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"Tujuan Untuk mengetahui pengaruh status kesehatan, kemampuan, dan motivasi terhadap kinerja perawat di suatu satu Rumah Sakit Umum Daerah (RSUD). Metode Suatu survey dilakukan pada perawat di unit rawat jalan dan rawat inap suatu RSUD di Jawa Barat selama bulan Mei 2009. Sampel dipilih secara acak. Kuesioner dengan 18-23 pertanyaan digunakan untuk mengukur indikator status kesehatan, kemampuan, motivasi dan kinerja perawat. Analisis jalur dilakukan dengan menggunakan regresi berganda untuk mendapatkan koefi sien ß sebagai nilai koefi sien jalur, nilai p dan R2. Koefi sien Q dan W dihitung dengan Goodness of fi t test. Hasil Sampel berjumlah 125 perawat yang diambil dari 493 perawat. Tes dilakukan antara variabel karakteristik responden dengan variabel eksogen (variabel independent) dan variabel endogen (variabel antara atau variabel dependen) pada model yang diusulkan. Diperoleh nilai p>0,05, yang berarti jawaban yang diberikan pada questioner setiap variabel endogen dan eksogen tidak dipengaruhi variasi karakteristik responden. Persamaan garis antar variabel memiliki hubungan linear dengan masing?masing nilai p <0,05. Nilai korelasi sederhana antar variabel 0,376 sampai 0,833. Kemampuan merupakan variabel terkuat yang mempengaruhi kinerja perawat yaitu 44,8%, diikuti motivasi 33,9% dan status kesehatan 21,8%, sedangkan pengaruh ke-3 variabel eksogen secara bersama-sama terhadap variabel kinerja perawat adalah 76,2% dan 23,8% yang dipengaruhi oleh variabel lain. Kesimpulan Variabel kinerja perawat dipengaruhi oleh sejumlah variabel, antara lain status kesehatan, kemampuan dan motivasi perawat. Oleh karena itu semua variabel pada penelitian ini layak dipertimbangkan untuk diintervensi bila ingin meningkatkan kinerja perawat di suatu RSUD.

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AbstractAim To investigate the infl uence of health status, ability and motivation of nurses? performances in a district hospital. Methods A survey was conducted during May 2009 in a district hospital in West Java, Indonesia. Nurses in the inpatient and outpatient unit and fulfi lled inclusion and exclusion criteria were randomly chosen as the unit of analysis. A questionnaire of 18-23 questions was used to measure the indicator of the four variables. The path analysis was performed using multiple regressions for calculating ß as the value of path coeffi cient between variables, p value and R2. Goodness of fi t test was used to calculated Q and W coeffi cient. Results Test was performed on 125 of 493 nurses with exogenous (independent) and endogenous (intermediate or dependent) variables in the model proposed. The p-value was > 0.05, indicating that the characteristics variation of the subjects did not affect the answers on the endogenous and exogenous variables. The health status, ability, motivation and performance variables showed normal and homogenous distribution. Line equation between variables showed linear relation with p<0.05. Simple correlation score between variables was 0.376 to 0.833. Ability was the biggest variable that infl uences nurses? performance (44.8%), followed by motivation (33.9%) and health status (21.8%). The infl uences of the three exogenous variables to nurses? performance were 76.2% and 23.8% which was infl uenced by other variables. Conclusion Nurses? health status, ability, and motivation infl uenced their performance. Therefore, these variables can be considered for an intervention to improve the nurses? performance. "

