Manajemen Asuhan Keperawatan Jiwa yang Service Excellent pada Tn. X dengan Perilaku Kekerasan di RSJ Prof. Dr. M. Ildrem Provinsi Sumatera Utara Tahun 2025

Mental disorders accompanied by violent behavior remain a serious challenge in mental health services. Violent behavior in individuals with mental disorders poses a risk to the safety of oneself, others, and the surrounding environment; therefore, a case study approach in nursing care is needed to design appropriate interventions according to individual needs. Objective: This study aims to describe the management of psychiatric nursing care for patients with violent behavior through the nursing process approach. Method: The study used a descriptive case study design.
Subject: The research was conducted on Mr. D, a 37-year-old male with a history of recurrent mental disorders due to non-adherence to medication, who was treated in the Sinabung 3 Ward of Prof. Dr. Muhammad Ildrem Mental Hospital, Medan, from March 25 to 28, 2024. Data were collected through interviews, direct observation, and medical record review. Results: Based on the assessment, the nursing diagnosis identified was violent behavior, with interventions including therapeutic communication, deep breathing relaxation, structured activities, spiritual support, and
collaboration in pharmacological therapy over four days. Evaluation showed reduced anger, improved emotional control, and better patient cooperation in therapy. Conclusion: The
implementation of psychiatric nursing care based on service excellence proved effective in reducing violent behavior, enhancing emotional control, and creating a safe and therapeutic environment, making it a reference model for improving the quality of psychiatric nursing services.
Keywords: Management, Psychiatric Nursing Care, Service Excellence, Violent Behavior