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Abstrak :
Dalam penyelenggaraan upaya kesehatan Puskesmas, sumberdaya yang paling penting adalah sumberdaya manusia, karena sumberdaya manusialah yang akan mengendalikan sumberdaya lainnya sehingga dapat berfungsi dengan baik. Salah satu komponen sumberdaya manusia tersebut adalah tenaga perawat. Untuk melaksanakan pelayanan kesehatan Puskesmas yang baik diperlukan disiplin kerja dari setiap anggota. Masalah yang dianalisis pada penelitian ini adalah rendahnya disiplin waktu kerja perawat Puskesmas di wilayah Kecamatan Panti dan Kecamatan Rao Kabupaten Pasaman. Karena kegiatan pokok Puskesmas dilaksanakan oleh perawat, maka seharusnya perawat memiliki kemampuan yang handal dan mempunyai disiplin sehingga pelayanan Puskesmas dapat diwujudkan dengan baik. Tujuan penelitian ini adalah untuk diperolehnya gambaran tentang faktor-faktor yang berhubungan dengan disiplin waktu kerja perawat Puskesmas di wilayah Kecamatan Panti dan Kecamatan Rao Kabupaten Pasaman. Penelitian yang dilakukan merupakan penelitian deskriptif analitik dengan rancangan cross sectional untuk mengetahui faktor-faktor internal dan faktor-faktor eksternal apa saja yang berhubungan dengan rendahnya disiplin waktu kerja perawat Puskesmas di wilayah Kecamatan Panti dan Kecamatan Rao Kabupaten Pasaman. Sampel penelitian ini adalah seluruh perawat Puskesmas Kecamatan Panti dan Kecamatan Rao Kabupaten Pasaman sebanyak 30 orang. Analisis yang digunakan adalah analisis univariat dan bivariat yaitu t.test, korelasi dan regresi linear. Hasil penelitian menunjukkan bahwa faktor-faktor yang berhubungan dengan disiplin waktu kerja perawat Puskesmas di wilayah Kecamatan Panti dan Kecamtan Rao Kabupaten Pasaman adalah faktor eksternal meliputi; kepemimpinan, supervisi, sumber daya, dan imbalan. Penelitian ini menyarankan kepada pimpinan Puskesmas perlu dipertimbangkan dalam mengembangkan dan meningkatkan kualitas perawat dengan memberikan kesempatan pendidikan dan pelatihan secara lebih merata yang pada akhirnya meningkatkan disiplin waktu kerja.

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In organizing health efforts in the Community Health Center, human resource is the most important resources, because people that will control other resources that all will run properly. One of the human resource component is nurse. In order to perform good health service in the Community Health Center, work discipline of each personnel is needed. The problem found out in this research is the low time discipline of the nurses of the Community Health Center in Sub-District of Panti and Sub-District of Rao, Regency of Pasaman. Because the major tasks of the Community Health Center is done by the nurses, it is necessary that the nurses have reliable skill and have good discipline that service of the Community Health Center can be realized properly. The purpose of this research is to obtain description regarding factors related to working time discipline of nurses in the Community Health Center in Sub-District of Panti and Sub-District of Rao, Regency of Pasaman. This research done is analytic descriptive research with cross sectional design to identify internal and external factors related the low discipline of nurses of the Community Health Center in Sub-District of Panti and Sub-Distract of Rao, Regency of Pasaman. Sample of this research is all nurses of the Community Health Center in Sub-District of Panti and Sub-District of Rao, Regency of Pasaman amounted to 30 nurses. The analysis used is univariate and bivariate analysis with t.test, correlation and linear regretion. The result of analysis indicates that the factors related to the working time discipline of nurses in the Community Health Center in Sub-District of Panti and Sub-District of Rao, Regency of Pasaman are external factors such as leadership, supervision, human resource, and reward. This research suggests that the head of the Community Health Center needs to consider the development and improvement of the nurses quality by giving education and training opportunity more proportionately that finally will improve the working time discipline.

