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"Di Indonesia, penyakit TB merupakan masalah utama kesehatan masyarakat dengan prevalensi 2,4 per 1000 penduduk, dan penyebab kematian nomor tiga (3) setelah penyakit kardiovaskuler dan penyakit saluran pernafasan pada semua kelompok usia, dan nomor satu (1) dari golongan penyakit infeksi.Kabupaten Pandeglang merupakan salah satu kabupaten di Propinsi Banten dengan jumlah penduduk pada tahun 2003 sebanyak 1.062.813 jiwa, memiliki 30 puskesmas yang sudah menerapkan strategi DOTS dalam program penanggulangan TB yaitu sejak tahun 1998. Namun demikian bila dilihat dari hasil cakupan penemuan penderita baru BTA (+), angka kesembuhan, angka konversi maupun angka kesalahan laboratorium masih belum mencapai target yang telah ditetapkan. Keempat indikator tersebut erat kaitannya dengan kinerja petugas.Tujuan dari penelitian ini adalah diperolehnya informasi mengenai kinerja dan faktor-faktor yang beruhubungan dengan kinerja petugas TB paru puskesmas. Metode penelitian dengan desain studi crossectional. Populasinya meliputi seluruh petugas TB pare Puskesmas se-Kabupaten Pandeglang. Sampling dalam penelitian ini adalah seluruh populasi yang dimanfaatkan untuk analisis sebanyak 30 orang.Pengumpulan data dilakukan dengan wawancara melalui kuesioner untuk variabel independen dan untuk variabel dependen berupa observasi dengan menggunakan checklist. Variabel dependen adalah kinerja petugas yang meliputi penemuan penderita, pengobatan dan penanganan logistik. Sedangkan variabel independen adalah variabel individu (mencakup umur, pendidikan, pelatihan, pengetahuan, larva kerja dan status perkawinan), variabel organisasi (meliputi beban kerja, sarana, supervisi, kepemimpinan dan imbalan) dan variabel psikologis (motivasi dan persepsi peran).Hasil penelitian menunjukkan bahwa kinerja petugas TB paru puskesmas sebagian besar masih kurang yaitu sebesar 56,7%. Dari 13 variabel yang dianalisis secara bivariat, hanya ada 3 (tiga) variabel yang terbukti bermakna secara statistik yaitu variabel kepemimpinan, imbalan dan motivasi. Sedangkan pada analisis multivariat didapatkan bahwa variabel yang paling dominan berhubungan adalah variabel motivasi.Perlu bagi Puskesmas dan Dinas Kesehatan Kabupaten Pandeglang untuk mengadopsi pendekatan baru dalam mengelola kinerja petugas TB puskesmas yaitu dengan menerapkan prinsip-prinsip manajemen mutu terpadu (total quality manajemen). Antara lain dengan lebih fokus terhadap pelanggan (pasien dan masyarakat), melakukan pendekatan budaya dalam perbaikan kinerja baik budaya organisasi puskesmas maupun budaya masyarakat, perlu ada exit strategi untuk mengantisipasi putusnya dana bantuan yang selama ini diterima dari KNCV-CIDA, melibatkan pegawai dalam keputusan-keputusan yang diambil dan memberi mereka wewenang yang cukup untuk melaksanakan tugas. Kemudian dengan mengaplikasikan prinsip kepemimpinan untuk mutu dengan terus menerus memperbaiki metode dan proses kerja. Jangan terlalu fokus pada target, tetapi fokus utama pada proses. Setelah itu lakukan perbaikan kinerja terus menerus secara bertahap dengan rnenggunakan siklus PDCA (Plan-Do-Check Actg. Dengan menerapkan hal tersebut diharapkan kinerja petugas di masa yang akan datang akan lebih baik.Daftar Bacaan : 56 (1974-2003)

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Analysis on Performance of TB Worker in Public Health Center in Pandeglang District in the Year 2003 Using Integrated Quality Management ApproachIn Indonesia, tuberculosis (TB) is one major public health problem with prevalence of 2.4 per 1000, and is ranked third as cause of death after cardiovascular and respiratory tract infection for all ages, and ranked first among infectious diseases group.

Pandeglang District is one district in Banten Province with number of population of 1 062 813 in 2003. There were 30 Public Health Centers that have been applying DOTS strategy in combating TB since 1998. However, the coverage of new patients BTA (+), recovery rate, conversion rate, and laboratory error still showed results below the determined targets. Those indicators are known as strongly associated with worker's performance.

This study aims at obtaining information on worker's performance and factors related to it. The design was cross sectional with population of study of all TB workers across Public Health Centers in Pandeglang District. Sampling was all population of 30 workers.

Data were collected through interview using questionnaires for independent variables (individual variables including age, education, training, knowledge, length of work, and marital status; organization variables including workload, facility, supervision, leadership, and reward; and psychological variables including motivation and role perception), while dependent variables (performance including patient finding, medication, and logistic handling) were collected through observation using checklist.

The study shows more than half (56.7%) of worker had poor performance. There are three variables that related significantly to performance, i.e. leadership, reward, and motivation. Multivariate analysis shows that motivation was the most dominant factor.

It is necessary to Pandeglang Health Office and Public Health Centers to adopt new approach in managing performance that is Total Quality Management approach. Among others, it suggested to focus more on client, using cultural approach, need to develop an exit strategy as to face the end of KNCV-CIDA aid, to involve workers in decision making, and to offer them sufficient authority to decide, to apply quality leadership, and to employ PDCA (plan-do-check-act) cycle.

