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"Praktik perawat harus berbasis bukti kompetensi dan terdokumentasi dengan baik. Bukti yang digunakan adalah buku harian kegiatan kompetensi perawat yang disebut dengan log book. Penelitian ini menggunakan quasi experiment posttest only design dengan jumlah sampel 37 perawat klinik level II dengan tehnik total sampling. Hasil riset menyimpulkan tidak ada hubungan yang bermakna antara karakteristik perawat dengan persepsi jenjang karir. Sedangkan karakteristik perawat yang berhubungan dengan pencapain target kompetensi hanya tingkat pendidikan (p= 0,02, 95% CI 0,46-5,20). Rekomendasi: rumah sakit sebaiknya membuat kebijakan yang bersinergis dengan pelaksanaan jenjang karir perawat dan kompetensinya sehingga dapat terlaksana sesuai harapan.

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The nurses practice should be based on evidence of competence and well documented. The evidence used is a activities diary of the nurse competency called log book. This study uses a quasi experiment posttest only design with a sample of 37 2nd level clinical nurse with a total sampling technique. Research results concluded there was no significant relationship between nurse characteristics with perceptions of career paths. While the nurse characteristics associated with achievement of the target competence only educational level (p = 0.02, 95% CI 0.46 to 5.20). Recommendation: The hospital should make policy in synergism with the implementation of nurse career paths and competencies that can be implemented as expected."

"Dalam upaya RS dalam meningkatkan mutu pelayanan kesehatan yang berdaya guna dan berhasil guna tentunya harus didasari pada kepuasan karyawannya. Remunerasi merupakan salah satu faktor yang mempengaruhi kinerja pegawai. Prinsip dasar pemberian remunerasi mencakup kelayakan dan keadilan. Jenis penelitian ini adalah kualitatif melalui wawancara mendalam dan telaah dokumen untuk mendapatkan gambaran tentang faktor - faktor yang berpengaruh dalam penetapan remunerasi perawat. Hasil penelitian diperoleh bahwa pembagian jasa pelayanan belum dirasakan adil karena belum berdasarkan penilaian kinerja yang jelas, belum diterapkannya jenjang karir dan kompetensi perawat didalam remunerasi perawat. Saran diterapkannya remunerasi perawat berdasarkan jenjang karir dan kompetensi perawat sehingga terpenuhi rasa keadilan dan kelayakan pegawai.

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In an effort to improve the quality of hospital health services efficient and effective must be based on the satisfaction of its employees. Remuneration is one of the factors that influence employee performance. The basic principle of remuneration includes the feasibility and fairness. This study was a qualitative with in-depth interviews and document review to get an overview of the influence in determination of the nurse remuneration.

The result showed that the distribution of services is perceived not fair because it is not based on clear performance assessment, the implementation of career and remuneration of nurses in nurse competence not applied yet. Advice on implementation of the nurse's remuneration based on career paths and competency of nurses so as to fulfill a sense of justice and employee eligibility."

"ABSTRAKPemahaman dan persepsi tentang jenjang karir perawat klinis berperan penting dalam meningkatkan motivasi kerja perawat pelaksana. Motivasi kerja yang baik akan meningkatkan kualitas asuhan keperawatan pada pasien. Tujuan penelitian ini untuk menganalisis hubungan pemahaman dan persepsi tentang jenjang karir perawat klinis dengan motivasi kerja perawat pelaksana. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional dimana pengumpulan data dilakukan menggunakan kuesioner. Penelitian dilakukan pada 3 Rumah sakit melibatkan 352 perawat pelaksana di ruang rawat inap dan intensif yang dipilih secara simple random sampling. Data dianalisis menggunakan uji korelasi dan regresi linear multivariat. Hasil menunjukkan ada hubungan yang signifikan antara pemahaman dan persepsi tentang jenjang karir perawat klinis dengan motivasi kerja perawat pelaksana p=0,0001, ?=0,05 . Faktor yang paling dominan mempengaruhi motivasi kerja perawat pelaksana adalah persepsi tentang jenjang karir perawat klinis. Rekomendasi yang diberikan yaitu rumah sakit melakukan strategi penguatan motivasi dengan melakukan peningkatan pemahaman dan persepsi melalui sosialisasi tentang jenjang karir dan Peraturan Menteri Kesehatan nomor 40 tahun 2017, pemberian reward, pujian, promosi dan pelaksanaan program pendidikan berkesinambungan bagi perawat pelaksana.

