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"Kualitas pelayanan rumah sakit sangat ditentukan oleh pelayanan keperawatan. Kinerja perawat merupakan kunci utama dalam pelayanan keperawatan. Kinerja ini dipengaruhi oleh karakteristik individu (umur, jenis kelamin, masa kerja, status perkawinan, dan status kepegawaian) dan faktor organisasi (kepemimpinan, supervisi, dan imbalan). Tujuan penelitian ini adalah diketahui hubungan antara karakteristik individu dan faktor organisasi (kepemimpinan, supervisi, dan imbalan) dengan kinerja perawat pelaksana di RSUD Langsa, Nanggroe Aceh Darussalam (NAD). Metode penelitian yang digunakan adalah deskriptif korelasi dengan pendekatan cross sectional. Sampel diambil dengan teknik acak proporsional pada 98 perawat di RSUD Langsa. Instrumen yang digunakan adalah kuesioner dan pedoman observasi. Analisis data menggunakan uji t independen, korelasi Pearson, dan regresi linier berganda. Hasil penelitian ini menunjukkan bahwa ada hubungan kepemimpinan (p=0,000), supervisi (p=0,000), dan imbalan (p=0,018) dengan kinerja perawat, di mana supervisi merupakan variabel yang paling dominan mempengaruhi kinerja perawat. Setiap peningkatan kemampuan supervisi kepala ruangan maka kinerja perawat akan meningkat sebesar 0,195 setelah dikontrol variabel umur, lama kerja, dan kepemimpinan. Saran dari temuan ini adalah perlunya melakukan supervisi secara berkala, menggunakan pedoman supervisi yang baku dan melakukan penilaian kinerja yang objektif dalam upaya peningkatan kinerja perawat pelaksana.

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Quality of hospital care is determined by nursing care. Nurse performance is key factor in nursing care. Nurse performance is influenced by individual characteristic (age, sex, length of work,marriage status, job status) and organization factor (leadership, supervision and reward system). The objectives of research are describing the relation of individual characteristic (age, sex, length of work,marriage status, job status) and organization factor (leadership, supervision and reward system) with nursing performance in General Hospital Langsa, Nanggroe Aceh Darussalam (NA). The research was using descriptive correlation design and cross sectional approach. Sample was chosen by tehnic proportional in 98 nurse in nursing wards of General Hospital Langsa. Data were collected using questionnaires and observation. The research was analyzed by T Independen test, correlation pearson and double regression linier.

The result from the research has shown that there are relation of leadership (p = 0,000), supervision (p = 0,000) and reward (p = 0,018) with nurse performance. Supervision is the most influenced nurse performance. Every increase competency supervision from head nurse, will increase 0,195 nurse performance after is controlled by age, length of work and leadership. The recomendation from this finding is application of supervision with routine, use standard for supervision, and objective evaluation performance for getting better from nurse executive performance."