Abstrak :
Kualitas pelayanan kesehatan sangat dipengaruhi oleh kualitas pelayanan keperawatan. Salah satu faktor yang mempengaruhi kualitas pelayanan keperawatan adalah kinerja perawat pelaksana, kinerja perawat pelaksana dapat dipengaruhi oleh keberhasilan supervisi yang dilakukan manajer keperawatan dan keberhasilan supervisi manajer keperawatan ditentukan oleh kemampuannya dalam supervisi. Kemampuan supervisi mencakup pengetahuan, entrepreneurial, intelektual, sosioemosional dan interpersonal. Kemampuan supervisi berhubungan dengan karakteristik demografi perawat manajer dan karakteristik organisasi yang terbentuk dari budaya organisasi. Hasil residensi di RSUD Pasar rebo menunjukkan 50 % kepala ruangan tidak melaksanakan supervisi, oleh karena itu penelitian ini bertujuan untuk mengetahui hubungan antara karakteristik demografi dan karakteristik organisasi dengan kemampuan supervisi. Penelitian ini merupakan penelitian bersifat deskriptif analitik dengan pendekatan cross sectional. Penelitian ini dilakukan di RSUD Pasar Rebo Jakarta, dengan jumlah sampel 30 perawat manajer garda depan yang merupakan total sampel. Instrumen penelitian terbagi tiga yaitu bagian pertama adalah karakteristik demografi, bagian kedua adalah karakteristik organisasi dan bagian ketiga adalah kemampuan supervisi. Mengingat jumlah sampel yang keeil, maka hasil penelitian ini tidak dapat digeneralisasi untuk rumah sakit lain. Karakteristik responden berumur antara 23 tahun sampai dengan 50 tahun, terbanyak adalah perempuan, pendidikan SPK dan D III keperawatan, status perkawinan sebagian besar menikah, lama bekerja antara 4 tahun sampai dengan 28 tahun, dan lama menjadi manajer 0 tahun sampai dengan 4 tahun. Hasil penelitian variabel karakteristik organisasi menunjukkan bahwa sebagian besar responder mempunyai karakteristik organisasi sedang (60%,n=30), variabel kemampuan supervisi menunjukkan bahwa sebagian besar responden mempunyai kemampuan supervisi pada tingkat sedang (60%, n=30). Karakteristik demografi tidak menunjukkan adanya hubungan yang bermakna dengan kemampuan supervisi. Sementara karakteristik organisasi menunjukkan hubungan yang bermakna dengan kemampuan supervisi. Berdasarkan hasil penelitian disarankan kepada penentu kebijakan di rumah sakit untuk menetapkan peraturan agar supervisi dapat berjalan dengan baik. Perlu adanya pertimbangan ratio perawat dengan jumlah tempat tidur, perlu adanya perawat pengganti bagi perawat yang sedang melaksanakan tugas belajar, dan mengingat kemampuan supervisi sebagian besar responden berada pada tiungkat sedang, usia responden sebagian besar berada pada usia produktif maka perlu adanya penyegaran tentang menejemen keperawatan secara berkala, terutama tentang supervise.

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The Relationship between Demographic Characteristics and Organization Characteristic and The Supervision Competencies Perceived by Nurse Manager at the Pasar Rebo Hospital, Jakarta Timur The quality of health care service will be affected by quality of nursing services. On the other hand the quality of nursing services will be affected by the clinical nurse's performance. The nurse clinical performance will be depended on the fulfillment of supervision function done by Nurse Managers. The success of manager in supervision will be depended on competencies from the activity. The competencies of supervision are: knowledge, entrepreneurial, intellectual, socio-emotional, and interpersonal. Supervision competencies related to demographic characteristic nurse manager and the organization characteristic which build up from the organizational cultural. The result of residence in Pasar Rebo Hospital show the figures that 50% first line nurse manager did not to do the supervision. So that this research want to know a relation between demographic characteristic, organization characteristic with the supervision competencies. This research is analytic descriptive research with cross sectional methods. The subject research will be held in Pasar Rebo Hospital Jakarta with total 30 samples from first line nurse manager. Our research instrument will be separate from three parts. Part one is demographic characteristic, part two is organization characteristic, and the third is the competencies of supervision. Total sample is minimal so that the result of this research can not be generalization to the other hospital. The respondents age from 23 year to 50 year. Many of them are women, and have studied at SPK and DIII Nursing Program education, marital status respondent have been married and have been working for 4 to 28 years and responsible of manager form 4 year until 4 years. The result of variable characteristic organization pointed that many of them (60%) have characteristic organization middle, variable competency supervision pointed that many of them (60%) have ability to supervision at the middle level. Demographic characteristic is not relation between capability supervision. According to this research, we suggest that the key person which have decision in the hospital to set up or make the rules for the good supervision activity. The most important, there is must be increase ratio from nurses with the total bed. And also have another nurses for change the nurses who have following the study program, and attention to the competencies of supervision the whole respondent at the middle level, the respondent age at the productive activity so that they must have many training programs of nursing management.

