Abstract
<p>Competence is the foundation for most professional practice frameworks, even though concepts are difficult to be understood. Competency models vary and are internal, individual and approach attributes about what is known and what can be done by individuals, to social approaches to external activities that focus on activities or functions that need to be carried out competently.</p><pre> The purpose of the research is to find out the analysis, describe and interpret the nurse's competence with the implementation of the nurse's authority in the implementation of nursing actions in Achmad Mochtar government Hospital Bukittinggi of service unit in 2018. This type of research is qualitative by approaching with a phenomenological study. The sampling technique uses purposive sampling with 11 participants. Interview conducted once time. Data analysis on the phenomenological approach according to Creswell (2013) uses a systematic coding process.</pre><pre> The research results found that participants have already a certificate of nursing competence obtained through competency exams, training and workshops. The competency certificates such as BTCLS and STR. The average participant does not have a competency certificate outside nursing</pre><pre> Based on the results of the research, it can be concluded that nursing services provided by nurses have been professionally provided to patients who need nursing care. This is evidenced by the implementation of nursing care that is in accordance with the process of nursing care. This research is expected to be a consideration for the hospital so that the operational standard procedure for delegation of doctors' authority to the nurses of Achmad Mochtar Government Hospital Bukittinggi needs to be more detailed and firm and the implementation of the doctor's authority to nurses in writing form. </pre><p> </p><p> </p><pre>Keywords: serve units, nurses, competency standards</pre>
Highlights
ABSTRAK Kompetensi, adalah fondasi untuk sebagian besar kerangka kerja praktek profesional
The purpose of the research is to find out the analysis, describe and interpret the nurse's competence with the implementation of the nurse's authority in the implementation of nursing actions in Achmad Mochtar government Hospital Bukittinggi of service unit in 2018
Based on the results of the research, it can be concluded that nursing services provided by nurses have been professionally provided to patients who need nursing care
Summary
Menyandingkan, menyetarakan, dan mengintegrasikan antara bidang pendidikan dan bidang pelatihan kerja serta pengalaman kerja dalam rangka pemberian pengakuan kompetensi kerja sesuai dengan struktur pekerjaan di berbagai sektor.(Pasal 1. Namun tidak jarang dalam pelaksanaan tugasnya tersebut, perawat melakukan kesalahan memberikan dampak negatif pada pasien, seperti kesalahan pemberian dosis obat, kesalahan pemberian diet pasien, kesalahan penanganan gawat darurat, kesalahan pelayanan perawatan pasca operasi dan sebagainya. Tuntutan hukum tersebut lahir karena perawat melakukan asuhan keperawatan di luar wewenangnya Tuntutan hukum tersebut disebabkan pengaturan kewenangan dan pelimpahan wewenang yang tidak jelas serta tidak ada perlindungan hukum bagi perawat dalam menjalankan profesinya sehingga tindakan yang dilakukan oleh perawat dapat dikategorikan illegal termasuk kewajiban perawat menolong pasien gawat darurat masih menimbulkan kontroversi. Melalui observasi secara umum di beberapa rumah sakit di Sumatera Barat, rata-rata perawat di unit pelayanan banyak di temukan ketika melakukan pekerjaan di luar kompetensi utama perawat sesuai dengan SKKNI yang di atur oleh Peraturan Presiden RI No.. Berdasarkan latar belakang tersebut, maka penulis tertarik untuk melakukan Analisis Pelaksanaan Standar Kompetensi Perawat di Unit Pelayanan Rumah Sakit Achmad Mochtar Bukitinggi
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