Claim Missing Document
Check
Articles

Found 25 Documents
Search

Implications Of The Implementation Of Clinical Authority On Improving The Quality Of Nursing Services Pujianti, Rosalia; Bandur, Agustinus; Dedi, Blacius
Enrichment: Journal of Multidisciplinary Research and Development Vol. 2 No. 7 (2024): Enrichment: Journal of Multidisciplinary Research and Development
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/enrichment.v2i7.167

Abstract

Literature studies indicate that implementing clinical authority can enhance the quality of nursing care. However, many hospitals still have not fully applied clinical authority aligned with nurses' career paths. This research explores the impact of clinical authority on nurses' performance, both directly and indirectly, through situational leadership in Hospital X. Using a mixed-method approach with a parallel concurrent triangulation model, the study collected quantitative data via questionnaires from 300 nurses using total sampling. Descriptive crosstab analysis revealed no significant differences in perceptions of clinical authority, performance, and situational leadership based on individual characteristics. Structural Equation Modeling showed that clinical authority positively and significantly affects nurse performance. Qualitative data were gathered through focus group discussions with 13 nurses and semi-structured interviews with senior nursing managers. Thematic analysis identified six key themes: positive impacts on performance, the role of situational leadership styles, strategies to optimize nursing services, encountered obstacles, competitive challenges, and motivation to enhance care. The qualitative findings indicated that clinical authority fosters nurses' responsibility, adherence to standards, mutual trust, teamwork, and improved communication and caring attitudes. The corroboration of quantitative and qualitative analyses demonstrated alignment, confirming that clinical authority significantly influences nurse performance. To improve nursing care quality, hospitals are encouraged to implement structured career paths for nurses, ensuring that clinical authority is supported at every level
Literature Review Teori Transcultural Nursing Madeleine Leininger Lasmaida, Susi Agustina; Dedi, Blacius
Journal of Social Research Vol. 3 No. 2 (2024): Journal of Social Research
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Transcultural nursing is the study and practice of nursing that focuses on the similarities and differences in cultural values, beliefs, and actions, both individuals and groups. The goal is to provide nursing actions that are based on universal culture and specific culture, both in providing health promotion, and helping patients deal with unpleasant conditions, illness, death where culturally meaningful. This research uses a literature study method analyzed from several journals, research results, using internet media related to the topic taken. The results showed that transcultural nursing is a nursing care process that is focused on individuals and groups to maintain, improve healthy behavior according to cultural background. The study of nursing care in a cultural context is needed to bridge the differences in knowledge possessed by nurses with patients or clients. Transcultural nursing diagnoses can identify actions needed to maintain a culture that matches health goals, form a new culture that is appropriate to health, or even replace a culture that is not appropriate to health into a new culture. The planning and implementation of the transcultural nursing process is made after the nurse understands the cultural background of the patient or client, so that the actions carried out can be in accordance with the client's culture and health goals are achieved. The evaluation of transcultural nursing care is closely attached to the planning and implementation of the transcultural nursing care process. This theory can be used in providing nursing care by considering aspects of culture, values, norms, and religion. This theory can be used to complement other conceptual theories in nursing care.
Peran Case Manager dalam Mendukung Patient Centered Care di Rumah Sakit Umum Daerah Tobelo Study Henomenology Eksploratif Mailoa, Christian; Dedi, Blacius; Trihapsari, Shindi
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v8i10.13788

Abstract

The current patient service paradigm is patient- focused services (Patient Centered Care). Patients and families need accurate information, so caregiver professionals (PPAs) are required to work in an integrated manner in providing services to patients. The problem arises from the many conflicts between interdisciplinary service providers, plus the lack of quality control and control which is a serious problem for hospitals. Case Manager is an important and comprehensive intervention in order to improve quality, cost control, patient safety, integrated care, continuity of service and patient satisfaction. The role of Case Manager is very important and very complex as part of implementing patient-focused services, playing a role in helping to improve interprofessional collaboration and being able to collaborate with other health care teams. of this study was to describe the role of Case Manager and its implementation in supporting Patient Center Care at the hospital. Type of research qualitative with Phenomenological Approach with Main Informant Case Manager and Service Supervisor 27 Informants, data were obtained through in-depth interviews and Focus Group Discussion (FGD). This research identified six main themes: (1) Qualifications and Competencies; (2) SOP for Task Implementation; (3) Document Completeness; (4) Reporting System; (5) Integrated Services; (6) Obstacles to the Implementation of Duties. The role of Case Manager and Implementation at Tobelo Regional Hospital has supported Patient Centered Care and the dominant role is the role of communication and the role of coordination
Pengembangan Sistem Penilaian Kinerja Perawat Pelaksana Berbasis Caring Theory Patricia Benner di Rumah Sakit Umum Islam Banyubening Boyolali (Action Research) Jaelani, Ahmad; Dedi, Blacius; Hastuti, Witri
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v9i7.15753

