26/01/2019
FUNGSI PENGGERAK (ACTUATING) DALAM DALAM MANAJEMEN KEPERAWATAN Ns. Ike Nesdia Rahmawati, S.Kep., M.Kep. Departemen Manajemen Keperawatan Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Brawijaya Email:
[email protected]
TUJUAN PEMBELAJARAN Setelah mengikuti perkuliahan ini mahasiswa mampu: 1. Mahasiswa Mahasiswa mampu mampu memahami memahami konsep konsep pada fungsi fungsi pengger penggerak ak 2. Mahasiswa Mahasiswa mampu mampu melakukan melakukan fungsi fungsi penggerak penggerak seoran seorang g manajer keperawatan keperawatan dan kepala ruang rawat 3. Mahasiswa Mahasiswa mampu mampu melakukan melakukan supervisi supervisi dan delegasi delegasi sesuai sesuai standar
1
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26/01/2019
DEFINISI
P
O
(Planning)
(Organizing)
A
S (Staffing)
(Actuating)
C (Controlling)
Fungsi Penggerak adalah upaya memberikan bimbingan, arahan, petunjuk, dan perintah kepada perintah kepada para pegawai dalam melaksanakan tugas, kegiatan, dan program guna mencapai visi, misi, dan tujuan rumah sakit yang telah ditetapkan.
TUJAN FUNGSI PENGGERAK 1. Menci Menciptaka ptakan n kerja kerja sama yan yang g lebih lebih efisien efisien 2. Meng Mengemban embangkan gkan ke kemampu mampuan an dan dan ketr ketrampilan ampilan staf 3. Men Menumbu umbuhkan hkan rasa memil memiliki iki dan men menyuka yukaii pekerjaan pekerjaan 4. Men Menumbu umbuhkan hkan suasana suasana lingkun lingkungan gan kerja kerja untuk untuk meningk meningkatkan atkan motivasi dan prestasi kerja staf 5. Mendo Mendoro rong ng organi organisasi sasi berk berkemban embang g lebih lebih dinamis dinamis
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26/01/2019
TEKNIK PENGARAHAN Teknik Konsultasi Teknik Demokratis Teknik Otokratis Teknik Bebas Teratur
UNSUR UNSUR PENGARAHAN Komunikasi Supervisi dan delegasi Motivasi Manajemen konflik
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26/01/2019
DEFINISI SUPERVISI Proses aktif dalam mengarahkan, membimbing, dan mempengaruhi luaran kinerja individu terkait tugas yang diberikan (ANA) Pemberian pedoman atau petunjuk, pengawasan, evaluasi, dan tindak lanjut oleh perawat yang berwenang terhadap pemenuhan tugas keperawatan yang didelegasikan (NCSBN)
ANA dan NCSBN NCSBN mendefinisikan supervisi supervisi sebagai pemberian
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26/01/2019
TUJUAN SUPERVISI •
Supervisi klinik bertujuan meningkatkan kemampuan perawat perawat untuk mengembangkan dan dan mempertahankan mempertahankan kualitas praktik keper keperawatan awatan (National Council for f or the Professional Development Development of Nursing and Midwifery, 2008)
•
Supervisi klinik dilakukan untuk menjaga staf pera perawat wat pelaksana agar tetap mempertahankan standar kerja dan dan keselamatan keselamatan pasien (Sugiharto dan Keliat, 2009)
FAKTOR KEBERHASILAN SUPERVISI •
Hubungan interpersonal antara supervisor dan orang yang disupervisi merupakan faktor penting dalam kegiatan supervisi (Lynch, et al., 2008)
•
Beberapa faktor yang mempengaruhi keberhasilan supervisi antara lain (RCN institute, 1997): •
Kontrak dan peran yang jelas
•
Komitmen untuk bertemu secara berkala
•
Tempat pertemua yang bebas gangguan
•
Manajemen komitmen guna meny menyediakan ediakan waktu dan biaya
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26/01/2019
PRINSIP-PRINSIP SUPERVISI (Swansburg, 1999) •
Didasarkan hubungan profesional
•
Direncanakan secara matang
•
Bersifat edukatif
•
Memberikan rasa aman pada staf
•
Menciptakan suasana demokratis
•
Dilakukan secara obyektif
•
Mampu merangsang evaluasi diri
•
Bersifat progresif, inovatif, dan fleksibel
•
Mengembangkan potensi pihak yang terlibat
•
Meningkatkan kinerja dan kepuasan kerja
FUNGSI SUPERVISI
Pengelolaan Pembelajaran dan Pengembangan Dukungan
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26/01/2019
PENGELOLAAN
•
Akuntabilitas dari setiap pekerjaan yang yang dilakukan oleh perawat perawat dapat dipertanggungjawabkan
•
Peningkatan kualitas layanan keperawatan yang diberikan
PEMBELAJARAN DAN PENGEMBANGAN •
Membantu staf mere merefleksikan fleksikan kinerja kinerja mere mereka ka sendiri
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26/01/2019
DUKUNGAN
•
Meningkatkan peran staf yang disupervisi
•
Menciptakan lingkungan yang yang nyaman dan aman bagi staf yang disupervisi
•
Memberikan kesempatan bagi staf yang disupervisi untuk mengemukakan ide dan hambatan yang ada
NEGOSIASI •
Pengarahan Pen garahan dari supervisor mengenai tren tren dan isu yang terjadi
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26/01/2019
ALUR SUPERVISI
(Nursalam, 2015)
PRASUPERVISI
1.