References: 56 (1974-2003)"

"Kinerja petugas sanitasi merupakan salah satu faktor yang mempengaruhi rendahnya mutu/kualitas lingkungan, khususnya sanitasi dasar yang berdampak terhadap timbulnya penyakit-penyakit yang berbasis lingkungan seperti diare, kulit, ISPA dan lain-lain. Selain itu peningkatan kinerja merupakan salah satu upaya dalam rangka meningkatkan sumber daya manusia di daerah yang mandiri dan berkualitas.Dalam penelitian ini, rendahnya cakupan ISPA dan tingginya jumlah penyakit yang berbasis lingkungan dijadikan latar belakang timbulnya rnasalah. Masalah dalam penelitian ini adalah rendahnya kinerja petugas sanitasi puskesmas di Kabupaten Lampung Tengah. Tujuan penelitian adalah untuk mengetahui kinerja petugas sanitasi di Kabupaten Lampung Tengah dan faktor-faktor apa saja yang berhubungan dengan kinerja tersebut. Populasi dan sampel penelitian adalah seluruh petugas sanitasi di Kabupaten Lampung Tengah yang berjumlah 30 petugas. Jenis penelitian ini adalah kuantitatif dengan rancangan penelitian cross sectional. Analisis data yang dilakukan adalah analisis univariat dan bivariat. Analisis univariat menggunakan distribusi frekuensi dengan ukuran persentase, sedangkan analisa bivariat menggunakan uji chi square. Nilai alpha yang digunakan adalah 5% (CI 95%).Hasil penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara kinerja dengan tingkat pendidikan, aktifitas sosial, sarana dan prasarana, imbalan, struktur, dukungan pimpinan, desain pekerjaan, kontrol dan motivasi.Disarankan kepada Puskesmas dan Dinas Kesehatan Kabupaten Lampung Tengah untuk meningkatkan kinerja petugas sanitasi dengan upaya-upaya antara lain: peningkatan pendidikan, peningkatan aktifitas sosial, pengadaan sarana dan prasarana, pernberian imbalan, peningkatan kerjasama lintas program, dukungan pimpinan, pengurangan tugas rangkap secara bertahap, peningkatan kontrol terhadap petugas sanitasi dan peningkatan motivasi kerja petugas sanitasi.

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Factor Related to the Sanitation Officials Performance of Public Health in Order to Improve Coverage Waste Water Treatment System in Central Lampung Region 2003The sanitation officials performance is one factors which influence low environmental quality, Especially the basic sanitation which causes the disease from environment such as : Diarrhea, Scabies, ISPA, etc. Besides the improvement of performance is one way to improve human resources in region which is qualified and self relied on.

In this research, low coverage of waste water treatment system and the high number of diseases which are environment based is the back ground. The problem of this research is the low performance of sanitation officials in Public Health Centre in Central Lampung. The objectives of this research were to find out the performance of sanitation officials in Central Lampung and factor related to performance. The population and sample of the research were all sanitation officials of thirty Central Lampung. This research is quantitative using cross sectional. The data were analyzed univariate and bivariate. Univariate used frequent distribution with percentage, while bivariate analysis used chi square test. Alpha being used was 5 % (Cl 95 % ).

The result of the research shows that there is a meaningful correlation between the sanitation officials performance with educational level, social activities, accommodation, incentive, divisional relationship inter organizational, leader support, work design, control and motivation.

It is suggested to public Health Centre and Health Institution of Central Lampung to improve the sanitation officials performance with some efforts such as : the improvement of education, the improvement of social activities, providing accommodation, providing financial support, the better cooperation across program, leader support, the step by step reduction of double functions, better control to the sanitation officials and their motivation."

"Manajemen risiko rumah sakit adalah upaya untuk meminimalkan kerugian finansial rumah sakit yang berhubungan dengan kecelakaan dan mencegah kejadian yang tidak diharapkan. Manajemen risiko pelayanan keperawatan merupakan bagian dari manajemen risiko rumah sakit yang meliputi aktivitas identifikasi risiko, menganalisis risiko, mengontrol risiko dan pembiayaan risiko.Penelitian ini bertujuan untuk mengetahui hubungan persepsi perawat pelaksana terhadap manajemen risiko pelayanan keperawatan dengan kinerja perawat pelaksana di Rumah Sakit Pondok Indah Jakarta, dengan desain penelitian cross sectional, jumlah sampel 96, dilaksanakan pada tanggal 7 sampai dengan 11 Juli 2003.Hasil analisis, didapatkan variabel karakteristik dan persepsi perawat pelaksana tidak ada hubungan yang bermakna dengan kinerja perawat pelaksana. Secara proporsi, responden yang mempunyai persepsi manajemen risiko baik mempunyai kinerja baik lebih besar (64,6%) dibandingkan dengan proporsi responden yang mempunyai persepsi manajemen risiko buruk (52,1%).Disarankan kepada Rumah Sakit Pondok Indah Jakarta untuk dapat meningkatkan kinerja perawat pelaksana khususnya yang berkaitan dengan manajemen risiko yaitu perlu diadakan training dan pembinaan kepada perawat pelaksana yang mempunyai persepsi buruk terhadap manajemen risiko, perlu menciptakan budaya kesadaran pembuatan incident report, dan memasukan aktivitas manajemen risiko ke dalam performance appraisal.Daftar Pustaka 55 (1978-2002)An Analysis of the Relationship of the Nurses Practitioners Perception to the Hospital Risk Management Related to the Nursing Service with Nurses Practitioners Performance at Pondok Indah Hospital, Jakarta in 2003Hospital, risk management activities seek to minimize the hospital's financial loss in relation to incident and untoward events. The nursing service in the risk management as a part hospital risk management activities have an important role in risk identification, risk analysis, risk control and risk financing.

