ANALYSIS RELATED QUALITY OF COMMUNICATION INTERPROFESI
NURSES IN WARD PKU MUHAMMADIYAH BANTULHOSPITALS
ANALISIS KUALITAS HUBUNGAN KOMUNIKASI INTERPROFESI
PERAWAT PELAKSANA DI RUMAH SAKIT UMUM PKU
MUHAMMADIYAH BANTUL
Dedy Zulfan
Hospital Management Studies, University of Muhammadiyah Yogyakarta
South Ring Road, Tamantirto, Kasihan, Bantul, Yogyakarta 55183
Email: dedyz87@gmail.com
Elsye Maria Rosa
Hospital Management Studies, University of Muhammadiyah Yogyakarta
South Ring Road, Tamantirto, Kasihan, Bantul, Yogyakarta 55183
Email: elsyemariarosa@yahoo.com
ABSTRACT
PKU Muhammadiyah Hospital in Bantul is a class C with a capacity of 126 beds. There
were some complaints that there are perceived health workers in PKU Muhammadiyah Bantul
Hospital, which include nurses and laboratory personnel each delegate tasks in patient sampling
and lack of communication between nurses and radiology staff so that patients are missed in an
ultrasound examination. The purpose of this study was to determine the relationship of
communication interprofesi nurses in ward PKU Muhammadiyah Bantul Hospital.
This research was descriptive qualitative research. The subject of this study were all nurses
in inpatient medical and non-nursing personnel. The amount to 6 respondents sampled from
nurses and 3 responders frompersonnel medic non-nursing. The sampling method is purposive
sampling. Test the validity of the data by triangulation.
The results of this study have shown that the majority of respondents stated that the
implementation of nurses communication with other health workers ie laboratory, radiology and
pharmacy at PKU Muhammadiyah Hospital in Bantul is good. On verbal and nonverbal
communication nurses with other health care at PKU Muhammadiyah Bantul Hospital is clear
and depend each individual type of officer. There are several factors that affect education,
gender, age, attitude, emotions and workload or busyness. Relationships nurses with other health
care at PKU Muhammadiyah Bantul Hospital is professional and partnership. Problems and
barriers in general are caused by miscommunication and busyness or workload. Attempts have
been made to build better communication by nurses, laboratory, radiology, pharmacy, and
institution.
Conclusions and Recommendations: interprofesi nurses communication relationships with
other health care workers are laboratory, radiology and pharmacy at PKU Muhammadiyah
Hospital in Bantul still needs improvement.
Keywords: Communication Interprofesi, Nurses
1
INTISARI
RSU PKU Muhammadiyah Bantul adalah Rumah Sakit kelas C dengan kapasitas 126
tempat tidur. Ada beberapa keluhan-keluhan yang dirasakan tenaga kesehatan yang terdapat di
rumah sakit PKU Muhammadiyah Bantul antara lain berupa perawat dan petugas laboratorium
saling melimpahkan tugas dalam pengambilan sampling pasien dan kurangnya komunikasi
antara perawat dan petugas radiologi sehingga terdapat pasien yang terlewatkan dalam
pemeriksaan USG. Tujuan penelitian ini adalah Untuk mengetahui hubungan komunikasi
interprofesi perawat pelaksana di instalasi rawat inap Rumah Sakit Umum PKU Muhammadiyah
Bantul.
Penelitian ini adalah penelitian deskriptif kualitatif.Subyek penelitian ini adalah seluruh
perawat pelaksana di rawat inap dan tenaga medis non keperawatan. Yang dijadikan sampel
berjumlah 6 responden dari perawat pelaksana dan 3 responden dari tenaga medis non
keperawatan.Metode pengambilan sampel adalah purposive sampling. Uji keabsahan data
dengan triangulasi.
Hasil penelitian ini menunjukkan bahwa sebagian besar responden menyatakan
pelaksanaan komunikasi perawat dengan petugas kesehatan lain yaitu laboratorium, radiologi
dan farmasi di Rumah Sakit Umum PKU Muhammadiyah Bantul sudah baik. Pada komunikasi
verbal dan nonverbal perawat dengan petugas kesehatan lain di Rumah Sakit Umum PKU
Muhammadiyah Bantul sudah jelas dan tergantung tiap tipe individu petugas.Terdapat beberapa
faktor yang mempengaruhi yaitu pendidikan, jenis kelamin, Usia, sikap, emosi dan beban kerja
atau kesibukan.Hubungan perawat dengan petugas kesehatan lain di Rumah Sakit Umum PKU
Muhammadiyah Bantul adalah professional dan sejajar (kemitraan).Permasalahan dan hambatan
secara umum disebabkan oleh miskomunikasi dan kesibukan atau beban kerja.Usaha-usaha
membangun komunikasi telah dilakukan baik oleh perawat, laboratorium, radiologi, farmasi,
maupun instansi.
Kesimpulan dan Saran: Hubungan komunikasi interprofesi perawat dengan petugas
kesehatan lain yaitu laboratorium, radiologi dan farmasi di Rumah Sakit Umum PKU
Muhammadiyah Bantul masih perlu perbaikan.
Kata Kunci : Komunikasi Interprofesi, Perawat Pelaksana
2
INTRODUCTION
The hospital is a health care institution with complex functions with dense experts and capital
intensive. To carry out such a complex function, the hospital must have a human resources
professionals both in technical as well as administrative medical health. One of the workers at
the hospital are nurses with nursing care.1
