scholarly journals PERSEPSI PERAWAT DAN MANAJER TENTANG MODEL PENUGASAN KEPERAWATAN

2019 ◽  
Vol 9 (3) ◽  
pp. 295-300
Author(s):  
Gita Adelia ◽  
Setiawan Setiawan ◽  
Roymond H Simamora

Model penugasan keperawatan digambarkan sebagai pendekatan terstruktur untuk mengatur pemberian  asuhan keperawatan kepada pasien guna memudahkan perawat dalam memprioritaskan asuhan keperawatan yang akan diberikan. Penelitian ini bertujuan untuk mengeksplorasi persepsi perawat dan manajer tentang model penugasan keperawatan di ruang rawat inap rumah sakit Universitas Sumatera Utara. Desain penelitian ini adalah penelitian kualitatif dengan pendekatan fenomenologi. Jumlah sampel yang digunakan yaitu sebanyak 12 partisipan yang diambil melalui teknik purposive sampling. Hasil penelitian diperoleh tiga kategori tematik, yaitu: model penugasan keperawatan yang digunakan di ruang rawat inap, keuntungan dari model penugasan keperawatan yang digunakan, kerugian dari model penugasan keperawatan yang digunakan. Diperlukan penguatan model keperawatan tim di ruang inap rumah sakit Universitas Sumatera Utara.   Kata kunci: persepsi perawat dan manager, model penugasan keperawatan   NURSE PERCEPTION AND MANAGER ABOUT NURSING ASSIGNMENT MODELS   ABSTRACT The nursing assignment model is described as a structured approach to regulating the provision of nursing care to patients to facilitate nurses in prioritizing nursing care to be provided. This study aims to explore the perceptions of nurses and managers about the nursing assignment model in the inpatient ward of the University of North Sumatra. The design of this study is qualitative research with a phenomenological approach. The number of samples used is as many as 12 participants taken through purposive sampling technique. The results of the study obtained three thematic categories, namely: the nursing assignment model used in the inpatient room, the advantages of the nursing assignment model used, the disadvantages of the nursing assignment model used. Strengthening the nursing model of the team is needed in the hospital in North Sumatra.   Keywords: perceptions of nurses and managers, nursing assignment models  

2020 ◽  
Vol 1 (2) ◽  
pp. 141-150
Author(s):  
Ernest Novema Dhamar ◽  
Margareta Hesti Rahayu

Background: Nursing documentation through electronic medical records is expected to provide convenience for nurses. Purpose: explore nurses' experiences in using electronic medical records. Method: this study was a qualitative research, used purposive sampling technique. The research was conducted at Panti Rini Hospital Yogyakarta and conducted in May 2020 and interviewed 5 nurses and 1 head of the ward in the inpatient ward. Result: this study found 4 themes: 1) the use of electronic medical records to provide convenience, 2) supporting factors for the use of electronic medical partners, 3) obstacles in the use of electronic medical records 4) the expectations of nurses in using electronic medical records. Conclusion: the hospital needs to improve facilities and infrastructure so that the available system is able to accommodate the need for electronic nursing care documentation.


