Kesesuaian Kompetensi dan Area Kerja Perawat Rawat Jalan
Keywords:
kewenangan klinis, tingkat kompetensi, peran dan fungsi manajemen keperawatan
Abstract
This study aims to identify the implementation of the clinical authority of nurses in outpatient units based on the level of competence of nurses. The research method used is a case study (identification of problems, problem analysis and problem priority setting, preparation of Plan of Action (POA), implementation and evaluation). The results showed that the performance of clinical authority by nurses according to the level of the career path they had, namely nurses with PK I level of clinical authority were sometimes carried out (66.7%), PK II Medical Surgery (50%) and PK III Medical (57.1%) levels of authority. Clinically, it is rarely performed, at the level of PK III, the clinical authority is often performed (60%), at the PK III level, the clinical authority is emergency (100%), the PK III level is Neuroscience. Clinicians often do it (50%) and the PK III, Nephrology level of clinical authority, is always done (75%). In conclusion, there are still many particular actions according to the level of competence that is rare and cannot even be carried out because there are no such actions in outpatient installations.
Keywords: Work Area, Clinical Authority, Competence
References
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Dewi, A., Hariyati, R. T. S., & Dewi, L. (2021). Pengembangan Panduan Peran dan Fungsi Top Manajer Keperawatan di Rumah Sakit. Journal of Telenursing (JOTING), 3, 8–19. https://doi.org/10.31539/joting.v3i1.2065
Efendi, M. R., Elfindri, & Yunita, J. (2021). Rencana Pengembangan Jenjang Karir Perawat Klinis di Rumah Sakit Umum Daerah Kota Dumai. Photon: Jurnal Sain dan Kesehatan, 11(1), 45–54. https://doi.org/10.37859/jp.v11i1.2166
Haryanto, M. S. (2020). Pengalaman Perawat terhadap Proses Jenjang Karir di Rumah Sakit Kabupaten Bandung. Jurnal Ilmiah Kesehatan Pencerah, 9(1), 27–35. https//:10.12345/jikp.v9i01.148
Iacorossi, L., Gambalunga, F., Di Muzio, M., Terrenato, I., El Sayed, S., Ricci, F., Pulimeno, L. A., & Notarnicola, I. (2020). Role and Skills of the Oncology Nurse: An Observational Study. Annali Di Igiene Medicina Preventiva e Di Comunita, 32(1), 27–37. https://doi.org/10.7416/ai.2020.2327
Kajander-Unkuri, S., Koskinen, S., Brugnolli, A., Cerezuela Torre, M., Elonen, I., Kiele, V., Lehwaldt, D., Löyttyniemi, E., Nemcová, J., de Oliveira, C. S., Palese, A., Rua, M., Salminen, L., Šateková, L., Stubner, J., Sveinsdóttir, H., Visiers-Jiménez, L., & Leino-Kilpi, H. (2020). The Level of Competence of Graduating Nursing Students in 10 European Countries - Comparison Between Countries. Nursing Open, 1–15. https://doi.org/10.1002/nop2.712
Kusumah, N. A. R., Noprianty, R., & Laelasari. (2019). Evaluasi Pelaksanaan Kompetensi Berdasarkan Jenjang Karir Profesional Perawat. Jurnal Kesehatan Vokasional, 4(2), 90–98. https://doi.org/10.22146/jkesvo.44840
Liang, H. Y., Tang, F. I., Wang, T. F., & Yu, S. (2021). Evaluation of Nurse Practitioners’ Professional Competence and Comparison of Assessments Using Multiple Methods: Self-Assessment, Peer Assessment, and Supervisor Assessment. Asian Nursing Research, 15(1), 30–36. https://doi.org/10.1016/j.anr.2020.10.004
Marwiati, M. (2018). Deskripsi Implementasi Kompetensi Perawat Sesuai Clinical Appointment di RSUD KRT Setjonegoro Wonosobo. Jurnal Penelitian dan Pengabdian Kepada Masyarakat UNSIQ, 5(3), 314–326. https://doi.org/10.32699/ppkm.v5i3.478