Abstrak :
Sumberdaya manusia yang terbanyak di rumah saldt adalah perawat. Oleh karena itu diperlukan adanya penataan terhadap profesi perawat. Begitu juga halnya yang terjadi di RSAL dr. Mintohardjo pada saat peneliti melakukan residensi guna pengamatan terhadap manajemen keperawatan bulan Desember 2004. Selama residensi didapatkan data bahwa 1) sebesar 66% perawat pelaksana tidak melakukan tugas sesuai uraian tugas, 2) sebesar 33% perawat merasa kesulitan saat merumuskan diagnosa keperawatan, implementasi, dan evaluasi, serta 3) adanya kepala ruangan yang jarang melakukan supervisi disaat perawat bekerja memberikan asuhan keperawatan. Penelitian ini dilakukan untuk melihat hubungan persepsi perawat pelaksana tentang pengawasan kepala ruangan dengan kinerja di ruang rawat inap RSAL dr. Mintohardjo. Metode penelitian yang digunakan adalah pendekatan cross sectional. Hasil dari penelitian ini menunjukkan karakteristik perawat pelaksana sebagian besar (75%) berusia kurang dan 35 tahun, 87,1% perempuan; 64,4 % lulusan D III Keperawatan dan S1 Keperawatan; 83,2% belum pernah mengikuti kursus keperawatan; 52,5% perawat pelaksana mempersepsikan kepala ruangan kurang melakukan koordinasi dengan baik dan 67,3% perawat pelaksana mempunyai kinerja yang kurang baik. Pengawasan yang berhubungati dengan kinerja adalah disiplin dan informasi, dan subvariabel pengawasan adalah yang paling berhubungan dengan kinerja adalah disiplin. Berdasarkan hasil penelitian yang telah dilakukan, maka peneliti menyarankan kepada pimpinan rumah sakit, agar tetap mempertahankan faktor disiplin sebagai faktor peningkatan kinerja pada perawat pelaksana, serta meningkatkan faktor subvariabel pengawasan lainnya yang dapat meningkatkan kinerja perawat pelaksana, dan meningkatkan jenjang pendidikan formal perawat kearah yang lebih tinggi. Untuk memperoleh hasil yang lebih balk diperlukan penelitian lanjutan, yaitu adanya penelitian pengawasan yang dilakukan oleh kepala ruangan terhadap kinerja perawat pelaksana dengan subyek kepala ruangan sebagai responden, kemudian dibandingkan hasilnya dengan hasil yang telah peneliti peroleh. Dari hasil tersebut dapat terlihat apakah ada perbedaan pandang tentang pengawasan.