The purpose of this research to identify the relationship between nurse practitioners perception to the hospital risk management toward the nursing service and practitioners nurses performance at Pondok Indah Hospital, from July 7 until July 11, 2003. This research used cross sectional design, of 96 respondents.

The research results were found no significant correlation between characteristics and practitioners nurses perception with nurses practitioners performance. In a manner of proportion good risk management perception have a better performance (64,6%) more than bad risk management perception (52,1%).

Recommendation to the management includes; conducting regular training and couching in order to improve nurses practitioners performance who have bad perception of a risk management; create good climate to improve nurses awareness in writing prompt incident report, to develop performance appraisal in every activity of the risk management.

References 55 {1978-2002)"

"Petugas laboratorium Puskesmas Rujukan Mikroskopis merupakan tenaga yang sangat menentukan keberhasilan program P2TB dilingkungan wilayah kerja Sumatera Barat. Oleh karena itu tenaga laboratorium haruslah terampil dan memiliki kinerja yang baik. Tolok ukur kinerja adalah tingkat kesalahan pemeriksaan mikroskopis basil uji silang yang dilakukan oleh Dinas Kesehatan Propinsi Sumatera Barat bekerja sama dengan Balai Laboratorium Kesehatan Padang. Masih tingginya angka tingkat kesalahan di Sumatera Barat menunjukkan bahwa petugas laboratorium puskesmas terutama laboratorium PRM di Sumatera Barat belum memperlihatkan hasil yang diharapkan, dengan perkataan lain kinerja petugas laboratorium PRM belum baik.Tujuan penelitian ini adalah diperolehnya informasi tentang kinerja petugas laboratorium PRM Berta faktor-faktor yang berhubungan dengan kinerja petugas laboratorium PRM di Sumatera Barat. Faktor-faktor tersebut adalah pembinaan pimpinan, prosedur tetap, masa kerja, beban kerja, motivasi dan sarana kerja. Penelitian ini menggunakan rancangan cross sectional. Sampel penelitian adalah petugas laboratorium PRM yang ada di Sumatera Barat yaitu sebanyak 40 petugas. Data yang dikumpulkan merupakan data primer yang dilakukan dari 9 Oktober sampai 11 November 2000.Hasil penelitian menunjukkan bahwa kinerja petugas laboratorium PRM di Sumatera Barat baik 57,5%. Faktor pembinaan pimpinan, prosedur tetap, masa kerja, motivasi kerja dan kelengkapan sarana mempunyai hubungan yang bermakna dengan kinerja petugas laboratorium. Sedangkan pembinaan pimpinan merupakan faktor yang paling dominan mempengaruhi kinerja petugas. Penelitian ini menyarankan agar pembinaan oleh pimpinan dengan cara merobah pola manajemen puskesmas yang ada sekarang.

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Relationship of Factors with the Performance of Laboratory Workers of Microscopic Referral Community Health Center in West Sumatera in the Year 2000Microscopic Referral Community Health Center laboratory workers are very important personnel in achievement of P2TB program in the work area of West Sumatera. Therefore, the laboratory workers must be skillful and have good performance. The performance standard of the laboratory workers is the level of inaccuracy of the result of cross-microscopic examination done by the Health Office of the West Sumatera Province in cooperation with Padang Health Laboratory Center. The high level of inaccuracy in West Sumatera indicates that the community health center laboratory workers especially the PRM laboratory in West Sumatera have not indicated good result, in other words, the performance of the PRM laboratory is not good yet.The purpose of this research is to obtain information regarding the performance of the PRM laboratory workers and factors related to the performance of the PRM laboratory workers in West Sumatera. The factors are guidance by the leaders, fixed procedure, tenure, work load, motivation and facilities. This research used the cross sectional design. Sample of this research is the PRM laboratory workers that are available in West Sumatera namely 40 workers. The data collected are primary one and it was conducted from October 9 to November 11, 2000.The research result indicates that the PRM laboratory workers in West Sumatera who have good performance are 57.5%. The factors such as guidance by the leadership, fixed procedure, tenure, work motivation and availability of facilities have significant relationship with the performance of laboratory workers. While the leadership training is a predominant factor that affects the workers performance. This research suggests that guidance by the leader needs to be done better, in order to change the management pattern of the existing community health center."

