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"Keterbatasan kemampuan pengelolaan pemimpin merupakan salah satu faktor penyebab rendahnya mutu pelayanan keperawatan. Penelitian ini bertujuan menganalisis faktor yang mempengaruhi kompetensi kepala ruangan dalam pelaksanaan fungsi pengarahan. Desain menggunakan survey dengan rancangan deskriptif korelasional, pada 98 kepala ruangan dan 196 ketua tim. Sampel diambil secara total dan instrumen riset berupa kuisioner. Analisis menggunakan uji Mann Whitney, Kruskall Wallis, Spearman Correlation, dan Regresi linear berganda. Variabel yang berhubungan dengan kompetensi kepala ruangan adalah masa kerja(p=0.0001), pelatihan manajemen ruangan(p=0.006) serta uraian tugas(p=0.008). Pelatihan merupakan faktor paling dominan yang mempengaruhi kompetensi kepala ruangan dalam melaksanakan fungsi pengarahan. Hasil penelitian merekomendasikan manajemen untuk merancang pelatihan serta menyusun uraian tugas sesuai dengan kompetensi kepala ruangan.

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Limited ability of leadership in management is one factor contributing to the low quality of nursing care. This study aimed to analyze factors influencing head nurses competency in directing function. Design used survey with descriptive correlational, to 98 head nurses and 196 team leaders. Total sample with questionnaire as an instrument. Analysis using Mann Whitney test, Kruskal Wallis, Spearman Correlation, and Multiple Linear Regression. Variables that relate to head nurses competency is working period(p=0.0001), ward management training(p=0.006) and job description(p=0.008). Training is the most dominant factor influencing competency of head nurses in directing. Results of the study recommend management to design training and develop job descriptions according to the competence of the head nurses."

"Gaya kepemimpinan kepala ruangan dalam berinteraksi dengan anggota dan saat mengelola ruang rawat akan mempengaruhi kepuasan kerja dan kinerja perawat yang dipimpinnya. Penelitian ini bertujuan mengidentifikasi hubungan gaya kepemimpinan kepala ruangan yang dipersepsikan perawat pelaksana dengan kepuasan dan kinerja perawat pelaksana.Metode penelitian menggunakan pendekatan cross sectional desain deskripsi korelasi melibatkan 146 perawat Rumah Sakit Umum Daerah RSUD Cibinong yang dipilih secara random sampling. Data dianalisis dengan Chi Square, uji Fisher dan regresi logistik.Hasil penelitian menunjukkan terdapat hubungan antara gaya kepemimpinan (servant dan transformasional) dengan kepuasan (p<0,05), antara gaya kepemimpinan (servant, transaksional, dan transformasional) dengan kinerja (p < 0,05), serta terdapat hubungan antara kepuasan dan kinerja perawat (p < 0,043). Gaya kepemimpinan kepala ruangan yang paling berhubungan dengan kepuasan perawat pelaksana adalah gaya kepemimpinan transformasional (OR = 6,345), dan kinerja adalah transaksional (OR = 3,846).Hasil ini menyarankan untuk menerapkan gaya kepemimpinan transformasional untuk meningkatkan kepuasan dan gaya kepemimpinan transaksional untuk meningkatkan kinerja perawat pelaksana.

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Head nurses leadership style, when interacting with nursing staffs and when managing nursing service area, affected to nursing staffs satisfaction and performance.

This study aimed to identify the relationship between head nurses leadership style, that perceived by nursing staffs, with their satisfaction and performance.

The design research was descriptive correlative with cross sectional approach. The sample were selected randomized involving 146 nursing staffs in Cibinong General Hospital. Data were analyzed by chi-square, Fisher's exact test and logistic regression.

The results showed that there was a relationship between head nurses leadership style (servant and transformational) with nursing staffs satisfaction (p <0.05), there was a relationship between head nurses leadership style (servant, transactional, and transformational) with nursing staffs performance (p <0.05), and there was a relationship between nursing staffs satisfaction with their performance (p <0.043). head nurses Leadership style that most related to the nursing staffs satisfaction was a transformational leadership style (OR = 6.345), and the most related to the nursing staffs performance is transactional leadership style (OR = 3.846).

