ANALYSIS OF THE INFLUENCE OF PERCEPTIONS OF LEADER'S POLICY PRODUCTS ON THE LEVEL OF NURSES' COMPLIANCE IN IMPLEMENTING NURSING CARE STANDARDS IN THE EMERGENCY INSTALLATION OF BUNDA GENERAL HOSPITAL

Abstract

The Emergency Installation has to be fast in giving services, and in making a decision in order to give a medical action quickly, accurately, safely, and effectively. The nurse has to apply the nursing standard well. In the recent three years, began in 2002, the Emergency Installation at  the Bunda hospital had already done improvement of a hospital management which comprised as follows: adding a number of doctors and nurses, increasing an incentive for a nurse, completing and socializing a guide of hospital services, training of the nursing standard, and increasing a number of means. Based on the last evaluation, change of shift was often late, a nurse did not wash a hand after a medical action, toilet was dirty, there was found sand in wound after an emergency action. The aim of this research was to know the influence of a perception of  manager’s policy products, which comprised a regulation, a guide, sharing of tasks, problem solving, a target, and equality to the obedience of nurse in applying the nursing standard at the Emergency Installation at the Bunda hospital. This was an observational research using cross sectional approach. Number of respondent was 15 nurses who worked at the emergency unit. Collecting of data used a questionnaire and Focus Group Discussion. Result of this research shows that a regulation, sharing of tasks, problem solving, and a target have significant relationship with the obedience of nurse in applying the nursing standard. Based on multivariate analysis, the nurse who perceives not good regulation has a risk to be not obedient equal to 18 times in comparison to the nurse who perceives a good regulation. The nurse who perceives not good target has a risk to be not obedient equal to 82 times in comparison to the nurse who perceives a good target