Electronic Theses and Dissertation

Kementerian pendidikan tinggi, sains, dan teknologi universitas syiah kuala fakultas keperawatan program studi magister keperawatan tesis 02 juli 2026 xiii + v bab + 128 halaman + 8 tabel + 2 gambar + 1 skema + 13 lampiran cici hasmarita npm : 2412201010023 determinan pelaksanaan clinical privilege dengan kinerja perawat di rumah sakit umum daerah dr. zainoel abidin banda aceh abstrak tanggung jawab perawat, kepatuhan terhadap standar, dan kerja sama tim meningkat dengan clinical privilege. namun, ada kendala dalam pelaksanaannya, seperti sistem kredensial yang kurang optimal dan perawat yang bertindak di luar kewenangan klinis. penelitian ini bertujuan menganalisis determinan pelaksanaan clinical privilege terhadap kinerja perawat di rumah sakit umum daerah dr. zainoel abidin banda aceh. penelitian kuantitatif dengan metode cross-sectional ini dilakukan pada 122 perawat pelaksana dengan teknik proportionate stratified random sampling.. analisis data dilakukan menggunakan uji chi-square dan regresi logistik biner metode stepwise. pengumpulan data menggunakan universal role behaviors of nurse managers, sistem kredensial diukur dengan menggunakan angket, kepuasan kerja diukur dengan menggunakan nursing workplace satisfaction questionnaire (nwsq) dan kinerja perawat berdasarkan penilaian diri (self report) dan penilaian oleh kepala ruang rawat menggunakan six-d scale of nursing performance. hasil penelitian menunjukkan bahwa sebanyak 77% responden memiliki kinerja perawat yang baik. analisis bivariat menunjukkan bahwa dukungan manajemen (p=0,009), sistem kredensial (p=0,007), dan kepuasan kerja (p=0,012) berhubungan signifikan dengan kinerja perawat, sedangkan pendidikan (p=0,074) dan masa kerja (p=0,660) tidak berhubungan signifikan. analisis multivariat menunjukkan bahwa dukungan manajemen merupakan faktor paling dominan yang berhubungan dengan kinerja perawat (or=2,286). disimpulkan bahwa penguatan dukungan manajemen, optimalisasi sistem kredensial, dan peningkatan kepuasan kerja merupakan strategi penting untuk meningkatkan pelaksanaan clinical privilege, kinerja perawat, mutu pelayanan keperawatan, serta keselamatan pasien di rumah sakit. kata kunci : clinical privilege, dukungan manajemen, sistem kredensial, kepuasan kerja, kinerja perawat. daftar pustaka : 4 buku, 113 jurnal, (2018 -2026)

MINISTRY OF HIGHER EDUCATION, SCIENCE, AND TECHNOLOGY UNIVERSITAS SYIAH KUALA FACULTY OF NURSING MASTER PROGRAM OF NURSING SCIENCE THESIS July 02, 2026 xiii + V Chapters + 128 Pages + 8 Tables + 2 Figures + 1 Schematic Diagram + 13 Appendices CICI HASMARITA Student ID: 2412201010023 DETERMINANTS OF CLINICAL PRIVILEGE IMPLEMENTATION ON NURSES' PERFORMANCE AT DR. ZAINOEL ABIDIN REGIONAL GENERAL HOSPITAL BANDA ACEH ABSTRACT Nurses' responsibility, compliance with standards, and teamwork improve with clinical privileges. However, challenges in implementation remain, such as suboptimal credentialing systems and nurses acting beyond their clinical authority. This study aimed to analyze the determinants of clinical privilege implementation on nurse performance at Dr. Zainoel Abidin Regional General Hospital, Banda Aceh. This quantitative study utilized a cross-sectional design involving 122 staff nurses selected through proportionate stratified random sampling. Data were analyzed using the Chi-square test and binary logistic regression with the stepwise method. Data collection tools included the Universal Role Behaviors of Nurse Managers scale, a questionnaire measuring the credentialing system, the Nursing Workplace Satisfaction Questionnaire (NWSQ) for job satisfaction, and the Six-D Scale of Nursing Performance to assess nurse performance via self-reports and head nurse evaluations. The results showed that 77% of respondents demonstrated good nursing performance. Bivariate analysis revealed that management support (p= 0.009), the credentialing system (p=0.007), and job satisfaction (p=0.012) were significantly associated with nurse performance, whereas education level (p=0.074) and tenure (p=0,660) showed no significant association. Multivariate analysis identified management support as the most dominant factor influencing nurse performance (OR= 2.286). In conclusion, strengthening management support, optimizing the credentialing system, and enhancing job satisfaction are crucial strategies for improving the execution of clinical privileges, nursing performance, quality of nursing care, and patient safety in hospitals. Keywords : clinical privilege, nursing management support, credentialing system, job satisfaction, nursing performance. References: 4 books, 113 journal articles (2018–2026)