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"Memasuki abad 21, abad perdagangan babas dunia, abad globalisasi yang penuh tantangan dan persaingan bagi pelaku bisnis termasuk juga didalanmya bidang pelayanan kesehatan, diibutuhkan persiapan untuk mengantisipasinya. Makin meningkatnya persaingan, bidang pelayanan kesehatan, termasuk rumah sakit, makin membutuhkaa pemasaran. Tenaga paramedis perawatan merupakan 50 - 60 % dari seluruh tenaga di rumah sakit, sehingga meningkatkan pemasaran rumah sakit, berarti harus didahului dengan meningkatkan kepuasan tenaga paramedis perawatannya. Dengan meningkatnya kepuasan, kinerja menjadi lebih baik, sehingga pemasaran meningkat. Sedangkan peningkatan kepuasan bagi Pegawai Negeri Sipil didapat dengan kenaikan pangkat melalui sistem angka kredit. Kenyataannya saat ini sistem angka kredit belum berjalan dengan lancer. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan perolehan angka kredit bagi jabatan tenaga paramedis perawatan.Penelitian Akan dilakukan di RSU Pandan Arang Kabupaten Dati II Boyolali, meliputi jabatan fungsional tenaga paramedis perawatan (kecuali honorer), Kepala Ruangan di UGD, Kamar Operasi, Paviliun dan bangsal rawat inap, serta Tim Teknis Penilai angka kredit di RSU. Variabel pada penelitian ini terdiri dari : faktor perseorangan, faktor unsur-unsur penilaian angka kredit, faktor sarana pendukung dan faktor proses penilaian angka kredit. Penelitian ini menggunakan metode deskriptif analisis secara kuantitatif, pengumpulan data primer dilakukan dengan menggunakan kuesioner bagi semua tenaga paramedis perawatan Pegawai Negeri Sipil, data sekunder didapat dari laporan-laporan rumah sakit, sedangkan data pelengkap diperoleh dengan kuesioner bagi tenaga paramedis perawatan calon Pegawai Negeri Sipil, kuesioner dan wawancara bagi Kepala Ruangan dan Tim Teknis Penilai angka kredit di RSU. Analisis data secara statistik menggunakan uji statistik Chi-Square, sedangkan sebagai perbandingan digunakan persentase dari data asli.Hasil penelitian yang didapat dari uji statistik dan persentase data asli adalah faktor perseorangan, faktor unsur-unsur penilaian angka kredit, faktor sarana pendukung angka kredit dan faktor proses penilaian angka kredit berhubungan dengan perolehan angka kredit bagi jabatan tenaga paramedis perawatan di RSU Pandan Arang. Oleh karena itu, agar RSU Pandan Arang dapat memperlancar perolehan angka kredit bagi tenaga paramedis perawatannya, perlu memfungsikan Tim Teknis Penilai RSU secara optimal, penyediaan sarana pendukung, meningkatkan jumlah kunjungan pasien/meningkatkan aktifitas pemasaran, mengadakan rotasi intern, mengadakan penelitian lebih lanjut hambatan atas kelima unsur penilaian angka kredit, menghimbau kepada institusi pendidikan keperawatan agar persyaratan kenaikan pangkat dengan sistem angka kredit diajarkan lebih intensif kepada siswanya dan meninjau kembali ketetapan tentang besaran angka kredit setiap kegiatan, disesuaikan dengan tipe atau klasifikasi rumah sakit (A, B, C atau D), karena jumlah kunjungan pasien yang sangat berbeda.