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ABSTRACTUnderstanding and perception about clinical nurse career ladder has an important role in improving work motivation of practitioner nurse. Good work motivation will improve the quality of nursing care in patients. The purpose of this study was to analyze the relationship of understanding and perception of clinical nurse career ladder with the nurse motivation. This research is a quantitative with data collection with questionnaire using Cross Sectional approach. This study was conducted in 3 hospitals involving 352 nurses in inpatient wards and intensive care unit selected by simple random sampling. Data was analyzed by using correlation test and multivariate linear regression. The results showed a significant correlation between understanding and perception about clinical nurse career ladder with work motivation of nurse practitioner p 0.0001, 0,05 . The most dominant factor that affecting nurse practitioner work motivation is a perception about the career ladder of clinical nurse. The recommendation is that the hospital conducts a motivational strengthening strategy by improving understanding and perception through the socialization of career ladder based on the lastest regulation from Indonesia health ministry number 40, giving reward, good recognation, promotion, and implementation of Continuing Professional Development CPD for nurses practitioner. "

"Perawat merupakan salah satu sumber daya manusia di rumah sakit yang memberikan layanan asuhan keperawatan dan merupakan tulang punggung dimana perawat merupakan tenaga kesehatan dengan proporsi terbesar, melayani pasien selama 24 jam secara terus menerus dan berkesinambungan. Pengembangan karir perawat merupakan suatu perencanaan dan penerapan rencana karir yang dapat digunakan untuk penempatan perawat pada jenjang yang sesuai dengan kompetensinya. Pengembangan karir merupakan salah satu faktor yang dapat meningkatkan motivasi kerja. Tujuan penulisan adalah untuk mengetahui pengembangan pola karir perawat di RS Azra Bogor dan merancang pengembangan pola karir perawat. Metode penelitian adalah metode kualitatif deskriptif dengan rancangan studi kasus. Pengumpulan data dilakukan dengan telaah dokumen, wawancara mendalam, FGD dan CDMG. Karakteristik tenaga perawat di Rumah Sakit Azra Bogor paling banyak berada pada rentang usia 22 - 27 tahun sebanyak 68.3%, memiliki masa kerja paling banyak pada rentang 0-3 tahun sebanyak 62.8% dan latar belakang pendidikan terbanyak adalah D-III Keperawatan sebanyak 95.6%. Pengembangan pola karir perawat yang ada saat ini belum optimal dan belum ada komite keperawatan. Diharapkan pengembangan pola karir perawat dapat dilaksanakan dengan dibuatnya sistem remunerasi serta membentuk komite keperawatan.

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Nurse is one of the human resources at the hospital who provide nursing care and nurses are the backbone of which is the largest proportion of health workers, serving patients for 24 hours continuously and sustainably. Career development nurse is a career planning and implementation of plans that can be used for the placement of nurses on the ladder according to their competence. Career development is one factor that can increase the motivation to work. The purpose of writing is to know the pattern of career development nurse at the Azra Hospital Bogor and designing career development nurse pattern.

The research method is a qualitative descriptive with case study design. Data was collected through document review, in-depth interviews, focus group discussions and CDMG. Characteristics of nurses at the Azra Hospital Bogor most are in the age range 22-27 years as much as 68.3%, has the most tenure in the span of 0-3 years as much as 62.8% and the highest educational background is a D-III Nursing as much as 95.6%. Development of the existing nursing career path has not been optimal, and there is no committee of nursing. Expected career development nurse pattern can be implemented with the establishment of a remuneration system and set up a committee of nursing."

