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Abstrak :
Penelitian ini bertujuan untuk mendapat gambaran pelaksanaan Manajemen Sumber Daya Manusia berbasis kompetensi (MSDM berbasis kompetensi) dan hubungannya dengan kinerja perawat pelaksana. Metode penelitian adalah deskriptif korelasional dengan desain cross sectional. Tempat penelitian adalah di ruangan Rawat Inap dengan responden 178 perawat pelaksana melalui diambil secara acak dengan teknik quota sampling (jumlah populasi 271 orang). Pengumpulan data dilakukan tanggal 11 - 18 mei 2005. Hasil analisis diperoleh bahwa responden yang paling banyak adalah kelompok umur < 30 tahun (52.2%), lama kerja < 6 tahun (5L2%), Pendidikan DIII Keperawatan (82.1%) , jenis kelamin perempuan (76.8%), dan peringkat IV (63.7%), dan motivasi kurang baik (55.4%). Persepsi perawat pelaksana terhadap komponen MSDM berbasis kompetensi yang menyatakan baik: komponen rekrutmen dan seleksi 44%, pengembangan 42.9 %, penilaian kinerja 44%, imbalan 36.3%. Hasil analisis bivariat didapatkan bahwa MSDM berbasis kompetensi yang berhubungan dengan kinerja adalah rekrutmen dan seleksi (p=0.001), penilaian kinerja (p=0.008), dan imbalan (p=0.0I0). Untuk karakteristik individu yang berhubungan adalah umur (p = 0,001), lama kerja (p = 0,009), motivasi (p = 0,000), peringkat (p = 0,000). Persentase perawat dengan kinerja baik dan tidal( baik berimbang (50%). Komponen MSDM, dan karakteristik individu yang paling dominan berhubungan dengan kinerja adalah motivasi dengan OR=9.966 dan p=0.000, serta peringkat dengan OR = 3.445 dan p=0.002. Untuk itu Pimpinan rumah sakit sangat perlu untuk memelihara dan meningkatkan motivasi perawat pelaksana, dan mengevaluasi pelaksanaan MSDM berbasis kompetensi agar dapat memperbaiki mutu SDM dan pada akhimya akan meningkatkan kinerja.

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Human Resources Management Program (HRM) is a system that allows clinical nurses to have a.functional career ladder which lead to the consequences of increasing reward and compensation based on their clinical performance. The goal of this study was to ident ' factors related to the nurse clinical performance post implementation of Competency based Human Resources Management program. The number of subject participated in the study was 178 nurses who were selected by a quota sampling. The design was a cross sectional. The findings showed that the subjects were < 30 years old (52.2%), had working experience < 6 years (51.2%), have graduated from nursing diploma (82.1%), female (76.8%), and on the 40' grade of HRM (63.7%), and less motivation (55.4%) Some of the nurses' perception on the FIRM component gave positive response on the recruitment and selection component (44%), promotion (42.9%) clinical performance assessment (44%) and the reward (36.3%). Further analyzes on the HRM program (bivariate), showed that the factors of HRM program that have relationship to the nurse clinical performance were recruitment and selection (p = 0.001), clinical performance assessment (p = 0.008) and reward (p = 0.010). The individual characteristics that have correlation to the nurse who perform good and less clinical performance were equal (50%). The Competency Based HRM and characteristics of individual component which dominantly related to the clinical performance was the motivation with the result of OR = 9.966 (p=.0.000), and the level of competency with result of OR = 3.445 (p=0.002) A recommendation to the nursing management officer is offered to always maintain and improve motivation of the nurses, evaluate the implementation of the competency based HRM program on the clinical performance and its logical consequences for nurses' welfare in order to improve the quality of human resources which could to professional nursing care provided to the patients.