"Salah satu standar untuk menilai kinerja perawat dalam pelaksanaan asuhan keperawatan adalah penilaian terhadap pendokumentasian asuhan keperawatan. Penelitian ini dilakukan dengan tujuan untuk mengetahui: kinerja perawat pelaksana dalam pendokumentasian asuhan keperawatan; tingkat pengetahuan perawat pelaksana tentang pendokumentasian asuhan keperawatan; persepsi perawat pelaksana tentang pelaksanaan supervisi pendokumentasian asuhan keperawatan; hubungan antara tingkat pengetahuan tentang pendokumentasian asuhan keperawatan dengan kinerja perawat pelaksana dalam pendokumentasian asuhan keperawatan; hubungan persepsi perawat pelaksana terhadap pelaksanaan supervisi pendokumentasian asuhan keperawatan dengan kinerja perawat pelaksana dalam pendokumentasian asuhan keperawatan.Metode yang digunakan adalah kuantitatif dengan pendekatan cross sectional. Sampelnya seluruh perawat pelaksana di ruang rawat inap kelas 2 dan 3 (46 orang). Instrumen dengan memakai Instrumen Studi Dokumentasi Penerapan Standar Asuhan Keperawatan di Rumah Sakit (Instrumen A darj Depkes 1995), kuesioner dan wawancara mendalam.Pada hasil penelitian didapatkan sebanyak 100% perawat pelaksana kinerjanya kurang dalam seluruh proses pendokumentasian asuhan keperawatan. Pengetahuan perawat pelaksana tentang pendokumentasian asuhan keperawatan 100% mempunyai skor diatas 70. Persepsi perawat pelaksana tentang pelaksanaan supervisi pendokumentasian asuhan keperawatan 80% mempunyai skor diatas 70. Tidak terdapat hubungan antara pengetahuan pendokumentasian asuhan keperawatan dengan kinerja perawat pelaksana dalam pendokumentasian asuhan keperawatan. Tidak terdapat hubungan antara persepsi perawat pelaksana terhadap pelaksanaan supervisi pendokumentasian asuhan keperawatan dengan kinerja perawat pelakisana dalam pendokumentasian asuhan keperawatan.Dengan hasil penelitian ini disarankan agar manajemen keperawatan RS X segera menyempurnakan Standar Asuhan Keperawatann dan mendistribusikan buku pedoman Standar Asuhan Keperawatan di setiap ruangan rawat inap.

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The Analysis of Nursing Performance in Documenting Care in In-Patient Care Unit of "X" General HospitalDocumenting care is one of several nursing activities which is measurable to asses the nursing performance that influence the quality of nursing care in a hospital. The objectives of this study were to asses the nursing performance in documenting care, to figure out factors which were involved (level of nurses' knowledge about documenting care and nurses' perception about supervision in documenting care); and to asses any relation between those factors and the nursing performance.

This was a cross sectional quantitative study, using questioners and interviews to collect information about nursing performance in documenting care from 46 nurses in the class 2 and 3 of In-Patient Care Unit. Then the nursing performance was compared with the Instruments for Study in Documenting the Application of Standard Nursing Care in a Hospital, published by Ministry of Health as the Instrument A, 1995. (Instrumen Studi Dokumentasi Penerapan Standar Asuhan Keperawatan di Rumah Sakit, Instrumen A dari Depkes 1995).

This study showed all respondents (100%) had good level of knowledge about documenting care (knowledge score above 70). Most of respondents (80%) had good perception about supervision in documenting care (perception score above 70). Even though, all respondents (100%) had poor performance in the whole aspects of documenting care. There were no relation not only between the level of nurses' knowledge and the nursing performance in documenting care, but also between the nurses' perception about supervision and nursing performance in documenting care.

The overall result of nursing performance in In-Patient Care Unit of "X" General Hospital was poor in documenting care.

This result suggested the management of Nursing Department of "X" General Hospital to improve the Standard of Nursing Care booklets, and then distribute them to all wards of In-Patient Care Unit."

"Dengan semakin bertambahnya jumlah pasien yang dirawat di Rumah Sakit Mohammad Hoesin Palembang (RSMH), beban kerja perawat pelaksana dirasakan semakin besar, Tenaga perawat di RSMH berjumlah 634 orang sedangkan jumlah kapasitas tempat tidur berjumlah 660 tempat tidur: Di instalasi Penyakit Dalam RSMH Palembang, jumlah tempat tidur (162 TT) dengan jumlah tenaga perawat (65 orang), atau rasio 2 : 5 menunjukkan bahwa RSMH Palembang sepertinya belum mencapai standar RS Tipe A dan B. Menurut Departemen Kesehatan ratio antara perawat dengan TT adalah 3 perawat : 2 tempat tidur. Hal ini salah satu penyebabnya adalah kurang meratanya pendistribusian tenaga perawat, disisi lain masih banyaknya tenaga perawat yang ditempatkan pada unit-unit non keperawatan. Tenaga perawat yang dipekerjakan di unit rawat jalan mencapai lebih dari 100 orang. Hal ini diduga rnerupakan salah satu faktor yang mempengaruhi kinerja perawat.Penelitian ini bertujuan untuk melihat hubungan antara beban kerja dengan kinerja perawat. Sampel dari penelitian ini adalah perawat pelaksana yang bekerja pada Ruang Rawat inap Instalasi Penyakit Dalam RSMH Palembang berjumlah 58 orang. Penelitian ini hanya menggunakan kuesioner tanpa dilakukan observasi.Hasil penelitian menunjukkan bahwa ada hubungan yang bermakna antara beban kerja dengan kinerja perawat (p=0,000), dengan subvariabel yang dominan dalam mempengaruhi kinerja perawat adalah sistem penugasan.Peneliti memberikan saran kepada RSMH Palembang, yang meliputi perbaikan dalam hal pendistribusian tenaga perawat, perlunya dilakukan supervisi yang terus menerus, perlunya evaluasi kinerja secara berkala dan pemberian penghargaan (reward). Selain itu peneliti juga menyararankan agar setiap perawat memahami Standard Operating Procedure (Protap) sebagai bentuk operasional dari sistem penugasan yang jelas dan terukur.

