ABSTRAK FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PELAKSANAAN KOMPETENSI PERAWAT KLINIS DI RUMAH SAKIT DAERAH MANGUSADA KABUPATEN BADUNG Oleh : I Nengah Suarmayasa Pendahuluan: Kewenangan klinis merupakan uraian intervensi keperawatan yang dilakukan oleh tenaga keperawatan berdasarkan area praktiknya. Sedangkan penugasan klinis adalah penugasan direktur rumah sakit kepada perawat klinis untuk melakukan asuhan keperawatan di rumah sakit berdasarkan kewenangan klinisnya. Pentingnya kompetensi klinis perawat yang dapat berdampak pada kualitas pelayanan keperawatan, keselamatan pasien, missed care dan lain-lain. Metode: Penelitian ini menggunakan cross-sectional design yang melibatkan 414 perawat di Rumah Sakit Daerah Mangusada dan dipilih menggunakan total sampling. Data penelitian ini dikumpulkan menggunakan kuisioner dan dianalisis menggunakan univariate, bivariate dan multivariate analysis. Hasil dan Analisis: Dari total 414 responden, sebagian besar (61,6%) responden termasuk katagori cukup/baik pelaksanaan kompetensi perawat klinis. Beberapa faktor yang berhubungan secara signifikan dengan pelaksanaan kompetensi perawat klinis tersebut yaitu: unit kerja (AOR : 2,307; 95% CI : 1,374-3,874; p 0,002), pelatihan (AOR : 1,608; 95% CI : 1,070-2,418; p 0,022) dan persepsi (AOR : 0,577; 95% CI : 0,383-0,869; p 0,009). Pembahasan dan kesimpulan: Pelaksanaan kompetensi perawat klinis belum mencapai yang diharapakan. Rumah sakit diharapkan mempertimbangkan setiap faktor yang berpengaruh sehingga bisa memberikan kebijakan dan aturan yang sesuai guna meningkatkan pelaksanaan kompetensi sesuai kewenangan klinis Kata kunci: kewenangan klinis; perawat klinis; faktor

ABSTRACT FACTORS RELATING TO THE IMPLEMENTATION OF CLINICAL NURSE COMPETENCE IN THE MANGUSADA REGIONAL HOSPITAL, BADUNG DISTRICT By: I Nengah Suarmayasa Introduction: Clinical authority refers to the implementation of nursing interventions by nursing personnel within their designated practice area. Meanwhile, clinical assignments refer to the tasks assigned by the hospital director to clinical nurses, which involve providing nursing care in the hospital according to their clinical expertise and authority. The significance of nurses' clinical competence can significantly affect the quality of nursing services, patient safety, and the occurrence of missed care, among other factors. Methods: This study employed a cross-sectional design, encompassing a total of 414 nurses from the Mangusada Regional Hospital. The participants were recruited using a total sample method. The research data was gathered through the administration of a questionnaire and subsequently examined through univariate, bivariate, and multivariate analyses. Findings and Examination: Out of the 414 participants surveyed, the majority (61.6%) demonstrated satisfactory or excellent execution of clinical nurse abilities. The implementation of clinical nursing competencies is strongly influenced by three factors: work unit (AOR: 2.307; 95% CI: 1.374-3.874; p 0.002), training (AOR: 1.608; 95% CI: 1.070-2.418; p 0.022), and perception (AOR: 0.577; 95% CI: 0.383-0.869; p 0.009). Discussion and conclusion: The adoption of clinical nursing competencies has yet to meet the anticipated outcomes. Hospitals are expected to carefully evaluate all relevant factors in order to develop suitable rules and regulations that enhance the application of competencies in accordance with clinical authority. Keywords: clinical authority; clinical nurses; factor