It is recommended for head nurses to apply the transformational leadership style to improve nursing staffs satisfaction and the transactional leadership style to improve nursing staffs performance."

"Nurse turn over merupakan tantangan bagi manajer untuk meningkatkan pemenuhan kebutuhan perawat di rumah sakit. Perawat baru mengalami masa transisi sebelum menjadi perawat yang kompeten. Preceptorship menjembatani gap antara teori dengan praktik dan mengurangi risiko "reality shock" yang terjadi ketika preceptee memasuki tempat kerja pertama kali. Keberhasilannya sangat bergantung pada preceptor sebagai pemandu preceptee. Intervensi pada penelitian ini dengan pelatihan preceptorship, yang bertujuan untuk mengidentifikasi pengaruh implementasi model preceptorship terhadap pengetahuan, kemampuan, dan sikap preceptor. Desain penelitian quasi eksperiment Non Randomized Control Group Pretest Postest Design dengan sampel 35 orang preceptor pada kelompok intervensi dan 35 orang preceptor pada kelompok kontrol, menggunakan teknik consecutive sampling. Data dianalisis menggunakan Uji Chi-square dan Mc Nemar. Hasil penelitian menunjukkan peningkatan yang bermakna pada pengetahuan dan ketrampilan (p< =0,05), sedangkan sikap preceptor tidak ada perbedaan yang bermakna setelah mendapatkan implementasi model preceptorship (p> =0,05). Implikasi penelitian ini dapat mengurangi turn over dan meningkatkan kinerja preceptor sehingga akan menunjang kualitas pelayanan keperawatan. Rumah sakit diharapkan menerapkan preceptorship dengan menunjuk preceptor yang telah lulus pelatihan preceptorship melalui penugasan tertulis dilengkapi panduan serta supervisi sebagai upaya meningkatkan kompetensinya dalam memberikan bimbingan klinik kepada preceptee.

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Nurse turn over is a callenge for the nurse manager to fulfill nurse in the hospital. new nurses as well as transition period before becoming experienced nurse. Preceptorship has bridged the gap between theory and practice as well as reduced the risk of ? reality shock? which always occur when preceptee first starting to work at the workplace. The success depends on how the preceptor acts as preceptee guide. The intervention of this research is preceptorship training to identify the effect of the implementation preceptorship model on the improvement of preceptor knowledge, skill, and attitude in hospital. Research design quasi experiment Non Randomized Control Group Pretest Postest Design with 35 samples of preceptor in intervention group and 35 samples in control group using sampling concecutive technique. Data analyze with Chi-square Test and Mc Nemar Test.

Research result shows there has been significant increase on preceptor knowledge and skill obtained after implementing preceptorship model (p<0,05) but not for attitude (p> =0,05). This research implication could reducing preceptor turn over and the improvement work performance so will be support quality of nursing services. Regarding that, the hospital applies preceptorship by designate preceptor was graduated preceptorship training that written assignment along with guidance and supervision as the efforts to enhanse their competency in providing clinical guidance to the preceptee."

"Kepala ruangan sebagai perawat manajer yang bersentuhan langsung dengan staf, melaksanakan strategi untuk meningkatkan retensi agar stafnya mempunyai keinginan untuk bertahan bekerja. Strategi yang telah dilaksanakan kepala ruangan seringkali kurang membuahkan hasil yang baik karena beberapa faktor. Tujuan penelitian ini adalah untuk mengidentifikasi faktor-faktor yang dapat mempengaruhi strategi kepala ruangan dalam meningkatkan retensi perawat. Penelitian ini merupakan penelitian deskriptif dengan pendekatan cross sectional.Penelitian ini menggunakan total sampling dari kepala ruangan sesuai kriteria inklusi. Instrumen yang digunakan merupakan modifikasi dari instrumen strategi retensi perawat dan pengembangan dari beberapa sumber terkait.Hasil penelitian didapatkan adanya hubungan yang bermakna antara struktur organisasi, dukungan pimpinan, fungsi perencanaan, fungsi ketenagaan, dan fungsi pengendalian dengan strategi retensi p = 0,002 ndash; 0,044, ? = 0,05 . Faktor yang paling dominan mempengaruhi adalah dukungan pimpinan p = 0,032; OR = 2,817, 95 CI dan fungsi ketenagaan p = 0,042; OR = 2,714, 95 CI . Rekomendasi: Kepala ruangan perlu dukungan yang kuat dari pimpinan rumah sakit dalam melaksanakan strategi untuk meningkatkan retensi perawat.

