Hubungan Pengetahuan Perawat Tentang Supervisi dengan Kemampuan Melaksanakan Pendokumentasian Asuhan Keperawatan di Rumah Sakit Murni Teguh Medan

Abstract

Background. Standard of mursing care consists of five stages namely analysis, diagnosis plan

implement, and evaluation. To assure that a nurse has implemented the standard of nursing care correctly, supervision conducted by the ward head is required. Purpose. The research aims analyze the nurses' knowledge of supervision and their ability in Documenting the Nursing Care at Murni Teguh Hospital Medan Method. The research employs a simple random sampling technique and cross-sectional approach designs. This observational research is conducted quantitatively. The research instruments in the form of questionnaires are distributed to all respondents who become samplex and mursing documents are obtained from medical records. The research is conducted in the inpatient rooms of Murni Teguh Hospital Medan with 96 nurses as samples. The data are collected from March 31, 2023. Result Bivariate analysis using Chi-Square statistical test with the level of trust at 959% The variable is indicated to correlate if the P-value <0.05. The research result indicates that the correlation between nurses' knowledge of supervision and their ability in documenting nursing care in Murni Tegch Hospital Medan is p-value (0.004) a (0.05). Conclusion This result is in line with the previous research results such as those of Jumali and Usman (2018)'s who have found a correlation between nurses' knowledge and nursing documentation. It can be assumed that if someone has knowledge of how important the supervision conducted by the ward head is, the nursing care can be documented easily by the nurse. Suggestion. By increasing the nurses' knowledge of supervision, it is expected that the nurses can explain that supervision is important to be conducted by the ward head since it is the part of ward head's management function. When the supervision is conducted by the ward head, he can directly teach or guide the nurses, and increase the nurses" knowledge in documenting the nursing care through training and education so they are able to document the nursing care well.