scholarly journals The Effectiveness of Educative, Supportive, and Administrative Cycle (ESA-C) Clinical Supervision Model in Improving the Performance of Public Hospital Nurses

2019 ◽  
Author(s):  
Asep Setiawan ◽  
Budi Anna Keliat ◽  
Yeni Rustina ◽  
Sabarinah Prasetyo

Consistent supervision affects nurse performance, but in its implementation in nursing care in Indonesia, supervision tends to be more monitoring in nature and lacking the efforts of educating, motivating, training, and directing. The clinical supervision model of Educative, Supportive, and Administrative Cycle (ESA-C) is made to increase the positive value of supervision. The model is synthesized from Kadushin’s and Proctor’ supervision models integrated with Peplau’s interpersonal relationship theory and Watson’s carative factors. The research aims to test the effectiveness of ESA-C clinical supervision model in improving nurse performance using the quasi-experimental design of two group pre-post-tests. Two hospitals were randomly selected from the five public hospitals as the research location. The sample consisted of 90 nurses and 270 patients, taken randomly and purposively, respectively. The results indicate that the ESA-C clinical supervision model was able to significantly improve the nurses’ performance (p-value < 0.05) in the dimensions of task performance: technical skills improved by 2%, patient education 9%, emotional support to patients 14%; and contextual performance: assistance to patients and families improved by 21%. It is recommended that the model be used in nursing care, especially in hospitals, in an attempt of improving nurse performance in providing nursing care to patients.

Author(s):  
Deswita Deswita ◽  
Yulastri Arif ◽  
Supiyah Supiyah

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


2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Hagos Tasew ◽  
Teklewoini Mariye ◽  
Girmay Teklay

Abstract Objective The objective of this study was to investigate documentation practice and factors affecting documentation practice among nurses working in public hospital of Tigray region, Ethiopia. Results In this study, there were 317 participants with 99.7% response rate. The result of this study shows that practice nursing care documentation was inadequate (47.8%). Inadequacy of documenting sheets AOR = 3.271, 95% CI (1.125, 23.704), inadequacy of time AOR = 2.205, 95% CI (1.101, 3.413) and with operational standard of nursing documentation AOR = 2.015, 95% CI (1.205, 3.70) were significantly associated with practice of nursing care documentation. To conclude, more than half of nurses were not documented their nursing care. Employing institutions should provide training on documentation of nursing care to enhance knowledge and create awareness on nurses’ documentation to nursing directors and chief executive officer to access adequate documenting supplies besides employing more nurses.


Author(s):  
Mohammed Al Momani

Background: Shortage of nurses resulting from nurses migration, has created a health care crisis in developing countries and has adversely affected the quality of nursing care provided to patients. The main objective of this study was to investigate the factors influencing Jordanian public hospital nurses’ intent to leave their current employment. Methods: A cross-sectional survey was conducted among 348 registered nurses randomly selected from two public referral hospitals, Al Bashier Teaching Hospital, and Amirah Basma Teaching Hospital, Jordan. Data to investigate the nurses’ satisfaction and their intention to leave were collected using self-administered questionnaire compromised 28 factors included in seven dimension: Administrative support, supervision and leadership, interaction with co-workers, work related factors, staff development practices, pay and promotion system, and control and responsibility. Data collected over a 4-month period (December 13, 2015 to April 7, 2016). Results: of the 348 registered nurses 212 (60.9%) had an intention to leave their current work. The average satisfaction rate for all dimensions was (2.83). The dominant factors were not satisfied nurses (mean<3) and influencing their intention to leave were Pay and benefits, nurse to bed ratio due to shortage of nurses, and praising and recognitions for achievement. The variables gender, work experience, and nursing role yielded significant associations with intent to leave (p<0.05). Conclusions: The study showed that the majority of nurses were dissatisfied and had intention to leave their current job. Developing strategies to increase retention of nurses such as salaries and benefits should be periodically reviewed in light of the national consumer index, in addition to other strategies could improve nursing retention and quality of nursing care. 


2019 ◽  
Author(s):  
Amira . ◽  
Muhlisa . ◽  
Tri Johan

Completeness of nursing documentation is one of the quality indicators of nursing care. Based on the nursing practice law no. 38 article 37, nurses in carrying out Nursing Practices are obliged to document Nursing Care in accordance with the standards. Documentation in Inpatient PKM consisting of Siko, Jambula, and Sulamadaha PKM itself, based on the observations of researchers found several obstacles, namely, the lack of nurses given the large number of PKM programs that must be run, varying levels of education so documentation has a different understanding, this also supported by the lack of education and training related to temporary nursing care documentation relating to the Nursing Process and Documentation experiencing some recent changes. The purpose of this study was to determine the effect of applying the nursing documentation format for the model Problem-Oriented Record (POR) on the performance of nurses in the Inpatient Health Center in Ternate City. The design of this study is quasi-experimental, namely, pre and post-test without control group. The population is nurses with 41 people in PKM Inpatient who are in Ternate City. Samples were taken by total sampling technique and analyzed using statistical tests t-test, Anova, and correlation. The results of the study found a significant difference between the performance of nurses before and after the application of the documentation format for nursing care in the POR model (p-value: 0,0005 α: 0.05) while the characteristics of respondents included age, sex, marital status, length of work and education had no effect on performance.


Author(s):  
Frannelya Francis ◽  
Fatimah Sham ◽  
Azniah Alias ◽  
Siti Munirah Abdul Wahab ◽  
Suzana Yusof ◽  
...  

