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Abstrak :
Penelitian ini merupakan penelitian kuantitatif dan kualitatif yang dilaksanakan di RSMC Jakarta. Desain penelitian kuantitatif adalah cross sectional bertujuan untuk mendapatkan gambaran hubungan antara motivasi dan supervisi dengan kualitas dokumentasi proses keperawatan di Rumah Sakit Marinir Cilandak Jakarta. Responden penelitian berjumlah 115 perawat pelaksana sesuai dengan kriteria inklusi. Penelitian kualitatif dilaksanakan pada enam kepala ruangan dengan in depth interview. Analisis multivariat mendapatkan hasil bahwa ada hubungan yang signifikan antara motivasi kebutuhan berprestasi dengan kualitas dokumentasi (p Value < 0,05) dan tidak ada hubungan yang signifikan antara motivasi kebutuhan afiliasi dan kekuasaan dengan kualitas dokumentasi proses keperawatan (p Value > 0,05) serta variabel yang dominan berhubungan dengan kualitas dokumentasi proses keperawatan adalah supervisi setelah dikontrol oleh motivasi kebutuhan afiliasi, motivasi kebutuhan berprestasi, motivasi kebutuhan kekuasaan, supervisi, pendidikan, pengetahuan, pelatihan dan masa kerja. Hasil penelitian kualitatif didapatkan beberapa tema yaitu kompetensi kepala ruangan dan staf perawat kurang mengenai dokumentasi proses keperawatan, beban kerja tinggi, waktu dan jadwal supervisi yang belum jelas, motivasi menulis yang rendah, tenaga perawat yang kurang serta sistem penghargaan yang tidak adekuat. Usulan peneliti pada institusi pelayanan agar berupaya meningkatkan program supervisi kepala ruangan melalui penataan ulang program supervisi, meningkatkan kualitas sumber daya manusia melalui pendidikan dan pelatihan berkelanjutan, meningkatkan motivasi perawat dengan modifikasi sistem reward, pemberian reinforcement, peningkatan jenjang karir, pembinaan dan pendampingan bagi perawat yang tidak kompeten, mengadakan format check list, meninjau ulang kebutuhan tenaga perawat, kejelasan uraian tugas dan pengadaan standar operasional prosedur asuhan keperawatan. Bagi penelitian disarankan untuk melakukan penelitian faktor lain yang mempengaruhi kualitas dokumentasi baik dari aspek individu, kelompok atau organisasi, efektifitas sistem dokumentasi melalui model check list, dan evaluasi kebutuhan tenaga perawat. ......This research was conducted out at Marinir Hospital Cilandak and constituted qualitative and quantitative research with descriptive corelation design and had cross sectional nature. The purpose of the study was to identify if there was any relationships between the motivation and supervision with the quality of nursing process documentation The quantitative research was run by distributing quisioner to 115 respondents were selected using inclusion criteria. Meanwhile the qualitative one was conducted through in depth interview by presenting five open questions to 6 respondents. The multivariate analysis suggested that the need of power and the need of affiliation did not significantly relate to the quality of nursing process documentation (p value > 0,05) but the need of achievement significantly related to the quality of nursing process documentation (p Value < 0,05). The supervision significantly related to the quality of nursing process documentation (p Value < 0,05). And then, it was comprehended that the independen variable most related to the dependen variable was supervision that the other variables were in constant situation. In the same time, the qualitative research that gained through in depth interview concluded that the supervisor felt that the competency of nursing staff and the supervisors had not been optimal. It still needed extented knowledge either through formal education or non formal one. Besides, the supervisor had heavy workload and limited time for giving supervison, the frequencies and the schedule had not fixed, low staff motivation in nursing documentation and the system reward was not faired. The researcher recommended that the hospital manager should optimize the understanding on the nursing process documentation into learning formal or informal education, compose some policies in line with rewarding system to documentation and supervisory activities and clearly job description. Further result good, research continuing with another factors which related to the quality of nursing process documentation, the effectivity of check list model documentation or work load of nursing staff.

Abstrak :
Pengembangan kompetensi dan efikasi diri kepala ruang merupakan elemen krusial dalam peningkatan keselamatan pasien di rumah sakit. Kepemimpinan yang tidak aman dapat mengakibatkan capaian tujuan keselamatan terganggu namun hanya sedikit yang diketahui tentang model safety leadership yang dapat meningkatkan kompetensi dan efikasi diri kepala ruang. Tujuan dari penelitian ini adalah mengembangkan model safety leadership yang menggunakan kerangka kerja teori human caring dan social cognitive, dan menguji efektivitasnya terhadap peningkatan kompetensi dan efikasi diri kepala ruang. Penelitian ini terdiri dari 3 tahap: tahap pertama: identifikasi masalah melalui wawancara mendalam (penelitian kualitatif), tahap kedua: pengembangan model (integrasi hasil tahap 1, studi literatur dan konsultasi pakar) dan tahap ketiga uji efektivitas model (penelitian kuantitatif dengan non-equivalent control group pretest-posttest design. Pada penelitian kualitatif melibatkan 17 partisipan dan bertujuan mengembangkan model safety leadership berdasarkan human caring theory dan teori social cognitive. Model dikembangkan berdasarkan sintesis studi literatur, temuan studi kualitatif dan konsultasi pakar. Teridentifikasi enam tema yaitu kesadaran tentang keselamatan pasien, caring relationship, pemberdayaan staf, perencanaan keselamatan pasien bersama pasien, kepemimpinan diri dan dukungan rumah sakit. Penelitian kuantitatif bertujuan menguji efektivitas model safety leadership terhadap kompetensi dan efikasi diri kepala ruang dengan desain quasi eksperimen pre dan post terhadap 32 responden pada kelompok kontrol dan 32 responden kelompok intervensi. Hasil penelitian berdasarkan analisis general linear model repeated measured menunjukkan bahwa terdapat pengaruh model safety leadership terhadap peningkatan sikap safety leadership dalam kurun waktu 8 minggu intervensi dan tidak ada pengaruh model safety leadership terhadap peningkatan pengetahuan, perilaku dan efikasi diri kepala ruang. ......Improving patient safety in hospitals is crucial. Ineffective leadership can prevent safety goals from being met, thereby highlighting the need for strong safety leadership models. However, there is a lack of a comprehensive understanding of leadership models that can enhance the competencies and self-efficacy of head nurses. The main objective of this research was to develop a new safety leadership model that embraces human care and social cognitive theories, with the ultimate goal of strengthening the competencies and self-efficacy of head nurses. The study consisted of three main stages: qualitative interviews, the development of the model through insights from the interviews and a literature review, and an empirical examination of the model’s effectiveness using a quantitative approach. During the qualitative phase, 17 participants developed a safety leadership model based on human care and social cognitive theory. This model incorporated insights from literature reviews, interviews, and expert evaluations. Six crucial dimensions of the model emerged: patient safety awareness, caring relationships, staff empowerment, collaborative patient safety planning, self-leadership, and organizational support. The quantitative phase aimed to measure the effectiveness of the safety leadership model in improving head nurses’ competencies and self- efficacy. This phase involved 32 respondents from both the control and intervention groups. The findings from the analysis revealed that the safety leadership model had a positive impact on improving safety leadership attitudes within an 8-week intervention period. However, there were no significant improvements in knowledge acquisition, behavior, or self-efficacy among head nurses. This study highlights the potential of a safety leadership model based on human care and social cognitive theories to enhance safety attitudes. However, further exploration and refinement are needed to comprehensively address different aspects of leadership effectiveness and patient safety improvement.