Magnitude Of The Problem

SERIOUSNESS OF THE PROBLEM

Opportunities for hospital accidents are due to inaccurate nursing
care documentation of 1: 200, much higher than accidents on 1: 2
million flights. With a very high number of possible accidents
making patient safety or patient safety a big concern in all WHO
hospitals (2010)
 Political Concern
Law number 44 of 2009 article 52 paragraph 1 states that hospitals are required to carry out
recording and reporting of all hospital administration activities in the form of hospital
management information systems. Minister of Health Regulation No.269 / MEN
KES / PER / III / 2008 concerning medical records in article 1 paragraph 1, states that medical
records are files containing notes and documents about patient identity, examination, treatment,
actions and other services that have been given to patients

Community Concern
Some families of patients also assumed that the services provided by ward
nurses were not satisfactory, information about the patients given was unclear,
and nurses worked in a rush Nuryani (2014)
 Formulation Of The Problem

Based on the above background, the formulation of the problem in this

study is "Is there a Relationship Between head of Room Supervision with Complete
Documentation of Nursing Care at PKU Muhammadiyah Bantul”?
 Purpose of the problem

General

Purpose

Special
Benefits of research
The scope of research

Material scope
The scope of the subject
Scope of place
Scope of time
 Authenticity of Research
• Saragih (2015) "Relationship between the Implementation of Supervision of
the Head of the Room and the Performance of Nurse Executors in the
Documentation of Nursing Documentation"
• Ayubi, Yetti, Dewi (2015) "Supervision of Room Heads Based on Complete
Documentation of Nursing Care"
• Windyastuti, Menik K, Ratih Ginanti (2017) "Relationship
between Head Room Supervision and Quality of Nursing Care
documentation in Class III Inpatient Services at RSUD Dr.
Adhyatma, mph Semarang
• Kusuma, Sukesi, Nindyanto, Indah (2012) "The Effect of Head
Room Supervision on Documentation of Nursing Care in
Inpatient Ungaran Hospital"
 Theoretical Review
Benefits and Factors influencing
Nursing Definition of objectives of health insurance
Documentati nursing
on
nursing documentation:
documentat documentati •Knowledge
ion on
•Nurse attitude
•Supervision
•Award from the
Understanding Target leadership
Supervision Nursing supervisor •Policy
of the head The duty of the supervisor
of the room Supervisor competence •Length of work
Benefits of supervisor •Means and
Key elements of supervision infrastructure
Supervision technique •Workload
Principles
Model
Form of clinical supervision
The role of head of space
 Review of Al-Qur'an

58. God is waiting for you to say amant to those who have
the right to receive it, and (tell you) when setting a law
among men so that you determine justly. Allah is Hearer,
Seeing. (QS. An.-Nissa ’:58)
Meaning "who believe, do not betray Allah and the
Messenger (Muhammad) and (also) do not betray the
trustworthiness that is entrusted to you, while you know."
Qs Al Anfal verse 27.
 Conceptual
framework

Factors Complete
influencing health Minimize the
insurance Complete incidence of
documentation: malpractice
Completenes
Knowledge s of Askep's
Patients are
Nurse attitude Documentati satisfied with
Supervision on: nurse services
Completenes patient safety
Award from the s of Askep's
leadership Documentati can increase
Policy on
Length of work
Means and Incomplete
Incomplete: The
prasaarana incidence of
Workload malpractice is
 
increasing
Patients are less
satisfied with
nurse services
patient safety
can decrease
 Hypothesis

The hypothesis in this study is: There

is a Relationship Between head of Room
Supervision with Complete Documentation of
Nursing Care at PKU Muhammadiyah Bantul
Leadership Award - not controlled
Policy - controlled
Long Working - not controlled
Facilities and infrastructure -controlled
Inter-Variable
Relationships

Independent
variable Dependent variable
Supervision of the complete nursing care
head of the room documentation.

Factors influencing
health insurance
documentation:
Knowledge
Nurse attitude
Supervision
Award from the
leadership
Policy
Length of work
Means and prasaarana
Workload
Population and
sample
Data collection tools and methods
 Research Ethics

1. Informed consent
2. Anonymity (no name)
3. Confidentiality (confidentiality of information)
4. Ethical clearances
5. Benefience
6. Non malaficent (not harmful)
 Table 4.1
Frequency Distribution of Characteristics of Respondents Based on Age, Gender, Last Educational Status,
and Length of Work in PKU Muhammadiyah Bantul Hospital 2019 (n = 70)

Karakteristik Responden Frekuensi (F) Persentase (%)

Umur    
17-25 10 14,3
26-35 42 60,0
36-45 18 25,7
Total 70 100,0
Jenis kelamin    
Laki-laki 14 20,0
Perempuan 56 80,0
Total 70 100,0
Masa kerja    
1-5 42 60,0
5-10 11 15,7
10-15 7 10,0
15-20 8 11,4
20-25 2 2,9
Total 70 100,0
Pendidikan    
D3 39 55,7
S1 31 44,3
Total 70 100,0
     
 Table 4.2.
Respondent's Frequency Distribution Based on the Implementation of
Head Room Supervision at PKU Muhammadiyah Bantul Hospital 2019 (n =
70)

No. Kategori Frekuensi (F) Persentase (%)

1. Baik 27 38,6

2. Cukup 36 51,4

3. Kurang Baik 7 10,0

  Total 70 100
Sumber: Data Primer, 2017.
 Table 4.3
Frequency Distribution Complete Documentation of Nursing Care
in PKU Muhammadiyah Hospital Bantul 2019 (n = 70)

No. Kategori Frekuensi (F) Persentase (%)

1. Baik 52 74,3

2. Cukup 11 15,7

3. Kurang Baik 7 10,0

  Total 70 100
Sumber: Data Primer, 2017.
 Table 4.4
Cross Tabulation of Relations in the Implementation of Head Room Supervision with the
Complete
Documentation of Nursing Care at PKU Muhammadiyah Hospital
in Bantul in 2019 (n = 70)

Supervisi Kelengkapan dokumen asuhan keperawatan Koef. p-

Kepala Baik Cukup Kurang Total Korelasi Value

ruang f % f % f % f %    

Baik 21 30,0 5 7,1 1 1,4 27 38,6 0,260 0,030

Cukup 30 42,9 5 7,1 1 1,4 36 51,4    

Kurang 1 1,4 1 1,4 1 1,4 7 10,0    

Total 52 74,3 11 15,7 7 10,0 70 100    

Sumber: Data Primer, 2017.

 Research Limitations
1.In this study there are still many factors that have
not been controlled such as the attitude of nurses,
length of work, and appreciation from the
leadership.
2.This study uses questionnaire with specific
questions so that respondents are less flexible in
giving answers.
 Conclusion
1. Implementation of supervision carried out by the head of the
room where the majority is quite as much as 51.4%
2. Complete majority of nursing care documentation is 74.3%
3. There is a relationship between the supervision of the head of
the room and the completeness of nursing care
documentation
in PKU Muhammadiyah Bantul Hospital, namely p value = 0.030
(p <0.05), this indicates that the better supervision carried
out by
the head of the room the better the performance of the nurses in
documentation of nursing care.
4. The closeness of the relationship between the supervision of
the head of the room and the completeness of the nursing
care documentation in PKU Muhammadiyah Bantul Hospital,
which is 0.260 means that there is a connection of living but
small value.
 Suggestion
For hospitals
For nurses
For Further Researchers