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The Relationship of Job Responsibility and the Task of Nursing Staff at in Patient Wards of Internal Deasease Unit in RSMH Palembang in 2003The more patients treated in RSMH Palembang, the bigger job responsibility the nursing staffs have. The nurse working load get larges, the totality of whole nurses in Dr. Mohammad Hoesin Hospital now are 634 man, and total of capacity of hospital's bed are 660 beds. In the Department of Interns the ratio of the beds (165 beds) compared with numbers of nursing staff (65 nurses) or in the ratio of l to 2,5 shows that RSMH Palembang nursing staff is 3 nurses to 2 beds. One of the reason is unspread about distribution of a nursing staff, on the other side, still a lot of a nursing staff to get position in non-nursing units, beside that about 100 nursing staff does at out patient unit. This is supposed to have affected the tasks of a nursing staff. On the other side, a nursing staff does a lot more administrative work than does her nursing routine tasks. This is supposed to have affected the tasks of a nursing staff.

This research is aimed to observe the relationship between the job responsibility with the task of nursing staff. The samples of this research are 58 nurses working at the in patient wards of Internal Disease Unit in RSMH Palembang.

The result of this research shows that there is a significant relationship between the job responsibility with the task of nursing staff and the dominant variable which influence the nursing staffs task is the system of order.

The researches suggests that increase i.e. nurse distribution, continuous supervision, periodic evaluation of the tasks, and reward given. The other case the researches suggest that every nursing staff at RSMH Palembang should understand Standard Operating Procedure (Protap) as an operational form a distinct and measurable order system."

"Salah satu program puskesmas yaitu Pelayanan Kesehatan Gigi dan Mulut, dimana program ini ditujukan kepada keluarga dan masyarakat di wilayah kerja puskesmas, oleh karena itu pelayanan kesehatan gigi dan mulut dapat dilaksanakan di gedung puskesmas maupun diluar gedung puskesmas seperti di Sekolah Dasar (SD), kegiatan pelayanan kesehatan gigi dan mulut di SD disebut Usaha Kesehatan Gigi dan Mulut Sekolah (UKGS).UKGS adalah upaya kesehatan gigi dan mulut pada anak SD dititikberatkan pada upaya penyuluhan dan pencegahan berupa penyuluhan dan gerakan sikat gigi masal serta dilakukan pemeriksaan kesehatan gigi dan mulut pada setiap murid. Kabupaten Muara Enim merupakan salah satu Kabupaten di Propinsi Sumatera Selatan dengan jumlah SD sebanyak 598 buah yang terletak di 18 Kecamatan, jumlah puskesmas sebanyak 25 buah puskesmas. Semua puskesmas telah memiliki perawat gigi sebagai tenaga pelaksana UKGS, namun demikian bila dilihat dari hasil cakupan kegiatan UKGS masih rendah bila dibandingkan dengan beberapa Kabupaten yang ada di Propinsi Sumatera Selatan. Cakupan jumlah SD UKGS merupakan pengukuran untuk penilaian kinerja bagi tenaga pelaksana UKGS puskesmas.Penelitian ini dilakukan dari bulan April sampai dengan bulan Juni tahun 2001 di 25 puskesmas dimana tenaga pelaksana UKGS bertugas. Sampling dalam penelitian ini tidak dilakukan karena seluruh populasi dimanfaatkan untuk dianalisa (total populasi). Tujuan dari penelitian ini adalah diperolehnya informasi tentang faktor-faktor yang berhubungan dengan kinerja tenaga pelaksana UKGS puskesmas. Penelitian ini dilaksanakan dengan menggunakan rancangan studi "cross sectional". Untuk menunjang data kuantitatifkemudian dilakukan pendekatan secara kualitatif.Hasil penelitian ini menunjukkan bahwa kinerja tenaga pelaksana UKGS puskesmas di Kabupaten Muara Enim sebesar 55,5%. Dan analisis bivariat diperoleh adanya hubungan yang bermakna antara umur, pelatihan, lama kerja, persepsi peran, motivasi dan kepemimpinan dengan kinerja tenaga pelaksana UKGS puskesmas. Dari hasil penelitian kualitatif melalui wawancara mendalam ternyata kurang termotivasinya tenaga pelaksana UKGS selama ini disebabkan karena kurangnya perhatian dan bimbingan dari pimpinan puskesmas maupun dari Dinas Kesehatan Kabupaten serta adanya persepsi dari tenaga pelaksana UKGS bahwa program UKGS bukan merupakan program prioritas di puskesmas yang semua ini menimbulkan dampak berkurangnya motivasi tenaga pelaksana UKGS terhadap cakupan UKGS di puskesmas yang berakibat rendahnya kinerja tenaga pelaksana UKGS puskesmas.Saran yang dapat diberikan dari hasil penelitian ini adalah agar Dinas Kesehatan Kabupaten Muara Enim menyelenggarakan pelatihan UKGS bagi seluruh tenaga pelaksana UKGS puskesmas, bagi Kepala Puskesmas diharapkan lebih memotivasi tenaga pelaksana UKGS dengan Cara memberi perhatian dan bimbingan kepada petugas, karena untuk pencapaian kinerja yang baik perlu didukung suatu motivasi kerja dari tenaga pelaksana UKGS.

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Factors Related to Performance of UKGS Personnel of Community Health Center in Regency of Muara Enim, 2001One of the Community Health's Program is Dental and Mouth Health Service, in which is intended for the family and the community in the working area of the Community Health Center, therefore the dental and mouth health service can be implemented in the community health center or outside of the building such as in the Elementary School, the dental and mouth health service activities in the elementary school is called School Dental and Mouth Health Efforts (UKGS).

The UKGS is an effort of dental and mouth health service for elementary school children which is focused on guidance and prevention and mass teeth brushing movement and dental health check-up for each of the student. Muara Enim Regency is one of regencies within the Province of South Sumatra with 598 elementary schools which are located in 18 Sub-District, and 25 units of community health centers. All community health centers have owned its dental nurses as UKGS personnel, however, its activities are still low (in terms of the coverage) compared to several other existing regencies. The coverage here means the number of elementary school covered by UKGS program which is the way to measure the work performance of all UKGS personnel of the community health centers.