"ABSTRAKSejak implementasinya pada tahun 2014, program Jaminan Kesehatan Nasional (JKN) telah mendorong peningkatan utilisasi pelayanan kesehatan baik di Fasilitas Kesehatan Tingkat Pertama (FKTP) maupun di Fasilitas Kesehatan Rujukan Tingkat Lanjutan (FKRTL). Tingginya utilisasi ini berdampak terhadap tingginya biaya pelayanan kesehatan yang ditanggung oleh BPJS Kesehatan sebagai pelaksana JKN. Di sisi lain, sasaran utama program JKN yaitu peserta PBI masih dianggap belum optimal dalam pemanfaatan pelayanan kesehatan, berbeda dengan peserta PBPU yang dianggap overutilisasi. Dengan metode analisa cross section, penelitian ini melihat bagaimana karakteristik utilisasi pelayanan kesehatan dari peserta JKN pada kelompok pesertaPenerima Bantuan Iuran (PBI) dan kelompok peserta Pekerja Bukan Penerima Upah (PBPU) di FKRTL khususnya rumah sakit. Teknik Principal Component Analysis (PCA) dipilih untuk mereduksi variabel-variabel durasi perawatan, biaya rumah sakit dan tingkat keparahan menjadi variabel baru berbentuk indeks utilisasi rumah sakit. Kemudianmenggunakan model estimasi Ordinary Least Square (OLS) untuk menganalisa tingkat utilisasi rumah sakit. Kami menemukan bahwa terdapat dua jenis utilisasi rumah sakit dengan hasil yang berbeda, pada utilisasi frekuensi, PBPU memiliki tingkat utilisasi lebih banyak dari PBI, namun pada utilisasi status kesehatan saat berobat, peserta PBI lebih buruk dibandingkan dengan peserta PBPU dengan signifikansi pada tingkat 1%. Temuan ini menunjukkan bahwa ketika peserta PBI berobat di rumah sakit akan memiliki kecenderungan dirawat lebih lama, dengan biaya lebih besar dan dengan status kesehatan yang lebih parah jika dibandingkan dengan peserta PBPU. Hasil penelitian ini jugamenunjukkan bahwa kelompok peserta PBI dengan frekuensi berobat yang lebih sedikit dibandingkan PBPU memiliki status kesehatan yang lebih buruk.

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ABSTRACTSince its implementation in 2014, the National Health Insurance (JKN) program has encouraged increased utilization of health services both at the First Level Health Facility (FKTP) and at the Advanced Referral Health Facility (FKRTL). This high utilization has an impact on the high cost of health services borne by the Health BPJS as JKN`s Operator. On the other hand, the main target of the JKN program is that PBI are still considered to be not optimal in the utilization of health services, in contrast to PBPU who are considered to be overutilized. With the crosssection analysis method, this study looks at how the characteristics of health service utilization of JKN participants in the contribution group of Contribution Beneficiaries (PBI) and the group of Non-RecipientWorkers (PBPU) in FKRTL especially hospitals. Principal Component Analysis (PCA) technique was chosen to reduce variables of the duration of treatment, hospital costs and severity to new variable in the form of hospital utilization index. Then we use the Ordinary Least Square (OLS) estimation model to analyze the level of hospital utilization. We foundthat there are two types of hospital utilization with different results, in frequency utilization, PBPU has more utilization rates than PBI, but in health status utilization during treatment, PBI are worse than PBPU with significance at 1% level. These findings indicate that when PBI participants seek treatment at a hospital will have a tendency to be treated longer, at a higher cost and with a more severe health status when compared to PBPU participants. The results of this study also showed that the PBI participant group with less frequency of treatment compared to PBPU had worse health status."

"Falls are a serious consequence of declining physical function. Otago exercise is a strength and balance training program designed to prevent falls and enhance health status among the elderly. This study aimed to investigate the effect of a 12-week Otago exercise intended to reduce the risk of falls and health status among the elderly with chronic illness in the social elderly institution. This quasi-experimental study employed a pre- and post-test design using a control group. The study involved an intervention group (21 respondents) and a control group (21 respondents). The sample used in this study were elderly living in a social elderly institution. The sample was selected using simple random sampling. The datawere analyzed using Mann–Whitney test, independent t-test, and Chi-square test. Otago exercise significantly reducedthe respondents’ risk of falling and enhanced their health status. Significant differences were observed between the twogroups in terms of the risk of fall (p= 0.041) and health status (p= 0.011). Otago exercise significantly improves the health status and reduces the risk of falling among elderly with chronic illness. The exercise can be recommended for older adults with chronic illness in social elderly institutions and communities."