Peran ketrampilan komukasi dokter, perawat dan apoteker pada penggunaan terapi rasional

Bernadette Dian Novita Dewi, Endang lsbandiati Soediono, Wahyu Dewi Tamayanti, Kevin Anggakusuma, Paskalis Aditya


The use of rational therapy is defined as "patient receive medications appropriate to their
clinical needs, in doses which meet their own needs as an individual, for a long enough time.
and at the lowest cost for them and the community."
This study, using quantitative and qualitative methods to explore and develop an effective
training program to re-inspire the functions oj communication skills to enhance the ability of
physicians, nurses and pharmacists to support the use of rational therapy. The results of the
needs assessment conducted showed that direct communication to patients done by nurses,
because they are located at close proximity to the patient during the inpatient stay. Therefore, it
is felt necessary to train nurses to do a good communication skills. The expected communication
is communication that support the use oj rational therapy, hence it provides sufficient knowledge
on mailers relating to therapy should be given as well. In this study, we used training as a model
to deliver information about the communication skills and pharmacology.
This study located is PHC Hospital Surabaya. This study begins with a needs assessment
done through interviews with nurses and pharmacists. Based on the results oj the needs
assessment, communications and pharmacological training of diabetes mellitus conducted.
Questionnaires were distributed before and after training to determine the condition of pre-and
post-training. Preliminary results show that: through the interviews we obtained information
that the rational use oj therapeutic preceded by the explanation of the use of the drug. We
also conducted pre and post test to measure the knowledge of the training participants about
pharmacologic of diabetes mellitus. The average yield was 4.8 on the pre test while the post test
was 7.5. Through pre and post test results, can be seen that the training participants still need
more in-depth information about diabetes mellitus drug pharmacology.
This research resulted in communication skills training module and the rational use of
therapeutic distributed to trainees.
Post-training observation result conducted at training participants shows that: 1) the
charge nurse in ward are motivated to actuate the nurses to more actively communicate with
the doctors and pharmacists for the good of the patient, 2) need for ongoing training primarily
related to the rational use oj drugs.
Also found through observation three months post training improvement especially in
drug delivery timeline.

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