Globally, the quality of work-life (QoWL) of nurses is significantly affected. They are the largest health care groups and the leading front liners in the clinical settings. When the nurse's quality of work life is compromised, the work environment's dynamic changes will also be affected. At current, the focus issues in nursing include excessive workload and poor work conditions. This study aimed to determine the prevalence of quality of work-life among public hospital nurses in Sarawak General Hospital (SGH), Kuching, Malaysia. Methods: Descriptive study with a purposive sampling technique was used in recruiting 461 nurses working at SGH. A composite scale was used for the assessment of QoWL in nurses. Data were collected using adapted questionnaires that focused on nine different areas. The questionnaires were distributed to the nurses via an online survey. This study revealed that 52.9% of the respondents were not satisfied with their QoWL, while 47.1% were satisfied. Three areas were identified to record a higher percentage of unsatisfactory QoWL: relation and cooperation, autonomy of work, and resources adequacy. There are significant differences between the nurses' quality of work-life and socio demographic characteristics (p-value≤0.01). Female nurses; those involved in clinical; working and staying at the same hospital for a long time; and those working shifts, having satisfactory QoWL. In sum, the nurse's quality of work-life is at a moderate level. This research further indicates that the socio-demographic features of nurses and QoWL are substantially linked. Result-driven research is also needed to examine the effectiveness, efficacy, and cost benefits of specific strategies to improve quality of life. The health care authorities should implement policies to strengthen nurses' working standards and their QoWL to provide excellent and effective care for their clients.


LOKABASA ◽  
2013 ◽  
Vol 4 (1) ◽  
Author(s):  
HARYADI PRAMUDITA

Penelitian dipusatkan pada Model Supervisi Klinis oleh Pengawas dan MGMP Bahasa Sunda terhadap guru-guru bahasa Sunda yang ada di Kabupaten Cirebon pada Tahun Ajaran 2011-2012 dengan tujuan untuk mengidentifikasi, mendeskripsikan dan menganalisis pengaruh supervisi klinis oleh Pengawas dan MGMP bahasa Sunda. Metode yang dipakai adalah metode kuasi eksperimen dengan pendekatan kualitatif dengan rancangan desain one group time series design. Instrumen untuk mengukur hasilnya adalah validasi RPP. Lokasi dan sampel penelitian adalah guru-guru yang ada dikabupaten Cirebon berjumlah 35 orang. Hasil penelitian dapat disimpulkan bahwa korelasi antara variabel X1 dan variabel Y korélasinya positif dan signifikan. Oleh sebab itu, adanya pengaruh supervisi klinis pangawas mata pelajaran bahasa Sunda kepada kompeténsi guru bahasa Sunda dalam membuat RPP sebesar 57,43%, dan sisa 42,57% dipengaruhi oleh faktor lainnya. Supervisi Klinis ti Pengawas Mata Pelajaran sangat stratégis dalam membantu guru baik secara kompeténsi profésional, pédagogik, kapribadian, dan sosial, melalui wadah MGMP. AbstractThe research focused on the clinical supervision model by Sundanese Teachers Consultation and supervisors implemented to Sundanese teachers in Cirebon regency in 2011-2012 school year. The goal was to identify, describe and analyze the in􀃀uence of clinical supervision by the Sundanese Teachers Consultation and supervisors. The method used was quasi-experimental, employing a qualitative approach using a one group time series design. The instrument used to measure results was validation of instructional planning. The subjects were 35 teachers at Cirebon regency. Results indicate that the correlation between X1 and Y variables was positive and signi􀂿cant. Therefore,there was 57.43% in􀃀uence of the clinical supervision model to Sundanese teachers’ competence in designing instructional planning, the remaining 42.57% was due to other factors. The clinical supervision model successfully aided teachers in their professional competence, pedagogic competence, personality, and social competence within the Teachers Consultation.


2020 ◽  
Vol 4 (1) ◽  
pp. 40-47
Author(s):  
Yessi Fadriyanti ◽  
Zulharmaswita Zulharmaswita ◽  
Yosi Suryarinilsih ◽  
Heppi Sasmita ◽  
Defiaroza Defiaroza

This study aimed to determine the effect of caring training on the behavior of providing nursing care to students of the Poltekeks Kemenkes Padang. The design used in this study was a quasi-experimental pre-post test control group. The results showed that knowledge's p-value, affective, and psychomotor variables = 0.000 (p <0.05). In conclusion, caring training can improve students' experience, affective, and psychomotor in providing nursing care.   Keywords: Nursing Care, Caring


2017 ◽  
Vol 3 (5) ◽  
pp. 496-507
Author(s):  
Santoso Santoso ◽  
Rita Kartika Sari ◽  
Anggorowati Anggorowati

Background: Job satisfaction influences the quality of health services in hospitals. However, low job satisfaction of nurses exists in the literature and influenced by various factors, including supervision. Thus, a reflective supervision model is considered effective in improving nurse job satisfaction.Objective: This study aims to analyze the effect of the reflective supervision model on nurse job satisfaction.Methods: This was a quasi-experimental study with control group design conducted between May-July 2017 in the Tugurejo Hospital and Dr. Moewardi hospital. There were sixty-eight nurses selected using purposive sampling, with 34 nurses assigned in the experiment and control group. Data were collected using questionnaires and then analyzed by paired t-test.Results: Paired t-test obtained p-value of 0.000, which indicated that the reflective supervision model has a significant influence to nurse work satisfaction.Conclusion: The reflective supervision model has a significant effect in increasing nurse job satisfaction. Therefore, this model could be applied by the head nurses to improve nurse outcome indicator, especially for nurse job satisfaction.


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