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Abstrak :
ABSTRACT
Background: cervical cancer is the third leading cause of female deaths worldwide, and it is the leading cause of female deaths in developing countries. A routine survival evaluation is required to imply the result of the treatment. The aim of this study was to determine the cervical cancer patient survival rate at the Cipto Mangunkusumo hospital as national referral hospital in Indonesia. Methods: our retrospective cohort study utilized the medical records of cervical cancer patients from 2012 to 2014 using total population sampling method. The data analysis was conducted using the Kaplan-Meier curve, log rank test and Cox regression to determine significant associations between variables. Results: there were 1,303 subjects with overall survival rates of cervical cancer up to the fifth year of 76%, 65%, 59%, 43% and 34%, respectively, with a median survival of 1,316 days. There were significant differences of hazard ratio for cancer stage variables (p<0.001), and the Cox regression analysis showed that the factor affecting survival was cancer stage. Conclusion: the 5-year cervical cancer survival rate at the Cipto Mangunkusumo hospital from 2012 to 2014 was 34%.

Abstrak :
Team method has been implemented in CIPTO MANGUNKUSUMO - National General Hospital (RSUPN-CM), but still inadequate. ?Management training: assignment method? is one of those methods to improve the competencies of team leader in applying team method in nursing care. The objective of this research is to describe the effect of management training on the knowledge and attitude of team leader in applying the team method of assignment either at medical and surgical wards in RSUPN-CM. The research design used for this study was an experimental quasi with control and intervention groups. The data of this study was analyzed using one-variance and be-variance analysis. One-variance analysis was needed to obtain the frequency distribution of all research variables, such as central tendencies of average, and standard deviation. Be-variance analysis was used to analyze the equivalent of two groups and to find out the differences or improvement for each group after intervention. "Chi square test" was used to analyze the equivalence, and "t test" was used to analyze the differences and improvement made by each group. The result of one-variance test on independent variables showed that 52,9% respondents were > 48 years old; 70,6% SPK/SPR were educational background, 84,3% had nursing process training program; 70,6% of respondents did not have nursing documentation training program; 90,2% did not have nurse management training program, 82,4% did not have other training in nursing areas; and 80,4% of respondents had working experiences twenty years or more. From one-variance test on dependent variables with median as categorized limit emerged that 43,1% of respondents had a better knowledge and 56,9% were poor in their knowledge result. Forty five point one percent of respondents reported to have positive attitude and 54,9% showed their negative attitude. After intervention "management training of assignment method", it was obvious that there was a significant improvement on intervention group with p value = 0001 both for knowledge and attitude. There was also improvement on knowledge on control group, with p value = 0,007. In the other hand there is decreasing on attitude. The most significant effect of training were on : 1) education : the average of improvement of attitude of SPK/SPR was higher than the respondent with AKPER/DIII background of education; 2) Working experiences : the average value was higher for respondents with longer working experiences ( 20 years or more) as compared to lesser than 20 years of working. It was obvious that the further experimental research need to be conducted to measure the influence of training on behavior of team leader in management of team under her responsibility. The expected behavior could be maintained and even improved continuously other training to support the competencies of nurses in improvement of nursing care should be continuously developed in line with career leader/clinical leader.

