Evaluasi Implementasi Metode Asuhan Keperawatan Profesional (MAKP): Scoping Review

Lindawati Br Barus; Wida Kuswida Bhakti; Dinarwulan Puspita; Suriadi

Authors

Lindawati Br Barus
Wida Kuswida Bhakti
Dinarwulan Puspita
Suriadi

Keywords:

Professional Nursing Care Model, PNCM, Nursing Evaluation, Nursing Management

Abstract

Background: The Professional Nursing Care Model (PNCM) is a fundamental framework for organizing nursing delivery systems to enhance hospital operational efficiency and service quality. Despite its broad implementation in Indonesia, a comprehensive mapping of its evaluative outcomes and determining factors remains limited. This scoping review aims to systematically map scientific evidence regarding PNCM implementation, models, and determining factors within the Indonesian healthcare context.

Methods: This review followed Arksey and O'Malley’s framework and PRISMA-ScR guidelines. A comprehensive literature search was conducted on PubMed, Scopus, ScienceDirect, and Google Scholar for studies published between 2016 to 2025. Eligibility was determined using the PCC (Population, Concept, Context) framework, focusing on studies evaluating PNCM impact in Indonesia.

Results: Ten studies met the inclusion criteria. Findings indicate that PNCM implementation in Indonesia is largely adaptive, dominated by Team and Modified Team-Primary models. Overall implementation quality is categorized as "moderate," characterized by inconsistent execution of core managerial activities, including pre-conferences, post-conferences, and nursing rounds. Implementation success is significantly driven by organizational factors (head nurse leadership and job design) and psychological factors (nurse motivation), whereas individual factors showed no significant influence.

Conclusion: PNCM implementation in Indonesian hospitals is adaptive yet partial, hindered by gaps in core managerial components. Achieving optimal implementation requires robust managerial support and enhanced professional motivation. Management interventions should prioritize leadership capacity building and the cultivation of conducive work environments to ensure high-quality nursing care delivery.

References

Dion, Y., Fernandez, H. A., & Paun, R. (2019). Hubungan implementasi model asuhan keperawatan profesional (MAKP) tim-primer dengan mutu pelayanan keperawatan di ruang rawat inap RSUD Dr. Ben Mboi Ruteng. CHMK Nursing Scientific Journal, 3(2), 146–155. https://doi.org/10.35816/jiskh.v3i2.133

Harahap, P. P., Siregar, F. L. S., & Nasution, S. S. (2025). Hubungan implementasi model asuhan keperawatan profesional (MAKP) tim dan kinerja perawat di RSUD Kota Padangsidimpuan. Journal Ners, 9(4), 6025–6032. https://doi.org/10.31004/jn.v9i4.32145

Hidayat, E. H., Syukur, S. B., Biki, P. A. U., & Sopyan, T. N. (2024). Efektivitas metode tim dalam pelayanan asuhan keperawatan di ruang perawatan interna RSIA Siti Khadidjah Kota Gorontalo. Jurnal Keperawatan Muhammadiyah, (Edisi Khusus 2024), 258–264. https://doi.org/10.30651/jkm.v12i1.21543

Kanang, S. W. Y., Syahrul, S., & Majid, A. (2020). Penerapan model asuhan keperawatan profesional (MAKP). Media Karya Kesehatan, 3(1), 26–36. https://doi.org/10.24198/mkk.v3i1.25143

Maemunah, N., Mudayatiningsih, S., & Rosdiana, Y. (2017). Gambaran kinerja perawat dalam penerapan metode asuhan keperawatan profesional (MAKP) modifikasi tim-primer di ruangan Dahlia RSUD Umbu Rara Meha Waingapu Sumba Timur. Nursing News: Jurnal Ilmiah Keperawatan, 2(3), 522–531.

Mendrofa, H. K., & Sagala, L. (2019). Pengaruh pelatihan dan penerapan model metode asuhan keperawatan profesional (MAKP) primary nursing terhadap kualitas asuhan keperawatan di rumah sakit kota Medan. Indonesian Trust Health Journal, 2(2), 202–209. https://doi.org/10.35135/ithj.v2i2.48

Mendrofa, H. K., Astuti, D., Irawan, A. B., & Nasrah. (2025). Evaluasi penerapan model praktek keperawatan profesional di rumah sakit wilayah kota Jayapura. Jurnal Promotif Preventif, 8(3), 611–624. https://doi.org/10.33651/jpp.v8i3.1234

Millati, R. (2019). Analisis multivariat kinerja perawat pada pelaksanaan MAKP di instalasi ruang rawat inap RSUD Dr. H. Moch. Anshari Saleh Banjarmasin. Health Media, 1(1), 27–35. https://doi.org/10.35135/healthmedia.v1i1.5

Oktaviana, R., Lestari, I., Ibnu, F., & Jainurakhma, J. (2022). Penerapan metode asuhan keperawatan profesional: Analisis motivasi terhadap optimalisasi kinerja perawat. Jurnal Ilmiah Kesehatan Media Husada, 11(2), 194–200.

Oktavyanti, D., Masrukin, M. M., Setu, Y. T., & Syairozi, A. (2023). Strategi peningkatan MAKP cakupan asuhan keperawatan profesional berbasis SDKI SLIKI dan SIKI di RSUD Kab. Buleleng Singaraja. Journal Abdi Mahosada, 1(2), 8–13.

Prasetyo, J., Suprayitno, E. D., Mulyono, A. T., Efendi, C., & Nasihun, F. D. (2024). Pelaksanaan model asuhan keperawatan profesional (MAKP) di RSUD Gambiran Kota Kediri (Studi kasus di ruang rawat inap Dhaha, Kahuripan, Jenggala dan Pamenang). Jurnal Ilmiah Pamenang, 6(2), 224–229. https://doi.org/10.54411/jip.v6i2.601

Purwaningsih, D. F. (2022). Evaluasi penerapan standar model praktek keperawatan profesional (MPKP) di rumah sakit Buluye Napoae Moutong. Jurnal Ilmiah STIKES Indonesia Jaya, 3(2), 26–30.

Rabithah, & Sukma, Y. (2021). Pengaruh penerapan metode asuhan keperawatan profesional: Metode tim terhadap kinerja perawat pelaksana. JINTAN: Jurnal Ilmu Keperawatan, 1(1), 17–26. https://doi.org/10.55222/jintan.v1i1.411

Rahayu, H., Kurniati, T., & Widakdo, G. (2025). Implementation of primary nursing care method and nurses’ work satisfaction. NERS Jurnal Keperawatan, 21(1), 86–91. https://doi.org/10.26714/nm.v21i1.15678

Rupisa, V., Mudayatiningsih, S., & Rosdiana, Y. (2018). Hubungan model asuhan keperawatan profesional (MAKP) tim dengan tingkat kepuasan kerja perawat di rumah sakit Panti Waluya (RKZ) Malang. Nursing News: Jurnal Ilmiah Keperawatan, 3(1), 291–301.

Subekti, D. E., Wicaksono, G., Prasetyo, J., Adikarjo, I. P., & Munawaroh, I. (2024). Pengetahuan perawat tentang penerapan model asuhan keperawatan profesional di RS Putra Waspada. COMFORT Journal, 3(2), 35–38. https://doi.org/10.54411/comfort.v3i2.564

Weliya, F. (2018). Gambaran pelaksanaan model praktik keperawatan profesional di rumah sakit Dr. Moewardi Surakarta [Naskah Publikasi, Universitas Muhammadiyah Surakarta]. Repository UMS. http://hdl.handle.net/11617/10321