Clinical Supervision of Nursing Care Documentation at BRSUD Tabanan

Abstract

Appropriate clinical supervision by the head of the room can improve the performance of implementing nurses in carrying out nursing care documentation. Supervision is an important part of management. This study aims to determine the clinical supervision of nurses in implementing nursing care documentation in the inpatient room of BRSUD Tabanan. The method used was quantitative with a descriptive design using a cross sectional approach with a population of executive nurses in 12 inpatient rooms with a sample size of 145 executive nurses. Data collection using a questionnaire. The results obtained clinical supervision of the head of the room in the inpatient room of Tabanan Hospital has effective supervision of 95 nurses (65.5%). the tendency of clinical supervision used in the inpatient room of Tabanan Hospital in implementing nursing care documentation with an average value of 32.53, the highest of which is the normative function. The recommendation of this study is that the program is expected in an effort to develop a policy and operational standards related to clinical supervision activities in implementing nursing care documentation.