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Generally, the most human resources management in hospital are nurses, so it is really important to do the observation in that profession. So as the researcher did the observation in the Navy Hospital, dr. Mintohardjo in December 2004, the data has shown that 66% nurses, haven't clone their job according to the job description; 33% nurses, found difficulties in formulating the diagnose of nursing, implementation and evaluation; It happened that the room leader rarely conducted supervision by the time the nurse did their job. To improve the nursing service quality, the researcher has done research about the correlation between nurse perception on room leader perception with appraisal performance in the overnight treatment room in the Navy Hospital, dr. Mintohardjo. The method that had been used was cross sectional approach. The result from this research as follows: From nurse individual characteristic analysis shown that almost 75% under the age of 35 years old, 87,1% female, 64,4% graduated with diploma and under graduate certificate in nursing, 83,2% never join nursing course, 52,5% had their perception that the room leader lacked of coordination and 67,3% had negative appraisal performance in it. The result of supervision of sub-variable analysis which had relation with appraisal performance were discipline, power, information and deviation as a caution. And the most influencing point was discipline. With the result of my research that I had done, I would like to suggest to the head of the hospital to maintain discipline factor as to improve appraisal performance of nurse by developing other sub-variable supervision factors that can improve work environment of nurse and also enhancing formal eduction of nurse through higher education. To get better result, need further research by conducting supervision research which is carried out by room leader through nurse appraisal performance by using room leader as respondent and then comparing the result by the result that I had done. From that result, it can be shown if there is different opinion about the supervision.

Abstrak :
Pendahuluan: Supervisi merupakan implementasi fungsi pengarahan dalam manajemen keperawatan yang bertujuan untuk memastikan dan mempertahankan program terlaksana dengan baik sesuai standar. Usaha pelayanan kesehatan sudah mengalami perubahan dengan bergesernya paradigma yang sebelumnya hanya berfokus kepada quality, sekarang menjadi quality safety. Tujuan: Untuk mengidentifikasi hubungan antara pelaksanaan supervisi kepala ruangan dengan pelaporan insiden dan budaya keselamatan pasien oleh perawat pelaksana di ruang rawat inap. Metode: Menggunakan desain cross sectional dengan sampel berjumlah 108 dari 195 perawat pelaksana. Instrumen penelitian terdiri dari karakteristik perawat, supervisi, pelaporan insiden dan budaya keselamatan pasien. Hasil uji validitas dan reliabilitas adalah 0,364-915 (cronbach’s alpha 0,956) untuk variabel supervisi, 0,495-892 (cronbach’s alpha 0,959) untuk variabel pelaporan dan 0,333-694 (cronbach’s alpha 0,927) untuk variabel budaya keselamatan. Hasil: Supervisi mempunyai hubungan cukup kuat (p=0,000, r=0,481) dengan pelaporan insiden dan (p=0,000, r=0,606) dengan budaya keselamatan. Sedangkan karakteristik perawat tidak mempunyai hubungan (p>0,05) baik dengan pelaporan insiden maupun budaya keselamatan. Kesimpulan: Pelaksanaan supervisi kepala ruangan mempunyai hubungan dengan persepsi perawat akan pentingnya pelaporan insiden dan penerapan budaya keselamatan pasien di ruang rawat inap. Rekomendasi yaitu mendorong manajemen keperawatan untuk melaksanakan program supervisi dengan segera dibuatkan kebijakan, pedoman, panduan serta standar operasional prosedur untuk peningkatan pelaksanaan supervisi kepala ruangan di rumah sakit. ......Introduction: Supervision is an implementation of a directive function in nursing management that aims to ensure and maintain a well-executed program according to standards. The health service business has undergone a change with a shift in the paradigm that previously focused only on quality, now to quality safety. Objective: To identify the relationship between the implementation of headroom supervision and reporting and patient safety culture by nursing staff in the inpatient room. Methods: Using a cross-sectional design with a sample of 108 of 195 nurses. Patient safety instruments from nurses, supervision, reporting and patient safety. The results of the validity and reliability tests were 0.364-915 (alpha cronbach 0.956) for the control variable, 0.495-892 (alpha cronbach 0.959) for the reporting variable and 0.333-694 (alpha cronbach 0.927) for the safety culture variable. Result: Supervision has a strong enough relationship (p = 0.000, r = 0.481) with reporting and (p = 0.000, r = 0.606) with safety culture. While the context of nurses has no relationship (p> 0.05) both in reporting and safety culture. Conclusion: Supervision of the head of the room which has a relationship with nurses' perceptions of reporting and the application of patient culture in the inpatient room. The recommendation is to encourage nursing management to carry out the supervision program by immediately making policies, guidelines, and standard operating procedures to improve the implementation of supervision of the head of the room in the hospital.