This research had been done from April to June 2001 in 25 community health centers in which the UKGS personnel work. A total sample of the 25 community health centers had been selected. The purpose of this research is to obtain information regarding factors related to work performance of the UKGS personnel of the community health centers. This research is done by using cross-sectional study. In order to support the quantitative data, qualitative approach is then used.

The result of this research indicates that the work performance of UKGS personnel of the community health centers in Regency of Muara Enim is 55,5°/x. From bivariate analysis obtained, there is significant relationship between age, training, tenure, role perception, motivation and leadership with the performance of the UKGS personnel of the community health centers. From the result of this research, through in-depth interview, it turns out that the lack of motivation of the UKGS personnel for the time being is due to the lack of concern and training from the Head of the community health centers and from the Regency Health Office. It is also comes from the perception of the UKGS personnels themselves that the UKGS program is not a top priority program in the community health center. All of these together could cause the decreasing motivation of the UKGS personnel towards the UKGS coverage in the community health center and in return could give the low of the work performance of UKGS personnel in the community health centers.

The suggestion that be presented from this research is it is better for the Health Office of Muara Enim Regency to conduct UKGS training for all UKGS personnel of the community health centers. The Head of the community health centers is expected to give more motivation to the UKGS personnel by giving concern and guidance to the personnel, because in order to achieve good performance, a full support of working motivation from UKGS personnel is needed."

"Penanggulangan TB di Propinsi Lampung dan juga Kabupaten Tanggamus mencakup upaya pengobatan dengan target angka kesembuhan minimal 85% dari kasus baru TB BTA positif setiap tahunnya, serta cakupan penemuan penderita secara bertahap setiap tahunnya diupayakan agar mencapai 70% pada tahun 2005, yang dilakukan melalui unit pelayanan Puskesmas yang ada dan unit pelayanan kesehatan lainnya.Di Propinsi Lampung penanggulangan TB sampai saat ini belum menunjukkan hasil yang memuaskan. Hal itu terlihat dari cakupan penemuan penderita TB BTA positif pada tahun 2002 baru mencapai 26%, dengan angka kesembuhan 68%. Demikian juga di Kabupaten Tanggamus, walaupun penanggulangan TB sudah menggunakan strategi DOTS dengan panduan obat jangka pendek yang diberikan secara cuma-cuma, tetapi penemuan penderita TB BTA Positif hanya mencapai 22% dengan angka kesembuhan sebesar 66%.Tenaga perawatan kesehatan masyarakat (Perkesmas) dalam menangani penderita tuberkulosis menggunakan pendekatan proses keperawatan dengan tahapan mulai dari pengkajian terhadap penderita untuk mengumpulkan data, menganaiisa dan mengindetifikasi masalah yang berhubungan dengan penderita, kemudian melaksanakan penanganan dan bertindak sebagai PMO serta melakukan penilaian untuk memantau perkembangan penderita.Tujuan penelitian ini untuk mengetahui gambaran kinerja petugas perawat kesehatan masyarakat, mengetahui hubungan karakteristik responden dan karakteristik penelitian dengan kinerja petugas perawat kesehatan dan mengetahui variabel yang paling berhubungan terhadap kinerja petugas perawat kesehatan masyarakat dalam penanganan penderita TB di Kabupaten Tanggamus.Penelitian ini menggunakan desain cross sectional/potong lintang, dimana pengukuran variabel bebas yaitu variable individu, variabel organisasi, dan variabel psikologis, dan variabel terikat yaitu kinerja petugas perawatan masyarakat dilakukan secara bersamaan. Pengukuran variabel bebas dan terikat menggunakan kuesioner.Hasil penelitian menunjukkan bahwa proporsi responden yang mempunyai kinerja baik dan kinerja tidak baik sama besar, yaitu masing-masing 50%, terdapat hubungan yang bermakna antara karakteristik responden (umur, jenis kelamin) dengan tingkat kinerja petugas perawat kesehatan, terdapat hubungan yang bermakna antara karakteristik penelitian (lama kerja, pengalaman, imbalan, kepemimpinan, motivasi) dengan tingkat kinerja petugas perawat kesehatan dan varibel yang paling berpengaruh terhadap tingkat kinerja petugas perawat kesehatan adalah lama kerja dan motivasi.

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Factors Related to the Performance of Public Health Nurse on Handling Tuberculosis Patients at the District of Tanggamus, Province of Lampung, 2004To overcome tuberculosis (TB) in the Province of Lampung and the District of Tanggamus has been conducted the therapeutic efforts by achieving minimal cure rate target that is 85% out of new cases of TB with BTA positive in every year and also the coverage of patient found gradually reaches 70% in 2005 which is conducted at available Puskesmas and another community health centers.

At the present, the handling of TB has not been showing a satisfactory result. It was shown from the coverage of TB patients with BTA positive in 2002 just reached 26% with cure rate 68%. Although the handling of TB in the District of Tanggamus has used DOTS Strategy in which using integrated short-term medicines for free but the patients of TB with BTA positive revealed 22% with cure rate 66%.

Public health nursing staffs (Perkemas) in handling TB patients used nursing process approach initiated from patient review to collect data, to analyze, and to identify the problems related to the patient, to conduct the treatment and acted as'PMO and also to evaluate in monitoring the patient progress.

