168 MPPKI (September, 2020) Vol. 3. No. 3 Published By: Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu Copyright © 2018 MPPKI. All rights reserved The Indonesian Journal of Health Promotion ISSN 2597– 6052 MPPKI Media Publikasi Promosi Kesehatan Indonesia Artikel Penelitian Open Access Pengaruh Pelatihan Model Praktek Keperawatan Profesional (MPKP) terhadap Penerapan Pilar I Pendekatan Manajemen dan Pilar IV Sistem Pemberian Asuhan Keperawatan Perawat di Rumah Sakit X Kotamobagu The Effect of Nursing Professional Practice Models Training Towards the Implementation of Element Management Approach and Element IV Nurse’s Nursing Care Delivery System in X Hospital of Kotamobagu Heriyana Amir 1 , Djuariah Chanafie 2 , Sutanto Priyo Hastono 3 1 Program Studi Keperawatan, STIKES Graha Medika 2, Program Studi Keperawatan Universitas Binawan 3, Program Studi Kesehatan Masyarakat Universitas Indonesia *Korespondensi Penulis : yanaamir06@gmail.com, Abstrak MPKP merupakan salah satu upaya meningkatkan mutu pelayanan di rumah sakit dalam pelayanan keperawatan untuk meminimkan kesalahan atau kelalaian yang dapat terjadi. MPKP suatu system (struktur, proses dan nilai-nilai professional) yang memungkinkan perawat profesional mengatur asuhan tersebut. Penelitian ini bertujuan untuk menganalisis pengaruh pelatihan model praktek keperawatan profesional (MPKP) terhadap penerapan pilar I pendekatan manajemen dan pilar IV sistem pemberian asuhan keperawatan perawat di Rumah Sakit X Kotamobagu. Jenis penelitian menggunakan penelitian kuantitatif dengan rancangan yaitu pra- eksperimen one group pre-test post-test design. Sampel dalam penelitian berjumlah 75 responden. Hasil penelitian menunjukkan penerapan pilar I pendekatan manajemen (element perencanaan, perorganisasian, pengarahan, pengendalian) dan pilar IV sistem pemberian asuhan keperawatan (element pengkajian, diagnosa keperawatan, perencanaan, tindakan, evaluasi, catatan keperawatan) sebelum dan setelah pelatihan MPKP terdapat perbedaan; Hubungan pilar I antara usia (pvalue: 0,032), pendidikan (pvalue: 0,000), lama kerja (pvalue: 0,042) membuktikan ada hubungan bermakna (P<0,05) sedangkan jenis kelamin ( pvalue: 0,195) tidak ada hubungan bermakna (p >0,05); hubungan pilar IV antara usia (pvalue: 0,71), jenis kelamin (pvalue: 0,316), membuktikan bahwa tidak ada hubungan bermakna (p>0,05) sedangkan pendidikan (pvalue: 0,020), lama kerja (pvalue: 0,032) membuktikan ada hubungan bermakna (P<0,05); penerapan pilar I dan pilar IV sebelum dan setelah pelatihan MPKP terdapat perbedaan di setiap element ( pvalue: 0,000). Hasil coefisien regresi diperoleh variabel pre, usia, jenis kelamin, pendidikan, lama kerja pada pilar I R Square=0,624 dan pilar IV R Square = 0,725 artinya berkontribusi mempengaruhi. Penelitian ini merekomendasikan pelatihan MPKP pada semua kepala ruang, katim dan perawat pelaksanaan sosialisasi atau update terkini penerapan MPKP secara kontinue oleh RS. Kata Kunci : Penerapan Pilar I Pendekatan Manajemen, Pilar IV Sistem Pemberian Asuhan Keperawatan, Pelatihan MPKP Abstract Nursing Professional Practice Models was one of the attempts to increase the quality of a hospital in nursing services to minimalize the occurrence of error or negligence. PPM was a system (structure, process, and professional values) which would be possible for professional nurses to manage it. This research was aimed to analyze the effect of PPM towards the implementation of element I Management Approach and Element IV Nurse’s Nursing Care Delivery System in X Hospital of Kotamobagu. The analysis used quantitative study with a design which was a one group pre-test post-test design pre-experiment. The models in this research were 75 respondents. The results of the research showed that in the implementation of element I Management Approach (planning, organizing, directing, controlling elements) and element IV nursing care delivery system (assessment, nursing diagnosis, planning, performance, evaluation, nursing records elements), before and after the PPM training, there was a difference; Connection of Element I between age (pvalue: 0,032), education (pvalue: 0,000), length of working (pvalue: 0,042) proved that there was a significant connection (p <0,05) while gender (pvalue: 0,195) proved that there was no significant connection (p >0,05); Connection of Element IV between age (pvalue: 0,71), gender (pvalue: 0,316), proved that there was no significant connection (p>0,05) while education (pvalue: 0,020), length of working (pvalue: 0,032) proved that there was significant connection (p<0,05); The implementation of element I and IV before and after the training of PPM resulted in difference in each element (pvalue: 0,000); The result of regression coefficient got variables per age, gender, education, length of working in element I R Square=0,624 and element IV R Square=0,725 meant contributing to effect. This research recommended training of Nursing Professional Practice Models for all heads of departments, team leaders, and nurses, arranging the socialization or updating the newest news about the implementation of Nursing Professional Practice Models continually by the hospital. Keywords : Implementation element I management approach; Element IV nursing care Delivery system, Nursing professional practice models training