"ABSTRAKKinerja adalah tingkat pencapaian hasil atas pelaksanaan tugas tertentu. Beberapa variable yang berhubungan dengan kinerja adalah fungsi manajerial kepala ruangan. RSUD Budhi Asih merupakan rumah sakit milik Pemda DKI yang selalu meningkatkan mutu pelayanan keperawatan, salah satunya dengan melaksanakan MPKP di 3 ruang rawat inap. Namun sampai saat ini belum pernah dilakukan penelitian tentang pelaksanaan fungsi manajerial kepala ruangan dengan kinerja perawat di ruang MPKP dan NonMPKP. Penelitian ini merupakan penelitian deskriptif dengan desain potong lintang yang bertujuan untuk mengatahui hubungan persepsi perawat pelaksana tentang pelaksanaan fungsi manajerial kepala ruangan dengan kinerja perawat di ruang MPKP dan non MPKP Rumah Sakit Umum Daerah Budhi Asih Jakarta. Sampel penelitian ini adalah seluruh populasi perawat pelaksana yang memenuhi kriteria inklusi sebanyak 109 perawat, sedangkan metode pengumpulan data menggunakan instrumen kuesioner. Analisa hubungan antar variabel dilakukan melalui uji kai kuadrat.Hasil penelitian menunjukkan tidak ada hubungan yang bermakna antara fungsi perencanaan, pengorganisasian, pengawasan kepala ruangan dengan kinerja perawat pelaksana diruang MPKP, adanya hubungan yang bermakna antara fungsi pengarahan kepala ruangan dengan kinerja perawat pelaksana diruang MPKP, adanya hubungan yang bermakna antara fungsi perencanaan, pengorganisasian, pengarahan dan pengawasan kepala ruangan dengan kinerja perawat pelaksana diruang NonMPKP. Faktor yang paling dominan mempengaruhi kinerja perawat diruang MPKP adalah fungsi pengarahan, sedangkan di ruang Non MPKP adalah fungsi pengorganisasian. Usulan dari hasil penelitian ini bagi Pimpinan Rumah Sakit dan Kepala Bidang Keperawatan perlunya membentuk tim mutu keperawatan, pemberdayaan kepala ruangan, menerapkan standar kompetensi kepala ruangan, pengembangan sumber daya keperawatan. Bagi peneliti lebih lanjut perlu dilakukan penelitian lain untuk menjawab fenomena secara spesifik melalui rancangan penelitian lain yang ada kaitannya dengan kinerja perawat.

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ABSTRACT

Performance is a result target level on special duty implementation. Some variables which related to performance are managerial function of room head. RSUD Budhi Asih is a hospital of district government at DKI which always increases nursing care quality. One of them is MPKP implementation at 3 inpatient rooms. But until now it has not been done a research of managerial function implementation of room head by nurse performance at MPKP and non MPKP room. This research is descriptive research by a cross sectional design. Purpose of this research is to find related between executor nurse perception on managerial function implementation of room head and nurse performance at MPKP and non MPKP room of RSUD Budhi Asih in Jakarta. This research samples are all executor nurses population who fulfilled an inclusion criterion, they are almost 109 nurses, while collecting data used a questionnaire instrument method. Analysis of related each variable have been done by kai square test.

Research result indicated that there was no good relationship between planning function, organizational, observation of room head on executor nurse performance at MPKP room. There was a good relation between planning function, organizational, observation of room head on executor nurse performance at Non MPKP room. Dominant factor which effects of nurse performance at MPKP room is guidance function, while at Non MPKP room is an organizational function. From this research result, it was suggested for head of hospital and head of nursing department and room head to form a quality nursing team, enabling of room head, applying room head competency, developing of nursing resource. For next researcher, it is important to do by other research for answering phenomenon specifically by the other research design concerning with nurse performance."

"ABSTRAK Model kepemimpinan kepala ruangan dapat meningkatkan kinerja perawat pelaksana dalam memberikan asuhan keperawatan. Tujuan penelitian ini adalah untuk mengidentifikasi hubungan model kepemimpinan kepala ruangan dengan kinerja perawat pelaksana. Metode penelitian menggunakan cross sectional, proses analisis data menggunakan analisis univariat, bivariat, dan multivariat. Hasil penelitian didapatkan model kepemimpinan yang berhubungan dengan kinerja adalah servant, visioner, dan transaksional. Model kepemimpinan yang paling dominan berhubungan dengan kinerja adalah servant (p value 0,0001; α= 0,05; CI: 2,733-11,853; Odd Ratio: 5,691). Kepala ruangan yang dipersepsikan oleh perawat pelaksana menggunakan model kepemimpinan servant berpeluang meningkatkan kinerja perawat pelaksana sebesar 5 kali lebih tinggi dibandingkan dengan yang tidak dipersepsikan menggunakan model kepemimpinan servant. Hasil penelitian ini merekomendasikan kepada pimpinan RSAB Harapan Kita khususnya untuk kepala ruangan dapat menggunakan model kepemimpinan servant dalam peran dan fungsinya untuk meningkatkan kinerja perawat pelaksana.