The study was aimed to assess the performance of public health nurse, to assess relationship between the characteristics of respondent and research arid the performance of public health nurse on handling TB patients in the District of Tanggamus.

The study used cross sectional design in which the measurement of independent variables including individual, organization, and psychological variables were assessed at the same time with dependent variables of the performance of public health nurse. The measurement used questionnaire.

The study resulted that proportion of respondent who had good performance and inadequate performance was equal, 50% in each. There was significant relation between the characteristics of respondent (age and sex) and the performance level of public health nurse. Also there was significant relation between the characteristic of research (work span, experience, incentive, leadership, motivation) and the performance level of public health nurse. The most dominant variables towards the performance level of public health nurse were work span and motivation."

"Organisasi Dinas Kesehatan Kota Pontianak dimasa depan dituntut untuk lebih profesional bukan saja karena desakan dan tuntutan dari masyarakat pengguna, akan tetapi juga karena adanya perubahan -kewenangan pemerintahan daerah. Untuk menghadapi tuntutan tersebut perlu diantisipasi dengan baik agar Dinas Kesehatan Kota Pontianak mampu secara cepat dan tepat mengakomodir tuntutan tersebut.Keadaan yang dihadapi saat ini, dalam rangka mengantisipasi otonomi daerah tersebut adalah rendahnya kinerja organisasi. Untuk memperbaiki kinerja tersebut maka dilakukan suatu kegiatan intervensi budaya mutu dengan model kalakarya, berupa pembinaan dan pembimbingan Total Quality Management terhadap kinerja organisasi Dinas Kesehatan Kota Pontianak.Masalah kinerja yang diteliti disini, dibatasi dalam lingkup Kinerja Sistem Pencatatan dan Pelaporan Terpadu Puskesmas (SP2TP) yang dalam pelaksanaannya dikoordinasikan oleh Kepala Seksi Pemulihan Kesehatan selaku Koordinator Organisasi Tim SP2TP Dinas Kesehatan Kota Pontianak.Penelitian ini bertujuan untuk mendapatkan informasi yang mendalam tentang pengaruh intervensi budaya mutu terhadap kinerja SP2TP serta diketahuinya komponen-komponen yang penting sebagai karakteristik budaya organisasi yang berorientasi Total Quality Management untuk peningkatan kinerja SP2TP.Kegiatan intervensi ini merupakan action reseach, dengan jenis penelitian Quasi Experiment Design dan bentuk desain penelitiannya Non Randomized Pretest Posttest (Self} Control Group Design, yang dilakukan oleh Tim dari FKM-UI bekerja sama dengan Kanwil Depkes Propinsi Kalimantan Barat. Peneliti membatasi diri pada penelitian kualitatif untuk menganalisa pengaruh intervensi tersebut terhadap Kinerja SP2TP Dinas Kesehatan Kota Pontianak, dengan analisis thematic approach. Pengumpulan data dilakukan dengan metode pengamatan dan wawancara mendalam. Jumlah sampel untuk wawancara mendalam sebanyak 10 informan.Hasil penelitian memperlihatkan bahwa adanya perubahan peningkatan kinerja SP2TP secara bertahap, namun hasilnya belum sesuai dengan yang diharapkan. Hal ini disebabkan karena: Pertama; penghayatan visi dan misi serta tugas pokok dan fungsi, baru sampai pada tahap "awareness" untuk revitalisasi visi dan misi organisasi Dinas Kesehatan Kota Pontianak. Kedua; koreksi hasil entri data laporan SP2TP serta pengolahan dan analisanya tidak dilakukan oleh para pengelola program selaku anggota tim SP2TP karena koordinator SP2TP tidak melaksanakan koordinasi dalam proses manajerial SP2TP Dinas Kesehatan Kota Pontianak.Kesimpulan dari hasil penelitian ini adalah Kinerja SP2TP Dinas Kesehatan Kota Pontianak masih rendah. Rendahnya Kinerja SP2TP ini mengakibatkan keputusan yang diambil oleh jenjang administrasi kesehatan yang lebih tinggi berdasarkan informasi yang bersumber dari data Laporan Triwulanan SP2TP yang kualitas datanya kurang terjamin/datanya tidak valid. Hal ini disebabkan karena tidak diberdayakannya para pengelola program selaku anggota tim SP2TP dalam proses manajerial SP2TP melalui koordinasi lintas program serta kurangnya penghayatan visi dan misi serta tugas pokok dan fungsi para pelaksana dan pengelola program yang merupakan komponen penting dalam peningkatan kinerja disamping komponen kepemimpinan dan ketrampilan manajerial dari Koordinator Tim SP2TP Dinas Kesehatan Kota Pontianak yang kurang mendukung.Untuk meningkatkan kinerja SP2TP Dinas Kesehatan, disarankan untuk menghayati tugas pokok dan fungsi Organisasi Tim SP2TP dan menggerakan pelaksanaan koordinasi lintas program untuk memberdayakan Anggota Tim SP2TP yang dipimpin oleh Koordinator SP2TP, sehingga adanya keterpaduan pencatatan dan pelaporan antar program, yang pada akhirnya akan meningkatkan kinerja SP2TP khususnya dan kinerja Dinas Kesehatan Kota Pontianak pada umumnya.Daftar bacaan : 32 (1987 - 2000)

