Optimalisasi Fungsi Kepala Ruangan Dalam Penetapan Jadwal Dinas Perawat Berbasis Kompetensi: Pilot Study

Abstract

e"> ABSTRAKTujuan penelitian: melakukan pemberdayaan fungsi kepala ruangan dalam implementasi jadwaldinas berbasis kompetensi di rumah sakit umum vertikal kelas A yang menjadi rumah sakit pusatrujukan nasional. Metode: pendekatan pilot studi yang dilaksanakan dari analisis situasi, pembuatanplan of action, implementasi, evaluasi dan analisis gap menggunakan literatur review. Pilot studidilakukan selama ± 7 minggu kepada 43 perawat dan 16 kepala ruangan sebagai responden.Analisis situasi dilakukan dengan menggunakan diagram fi sh bone. Hasil: Masalah utama ialahbelum optimalnya pelaksanaan jadwal dinas berbasis kompetensi. Implementasi yang dilakukanialah brainstorming kepada kepala ruangan tentang pentingnya kompetensi dalam pelaksanaanjadwal dinas dan melakukan uji coba jadwal dinas berbasis kompetensi. Hasil uji coba didapatkanbahwa 100% kepala ruangan merasa jadwal dinas berbasis kompetensi lebih efektif. Hasil kuesionermenunjukkan adanya peningkatan pengetahuan kepala ruangan tentang pentingnya kompetensidalam penjadwalan perawat menjadi 8,6 dan rata-rata penilaian diri (self asessment) dari kepalaruangan tentang evaluasi pembuatan jadwal dinas berbasis kompetensi sebesar 7,88 dari 10 poin.Pelaksanaan penjadwalan berbasis kompetensi mendapat hambatan berupa kurangnya jumlahtenaga perawat, karakteristik perawat, dan pemerataaan kompetensi. Simpulan: pemberdayaanfungsi kepala ruangan dalam implementasi jadwal dinas berbasis kompetensi lebih efektif danmemudahkan pekerjaan kepala ruangan dalam pengaturan jadwal dinas. Peran kepala ruangansangat penting dalam pembuatan jadwal dinas berbasis kompetensi. Peran kepala bidangkeperawatan sangat membantu sistem jadwal dinas dengan membuat kebijakan yang tepat dansejalan dengan misi pelayanan keperawatan untuk memberikan pelayanan berkualitas dan aman.Kata Kunci: jadwal dinas, kompetensi, perawat.OPTIMIZATION THE FUNCTION OF THE HEAD NURSE IN DETERMINING COMPETENCEBASED NURSE SERVICE SCHEDULE: A PILOT STUDYABSTRACTObjective: To empower the function of head nurse in implementing competence-based nurse serviceschedule in grade A hospital which serves as a national referral hospital. Methods: This studyemployed a pilot study approach that was performed in situation analysis, making of Plan of Action,implementation, evaluation and gap analysis using literature review. The pilot study was conductedfor approximately 7 weeks to 43 nurses and 16 head nurses as respondents. The situation analysiswas performed using fi shbone diagram. Results: The main problem was unoptimal implementationof competence-based nurse service schedule. The implementation done was brainstorming tothe head nurses about importance of competence in the implementation of service schedule andconducting trial of the competence-based nurse service schedule. The trial results indicated that100% of the head nurses thought that the competence-based nurse service schedule was moreeffective. The questionnaire results indicated increased head nurses’ knowledge of the importanceof competence in nurse scheduling by 8.6, and average self-assessment of the head nurseson the evaluation of competency-based nurse service scheduling by 7.88 out of 10 points. Theimplementation of competence-based scheduling was obstructed by lack of the number of nurses,characteristics of nurses and even distribution of competence. Conclusion: The empowerment ofthe function of head nurses in the implementation of competence-based nurse service schedule wasmore effectively and could facilitate the work of head nurses in managing the service schedule. The role of head nurses was very important in competence-based nursing service scheduling. The roleof head nurses was useful in nurse service schedule system by making appropriate policy and wasin line with the mission of nursing care in providing quality and safe service.Keywords: nurse scheduling, competence, nurse

Assessment of The Characteristics of Nurse Scheduling in Hospital Ward

“…The insufficient number of personnel is not justified in doing long service because it will have an impact on care and can increase the potential for errors by nurses. Besides, the composition of nurses in terms of competence must be different so that the head nurse must pay attention to the competence and skill mix of staff in the room (Rizany et al, 2017). Nursing services are carried out by providing nursing care to the community by the rules of the nursing profession by paying attention to the competencies that are under the nurse's career path (Kuokkanen et al, 2016).…”

“…Competency-based service schedules are more effective and facilitate work within the service schedule. However, the lack of manpower in terms of the number and equal distribution of competence in the unit and the ego of the nurse's person is an obstacle in compiling competency-based service schedules (Rahman et al, 2018) (Rizany et al, 2017). Sub variable quality (quality) from the results of the study is also one of the problems that arise in the scheduling process in the hospital ward.…”

Hubungan Kualitas Tidur dengan Caring Perawat dalam Pelayanan Asuhan Keperawatan di RSD Idaman Kota Banjarbaru

“…Jadwal dinas bisa berdampak buruk untuk karyawan yakni dampak fisiologis jam tidur yang tidak cukup, menurunnya kekuatan tubuh menimbulkan rasa kantuk, lemah, nafsu makan berkurang dan gangguan pencernaan (Kodrat, 2009). Penelitian ini diperkuat dalam penelitian yang dilaksanakan Rizany (2017) menyatakan bahwa implementasi penjadwalan dinas perawat di RS Militer dalam rentang baik dengan hasil sebesar 95,59 (81% dari total nilai) (Rizany, 2017).…”

Hubungan Penjadwalan Dinas Perawat dengan Kepuasan Kerja Perawat di Instalasi Rawat Inap

“…Jadwal yang fleksibel dirasakan perawat akan memberikan keseimbangan hidup bagi perawat salah satunya untuk mengambil istirahat dan meningkatkan kualitas pelayanan dan fleksibel ini sebagai sistem untuk menangani perubahan. Hasil penelitian ini apabila pada penelitian Penjadwalan Dinas Perawat di 3 RS Militer dengan rata-rata 95,59 jika dipersentasikan (81% dari total nilai) yang mengarah ke cukup baik (Rizany et al, 2017).…”