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ABSTRACT

Head nurse leadership model can improve the performance of nurses in providing nursing care. The purpose of this study was to identify the correlation between the head nurse leadership model and the nurses? performance. This study applied a cross-sectional method. Data were analyzed using univariate, bivariate, and multivariate analyzes. The results showed that the leadership model related to the performance were servant, visionary, and transactional. The most dominant leadership model related to the performance was servant (p value= 0.0001; α= 0.05, CI: 2.733 to 11.853; odds ratio: 5.691). Head nurses that were perceived by nurses as using the servant leadership model had opportunity to improve the nurses? performance 5 times higher than those who were not perceived as using the servant leadership model. It is recommended that the head of Harapan Kita Hospital, especially the head nurses, to apply the servant leadership model in their roles and functions to improve the nurses? performance."

"Penelitian kuantitatif cross sectional ini bertujuan untuk mengetahui faktor - faktor yang berhubungan dengan kinerja perawat, yang dilakukan terhadap 240 responden, menggunakan kuesioner penelitian dengan analisis univariat, bivariat, dan multivariat. Hasil penelitian menunjukkan variabel yang berhubungan dengan kinerja adalah pengembangan karir (p 0,008 < α 0,05), beban kerja (p 0,013 < α 0,05) dan umur (p 0,03 < α 0,05). Rekomendasi untuk pimpinan rumah sakit dan keperawatan agar lebih meningkatkan kinerja perawat melalui peningkatan kesejahteraan berupa pengembangan karir terutama mendapatkan pendidikan berkelanjutan atau kursus yang berhubungan dengan keahlian, dengan cara loby ke Mabes TNI, Kemhan dan institusi pendidikan (Universitas Pembangunan Nasional, Universitas Hang Tuah) serta farmasi obat.

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This cross sectional quantitative research study was aimed to identify factors related to nurse performance, conducted on 240 respondents, using a questionnaire study with univariate analysis, bivariate and multivariate. The results showed that variables related to nurse performance is career development (p 0.008 < α 0.05), workload (p 0.013 < α 0.05) and age (p 0.03 < α 0.05). Recommendations for hospital and nursing leadership to further improve our performance through improving the welfare of nurses in the form of career development, especially to get continuing education or skill-related courses, with the way management approach to the armed force Headquarters, Ministry of Defense and security, and educational institutions (National Development University, University of Hang Tuah) and pharmaceutical drugs."

"[Skripsi ini membahas hubungan kualitas kehidupan kerja dengan Kinerja perawat rawat inap RSUD Leuwiliang. Penelitian ini menggunakan penelitiankuantitatifdengan desain cross sectional, jumlah populasi pada penelitian ini adalah 84 orang, menggunakan alat ukur kuisoner, analisis yang digunakan adalah analisis univariat dan bivariat dengan uji statuistk chi-square.Hasil penelitian,2 (dua) variabel signifikan berhubungan dengan kinerja perawat yaitu variabel keterlibatan perawat dan variabel penyelesaian masalah. Saran untuk RSUD Leuwiliang bogor yaitu meningkatkan keterlibatan perawat, karena dengan meningkatkan keterlibatan perawat akan meningkatkan kinerja perawat 3 kali lebih tinggi dibandingan dengan perawat yang tidak terlibat dalam pekerjaannya;This study discusses teh relationship between quality of work life and nurses performance in inpatient ward, in Leuwiliang Hospital, 2015. This is a quantitatife study with cross-sectional study design, using questionnaires and total sample of 84 nurses. The result showed that nurse involvment and problems solution are the factors related significantly with nuses performance. This study suggested that Leuwiliang Hospital should increase the involvement of nurses, so that it willimprove the performance Of nurses three timeshigher compared with the nurseswho were not involved in the work;This study discusses teh relationship between quality of work life and nurses performance in inpatient ward, in Leuwiliang Hospital, 2015. This is a quantitatife study with cross-sectional study design, using questionnaires and total sample of 84 nurses. The result showed that nurse involvment and problems solution are the factors related significantly with nuses performance. This study suggested that Leuwiliang Hospital should increase the involvement of nurses, so that it willimprove the performance Of nurses three timeshigher compared with the nurseswho were not involved in the work, This study discusses teh relationship between quality of work life and nurses performance in inpatient ward, in Leuwiliang Hospital, 2015. This is a quantitatife study with cross-sectional study design, using questionnaires and total sample of 84 nurses. The result showed that nurse involvment and problems solution are the factors related significantly with nuses performance. This study suggested that Leuwiliang Hospital should increase the involvement of nurses, so that it willimprove the performance Of nurses three timeshigher compared with the nurseswho were not involved in the work]"

