CONTINUITY OF CARE SYSTEM MODEL IN SURGERY TO PREVENT SURGICAL SITE INFECTION

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Imam Makhrus
Achir Yani
Mustikasari Mustikasari

Abstract

Background: The high level of hospital occupancy had prompted policies to repatriate patients early. Surgical site infection risk did not only occur during hospitalization, surgical site infection could also occur when the patient has been discharged from the hospital. Continuity of care intervention was required to avoid surgical wound infections as long as the patient needed. Objective of this study was to explorer the existing situation of continuity of nursing care system for surgical patient, especially monitoring service to prevent surgical site infection.


Methods: Research method include the first stage was conducted qualitative research through focus group discussion with the staff nurses, head nurses, and nurse managers in public hospitals Karawang area amounted to 25 people.


Result: The result of the study was found 4 themes and 6 subthemes about the need for monitoring surgical wound care, Constraints of continuous nursing care, Impact of lacking the monitoring and following-up, No-continuity of care, Risk of surgical site infections as a result of severe disconnection, and Risk of readmission. Continuity of care system model in surgery patients was very important to be applied in nursing care to improve patient satisfaction and shorten wound healing time.

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