2015 ◽  
Vol 42 (1) ◽  
pp. 61
Author(s):  
Dwi Nur Rachmah

This study aimed at identifying and understanding more deeply the self-regulated learning of students with high GPA, who had multiple roles (as housewife and worker also). The approach employed in this study was qualitative-phenomenological approach. The subjects of the study were selected by purposive sampling technique and the data were collected using techniques of observations and in-depth interviews. The results indicated that the four subjects conducted self-regulation in learning through regulating the cognition, motivation, behavior and emotion. Moreover, the subjects performed context regulation in order to achieve certain learning objectives. Self-regulated learning performed by the subjects was influenced by specific precipitating situations and the characteristics of each related individual. It was also strengthened by social support given to them. Keywords: self-regulated learning, student, many roles Penelitian ini bertujuan untuk mengetahui dan memahami lebih mendalam bagaimana regulasi diri dalam belajar (self regulated learning) mahasiswa yang memiliki banyak peran (sebagai ibu rumah tangga dan bekerja) dengan indeks prestasi tinggi. Pendekatan yang digunakan adalah dengan pendekatan kualitatif-fenomenologi. Subjek penelitian dipilih dengan teknik purposive sampling dan teknik pengumpulan data yang dilakukan adalah meng¬gunakan observasi dan wawancara mendalam. Hasil penelitian menemukan bahwa empat orang subjek menggunakan regulasi diri dalam belajar berupa regulasi kognitif, regulasi motivasi, regulasi perilaku dan regulasi emosi. Selain itu subjek juga melakukan regulasi konteks agar tujuan pembelajaran dapat dicapai. Regulasi diri dalam belajar yang dilakukan oleh para subjek dipengaruhi oleh situasi pencetus dan karakteristik tiap individu bersangkutan. Regulasi diri dalam belajar yang dilakukan juga tidak terlepas dari dukungan sosial yang diberikan kepada mereka. Kata kunci: regulasi diri dalam belajar, mahasiswa, peran banyak


2017 ◽  
Vol 1 (1) ◽  
pp. 11
Author(s):  
Tutik Rahayu ◽  
Sri Wahyuni

AbstrakFenomena wanita bekerja bukan merupakan hal baru, dengan peran ganda yang dimilikinya wanita mampu menjalankan perannya sebagai wanita pekerja. Wanita pekerja mempunyai berbagai macam alasan untuk bekerja, salah satu pekerjaan yang riskan terpilih adalah sebagai pekerja seks. Penelitian memperoleh pemahaman yang mendalam tentang alasan perempuan dalam memilih pekerjaan sebagai pekerja seks di wilayah kota Semarang. Penelitian ini merupakan qualitative study dengan pendekatan fenomenologi dan pengambilan partisipan menggunakan teknik purposive sampling. Jumlah partisipan dalam penelitian ini adalah sebanyak 8 orang. Pengumpulan data menggunakan teknik wawancara mendalam (indepth interview) dan menggunakan pertanyaan semi terstruktur. Analisis data yang dilakukan pada penelitian ini adalah menurut langkah-langkah dari Colaizzi. Penelitian ini menghasilkan 4 alasan yang mengakibatkan wanita bekerja sebagai pekerja seks, antara lain karena himpitan ekonomi, masalah dalam keluarga, korban perdagangan manusia, dan korban pelecehan seksual. Beberapa partisipan menyampaikan bahwa alasan yang memicu sehingga mereka memilih bekerja sebagai pekerja seks adalah karena adanya himpitan ekonomi, terjebak dalam perdagangan manusia serta pernah memiliki pengalaman pelecehan seksualitas. Kata Kunci: wanita, pekerja seks, studi eksplorasi AbstractExploration study in women sex workers. The phenomenon of women working is not a new thing, with the dual role she has in being able to carry out her role as a woman worker. Women workers have various reasons for work, one of the risky jobs chosen is as a sex worker. The study gained a deep understanding of the reasons for women in choosing jobs as sex workers in the city of Semarang. This research is a qualitative study with phenomenological approach and participant taking using purposive sampling technique. The number of participants in this study was 8 people. Data collection uses in-depth interview techniques and uses semi-structured questions. Data analysis carried out in this study was according to the steps of Colaizzi. This study resulted in 4 reasons that resulted in women working as sex workers, among others due to economic crush, problems in families, victims of trafficking in persons, and victims of sexual abuse. Some participants said that the reason that triggered them to choose to work as sex workers was due to economic crush, trapped in human trafficking and had experience of sexuality abuse. Keywords: women, sex workers, exploration studies.