Care nurses in the health care efforts in the hospital is one of the determinants image of the
hospital, in addition to the demands of society toward nursing service quality increased along
with the increasing awareness of the rights and obligations of the community. The quality of
nursing services must be improved so that the health care effort to achieve optimal results.2
Nurses deal with physical illness as well as meet the psychological needs of such patients to
recover confidence, foster a sense of optimism and self-confidence and feeling valued.3
Nurses who have a therapeutic communication skills not only be easy to establish a
relationship of trust with the client, preventing legal problems, provide professional satisfaction
in nursing services and enhancing the image of the nursing profession as well as the image of the
hospital, but the most important is their knowledge to provide relief to the fellow human.4
Some form of health care services are clinical laboratory examinations, radiology services
and pharmacy services are very necessary investigations physician in diagnosing, monitoring and
predicting a patient's disease and treatment given. The provision of health care to patients in the
hospital is the responsibility of the various health professions, especially doctors and nurses as
providers of primary health care to patients. To achieve continuous quality improvement
required multi-disciplinary coordination, integration programs, the active involvement of all
stakeholders, communication and reporting lines are good and the presence of certain groups
who are responsible for exercising their programs towards the development of a program to
maintain the quality.5
PKU Muhammadiyah Hospital in Bantul Yogyakarta is one of the health care facilities are
hospitals and developing type C which has an Islamic background to the original destination is as
a medium of propaganda in conveying the teachings of the religion of Islam through the field of
health that refers to how patients can feel satisfaction given a nurse approaches Islamically.
Predefined mission is to preach through quality health services with emphasis on increasing
customer satisfaction and care at the dhu'afa.6
3
There were some complaints that there are perceived health workers in hospitals PKU
Muhammadiyah Bantul, which include nurses and laboratory personnel each delegate tasks in
patient sampling and lack of communication between nurses and radiology staff so that patients
are missed in an ultrasound examination.
Based on the above researchers wanted to know interprofesi nurse communication with other
health care team so that researchers interested in conducting research on “analysis related quality
of communication interprofesi nurses in ward PKU Muhammadiyah Bantul Hospital”.
formulation of the problem of this research is analysis related quality of communication
interprofesi nurses in ward PKU Muhammadiyah Bantul Hospital.
MATERIALS AND METHODS
Types of Research
The study was a descriptive exploratory study with a qualitative method. This descriptive
study aimed to describe (explain) interprofesi communication between nurses and other health
workers are laboratory, radiology and pharmacy in RSU PKU Muhammadiyah Bantul.
Subjects Research
1. Population
The population in this study were all nurses with the status of employees in the Inpatient
Hospital PKU Bantul, which amounted to 167 medical and non-nursing personnel numbering 83
people.
2. Sample
Nurse sample size determined in this study amounted to 6 nurses and medics sample size of
non-nursing are 3 people that laboratory installation head, head installation inpatient pharmacy
and radiology installation head.
Research Variables
The variable in this study is communication interprofesi nurses in ward PKU
Muhammadiyah Hospital in Bantul.
Operational Definitions
Nurses interprofesi communication is the process of delivering a message from one person to
a different Other critical positions, resulting in a shared understanding that allows each
participant to catch the reaction of others directly, either verbally or nonverbally, which in this
case between:
4
1. Nurses and laboratory personnel: the process of communication between nurses and
laboratory personnel to achieve cooperation between individuals in providing health care
services in hospitals.
2. Nurses and radiology personnel: the process of communication between nurses and radiology
personnel to achieve cooperation between individuals in providing health care services in
hospitals.
3. Nurses and pharmacy employees: the process of communication between nurses and
pharmacy employees to achieve cooperation between individuals in providing health care
services in hospitals.
Data Analysis
Data processing is done immediately after the data collected from the field. Data transcribed
in writing what it is and is equipped with field notes. Then the data was analyzed to reveal or
change the raw data into a more refined data so as to provide a clearer picture through the
presentation of data.
