Hubungan Pengetahuan Perawat Pelaksana Dengan Kemampuan Decision Making Dalam Pemberian Asuhan Keperawatan di RSUD
DOI:
https://doi.org/10.63004/hrji.v4i4.1084Keywords:
Pengetahuan perawat, decision making, asuhan keperawatanAbstract
Pendahuluan: Pengambilan keputusan klinis merupakan keterampilan penting dalam praktik keperawatan karena menentukan kualitas asuhan dan keselamatan pasien. Proses ini menuntut kemampuan berpikir kritis dan pengetahuan yang memadai agar perawat mampu memilih intervensi yang paling tepat sesuai dengan kondisi pasien. Tujuan: Mengetahui hubungan antara tingkat pengetahuan perawat pelaksana dengan kemampuan pengambilan keputusan (decision making) dalam pemberian asuhan keperawatan di RSUD. Metode: Penelitian ini menggunakan desain kuantitatif observasional dengan pendekatan cross-sectional. Populasi berjumlah 383 perawat pelaksana dan sampel sebanyak 79 perawat yang dipilih dengan teknik purposive sampling. Analisis data dilakukan menggunakan uji Kruskal-Wallis untuk menilai hubungan antara tingkat pengetahuan dan kemampuan pengambilan keputusan. Hasil: Hasil uji statistik menunjukkan nilai p-value = 0,113 (p > 0,05), yang berarti tidak terdapat hubungan yang signifikan secara statistik antara tingkat pengetahuan dan kemampuan decision making perawat pelaksana di RSUD. Kesimpulan: Pengetahuan perawat belum terbukti berpengaruh langsung terhadap kemampuan pengambilan keputusan klinis. Faktor lain, seperti pengalaman kerja, lingkungan kerja, dan dukungan organisasi, kemungkinan berperan lebih besar. Manajemen rumah sakit disarankan untuk mengembangkan program pelatihan berbasis simulasi kasus dan manajemen krisis guna meningkatkan kemampuan pengambilan keputusan klinis perawat.
Downloads
References
Abu Arra, A. Y., et al. (2023). The factors influencing nurses’ clinical decision-making in emergency departments. Journal of Emergency Nursing, 49(4), 356–365. https://doi.org/10.1177/00469580231152080
Aiken, L. H., Sloane, D. M., Griffiths, P., Rafferty, A. M., Bruyneel, L., McHugh, M., & Sermeus, W. (2021). Nursing skill mix in European hospitals: Cross-sectional study of the association with mortality, patient ratings, and quality of care. BMJ Quality & Safety, 30(7), 559–568. https://doi.org/10.1136/bmjqs-2020-011512
Benner, P., Tanner, C. A., & Chesla, C. A. (2009). Expertise in nursing practice: Caring, clinical judgment, and ethics (2nd ed.). Springer Publishing Company. https://doi.org/10.1891/9780826125453
Benner, P., Tanner, C., & Chesla, C. (2009). Expertise in nursing practice: Caring, clinical judgment, and ethics (2nd ed.). Springer Publishing.
Bucknall, T. (2010). Medical error and decision making: Learning from the past. Australian Critical Care, 23(1), 5–10. https://doi.org/10.1016/j.aucc.2009.07.003
Carroll, K. (2010). Decision-making in nursing: Educational implications. Nurse Education Today, 30(5), 497–502. https://doi.org/10.1016/j.nedt.2009.11.010
Developing a decision-making dependency (DMD) model for nurse managers. (2019). BMC Nursing, 18, Article 112. https://doi.org/10.1186/s12912-019-0423-5
Dewi, N. A., Hariyati, R. T. S., & Afifah, E. (2021). Nurses’ critical thinking and clinical decision-making abilities and their relationship with nursing handover quality. Belitung Nursing Journal, 7(2), 98–106. https://doi.org/10.33546/bnj.1364
Erianti, S. (2019). Nursing clinical decision making. Jurnal Kesehatan Komunitas, 5(2), 123–130. https://jurnal.htp.ac.id/index.php/keskom/article/view/464
Eskici, G. T., & colleagues. (2025). Disaster literacy and disaster response self-efficacy levels of nursing students: A comparative study. BMC Nursing, 24, Article 65. https://doi.org/10.1186/s12912-025-01976-x
Exploring nurses’ decision-making through the lens of the capability approach. (2025). Journal of Advanced Nursing, 81(7), 1904–1918. https://doi.org/10.1111/jan.15880
Hardy, S., et al. (2021). The demands on nursing curriculum in preparing Indonesian nurses for global practice. South East Asia Nursing Journal, 8(2), 110–120. https://journal.unimma.ac.id/index.php/nursing/article/download/4808/2914/
Hardy, S., et al. (2021). The demands on nursing curriculum in preparing Indonesian nurses for global practice. South East Asia Nursing Journal, 8(2), 110–120. https://journal.unimma.ac.id/index.php/nursing/article/download/4808/2914/
Hardy, S., et al. (2021). The demands on nursing curriculum in preparing Indonesian nurses for global practice. South East Asia Nursing Journal, 8(2), 110–120. https://journal.unimma.ac.id/index.php/nursing/article/download/4808/2914/
Hidayat, R., & Nurjanah, S. (2024). Knowledge and application of evidence-based practice among nurses in teaching hospitals of West Java, Indonesia. Indonesian Journal of Nursing Research, 7(1), 45–56. https://doi.org/10.5430/ijnr.v7n1p45
Jawabreh, N., et al. (2024). The relationship between emotional intelligence and clinical decision-making among nursing students. Journal of Nursing Education and Practice, 14(3), 45–54. https://repository.aaup.edu/jspui/bitstream/123456789/2848/1/jawabreh-2024-the-relationship-between-the-emotional-intelligence-a.pdf
Kementerian Kesehatan Republik Indonesia. (2020). Peraturan Menteri Kesehatan Republik Indonesia tentang Rumah Sakit. Kemenkes RI.