2019 ◽  
Vol 6 (2) ◽  
pp. 137-144
Author(s):  
Amalia Zidatul Ulum ◽  
Suharno Suharno

Penelitian ini bertujuan untuk mengetahui bentuk infiltrasi budaya global dalam pesta  Baratan serta pengaruhnya terhadap perubahan perilaku sosial masyarakat Jepara. Penelitian menggunakan metode kualitatif deskriptif dengan pendekatan fenomenologi. Subjek penelitian ditentukan dengan teknik purposive sampling. Data penelitian diperoleh melalui wawancara, observasi, dan analisis dokumen dan dianalisis dengan teknik analisis interaktif model Miles dan Huberman. Hasil penelitian menunjukkan budaya global yang masuk melalui pesta Baratan berpengaruh terhadap pembentukan perilaku sosial yang sedang berkembang dalam masyarakat Jepara. AbstractThis study aims to determine the form of global cultural infiltration in the Baratan festival and its influence on social behavior changes in Jepara society. The study conducted with qualitative methods with a phenomenological approach. The research subjects were determined by purposive sampling technique. The research data were obtained through interviews, observations, and document analysis and were analyzed using the interactive analysis technique of the Miles and Huberman models. The results showed that the global culture that entered through the Baratan festival influenced the formation of social behavior that was developing in Jepara society.


2019 ◽  
Vol 5 (1) ◽  
pp. 40
Author(s):  
Putri Dewi Ambarwati ◽  
Sambodo Sriadi Pinilih ◽  
Retna Tri Astuti

masalah yang banyak dialami oleh usia dewasa awal yaitu harus membuat keputusan mengenai karir, pernikahan, stres pekerjaan & keluarga, ansietas, dan depresi. Faktor-faktor yang menyebabkan terjadinya stres yaitu faktor internal dan eksternal, faktor eksternal terdiri dari keadaan fisik, konfik, emosional, dan perilaku. Sedangkan faktor eksternal terdiri dari lingkungan fisik, lingkungan pekerjaan, lingkungan masyarakat, lingkungan keluarga, masalah ekonomi, dan masalah hukum. Beban stres yang dirasa berat dapat memicu seseorang untuk berperilaku negatif, seperti merokok, alkohol, tawuran, seks bebas bahkan penyalahgunaan napza. Penelitian ini bertujuan mengetahui karakteristik mahasiswa tingkat akhir dan mengetahui tingkat stres pada mahasiswa tingkat akhir di Universitas Muhammadiyah Magelang. Penelitian ini menggunakan desain deskritif kualitatif dengan pendekatan cross sectional dengan teknik pengambilan sampel menggunakan purposive sampling, sampel sebanyak 101 mahasiswa. Instrument yang digunakan adalah kuesioner. Hasil penelitan menunjukkan bahwa rata-rata usia mahasiswa 22,01 tahun. Rata-rata masa studi untuk program Diploma III (D3) adalah 6,00 semester, untuk program Sarjana (S1) rata-ratanya adalah 8,05 semester. Tingkat stres pada mahasiswa menunjukkan stres ringan sebanyak 35,6%, stres sedang 57.4 %, dan stres berat sebanyak 6,9 %. Tingkat stres tertinggi dialami oleh jenis kelamin perempuan dengan hasil stres sedang 33,6 %, dan tingkat stres berat 4,0%. Gambaran tingkat stres pada mahasiswa di Universitas Muhammadiyah Magelang menunjukkan stres sedang sebanyak 33,6 %. Kata Kunci: Mahasiswa, Stres THE DESCRIPTION OF STRES LEVELS INCOLLEGE STUDENT ATMUHAMMADIYAH UNIVERSITY MAGELANG ABSTRACTThe problem that many experienced by the early adult age is having to make decisions about career, marriage, job & family stres, anxiety, and depression. Factors that because stres are internal and external factors, external factors consist of physical condition, conflicts, emotional, and behavior. While external factors consist of physical environment, work environment, community environment, family environment, economic problems, and legal issues. Heavily burdened stres can trigger a person to behave negatively, such as smoking, alcohol, brawl, free sex and even drug abuse. This study aims to determine the characteristics of college student and know the level of stres in the college student at the university of muhammadiyah magelang. This research used descriptive qualitative design with cross sectional approach with sampling technique using purposive sampling, 101 college student samples. Instrument used is a questionnaire. Indicated that the average age of college student was 22.01 years. The average duration of program for Diploma III (D3) was 6,00 semesters. For the undergraduate program (S1) the average was 8.05 semesters. The college student stres level showed a mild stres of 35.6 %, moderate stres 57.4 %, and severe stres as many as 6.9 %. The highest level of stres experienced by female with moderate stres 33.6 %, and Severe stres 4.0 %. Description of stres level in college student at Muhammadiyah University of Magelang shows moderate stres as much as 33.6%. Keywords: College student, stres