Abstrak :
Perkembangan ilmu pengetahuan dan teknologi telah berdampak perubahan baru terhadap pelayanan keperawatan. Penelitian ini bertujuan mengidentifikasi pengaruh sistem informasi supervisi keperawatan berbasis komputerisasiterhadap kualitas informasi dan kepuasan pengguna informasi supervisi keperawatan. Penelitian ini merupakan studi pre experimental design dengan rancangan one group pretest postest design. Sampel penelitian adalah 63 perawat dan 50 dokumen kualitas informasi. Hasil analisis menunjukkan terdapat pengaruh/kenaikan yang signifikan sistem informasi supervisi keperawatan terhadap kualitas informasi dengan perbedaan mean 12,24 (10%) dan kepuasan pengguna dengan perbedaan mean 4,93(10,1%) sebelum dengan sesudah berbasis komputerisasi. (p = 0,000; α : 0,05). Peneliti merekomendasikan penyempurnaan komponen sistem informasi, penerapan dan evaluasi. ......The development of science and technology affects on the new alteration of nursing service systems. This research was aimed at identifying the effects of computer-based nursing supervision information system towards the information of quality and satisfactions of nursing ascendancy. This research was a study of pre experimental design by using one group pretest postestdesign. The sample of this research was 63 nurses and 50 information quality documents. The result of this research showedthat there was significant effects of the nursing supervision information towards the quality of nursing ascendancy with the mean rate of 12,24 (10%) and the users satisfaction is 4,93 (10,1%) before and after the computer-based technology. (p = 0,000; α : 0,05). The researcher recommends the hospital stakeholders to imperfect the components systems as well as to give feedback for the evaluation and implementation steps.

Abstrak :
Pelaksanaan supervisi keperawatan di RSUD Kota Depok bertujuan untuk menjaga dan meningkatkan kualitas pelayanan keperawatan yang diberikan. Data sekunder mengenai realisasi jaga supervisor menunjukkan bahwa supervisor keperawatan belum sepenuhnya patuh menjalankan tugas jaganya. Tujuan penelitian ini adalah untuk mengetahui gambaran pelaksanaan supervisi keperawatan di RSUD Kota Depok yang dilihat dari aspek input, proses dan output. Metode penelitian yang digunakan adalah studi kualitatif deskriptif. Seluruh data dalam penelitian ini diperoleh dari hasil wawancara mendalam dan penelaahan dokumen. Hasil penelitian menunjukkan bahwa kualitas pelayanan keperawatan di RSUD Kota Depok sudah cukup baik walaupun masih sering terdapat komplain dari pasien. Banyak aspek-aspek yang masih harus diperbaiki agar pelaksanaan supervisi keperawatan menjadi lebih optimal. Dengan adanya pelaksanaan supervisi keperawatan diharapkan pelayanan keperawatan yang diberikan tetap terjaga kualitasnya. Kesimpulan dalam penelitian ini adalah pelaksanaan supervisi keperawatan di RSUD Kota Depok lebih banyak menangani masalah manajerial dan administrasi rumah sakit dibandingkan dengan keperawatan klinisnya. Namun, hal tersebut cukup membantu petugas lainnya yang tidak terlalu memahami masalah manajerial dan administrasi rumah sakit. The aims of nursing supervision implementation at Regional General Hospital in Depok are to maintain and improve quality of nursing service. Secondary data regarding on supervisor duty realization shows that nurse supervisors are not fully obedient in performing their duties. The purpose of this study was to describe the nursing supervision implementation at Regional General Hospital in Depok viewed from the aspect of input, process and output. The research method has been used is a qualitative descriptive study. All of the data in this study were obtained from in-depth interviews and document review. The results showed that the quality of nursing service at Regional General Hospital in Depok are quite good although there are still many patient complaints. Many aspects are still to be improved in order for nursing supervision implementation becomes more optimal. With the implementation of nursing supervision is expected that nursing services provided are constantly have a good quality. Conclusions in this study is the implementation of nursing supervision at Regional General Hospital in Depok better handle managerial problems and the hospital administration as compared to clinical nursing. However, it is quite helpful to other officers who do not really understand the problem of managerial and administrative hospital.