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The Health Department of Pontianak City is expected to become more professional in the near future. Such expectation arises from not only the people but the change of local government administration. To be able to meet the expectation immediately and appropriately, the Health Department of Pontianak City should have a sound anticipatory measure.The existing problem in anticipating local autonomy is inadequacy in the performance of the Health Department. To improve the performance, therefore, a quality culture intervention is conducted. The intervention takes a periodical workshop model in which training and coaching concerning Total Quality Management on the performance of the Health Department are provided.The problem of performance under this study was focused on Kinerja Sistem Pencatatan dan Pelaporan Terpadu Puskesmas (SP2TP) or Performance of Puskesmas Integrated Recording and Reporting System. The implementation of SP2TP was under the coordination of Chief of Health Recovery Section who acted as the coordinator of SP2TP team of the Health Department.This study was aimed at collecting in-depth information on the effect of the quality culture intervention on the performance of SP2TP as well as examining significant characteristics of the organization culture that are Total Quality Management oriented in the improvement of SP2TP performance.The intervention was conducted by means of action research. The research employed a Quasi Experiment Design and the research design was Non Randomized Pretest and Posttest (Self) Control Group Design conducted by a team of FKM-UI in cooperation with the Provincial Office of the Health Department of West Kalimantan. The researcher limited the study to a qualitative one attempting to analyze the effect of such intervention on the performance of SP2TP of the Health Department of Pontianak City. The analysis used a thematic approach. Data collection was conducted by means of observation and in-depth interview. The number of respondents involved in the interview was 10.The study result shows that there is a gradual improvement in the performance of SP2TP although the output has not met the set goal, yet. There are some reasons underlying such output. First, in terms of vision, mission, main tasks and functions, the organization has reached an "awareness" phase to revitalize its vision and mission. Second, correction, analysis and use of data entry results of SP2TP reports have not been carried out by the program operatives as members of SP2TP team. Such members' performance is caused by lack of coordination by the SP2TP coordinator in its managerial process.The study concludes that the performance of SP2TP of the Health Department of Pontianak City is still low. The low performance affects the quality of decisions made by higher health administration because the SP2TP three-monthly reports by which the decisions are made may be less reliable and valid. Such low performance is caused by less empowerment of the program operatives as members of SP2TP team in its managerial process through cross program coordination. Another reason is that the vision, mission, main tasks and functions of the program operatives. which are significant components in the performance improvement, are not fully comprehended. In addition, the low performance is due to inadequacy of leadership and managerial skills of the team coordinator.To improve the performance of SP2TP team, main tasks and functions of the SP2TP team have to be fully understood, the coordinator of SP2TP team should conduct cross program coordination and team member empowerment so that the recording and reporting among programs can be integrated and the performance of SP2TP in particular or the Health Department of Pontianak City in general is eventually improved.References: 32 (1987 - 2000)"

"The objective of this research is done to know the work procedure of the security guard in the correctional facility of class IIA Yogyakarta. According to Gibson that attitude or behavior (B) of one employee is the function of individual (I), organization (O) and psychology (P).B=f (I,O,P)For further, Gibson shows that the work procedure or work achievement and individual behavior is influenced by the three variables that are individual variable, organizational variable and psychology variable. The individual variable consists of the ability and the skill; the families backgrounds either the social level or demography. The ability and the skills are one of the things that hold a role in deciding the one's of work procedure. The psychological procedure consists of perception, attitude, personality and motivation. The organization variable consists of the resources, leadership, repayment, structure and the work design.Focusing from Gibson's opinions, the writer formulates that the most influence factor of the employee work procedure are the ability and the skill that in this case connected with the educational level, compensation, payment and work motivation which is possessed by those employee.The population in this research is the security guard in the correctional facility of class IIA Yogyakarta. The security guards that is become responden in this research consists of the KPLP Staff (Kesatuan Pengamanan Lembaga Pemasyarakatan), the security guard group I up to 5 of the block of woman of the KPLP Staff. The sample is stated by using the proportional stratified random sampling method, and from the 80 questionnaires which are distributed and they are 65 questionnaires that are collected again. The questionnaire that is used in this research is kind of closed question and answered list with the suitable answer valuable. The scale that is being used in this research is Likert Scale which is known as summated ratings method.The data processing and analysis is by using SPSS (Statistical Product and Service Solutions) version 11. The cross tabulation analysis is done to know how far the relations between the independent variable and the dependent variable that is the relation between the educational level which is in this case consists of the formal education level and the training that ever take financial compensation variable that are consists of the salary and extra allowance that they get, motivation variable with the work procedure variable of the security guard in the correctional facility.After doing the calculation with SPSS (Statistical Product and Service Solutions) version 11 by using Spearman correlation measurement method could get that the value of the relation between formal education and work procedure of security guard is 0,426 with the significant degree in the level of 0,00. So it can be concluded that there is real relation between the formal education and the work procedure of the security guard but there is only weak relation. While for the relation between the training of the work procedure of security guard with the level of relation is 0,605 with the significant degree 0, 00. So, it can be concluded that real relation between training/provisioning with the work procedure of the security guard and there is strong relation on it.While for the relation between financial compensation perception with the work procedure of the security guard and the result is founded in 0,662 with the significant degree in the level of 0,00. So it can be concluded that there is a relation between financial compensation perceptions with the work procedure of the security guard and there is strong relation/connection. The relation between the amount of salary and the work procedure of the security guard is get the relation 0,693 with the significant degree in the level of 0,00. So, it can be concluded that there is a relation between the amounts of the salary with the work procedure of the security guard and there is strong relation. While the relation between the perception of motivation and work procedure of the security guard is in the amount of 0,722 with the significant degree is 0.00. So, it can be concluded that there is a relation between the motivation perception and the work procedure of the security guard and the relation is strong."