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"ABSTRAKProses pencapaian standar pelayanan keperawatan yang optimal membutuhkan suatu kontrol agar dapat terlaksana sesuai dengan standar mutu yang telah ditetapkan. Supervisi klinik keperawatan merupakan kegiatan yang dilakukan sebagai kontrol dan monitoring terhadap mutu pelayanan keperawatan. Dukungan manajer keperawatan dan staf perawat menjadi penting untuk meningkatkan efektivitas supervisi klinik keperawatan. Penelitian ini bertujuan untuk mengidentifikasi faktor yang mempengaruhi efektivitas supervisi klinik keperawatan. Metode penelitian menggunakan desain Cross Sectional dengan sampel 108 perawat pelaksana yang dipilih menggunakan teknik convienience sampling. Data dianalisis menggunakan uji korelasi dan regresi linier ganda. Hasil penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara tuntutan kognitif dengan efektivitas supervisi klinik keperawatan r=0,296, p=0,002 . Kesimpulan penelitian ini yaitu variabel tuntutan kognitif dapat memprediksi efektivitas supervisi klinik keperawatan sebesar 8,7 . Rumah sakit diharapkan dapat mengoptimalkan kegiatan yang dapat meningkatkan kognitif perawat melalui kegiatan seperti diskusi refleksi, brainstorming, program pelatihan, dan peningkatan pendidikan.Kata Kunci: efektivitas, mutu, supervisi klinik keperawatan, tuntutan kognitif

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ABSTRACTThe process of achieving the optimal standard of nursing services requires a control to be executed in accordance with predetermined quality standards. Supervision of nursing clinics is an activity undertaken as control and monitoring of nursing service quality. Support of nursing managers and nursing staff becomes important to improve the effectiveness of nursing clinic supervision. This study aims to identify factors that affect the effectiveness of nursing clinic supervision. The research method used Cross Sectional design with sample 108 implementing nurses selected using convienience sampling technique. Data were analyzed using multiple linear correlation and regression test. The results showed that there was a significant relationship between cognitive demands and the effectiveness of nursing clinic supervision r 0.296, p 0.002 . The conclusion of this research is the variable of cognitive demand can predict the effectiveness of nursing clinic supervision equal to 8,7 . Hospitals are expected to optimize activities that can improve nursing cognition through activities such as reflection discussions, brainstorming, training programs, and educational improvement. Keywords cognitive demands, effectiveness, nursing clinical supervision, quality. "

"Pelaksanaan supervisi klinik yang adekuat meningkatkan pelayanan keperawatan optimal, identik dengan proses penyelesaian masalah. Desain penelitian quasi eksperimen pre-post with control group. Penelitian ini bertujuan mengidentifikasi pengaruh penerapan quality circle oleh perawat clinical care manager terhadap kemampuan melakukan supervisi klinik. Sampel penelitian diperoleh secara purposive sampling terdiri dari 105 perawat pelaksana dan 14 perawat clinical care manager. Instrumen penelitian berjumlah 42 pernyataan yang dikembangkan dari Manchester Clinical Supervision Scale. Penerapan quality circle berpengaruh secara signifikan terhadap peningkatan kemampuan supervisi klinik pada aspek pengembangan profesional, aspek peningkatan keterampilan klinik, aspek alokasi waktu untuk refleksi, dan aspek kualitas hubungan interpersonal supervisorsupervisee (p=0,000, p=0,004, p=0,007, p=0,017; α=0,05). Pelaksanaan quality circle secara konsisten berpeluang meningkatkan kemampuan supervisi klinik dan kualitas pelayanan keperawatan. Keberlangsungan quality circle memerlukan dukungan dari institusi pelayanan keperawatan dan perlunya standar pelaksanaan supervisi klinik sesuai kompetensi dan tingkat usia perawat pelaksana.

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Implementation of adequate clinical supervision will enhancing the nurse services, is identical to the problem solving process. The research design was quasi experimental pre-post with control group, the aim of this study was to identify the effect of quality circle implementation by clinical care manager nurse to enhance the ability of clinical supervision. Samples obtained by purposive sampling consist of 105 nurses and 14 clinical care manager nurses. Instrument amounted 42 statements were developed from Manchester Clinical Supervision Scale. The application of quality circle increased significantly the ability of clinical supervision on professional development aspect, clinical skill improvement aspect, time allocation for reflection aspect, and interpersonal relationship quality aspect (p=0,000, p=0,004, p=0,007, p=0,017, α=0,05). Consistent implementation of quality circle potentially increasing the ability of clinical supervision and the quality of nursing services. Sustainability of clinical supervision requires the support of nursing care institution and standards procedure of clinical supervision is needed appropriate to the level of competency and age of the nurse."