In fulfilling the validity of this research, triangulation of data with the source.Triangulasi
conducted in this study is to compare the results of interviews with documents related content.
RESULTS
1. Implementation of Communication
a. Nurse-Laboratory
From interviews obtained the majority of respondents stated that nurse
communication with the laboratory through face to face and via telephone. Material
communication is done through face-to-face to explain the patient's room when the
sampling clock and the time blood donors. The material made through telephone is an
additional lab plans, ask lab results and blood samples. The material is a form of written
communication laboratory examination.
b. Nurse-Radiology
From interviews obtained the majority of respondents stated that nurse
communication with radiology through face to face and via telephone. Material
communication is done through face-to-face handover of patients for radiological
examinations. The material made through telephone is enrolling patients to check
5
roentgen, ultrasound or IVP and asking preparation BNO IVP patients. The material is a
form of written communication radiological examination.
c. Nurse-Pharmacy
From interviews obtained the majority of respondents stated that nurse
communication with the pharmacy via telephone. The material is carried through via
telephone reconfirmation drug. Material written communications is blank recipe.
2. Verbal and Nonverbal Communication
a. Nurse-Laboratory
From the results obtained interviews most respondents expressed verbal and
nonverbal communication with nurses and lab are clearly different depending on the type
of person.
b. Nurse-Radiology
From the results obtained interviews most respondents expressed verbal and
nonverbal communication with nurses and radiology is clearly different depending on the
type of person.
c. Nurse-Pharmacy
From the results obtained interviews most respondents expressed verbal and
nonverbal communication with the nurses and the pharmacy is clearly different
depending on the type of person.
3. Factors that Affect Communication
a. Nurse-Laboratory
Based on the results obtained the majority of respondents stated that the factors that
influence nurses in communication with the laboratory is sex, attitudes, education, age,
emotions and work load.
b. Nurse-Radiology
Based on the results obtained the majority of respondents stated that the factors that
influence the denganradiologi nurse communication is gender, attitudes, education, age
and work load.
c. Nurse-Pharmacy
6
Based on the results obtained the majority of respondents stated that the factors that
influence nurses in communication with the pharmacy is sex, attitudes, education and
work load.
4. Nurse relationships with other health workers
a. Nurse-Laboratory
Based on the results obtained the majority of respondents stated that the relationship
with the laboratory nurse is a professional nature and parallel.
b. Nurse-Radiology
Based on the results obtained the majority of respondents stated that the relationship
with the radiology nurse is both professional and parallel.
c. Nurse-Pharmacy
Based on the results obtained the majority of respondents stated that the relationship
with the pharmaceutical nurse is a professional nature and parallel.
5. Problems and obstacles
a. Nurse-Laboratory
Based on the results obtained that the problems arising in communication with the
laboratory nurse is sampling outside of the sampling time and the numbers of different
blood bag with attached.
b. Nurse-Radiology
Based on the results obtained that the problems arising in communication with the
radiology nurse is the name of the same patient, radiological examination is not timely,
patient wards in radiological examinations missed due to forgetting written in the board
examination schedule in radiology and patient preparation BNO IVP less in ward which
is 12 hours before the test was given laxatives.
c. Nurse-Pharmacy
Based on the results obtained that the problems arising in communication with the
pharmacy nurse is a long wait for the medication of patients and procedures are not
undertaken.
6. Problem-solving efforts
a. Nurse-Laboratory
7
Based on the results of the interview showed that nurses with problem solving effort
is the laboratory and the laboratory to reconfirm the existence of standard operating
procedures for the sampling time.
b. Nurse-Radiology
Based on the results of the interview showed that the problem of resolving the
radiology nurse is a discussion in each unit, confirmation checks and clearance delays
listed patients radiological examination.
c. Nurse-Pharmacy
Based on the results of the interview showed that nurses with problem solving effort
is helping take pharmaceutical drugs required by the patient wards, held discussions with
the relevant units and for the long term is expected to increase human resources in the
pharmaceutical.
Tabel 1.1. Implementation of Communication Nurse-Laboratory
Perawat Laboratorium
The message
R1

