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PENGARUH KEPEMIMPINAN SENIOR, TATA KELOLA DAN TANGGUNG JAWAB SOSIAL TERHADAP KINERJA KEPALA RUANG RAWAT INAP RUMAH SAKIT KARYA BHAKTI KOTA BOGOR TAHUN 2008 Adila Kasni Astiena; Hafizurrachman Hafizurrachman; Mieke Savitri
Majalah Kedokteran Andalas Vol 34, No 2 (2010): Published in August 2010
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (500.849 KB) | DOI: 10.22338/mka.v34.i2.p147-159.2010

Abstract

AbstrakPenelitian ini bertujuan untuk mengetahui pengaruh Kepemimpinan Senior, Tata Kelola dan Tanggung Jawab Sosial Terhadap Kinerja Kepala Ruang Rawat Inap Rumah Sakit Karya Bhakti (RSKB) Bogor Tahun 2008. Kerangka teori dari penelitian ini diambil dari Malcolm Baldrige Criteria for Performance Excellence (MBCfPE) bagi institusi kesehatan dalam Hertz (2008). Kriteria MBCfPE yang diambil adalah kepemimpinan (leadership) yang dijabarkan menjadi variabel Kepemimpinan Senior, Tata Kelola Dan Tanggung Jawab Sosial. Penelitian ini merupakan penelitian survei dengan pendekatan kuantitatif. Data yang dikumpulkan adalah data primer dengan menggunakan kuesioner dan diolah dengan menggunakan metode analisis jalur (Path Analysis). Responden penelitian ini adalah semua perawat ruang rawat inap Dahlia Anyelir RSKB tahun 2008. Hasil penelitian ditemukan bahwa Kepemimpinan Senior, Tata Kelola dan Tanggung Jawab Sosial mempengaruhi Kinerja Kepala Ruang sebesar 57.59% sedangkan sisanya 42.41% dipengaruhi oleh variabel yang tidak diteliti. Variabel yang paling besar mempengaruhi kinerja kepala ruang adalah kepemimpinan senior (30.44%) disusul oleh variabel tata kelola (22.96%) dan Tanggung Jawab Sosial (4.18%). Tanggung Jawab Sosial mempunyai koefisen jalur yang tidak bermakna dan sangat kecil, namun tetap dipertahankan dalam model akhir karena secara substantif, penting dalam menentukan kinerja kepala ruang. Berdasarkan penelitian ini disarankan untuk lebih memperhatikan dan meningkatkan kepemimpinan senior, tata kelola dan tanggung jawab sosial guna meningkatkan kinerja kepala ruang dengan cara (1) melakukan pembinaan dalam hal kepemimpinan mencakup kemampuan (ability), keterampilan (skill) dan perilaku (behaviour). (2) Menciptakan kebijakan guna terciptanya kondisi peningkatan kemampuan kepemimpinan senior, tata kelola dan tanggung jawab sosial, termasuk memberikan kesempatan untuk menambah pengetahuan (3) Dalam pemilihan kepala ruang disarankan untuk memperhatikan kapasitas kepemimpinanARTIKEL PENELITIAN148(kemampuan, keterampilan dan tingkah laku), tata kelola dan tanggung jawab sosial dari calon kepala ruang.Kata Kunci : Kepemimpinan Senior, Tata Kelola, Tanggung Jawab Sosial, Kinerja, PerawatAbstractThis study has an objective to know the influence of senior leadership, governance, social responsibility to performance of roomcare head nurses in Karya Bhakti hospital Kota Bogor (RSKB) 2008. Theoretically, this concept is taken from Malcolm Baldrige Criteria for Performance Excellence (MBCfPE), in Health Care (Hertz, 2008). The choosen criteria MBCfPE is Leadership. Leadership criteria consist of senior leadership, governance and social responsibility variables. The study design is a survey design with quantitative approaches. The method being used in this study is path-analysis-method. The data are primer taken by the questionaires. Respondance are taken among nurses at Dahlia Anyelir roomcare RSKB Bogor 2008. The result shows that senior leadership, governance and social responsibility influenced performance of roomcare head nurses is 57.59% while the rest 42.41% is influenced by other factors which is not included in this study. The biggest variable which influenced work performance roomcare head nurses is senior leadership (30.44%), followed by governance (22.96%) and social responsibility (4.18%). Social responsibility variable is not significant to work performance roomcare head nurses, but it being defended because of substantive importance to influence work performance of roomcare headnurse. According to the result of this study, it is recommended to give more attention to improve senior leadership, governance and social responsibility to improve work performance of roomcare head nurses, such as: (1) To maintance ability, skill and behaviour of roomcare headnurses (2) To create regulation to support improvement senior leadership capacity, governance and social responsibility with opportunity to improve knowledge (3) To give suggestion for election roomcare head nurses must have leadership capacity (ability, skill and behaviour), governance and social responsibility from the candidate.Key word : senior leadership, governance, social responsibility, work performance, nurse