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Head nurse as a nurse manager in direct contact with staff, executes a strategy to increase retention so that his staff has a desire to survive. Strategies that have been implemented by head nurse are often poorly managed due to several factors. The purpose of this study was to identify factors that may influence the strategy in increasing nurse retention.This research is descriptive research with cross sectional approach. This study used total sampling from head nurse according to inclusion criteria. The instrument used is a modification of the nurse 39 s retention strategy and development tool from several related sources.The result showed that there was a significant relationship between organizational structure, leadership support, planning function, staffing function, and controlling function with retention strategy p 0,002 0,044, 0,05 . The most dominant factors influenced were leadership support p 0.032, OR 2.817, 95 CI and staffing function p 0.042 OR 2.714, 95 CI . Recommendations Nurse retention strategies conducted by head nurse need strong support from hospital management for their success in improving nurse retention."

"Perilaku profesional di rumah sakit umum pusat rujukan di Jakarta dapat memenuhi harapan pasien sehingga memberikan kepuasan kepada pelanggan. Nilai menjadi landasan dalam mengarahkan perilaku seseorang sehingga mampu menampilkan sikap yang sesuai harapan pasien. Tujuan penelitian ini adalah untuk mengeksplorasi nilainilai profesional perawat dalam mengarahkan perilaku perawat. Desain penelitian ini menggunakan metode kualitatif fenomenologi dengan metode pengambilan sampel purposive sampling. Sepuluh perawat sebagai partisipan telah dipilih dan dilakukan wawancara mendalam. Data dianalisis dengan menggunakan metode Colaizzi. Hasil penelitian didapatkan enam tema yaitu 1) perasaan senang, bangga, dan semakin mengerti karakter pasien dalam menjalani profesi perawat; 2) banyaknya tantangan yang dihadapi dalam menjalani profesi perawat; 3) kompetensi manajer dalam menghadapi tantangan; 4) perawat memberikan pelayanan berdasarkan ilmu dan keterampilan, rasa ingin menolong dan welas kasih sebagai bentuk ibadah dan komitmen kepada profesi; 5) merasakan kepuasan dalam menajalani profesi perawat; dan 6) harapan terhadap pengembangan profesi. Perawat yang profesional memiliki sikap yang positif dan memiliki harapan untuk pengembangan profesi. Rumah sakit tempat perawat bekerja dapat mengembangkan pendidikan dan penelitian keperawatan sehingga mampu memberikan praktik yang berbasis bukti. Manajer keperawatan dapat memberikan pelayanan yang didasari ilmu, keterampilan dan sikap sebagai bentuk ibadah dan komitmen terhadap profesi sehingga menjadi role model bagi perawat yang dipimpin.

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Professional behavior at a public hospital referral center in Jakarta could meet the patients expectations, so it could provide the satisfaction to customers. Values are the basis for directing one`s behavior so that they are able to display attitudes as expected. The purpose of this study was to explore nurses professional values in directing nurse behavior. The design of this study used a phenomenological qualitative method with a purposive sampling method. Ten nurses were selected as participants and were involved in-depth interviews. Data were analyzed using the Colaizzi method.

