EXCELLENT SERVICE OF PSYCHIATRIC NURSING CARE MANAGEMENT AT MR. D WITH A GREAT REPUTATION  AT THE PSYCHIATRIC HOSPITAL PROF. DR.  MUHAMMAD ILDREM MEDAN NORTH  SUMATRA PROVINCE YEAR 2025

Yurnita Batee; Imran Saputra Surbakti; Samrotul Fuadah Al-Ansoriyani; Sunarti; Steven Try Naldo Napitupulu; Erika Eloina Surbakti; Cindy Louis Pardede

Authors

Yurnita Batee Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Imran Saputra Surbakti Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Samrotul Fuadah Al-Ansoriyani Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Sunarti Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Steven Try Naldo Napitupulu Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Erika Eloina Surbakti Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Cindy Louis Pardede Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan

Keywords:

Grandiose Delusion, Mental Health Nursing Care, Nursing Management, Service Excellence

Abstract

Grandiose delusions are one of the common perceptual disturbances found in patients with schizophrenia, characterized by unrealistic beliefs about one's power or greatness. Managing this condition requires a professional, structured mental health nursing management approach that adheres to the principles of service excellence. This study aims to describe the management of mental health nursing care based on service excellence for Mr. D, who was treated at Prof. Dr. Muhammad Ildrem Mental Hospital in North Sumatra Province in 2025. The method used was a case study with a nursing process approach, including assessment, nursing diagnosis, planning, implementation, and evaluation. Interventions focused on therapeutic communication, reality therapy, and psychoeducation. The results of four days of nursing care showed a decrease in grandiose delusional behavior, improved thought processes, and content of thought more aligned with reality. The application of service excellence principles was evident through the nurse’s empathetic attitude, clear communication, timely interventions, and responsiveness to the client’s needs. The conclusion of this study indicates that mental health nursing management based on service excellence can improve the effectiveness of therapy and accelerate the recovery process in clients with grandiose delusions

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