THE INCIDENCE OF PHLEBITIS AMONG INPATIENT IN THE HOSPITAL: SYSTEMATIC REVIEW Muchamad Muchamad; Mieke Savitri
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Plebitis causes increase in medical cost and decreasing motivation in health workers and patients. One of the important issues in phlebitis can be found in the treatment process and has a great risk for the occurrence of a complication that can cause thrombus which subsequently becomes thrombophlebitis, causing the need to increase infuse therapy Methods: Eligible studies for this systematic review constitute results that summarize influence factors related causes plebitis. We systematically searched ProQuest, Springer, Google Scholar from 7 days on 23-30 April 2018 for eligible systematic reviews with language limitation in English and Indonesian. Results: The literature search and screening process resulted in 21 full text articles. We found all 21 studies results proved influence factors that can cause plebitis and can be categorizes to 4 major factor which are: procedure and techniques,place and position,people,and types of fluids and medicines factors. Influence factors that mostly cause plebitis occurring in the 7 countries are from procedures and techniques, and people factors. Many are caused by violation the procedures and low soft skill in health workers. Conclusions: Plebitis incidence has become major issue in nosocomial infection at the hospital many countries. There should be new policy for monitoring and evaluation, supervision, documentation, analysis in plebitis sign with patient condition, increased competence knowledge and soft skill of health workers, fluid analysis and medicines, and nurse compliance for implementation of procedures and protocol. Plebitis is of particular concern because it can hurt many sectors ranging from patient, hospital, government and countries. It can cause increased length of hospital stay, increased medical cost and decreased motivation of work. 
ANALYSIS IMPLEMENTATION OF BACK REFERRAL PROGRAM DIABETES MELLITUS AND HYPERTENSION IN HOSPITAL X, JAKARTA Riza Ambari; Mieke Savitri
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Since morbidity rate of Diabetes Mellitus and Hypertension in Indonesia increased, the number of referral in hospital automatically high. National Health Insurance and hospital burden also increase if the Back- Referral Program (BRP) has not been implemented yet. The impact of the ineffectiveness of Back-Referral Program also felt by Hospital "X" in Jakarta. This study aims to analyze the effectiveness implementation of Back-Referral Program (BRP) Diabetes Mellitus and Hypertension in Hospital "X". Methods: This research was conducted in Hospital "X" of East Jakarta by using Qualitative Method. The informant are considered influential with Back-Referral Program (BRP) in Hospital "X" , consisting of Head of Medical Service Section, Internist Doctors, Nurses in internist station, Diabetes mellitus and Hypertension patients in Hospital “X”, Doctor’s in first health facility (FKTP) , BPJS pharmacy partner and Head of Health Services Primary Management Unit (MPKP) BPJS East Jakarta. Results: This study found an indication of medicine shortage in first health facility (FKTP). Lack of communication and coordination between BPJS, Hospitals, FKTP and BPJS pharmacy partner, and also less of monitoring and evaluation of Back-Referral Program (BRP) in hospital. Conclusions: Since Back-Referral Program (BRP) has not been implemented yet in Hospital “X” will induce long queue in internist station and caused the internist cannot examine and verify patients with properly.