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The Influence of First-Line Manager Supervision on Nurse Competence in Discharge Planning Implementation at X Hospital Medan Rosita Lumban Gaol; Dwi Hapsari Tjandrarini; Asnet Leo Bunga
Interdisciplinary Social Studies Vol. 4 No. 4 (2025): Regular Issue: July-September 2025
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/iss.v4i4.936

Abstract

First-line managers have an important role in supervision to improve performance and quality of nursing services. This study aims to determine the effect of first-line manager supervision on nurse competence in the implementation of discharge planning. The research method used was quasi-experiment pre-test and post-test nonequalent control group. The number of samples was 70 executive nurses who were divided into an intervention group in Medan X Hospital and a control group in RS. XX TB Simatupang, taken with sequential sampling strategy. Data was collected using a valid and reliable supervision questionnaire. The results showed that there were differences in nurse competence scores in the implementation of discharge planning p=0.000 and supervision of first-line managers p=0.000 before and after supervision training. The results of the logistic regression test showed that there were three variables most influential on nurse competence in implementing discharge planning, namely age (p=0.010), length of work (p=0.004) and level of education (p=0.032). Conclusion: supervision of first-line managers has an important role in improving nurse competence in implementing discharge planning. Suggestions for the nursing division to conduct routine evaluations of the implementation of discharge planning, standardise first-line manager supervision instruments and the need to monitor and evaluate supervision of supervision and completeness of discharge planning documents.
Analysis of the Implementation of Head Nurse Clinical Supervision on Improving the Quality of Nursing Services: A Literature Review Rosana Silalahi; Asnet Leo Bunga
Jurnal Impresi Indonesia Vol. 4 No. 9 (2025): Jurnal Impresi Indonesia
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jii.v4i9.7000

Abstract

Nurses constitute the largest human resource group in hospitals and are the health professionals with the most prolonged direct client interaction. Consequently, the quality of nursing services is a fundamental determinant of overall healthcare quality in hospitals. As the frontline leader in nursing service management, the head nurse plays a critical role in conducting clinical supervision to monitor nurse performance and enhance service quality. This study aimed to analyze the implementation of head nurse clinical supervision for improving nursing care quality through a literature review. Databases including PubMed, Science Direct, EBSCO, J-Stor, and ProQuest were searched, resulting in the extraction of 10 relevant articles. All studies confirmed a significant relationship between effective clinical supervision and improved nursing service quality, as measured through nurse performance. Effective supervision fosters responsibility and motivation among nurses, leading to better execution of nursing care, clinical actions, and discharge planning. The consistent finding across articles underscores that structured supervision models are substantially more effective than non?model approaches. Moreover, nursing service quality can be comprehensively evaluated by examining the entire care process—from patient admission to discharge planning. These results highlight the importance of adopting systematic supervisory frameworks to achieve high?quality nursing outcomes.