2019 ◽  
Vol 1 (1) ◽  
pp. 31-38
Author(s):  
Bambang Wiseno

Abstrak Mempelajari ilmu asuhan keperawatan harus dilakukan secara menyeluruh, yaitu; bio, psiko, sosio, spiritual dan budaya sehingga didapatkan hasil yang optimal. Banyak model dan metode yang digunakan untuk proses pembalajaran. Metode role play dalam pembelajaran laboratorium mata kuliah asuhan keperawatan jiwa Diploma III dilakukan untuk mengaplikasikan teori keperawatan jiwa yang lebih membutuhkan kemampuan komunikasi terapeutik sebagai perawat pelaksana. Mahasiswa ketika praktik bermain peran pada pembelajaran laboratorium asuhan mempunyai berbagai pengalaman yang bermakna dan permasalahan yang tidak didapatkan ketika praktik laboratrium mata kuliah lain. Tujuan dari penelitian ini adalah untuk menemukan makna dari pengalaman mereka ketika selesai mengikuti kegiatan. Penelitian kualitatif dengan pendekatan fenomenology diskriptive dilakukan wawancara secara mendalam (indepth interview) dengan pertanyaan semistruktur terhadap enam mahasiswa secara purposive sampling setelah pembelajaran roleplay pada bulan Juni 2019 di laboratrium kampus. Interpretative Phenomenology Analysis (IPA) digunakan untuk menganalisa data dan ditemukan 7 tema, yaitu; merasa perlu tambahan praktik komunikasi terapeutik, merasa susah mempelajari keperawatan jiwa, tidak yakin akan kemampuan, merasakan seperti berhadapan langsung dengan klien, merasakan takut bila berhadapan langsung dengan klien jiwa, tidak bisa konsentrasi dalam proses role play dan merasa perlu untuk sering melakukan role play. Dari semua tema yang dihasilkan dapat disimpulkan bahwa mahasiswa ada yang merasa kesulitan mempelajari keperawatan jiwa karena persepsi yang salah tentang keperawatan jiwa sehingga merasa perlu meningkatkan pemaham teoritis materi dan sering melakukan latihan bermain peran.   Kata Kunci: Praktik Klinik, Diskriptif, Fenomenology, Keperawatan Jiwa, Komunikasi Terapeutik.   Abstract Studying nursing care must be done thoroughly, that is; bio, psycho, socio, spiritual and culture so that optimal results are obtained. Many models and methods are used for the learning process. The role play method in learning laboratory nursing Diploma III mental nursing care is carried out to apply mental nursing theory that requires therapeutic communication skills as a practical nurse. Students when practicing role playing in mental health laboratory have a variety of meaningful experiences and problems that are not obtained when practicing laboratory in other subjects. The purpose of this research is to find the meaning of their experience when they finish participating in the activity. Qualitative research with a descriptive phenomenological approach was carried out in-depth interviews (in-depth interviews) with semi structured questions to six students by purposive sampling after role play learning in June 2019 at the campus laboratory. Interpretative Phenomenology Analysis (IPA) was used to analyze data and found 7 themes, namely; feel the need for additional therapeutic communication practices, find it difficult to study mental nursing, are unsure of ability, feel like dealing directly with clients, feel afraid when dealing directly with mental clients, cannot concentrate on the role play process and feel the need to frequently do role play. From all the themes produced it can be concluded that there are students who find it difficult to study mental nursing because of wrong perceptions about mental nursing so they feel the need to improve theoretical understanding of the material and often do role playing exercises.   Keywords: Clinical Practice, Descriptive, Phenomenology, Psychiatric Nursing, Therapeutic Communication


2020 ◽  
Vol 8 (1) ◽  
pp. 71
Author(s):  
Juskena Martha Ulina ◽  
Ni Gusti Ayu Eka ◽  
Maria Maxmila Yoche

