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GAYA KEPEMIMPINAN, LINGKUNGAN KERJA DAN KINERJA PERAWAT DI INSTALASI GAWAT DARURAT DI RUMAH SAKIT PADA MASA PANDEMI COVID-19 TAHUN 2022 Christina Lombogia; Oksfriani Jufri Sumampouw; Junita Maja Pertiwi
JMBI UNSRAT (Jurnal Ilmiah Manajemen Bisnis dan Inovasi Universitas Sam Ratulangi). Vol 10 No 1 (2023): JMBI UNSRAT Volume 10 Nomor 1
Publisher : FEB Universitas Sam Ratulangi Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35794/jmbi.v10i1.47729

Abstract

Introduction: Health services during the Corona Virus Disease (Covid-19) pandemic will be very different from the situation before Covid-19, because Hospitals must prepare stricter security procedures where PPI protocols are followed according to standards. Patient admission procedures will certainly experience the impact of changes including the universal use of masks, stricter screening procedures, abolishing visiting hours, and restrictions on patient companions and even separation of services for Covid-19 and non-Covid-19 patients. This affects the performance of hospital employees, especially in the Emergency Room (ER). Employee performance is influenced by many factors such as leadership style and work environment. The purpose of this study was to analyze the correlation between leadership style and work environment with the performance of emergency room nurses at the hospital during the Covid-19 pandemic in 2022. Methods: This is an observational study with a cross-sectional approach. This research was conducted in the Emergency Room of Hospital Prof. dr. R.D. Kandou Manado in March-May 2022. The respondents to this study were 118 nurses. The variables in this study are leadership style, work environment and performance. The instrument used is a questionnaire that has been validated by researchers. Data analysis carried out in this study was bivariate analysis using the Chi-Square test. Results: The results showed that the dominant respondents are distributed in female gender (75.4%), aged 36 years and under (59.3%), educated Bachelor/S1 (64.4%) and work 0-10 years (55.9%). Furthermore, it was explained that the respondents were mostly distributed in both categories for performance variables (66.9%), work discipline (73.7%), motivation (61.0%) and leadership style (57.6%) while the respondents' work environment variables distributed 50% each for good and bad categories. The results of statistical analysis showed that there was a correlation between leadership style (p=0.000) and work environment (p=0.002) with the performance of the nurses in the IGD RSUP Prof. dr. R.D. Kandou. Conclusion: it can be concluded that the leadership style and work environment are correlated to the performance of nurses in the Hospital so efforts are needed to improve leadership style and work environment to be excellent so that nurse performance becomes positive or increases.
Hubungan Mutu Pelayanan Kesehatan Gigi dan Mulut Terhadap Kunjungan Pasien di Puskesmas Tepa Intan Indah S. Slarmanat; Junita Maja Pertiwi; Wulan Pingkan Julia Kaunang
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47933

Abstract

Abstrak Mutu pelayanan kesehatan merupakan proses berkelanjutan yang memantau pemberian layanan dan hasilnya untuk menilai berbagai faktor frekuensi kunjungan pasien yang memengaruhi layanan kesehatan. Dengan cara ini, masalah dapat ditemukan dan sumbernya ditangani, yang mengarah pada kesehatan dan kesejahteraan yang lebih baik bagi mereka yang menggunakan layanan kesehatan Tujuan penelitian ini yaitu untuk menganalisis hubungan mutu pelayanan kesehatan gigi dan mulut terhadap kunjungan pasien di Poliklinik Gigi dan Mulut di puskesmas Tepa melalui variabel Tangible (Wujud), Reliability (Kehandalan), Responsiveness (Cepat Tanggap), Assurance (Kepastian) dan Emphaty (Empati). Metode kuantitatif observasional analitik dengan pendekatan potong lintang. Penelitian dilaksanakan pada periode Januari-maret Tahun 2025 yang bertempat di Puskesmas Tepa, Kecematan Pulau Babar Barat, Kabupaten Maluku Barat Daya. Sampel penelitian yaitu 76 responden. Teknik yang digunakan adalah purposive sampling. Data hasil survey dianalisis dengan menggunakan uji chi-square dan regeresi logistic. Hasil penelitian ini menunjukkan bahwa Tangible (Wujud), Reliability (Kehandalan), Responsiveness (Cepat Tanggap), Assurance (Kepastian) dan Emphaty (Empati) memiliki hubungan yang signifikan dan positif terhadap kunjungan pasien di Puskesmas Tepa. Adapun variabel yang paling berpengaruh terhadap kunjungan pasien di Puskesmas Tepa adalah variabel Responsiveness (Cepat Tanggap) dengan nilai signifikan sebesar 0,015 (p value < 0,05) OR = 0,025 (95% CI = 0,001 - 0,487) artinya responden yang merasa cepat tanggap (responsiveness) baik dari pelayan kesehatan mempunyai peluang 0,025 kali tidak puas terhadap responden yang menyatakan kurang cepat tanggap (responsiveness) dari petugas kesehatan dengan nilai koefisien B yaitu 3,691 bernilai positif, maka semakin kurang cepat tanggap (responsiveness) dari petugas kesehatan semakin kurang pasien yang melakukan kunjungan ke Puskesmas dengan pelayanan kesehatan gigi dan mulut di Puskesmas Tepa. Kesimpulan penelitian ini yaitu Tangible (Wujud), Reliability (Kehandalan), Responsiveness (Cepat Tanggap), Assurance (Kepastian) dan Emphaty (Empati) memiliki hubungan yang signifikan dan positif terhadap kunjungan pasien di Puskesmas Tepa. Kata Kunci: Wujud (Tangible); Kehandalan (Reliability); Cepat Tanggap (Responsiveness); (Assurance) Kepastian; Empati (Emphaty); Layanan Kesehatan Gigi dan Mulut Puskesmas Tepa Abstract Healthcare quality is an ongoing process that monitors service delivery and outcomes to assess the various patient visit frequency factors that influence healthcare services.. In this way, problems can be identified and their sources addressed, leading to better health and well-being for those who use health services.The purpose of this study was to analyze the relationship between the quality of dental and oral health services and patient visits to the Dental and Oral Polyclinic at the Tepa Health Center through the variables Tangible, Reliability, Responsiveness, Assurance and Empathy. Using a quantitative, cross-sectional approach.This research was conducted in the period of January-March 2025 which took place at the Tepa Health Center, West Babar Island District, Southwest Maluku Regency. The research sample was 76 respondents. The technique used is purposive sampling. Survey data were analyzed using the chi-square test and logistic regression. The results of this study indicate that Tangible, Reliability, Responsiveness, Assurance and Empathy have a significant and positive relationship with patient visits at the Tepa Health Center. The most influential variable on patient visits to the Tepa Health Center is the Responsiveness variable with a significant value of 0.015 (p value <0.05) OR = 0.025 (95% CI = 0.001 - 0.487) meaning that respondents who feel responsiveness from health services have a 0.025 times greater chance of being dissatisfied with respondents who state that the responsiveness of health workers is less than the responsiveness with a coefficient value of B, namely 3.691, which is positive, so the less responsiveness from health workers, the fewer patients will visit the Health Center with dental and oral health services at the Tepa Health Center. The conclusion of this study is that Tangible, Reliability, Responsiveness, Assurance and Empathy have a significant and positive relationship with patient visits at the Tepa Health Center. Keywords: Tangible; Reliability; Responsiveness; Assurance; Empathy; Tepa Community Health Center's dental and oral health services