Abstrak :
Supervisi dokumentasi keperawatan merupakan suatu upaya dalam meningkatkan mutu dan pelayanan asuhan keperawatan baik di rawat inap maupun di Instalasi Gawat Darurat (IGD). Kualitas dokumentasi keperawatan dilakukan pada seluruh perawat di Rumah Sakit. Tujuan penelitian ini adalah untuk mengetahui hubungan pelaksanaan supervisi kepala ruangan dengan kualitas dokumentasi triase dan penerapan pengkajian awal pasien di Instalasi Gawat Drurat (IGD). Metode penelitian menggunakan pendekatan kuantitatif dengan desain crosssectional. Sampel di ambil secara acak berjumlah 107 perawat pelaksana yang tersebar di empat Rumah Sakit. Instrumen yang digunakan berupa kuesionersupervisi dokumentasi, kuesioner pengetahuan pendokumentasian diIGD dan lembar observasi penerapan pengkajian awal. Hasil penelitian tidak ada hubungan yang signifikan antara pelaksanaan supervisi dengan kualitas dokumentasi (p>0,05). Sedangkan ada hubungan antara karakteristik (jenis kelamin) dengan kualitas dokumentas (p<0,05). Rekomendasi yaitu manajemen perlu menata ulang kembali tingkat pendidikan perawat dengan jenjang karir perawat klinis dalam upaya meningkatkan pelayanan keperawatan melalui kualitas dokumentasi di Instalasi Gawat Darurat. ......Supervision of documentation is an effort to improve the quality and care services both in the inpatient and in the Emergency Room (IGD). The quality of documentation is carried out on all nurses in the hospital. The purpose of this study was to determine the relationship between the implementation of the supervision of the head of the room with the quality of triage documentation and the application of the initial assessment of patients in the Emergency Room (IGD). The research method uses a quantitative approach with a cross sectional design. Samples were taken randomly from 107 nurses spread over four hospitals. The results of the study there was no significant relationship between the implementation of supervision with the quality of documentation (p>0.05). Meanwhile, the relationship between characteristics (gender) and document quality (p<0.05). The recommendation is that the management needsto rearrange the level of education of nurses by increasing the career of nursesin an effort to improve services through documentation in the Emergency Room.

Abstrak :
Latar belakang: Supervisi klinis merupakan komponen penting dari jaminan kualitas dan kerangka tata kelola klinis dalam organisasi perawatan kesehatan. Penelitian ini bertujuan mengembangkan model supervisi klinis menggunakan alat bantu teknologi informasi berbasis motivasi dan efikasi diri (TIME) terhadap kompetensi perawat dalam keamanan obat. Metode: Desain penelitian mixed methode riset (kualitatif dan kuantitatif). Sampel: Kepala ruangan, perawat primer dan perawat pelaksana sebanyak 132 perawat. Hasil: tahap 1: studi kualitatif didapatkan 7 tema. Dukungan dalam efektivitas model, tahap 2: pengembangan model supervisi klinis “TIME”, model dan kurikulum, buku kerja dan buku evaluasi. Sistem aplikasi supervisi klinis “TIME”. Hasil user acceptance test (UAT) nilai rata - rata keberterimaan pelaksanaan 86% yang berarti sangat diterima. Hasil menunjukan bahwa terdapat perubahan yang bermakna uji efektivitas model sebelum dan sesudah intervensi model dengan p value < 0,05. Setelah intervensi model kompetensi perawat dalam keamanan obat terdapat perbedaan yang bermakna antara kelompok intervensi dan kelompok kontrol terkait kompetensi perawat dalam keamanan obat dengan p value < 0,05. Terdapat hubungan antara karakteristik perawat dalam hal usia, tingkat pendidikan, masa kerja dan intervensi model terhadap kompetensi perawat dalam keamanan obat dengan p value < 0,05. Faktor yang paling dominan berpengaruh adalah intervensi model supervisi klinis “TIME” terhadap kompetensi perawat dalam keamanan obat dengan p value < 0,05. Kesimpulan: Model supervisi klinis “TIME” dapat diimplementasikan pada tatanan pelayanan keperawatan sehingga dapat meningkatkan kompetensi perawat dalam keamanan obat. ......Background: Clinical supervision is an important component of the quality assurance and clinical governance framework in healthcare organizations. This study aims to develop a clinical supervision model using information technology tools based on motivation and self-efficacy (TIME) on nurse competency