<p><em>Admission or early assessment is an early stage in the nursing process. Assessment should be done systematically by collecting individual data comprehensively and holistically including assessment of biological, psychological, social, and spiritual. This assessment is important for both patients’ condition and nurses’ performance. The assessment should be completed within 24 hours after the patient admitted in the room. A complete and proper admission assessment will help and facilitate the nurse to determine nursing diagnosis, planning, implementation, and evaluation. The purpose of this research was to describe nursing perception in completing admission or early assessment of new patients. Data was collected using the interview method using a handphone for recording. The participant of this research was all nurses at the inpatient ward in one private hospital in Indonesia. The sample of this study used a purposive sampling with inclusion criteria such as a bachelor education background and at least one- year work experience. This study was recruited, twelve nurses. Data analysis was applied by the reduction of the data using the thematic analytical process. Two themes emerged in this study including assessment implementation by nurses and the importance of conducting the assessment. </em><em></em></p><p><strong>BAHASA INDONESIA ABSTRAK: </strong>Pengkajian awal merupakan tahap awal dalam proses keperawatan. Pengkajian harus dilakukan secara sistematis dengan mengumpulkan data individu secara komprehensif dan holistik yang meliputi biologis, psikologis, sosial dan spiritual. Pengkajian awal merupakan hal yang penting dilakukan perawat dan harus selesai dalam 24 jam setelah pasien masuk ke ruangan. Dengan pengkajian awal yang lengkap dan dilakukan dengan benar akan membantu dan mempermudah perawat untuk menentukan diagnosa, perencanaan, pelaksanaan dan evaluasi keperawatan. Tujuan dari penelitian ini adalah menggambarkan persepsi perawat melengkapi pengkajian awal pasien baru. Pengumpulan data dilakukan dengan melakukan wawancara secara semi-struktur yang direkam menggunakan <em>handphone</em>. Partisipan adalah perawat rawat inap di satu rumah sakit swasta di Indonesia dengan latar pendidikan S1 Keperawatan dengan pengalaman kerja minimal satu tahun di Rumah Sakit Swasta di Indonesia Tengah. Sampel penelitian ini diambil menggunakan <em>purposive sampling</em> dengan kriteria inklusi perawat dengan latar belakang pendididikan sarjana dan mempunyai pengalaman kerja minimal satu tahun. Penelian ini merekruit 12 orang perawat. Analisis data dilakukan dengan cara reduksi data dengan menggunakan proses analisis tematik. Hasil penelitian ini diperoleh dua tema yaitu pelaksanaan pengkajian awal oleh perawat dan pentingnya melakukan pengkajian awal. Penelitian selanjutnya diharapkan dapat menggali lagi tentang pentingnya ketersediaan penerjemah dalam mendukung pengkajian awal di ruang rawat inap.</p>