The results obtained six themes: 1) felt happy, proud, and improved their understanding the character of patients in undergoing the nursing profession; 2) many challenges faced in undergoing the nursing profession; 3) the competency of manager in facing challenges; 4) nurses provided services based on knowledge and skills, a sense of helping and compassion, as a form of worship and commitment to the profession; 5) felt satisfaction in undergoing a nursing profession; 6) a hope of professional development.

Professional nurses have a positive attitude and have a hope for professional development. The hospitals where nurses work could develop nursing education and research so they are able to provide the evidence-based practices. The nursing managers could provide services based on knowledge, skills and attitudes as a form of worship and commitment to the profession, so the manager could be a role model for other nurses that they led."

"Perilaku etik perawat pelaksana menjadi perhatian kepala ruangan dalam memberikan pelayanan keperawatan. Kepala ruangan yang menjalankan fungsi dengan baik akan berpengaruh terhadap penerapan praktik keperawatan dan penerapan prinsip etik keperawatan. Metode penelitian ini, menggunakan pendekatan kuantitatif dengan desain cross-sectional. Pengambilan sampel dengan teknik total sampling dengan jumlah sampel 147 di rumah sakit X Tangerang. Pengumpulan data menggunakan kuesioner dengan analisis univariat, bivariat, dan multivariat. Hasil penelitian menggunakan uji chi-square dengan CI 95%, menunjukan hasil bahwa tidak terdapat hubungan signifikan antara jenis kelamin (p-0,926), usia (p-0,438), tingkat pendidikan (p-0,983), jenjang karir (p-0,415), lama bekerja (p-0,353) dengan penerapan prinsip etik perawat. Terdapat hubungan signifikan antara fungsi perencanaan (p- 0,035), fungsi pengorganisasian (p-value 0,008), fungsi ketenagaan (p-value 0,001), fungsi pengarahan (p-0,002) serta fungsi pengendalian (p-value 0,008) dengan penerapan prinsip etik perawat.  Fungsi pengarahan kepala ruangan yang dilakukan dengan baik akan meningkatkan kesadaran penerapan prinsip etik dalam pelayanan keperawatan, maka perlu adanya optimalisasi fungsi kepala ruangan yang terencana dalam penerapan prinsip etik.

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The ethical behavior of implementing nurses is a concern for the head nurses in providing nursing services. The Head nurse carries out the function properly will affect the application of nursing practice and the application of nursing ethical principles. This research method uses a quantitative approach with a cross-sectional design. Sampling with a total sampling technique with a total sample of 147 in Hospital X Tangerang. The resulted of the studi using the chi-square test with 95% CI, showed that there was no significant relationship between gender (0.926), age (0.438), education level (0.983), career path (0.415), length of work (0.353) with application of nursing ethical principles. There is a significant relationship between the functions of planning (p-value 0.035), organizing (p-value 0.008), staffing (p-value 0.001), actuacting (p-value 0.002) and controlling (p-value 0.008) with the application of nurse ethical principles. with the application of ethical principles of nurses. with the application of ethical principles of nurses. The function of Head Nurse that is done well will increase awareness of the application of ethical behavior in nursing services, it is necessary to optimize the function of the Head Nurse that is planned in the application of ethical principles."

"To succeed as leaders of a diverse, multigenerational workforce, nurse managers and executives need to have both traditional management skills and a contemporary, creative mindset. Management and Leadership for Nurse Administrators, Ninth Edition provides a comprehensive overview of key management and administrative concepts critical to leading modern healthcare organizations and ensuring patient safety and quality care. With this text, students will be prepared to lead a workplace that is rapidly evolving due to technology, culture, and changes in the U.S. healthcare system. The Ninth Edition features a new Introduction with a review of the current trends and patterns in nursing leadership, along with expanded discussions of translational science focused on implementation and dissemination, workforce well-being, resiliency, work-life balance, healthy work environments, and more timely topics"

