Abstract
Nursing career paths in public health centers have not been well established compared with nurses in hospitals. It is because the nursing career path has a different organizing system, which then becomes an obstacle in implementing the career path for nurses in primary health care. Therefore, this study aimed to identify the relationship between institutional and nurses’ readiness in implementing nursing career paths within public health centers. A cross-sectional study design with questionnaire as instrument was used in this research. A consecutive sampling technique was used to select 93 nurses from 13 public health centers. Furthermore, to identify the objective of this research, the Spearman’s correlation coefficient was used to determine the relationship between paired data. The results found that institutional readiness was 64 or 71.9% of maximum values, yet nurses’ readiness was 112 or 74.5% of maximum values. Thus, it can be concluded that there was a meaningful relationship between institutional and nurses’ readiness with career path implementation (p<0.001), indicating a strong positive relationship (r= 0.521). The results of this study are expected to become a baseline data for public health centers and public health offices to establish a professional nursing career path in public health centers.
Abstrak
Kesiapan Individu Berhubungan dengan Kesiapan Institusi dalam Penerapan Jenjang Karir Perawat di Puskesmas. Implementasi jenjang karir perawat di puskesmas belum terbentuk seperti pelaksanaan jenjang karir perawat di rumah sakit. Pengorganisasi jenjang karir yang berbeda pada pelayanan primer menjadi kendala dalam implementasi jenjang karir perawat di puskesmas. Tujuan dari penelitian ini adalah untuk mengidentifikasi hubungan kesiapan institusi dan kesiapan perawat dalam penerapan jenjang karir perawat di puskesmas. Desain penelitian menggunakan cross sectional menggunakan kuesioner kepada 93 perawat pada 13 puskesmas. Teknik pengambilan sampel adalah convenience sampling. Data dianalisis menggunakan uji korelasi Spearman yang melihat hubungan kesiapan perawat dengan kesiapan intitusi dalam pengembangan jenjang karir perawat di puskesmas. Hasil didapatkan rerata kesiapan insitusi 64 (71,9% dari nilai maksimal), sedangkan kesiapan perawat didapatkan hasil lebih tinggi yaitu 112 (74,5%). Terdapat hubungan secara bermakna kesiapan institusi dengan kesiapan perawat dalam penerapan jenjang karir di puskesmas dengan p< 0,001, arah hubungan positif, dan kekuatan hubungan cukup kuat yaitu r= 0,521. Penelitian ini menjadi data dasar agar puskesmas dan dinas kesehatan dapat menerapkan jenjang karir perawat profesional di puskesmas.
Kata Kunci: implementasi, jenjang karir, kesiapan, perawat, puskesmas
References
- Abrell-Vogel, C., & Rowold, J. (2014). Leaders’ commitment to change and their effectiveness in change–a multilevel investigation. Journal of Organizational Change Management, 27 (6), 900–921. doi: 10.1108/JOCM-07-2012-0111
- Adeniran, R.K., Smith-glasgow, M.E., Bhattacharya, A., & Xu, Y. (2013). Career advancement and professional development in nursing. Nursing Outlook, 61 (6), 437–446. doi: 10.1016/j.outlook.2013.05.009
- Afriani, T., Hariyati, R.T.S., & Gayatri, D. (2017). Dukungan atasan dan teman sejawat memengaruhi ekspektasi perawat dalam penerapan jenjang karir. Jurnal Keperawatan Indonesia, 20 (2), 75–84. doi: 10.7454/jki.v20i2.516
- American Nurses Association. (2015). Optimal nurse staffing to improve quality of care and patient outcomes. American Nurses Association. Retrieved from https://www.nursingworld.org/~4ae116/globalassets/practiceandpolicy/advocacy/ana_optimal-nurse-staffing_white-paper-es_2015sep.pdf
- Anjani, P.K., & Dhanapal, D. (2012). Impact of employee commitment on readiness for change in banking sector in Salem District. Global Management Review, 6 (3), 24–34.
- Artnarong, S., Boonyoung, N., & Laimek, S. (2020). Head nurses’ support and registered nurses’ preparation for the advancement of career ladder as perceived by registered nurses in secondary and tertiary hospitals in the Three Southernmost Provinces. Academic Services Journal, 31 (1), 171–179. doi: 10.14456/asj-psu.2020.15
- Bandura, A. (2010). Self-efficacy. The Corsini Encyclopedia of Psychology, 1–3. doi: 10.1002/9780470479216.corpsy0836
- Baucom, B. (2012). Nurses’ perception of clinical ladder programs. Nursing Theses and Capstone Projects, 99. Retrieved from https://digital
- commons.gardner-webb.edu/nursing_etd/99
- Boukenooghe, D., Devos, G., & Van Den Broeck, H. (2009). Organizational change questionnaire climate of change, processes, and readiness: Development of a new instrument. The Journal of Psychology, 143 (6), 559–599. doi: 10.1080/00223980903218216
- Cahyono, A. (2015). Hubungan karakteristik dan tingkat pengetahuan perawat terhadap pengelolaan keselamatan pasien di rumah sakit. Jurnal Ilmiah Widya, 1 (1), 97–102.