"ABSTRAKCitra perawat sebagai pemberi jasa layanan kesehatan dinilai melalui kemampuan perawat memberikan perawatan, memahami klien, dan perilaku perawat. Penelitian ini bertujuan untuk mendapatkan gambaran bagaimana persepsi masyarakat terhadap citra perawat di Balkesmas Sint Carolus. Desain penelitian yang digunakan yaitu fenomenologi deskriptif dengan teknik pengambilan sampel purposive sampling. Partisipan merupakan tujuh orang dewasa yang memiliki pengalaman berinteraksi dengan perawat dan mendapatkan pelayanan keperawatan di Balkesmas Sint Carolus. Wawancara mendalam digunakan dalam pengumpulan data dengan bentuk pertanyaan terbuka semi terstruktur. Hasil wawancara direkam menggunakan tape recorder dan handycam, dibuat transkrip verbatim, dan dianalisis dengan metode Colaizzi (1978). Keabsahan data dijamin dengan memenuhi prinsip validitas internal, validitas eksternal, dependability, dan confirmability. Penelitian menghasilkan 10 tema tentang persepsi masyarakat terhadap citra perawat. Persepsi terkait citra pelayanan keperawatan mengidentifikasi proses pelayanan yang memuaskan melalui pelayanan komunikasi, administrasi, dan sikap pelayanan yang berespon terhadap kebutuhan klien. Persepsi terhadap citra perilaku perawat mengidentifikasi identitas perawat dan kinerja yang cukup positif. Persepsi terkait citra peran dan fungsi perawat berdasarkan jenis peran, cara berperan, dan sifat peran masih perlu diberi uraian tugas yang jelas. Makna persepsi masyarakat adalah citra yang positif dalam sikap dan sifat pelayanannya. Hambatan dalam mendapatkan pelayanan keperawatan tidak dialami partisipan. Harapan terhadap perawat meliputi peningkatan proses pendidikan, sikap, komunikasi, tampilan, jumlah, dan kedisiplinan perawat. Harapan terhadap pelayanan keperawatan meliputi target dan cara layanan, serta pelayanan yang lebih baik. Penelitian ini menyimpulkan citra perawat di Balkesmas Sint Carolus Kelurahan Paseban Jakarta Pusat yang positif. Citra keperawatan positif dapat meningkatkan kepuasan masyarakat dan menjadi promosi bagi pelayanan keperawatan.