Abstract

Abstrak Protokol penilaian kinerja perawat berbasis caring merupakan sebuah panduan penilaian kinerja perawat pelaksana yang dikembangkan untuk mengukur kinerja perawat sehari-hari berdasarkan perilaku caring perawat. Penelitian ini bertujuan untuk mengembangkan protokol penilaian kinerja perawat berbasis caring di Rumah Sakit Umum Islam Banyubening Boyolali. Jenis penelitian yang digunakan adalah Action Research, penelitian dilakukan dalam 1 (satu) siklus dari bulan Juli 2023 sampai oktober 2023. Pengambilan sampel dalam penelitian ini menggunakan purposive sampling. Jumlah partisipan dalam penelitian ini sebanyak enam orang, yang terdiri dari satu kepala bidang keperawatan dan lima kepala ruangan. Instrumen yang digunakan dalam penelitian ini adalah pedoman wawancara mendalam dan panduan focus group discussion. Data dianalisis secara kualitatif menggunakan content analys. Hasil penelitian menunjukkan ada 5 tema yang muncul, yaitu: i) Indikator kinerja perawat yang harus dinilai, ii) Manfaat penilaian kinerja untuk evaluasi dan penghargaan , iii) Faktor pendukung dalam pelaksanaan penilaian kinerja, iv) Hambatan dalam pelaksanaan penilaian kinerja, v) Harapan terkait pelaksanaan penilaian kinerja. Penelitian ini menghasilkan suatu protokol penilaian kinerja perawat berbasis caring, yang perlu diterapkan oleh manajerial rumah sakit. Protokol ini direkomendasikan kepada pihak manajerial keperawatan dalam mengukur kinerja perawat secara spesifik, sehingga dapat mengurangi komplain dari pasien terhadap pelayanan rumah sakit dan diharapkan meningkatkan mutu asuhan keperawatan.
Rancangan Model Kepemimpinan dan Manajemen Kepala Ruangan Berbasis Patricia Benner Theory di Ruang Rawat Inap BLUD RSUD Kota Kotamobagu Saharman, Salni; Dedi, Blacius; Nurhayati, Susi; Trihapsari, Shindi
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v9i7.15754

Abstract

Kepala ruangan memegang peranan penting dalam keberhasilan pelayanan keperawatan melalui fungsi manajemen,karena berdampak dalam peningkatan mutu pelayanan di rumah sakit. Penelitian ini bertujuan untuk merumuskan Rancangan Model kepemimpinan dan manajemen kepala ruangan berbasis Patricia Benner di ruang rawat inap BLUD RSUD Kotamobagu. Penelitian ini menggunakan desain fenomenologi eksploratif dengan metode focus group discussion dan Action Research dengan metode Workshop Pakar. Partisipan FGD adalah 12 orang kepala ruangan, dan Partisipan saat Workshop pakar adalah 24 orang melalui teknik purposive sampling. Data yang dikumpulkan berupa hasil rekaman, catatan lapangan, Hasil Workshop pakar yang dianalisis dengan mene rapkan teknik Collaizi. Keabsahan data dijamin dengan memenuhi prinsip credibility, dependability, confirmability, dan transferability. Penelitian ini mengidentifikasi enam tema utama: (1) Kompetensi dalam peran organisasi; (2) Fungsi manajemen yang efektif; (3) Peran kepala Ruangan; (4) Perencanaan dan pengarahan ; (5) Pengendalian dan pengawasan; (6) Manajemen Konflik dan Penyelesaian Masalah. Model kepemimpinan dan manajemen kepala ruangan berbasis patricia Benner Theory ini dapat menjadi panduan dalam Menyusun rencana strategi bidang Keperawatan dapat dimodifikasi oleh BLUD RSUD Kotamobagu guna meningkatkan kemampuan leadership dan kemampuan mengelola fungsi manajemen keperawatan kepala ruangan.