Applicability of Lewin’s Change Management Model for Optimization Management Function in Nursing Delegation between Head Nurse and Team Leader: A Mini Project in Jakarta Military Hospital
Abstract
The role of nurses in healthcare systems is diverse, including being a health care provider to clients, client advocates, educators for clients and families, and nursing service managers. This study's goal was to assess Kurt Lewin's change management method to analyze the management function in nursing delegation between the head nurse and team leader. This project was conducted at Jakarta Military Hospital using a fishbone diagram approach, and solving problems using Plan-Do-Check-Action (PDCA) tools starting with Plan Of Action (POA), implementation, evaluation, and follow-up. The study results showed that the head nurse performed nonoptimal delegation in terms of delay to complete the nursing documentation, non-uniformity of delegation format, and lack of control from superiors. Guidelines are used as a reference in delegating nursing to the head of the hospital room. The documentation of nursing delegates is done because representatives work better when the reporting structure is clear. In conclusion, the application fishbone diagram, Lewin's change management model, and PDCA cycle can optimize management function in nursing delegation between head nurse and team leader in Jakarta Military Hospital. Recommendations are given to the nursing department, head of the room, team leader, and executive nurses to increase self-awareness, knowledge, and ability in delegating nursing.
Downloads
References
Bessie L. Marquis, Carol J. Huston Leadership Roles and Management Functions in Nursing Theory and Application , Seventh Edition. 2011
Baddar, F., Salem, O. A., & Hakami, A. A. Nurse manager’s attitudes and preparedness towards effective delegation in Saudi Hospitals. Health Science Journal, 2016 10(2), 1–9. https://doi.org/10.1021/ma2004458
Ovari, S., Setyowati, & Yasmi. Pendelegasian tugas kepala ruangan menurut persepsi perawat pelaksana dapat meningkatkan kepuasan kerja. Research of Applied Science and Education, 2017 3, 194–207. https://doi.org/https://doi.org/10.22216/jit.2017.v11i3.1541
Cooper, L. A beginner’s guide to effective delegation. Veterinary Nursing Journal, 2013. 28(4), 136–137. https://doi.org/10.1111/vnj.12027
Bahadori, M., Salesi, M., Ravangard, R., Hosseini, S. M., & Raadabadi, M. Prioritization of factors affecting time management among health managers. International Journal of Travel Medicine and Global Health, 2015. 3(4), 159–164. https://doi.org/10.20286/ijtmgh-0304142
Pemerintah Republik Indonesia. Undang - undang nomor 11 tahun 2008 tentang informasi dan transaksi elektronik.
Swansburg, RC. Introductory Management and Leadership for Nurses. 2011. London : Jones and Bartlett Publishers, Inc
Sayani, A. H. Delegation, a strategy to prepare second line nursing management in health care setting. International Journal of Innovative Research & Development, 2016. 5(13), 149–152.
Armstrong, S. J., Rispel, L. C., & Penn-Kekana, L. The activities of hospital nursing unit managers and quality of patient care in South African hospitals: A paradox? Global Health Action, 2015. 8(1), 1–9. https://doi.org/10.3402/gha.v8.26243
Warshawsky, N., & Havens, D. Nurse manager job satisfaction and intent to leave. Nurse Econ, 2014. 1(6), 32–39. https://doi.org/10.1038/jid.2014.371
Yoon, J., & Kim, M. Confidence in delegation and leadership of registered nurses in long-term-care hospitals, 2016. 676–685. https://doi.org/10.1111/jonm.12372
Pedoman Komisi Akreditasi Rumah Sakit tahun 2012
Council, N. National Guidelines for Nursing Delegation. Journal of Nursing Regulation, 7(1), 5–14. 2015. https://doi.org/10.1016/S2155-8256(16)31035-3
Sabri Gassas, R. Nurse managers’ attitude and competency towards delegation in Jeddah City. American Journal of Nursing Science, 2017. 6(2), 72. https://doi.org/10.11648/j.ajns.20170602.11
Bandura, A. Cultivate Self - effi cacy for Personal and Organizational Effectiveness. 2015
