Latar belakang: Kinerja perawat diruang rawat inap RSUD Prof Dr.W.Z. Johannes Kupang masih belum optimal sehingga masih banyak keluhan baik dari stakeholders maupun dari pasien. Keluhan ini sering muncul di media cetak setempat atau yang disampaikan langsung ke direktur rumahsakit. Salah satu upaya untuk meningkatkan kinerja perawat di ruang perawatan RSUD Prof Dr. W. Z. Johannes Kupang, dilakukan pelatihan manajemen keperawatan. Supervisi paska pelatihan manajemen keperawatan tidak dilaksanakan secara efektif sehingga kinerja perawat tidak dapat diukur apakah ada pengaruh setelah pelatihan manajemen keperawatan. Tujuan: mengukur efektivitas supervisi dalam meningkatkan kinerja perawat dan kepuasan pasien terhadap mutu pelayanan keperawatan di instalasi rawat inap RSUD Prof Dr. W. Z. Johannes Kupang. Metode: Jenis penelitian kuasi eksperimen dengan rancangan pre test dan post test tanpa kontrol. Populasi penelitian adalah perawat dan pasien di intalasi rawat inap RSUD Prof.Dr.W.Z.Johannes Kupang. Pengambilan sampel secara purposive proposional sampling. Pengolahan data menggunakan uji statistik Paired t-test dan independent samples ttest. Hasil penelitian: ada perbedaan yang bermakna pemahaman supervisor sebelum dan sesudah pelatihan supervisi (p=0,0001). Kinerja perawat sebelum dan sesudah intervensi ada perbedaan yang bermakna (p=0,0001). Total kepuasan pasien terhadap mutu pelayanan keperawatan ada perbedaan yang bermakna sebelum dan sesudah intervensi (p=0,0001), kecuali untuk dimensi kecepatan pelayanan tidak ada perbedaan (p=0,1120). Kesimpulan: ada perbedaan yang bermakna antara kinerja perawat dan kepuasan pasien terhadap mutu pelayanan keperawatan sebelum dilakukan supervisi terstruktur dan sesudah dilakukan supervisi terstruktur. Semakin efektif supervisi yang dilakukan maka semakin baik kinerja perawat dan semakin meningkat kepuasan pasien terhadap mutu pelayanan keperawatan.

Background: Performance of nurses at inpatient installation of Prof. Dr. W.Z. Johannes Hospital of Kupang is not yet optimum. There are complaints from both stakeholders and patients delivered through local printed media or directly to the director of the hospital. An effort to improve performance of nurses at inpatient room of Prof. Dr. W.Z. Johannes Hospital is nursing management training. Supervision post nursing management training is not carried out effectively so that nurses performance cannot be measured to find out whether there is an influence after nursing management training. Objective: To assess effectiveness of supervision in improving performance of nurses and patient satisfaction with quality of nursing service at inpatient installation of Prof. Dr. W.Z. Johannes Hospital of Kupang. Method: The study was a quasi experiment with pretest and post-test without control design. Population of the study were nurses at inpatient installation of Prof. Dr. W.Z. Johannes Hospital of Kupang. Samples were taken using purposive proportional sampling technique and data were analyzed using paired t-test and independent samples t-test. Result: There was significant difference in the comprehension of supervisors before and after supervision training (p=0.0001). There was significant difference in nurse performance before and after intervention (p=0.0001). There was significant difference in patient satisfaction with quality of nursing service before and after intervention (p=0.0001), but there was no difference in the dimension of service response (p=0.1120). Conclusion: There was significant difference between nurse performance and patient satisfaction with quality of nursing service before and after structured supervision. More effective supervision improves nurse performance and increase patient satisfaction with quality of nursing service.

Kata Kunci : Kinerja Perawat,Supervisi