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Metode tim sudah lama diterapkan di Rumah Sakit Umum Nasional Dokter Cipto Mangunkusumo (RSUPN-CM), namun dalam pelaksanaannya masih Iemah. Pelatihan ?Manajemen: Metode Penugasan? merupakan suatu cara untuk meningkatkan kemampuan atau keterampilan ketua tim dalam menerapkan metode tim pada pemberian asuhan keperawatan. Penelitian ini bertujuan untuk mengetahui pengaruh pelatihan ?Manajemen: Metode penugasan? terhadap pengetahuan dan sikap ketua tim dalam menerapkan metode tim di ruang penyakit dalam dan penyakit bedah RSUPN - CM. Rancangan penelitian adalah kuasi eksperimen dengan kelompok kontrol dan intervensi. Analisis data penelitian menggunakan analisis univariat dan bivariat. Analisis univariat dilakukan untuk memperoleh gambaran frekuensi distribusi seluruh variabel penelitian, nilai rata-rata hitung dan standar deviasi. Analisis bivariat digunakan untuk menganalisis kesetaraan antara kedua kelompok dan untuk mengetahui perbedaan atau peningkatan yang terjadi pada masing-masing kelompok setelah diadakan intervensi. Untuk menganalisis kesetaraan dilakukan uji ?Chi Square?, sedangkan untuk menganalisis perbedaan atau peningkatan pada masingmasing kelompok digunakan ?uji t?. Hasil analisis univariat terhadap variabel bebas menunjukkan bahwa 52.9% responden berusia > 48 tahun; 70,6% berpendidikan SPK/SPR, 84,3 % sudah mengikuti pelatihan proses keperawatan; 70,6% belum mengikuti pelatihan pendokumentasian asuhan keperawatan; 90,2% belum mengikuti pelatihan manajemen keperawatan; 82,4% belum mengikuti pelatihan lain di bidang keperawatan; 80,4% responden memiliki masa kerja lebih dari 20 tahun. Hasil analisis univariat untuk variabel terikat dengan median sebagai batas kategori menunjukkan 43,1% responden berpengetahuan balk dan 56,9% kurang, sedangkan untuk variabel sikap yaitu 45,1% responden mempunyai sikap positif dan 54,9% bersikap negatif. Setelah diadakan pelatihan ?manajemen: metode penugasan? terlihat peningkatan yang bermakna pada kelompok intervensi, yaitu dengan nilai p = 0001 untuk pengetahuan, dan nilai p = 0,0001 untuk sikap. Untuk kelompok kontrol terjadi peningkatan untuk pengetahuan dengan nilai p = 0,007, tetapi untuk sikap terjadi penurunan. Dari semua variabel bebas yang dianalisis dalam penelitian ini, yang mempunyai pengaruh bermakna menurut kategori variabel internal adalah: 1). Pendidikan: peningkatan nilai rata-rata sikap SPK/SPR lebih tinggi daripada AKPER/D III); 2). Lama kerja : peningkatan nilai rata-rata sikap responden yang telah bekerja 20 tahun atau lebih ternyata lebih besar daripada responden yang bekerja kurang dari 20 tahun. Diperlukan penelitian lebih lanjut dengan mengembangkan penelitian sampai dengan eksperimen sehingga dapat diukur apakah pelatihan ?Manajemen : metode penugasan? juga dapat meningkatkan perilaku ketua tim dalam mengelola tim yang berada di bawah tanggung jawabnya. Peningkatan perilaku yang diharapkan terjadi dipertahankan dan ditingkatkan terus. Pelatihan lain yang menunjang kemampuan dalam memberikan asuhan perlu dikembangkan secara berjenjang dan berlanjut.

Abstrak :
ABSTRAK Ruang lingkup dan cara penelitian:Perawat kesehatan merupakan sumber daya manusia yang terlibat langsung dalam kegiatan rumah sakit. Perawat kesehatan selalu dihadapkan dengan berbagai masalah, seperti beban kerja berlebih kuantitatif dan kualitatif, kerja gilir, risiko penularan, tanggung jawab tugas, dan sebagainya. Semua masalah ini dapat merupakan stresor kerja yang akan berdampak pada kesehatan jiwa perawat, diantaranya gangguan mental emosional. Penelitian ini bertujuan untuk melihat hubungan antara stresor kerja dengan gangguan mental emosional di kalangan perawat kesehatan.Unluk menganalisis hubungan antara stresor kerja dengan gangguan mental emosional pada perawat kesehatan RSUPNCM Jakarta, digunakan dua macam instrumen. Pengukuran stres kerja dipergunakan instrumen kuesioner Survai Diagnostik Stres. Penilaian gangguan mental emosional dipergunakan instrumen kuesioner Symptom Check List 90 (SCL9O). Penelitian ini menggunakan disain studi potong lintang(cross sectional), terhadap 300 subjek penelitian yang terdiri dari perawat rawat inap dan rawat jalan. Analisis dilakukan dengan cara analisis bivariate, dilanjutkan analisis multivariat regresi dengan cara analisis regresi linear ganda. Hasil dan kesimpulan :Perawat rawat inap lebih stres dibandingkan perawat rawat jalan. Stresor pada perawat rawat inap didominasi oleh beban kualitatif dan konflik peran. Prevalensi gangguan mental emosional pada perawat kesehatan 17,7%. Perawat rawat inap lebih banyak mengalami gangguan mental emosional dibandingkan perawat rawat jalan. Ada hubungan bermakna antara stresor kerja dengan gangguan mental emosional. Pada derajat sires tinggi, yang mempunyai hubungan bermakna dengan dengan gangguan mental emosional adalah stresor ketaksaan peran. Risiko terjadinya gangguan mental emosional pada stresor ini adalah 5,8 kali lebih tinggi dibandingkan derajat stres rendah. Pada derajat stres sedang, yang ada hubungan bermakna dengan gangguan mental emosional adalah stresor tanggung jawab, pengembangan karier, beban kuantitatif, dan konflik peran, dengan risiko tertinggi pada stresor tanggung jawab. Pada stresor tanggung jawab, risiko terjadinya gangguan mental emosional perawat yang mengalami stres derajat sedang adalah 3,54 kali dibandingkan stres rendah. Pada analisis multivariat, stresor kerja yang ada hubungan bermakna dengan gangguan mental emosional adalah stresor tanggung jawab. Karakteristik subjek yang ada hubungan bermakna dengan stres kerja adalah variabel bagian (rawat inap/rawat jalan).