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ABSTRACTImage of nurses who deliver health care services are seen through their ability to care, their capacity to understand client and also their attitude. The purpose of this study was to explore peoples? perception on nurses? image at Sint Carolus Community Health Services. A phenomenological study using a purposive sampling method was employed to this study. Seven adults who experienced an interaction with the nurse and also used nursing service at Sint Carolus Community Health Services participated in this study. The data were gathered by the use of in-depth interview technique using a semi structured and open ended questionnaires. The interview was tape-recorded using tape recorder, captured by a handy camera, verbatim transcribed and analyzed using Colaizzi methods (1978). The data validity was confirmed with the principle of internal validity, external validity, dependability and also conformability. This study revealed 10 peoples? perception of nurses? image themes. Perception on health care image identified a satisfied service process through communication, service, administration, and service?s attitude responding to clients? need. Perception on nurses? attitude image identified nurses? identity and quite positive performance. Perception on nurses? role and function based on its type, ability to play the role and the kind of performance needed to have more specific job description. The meaning of peoples? perception is the positive image of the service. Most participants did not experience any difficulty in getting the access for nursing service. Expectation for nurses includes the increasing of educational process, attitude, communication, performance, number of nurses and also the discipline. It is concluded that the nurses? image of Sint Carolus Community Health Services at Paseban Village Central of Jakarta is positive enough. Recommended theme that needs to be investigated deeper is the easiness of nursing service access and the use of focus group discussion method. The positive image of nursing services can satisfy and promote the nursing services. "

"ABSTRAKTuntutan komitmen dan loyalitas bagi perawat diperlukan oleh rumah sakit untuk menampilkan kinerja dan produktivitas yang baik, karena itu perlu upaya meningkatkan komitmen perawat dengan memperhatikan beberapa determinan baik karakteristik perawat dan kepuasan kerjanya. Upaya manajemen SDM berkaitan dengan retensi perawat terbatas dalam upaya bersifat ekstrinsik, sehingga diperlukan manajemen yang lebih komprehensif dalam menstimulus secara intrinsik pada perawat. Tujuan penelitian mengetahui pengaruh penerapan Spiritual Leadership terhadap komitmen organisasi pada perawat di RS Islam Surabaya dengan menggunakan desain pre and post test design with control group. Perawat pelaksana di ruang rawat inap sejumlah 82 dibagi dalam dua kelompok menjadi sampel penelitian. Instrumen yang digunakan adalah kepuasan kerja yang dikembangkan oleh peneliti, serta instrumen komitmen organisasi yang dimodifikasi dari Psychological Attachment Instrument oleh O’Reilly&Chatman. Intervensi Spiritual Leadership merupakan upaya meningkatkan komitmen organisasi secara intrinsik, melalui integrasi sembilan nilai altruisme dengan budaya rumah sakit. Data dianalisis dengan uji t-test serta regresi linier berganda. Hasil penelitian menunjukkan adanya peningkatan komitmen organisasi secara bermakna pada perawat sesudah diterapkan Spiritual Leadership (p value=0.000). Komitmen organisasi pada perawat yang diterapkan spiritual leadership lebih besar secara bermakna dengan yang tidak diterapkan (p value=0.005). Faktor yang dapat memprediksikan meningkatnya komitmen organisasi pada perawat pelaksana adalah penerapan Spiritual Leadership, jenis kelamin perempuan, status menikah, umur perawat yang lebih tinggi, dan masa kerja yang lebih lama. Sejalan dengan penelitian Fry, 2003 bahwa Spiritual leadership berdasar pada visi, kasih yang altruistik dan hope/faith menghasilkan sebuah peningkatan dalam perasaan spiritual (melalui panggilan dan menjadi bagian) dan akhirnya Penerapan Spiritual Leadership dapat menumbuhkan perasaan individu perawat menjadi lebih bermakna dan memiliki perasaan sense of belonging yang tinggi, sehingga disarankan untuk dijaga kelangsungannya untuk lebih mendekatkan nilai individual dengan rumah sakit, agar dapat menurunkan resiko turn over dan meningkatnya kinerja perawat di masa mendatang.