"Latar belakang: Manajemen kinerja adalah suatu program yang harus dijalankan, yang merupakan suatu teknik untuk menilai kinerja sumber daya manusia yang ada. Satu di antara banyak cara untuk meningkatkan kinerja adalah dengan membuat suatu sistem penilaian kinerja, yang bertujuan untuk memberikan motivasi kepada karyawan dan meningkatkan kinerja. Seiring dengan hal tersebut, untuk mendapatkan kinerja perawat yang bagus diperlukan supervisi yang optimal, salah satu cara agar supervisi berjalan optimal dan kinerja perawat meningkat dibuatlah model e-Pika. Diharapkan e-Pika dapat mengoptimalkan supervisi dan kinerja perawat meningkat. Tujuan: Diidentifikasinya model e-Pika untuk perawat klinik di rawat jalan dan efektivitasnya terhadap kinerja klinik perawat rawat jalan. Metodologi: Desain penelitian ini adalah riset pengembangan atau Research and Development. Penelitian ini dilakukan dalam tiga tahap. Purposive sampling digunakan dalam pengambilan sampel. Tahap satu dengan 30 responden perawat dan kepala ruangan di rawat jalan, tahap dua melibatkan 4 orang pakar, dan tahap tiga melibatkan 100 orang responden. Hasil: Pada tahap satu diidentifikasi lima tema yang menjadi dasar pengembangan model. Tema tersebut adalah diidentifikasi kebutuhan dari perawat rawat jalan dalam pelaksanaan kinerjanya, yaitu pengetahuan kepala ruangan terhadap kinerja adalah tanggung jawab yang harus dikerjakan perawat dan dapat diukur produktivitasnya, metode penilaian kinerja dengan menggunakan indikator kinerja individu melalui log book, supervisi dan ronde keperawatan, sedangkan supervisor merasakan perasaan kecewa, acuh tak acuh tetapi tetap merasa berguna dirasakan oleh partisipan saat melakukan supervisi. . Tersusun empat modul sebagai penjelasan model dan pedoman implementasi. Hasil menunjukkan adanya pengaruh dari intervensi model e-Pika terhadap pengetahuan, motivasi dan kinerja, dengan hasil pengetahuan (p <0,001), motivasi (p <0,001) dan kinerja (p <0,001). Simpulan: Model e-Pika mampu meningkatkan skor pengetahuan, motivasi dan kinerja pada perawat di rawat jalan.

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Background: Performance management is a program that essential to be implemented, which is a technique to evaluating the performance of human resources. One effective approach to enhancing the performance is create a performance appraisal system, which aims to motivate employees and improve performance. In nursing, optimal supervision is required to achieve good nurses performance. To ensure that supervision is optimal and nurse performance improves, the e-Pika model was developed. The e-Pika model has been developed to optimize supervision and enhance nurse performance, with the goal of improving the overall effectiveness of nursing services. Objective: This study aims to identify the e-Pika model for outpatient nurses and its effectiveness on the performance of outpatient clinic nurses. Methodology: The design of this research is research and development. The research was conducted using a research and development approach in three phases. Sampling was done purposively. In phase one, 30 nurse respondents and room heads participated, phase two involved feedback from 4 experts, and phase three had 100 respondents. Results: In the first stage, five key themes were identified forming the foundation for the model development. he theme is to identify the needs of outpatient nurses in the implementation of their performance, namely the knowledge of the head of the room to performance is a responsibility that must be done by nurses and can be measured in productivity, a performance assessment method using individual performance indicators through log books, supervision and nursing rounds, while supervisors feel disappointed, indifferent but still feel useful felt by participants when doing Supervision Four modules were created to explain the model and provide implementation guidelines. The study found that e-Pika model significantly improved knowledge, motivation and performance, with the outcomes of knowledge (p <0,001), motivation (p

<0,001) and performance (p <0,001). Conclusion: The e-Pika model effectively improved the knowledge, motivation and performance scores of outpatient clinic nurses"

"Prosedur perawatan luka yang tidak sesuai standar menjadi salah satu penyebab infeksi pascabedah. Supervisi klinik dapat meningkatkan kualitas praktik keperawatan. Penelitian bertujuan untuk mendapatkan gambaran pengaruh supervisi klinik terhadap kualitas tindakan perawatan luka. Metoda yang digunakan adalah quasi experimental pre-post test with control group. Sampel penelitian (33 kontrol & 33 intervensi) diambil menggunakan teknik accidental (saat pre-test) dan purposive (pada post-test). Hasil penelitian didapat perbedaan antara kelompok yang diberi pelatihan dan tidak diberi pelatihan (p =0.001) dan ditemukan adanya pengaruh supervisi terhadap kualitas tindakan perawatan luka (r=0.613, p= 0.001; α=0.05). Kepala ruang perlu diberikan pelatihan supervisi agar dapat melakukan kegiatan supervisi dengan baik untuk peningkatan perawatan luka.

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Un-standardized Wound caring procedure will affect post surgery infection. Clinical Supervision can improve quality of nursing practice. The research purpose to get descriptions of clinical supervision towards to quality of wound caring action. Method used experimental pre-post test with control group. Accidental technique in data taking before and purposive sampling in data taking after training for 33 control and 33 intervention sampel.

The result suggest that there are difference between the trained group and the untrained group (p=0.001) and there are a influence of supervision towards quality of wound caring action (r=0.613, p=0.001, α=0.05). The head nursing need to be given supervision training in order to be able to supervise well for improving quality of wound care."