Abstrak :
Pendokumentasian asuhan keperawatan merupakan bukti tertulis bahwa proses asuhan keperawatan telah dilaksanakan dalam pemberian asuhan keperawatan pasien di rumah sakit. Kinerja perawat pelaksana dalam pendokumentasian asuhan keperawatan di RS Jiwa Prof HB. Sa'anin Padang masih rendah (32,25%). Faktor-faktor yang berhubungan dengan pendokumentasian asuhan keperawatan antara lain faktor individu (karakteristik individu: umur, jenis kelamin, tingkat pendidikan, masa kerja, status perkawinan dan kemampuan intelektual: pengetahuan) dan faktor organisasi (supervisi, insentif, pelatihan, beban kerja dan iklim kerja). Tujuan penelitian ini adalah untuk mengidentifikasi gambaran faktor-faktor dari variabel individu dan organisasi terhadap kinerja perawat dalam pendokumentasian asuhan keperawatan di unit rawat map RS Jiwa Prof. HB. Sa'anin Padang. Penelitian ini merupakan penelitian non-eksperimental dengan disain cross sectional dan untuk pengayaan informasi juga dilakukan pendekatan kualitatif melalui wawancara mendalam, diskusi kelompok terarah dan observasi, sampel adalah semua perawat berjumlah 53 orang (total sampel) yang merupakan perawat pelaksana di 7 (tujuh) ruang rawat map RS Jiwa Prof FIB. Sa'anin Padang. Data yang diperoleh dianalisis dengan analisis univariat, bivariat dengan uji chi square dan multivariat dengan uji regresi logistik ganda dan tingkat kemaknaan 0,05. Hasil penelitian menggambarkan proporsi kinerja perawat dalam pendokumentasian masih rendah, kinerja perawat yang balk hanya 41,5%. Pada analisis multivariat, faktor yang berhubungan dengan kinerja perawat dalam pendokumentasian asuhan keperawatan adalah tingkat pendidikan, supervisi dan beban kerja. Tingkat pendidikan dan beban kerja mei upakan faktor yang paling dominan setelah dikontrol oleh umur, supervisi dan iklim kerja. Berdasarkan hasil penelitian ini, disarankan kepada penentu kebijakan di RS Jiwa Prof. HB. Sa'anin Padang untuk lebih meningkatkan kinerja perawat pelaksana dalam pendokumentasian asuhan keperawatan yaitu dengan cara meningkatkan SDM perawat dengan memberi kesempatan untuk meningkatkan pendidikan formal/non formal seperti mengikuti pelatihan dan seminar, beban kerja perawat dikurangi dengan memberi tugas dan tanggungjawab sesuai tupoksinya serta perbaikan dan perubahan semua sistem yang terkait dengan pelaksanaan pendokumentasian asuhan keperawatan seperti pelaksanaan supervisi sesuai dengan prinsip-prinsipnya.

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Nursing care documentation is written evidence showing that the nursing care process has been implemented in the hospital. Nurse performance in documenting the nursing care in Prof. HB. Sa'anin Padang Mental Hospital still low (32,25%). Factors related to performance of nurse on documenting patient's nursing care are individual factors (individual characteristic: age, sex, education level, length of work, marital status and knowledge) and organizational factors (supervision, incentive, training, work load and work climate). The aim of this study is to identify factors related to individual variables and organizational factors and their relationship to nursing care documentation in ward unit of Prof. HB. Sa'anin Padang Mental Hospital. The study is non-experimental cross sectional design, qualitative method may to enrich information with in depth interview, focus group discussion and observation, sample of 53 individuals (total sample) who fulfill sample selection criteria, all of them are nurse in 7 (seven) wards unit of Prof HB. Sa'anin Padang Mental Hospital. Collected data was then analyzed with univariate analysis, bivariate analysis using chi square and multivariate analysis using multiple logistic regression at p value S 0,05. The research of performance in documenting the nursing care showed that the proportion of performance still low, good performance of nurse just only 4,5%. The multivariate analysis showed that education level, supervision and work load was variable related to nursing care documentation. Education level and work load were the most dominant variable related to nursing care documentation after controlled by age, supervision and work climate. Based on study results, it is recommended to Prof. HB. Sa'anin Padang Mental Hospital policyrnaker to improve nurse performance in documenting nursing care through improving man power of nurse by give opportunity to improve formal education/ non formal like following seminar and trainings, nurse work load can make Iess by given jobs description and responsibility as their real work and function and also repair and change all system that related to nursing care documentation such as implementing of supervision adjust to it's principle.