"Penelitian ini dilakukan untuk mengetahui Hubungan Tingkat Jenjang Karir dengan Ketepatan Konsep Asuhan Keperawatan di Paviliun Anggrek RSUP Fatmawati. Terhadap semua perawat pelaksana di Paviliun Anggrek sejumlah 42 orang. Penelitian ini merupakan penelitian kuantitatif dengan desain study cross sectional. Kerangka konsep penelitian ini terdiri dari variabel independen yaitu jenjang karir perawat, usia, pendidikan, pelatihan, perilaku, kinerja seharihari, variabel dependen ketepatan konsep asuhan keperawatan. Hasil penelitian menunjukkan tidak ada hubungan antara jenjang karir dengan ketepatan konsep asuhan keperawatan, Non Perawat Klinik/Perawat Klinik 1 dan Perawat Klinik 2/Perawat Klinik 3, ketepatan asuhan keperawatan yang kurang memiliki peluang yang sama antara Non Perawat Klinik /Perawat Klinik 1 ( 56 %) dan Perawat Klinik 2 /Perawat Klinik 3 (46,2 %). Variabel lain yang berhubungan dengan ketepatan asuhan keperawatan dari asesor eksternal adalah pendidikkan.Saran dari hasil penelitian ini adalah agar dilakukan evaluasi terhadap indikator asesmen internal jenjang karir perawat klinik di RSUP Fatmawati.

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The aim of this research is to know the correlation between clinical nurse's level career and the accuracy of nurse care concept in Anggrek Ward, Fatmawati General Hospital. This research's involving 42 nurses in Anggrek Ward. This research is quantitative research with a cross sectional study design. The research contains independent variable (nurse's level career, age, education, training, attitude, daily working habit), dependent variable (accuracy of nurse care). The result shows that there are no correlation between clinical nurse's level career and the accuracy of nurse care concept. They have the same opportunity for having less accuracy of nurse care concept whic is 56% for non clinical nurse/clinical nurse1 and 46,2% for clinical nurse 2/clinical nurse 3. The other variables related to the accuracy of nurse care concept is affected by education. The author suggested that internal assesment indicator for clinical nurse's level career to be evaluated."

"Kegiatan serah terima pasien pada setiap pergantian tugas jaga perawat merupakan unsur manajemen dalam pelayanan keperawatan. Tujuan penelitian adalah mengidentifikasi hubungan persepsi perawat pelaksana tentang fungsi pengawasan kepala ruang dan pelaksanaan serah terima pasien di RSUD Gunung Jati Cirebon. Metode survei analitik dengan pendekatan cross sectional dilakukan pada 138 orang perawat pelaksana yang bertugas di instalasi rawat inap. Hasil menunjukkan bahwa persepsi perawat pelaksana tentang fungsi pengawasan pelaksanaan serah terima pasien kurang baik. Evaluasi terhadap fungsi pengawasan kepala ruang pada pelaksanaan serah terima yang dilakukan perawat disarankan. Penelitian tentang pelaksanaan serah terima pasien berdasarkan observasi dengan menggunakan interrater reliabiliti direkomendasikan.

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The activities of patients handover is an essential element in the management of nursing services. The objective is to identify influence of nurses' perception to the supervisory function of executive head nurse and implementation of patients' handover at Gunung Jati hospital Cirebon. An analytical survey method applied on 138 nurses at inpatient installation. It showed supervisory function of executive head nurse was poor as well as implementation of patients' handover. Evaluation to executive head nurse function and implementation of handover were suggested. Research on the implementation of the patients' handover that based on observations using inter rater reliability was recommended."

"Kesuksesan pengelolaan tim sangat dipengaruhi oleh motivasi tim. Penelitian ini bertujuan untuk mengetahui hubungan karakteristik kepribadian perawat dan motivasi perawat. Desain riset menggunakan deskriptif korelasi dengan tekhnik cross sectional dan sampel berjumlah 161 perawat di ruang rawat inap. Instrumen yang digunakan adalah instrumen motivasi dari teori Mc.Clelland dan instrumen kepribadian berdasarkan DISC. Mayoritas perawat mempunyai tipe steadiness (41.6%) dan motivasi kerja perawat mayoritas rendah dengan perbedaan persentase 3.2%. Hasil bivariat tidak ada hubungan yang bermakna antara karakteristik kepribadian dan motivasi (p= 0.792 pada grafik least dan 0.540 pada grafik most . Usia memiliki hubungan yang bermakna dengan motivasi (p=0.032, . Secara deskriptif tipe kepribadian dominance dan compliance memiliki motivasi tinggi dibandingkan influence, steadines. Kesimpulan riset tidak ada hubungan yang bermakna antara karakteristik kepribadian (DISC) dan motivasi. Riset menyarankan dilaksanakan riset lanjutan dengan menggunakan instrumen DISC pada populasi yang berbeda.