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ABSTRACT Nurses are human recourses who are direct involved in hospital activity. Nurses are often confronted with many problems such as qualitative overload, quantitative overload, shift work, job responsibilities, and contaminated risk. All of the problems are occupational stressors which result in mental health of nurses, such as emotional disorders. The purpose of this study is to find the relationship between occupational stress and mental emotional disorders among health nurses at RSUPNCM in Jakarta. The Survey Diagnostic Stress questionnaire was used to measure the occupational stress and the SCL 90 questionnaire was used to measure the mental emotional disorders. This study design was a cross sectional design with a sample of 300 subjects. Collected data was processed using bivariate analysis and multivariate analysis. Results and conclusions : Ward nurses were more stressful) than ambulatory nurses. Stressors of ward nurses were dominated by qualitative overload and career development. Stressors of ambulatory nurses were dominated by qualitative overload and role conflict. Prevalence of mental emotional disorders on nurses are 17.7%. There were significant relationship between occupational stress with mental emotional disorders. In high level stress, stressors which having significant relationship with mental emotional disorders was role ambiguity. Mental emotional disorders risk of this stressor is 5.8 times more than low level stress. In the moderate stress, stressors which having significant relationship with mental emotional disorders was responsibility stressor, career development, quantitative overload, and role conflict. The highest risk was responsibility stressor. For responsibility stressor, nurses with moderate stress experience have a risk of mental emotional disorders 3,45 times more than nurses with low stress. By multivatriate analysis, occupational stressor with significant relationship to mental emotional disorders was responsibility stressor. Subject characteristics with significant relationship to the stress was unit variable ( ward nurses/ambulatory nurses). Scope and study method: Nurses are human recourses who are direct involved in hospital activity. Nurses are often confronted with many problems such as qualitative overload, quantitative overload, shift work, job responsibilities, and contaminated risk. All of the problems are occupational stressors which result in mental health of nurses, such as emotional disorders. The purpose of this study is to find the relationship between occupational stress and mental emotional disorders among health nurses at RSUPNCM in Jakarta. The Survey Diagnostic Stress questionnaire was used to measure the occupational stress and the SCL 90 questionnaire was used to measure the mental emotional disorders. This study design was a cross sectional design with a sample of 300 subjects. Collected data was processed using bivariate analysis and multivariate analysis. Results and conclusions : Ward nurses were more stressful) than ambulatory nurses. Stressors of ward nurses were dominated by qualitative overload and career development. Stressors of ambulatory nurses were dominated by qualitative overload and role conflict. Prevalence of mental emotional disorders on nurses are 17.7%. There were significant relationship between occupational stress with mental emotional disorders. In high level stress, stressors which having significant relationship with mental emotional disorders was role ambiguity. Mental emotional disorders risk of this stressor is 5.8 times more than low level stress. In the moderate stress, stressors which having significant relationship with mental emotional disorders was responsibility stressor, career development, quantitative overload, and role conflict. The highest risk was responsibility stressor. For responsibility stressor, nurses with moderate stress experience have a risk of mental emotional disorders 3,45 times more than nurses with low stress. By multivatriate analysis, occupational stressor with significant relationship to mental emotional disorders was responsibility stressor. Subject characteristics with significant relationship to the stress was unit variable ( ward nurses/ambulatory nurses).