Pengaruh Kepatuhan dan Pengetahuan Perawat Terhadap Penerapan Clinical Pathway di Rumah Sakit Umum Daerah (RSUD) Haji Padjonga Daeng Ngalle Takalar

Abstract

Background: Clinical pathways are clinical service guidelines aimed at improving service quality, resource
efficiency, and patient safety. Observations at Haji Padjonga Daeng Ngalle Takalar Regional General
Hospital (RSUD), revealed that the implementation of the Clinical Pathway in inpatient care began in 2018
and covers 45 disease diagnoses. However, according to a nursing staff member, implementation is still not
optimal, as only one disease has been implemented or filled out according to the clinical pathway SOP.
Furthermore, one factor contributing to non-compliance with clinical pathway implementation is the
emergence of unpredictable complications, complicating the implementation of established clinical flows.
Objective: To determine the effect of nurses' compliance and knowledge on the implementation of the Clinical
Pathway at Haji Padjonga Daeng Ngalle Takalar Regional General Hospital (RSUD).
Methods: This study employed a quantitative design with a cross-sectional approach. The sample consisted of
200 inpatient nurses selected through random sampling. Data analysis was performed using the Chi-square
test and multiple linear regression using SPSS.
Results: This study shows that the F-test analysis shows that the calculated F value (64.341) > F-table (3.04)
with a significance level of 0.000 < 0.05, thus Ha is accepted and Ho is rejected.
Conclusion: Nurses' compliance and knowledge simultaneously influence the implementation of clinical
pathways. These results demonstrate the importance of improving nurses' understanding and compliance to
optimize clinical pathway implementation.