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"Rumah Sakit merupakan salah satu perusahaan yang memerlukan kerja shift bagi karyawannya termasuk perawat. Dampak kerja shift yang terutama adalah gangguan Circadian ritme yang menyebabkan gangguan pada pola tidur, kekurangan tidur dan kelelahan yang berakibat terjadinya penurunan kewaspadaan . Di Rumah Sakit ini beberapa kesalahan pemberian obat terjadi terutama pada perawat dinas shift malam, oleh karena itu dilakukan penelitian ini dengan tujuan mengetahui prevalensi dan faktor - faktor yang berhubungan dengan penurunan kewaspadaan.Metode penelitian : Berupa studi cross sectional (potong lintang) . Jumlah sampel pada kelompok perawat rawat inap sebesar 45 orang yang diambil secara alokasi proporsional dari masing - masing unit. Data penelitian didapat dari medical check up, PK3RS, observasi, pemeriksaan fisik, pengisian kuesioner dan tes Pauli yang dilakukan dua kali setelali shut pagi dan setelah shift malam.Hasil Penelitian : Didapatkan penurunan tingkat kewaspadaan pada perawat shift malam dan prevalensi penurun kewaspadaan sebesar 71,1 %. Faktor yang berhubungan paling kuat dengan penurunan kewaspadaan adalah beban kerja berlebih (p = 0,0004) dan faktor yang tidak bermakna tetapi mempunyai angka yang mendekati adalah pola tidur / lama tidur siang (p = 0,0767)Diskusi : Dari penelitian ini terbukti bahwa shift malam mengakibatkan penurunan kewaspadaan dan secara statistik terbukti bahwa faktor beban kerja berlebih (p < 0,05) bermakna dalam mempengaruhi penurunan kewaspadaan. Faktor lain seperti pola tidur, strategi tidur dan kualitas tidur walaupun secara statistik tidak terbukti tetapi kenyataannya berpengaruh. Ini terbukti dari penelitian yang dilakukan oleh Ohida T(et al). Maka dari itu untuk mencegah dan mengurangi penurunan kewaspadaan perlu pemahaman yang sama baik dari pihak manajemen, perawat dan dokter perusahaan.

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Hospital activities required shift work to provide services for its patients especially nurses are at work for 24 hours. The impact of shift work is mainly Circadian rhythm disturbances which impact on sleeping disorder, sleep lost and fatigue-ness and this cause decreased of alertness. At Hospital "X", some failures caused by shill nurse especially at night shill, are related to giving the wrong medicine to patients. Therefore, this study conduct to identify the prevalence and other factors related to the decreased of alertness.

Method: Cross sectional study, 45 nurses served at in - patient section used as sample. The research data's are compiled from Medical check-up, Committee Safety and Health Work, observation, physical examination, questionnaires and a psychological Pauli-test conducted twice, after night shift and after day shift.

Result: Decreased grade of alertness from night shift nurses, and the prevalence decreased of alertness is 71,1 %. The most influence factor related to decreased of alertness is the work overload (p = 0,0004) and another factor is the length of sleep during day time of nurses, which statistically is not significant (p = 0,0767), however worth while to mention as an influence factor.

Discussion: This research has proven that night shift caused to decreased of alertness and statistically significant relation between overload work (p< 0,05) with decreased of alertness. The other factors like sleep pattern, sleep strategic were statistically not significant but in fact these factors can significantly related with decreased of alertness. In Ohida T (et al) study already proved those factors could effect to decrease of alertness. As a follow-up, to prevent decreased of alertness for the nurses, a coordination need to conduct between management, nurses and safety doctor in hospital to improve this matter."

"[ABSTRAKData dari Komisi Penanggulangan AIDS dan Dinas Kesehatan Surakartamenunjukkan bahwa pada tahun 2015 jumlah total kasus HIV/AIDS mencapai1.356 kasus, dimana terjadi kenaikan sebanyak 172 kasus dari tahun 2013. Tujuanpenelitian ini adalah untuk mengetahui pengalaman ODHA sebagai tenagavolunteer peer group support ODHA. Desain penelitian menggunakan metodekualitatif fenomenologi. Teknik pengambilan sampel dengan purposive sampling.Penelitian ini menggunakan 13 partisipan pada Kelompok Dukungan SebayaSolo. Hasil penelitian ini menghasilkan 5 (lima ). Tema tersebut adalah penilaianpositif terhadap diri, sumber motivasi volunteer, tantangan menjadi volunteer,upaya volunteer dalam meningkatkan kualitas hidup dan harapan sebagaivolunteer peer group support ODHA. Kesimpulan : Bekerja sebagai volunteermempengaruhi kehidupan ODHA. Perasaan dihargai, diterima dan bermanfaatbagi sesama dapat meningkatkan kualitas kehidupan ODHA. Diharapkan adanyapemberdayaan terhadap peer support dalam membantu perawatan ODHA.

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ABSTRACTThe National AIDS Commission and Surakarta Health Office show that in 2015the total of HIV / AIDS cases reached 1356 cases, where there is an increase of172 cases from 2013. The number of cases of HIV / AIDS has increased everyyear. The purpose of this study was to determine the experience of people livingwith HIV as a volunteer peer group support people living with HIV. Researchdesign using qualitative methods phenomenology. The sampling technique usingpurposive sampling. This study used 13 participants member of PLWHA peergroup in Solo. Five themes emerge in this study.. The theme are self positivevalue, source of motivation volunteer, volunteer challenges, effort to imcreasequality of life and expectations as volunteer peer group support PLWHA.Conclusions: Working as a volunteer affect the lives of people living with HIV.Feeling valued, accepted and useful for others can improve the quality of life ofpeople living with HIV. Expected for the empowerment of the peer support incaring PLWHA., The National AIDS Commission and Surakarta Health Office show that in 2015the total of HIV / AIDS cases reached 1356 cases, where there is an increase of172 cases from 2013. The number of cases of HIV / AIDS has increased everyyear. The purpose of this study was to determine the experience of people livingwith HIV as a volunteer peer group support people living with HIV. Researchdesign using qualitative methods phenomenology. The sampling technique usingpurposive sampling. This study used 13 participants member of PLWHA peergroup in Solo. Five themes emerge in this study.. The theme are self positivevalue, source of motivation volunteer, volunteer challenges, effort to imcreasequality of life and expectations as volunteer peer group support PLWHA.Conclusions: Working as a volunteer affect the lives of people living with HIV.Feeling valued, accepted and useful for others can improve the quality of life ofpeople living with HIV. Expected for the empowerment of the peer support incaring PLWHA.]"