HUBUNGAN PERSEPSI SUPERVISI KLINIS KEPALA RUANGAN

DENGAN KEPATUHAN PERAWAT MELAKSANAKAN

STANDAR OPERASIONAL PROSEDUR

PEMASANGAN INFUS DI IGD RSUD

PASAR MINGGU JAKARTA

SKRIPSI

UMI NURJANAH

1510711053

UNIVERSITAS PEMBANGUNAN NASIONAL“VETERAN” JAKARTA

FAKULTAS ILMU KESEHATAN

PROGRAM STUDI S-1 KEPERAWATAN

2019

HUBUNGAN PERSEPSI SUPERVISI KLINIS KEPALA RUANGAN

DENGAN KEPATUHAN PERAWAT MELAKSANAKAN

STANDAR OPERASIONAL PROSEDUR

PEMASANGAN INFUS DI IGD RSUD

PASAR MINGGU JAKARTA

SKRIPSI

Diajukan Sebagai Salah Satu Syarat Untuk Memperoleh Gelar

Sarjana Keperawatan

UMI NURJANAH

1510711053

UNIVERSITAS PEMBANGUNAN NASIONAL“VETERAN” JAKARTA

FAKULTAS ILMU KESEHATAN

PROGRAM STUDI S-1 KEPERAWATAN

2019

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HUBUNGAN PERSEPSI SUPERVISI KLINIS KEPALA

RUANGAN DENGAN KEPATUHAN PERAWAT

MELAKSANAKAN STANDAR OPERASIONAL

PROSEDURPEMASANGAN INFUS

DI IGD RSUDPASAR MINGGU

JAKARTA

Umi Nurjanah

Abstrak

Terapi infus merupakan suatu terapi pemberian cairan yang penting untuk

memenuhi kebutuhan cairan dalam tubuh serta membantu pengobatan pasien,

sehingga pasien lebih cepat sembuh. Pemasangan infus yang tidak sesuai SOP dapat

meningkatkan angka kejadian infeksi dan salah tusuk. Salah satu faktor yang

mempengaruhi kepatuhan yaitu supervisi. Tujuan penelitian ini untuk menganalisa

hubungan supervisi klinis kepala ruangan dengan kepatuhan perawat melaksanakan

SOP pemasangan infus di IGD RSUD Pasar Minggu Jakarta. Metode yang

digunakan dalam penelitian ini yaitu Cross sectional. Teknik pengambilan sampel

yang digunakan yaitu total sampling. Hasil penelitian dengan uji Chi-square

menunjukkan terdapat hubungan supervisi klinis kepala ruangan dengan kepatuhan

perawat melaksanakan SOP pemasangan infus di IGD RSUD Pasar Minggu

Jakarta, dengan nilai p value = 0,006 (p value < 0,05). Rekomendasi penelitian ini

yaitu supervisi sebaiknya tetap dilaksanakan guna meningkatkan kepatuhan dan

kinerja perawat.

Kata kunci: Kepatuhan, Pemasangan Infus, SOP, Supervisi

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PERCEPTION CLINICAL SUPERVISION RELATIONSHIP

ROOM HEAD WITH NURSING COMPLIANCE

IMPLEMENTING STANDARDS OPERATIONAL

PROCEDURES INSTALLING INFUSIONS

IN IGD PASAR MINGGU HOSPITAL

JAKARTA

Umi Nurjanah

Abstract

Infusion therapy is an essential fluid therapy to meet fluid needs in the body and

help treat patients, so patients recover faster. Installation of infusions that do not

comply with the SOP can increase the incidence of infections and puncture errors.

One of the factors that influence compliance is supervision. The purpose of this

study was to analyze the clinical supervision relationship of the head of the room

with the obedience of nurses implementing the SOP infusion on the IGD at Pasar

Minggu Hospital in Jakarta. The method used in this study is Cross sectional. The

sampling technique used is total sampling. The results of the study with Chi-square

test showed that there was a relationship of clinical supervision of the head of the

room with the obedience of nurses implementing the SOP of infusion in the IGD at

Pasar Minggu Hospital Jakarta, with a p value = 0.006 (p value <0.05). The

recommendation of this study is that supervision should be carried out to improve

nurses' compliance and performance.