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The success of the team management is strongly influenced by team motivation. This study was aimed to determine the relationship of nurse personality characteristics and nurse motivation. Used descriptive correlation research design with cross sectional methode, with total sampling 161 nurses in inpatient department. The instrument used Mc.Clelland Theory and based on the DISC personality.

The result of this study, majority of nurses had the steadiness type (41.6%) and low motivation majority of nurses with a percentage difference of 3,2%. Results of bivariate there was no significant relationship between personality characteristics and motivation (p = 0.792 at least charts and 0.540 on most charts, ). The age had a significant relationship with the motivation (p = 0.032, ). ). In the descriptive, dominance and compliance personality type had much more motivation than influence, steadiness.

Conclusion research was no significant relationship between personality characteristics (DISC) and motivation. The study recommended further research carried out by using the DISC instruments in different populations."

"Pendahuluan: Kegagalan dalam melakukan komunikasi efektif merupakan akar masalah yang paling sering menyebabkan insiden keselamatan pasien. Penerapan meningkatkan kualitas dari dokumentasi sehingga memberikan informasi yang berkualitas. Tujuan: Untuk mengidentifikasi hubungan karakteristik dan penerimaan perawat dalam menggunakan END dengan implementasi komunikasi efektif. Metode: Rancangan cross sectional menggunakan teknik simple random sampling dengan sampel berjumlah 243 perawat. Hasil uji validitas dan reliabilitas instrumen penerimaan perawat yaitu 0,371 – 0,699 (cronbach’s alpha 0,897) dan komunikasi efektif yaitu 0,396 – 0,946 (cronbach’s alpha 0,965). Pengumpulan data menggunakan aplikasi google form. Hasil: Karakteristik perawat tidak berhubungan (p>0,05) dengan komunikasi efektif, kecuali status kepegawaian. Sedangkan penerimaan perawat menunjukkan hubungan yang signifikan (p=0,0001, r=0,762). Faktor yang paling memengaruhi komunikasi efektif yaitu penerimaan perawat (nilai Beta 0,763). Kesimpulan: Karakteristik perawat tidak berhubungan dengan komunikasi efektif, kecuali status kepegawaian. Sedangkan penerimaan perawat berhubungan dengan komunikasi efektif. Rekomendasi yaitu meningkatkan penerimaan perawat dengan melibatkan perawat dalam pengembangan sistem serta mendorong pengembangan professional berkelanjutan.

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Introduction: Failures occurred while conducting effective communication were considered as the root causes those led patient safety incidents. The implementation of END improved the documentation quality therefore it provided qualified information. Objective: Identified the correlation of characteristics and nurse acceptance in using END with effective communication implementation. Method: Cross-sectional design used simple random sampling technique with a sample of 243 nurses. The results of the validity and reliability test on nurse acceptance instrument were 0.371 - 0.699 (Cronbach’s alpha 0.897) and effective communication were 0.396 - 0.946 (Cronbach’s alpha 0.965). Data collection used the google form application. Results: Nurses' characteristics was unrelated (p> 0.05) to effective communication, except regarding to staffing status. While, nurse acceptance was significant correlated to it (p = 0.0001, r = 0.762). Factor that influenced effective communication the most was nurse acceptance (Beta value 0.543). Conclusion: Nurses' characteristics were unrelated to effective communication, except staffing status. While, nurse acceptance was related to effective communication. The recommendation is to increase nurse acceptance by involving nurses in the development of the system and encourage ongoing professional development."