"Iklim organisasi dipengaruhi oleh pemberdayaan. Tujuan penelitian cross sectional ini untuk mengetahui hubungan struktur pemberdayaan dengan iklim organisasi perawat pelaksana di suatu rumah sakit di Depok, Jawa Barat. Hasil penelitian pada 101 perawat pelaksana (total sampling) menggunakan dua instrumen (CWEQ-II dan OCQ) menunjukkan mayoritas perawat mempersepsikan struktur pemberdayaan cenderung rendah sedangkan iklim organisasi cenderung baik. Uji Chi Square membuktikan struktur pemberdayaan (kesempatan, informasi, dukungan, sumber daya, kekuatan formal, kekuatan informal) berhubungan dengan iklim organisasi (p= 0,000?0,031; α= 0,05). Faktor yang paling berpengaruh pada iklim organisasi dalam penelitian ini adalah dimensi kekuatan informal, sehingga perlu ditingkatkan di rumah sakit tersebut. Perawat manajer perlu memiliki keterampilan kepemimpinan dalam pemberdayaan perawat pelaksana untuk meningkatkan iklim organisasi dan pelayanan keperawatan.

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Empowerment Strategy Improving Organizational Climate of Staff Nurse at the Hospital. Organizational climate is affected by empowerment. This cross sectional research aimed to investigate the relationship between structural empowerment and organizational climate of nurses at a hospital in Depok, West Java. The results from 101 nurses using two instruments (CWEQ-II and OCQ) showed that majority of the nurses perceived that the structural empowerment tended to be low while the organizational climate was already in a good condition. Statistical tests using Chi Square showed a relationship between structural empowerment (opportunity, information, support, resource, formal power, informal power) and organizational climate (p=0.000?0.03; α= 0.05). Moreover, the most influential factor on the organizational climate was the dimension of the informal power, therefore this factor should be strengthened in the hospital. It is suggested that the nurse manager is expected to have empowerment leadership skill to enhance the organizational climate and nursing services."

"Penulisan review ini membahas salah satu permasalahan penting sumber daya manusia rumah sakit yaitu retensi perawat. Tujuan dari penulisan adalah untuk mengetahui gambaran retensi, dan mengidentifikasi faktor-faktor yang mempengaruhi retensi perawat di rumah sakit. Jenis literatur yang digunakan berupa literatur elektronik yang didapat melalui database online dan website yakni PubMed, Garuda Ristekdikti, ProQuest, Willey Online Library, dan neliti.com. Peneliti mendapatkan 14 literatur dengan metode penelitian kualitatif dan kuantitatif. Identifikasi inti pembahasan pada setiap literatur disajikan dalam tabel matriks yang secara garis besar memuat aspek gambaran retensi; faktor-faktor retensi diantaranya faktor organisasi dan pekerjaan, serta faktor karakteristik individu. Hasil penelitian menyimpulkan bahwa retensi perawat dirumah sakit kurang kuat, ditunjukkan dari tingkat turnover yang mayoritas masih diatas 10% baik RS Swasta maupun RS Pemerintah di Indonesia dan luar Indonesia. Faktor pekerjaan dan organisasi yang secara signifikan mempengaruhi retensi dan paling dominan dibahas dari seluruh literatur adalah lingkungan kerja, sedangkan untuk faktor individu adalah masa kerja.

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This literature review is discussed about one of the important hospitals human resource problems, nurse retention. The purpose of this paper is to describe the retention, and identify the factors that influence the retention of nurses in the hospital. The type of literature used is electronic literature that collected through online databases and websites include PubMed, Garuda Ristekdikti, ProQuest, Willey Online Library, and neliti.com. Researchers obtained 14 literatures with qualitative and quantitative research methods. Identification of the main discussion in each literature is presented in a matrix table which outlines aspects of the retention picture; retention factors including organizational and work factors, as well as individual characteristics factors. The results of the study concluded that the retention of nurses in hospitals was not strong, as indicated by the turnover rate, the majority of which was still above 10%, both in private hospitals and government hospitals in Indonesia and outside Indonesia. Occupational and organizational factors that significantly affect retention and are the most dominant discussed from the entire literature are work environment, while for individual factors are years of service.

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