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ABSTRACTNurse’s commitment and loyalty are important things in the health care sectors, to develop good work performance and productivity. Building the organizational commitment plays the important role with respected the organizational determinant such as personal characteristics, and job satisfaction. Human resources management in Surabaya Islamic hospital that related nurse retention still focused in extrinsic efforts. In the future need comprehensive management to stimulate nurse intrinsic motivation to be more committed. This research to investigate the influence of spiritual Leadership effects on nurse’s organizational commitment in Surabaya Islamic Hospitals based on the control group with pre and post test design. The subjects are 82 nurses that originate from intervention and control group in Surabaya Islamic Hospitals nursing care wards. Instruments are used in order to examine organizational commitment is measured by using adaptations Psychological Attachment Instrument which is presented by O’Reilly dan Chatman. Another instrument used job satisfaction questionnaire that develop by researcher. Spiritual leadership is gained to develop organizational commitment based on integration of altruistic love and organizational culture. Data analysis used mean t-test also liniary multiple regression. The result showed that there was significant differences after practiced spiritual leadership and before practiced (p value=0.000). There was significant differences between nurse’s organizational commitment that practiced spiritual leadership and no practiced (p value=0.005). The factors used to predict increases nurses organizational commitment in research showed that spiritual leadership, female gender, married status, increases age also long nurse’s tenure. Related to Fry, 2003 research that spiritual leadership based on vision, altruistic love, hope/ faith will be stimulate spiritual survival with could to develop nurse calling and membership, and then driver organizational commitment. Sustainaibility implementation spiritual leadership must be continue and develop. Hospital management must to socialize spiritual corporate culture also organizational philosophy for all staff organization, to be more closed their individual values with organizational, so it can reduce turn over and increases nurse performance in next year."

"Penelitian ini dilakukan untuk menganalisis hubungan karakteristik individu, motivasi dan kepemimpinan dengan kinerja perawat diruang rawat inap Rumah Sakit Polisi Pusat RS Sukanto Jakarta. Masalah ini timbul disebabkan belum adanya standardisasi tenaga keperawatan yang berguna untuk meningkatkan pelayanan keperawatan. Karakteristik individu, motivasi tenaga keperawatan dan kepemimpinan atasan merupakan faktor- faktor yang membentuk kinerja perawat agar dapat melaksanakan tugas dan tanggung jawabnya dengan baik. Desain yang digunakan dalam penelitian ini adalah dengan pendekatan Potong Lintang (Crass Sectional). Sampel penelitian adalah seluruh perawat pelaksana di ruang rawat inap Rumah Sakit Polisi Pusat RS Sukanto Jakarta sejumlah 121 orang sebagai total sampel. Data yang diperoleh merupakan data primer melalui wawancara menggunakan kuesioner terstruktur terhadap sampel.Hasil analisis bivariat dengan uji statistik chi-square menunjukkan adanya hubungan yang bermakna antara usia, masa kerja, motivasi dan kepemimpinan dengan kinerja. Berdasarkan analisis multivariat yang nenggunakan uji regresi logistik didapatkan variabel masa kerja mempunyai hubungan terkuat dengan kinerja tenaga keperawatan.Disarankan untuk menggunakan informasi penelitian ini untuk kebijakan manajemen sumber daya manusia khususnya dalam perekrutan dan pengembangan karir.

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Connection of Individual Characteristic, Motivation and Leadership with Nurse Labor Work in RS Sukanto Central Police Hospital Jakarta 2004This research was conducted to analyze relationship of individual characteristics, motivation and leadership with nurse's performance in nursery room at RS Sukanto Central Police Hospital. This problem occurs because there is no nurse standardization which is useful to increase nurse's service. Individual characteristic, nurse labor motivation and superior leadership are hypothetically related to nurse's performance enough. The design which is used in this research is Cross Sectional study. Research sample is all nurses in nursery rooms at RS Sukanto Central Police Hospital with 121 respondents as total sample. The received data are primary data throughout the interview using structured questionnaire for each sample.

The bivariate analysis result with chi-square statistical test shows that there's a significant relationship between age, sex, work time, motivation and leadership with nurse's performance. Based on multivariate analysis which is using logistic regression test, shows that work time variable is the only variable related to performance.

It is suggested to use this research information for human labor management policy especially for recruitment and career development."