Electronic Theses and Dissertation

KEMENTERIAN PENDIDIKAN, KEBUDAYAAN, RISET DAN TEKNOLOGI
UNIVERSITAS SYIAH KUALA
FAKULTAS KEPERAWATAN
PROGRAM STUDI MAGISTER KEPERAWATAN

TESIS
28 Agustus 2021

xiv + V BAB + 100 halaman + 6 tabel + 2 skema + 1 gambar + 12 lampiran

FARIDAH HANUM LUBIS
1712201010046

PENGALAMAN PERAWAT RUANG RAWAT BEDAH DALAM MENERAPKAN KOMPETENSI KLINIS I SESUAI JENJANG KARIR DI RUMAH SAKIT UMUM PEMERINTAH ACEH

ABSTRAK
Perawat dituntut untuk memberikan pelayanan sesuai dengan kompetensi dan kewenangan klinis yang telah ditentukan sesuai jenjang karir, namun beberapa perawat masih mengerjakan tindakan di luar kewenangan yang dapat berdampak negatif terhadap mutu pelayanan dan keselamatan pasien. Tujuan penelitian ini adalah untuk mengeksplorasi secara mendalam pengalaman perawat ruang rawat bedah dalam menerapkan kompetensi klinik I sesuai jenjang karir. Jenis penelitian ini adalah kualitatif dan metode pengumpulan data dengan wawancara. Partisipan dalam penelitian ini adalah sembilan perawat di ruang rawat inap yang didapatkan dengan teknik purposive sampling. Data dikumpulkan berupa hasil wawancara dan catatan lapangan yang dianalisis menggunakan metode Colaizzi. Penelitian mengidentifikasi tiga tema yaitu 1) Persepsi Kewenagan Klinis Perawat; 2) Dilema PK I; 3) Alasan Melanggar Kewenangan;. Peneliti menyarankan perlunya pelaksanaan pelatihan baik bagi perawat maupun komite keperawatan, melakukan review untuk pelaksanaan kredensial dan rekredensial serta peran aktif rumah sakit dalam memonitor penerapan kompetensi perawat sesuai jenjang karir di rumah sakit.

Kata Kunci : Perawat, Kompetensi Klinis, Kewenangan, Jenjang Karir, Kualitatif
Daftar Bacaan : 4 buku, 1 tesis, 18 jurnal, 6 sumber online (2010 – 2020)

MINISTRY OF EDUCATION, CULTURE, RESEARCH AND TECHNOLOGY UNIVERSITAS SYIAH KUALA FACULTY OF NURSING MASTER PROGRAM OF NURSING SCIENCE THESIS August 28th, 2021 xiv + V Chapter + 100 Pages + 6 Tables + 2 Schematics + 1 Picture + 12 Appendices FARIDAH HANUM LUBIS 1712201010046 THE EXPERIENCE OF SURGICAL WARD NURSES IN APPLYING THE FIRST CLINICAL COMPETENCIES IN ACCORDANCE WITH NURSING CAREER PATH IN ACEH GOVERNMENT GENERAL HOSPITAL ABSTRACT Nurses are required to provide the health services in accordance with the competence and clinical authority that have been determined according to nursing career paths, but some nurses are still taking actions outside of their authority which can have a negative impact on quality of care and patient safety. This study aims to explore nurse's experience in the surgical ward in applying the first clinical competence following a nursing career path. This study was a qualitative study. The participants were selected with purposive sampling amounted to nine surgical ward nurses. The data was obtained from interviews, then analyzed using Colaizzi's methods. The study identified three themes; 1) The nurse's perception of clinical authority, 2) Dilemma, and 3) Reasons for violating authority. This research suggests the need for training for nurses and nursing committees, a review of credential implementation, and monitoring the application of nurse competence according to the hospital career path. Keywords: Nurse, Clinical Competence, Authority, Career Path, Qualitative Bibliography : 4 books, 1 thesis, 18 journals, 6 online sources (2010-2020)