- Djestawana, I.G.G. (2012). Pengaruh pengembangan organisasi, kepemimpinan, jenjang karir terhadap kepuasan kerja dan kinerja pegawai
- puskesmas. Kesmas: National Public Health Journal, 6 (6), 261–266. doi: 10.21109/kesmas.v6i6.79
- Duffield, C., Baldwin, R., Roche, M., & Wise, S. (2014). Job enrichment: Creating meaningful career development opportunities for nurses. Journal of Nursing Management, 22 (6), 697–706. doi: 10.1111/jonm.12049
- Hannon, P.A., Helfrich, C.D., Chan, K.G., Allen, C.L., Hammerback, K., Kohn, M.J., Parrish, A.T., Weiner, B.J., & Harris, J.R. (2017). Development and pilot test of the workplace readiness questionnaire, a theory-based instrument to measure small workplaces’ readiness to implement wellness programs. American Journal of Health Promotion, 31 (1), 67–75. doi: 10.4278/ajhp.141204-QUAN-604
- Harimurti, E., & Mariatin, E. (2014). Pengaruh kesiapan berubah, komitmen terhadap organisasi dan komunikasi tentang perubahan organisasi terhadap penerapan performance management system. Analitika, 6 (1), 27–36. doi: 10.31289/analitika.v6i1.794
- Hariyati, R.T.S. (2014). Perencanaan, pengembangan dan utilisasi tenaga keperawatan. Rajawali Press.
- Hariyati, R.T.S., Igarashi, K., Fujinami, Y., Susilaningsih, F.S., & Prayenti. (2017). Correlation between career ladder, continuing professional development and nurse satisfaction: A case study in Indonesia. Journal of Nursing Management, 10 (3), 11490–1497.
- Holt, D.T., Helfrich, C.D., Hall, C.G., & Weiner, B.J. (2010). Are you ready? How health professionals can comprehensively conceptualize readiness for change. Journal of General Internal Medicine, 25 (1), 50–55. doi: 10.1007/s11606-009-1112-8
- Melnyk, B.M., Gallagher-Ford, L., Long, L.E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for
- practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11 (1), 5–15. doi: 10.1111/wvn.12021
- Ministry of Health Republic of Indonesia. (2017). Peraturan Menteri Kesehatan RI Nomor 40 tentang pengembangan jenjang karir profesional perawat klinis. Ministry of Health Republic of Indonesia.
- Moore, A., Meucci, J., & McGrath, J. (2019). Attributes of a successful clinical ladder program for nurses: An integrative review. Worldviews on Evidence‐Based Nursing, 16 (4), 263–270. doi: 10.1111/wvn.12371
- Muchtar, S. (2013). Hubungan jenjang karir, iklim organisasi dan kepuasan kerja dengan intensi turnover perawat pelaksana di Rumah Sakit "X" tahun 2013 (Master Thesis, unpublished). Faculty of Public Health Universitas Indonesia.
- Parish, J.T., Cadwallader, S., & Busch, P. (2008). Want to, need to, ought to: Employee commitment to organizational change. Journal of Organizational Change Management, 21 (1), 32–52. doi: 10.1108/09534810810847020
- Rizany, I., Hariyati, R.T.S., & Handiyani, H. (2018). Factors that affect the development of nurses’ competencies: A systematic review. Enfermeria Clinica, 28 (1), 154–157. doi: 10.1016/S1130-8621(18)30057-3
- Sandehang, P.M., Hariyati, R.T.S., & Rachmawati, I.N. (2019). Nurse career mapping: A qualitative case study of a new hospital. BMC Nursing, 18 (Suppl 1), 1–9. doi: 10.1186/s12912-019-0353-z
- Vakola, M. (2013). Multilevel readiness to organizational change: A conceptual approach. Journal of Change Management, 13 (1), 96–109. doi: 10.1080/14697017.2013.768436
- Weiner, B.J. (2009). A theory of organizational readiness for change. Implementation Science, 4, 67. doi: 10.1186/1748-5908-4-67
- Weiner, B.J., Amick, H., Lee, S.D., & Lee, S.D. (2008). Review measurement of organizational services research and other fields. Medical Care Research and Review, 65 (4), 379–436. doi: 10.1177/1077558708317802
- Williams, D. M. (2010). Outcome expectancy and self-efficacy: Theoretical implications of an unresolved contradiction. Personality and Social Psychology Review, 14 (4), 417–425. doi: 10.1177/1088868310368802