Menteri Kesehatan Republik Indonesia. (2017). Peraturan Menteri Kesehatan Republik Indonesia Nomor 40 Tahun 2017 tentang Pengembangan Jenjang Karir Profesional Perawat Klinis. https://peraturan.bpk.go.id/Home/Details/112121/permenkes-no-40-tahun-2017
Menteri Kesehatan Republik Indonesia. (2017). Peraturan Menteri Kesehatan Republik Indonesia Nomor 49 Tahun 2017 tentang Perubahan atas Peraturan Menteri Kesehatan Nomor 10 Tahun 2017 tentang Petunjuk Operasional Penggunaan Dana Alokasi Khusus Fisik Bidang Kesehatan Tahun Anggaran 2017. https://peraturan.bpk.go.id/Home/Details/139570/permenkes-no-49-tahun-2017
Mortel, T. F. van de, Nilsson, J., & Leppa, M. (2021). Validating the Nurse Professional Competence Scale With Australian Baccalaureate Nursing Students. Collegian, 28(2), 244–251. https://doi.org/10.1016/j.colegn.2020.06.010
Muhadi, M. (2021). Implementasi PMK No. 40 Tahun 2017 tentang Jenjang Karier Profesional Perawat Rumah Sakit Islam Surabaya. Jurnal Kebijakan Kesehatan Indonesia: JKKI, 10(1), 17–22. https://journal.ugm.ac.id/jkki/article/download/60220/31751
Nabizadeh-Gharghozar, Z., Alavi, N. M., & Ajorpaz, N. M. (2021). Clinical Competence in Nursing: A Hybrid Concept Analysis. Nurse Education Today, 97, 1–8. https://doi.org/10.1016/j.nedt.2020.104728
Pertiwi, B., Hariyati, T., & Anisah, S. (2020). Evaluasi Pelaksanaan Kewenangan Klinis Perawat Klinis di Rumah Sakit Militer Jakarta. Journal of Hospital Accreditation, 2(1), 15–20. https://doi.org/10.35727/jha.v2i1.61
Pratiwi, L. A., Yetti, K., & Mashudi, D. (2020). Optimalisasi Supervisi Pemberian Edukasi Pasien dan Keluarga pada Rumah Sakit di Jakarta Selatan. Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan, 8(2), 231–242. https://doi.org/10.20527/dk.v8i2.7758
Suprapto, S., Mulat, T. C., & Lalla, N. S. N. (2021). Nurse Competence in Implementing Public Health Care. International Journal of Public Health Science, 10(2), 428–432. https://doi.org/10.11591/ijphs.v10i2.20711
Taqwim, A., Ahri, R. A., & Baharuddin, A. (2020). Beban Kerja dan motivasi Melalui Kompetensi terhadap Penerapan Indikator Keselamatan Pasien Pada Perawat UGD, ICU RSI Faisal Makassar 2020. Journal of Muslim Community, 48–59. https://doi.org/10.13140/RG.2.2.20573.64487
Tsogbadrakh, B., Kunaviktikul, W., Akkadechanunt, T., Wichaikhum, O. A., & Turale, S. (2020). Nurse and Patient Perceptions of Quality Nursing Care in Mongolian Public Hospitals. Pacific Rim International Journal of Nursing Research, 24(4), 514–526. https://www.researchgate.net/publication/344456503
Vogelsang, A. C. V., Swenne, C. L., Gustafsson, B. Å., & Falk Brynhildsen, K. (2020). Operating Theatre Nurse Specialist Competence to Ensure Patient Safety in the Operating Theatre: A Discursive Paper. Nursing Open, 7(2), 495–502. https://doi.org/10.1002/nop2.424
Zakeri, M. A., Bazmandegan, G., Ganjeh, H., Zakeri, M., Mollaahmadi, S., Anbariyan, A., & Kamiab, Z. (2021). Is Nurses’ Clinical Competence Associated with Their Compassion Satisfaction, Burnout and Secondary Traumatic Stress? A Cross-Sectional study. Nursing Open, 8(1), 354–363. https://doi.org/10.1002/nop2.636
Zuriguel-Pérez, E., Falcó-Pegueroles, A., Agustino-RodrÃguez, S., Gómez-MartÃn, M. del C., Roldán-Merino, J., & Lluch-Canut, M. T. (2019). Clinical Nurses’s Critical Thinking Level According to Sociodemographic and Professional Variables (Phase II): A Correlational Study. Nurse Education in Practice, 41, 1–7. https://doi.org/10.1016/j.nepr.2019.102649