in drug safety. Methods: Mixed method research design (qualitative and quantitative). Sample: Head of room, primary nurse and implementing nurse as many as 132 nurses. Result: stage 1: qualitative study found 7 themes. Support in the effectiveness of the model, stage 2: development of the “TIME” clinical supervision model, model and curriculum, workbooks and evaluation books. “TIME” clinical supervision application system. The results of the user acceptance test (UAT) average value of 86% acceptance which means very acceptable. The results showed that there was a significant change in the effectiveness test of the model before and after the model intervention with a p value <0.05. After the intervention of the nurse competency model in drug safety, there was a significant difference between the intervention group and the control group regarding nurse competence in drug safety with a p value <0.05. There is a relationship between the characteristics of nurses in terms of age, education level, years of service and model interventions on the competence of nurses in drug safety with a p value <0.05. The factor that has the most dominant influence is the intervention of the clinical supervision model "TIME" on the competence of nurses in drug safety with a p value <0.05. Conclusion: The "TIME" clinical supervision model can be implemented in nursing service settings so that it can increase nurse competency in drug safety.

Abstrak :
Supervisi konsisten mempengaruhi kinerja perawat tetapi pelaksanaannya pada pelayanan keperawatan di Indonesia cenderung bersifat pengawasan dan kurang memberikan upaya-upaya untuk mendidik, memotivasi, melatih, dan memberi arahan. Model supervisi klinik educative, supportive and Administrative Cycle (ESA-C) dibuat untuk meningkatkan nilai positif dari supervisi. Model ini disintesa dari model supervisi Kadushin, Proctor dan mengintegrasikannya dengan teori interpersonal relationships Peplau serta nilai caratif Watson. Penelitian bertujuan menguji efektifitas model supervisi klinik ESA-C dalam meningkatkan kinerja perawat, menggunakan desain kuasi eksperimen pre-post test pada dua kelompok. Dua rumah sakit dirandom dari 5 rumah sakit umum, sampel diambil secara random sebanyak 90 perawat dan 270 pasien secara purposif. Hasil penelitian menunjukkan model supervisi klinik ESA-C mampu meningkatkan kinerja perawat secara signifikan (p Value < 0.05) pada dimensi task performance: keterampilan teknis sebesar 2%, pemberian edukasi 9%, pemberian dukungan emosionl kepada pasien 14%, dan contextual performance: pemberian bantuan bagi pasien dan keluarga 21%. Model ini disarankan digunakan pada pelayanan keperawatan terutama di rumah sakit dalam upaya meningkatkan kinerja perawat dalam memberikan asuhan keperawatan kepada pasien. ...... Supervision is a consistent variable that affect to job performance. Unfortunately, the supervision that had done only just controlled rather than an effort to educating, coaching, directing, and nurse potential reinforcement. ESA-C clinical supervision model that developed is to eliminate negative side of supervision these times. Educative, supportive, and administrative cycle of clinical supervision model was a result from synthesize of Kadushin's, Proctor's, Heron's, Faugier's, and Experimental's models. The ESA-C model was synthesizing with interpersonal relationship from Peplau's and carative value from Watson's. ESA-C clinical supervision model use a group approach in an educative supervision and individual approach for supportive and administrative supervision. The purpose of this research is to determine the effect of ESA-C clinical supervision model to increasing nurses' job performance. This research used quasi experiment design with intervention and control group. The sample of this research use a random method to 90 nurses (each group has 45 nurses) and 270 patients (each group has 135 patients). The result of this research revealed that ESA-C clinical supervision model can increase nurses' job performance including task performance dimension (clinical skill, patient education, emotional support) and contextual job performance (assisting patient and the family). This research recommended the using of ESA-C model in hospital to increasing nurses' job performance in giving of nursing care to the patient.