Kim, J., & Lee, H. (2021). Path model on decision-making ability of clinical nurses. Journal of Clinical Nursing, 30(7–8), 1125–1135. https://doi.org/10.1111/jocn.16292
Lauri, S., & Salanterä, S. (2002). Developing an instrument to measure and describe clinical decision making in different nursing fields. Journal of Professional Nursing, 18(2), 93–100. https://doi.org/10.1053/jpnu.2002.32344
Lavinda, R. (2016). Indonesian nurses’ opportunities abroad. In Proceedings of Indonesian nursing workforce (pp. 115–120). Cited in Hardy et al. (2021). https://journal.unimma.ac.id/index.php/nursing/article/download/4808/2914/
McCutcheon, K., & Pincombe, J. (2020). Developing critical thinking skills in undergraduate nursing education: The role of simulation and supervised clinical experience. Nurse Education Today, 91, 104469. https://doi.org/10.1016/j.nedt.2020.104469
Rahayu, N., & Sulistyowati, D. (2023). Hubungan tingkat pengetahuan perawat tentang proses asuhan keperawatan dengan pelaksanaan pelayanan keperawatan di RSUD Kabupaten Sidoarjo. Jurnal Keperawatan Indonesia, 26(2), 122–134. https://doi.org/10.7454/jki.v26i2.1572
Rahmah, M., Basri, B., Utami, T., & Danismaya, I. (2025). Hubungan pengetahuan penilaian skala morse dengan persepsi assessment ulang risiko jatuh pada perawat. Journal of Health Research Science, 5(01), 212-219.
Shabestari, M. M., et al. (2024). Nurses’ perception of uncertainty in clinical decision-making: A qualitative study. Heliyon, 10(2), e122591. https://doi.org/10.1016/j.heliyon.2024.e122591
Sholehah, B. (2020). Factors influencing clinical decision making of nurses. Health Care: Indonesian Journal of Health Care Administration, 8(2), 109–118. http://risbang.unuja.ac.id/media/arsip/berkas_penelitian/323.pdf
Standing, M., & Maben, J. (2020). Clinical decision-making: Defining the concept in nursing practice. European Journal of Cardiovascular Nursing, 19(8), 748–756. https://doi.org/10.1177/1474515120921998
Thompson, C., & Garcia, R. (2023). The relationship between critical care nursing knowledge and clinical decision-making skills among ICU nurses. Journal of Clinical Nursing, 32(5–6), 1002–1013. https://doi.org/10.1111/jocn.16328
Tiffen, J., Corbridge, S. J., & Slimmer, L. (2014). Enhancing clinical decision making: Development of a contiguous definition and conceptual framework. Journal of Professional Nursing, 30(5), 399–405. https://doi.org/10.1016/j.profnurs.2014.01.006
Wijaya, A., & Lestari, R. (2023). Hubungan pengetahuan proses keperawatan dengan kemampuan pengambilan keputusan klinis pada perawat pelaksana di RSUP Dr. Sardjito Yogyakarta. Jurnal Ilmu Keperawatan dan Praktik, 9(2), 211–222. https://doi.org/10.26714/jikp.9.2.2023.211-222
World Health Organization. (2020). State of the world’s nursing 2020: Investing in education, jobs and leadership. World Health Organization. https://www.who.int/publications/i/item/9789240003279
Yoon, J., Kim, M., & Shin, J. (2022). Factors influencing nurses’ clinical decision-making: A systematic review. International Journal of Nursing Studies, 129, 104208. https://doi.org/10.1016/j.ijnurstu.2022.104208
Zainal, N. H., et al. (2025). Critical thinking and clinical decision making among nurses: An integrative review. BMC Nursing, 24, Article 104. https://doi.org/10.1186/s12912-025-02041-5
Downloads
Published
How to Cite
Issue
Section
License
Karya belum pernah diterbitkan sebelumnya (kecuali dalam bentuk abstrak atau bagian dari kuliah atau tesis yang diterbitkan) dan tidak sedang dipertimbangkan untuk diterbitkan di tempat lain. Ketika naskah diterima untuk diterbitkan dalam jurnal ini, penulis setuju untuk mentransfer hak cipta secara otomatis ke penerbit.
Health Research Journal of Indonesia dilisensikan di bawah Creative Commons Attribution-NonCommercial 4.0 International License
