OPTIMALISASI FUNGSI KEPALA RUANGAN DALAM PENETAPAN JADWAL DINAS PERAWAT BERBASIS KOMPETENSI: PILOT STUDY

Abstract

e"> ABSTRAK
Tujuan penelitian: melakukan pemberdayaan fungsi kepala ruangan dalam implementasi jadwal
dinas berbasis kompetensi di rumah sakit umum vertikal kelas A yang menjadi rumah sakit pusat
rujukan nasional. Metode: pendekatan pilot studi yang dilaksanakan dari analisis situasi, pembuatan
plan of action, implementasi, evaluasi dan analisis gap menggunakan literatur review. Pilot studi
dilakukan selama ± 7 minggu kepada 43 perawat dan 16 kepala ruangan sebagai responden.
Analisis situasi dilakukan dengan menggunakan diagram fi sh bone. Hasil: Masalah utama ialah
belum optimalnya pelaksanaan jadwal dinas berbasis kompetensi. Implementasi yang dilakukan
ialah brainstorming kepada kepala ruangan tentang pentingnya kompetensi dalam pelaksanaan
jadwal dinas dan melakukan uji coba jadwal dinas berbasis kompetensi. Hasil uji coba didapatkan
bahwa 100% kepala ruangan merasa jadwal dinas berbasis kompetensi lebih efektif. Hasil kuesioner
menunjukkan adanya peningkatan pengetahuan kepala ruangan tentang pentingnya kompetensi
dalam penjadwalan perawat menjadi 8,6 dan rata-rata penilaian diri (self asessment) dari kepala
ruangan tentang evaluasi pembuatan jadwal dinas berbasis kompetensi sebesar 7,88 dari 10 poin.
Pelaksanaan penjadwalan berbasis kompetensi mendapat hambatan berupa kurangnya jumlah
tenaga perawat, karakteristik perawat, dan pemerataaan kompetensi. Simpulan: pemberdayaan
fungsi kepala ruangan dalam implementasi jadwal dinas berbasis kompetensi lebih efektif dan
memudahkan pekerjaan kepala ruangan dalam pengaturan jadwal dinas. Peran kepala ruangan
sangat penting dalam pembuatan jadwal dinas berbasis kompetensi. Peran kepala bidang
keperawatan sangat membantu sistem jadwal dinas dengan membuat kebijakan yang tepat dan
sejalan dengan misi pelayanan keperawatan untuk memberikan pelayanan berkualitas dan aman.
Kata Kunci: jadwal dinas, kompetensi, perawat.
OPTIMIZATION THE FUNCTION OF THE HEAD NURSE IN DETERMINING COMPETENCEBASED NURSE SERVICE SCHEDULE: A PILOT STUDY
ABSTRACT
Objective: To empower the function of head nurse in implementing competence-based nurse service
schedule in grade A hospital which serves as a national referral hospital. Methods: This study
employed a pilot study approach that was performed in situation analysis, making of Plan of Action,
implementation, evaluation and gap analysis using literature review. The pilot study was conducted
for approximately 7 weeks to 43 nurses and 16 head nurses as respondents. The situation analysis
was performed using fi shbone diagram. Results: The main problem was unoptimal implementation
of competence-based nurse service schedule. The implementation done was brainstorming to
the head nurses about importance of competence in the implementation of service schedule and
conducting trial of the competence-based nurse service schedule. The trial results indicated that
100% of the head nurses thought that the competence-based nurse service schedule was more
effective. The questionnaire results indicated increased head nurses’ knowledge of the importance
of competence in nurse scheduling by 8.6, and average self-assessment of the head nurses
on the evaluation of competency-based nurse service scheduling by 7.88 out of 10 points. The
implementation of competence-based scheduling was obstructed by lack of the number of nurses,
characteristics of nurses and even distribution of competence. Conclusion: The empowerment of
the function of head nurses in the implementation of competence-based nurse service schedule was
more effectively and could facilitate the work of head nurses in managing the service schedule. The role of head nurses was very important in competence-based nursing service scheduling. The role
of head nurses was useful in nurse service schedule system by making appropriate policy and was
in line with the mission of nursing care in providing quality and safe service.
Keywords: nurse scheduling, competence, nurse