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"Framework manajamen tenaga keperawatan di RS yang dapat membantu para manajer keperawatan dalam mengelola tenaganya merupakan hal yang penting khususnya di negara berkembang. Penelitian ini bertujuan untuk mengembangkan framework continuous quality improvement (CQI) manajemen tenaga keperawatan dan menguji secara statistik pengaruh framework CQI manajemen tenaga keperawatan terhadap kompetensi perawat. Desain penelitian ini adalah penelitian kuantitatif yaitu metode penelitian yang menggunakan angka dan statistik dalam proses penelitiannya. Penelitian kuantitatif ini diperkuat dengan penelitian kualitatif yang dilakukan terhadap 14 manajer rumah sakit. Penelitian ini terdiri dari dua tahapan yaitu pengembangan framework dan pengujian secara statistik pengaruh framework terhadap kompetensi perawat. Tahap pengembangan framework terdiri dari wawancara mendalam pada 14 manajer dan expert opinion pada 5 expert. Selanjutnya tahap kedua melakukan uji validasi framework CQI manajemen tenaga keperawatan untuk kompetensi perawat di rumah sakit menggunakan SEM-PLS pada 113 manajer keperawatan di himpunan perawat manajer Indonesia menggunakan online kuesioner. Hasil penelitian tahap satu diperoleh framework CQI manajemen tenaga keperawatan siap uji. Hasil penelitian tahap dua membuktikan bahwa framework CQI manajemen tenaga keperawatan memiliki pengaruh terhadap kompetensi perawat dengan penjelasan tujuh dari delapan aktivitas manajemen SDM yaitu perencanaan, rekrutmen, seleksi dan orientasi, pelatihan dan pengembangan, sistem reward, penilaian kinerja, sistem alokasi staf dan maintenance memiliki pengaruh terhadap kompetensi perawat. Hanya ada satu variabel yang mengindikasikan hal berbeda yaitu jenjang karir dimana ditemukan jenjang karir tidak ada pengaruh terhadap kompetensi perawat. Dapat disimpulkan framework ini secara statistik memiliki pengaruh terhadap kompetensi perawat.

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A nursing workforce management framework in hospitals is important, especially in developing countries, as it can help nursing managers in handling their staff. This research aims to develop a continuous quality improvement (CQI) framework for managing hospital nurses and statistically test the effect of the CQI framework for hospital nurses management on nurse competency. The research employs a quantitative design, which is a research method that uses numbers and statistic in the research process. This quantitative research is strengthened by qualitative research conducted with 14 hospital managers. This research consists of two stages, namely framework development and statistical testing of the framework’s influence on nurse competency. The framework development stage consist of in-depth interviews on 14 hospital manajers and expert opinions on 5 experts. The Next stage was conducting a validation test of the CQI framework for hospital nurses management for nurse competency using SEM-PLS. The test was administered using online questionnaires on 113 nurse managers from the Indonesian Nurse Manager Association. The result of the first phase of the research yielded a CQI framework for hospital nurses management that was ready for testing. The second phase of research demonstrated that the CQI model for nursing workforce management influences nurse competency. This is evidenced by seven out of the eight human resource management activities: planning, recruitment selection and orientation, training and development, reward systems, performance appraisals, staff allocation systems and maintenance -having an impact on nurse competency. Only one variable that indicated something different, namely career path, where it was found that career path had no influence on nurse competency. It can be concluded that this framework statistically has an influence on nurse competency."

"Is Six Sigma the exclusive domain of manufacturing and service operations, or can excellence be mandated (and achieved) throughout an entire organization? This refreshing book reveals how to apply the legendary quality assurance program across all departments and processes, creating a permanent, company-wide Six Sigma culture. Author Alan Larson, a Motorola veteran, has created a simple and practical Continuous Improvement model, and offers a strategy for managing the change to Six Sigma-driven operations and philosophy."

"This issue describes the key concepts of continuous process improvement. It presents the select, analyze, measure, improve, evaluate (SAMIE) model. It describes the major steps, key tasks, and tools that correspond to each step of the model, and explains how to implement continuous process improvement in training."

