Penerapan Supervisi Klinik Model Group dalam Pendokumentasian Asuhan Keperawatan di RSUD Indrasari Rengat

Abstract

Documentation of nursing care is one indicator of the quality of nursing services at the hospital. Documentation of nursing care at Indrasari Rengat Hospital 40% still does not meet the standards, both in completeness standards, implementation standards and relevance standards. The low achievement in documenting nursing care is due to the supervision factor, where supervision is carried out at Indrasari Rengat Regional Hospital is still not optimal, there is no feedback from the head of the room for documentation of nursing care. In this study, researchers applied group model clinical supervision at Indrasari Rengat Regional Hospital, with the aim of seeing the effectiveness of clinical model group supervision of nursing care documentation. This research was carried out from 20 January to 10 August 2015, with a quasi-experimental design, One-Group pretest-Posttest Design. The sample of this study was in the form of 35 patient documents in the inpatient room with simple random sampling technique. The results found a significant difference between documenting nursing care before and after the implementation of clinical model group supervision with p value <0.05. An increase in documentation of nursing care after the implementation of the group model clinical supervision at Indrasari Rengat District Hospital.
Keywords: clinical model group supervision; documentation; nursing care

ABSTRAK

Dokumentasi asuhan keperawatan merupakan salah satu indikator mutu pelayanan keperawatan di Rumah Sakit. Pendokumentasian asuhan keperawatan di RSUD Indrasari Rengat 40% masih belum memenuhi standar, baik dalam standar kelengkapan, standar pelaksanaan dan standar relevansi. Rendahnya pencapaian pendokumentasian asuhan keperawatan disebabkan oleh faktor supervisi, dimana supervisi yang dilakukan di RSUD Indrasari Rengat masih belum optimal, tidak ada feed back dari kepala ruangan terhadap pendokumentasian asuhan keperawatan. Pada penelitian ini, peneliti menerapkan supervisi klinik model group di RSUD Indrasari Rengat, dengan tujuan untuk melihat efektifitas supervisi klinik model group terhadap pendokumentasian asuhan keperawatan. Penelitian ini telah dilaksanakan dari tanggal 20 Januari sampai 10 Agustus 2015, dengan disain quasi experiment, One-Group pretest-Posttest Design. Sampel penelitian ini berupa dokumen pasien di ruang rawat inap sebanyak 35 dokumen dengan tehnik pengambilan sampel simple random sampling. Hasil penelitian didapatkan perbedaan yang signifikan antara pendokumentasian asuhan keperawatan sebelum dan sesudah penerapan supervisi klinik model group dengan p value < 0,05. Terjadi peningkatan pendokumentasian asuhan keperawatan setelah penerapan supervisi klinik model group di RSUD Indrasari Rengat.
Kata kunci: supervisi klinik model group; dokumentasi; asuhan keperawatan