Plan for
additional
lab
checks

Results of
lab

A blood
sample

A blood
sample
The Channel

Via
telephone
Face to
face

Via
telephone
Face to
face

Via
telephone
Face to
face

Via
telephone
Face to
face

R2

R3

R4

R5






A blood sample
Describe the
patient's room
when the
sampling time
Blood Donor
Via telephone
Face to face
written
R6
RLab

A blood
sample

A blood
sample



Via telephone
Face to face
written

Via
telephone
Face to
face
written


Tabel 1.2. Implementation of Communication Nurse-Radiology
Perawat –
Radiologi
The message
R1


The Channel


Check
roentgen,
ultrasound or
BNO IVP
Preparation
BNO IVP
Via telephone
written
R2




R3
Check
roentgen,
ultrasound or
BNO IVP
Handover of
patients

Via telephone
Face to face


Check
roentgen,
ultrasound or
BNO IVP
Via telephone
written
RRad

Handover of
patients

Via telephone
Face to face

8
Tabel 1.3. Implementation of Communication Nurse-Pharmacy
Perawat Farmasi
The message
R1

Reconfirmation
of drugs


The Channel
R2

Reconfir
mation of
drugs

Via telephone
written
R3
Via
telephone
written




RFar

Reconfirmation
of drugs
Reconfirma
tion of
drugs


Via telephone
written
Via telephone
written
Tabel 2.1. Verbal and Nonverbal Communication Nurse-Laboratory
Perawat Laboratorium
Verbal and
Nonverbal
(Encoding)
R1


RLab

Most obvious
Different people are
different types of
Self-explanatory
Tabel 2.2. Verbal and Nonverbal Communication Nurse-Radiology
Perawat Radiologi
Verbal and
Nonverbal
(encoding)
R2


R3


Most obvious
Different
people are
different types
of
R4
Most obvious
Different
people are
different
types of

RRad

Depending on
the personal
Selfexplanatory
Tabel 2.3. Verbal and Nonverbal Communication Nurse-Pharmacy
Perawat Farmasi
Verbal
and
Nonverbal
(encoding)
R1

R3


Sensitive
RFar
Most obvious
Different people are
different types of

Self-explanatory
Tabel 3.1. Factors that Affect Communication Nurse-Laboratory
Perawat - Laboratorium
Factors that affect
communication



R1
Sex
Attitude
Education

R5
Work load


RLab
Age
Emotion
9
Tabel 3.2. Factors that Affect Communication Nurse-Radiology
Perawat Radiologi
Factors that
affect
communication
R2




R3
Sex
Attitude
Education
Work load




R6




Sex
Attitude
Education
Work load
RRad

Sex
Attitude
Education
Work load
Age
Tabel 3.3. Factors that Affect Communication Nurse-Pharmacy
Perawat - Farmasi
Factors that affect
communication




