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Analisis Pengaruh Manajemen Kepala Ruang terhadap Pencapaian Standar Asuhan Keperawatan di Ruang Rawat Inap RSUD Sunan Kalijaga Kabupaten Demak
Full text linkUniversitas Diponegoro
Fakultas Kesehatan Masyarakat
Program Magister Ilmu Kesehatan Masyarakat
Konsentrasi Administrasi RumahSakit
2014
ABSTRAK
Mohammad Fathy Azhari
Analisis Pengaruh Manajemen Kepala Ruang terhadap Pencapaian Standar Asuhan Keperawatan di Ruang Rawat Inap RSUD Sunan Kalijaga Kabupaten Demak
xiv + 101 halaman + 23 tabel + 2 gambar + 14 lampiran
Latar belakang penelitian ini adalah sudah ada upaya kegiatan untuk meningkatkan fungsi manajemen asuhan keperawatan kepala ruang seperti pelatihan dan pengembangan sumber daya, namun masih banyak kepala ruang belum secara maksimal melaksanakan manajemen keperawatan yang sangat menentukan pelayanan keperawatan di ruang rawat inap oleh perawat pelaksana dalam melaksanakan manajemen asuhan keperawatan kepada klien. Tujuan penelitian adalah menganalisis pengaruh manajemen kepala ruang terhadap pencapaian standar asuhan keperawatan di ruang rawat inap RSUD Sunan Kalijaga Kabupaten Demak.
Penelitian ini merupakan penelitian observasional dengan pendekatan cross sectional. Instrumen penelitian menggunakan kuesioner terstruktur dan checklist observasi terhadap kegiatan asuhan keperawatan. Jumlah sampel 62 perawat pelaksana yang tersebar di 12 ruang rawat inap RSUD Sunan Kalijaga Kabupaten Demak. Analisis bivariat dengan uji chi square dan analisis multivariat dengan uji regresi logistik.
Hasil penelitian menunjukkan proporsi perawat pelaksana yang memiliki perencanaan baik 56,5%, pengorganisasian baik 58,1%, penggerakan baik 67,7% dan pengawasan baik 56,5% pada desa tercapai UCI, pencapaian pelaksanaan asuhan keperawatan yang sudah lengkap 80,6%. Hasil analisis bivariat menunjukkan bahwa perencanaan (p=0,014), pengorganisasian (p=0,010), dan penggerakan (p=0,0001) berhubungan dengan pencapaian asuhan keperawatan. Analisis multivariat menunjukkan adanya pengaruh penggerakkan (p=0,002; Exp B=10,636) terhadap pencapaian asuhan keperawatan.
Disarankan kepada pihak RSUD Sunan Kalijaga Kabupaten Demak untuk meningkatkan komunikasi secara jelas dan efektif, terlibat dalam kolaborasi dan koordinasi dalam memberikan asuhan keperawatan dan meningkatkan manajemen yang baik dengan memberikan motivasi sebagai umpan balik yang baik kepada perawat.
Kata Kunci : Manajemen Kepala Ruang, Standar Asuhan Keperawatan
Kepustakaan : 46 (2001-2012)
Diponegoro University
Faculty of Public Health
Master’s Program in Public Health
Majoring in Hospital Administration
2014
ABSTRACT
Mohammad Fathy Azhari
Management Influence Analysis of Head of Room to the Achievement of Nursing Care Standard at Inpatient Unit of Sunan Kalijaga Public Hospital in District of Demak
xiv + 101 pages + 23 tables + 2 figures + 14 enclosures
Some activities to improve a function of nursing care management by heads of rooms had been done such as training and developing resources. However, most of them had not maximally implemented it in which it could determine nursing services by nurses to patients at inpatient unit. This research aimed to analyze the management influence of head of room to achieve nursing care standard at inpatient unit at Sunan Kalijaga Public Hospital in Demak District.
This was observational research using cross-sectional approach. Research instruments used a structured questionnaire and checklist of observation for nursing care activities. Number of samples was 62 nurses selected from 12 inpatient rooms at the hospital. Furthermore, data were analyzed using bivariate (chi square) and multivariate (logistic regression) analyses.
The results of this research showed that mostly respondents had good planning (56.5%), good organizing (58.1%), good actuating (67.7%), and good monitoring (56.5%) among villages which had reached UCI. In addition, most of the nursing care implementations had been complete (80.6%). The result of bivariate analysis revealed that factors of planning (p=0.014), organizing (p=0.010), and actuating (p=0.0001) significantly related to the achievement of nursing care. Furthermore, the result of multivariate analysis showed that the factor of organizing influenced the achievement of nursing care (p=0.002; Exp B=10.636).
As a suggestion, Sunan Kalijaga Public Hospital managers needs to improve communication to be more clear and effective, involve in collaboration and coordination in providing nursing care, and improve management by motivating as good feedback for nurses.
Key Words : Management of Head of Room, Nursing Care Standard
Bibliography : 46 (2001-2012
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Author-wise bibliometric analysis based on entropy.
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No full textIn Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Intro -- Title Page -- Copyright Page -- Dedication -- Contents -- Acknowledgments -- Introduction -- 1. Spirit Truth -- 2. From Absorption to Theatricality and Back Again -- 3. "I Will Build a New Present" -- 4. Sons as Authors -- 5. Fathers as Publishers -- 6. The Daughter as Author -- 7. Lovers as Authors -- 8. At Sea with the Family -- 9. Yellow News, Yellow Stories -- 10. The Return Home -- Notes -- Bibliography -- Index -- About Jay WilliamsIn Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Description based on publisher supplied metadata and other sources.Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, YYYY. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries
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