"Hingga saat ini, masih ada tenaga kesehatan terutama di Pusat Kesehatan Masyarakat (puskesmas) yang mengerjakan tugas di luar kompetensinya. Kementerian Kesehatan RI sebagai pemerintah pusat yang membidangi urusan kesehatan mengeluarkan kebijakan mengenai kredensial tenaga kesehatan di puskesmas sebagai suatu sistem penjaminan mutu dengan memperbarui kemampuan para tenaga kesehatan agar tetap professional, perencanaan tindak lanjut pada puskesmas dan Dinas kesehatan kab/kota, dan menempatkan tenaga kesehatan sesuai bidang kompetensinya. Karena pelaksanaannya baru berjalan di tahun 2022, penelitian ini dilakukan untuk memberikan masukan atas percepatan dan peningkatan kualitas program kredensial tenaga kesehatan di puskesmas dalam ruang lingkup Kementerian Kesehatan RI. Penelitian ini menggunakan desain studi deskriptif dengan menggunakan pendekatan kualitatif. Sumber data dari penelitian ini berasal dari data primer berupa wawancara pada tim kerja pelaksana kredensial tenaga kesehatan di puskesmas dalam ruang lingkup Kementerian Kesehatan RI sebanyak 7 orang, serta data sekunder berupa telaah dokumen dan observasi. Hasil penelitian menunjukkan bahwa program kredensial tenaga kesehatan di puskesmas dalam ruang lingkup Kementerian Kesehatan RI yang dijalankan oleh Tim Kerja sudah baik karena hampir seluruh komponen input, proses, dan output sesuai dengan standar internal Kementerian Kesehatan RI dan standar kredensial melalui acuan Petunjuk Teknis Kredensial Tenaga Kesehatan Di Pusat Kesehatan Masyarakat. Pelaksanaan dan monitoring evaluasi sudah sesuai dengan perencanaan, namun belum berjalan secara optimal dikarenakan data yang belum dianalisis, tidak memantau pelaksanaan tindak lanjut oleh Dinas kesehatan kab/kota, serta kesamaan antara uji petik dan pendampingan. Saran yang dapat diberikan yaitu sosialisasi dan advokasi lebih rutin, tindak lanjut anggaran kredensial tenaga kesehatan di puskesmas, sistem penyimpanan online untuk hasil kredensial, pendataan secara berkala, monitoring sampai ke tahap pelaksanaan tindak lanjut, memanfaatkan hasil analisis data untuk RTL dan mapping, memperbarui petunjuk teknis kredensial tenaga kesehatan di puskesmas, dan tindak lanjut hasil rekomendasi.

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Until now, there are still health workers, especially at Community Health Centers (puskesmas), who perform tasks outside of their competence. The Ministry of Health of the Republic of Indonesia as the central government in charge of health affairs issued a policy regarding the credentialing of health workers in health centers as a quality assurance system by updating the ability of health workers to remain professional, follow-up planning at health centers and District/City Health Offices, and placing health workers according to their fields of competence. Because the implementation has only been running since 2022, this study was conducted to provide input on accelerating and improving the quality of the health worker credentialing program at puskesmas within the scope of the Indonesian Ministry of Health. This research uses a descriptive study design using a qualitative approach. The data source of this study comes from primary data in the form of interviews with the work team implementing the credentials of health workers at health centers within the scope of the Ministry of Health of the Republic of Indonesia as many as 7 people, as well as secondary data in the form of document review and observation. The results showed that the health worker credentialing program at puskesmas within the scope of the Ministry of Health of the Republic of Indonesia carried out by the Work Team was good because almost all input, process, and output components were in accordance with the Ministry of Health's internal standards and credentialing standards through the reference to the Technical Guidelines for Credentialing Health Workers at Community Health Centers. Implementation and evaluation monitoring are in accordance with planning, but have not run optimally due to data that has not been analyzed, monitoring until the implementation of follow-up by the District Health Office has not been done, and the similarity between uji petik and pendampingan.. Suggestions that can be given are more routine socialization and advocacy, follow-up on the budget for credentialing health workers at puskesmas, an online storage system for credentialing results, regular data collection, monitoring up to the follow-up implementation stage, utilizing the results of data analysis for RTL and mapping, updating the technical guidelines, and follow-up on the results of recommendations."