R3
Sex
Attitude
Education
Work load




R4
Sex
Attitude
Education
Work load
RFar
Attitude

Tabel 4.1. Nurse Relationship With Laboratory
Perawat - Laboratorium
Nurse relationship with laboratory

R3
Same

R4
Professional

RLab
Profesional
Tabel 4.2. Nurse Relationship With Radiology
Perawat - Radiologi
Nurse relationship
with radiology

R3
Same

R4
Professional
RRad
Partnership

Tabel 4.3. Nurse Relationship With Pharmacy
Perawat - Farmasi
Nurse
relationship
with pharmacy

R3
Same

R4
Professional
RFar
Partnership

Tabel 5.1. Problems and obstacles Nurse-Laboratory
Perawat Laboratorium
The problems that
arise in
communication
R2

Taking
sampling
outside the
sampling time
R4

Number of different
blood bag with
attached
RLab

Taking sampling
outside the sampling
time
10
Tabel 5.2. Problems and obstacles Nurse-Radiology
Perawat Radiologi
The problems
that arise in
communication
R3

R4

radiological
checks were not
timely
R5

Patients who missed
the radiological
examination
RRad
Name of the
same patient

Preparation
BNO IVP
less patient in
ward
Tabel 5.3. Problems and obstacles Nurse-Pharmacy
Perawat - Farmasi
The problems that arise in
communication

R3
long wait

Tabel 6.1. Problem-solving
Perawat - Laboratorium
Problem-solving efforts



R4
Confirm reset to the
laboratory
SOP for sampling time
R3
Checking the
patient's name
listed
examination




RFar
The procedure is
not undertaken
RLab
SOP for sampling time

efforts Nurse-Radiology
R5
Conduct a discussion
Confirm delay inspection
Tabel 6.3. Problem-solving
Perawat - Farmasi
Problem-solving efforts

efforts Nurse-Laboratory
Tabel 6.2. Problem-solving
Perawat - Radiologi
Problem-solving
efforts
R4
long wait

RRad
Conduct a discussion
efforts Nurse-Pharmacy
R4
help take the medication
required by patients
wards
human resources needs
to be added

