Effect of Supervision on Compliance with the Standard Precautionary Rules among Nurses at Madani General Hospital, Medan, North Sumatera

Astri Nurhandini, Zulfendri, Taufik Ashar


Faculty of Public Health, Universitas Sumatera Utara



Background: Proctor in 1987 splits managerial supervision into three different terms: (1) formative (education), (2) normative (administration) and (3) res­to­ra­tive (support). Normative supervision is a function of clinical supervision concerned with maintaining and developing standards of safe, ethical and quality prac­tice. The focus is on enhancing the effectiveness and ability of the supervisee’s cli­nical role and performance for and within the organization. Restorative super­vision model was developed and designed to support the needs of professionals wor­king with complex clinical caseloads. Supervision in this context is not a method of managing the content of staff work but one to support them with the emo­tional demands of the role. This study aimed to assess the effects of nor­ma­tive and restorative supervisions on compliance with the standard precautionary ru­les among nurses working in the hospital.

Subjects and Method: This was a cross-sectional study conducted at Madani Ge­neral Hospital in Medan, North Sumatera. A sample of 89 nurses was selected for this study. The dependent variable was compliance with standard pre­cautionary rules. The independent variable was supervision model (normative and res­to­­rative). The data were collected by questionnaire and analyzed by a multiple lo­gis­­tic regression.

Results: The compliance with standard precautionary rules increased with good normative supervision (OR= 25.23; 95% CI= 2.90 to 29.35; p= 0.005) and good restorative supervision (OR= 6.00; 95% CI= 1.83 to 19.74; p= 0.005).

Conclusion: Normative and restorative supervisions are effective to enhance com­pliance with standard precautionary rules among nurses working at the hospital.

Keywords: normative, restorative, supervision, compliance, standard precautionary rule, nurse, hospital

Correspondence: Astri Nurhandini. Faculty of Public Health, Universitas Sumatera Utara, Jl. Universitas No. 9 Medan, North Sumatera. Email: nurhandiniastri@gmail.com. Mobile: 08116099983

DOI: https://doi.org/10.26911/theicph.2018.04.22

Share this :

View PDF