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"ABSTRAKDokumentasi catatan perkembangan pasien terintegrasi belum optimal karena kurangnya pemahaman perawat dalam melakukan penulisan, dan keseragaman dari isi kaidah penulisan, serta belum optimalnya dukungan dari kepala ruang. Tujuan penelitian mengidentifikasi pengaruh penguatan peran kepala ruang dengan pendekatan teori Orlando terhadap pelaksanaan pendokumentasian catatan perkembangan pasien terintegrasi. Metode pre eksperiment design dengan one group pre test and post test design without control, dengan sampel 115 dokumen catatan perkembangan pasien terintegrasi, teknik cluster sampling, melalui analisis Wilcoxon, Spearman dan Kruskal Wallis test. Hasil penguatan peran kepala ruang dengan pendekatan teori Orlando meningkatkan kualitas pelaksanaan pendokumentasian catatan perkembangan pasien terintegrasi secara bermakna p=0,0001; ?=0,025 . Kesimpulan kemampuan perawat pelaksana meningkat bermakna dalam pelaksanaan pendokumentasian catatan perkembangan pasien terintegrasi melalui penguatan peran kepala ruang dengan pendekatan teori Orlando. Rekomendasi adanya kebijakan, pendampingan, evaluasi, dan monitoring dari manajer keperawatan serta pengembangan melalui workshop penerapan peran kepala ruang dan pelaksanaan pendokumentasian catatan perkembangan pasien terintegrasi.

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ABSTRACTDocumentation of integrated patient development records has not been optimal due to lack of understanding of nurses in writing, and uniformity of the content of writing rules, and there has not yet optimal support from the head nurses. The purpose of this study was to identify the impact of strengthening the role of the head nurse using the Orlando rsquo s theoretical approach on the implementation in documented of integrated patient development records. The method used Pre experimental design with one group pre test and post test design without control, samples on this study are 115 documents of integrated patient development record, cluster sampling technique, analyzed used with Wilcoxon, Spearman and Kruskal Wallis test analysis. The result showed that the role strengthening of the head nurse with the Orlando rsquo s theoretical approach significantly improves the quality of implementation for documented of integrated patient development record p 0.0001 0,025 . The conclusion of nursing abilities of the implementers increased significantly in the implementation in documented of integrated patient development record. It is recommended can used as reference to make policies, assistance, evaluation and monitoring of nursing managers and development through workshops on the role of the head nurses and documentation of integrated patient development records."

"Kepala ruangan mempunyai peran penting, dalam upaya mendukung program Pencegahan dan Pengendalian Infeksi (PPI) di Rumah sakit. Kompetensi kepala ruangan dalam pencegahan dan pengendalian infeksi (ppi) merupakan kompetensi dasar yang harus dimiliki. Kemampuan yang dimiliki di pengaruhi faktor karakteristik, motivasi diri dan suvervisi kepala ruangan. Metode penelitian ini, menggunakan pendekatan kuantitatif dengan desain Cross-sectional. Pengambilan sampel dengan teknik total sampling dengan jumlah sampel 70 kepala ruangan di empat (4) Rumah sakit wilayah Bogor. Hasil penelitian menggunakan uji chi-square dengan CI 95%, didapatkan hasil bahwa terdapat hubungan signifikan antara jenjang karir (p-value 0.030), Motivasi Diri (p-value 0.015), Supervisi kepala ruangan (p-value 0.001) dan kemampuan pengendalian dan pencegahan infeksi kepala ruangan. Tidak terdapat hubungan antara usia (p-value 0,414), tingkat Pendidikan (p-value 0,069), jenis kelamin (p-value 0,314), lama bekerja (p-value 0,854), pelatihan PPI (p-value 0,896) dan kemampuan pencegahan dan pengendalian infeksi (ppi) kepala ruangan. Hasil regresi logistik berganda didapatkan supervisi kepala ruangan menjadi variabel paling dominan. Simpulan dalam penelitian ini adalah pentingnya kepala ruangan dalam peningkatan jenjang karir, melakukan supervisi dan memiliki motivasi diri baik, dalam optimalisasi program pengendalian dan pencegahan infeksi

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The head of the room has an important role, in an effort to support the Infection Prevention and Control program in the hospital. The competence of the head of the room in infection prevention and control is a basic competency that must be possessed. The abilities possessed are influenced by characteristic factors, self-motivation and supervision of the head of the room. This research method uses a quantitative approach with a cross-sectional design. Sampling with total sampling technique with a sample of 70 heads of rooms in four (4) hospitals in the Bogor area. The results of the study using the chi-square test with 95% CI, the results showed that there was a significant relationship between career path (p-value 0.030), self-motivation (p-value 0.015), supervision of the head of the room (p-value 0.001) and controllability and prevention of head room infection. There is no relationship between age (p-value 0.414), education level (p-value 0.069), gender (p-value 0.314), length of work (p-value 0.854), PPI training (p-value 0.896) and prevention skills. and infection control (ppi) head of the room. The results of multiple logistic regression showed that the supervision of the head of the room was the most dominant variable. The conclusion in this study is the importance of the head of the room in increasing career paths, supervising and having good self-motivation, in optimizing infection control and prevention."