Latar Belakang: Asma bronkial merupakan penyakit inflamasi kronis pada saluran pernapasan yang ditandai dengan obstruksi jalan napas akibat hipersekresi lendir, bronkokonstriksi, dan inflamasi. Bersihan jalan napas yang tidak efektif menjadi salah satu masalah utama dalam penanganan pasien asma di fasilitas kesehatan, termasuk di RSUD Wangaya Kota Denpasar. Tujuan: Penelitian ini bertujuan untuk menggambarkan implementasi asuhan keperawatan pada pasien asma bronkial dengan bersihan jalan napas tidak efektif, termasuk aspek pengkajian, diagnosis keperawatan, intervensi, implementasi, dan evaluasi keperawatan. Metode: Penelitian ini menggunakan desain studi kasus deskriptif kualitatif dengan pendekatan multiple case study. Data dikumpulkan melalui observasi, wawancara, dan dokumentasi pada dua pasien yang dirawat di IGD RSUD Wangaya. Teknik analisis data dilakukan secara induktif untuk menemukan pola dalam penerapan asuhan keperawatan. Hasil: Penelitian menunjukkan pengkajian keperawatan mencakup sesak napas, batuk, dan sputum berlebihan, dengan diagnosis bersihan jalan napas tidak efektif. Intervensi utama meliputi posisi semi-Fowler, terapi oksigen, batuk efektif, dan bronkodilator. Implementasi bersifat kolaboratif, dengan evaluasi menunjukkan peningkatan saturasi, penurunan sesak, dan batuk lebih efektif. Kesimpulan: Implementasi asuhan keperawatan yang optimal pada pasien asma bronkial dengan bersihan jalan napas tidak efektif berkontribusi terhadap perbaikan kondisi pasien. Penerapan intervensi yang sesuai standar dapat meningkatkan efektivitas bersihan jalan napas dan mengurangi gejala asma. Kata Kunci: Asma bronkial, bersihan jalan napas tidak efektif, asuhan keperawatan, studi kasus, intervensi keperawatan.

Background: Bronchial asthma is a chronic inflammatory disease on the respiratory tract characterized by airway obstruction due to mucus hypersecretion, bronchoconstriction, and inflammation. Ineffective airway clearance is one of the main problems in treating asthma patients in health facilities, including at Wangaya Hospital, Denpasar City. Purpose: To describe the implementation of nursing care on bronkial asthma patients with ineffective airway clearance included identification, nursing diagnosis, intervention, implementation, and evaluation of nursing. Method: This research employed case study descriptive qualitative design with multiple case study approach. The data were collected by using observation, interview, and documentation in Emergency Room of Wangaya Hospital. The data were analyzed by using inductive analysis to find the pattern of nursing care. Findings: The results of the research showed that nursing assessment included identification of primary complaints such as shortness of breath, cough, and excessive sputum production. The nursing diagnosis found was ineffective airway clearance. The main interventions which was done included providing a semi-Fowler position, oxygen therapy, effective coughing techniques, and administering bronchodilators based on indication. The implementation of nursing care was done collaboratively with the medical team. The evaluation showed improvements in oxygen saturation, decreased shortness of breath, and increased effectiveness of the patient’s cough. Conclusion: Implementation of optimal nursing care on bronchial asthma patients with ineffective airway clearance contributes to improve the patient's condition. The implementation of standardized interventions can increase the effectiveness of airway clearance and reduce asthma symptoms. Keywords: Bronchial Asthma, Ineffective Airway Clearance, Nursing Care, Case Study, Nursing Interventions