Abstrak :
Pendahuluan: Pasien yang dirawat di rumah sakit dengan kondisi pasien akhir kehidupan lebih sering terjadi di ruang intensif dibandingkan dengan pasien yang dirawat diruang rawat biasa karena, jika terjadi end of life akan di pindahkan ke ruang critical care. Banyaknya pasien end of life care (EoLC) diperlukan pelaksanaan supervisi pada pendokumentasian EoLC, agar kualitas pelayanan meningkat. Tujuan: Mengidentifikasi hubungan pelaksanaan supervisi terhadap pendokumentasian EoLC di ruang rawat inap. Metode: Menggunakan desain cross sectional dengan analisis univariat, bivariat dan multivariat pada RS di Jakarta Selatan dengan n=212. Hasil: Rerata berumur 35,68 ± 7,232 tahun, masa kerja 12,12 ± 7,623 tahun, perempuan 78,3%, DIII Keperawatan 64,2%, perawat pelaksana 95,8%, PNS 63,2%, PK2 44,8% dan pernah mengikuti pelatihan 55,7%. Rerata pelaksanaan supervisi 51,20%, dimensi teknik 68,30%, prinsip 66,73%, model 64,47% dan kegiatan rutin 51,82% dan pendokumentasian EoLC 74,17%. Terdapat hubungan yang signifikan pelaksanaan supervisi (teknik, prinsip, kegiatan rutin dan model supervisi) dengan pendokumentasian EoLC. Dimensi pelaksanaan supervisi dominan korelasinya adalah model supervisi dengan kekuatan sedang dan arah positif. Terdapat tiga variabel: jenis kelamin, jabatan dan model supervisi dapat meningkatkan pendokumentasian EoLC sebesar 27,8% (R² = 0,278), sedangkan sisanya dapat ditingkatkan oleh variabel lain. Persamaan pendokumentasian EoLC = 75,479 + 3,763 Jenis kelamin - 8,366 Jabatan + 2,108 Model Supervisi. Rekomendasi: Bidang keperawatan membuat program SPO pelaksanaan supervisi dan pendokumentasian EoLC agar menciptakan efektifitas layanan keperawatan yang berdampak pada kualitas dan keselamatan pasien ......Introduction: Patients who are hospitalized with end-of-life conditions are more likely to occur in the intensive care unit than patients who are treated in normal wards because, if end of life occurs, they will be transferred to the critical care room. The high number of end of life care (EoLC) patients required the supervision of EoLC documentation, so that the quality of service is improved. Objective: To identify the relationship between the implementation of supervision on EoLC documentation in the inpatient room. Methods: Using a cross sectional design with univariate, bivariate and multivariate analysis in hospitals in South Jakarta with n = 212. Results: Mean age 35.68 ± 7,232 years, work period 12.12 ± 7.623 years, female 78.3%, DIII Nursing 64.2%, nurses 95.8%, civil servants 63.2%, PK2 44.8 % and have attended 55.7% training. The average implementation of supervision is 51.20%, technical dimensions are 68.30%, principles are 66.73%, models are 64.47% and routine activities are 51.82% and EoLC documentation is 74.17%. There is a significant relationship between the implementation of supervision (techniques, principles, routine activities and supervision models) with EoLC documentation. The dominant dimension of supervision is the supervision model with medium strength and positive direction. There are three variables: gender, position and supervision model can increase EoLC documentation by 27.8% (R² = 0.278), while the rest can be improved by other variables. EoLC documentation equation = 75,479 + 3,763 Gender - 8,366 Position + 2,108 Supervision Model. Recommendation: The nursing sector creates an SPO program for the implementation of EoLC supervision and documentation in order to create the effectiveness of nursing services that have an impact on patient quality and safety.