIO ASET (RUMAH-SAKIT, PENDK)

Widodo JP’2004
 WHY WE NEED TO
CHANGE?
The time are changed and we are
changed within them

Society and its institutions are faced with a need

for change
“Perawat danand not merely to
keperawatan react to change
menghadapi dan
berada dalam perubahan
(Basil & Cook,/1974)
proses berubah”
 Future Nurses
Tomorrow’s nurses must rely on a strong dan diverse
knowledge base.
Our time has come. The opportunity is ours to
reposition nursing as a powerful and essential force
in this changed environment: opportunity that is
unchallenged remains dormant and useless. Nursing
must take its opportunity with courage and clear
vision for future role and potential for making a moajor
positive impact on the health and well-being of the
nations’s people …. (Strickland & Fishman – Nursing
Issues)
 TEAM
T = TOGETHER
E = EVERYONE
A = ACCEPT
M = MORE
 CYCLE OF CHANGE & EFFECT?

C1: CONSUMER
- PATIENTS / COMMUNITY
- STUDENTS

C2: COMPANY C3:COMPETITORS

- HOSPITAL
- PSIK (PTN/S, STIKES)
NURSES, AKPER, OTHERS
•GLOBALE ISSUES
• MALPRACTICE
C4: CHANGE
CHANCE - CHALLENGING / TREATENED
PELUANG KE DEPAN
 APA UPAYA MENGHADAPI PERSAINGAN?
BAGAIMANA PERAWAT SBG
AKTOR
CHANGE AGENT?
MENGANTARKAN PENDAKI
GUNUNG SAMPAI KE DUSUN
TERAKHIR SEBELUM PENDAKIAN
JANGAN HANYA
MEGNHANTARKAN KE
DEPAN PINTU GERBANG
SAJA!

BERJUANG DGN -
ITS
SAMAKAN
VISI

VISI KITA
 SAMAKAN VISI PERAWAT
SBG CHANGE AGENT

 sikap positif
 belajar mandiri
 motivasi (visi diri)
 mind set - keterbukaan
 DON’T EXPECT TO MUCH
 POSTPHONE HAPPINESS
Nursalam-08
MELAKUKAN HAL YANG SAMA BERULANG-ULANG
Dan
MENGHARAPKAN HASILNYA BERBEDA
Perlu ada perubahan dalam cara berfikir dan bertindak
Perlu dicari kunci yang SESUAI untuk meningkatkan
MUTU KEPERAWATAN DI INDONESIA
LINGKUP KEGIATAN DLM
CHANGE AGENT
?

 PRAKTIK DAN PELAYANAN
PENDIDIKAN
ILMU KEPERAWATAN – RISET
ORGANISASI PROFESI
 1
C-A
PRAKTIK DAN PELAYANAN
1.1 PRAKTIK KEPERAWATAN
A. MODEL ASUHAN
KEPERAWATAN … ?
B. UU –PRAKTIK
PERAWAT!
 MANAGING NURSING CARE
DELIVERY SYSTEM
MODEL MAKP
Ward-Based Case Management

Aims
♦ Improve quality of nursing care
♦ Streamline and facilitate co-ordination of care
♦ Facilitate effective discharge planning and patient
education
♦ Manage and optimize patient length of stay
♦ Improve communication process
 Standar : Proses Kep. :
- Pengkajian
Kebijakan
Institusi/Nas - Perencanaan
- Intervensi
- Evaluasi

Pendidikan Klien Sistem MAKP

- Pencegahan peny. - Fungsional

- Mempertahan - Tim

- Informed consert - Primer

- Rencana pulang - Modular

- Modifikasi

HUBUNGAN ANTARA KE 4 UNSUR DALAM

PENERAPANAN MODEL MAKP
FOKUS - MAKP
1. PENERAPAN MAKP
2. TIMBANG TERIMA
3. RONDE KEPERAWATAN
4. PENGELOLAAN LOGISTIK & OBAT
5. DISCHARGE PLANNING
6. SUPERVISI
7. DOKUMENTASI
ASPEK ETIK ASPEK HUKUM
 Sistem Etik  UU No. 23 Tahun 1992
 PP No. 32 Tahun 1996
 Azas Etik  KEP MENKES No. 1239
Kode Etik Tahun 2001
* UU PRAKTIK?
 1.3 PENATAAN
PENJENJANGAN KARIER
PENJENJANGAN KARIR PK V