2017 ◽  
Vol 3 (2) ◽  
pp. 46
Author(s):  
Dewi Mayang Sari

Latar Belakang: Jumlah penderita HIV/AIDS di Indonesia setiap tahunnya terus bertambah. Menurut laporan tahunan terbaru dari Badan Dunia untuk penanggulangan HIV/AIDS atau UNAIDS, Indonesia kini berada diurutan nomor satu. Terkait laju peningkatan kasus HIV di Indonesia pada tahun 1998 jumlah kasus HIV baru 591 orang, tetapi pada bulan September 2007 jumlahnya telah mencapai 5.904 orang. Tujuan Penelitian: Mengetahui persepsi terapi ARV (Anti Retroviral Virus) pada orang yang terinfeksi HIV/AIDS di Kota Salatiga. Metode Penelitian: Jenis penelitian menggunakan pendekatan fenomenologi. Rancangan fenomenologi ini dilaksanakan dengan berpedoman pada tahapan deskriptif yaitu tahapan intuitif analisis dan deskriptif. Jumlah partisipan dalam penelitian ini sebanyak 3 orang penderita HIV/AIDS di Kota Salatiga atau sampai saturasi data. Teknik pengambilan sampel yang digunakan adalah purposive sampling. Hasil penelitian: Persepsi  dalam menjalani terapi ARV (Anti Retroviral Virus) di Kota Salatiga sudah baik, mereka mengetahui tentang ARV dan mengetahui tentang  efek samping yang ditimbulkan dari terapi ARV. Upaya orang yang terinfeksi HIV/AIDS dalam menjalani terapi ARV (Anti Retroviral Virus) di Kota Salatiga. ODHA mengatasi efek samping dengan konsultasi ke dokter dan minum obat yang diberikan dokter. Dukungan petugas manajemen kasus dalam menjalani  terapi ARV (Anti Retroviral Virus) di Kota Salatiga sudah baik. Dukungan  kelompok sebaya terhadap orang yang terinfeksi HIV dalam menjalani terapi ARV (Anti Retroviral Virus) di Kota Salatiga baik. Dukungan suami terhadap istri yang dalam menjalani terapi ARV (Anti Retroviral Virus) di Kota Salatiga baik. Kata kunci            :   Persepsi; ARV; sikap; HIV/AIDS; kelompok sebaya  PERCEPTION THERAPY ARV (ANTI-RETROVIRAL VIRUS) IN PEOPLE INFECTED WITH HIV / AIDS IN THE CITY SALATIGA ABSTRACT Background: The number of people living with HIV / AIDS in Indonesia each year continues to grow. According to the latest annual report of the World Agency for HIV / AIDS or UNAIDS, Indonesia now comes out number one. Related to the rate of increase in HIV cases in Indonesia in 1998, the number of new HIV cases 591 people, but in September 2007 the number had reached 5,904 people. Objective Research: Knowing perception of antiretroviral therapy (Anti Retroviral Virus) in people infected with the H IV / AIDS in Salatiga. Methods: Type research using a phenomenological approach. draft of this phenomenology is guided by the descriptive stage stages intuitive and descriptive analysis. The number of participants in this study were 3 people with HIV / AIDS in Salatiga or until saturation of data. The sampling technique used was purposive sampling. Results of the study: Perception in therapy ARV (Anti-Retroviral Virus) in Salatiga has been good, they know about the drugs and find out about the side effects of antiretroviral therapy. Efforts of people infected with HIV / AIDS in antiretroviral therapy (Anti Retroviral Virus) in Salatiga. PLWHA cope with the side effects consult a doctor and take medicine that doctors prescribe. Support case management officer in antiretroviral therapy (Anti Retroviral Virus) in Salatiga has been good. peers Support against people infected with HIV in antiretroviral therapy (Anti Retroviral Virus) in Salatiga well. Support husbands against wives in antiretroviral therapy (Anti Retroviral Virus) in Salatiga well. Keywords    : Perception; antiretroviral therapy; attitude; HIV / AIDS; officers peer  


2020 ◽  
Vol 4 (2) ◽  
pp. 123
Author(s):  
Ahmad Rifai ◽  
Alfid Tri Afandi ◽  
Asmaul Hasanah

Bedside handover is one of nursing care activities which involve patient during nurse-patient interaction a side of patient’s bed between change shift. Patient may inquire all they want to know about their health condition, complaining and request for nursing care. However, the bedside handover often ineffectively run when a group of nurse hand in the nursing care plan for the following nurses shift. This study aimed to describe bedside handover activities based on patient’s perspective in inpatient ward at one military hospital at Jember. This research used a quantitative approach with a descriptive survey design. There were 100 respondents recruited in this study using purposive sampling technique with criteria the patients had received nursing care at least two days in the inpatient ward. Data were collected using bedside report item survey questionnaire to measure bedside handover based on patient perception. The results showed the median of bedside handover was 33 (min-max = 10-40), indicated that the bedside handover from patient’s point of view was in good category. Basically, the nurses have implemented the bedside handover, however there are problems occurred during its’ implementation such as, high burden of nurse’s work, limited time, lack of understanding and awareness regarding bedside handover. Patients have right to receive holistic nursing care, and it is the responsibility of nurses to provide excellent service including the action of bedside handover. Nursing manager should evaluate and supervise the bedside handover for all nurses routinely.


2019 ◽  
Vol 4 (2) ◽  
pp. 95
Author(s):  
Rahmat Syukri

<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>


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