Superviso Supe rvisorr menetapka menetapkan n kegiat kegiatan an yang yang akan akan disup disupervis ervisii
2.
Superviso Supe rvisorr menetapka menetapkan n tujuan tujuan dan dan kompetens kompetensii yang yang akan akan dinilai dinilai
SUPERVISI
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26/01/2019
PASCA SUPERVISI – 3F 3F
1.
Superv Sup erviso isorr memberi memberikan kan peni penila laia ian n supervi supervisi si ( F Fair air )
2.
Superviso Supe rvisorr memberikan memberikan umpan umpan balik dan dan klarifikasi klarifikasi sesuai sesuai hasil hasil laporan laporan supervisi supervisi ( F Feedback eedback )
3.
Superviso Supe rvisorr memberikan memberikan re reinfor inforceme cement nt dan dan tindak tindak lanjut lanjut perbaik perbaikan an ( F Follow ollow Up)
TEKNIK SUPERVISI •
Langsung
•
Pendampingan saat melakukan askep Feedback diberikan secara langsung setelah
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26/01/2019
SUPERVISOR YANG EFEKTIF •
Memiliki basic teaching skill
•
Facilitation skill
•
Negotiation and assertiveness skill
•
Counseling and appraisal skill
•
Mentoring skill
•
Empathy
•
Flexibility
•
Offer support
•
Respectful
•
Practical
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26/01/2019
DEFINISI Delegasi •
Delegasi adalah kegiatan perawat dalam menginstruksikan perawat lain untuk melakukan tugas atau tindakan keperawatan.
•
NCSBN menggambarkannya sebagai perawat mentransfer otoritas sementara ANA menyebutnya transfer tanggung jawab. Keduanya berarti bahwa seorang perawat dapat mengarahkan orang lain untuk melakukan sesuatu yang biasanya orang tersebut tidak melakukannya.
•
Kedua pendapat tersebut menekankan bahwa perawat mempertahankan mempertahank an akuntabilitasn akuntabilitasnya ya dalam delegasi.
(Joint Statement on Delegation, ANA and NCSBN, 2005)
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26/01/2019
Elemen penting pengambilan keputusan pendelegasian (Huber 2006) •
Kondisi pasien
•
Tingkat kompetensi perawat
•
Risiko merugikan bagi pasien
•
Frekuensi
•
Tingkat pengambilan keputu keputusan san
•
Kemampuan pasien melakukan perawatan mandiri
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26/01/2019
MANFAAT DELEGASI Time Management
Utilization of resources
Cost-containment
Improve patient outcomes
Interdiciplinary care
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26/01/2019
PROSES DELEGASI Pengkajian Perawat Perawat mengkaji pasien dan situasi ser ta berpikir kr itis untuk memutuskan rencana perawatan
Perencanaan Menggunakan prinsip lima benar untuk mendelegasikan tugas keperawatan keperawatan
Implementasi Perawat Perawat memeriksa bahwa delegatee dapat delegatee dapat menerima dan memahami tugas yang didelegasikan
Evaluasi Perawat mengevaluasi kinerja delegatee, delegatee, hasil akhir pasien, dan memberikan umpan balik
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26/01/2019
CONT...
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26/01/2019
2
COMMUNICATION
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26/01/2019
4
EVALUATION AND FEEDBACK
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26/01/2019
PRINSIP DASAR DELEGASI Nurses decision to delegate based upon: •
Nurses assessment of patient
•
Nurses judgment
•
Nurses knowledge knowledge of the t he competence members
•
Degree of supervision required
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26/01/2019
COMMON DELEGATION ERROR
Underdelegation
Improper
Overdelegation
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26/01/2019
STRATEGIES TO OVERCOME BARRIERS How to improve delegation ability
Sellect person with necessary necessary
Communicate
Supervise
Evaluate/provide
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26/01/2019
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26/01/2019
BEBERAPA KOMPLIKASI TERSEBUT BERKAITAN DENGAN PROSES DISCHARGE , YAITU ANTARA LAIN:
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26/01/2019
TUJUAN
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26/01/2019
JENIS PERENCANAAN PULANG
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26/01/2019
FAKTOR-FAKTOR YANG PERLU DIKAJI DALAM PERENCANAAN PULANG
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26/01/2019
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26/01/2019
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26/01/2019
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26/01/2019
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26/01/2019
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