RFar
Conduct a discussion
11
Nurse relationship with laboratory
1. same
2. Professional
nurse
The problems that arise in communication
1. Sampling outside the sampling time
2. Number of different blood bag with attached
The message:
1. Plan additional lab checks
2. lab results
3. blood sample
4. Explain the patient's room when
the sampling time
5. blood donor
laboratory
Problem-solving efforts
1. Laboratory to reconfirm
2. SOP for time sampling
The channel:
1. via telephone
2. face to face
3. written
Verbal and nonverbal:
1. Most of the obvious
2. Different people are different types of
Factors that affect communication
1. sex
2. attitude
3. education
4. age
5. emotion
6. work load
Gambar 1. Communication of Nurse-Laboratory
12
Nurse relationship with laboratory
1. same
2. Professional
nurse
The problems that arise in communication
1. Radiological examination is not timely
2. Ward patients who missed the radiological
examination
3. The name of the same patient
4. Preparation BNO IVP less patient in ward
The message:
1. Check roentgen, ultrasound or
BNO IVP
2. Preparation BNO IVP
3. Patient handover
Radiology
Problem-solving efforts
1. Checking the patient's name
listed examination
2. Conducting discussions
3. Confirmation checks delay
The channel:
1. via telephone
2. face to face
3. written
Verbal and nonverbal:
1. Most of the obvious
2. Different people are different types of
3. depending on personal
Factors that affect communication
1. sex
2. attitude
3. education
4. age
5. work load
Gambar 2. Communication of Nurse-Radiology
13
Nurse relationship with laboratory
1. same
2. Professional
nurse
The problems that arise in communication
1. The long wait
2. The procedure is not undertaken
The message:
1. Reconfirmation of drugs
pharmacy
Problem-solving efforts
1. Help take the medication required
by patients wards
2. Conducting discussions
3. Human Resources needs to be
added
The channel:
1. via telephone
2. written
Verbal and nonverbal:
1. sensitive
2. Most of the obvious
3. Different people are different types of
Factors that affect communication
1. sex
2. attitude
3. education
4. work load
Gambar 3. Communication of Nurse-Pharmacy
14
DISCUSSION
1. Implementation of Communication
Nurse communication with other health care workers such as laboratory, radiology and
pharmacy still need improvement. In practice there are officers who can communicate
openly, but some are not, depending on the individual officers. To make effective
communication, both parties must be sensitive and open to the messages from the other side,
the clarity of messages and the corresponding change in attitude.7
In the interviews it was found that nurses communication with laboratory and radiology
nurse to take place through face-to-face, via telephone and in writing, with a nurse while
pharmaceutical communications often through via telephone and written in accordance with
the statement Nursalam (2002) is a model of communication can be in the form of written
communication, direct communication, communication via telephone.
From the results obtained above, the message nurse communication with laboratory are
presented to explain the patient's room during hours of sampling, blood donors, plan
additional lab, lab results and ask for a blood sample. the message communication with
radiology nurse is delivered to the patient handover radiological examinations, enrolling
patients to check roentgen, ultrasound or IVP and asking preparation BNO BNO IVP
patients. While the message communication with a nurse delivered pharmaceutical drugs is
reconfirmation. In the elements of communication, messages are verbal and nonverbal
symbol set that contains ideas, attitudes and values communicator. Message has three
components: 1) meaning, 2) the symbols used to convey meaning, and 3) the form or
organization message.8
2. Verbal and Nonverbal Communication
From interviews obtained most of the respondents said nurses verbal and nonverbal
communication with other health care workers such as laboratory , radiology and pharmacy
has a way of communicating that is not the same because of the character of each individual
is different , though the clarity of the intent and content of communication in principle is
clear . Verbal attitude clear , direct statement of desire , the use of the words objective and
honest statement of what is perceived indicate yan assertive forms of communication ,
namely communication which provide a positive benefit to both health workers pihak.9
Communication verbal and nonverbal different different , it indicates kekomplekkan
15
interpersonal communication , because each person in interpersonal communication is
affected differently by the intrapersonal variables.7
3. Factors that Affect Communication
Communication is a complex process influenced by many factors. Based on the results
obtained the majority of respondents stated that the factors that influence nurses in
communication with other health care workers such as laboratory, radiology and pharmacy
are gender, attitudes, education, age, emotions and workload. Factors that affect interpersonal
communication is the development, perception, values, emotions, social cultural background,
gender, knowledge, roles and relationships, environment, distance and ruang.7 In PKU
hospital in Bantul turns there are other factors that affect workload . Workload that is too
high will cause a change of one's emotions, in this case indirectly workload into factors
influencing the nurses communication with health workers lainseperti laboratory, radiology
and pharmacy.
4. Nurse relationships with other health workers
Based on the results obtained the majority of respondents stated that the relationship of
nurses with other health personnel such as laboratory, radiology and pharmacy is both
professional and parallel, the communication refers to the achievement of patient outcomes,
as well the time to communicate and communication has always focused on the material
interests of the patient. In the professional arena, its main focus on outcomes for klien.10
Practice partnership or collaboration in the English language, in fact can not be easily defined
or explained. Most definitions using the principles of planning and shared decision-making,
share advice, togetherness accountability, skills and goals, as well as a shared
responsibility.11
5. Problems and obstacles