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Upon entering 21st century, a period signified by rapid growth of globalization and free trade, there is a strong need for business establishment to make a preparation for anticipating any socio-economic changes. The more intense the competition among companies, the more crucial it is for them to pay careful attention to services and marketing. Health service sector is, without exception, greatly affected by this phenomena In a hospital, nurses or those who provide subsidiary tasks count for approximately 50 - 60 % of the total hospital staffs. The important role of nurses in the performance of a hospital is obvious. Therefore, the improvement of their working condition or well-being means the improvement of the hospital's marketing. One way to achieve this is through promotion, which, for civil servants, can be obtained from the use of "angka kredit" system. However, the fact shows that this system, in practice, has not been too successful. This observation is aimed to realize those factors which relate to the acceptance of "angka kredit" system for nurses.The study was done in Pandan Arang Hospital, Boyolali. The subjects are the nurses (except the honorary one), the heads of ICU room, operation room, pavilion and in patient wards and the technical team evaluators of "angka kredit" in the hospital. The variables of the study consist of individual factors, elements of "angka kredit" evaluation, support facilities and the process of "angka kredit" evaluation. This study uses descriptive analysis method quantitatively. The primary data is obtained from the distribution of questionaire to all civil nurses; and the secondary data is received from hospital reports ; while other supplement data is obtained from the questionaires to civil nurse candidates; the questionaires and interview to heads of the rooms and "angka kredit" technical team evaluators. Statistical analysis employs the use of chi-square statistic, while comparison datas are evaluated with percentage from original data.The result from the analysis shows that the individual factors, the elements of "angka kredit" evaluation factors, the "angka kredit" facility support factors and the processes of "angka kredit" factors significantly relate to the acceptance of "angka kredit" for nurses in Pandan Arang Hospital. Therefore, in order for Pandan Arang Hospital to effectively apply "angka kredit" system toward the process of promotion among its nurses, it is necessary that the function of technical team evaluator be optimized ; the availability of facility support be ensured ; the number of visiting patients be increased by improving marketing activities ; the internal rotation be carried out ; and last but not least, the further study of finding out other Obstacles in the 5 element of "angka kredit" evaluation . In addition, it is important to suggest that nursing education put more attention on the understanding of work promotion through "angka kredit" evaluation for its students. Finally, the reexamination of the standard measure for each activity which are adjusted is the types or hospital classification (A, B, C or D) seems to be crucial because the number of visiting patients in each hospitals is different."

"Penerapan model tim Penugasan Asuhan Keperawatan tanpa pelaksanaan yang sesuai konsep dan teori model akan memberikan hasil fragmentasi pelayanan yang mengakibatkan pelayanan tidak memenuhi tuntutan kebutuhan pasien/klien. Dengan menilai sikap perawat terhadap rancangan model tim penugasan maka dapat diketahui sejauhmana tingkat pernyataan kesetujuan terhadap rancangan model tim penugasan. Dari pengukuran sikap ini dapat memberikan gambaran mengenai intervensi-intervensi yang harus dilakukan oleh pimpinan rumah sakit dan pengelola asuhan keperawatan terhadap kesiapan dan tindak lanjut pelaksanaan model tim penugasan tersebut.Tujuan penelitian ini untuk mengetahui sejauhmana sikap perawat terhadap rancangan model tim penugasan yang sedang diterapkan, dan sejauhmana pelaksanaannya selama dua tahun di rumah sakit Santo Yusup. Metode penelitian yang digunakan adalah deskriptif kuantitatif, dengan mengumpulkan data melalui kuesioner, observasi, dan wawancara dari perawat asuhan keperawatan di empat ruangan perawatan. Hasil penelitian sikap perawat terhadap model sebagian besar positif (setuju). Namun, pelaksanaan dari unsur-unsur kegiatan rancangan model tim penugasan belum terlaksana sesuai dengan standar. Ini menunjukkan bahwa pemahaman terhadap rancangan model tim penugasan dari perawat sebagian besar sudah dipahami tetapi dalam pelaksanaannya mengalami hambatan. Untuk implementasi rancangan model tim diperlukan selain pemahaman, penguasaan model, diperlukan tenaga: jumlah dan kualitas yang memadai serta sarana asuhan keperawatan yang menunjang sesuai dengan kebutuhan asuhan model tim. Untuk masa yang akan datang disarankan agar rumah sakit sebelum menerapkan suatu model asuhan keperawatan seyogyanya dipersiapkan dahulu sumber daya manusia, penguasaan tentang model, sarana sesuai kebutuhan serta melakukan uji coba lebih dahulu pada suatu unit perawatan tertentu.

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The implementation of Team Nursing Upbringing Assignment without an appropriate implementation of concept and theory model will give treatment fragmentary result so that treatment will not meet patient's needs. By appraising the nurse's attitude towards team assignment for design program, we will know the expression level of an agreement about team nursing design program. This measuring can give illustration about interventions that must be done by hospital administration and the manager of nursing upbringing towards readiness and follow-up in the implementation of team nursing assignment model.The objective of this study is to understand the nurse's attitude concerning team assignment for design program that applicated, and how far its implementation for two years in Santo Yusup Hospital. The method of the research is quantitative descriptive by collecting data through questioner, observation, and interview from the nursing upbringing in four nursing chambers. The nurse's attitude towards model is positive an a large part but the implementation of team assignment for design program energy substance has not been realized in accordance with standard. This matter indicates that the comprehension about team assignment for design program from the nurse has been understood in majority but experience obstacle in the implementation.Besides comprehension and mastery of model, the implementation of team design model needs power: an equal quantity and quality with means of nursing up-bringing that support the needs of upbringing team model. It is suggested that in the future hospital should at first prepare human resource, mastery of model, means in accordance with needs and also carry out a try out in a certain nursing unit before applicating model."