Analysis on the Effect of Management of Room Coordinator to the Accomplishment of Nursing Care in the Inward Room of Sunan Kalijaga District General Hospital of Demak District

Abstract

Result of the implementation of nursing care standard (SAK) in Sunan Kalijaga district generalhospital (RSUD) of Demak district was 62.49% in 2011 and 69.42% in 2012; this situation wasstill below the SAK of RSUD Sunan Kalijaga Demak district (86%). Expectation of SAKimplementation accomplishment in 2015 was 100%.These facts indicated that there was a gap inthe accomplishment of the nursing care standard, and it was suspected that the management of room coordinator towards nursing care accomplishment was not optimal. Objective of this studywas to analyze the influence of management of room coordinator to the accomplishment ofnursing care in the inward room of RSUD Sunan Kalijaga of Demak district. This was anobservational study using cross sectional approach. Study instruments consisted of structuredquestionnaire and observation checklist of nursing care activity. The number of samples was 62nurses that were distributed in 14 inward rooms of the RSUD Sunan Kalijaga of Demak district.Bivariate analysis was done by applying chi square test, and logistic regression test was appliedfor multivariate analysis. Results of the study showed proportion of nurses who had goodplanning (56.5%), good organization (58.1%), good actuating (67.7%), and good supervision(56.5%) on UCI village. The accomplishment of complete nursing care implementation was80.6%. Results of bivariate analysis showed that planning (ρ=0.014), organizing (ρ= 0.010), andactuating (ρ= 0.0001) were associated with the accomplishment of nursing care. Multivariateanalysis indicated the influence of actuating (ρ= 0.002; Exp β= 10.636) towards theaccomplishment of nursing care. Suggestions addressed for RSUD Sunan Kalijaga of Demakdistrict are to improve distinct and effective communication, to involve in collaboration andcoordination activities in providing nursing care, and to improve good management byproviding motivation as a good feedback to nurses