Based on the results obtained that the problems arising in communication with the
laboratory nurse is sampling outside of the sampling time and the numbers of different blood
bag with the attached. Sampling outside the sampling time most of the wards are already
doing well, but there is a small yet fully implement sheds. So it becomes a problem among
nurses and laboratory workers. Number of different blood bag with attached makes the nurse
could not immediately take action to be taken, so this is a problem.
16
Based on the results obtained that the problems arising in communication with the
radiology nurse is the name of the same patient, radiological examination is not timely,
patient preparation BNO IVP less in the ward which is 12 hours before the test was given
laxatives. and patients in the ward were missed due to forgetting written radiology board
examination schedule in diradiologi. The same patient name makes confuse radiology patient
outcomes. Radiological examinations were not timely make the patient upset and venting to
the nurses because no prior notice. Ward the patient's name is not written on the board
radiological examination schedule resulted in patient wards overlooked in the examination
should be done at the time. These things become a problem with the radiology nurse.
Based on the results obtained that the problems arising in communication with the
pharmacy nurse is a long wait for the medication of patients and procedures are not
undertaken. Necessary drugs can not be obtained immediately because the queue multiple
drug and pharmacy staff are still very limited.
Each person feel, interpret and understand things in a different way. This difference in
perception if it occurs among people who interact with each other can lead to communication
barriers (miscommunication). One of the other obstacles are defensive or defensive. This
attitude gives the impression that the other party or censure does not have the right to provide
a opini/pendapat.7 One reason for the emergence of communication problems is not enough
because the message contains some information.12
6. Problem-solving efforts
Based on the results of the interview showed that nurses with problem solving effort is
the laboratory and the laboratory to reconfirm the existence of standard operating procedures
for the sampling time. In this case can reduce the problems that arise. Reconfirm the
laboratory to help to reduce the errors that occurred. In this case the nurses have effective
communication by telephone in the hospital accreditation is write back, read back and repeat.
The existence of standard operating procedures for the sampling time to make nurses and lab
can work and not delegate duties to others. This SOP has been explained time laboratory
workers routinely take samples at the appointed time. For the needs of laboratory tests
outside the time of sampling and Cito, nurses and lab took samples submitted to the
laboratory immediately.
17
Based on the results of the interview showed that the problem of resolving the radiology
nurse is a discussion in each unit, confirmation checks and clearance delays listed radiology
patients. Discussions in each unit in this case was conducted morning meetings every day
and also there is a meeting kholif meetings across sectors so that it can cope with problems
that arise. Confirming the delay helps the nurse to explain to the patient so that the patient
can understand. Checking the patient's name is listed to reduce the radiological examination
of an error or missed scheduled patient radiological examination. At the General Hospital
PKU SOPs Bantul explained when taking photos do nursing then the nurse must sign the
register book of radiology and took the name of the light. So that in the event of the same
name can be quickly traced and repaired quickly to.
Based on the interview results showed that problem-solving efforts with pharmaceutical
nurse is helping take the medication required by patients for long-term wards and is expected
to increase human resources in the pharmacy. Help take the medication required by patients
ward is one of the nurses to the work done at this time due to the pharmacist still very limited
and the number of medications that need to be resolved queue. Long-term effort is the
addition of human resources in the pharmacy so that it can overcome the problems occurred.
Related procedures are not undertaken by nurses, in this case there is an agreement between
the nurse and the pharmacy generated from kholif meeting that, 1) there is a specific time for
delivery of drugs to the ward; 2) the prescription given 1 hour before the hour of delivery; 3)
prescribing Cito and drug holidays taken by nurses.
One attempt to overcome the problem of communication is through communication
techniques terapeutik.7 therapeutic communication techniques include active listening,
acceptance of others, asked, repeating a message, clarification, focused conversation,
observation, offering information, silent, assertive and make conclusions. Judging from the
results of the interview, the nurse has done several therapeutic communication techniques is
to repeat the message. Preparation of all hospital policies, including the completion of the
procedure various problems are the responsibility of the hospital manager. This is consistent
with one of the hospital manager's job is to make the support system to create an
environment conducive hospital.13
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CONCLUSION
Interprofesi nurse communication relationships with other health care workers are laboratory,
radiology and pharmacy at PKU Muhammadiyah Hospital in Bantul already baik.Pada verbal
and nonverbal communication with other health care nurse at General Hospital PKU
Muhammadiyah Bantul is clear and depends on each type of individual officers. There are
several factors that affect education, gender, age, attitude, emotions and workload or busyness.
Relationships with other health care nurse at General Hospital PKU Muhammadiyah Bantul is
professional and parallel (partnership). Problems and barriers in general are caused by
miscommunication and bustle or load kerja.Usaha-establish communication efforts have been
made either by a nurse, laboratory, radiology, pharmacy, and agencies.
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