"Manajer keperawatan berperan penting dalam memotivasi perawat. Penelitian cross sectional pada 276 perawat pelaksana di tiga RS TNI ini bertujuan untuk melihat pelaksanaan peran dan fungsi manajemen kepala ruangan, dan hubungannya dengan motivasi kerja perawat pelaksana. Hasilnya menunjukkan bahwa ada hubungan antara peran manajemen kepala ruangan (interpersonal, informational, dan decisional) dengan motivasi kerja perawat pelaksana di RSPAD Gatot Soebroto (p<0,001) dan RSAU dr.Esnawan Antariksa (p<0,005). Berbeda dengan di RSAL Mintohardjo yang berhubungan dengan motivasi kerja perawat pelaksana hanya peran interpersonal (0,001) dan informational (p=0,002). Fungsi manajemen kepala ruangan (perencanaan, pengorganisasian, ketenagaan, pengarahan dan pengendalian) berhubungan dengan motivasi kerja perawat pelaksana di RS TNI (p<0,042). Variabel yang paling dominan mempengaruhi motivasi kerja perawat pelaksana di RSPAD Gatot Soebroto adalah fungsi perencanaan, di RSAL Dr. Mintohardjo adalah fungsi pengendalian, di RSAU dr. Esnawan Antariksa adalah fungsi pengarahan. RS perlu meningkatkan kemampuan manajerial kepala ruangan melalui peningkatan strata pendidikan dan pelatihan manajemen keperawatan yang berkesinambungan.

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Implementation of the head nurse's management roles and functions of will bring accomplishment in the management of nursing services. This study used crosssectional method to involve sample of 276 nurses of three military hospitals using proportional random sampling method. The results showed that there was a significant relationship between the role of head nurse management (interpersonal, informational and decisional) and the work motivation of nurses at the Gatot Soebroto army hospital (p<0,001) and dr. Esnawan Antariksa air force hospital (p<0.005). However work motivation in Dr. Mintohardjo navy hospital is only associated with interpersonal (p=0,001) and informational roles (p=0,002). There was a significant relationship between the head nurse functions of management (planning, organizing, staffing, directing and controling) and the work motivation of nurses (p<0,042) at the military hospitals. The most dominant variable affecting nurses' work motivation in Gatot Soebroto hospital was planning function, while in Dr. Mintohardjo hospital was controlling function and finally in dr. Esnawan Antariksa hospital was directing function. It is important for hospital leaders to improve managerial skills of head nurse by increasing the level of education and continuous training of nursing management."

"ABSTRAKTenaga perawat di ICU RSU Tabanan yang memiliki dasar pelatihan perawat ICUsebagai suatu keharusan, kurang dari 50%. Profesionalisme perawat merupakanbagian intergral dari pelayanan asuhan kesehatan didasarkan pada ilmu danketerampilan keperawatan menuju pelayanan kesehatan yang bermutu.Tesis ini tentang hubungan antara sistem rekrutmen, sistem penempatan danorientasi serta pengembangan SDM terhadap kompetensi perawat melaluipendekatan kuantitatif dan kualitatif. Populasi penelitian kuantitatif adalahperawat ICU sedangkan informan untuk kualitatif adalah manajemen SDM rumahsakit umum Tabanan.Hasil penelitian menunjukkan kompetensi perawat di ICU RSU Tabanan kurangdari nilai yang diharapkan, namun ada hubungan yang bermakna antara sistemrekrutmen, sistem penempatan dan orientasi serta pengembangan SDM dengankompetensi perawat. Belum adanya standar sistem penempatan tenaga perawatsesuai kompetensinya serta sistem rekrutmen, orientasi perawat danpengembangan SDM belum berjalan sesuai standar yang telah ditetapkan.Oleh karena itu perlunya disusun standar yang baku untuk meningkatkankompetensi perawat sehingga akan menghasilkan tenaga yang berkompeten danberkinerja tinggi.

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ABSTRACTIntensive Care Nurse as health care provider in Tabanan Hospital that have basicskill as intensive care is a necessary quality, less than 50%. Nurse Profesionalismis an integral part to health care services based on nursery knowledge and skilltoward better helath care.This thesis focus on relationship between recruitment system, placement system,orientation,and also development of human resource against nursecompetencethrough qualitative and quantitativeapproach. Quantitative study in populationsubject is nurse while informant for qualitative study is Human resourcemanagement in Tabanan General HospitalThe results showed that the nurse competeny of nurses in ICU of TabananGeneral Hospital is less than the expected value, but there is a meaningfulrelationship between the recruitment system, placement and orientation system aswell as the development of human resources with the competence of nurses. Lackof standardization of nurse placement system suitable for their competencies, aswell asrecruitment system,nurse orientation and human resource development notdeveloping according to a predetermined standard.Because of this reasons, we need to establish a standardized approach to improvenurse competency to produce competent human resource and better inperformance"