Peran Mediasi Kompetensi pada Pengaruh Situational Awareness dan Komitmen Afektif terhadap Kinerja Unit Keperawatan Kritis

Abstract

Critical care nursing requires nurses capable of recognizing changes in patient conditions, making appropriate decisions, maintaining organizational commitment, and demonstrating adequate professional competence. This study aims to analyze the influence of Situational Awareness and Affective Commitment on Critical Care Unit Performance, with Critical Care Nurse Competence serving as a mediating variable at Jakarta Class B Hospital. A quantitative approach with a cross-sectional design was employed. Data were collected in May 2026 via questionnaires administered to 83 staff nurses working in the ICU, PICU, NICU, and Emergency Department. The entire population meeting the study criteria served as respondents through a total sampling technique. Data were analyzed using Partial Least Squares Structural Equation Modeling. The results indicate that Situational Awareness has a positive effect on both Critical Care Nurse Competence and Critical Care Unit Performance. Affective Commitment also positively influences Critical Care Nurse Competence and Critical Care Unit Performance. Critical Care Nurse Competence positively affects Critical Care Unit Performance. Furthermore, Critical Care Nurse Competence was found to partially mediate the effects of Situational Awareness and Affective Commitment on Critical Care Unit Performance. The study concludes that Situational Awareness is the most dominant factor contributing to performance. Enhancing critical care unit performance requires strengthening Situational Awareness, fostering continuous competence development, and increasing nurses' emotional attachment to the organization.