1. PERAWAT KLINIK (PK)

2. PERAWAT MANAJER (PM) PK IV

3. PERAWAT PENDIDIK (PP)

4. PERAWAT PENELITI RISET (PR) PK III

PK II

SYARAT PENJENJANGAN KARIER PK

PK I
1. PENDIDIKAN MIN. DIII KEP
2. PENGALAMAN KERJA
3. PROGRAM SERTIFIKASI
4. UJI KOMPETENSI NAS
5. PENATAAN REWARD SYSTEM
1.4 ROLE C A R E
C = Communication
A = Activity (Pattients’ Need )
R = Responsiveness
(ETHIC & LEGAL)

E = ENTERPREUNER
Education /
 C:
COMMUNICATION
Smile and be
happy while
you can, life
will go on…
Ha Ha Ha
!!!
 A: ACTIVITY,
EXCELLENCE SKILLS
 R
RESPONSIVENESS
LEGAL ASPECT
1. UU-KES 23/1992
2. KEPMENKES 1239/2001

ETHICAL ASPECT
1. KODE ETIK PPNI
2. PRINSIP ETIK
NILAI MORAL DAN
BUDAYA
 SOFT SKILLS NERS
 Tanggung jawab dan Tanggung
 
Berdedikasi:SS
gugat:SS

Teliti: SS
 Empati:SS

Percaya diri: SS
 Berfikir kritis:HS & SS

Berperilaku etis: SS
 Disiplin:SS

Problem solving: HS & SS
 Leadership:HS & SS

Entrepreneurship HS & SS
 Kreativitas dan inovatif:HS &
SS 
Menghargai hasil karya orang lain:
SS
 Inisiatif:SS
Altruistik: SS
 Komunikatif: HS & SS
Lifelong learning:SS
 Team work: HS & SS
Decision making dalam ASKEP
Antusias: SS
Conscience
Asertif: SS
Risk taking
Tanggap: SS
 Softskill

Nursalam-08
 E: EDUCATION
The Power To Make A
Difference!
 2
C-A
PENDIDIKAN
PENATAAN SISTEM PEND. TINGGI
KEPERAWATAN
A. KOMPETENSI
B. POLA
C. REGULASI
D. KUALITAS SDM (PENGAJAR)
E. FASILITAS PEMBELAJARAN
F. METODE (AKADEMIK – PROFESI)
 How Education is Changed
Old Industrial New Entrepreneurial
Education Education
Content Fokus Process
Teacher Ownership Student
What Expectations Who & How
Expert Leadership Facilitator
Passive Students Generators
Feared Mistakes Learning tools
Programmed Classes Flexible
Theory Emphasis Doing
 BACA

INGGRIS

KOMPUTER
 PEMBEKALAN KOMPETENSI
KHUSUS – BERSAING

1.STANDAR PRAKTIK– INTERNATIONAL

(VIA PENGALAMAN PRAKTIK – RS?)
2.BAHASA ASING (MINIMAL – ENGLISH);
ARAB, MANDARIN, JEPANG,
PERANCIS)
3.TRANSCULTURAL?
4.ASUHAN KEPERAWATAN KHUSUS (i.e.
KRITIS; HIV; HOME CARE;, DLL)
 PERSIAPKAN

1.NETWORKING DGN STAKEHOLDER

2.HASIL UJI – TOEFL & IELTS DLL
3.PRACTICE – ENCILEX (NURSING EXAM)
 3 C-A
SAINS DAN
TEKNOLOGI
(RISET)
PENGEMBANGAN ILMU KEPERAWATAN - RISET
 HOW TO APPLY IN CARING

LEARNING COPING
MODEL of PROCESS (+)
CARING -Utilizing sos. Support
-Looking for silver Lining
-Acceptance-Rasionalisation
CARE Stress
PERCEPTION
(-)

RESP. BIOLOGICAL

HPA-AXIS (cortisol -)
ADAPTATION
Immune response
Induce Modulation
Immune response )
 4
C-A
PERAN ORGANISASI
PROFESI (PPNI) YANG
OPTIMAL DLM SISTEM
KESEHATAN NASIONAL
 CAPTURING
CONSUMER’S MIND
DOCTOR

BRAND

SERVICE

POSITIONING/
PROCESS

NURSES OTHERS
HEALTH PROFESSION
KESIMPULAN
 CHANGE AGENT
KOREK API
KOREK: (Kolektivitas, PengOrganisasian, Re-
tail, Efisien & Efektif, Komitmen)

A P I”
A = AKTUALITAS
P = PRODUKTIFITAS
I = INOVATIF
HARUS KUWAT
K= KEMAUAN
U= UANG
W= WAKTU
A= ALAT –SARANA
T= TENAGA (KUALITAS &
KUANTITAS)
 GOOD LUCK!

“You don’t have to be great to get started, but

you have to get started to be great”
--------- Les Brown ----------