<![CDATA[Background: The Hospital Occupational Safety and Health Management System (SMK3RS) is a system designed to manage, monitor, and improve occupational safety and health in the hospital environment. Optimal implementation of SMK3RS is crucial for reducing the risk of workplace accidents and occupational diseases and improving the quality of healthcare services. Purpose: To determine the relationship between inhibiting factors including knowledge, attitudes, and K3RS training on the implementation of SMK3RS among nurses. Method: This study employed an analytical design with a cross-sectional approach. The sample consisted of 89 respondents selected using accidental sampling. The independent variables included knowledge, attitudes, and K3RS training, while the dependent variable was the implementation of SMK3RS. Data were analyzed univariately and bivariately using the Chi-Square test. Results: Most respondents had a good SMK3RS implementation category, namely 84 respondents (100%). There was a significant relationship between knowledge and SMK3RS implementation (p-value = 0.000), attitude and SMK3RS implementation (p-value = 0.000), and K3RS training and SMK3RS implementation (p-value = 0.000). Conclusion: Knowledge, attitudes, and training in occupational safety and health (K3RS) are significantly related to the implementation of SMK3RS. Continuous education and training are needed to increase nurse awareness and participation in implementing occupational safety and health in hospitals. Keywords: Attitude; K3RS Training; Knowledge; SMK3RS. Pendahuluan: Sistem Manajemen Keselamatan dan Kesehatan Kerja Rumah Sakit (SMK3RS) merupakan sistem yang dirancang untuk mengelola, mengawasi, dan meningkatkan keselamatan serta kesehatan kerja di lingkungan rumah sakit. Penerapan SMK3RS yang optimal sangat penting untuk menurunkan risiko kecelakaan kerja dan penyakit akibat kerja serta meningkatkan mutu pelayanan kesehatan. Tujuan: Untuk mengetahui hubungan faktor penghambat yang meliputi pengetahuan, sikap, dan pelatihan K3RS terhadap pelaksanaan SMK3RS pada perawat. Metode: Penelitian ini menggunakan desain analitik dengan pendekatan cross sectional. Sampel penelitian berjumlah 89 responden yang dipilih menggunakan teknik accidental sampling. Variabel independen meliputi pengetahuan, sikap, dan pelatihan K3RS, sedangkan variabel dependen adalah pelaksanaan SMK3RS. Data dianalisis secara univariat dan bivariat menggunakan uji Chi-Square. Hasil: Sebagian besar responden memiliki kategori pelaksanaan SMK3RS yang baik yaitu sebanyak 84 responden (100%). Terdapat hubungan signifikan antara pengetahuan dengan pelaksanaan SMK3RS (p-value = 0.000), sikap dengan pelaksanaan SMK3RS (p-value = 0.000), serta pelatihan K3RS dengan pelaksanaan SMK3RS (p-value = 0.000). Simpulan: Pengetahuan, sikap, dan pelatihan K3RS berhubungan signifikan dengan pelaksanaan SMK3RS. Peningkatan edukasi dan pelatihan berkelanjutan diperlukan untuk meningkatkan kesadaran serta partisipasi perawat dalam penerapan keselamatan dan kesehatan kerja di rumah sakit. Kata Kunci: Pengetahuan; Pelatihan K3RS; Sikap; SMK3RS.]]>