Keyword : Compliance, Infusion Installation, SOP, Supervision

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DAFTAR ISI

HALAMAN JUDUL.................................................................................................i

PERNYATAAN ORISINALITAS..........................................................................ii

PERNYATAAN PERSETUJUAN PUBLIKASI...................................................iii

PENGESAHAN......................................................................................................iv

ABSTRAK...............................................................................................................v

ABSTRACT............................................................................................................vi

KATA PENGANTAR...........................................................................................vii

DAFTAR ISI.........................................................................................................viii

DAFTAR TABEL....................................................................................................x

DAFTAR SKEMA..................................................................................................xi

DAFTAR LAMPIRAN..........................................................................................xii

BAB I PENDAHULUAN........................................................................................1

I.1 Latar Belakang................................................................................................1

I.2 Rumusan Masalah...........................................................................................4

I.3 Pertanyaan Peneliti.........................................................................................5

I.4 Tujuan Penelitian............................................................................................5

I.5 Manfaat Penelitian..........................................................................................6

I.6 Ruang Lingkup...............................................................................................6

BAB II TINJAUAN PUSTAKA..............................................................................8

II.1 Kepatuhan.......................................................................................................8

II.2 Supervisi.......................................................................................................11

II.3 Perawat.........................................................................................................23

II.4 Pemasangan Infus.........................................................................................27

II.5 Fungsi Manajemen Keperawatan.................................................................33

BAB III METODE PENELITIAN.........................................................................36

III.1 Kerangka Konsep.........................................................................................36

III.2 Variabel Penelitian.......................................................................................36

III.3 Hipotesis.......................................................................................................37

III.4 Definisi Operasional.....................................................................................38

III.5 Desain Penelitian..........................................................................................40

III.6 Tempat Penelitian.........................................................................................41

III.7 Populasi dan Sampel....................................................................................41

III.8 Teknik Sampling..........................................................................................42

III.9 Instrumen Penelitian.....................................................................................42

III.10 Etika Penelitian............................................................................................44

III.11 Cara Pengumpulan data................................................................................46

III.12 Pengolahan Data...........................................................................................46

III.13 Uji Validitas dan Reabilitas.........................................................................48

III.14 Analisa Data.................................................................................................49

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BAB IV HASIL DAN PEMBAHASAN...............................................................54

IV.1 Gambaran Lokasi Penelitian.........................................................................54

IV.2 Analisa Data Hasil Penelitian.......................................................................55

IV.3 Keterbatasan Penelitian................................................................................67

BAB V PENUTUP.................................................................................................68

V.1 Kesimpulan...................................................................................................68

V.2 Saran.............................................................................................................69

DAFTAR PUSTAKA............................................................................................70

RIWAYAT HIDUP

LAMPIRAN

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DAFTAR TABEL

Tabel 1 Definisi Operasional............................................................................38

Tabel 2 Kisi-Kisi Kuesioner B: Kepatuhan Perawat.........................................43

Tabel 3 Kisi-Kisi Kuesioner C: Supervisi Kepala Ruangan..............................43

Tabel 4 Reliabilitas...........................................................................................49

Tabel 5 Analisis Univariat................................................................................51

Tabel 6 Analisis Bivariat..................................................................................53

Tabel 7 Gambaran Usia Perawat.......................................................................55

Tabel 8 Gambaran Jenis Kelamin Perawat.......................................................56

Tabel 9 Gambaran Pendidikan Perawat............................................................57

Tabel 10 Gambaran Masa Kerja Perawat............................................................58

Tabel 11 Gambaran Supervisi Klinis Kepala Ruangan.......................................59

Tabel 12 Gambaran Kepatuhan Perawat.............................................................60

Tabel 13 Analisis Usia dengan Kepatuhan Perawat............................................61

Tabel 14 Analisis Jenis Kelamin dengan Kepatuhan Perawat............................62

Tabel 15 Analisis Pendidikan dengan Kepatuhan Perawat.................................64

Tabel 16 Analisis Masa Kerja dengan Kepatuhan Perawat.................................65

Tabel 17 Analisis Supervisi dengan Kepatuhan Perawat....................................66

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DAFTAR SKEMA

Skema 1 Kerangka Teori....................................................................................35

Skema 2 Kerangka Konsep................................................................................37

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DAFTAR LAMPIRAN

Lampiran 1 Lembar Persetujuan

Lampiran 2 Lembar Bimbingan

Lampiran 3 Lembar Jadwal Kegiatan

Lampiran 4 Surat Izin Validitas

Lampiran 5 Permohonan EC

Lampiran 6 Surat Izin Penelitian

Lampiran 7 Surat Persetujuan Penelitian

Lampiran 8 Surat Persetujuan EC

Lampiran 9 Surat Penjelasan Penelitian

Lampiran 10 Lembar Persetujuan Menjadi Responden

Lampiran 11 Kuesioner Kepatuhan

Lampiran 12 Kuesioner Supervisi

Lampiran 13 Berita Acara

Lampiran 14 Hasil SPSS

Lampiran 15 Pernyataan Bebas Plagiarisme

Lampiran 16 Hasil Turnitin