ABSTRAKPelayanan keperawatan Profesional dan bermutu memerlukan koordinasi tim dan dapat
dilakukan melalui kegiatan konferensi, ronde keperawatan dan presentasi kasus.
Penelitian ini bertujuan untuk menguji hubungan antara motivasi kerja dan supervisi
dengan penerapan konferensi, ronde keperawatan dan presentasi kasus setelah
dipengaruhi oleh faktor confounding pada perawat pelaksana di RSUD, A. Yani Metro
Lampung. Desain penelitian dengan desain deskriptif korelasional dengan rancangan
potong lintang. Populasi penelitian adalah 103 perawat pelaksana yang bekerja di Unit
Rawat Inap yang merupakan total sampling. Untuk menguji hubungan antara motivasi
kerja dan supervisi terhadap penerapan konferensi, ronde keperawatan dan presentasi
kasus digunakan Koefisien Korelasi Partial. Hasil penelitian menunjukkan Penerapan
konferensi, ronde keperawatan dan presentasi kasus yang dilakukan oleh perawat
pelaksana masih kurang optimal. Rata-rata faktor motivasi kerja yang dilakukan masih
kurang baik dan supervisi yang persepsi oleh perawat pelaksana juga masih kurang baik.
Hasil analisa korelasi dengan α =0,05 diperoleh p value : 0,0001 menunjukkan terdapat
hubungan yang signifikan antara motivasi kerja dengan tiga subvariabel (motif, harapan
dan insentif) dan supervisi dengan penerapan konferensi, ronde keperawatan dan
presentasi kasus, dengan hubungan yang sedang dan berpola positif artinya semakin
tinggi motivasi kerja dan supervisi maka penerapan konfrensi, ronde keperawatan dan
presentasi kasus semakin baik. Penelitian ini menyimpulkan bahwa harapan dan supervisi
merupakan faktor dominan yang berhubungan dengan penerapan konferensi, ronde
keperawatan dan presentasi kasus, tetapi hanya 34,3 % dijelaskan oleh faktor tersebut
sisanya dijelaskan oleh faktor lain. Hal ini dapat terjadi karena belum optimalnya
motivasi kerja dan supervisi . Untuk itu pelayanan keperawatan khususnya rumah sakit
perlu mengembangkan metode tim secara efektif, penataan sistem jenjang karir,
pemberian insentif secara adil dan pemberian supervisi profesional kepada perawat
pelaksana sehingga penerapan konferensi, ronde keperawatan dan presentasi kasus dapat
lebih optimal
ABSTRACTA professional and qualified nursing service required a team coordination by means of
the implementation of conferences, nursing rounds and case presentation. This study
aimed to examine the correlation between work motivation and supervision and the
implementation of conferences, nursing rounds and case presentation after having been
influenced by factors confounding of nurses in A. Yani District General Hospital Metro
Lampung. The correlational descriptive design using a cross sectional method was
applied to this study. One hundred and three nurses considered as a total sample,worked
in several inpatient wards participated in this study. Partial correlation coefficient was
used to evaluate the correlation between variables. The result showed that the
implementation of conferences, nursing rounds and case presentation had not been
optimally implemented among nurses. Furthermore, the result of this study suggested that
in average, the work motivation among nurses was considered low, while the supervision
was not perceived good by nurses. Analysis of correlation(α =0,05, p value : 0,0001)
revealed a statistically significant correlation between work motivation and the three sub
variable (motive,expectation,and incentive), and there was a positive correlation between
supervision and the implementation of conferences, nursing rounds and case presentation
meaning that the higher the motivation and better supervision corresponded to the better
implementation of conferences, nursing rounds and case presentation. This study
concluded the expectation and supervision were regarded as a dominant factor(34.3%)
which related to the implementation of conferences, nursing rounds and case
presentation, while the rest was explained by other factor. Finally, this study suggested
that nursing service in the hospital in particular should develop an effective team method,
structure professional career development, afford incentive fairly and provide a
professional supervision to nurses so that conferences, nursing rounds and case
presentation can be optimally implemented.
