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"Kinerja personil baik kuantitas maupun kualitas dalam organisasi rumah sakit merupakan penampilan dari setiap upaya pelayanan kesehatan yang merupakan tanggung jawab perawat manajer. Perawat manajer adalah orang yang terlibat dalam akreditasi dan bertanggung jawab atas pengelolaan pelayanan keperawatan, sehingga tujuan pelayanan keperawatan yang bermutu tercapai. Penelitian ini bertujuan untuk memperoleh gambaran 'hubungan antara pemahaman tentang akreditasi rumah sakit dan karakteristik dengan kinerja perawat manajer di Rumah Sakit Kepolisian Pusat Raden Said Sukanto Jakarta'. Disain penelitian adalah deskriptif korelasional, pendekatan cross sectional. Sampel berjumlah 80 orang, dengan instrumen kuesioner yang telah diujikan hasil valid dan reliabel. Hasil penelitian menunjukkan tidak ada hubungan yang signifikan antara pemahaman akreditasi Rumah Sakit bidang pelayanan keperawatan dengan kinerja perawat manajer (p=0,973). Perawat manajer yang paham tentang akreditasi lebih baik, memiliki peluang untuk meningkatkan kinerjanya dibandingkan dengan perawat manajer yang kurang paham. Sedangkan karakteristik menunjukkan tidak ada hubungan yang signifikan dengan kinerja perawat manajer. Disimpulkan bahwa pemahaman perawat manajer tentang akreditasi tidak berhubungan bermakna dengan kinerja perawat. Direkomendasikan bahwa pimpinan rumah sakit perlu menjelaskan pemahaman perawat manajer tentang akreditasi untuk meningkatkan kemampuan manajer dalam pengelolaan pelayanan keperawatan di rumah sakit.

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In a hospital organization, the personnel's performance from both the quality or quantity standpoint reflects the effort in health service was responsible nurse manager. The person who is involved in the accreditation process is the nurse manager and he/ she is responsible in managing the nursing services to achieve the high quality nursing services.

This research is intended to illustrate 'the relationship between the understanding of hospital accreditation and individual characteristic with the performance of nurse managers at the Raden Said Sukanto Main Police Hospital in Jakarta'. The research format is a co relational descriptive with a cross sectional characteristic. The sample for this research is taken from the entire nurse manager staff at the RS Sukanto Main Police Hospital numbering to 80 people, the instrument used with the validity and reliability test.

The result reveals that there is no significant relation between the understanding of hospital accreditation in the field of nursing services with the nurse manager's performance (p=0.973). A nurse manager who understands the gist of accreditation has a slightly better chance to improve his/her performance compared to a nurse manager who is insufficient in his/her understanding of the accreditation. The research on characteristic reveals that there is no significant relation between the individual's characteristic and the performance of nurse managers at the RS Sukanto Main Police Hospital.

The conclusion of this study showed that there isn't significant relation between the undertanding nurse manager with performance nurse's. From this result can be suggested for direction hospital need explained the continuation of the accreditation process to provide an effective learning experience to increase the quality of the nursing service is recommended.

In a hospital organization, the personnel's performance from both the quality or quantity standpoint reflects the effort in health service was responsible nurse manager. The person who is involved in the accreditation process is the nurse manager and he/she is responsible in managing the nursing services to achieve the high quality nursing services. This research is intended to illustrate 'the relationship between the understanding of hospital accreditation and individual characteristic with the performance of nurse managers at the Raden Said Sukanto Main Police Hospital in Jakarta'. The research format is a co relational descriptive with a cross sectional characteristic. The sample for this research is taken from the entire nurse manager staff at the RS Sukanto Main Police Hospital numbering to 80 people, the instrument used with the validity and reliability test. The result reveals that there is no significant relation between the nderstanding of hospital accreditation in the field of nursing services with the nurse manager's performance (p=0.973). A nurse manager who understands the gist of accreditation has a slightly better chance to improve his/her performance compared to a nurse manager who is insufficient in his/her understanding of the accreditation. The research on characteristic reveals that there is no significant relation between the individual's characteristic and the performance of nurse managers at the RS Sukanto Main Police Hospital. The conclusion of this study showed that there isn't significant relation between the undertanding nurse manager with performance nurse's. From this result can be suggested for direction hospital need explained the continuation of the accreditation process to provide an effective learning experience to increase the quality of the nursing service is recommended."

"Peneitian ini bertujuan untuk mengetahui hubungan antara kinerja perawat pelaksana dalam melakukan asuhan keperawatan dengan kepuasan pasien. Penelitian dilakukan di Rumah Sakit Kepolisian Pusat Raden Sukanto Jakarta di 11 ruang rawat inap. Desain penelitian crass sectional, sampel diambil secara proporsionai random sampling dengan jumlah sampel 110 pasien. waktu pelaksanaan pada bulan Juni 2002. Data dianalisis dengan Chi-square untuk melihat hubungan antara variabel dependen dan independen, sedangkan untuk menilai kuatnya hubungan antara variabel dependen dan independen dilakukan dengan regresi holistik berganda dan untuk menentukan prioritas utama menggunakan diagram Kartesius. Hasil penelitian menunjukkan bahwa kinerja perawat nilai tertinggi pada tindakan keperawatan sebesar 83,6 %, kepuasan pasien menunjukkan hasil 19,1 % menyatakan puas. Hasil uji bivaiiat menggunakan Chi- square didapatkan bahwa ada hubungan antara pengkajian dengan kepuasan pasien ( Pv=0, 000), ada hubungan antara diagnosa keperawatan dengan kepuasan pasien (Pv= 0.000), ada hubungan antara rencana keperawatan dengan kepuasan pasien ( Pv 0,0001), ada hubungan antara tindakan keperawatan dengan kepuasan pasien ( Pv= 0,015) dan ada hubungan antara evaluasi dengan kepuasan pasien ( Pv 0,001). Hasil multìvariat menggunakan regresi logistik berganda menunjukkan bahwa diagnosa keperawatan paling dominan daiam menentukan kepuasan pasien dikontrol oleh pengkajìan dan jenis kelamin (Exp.B.= 18,58). Diagram Kailesius menunjukkan pengkajian merupakan priotitas utama. Untuk menindaklanjuti hasil penelitian disarankan untuk menyelenggarakan pelatihan proses keperawatan khususrrya pengkajian dan diagnosa keperawatan. Ditunjang dengan pelaksanaan supervisi serta penyempurnaan standar asuhan keperawatan dan standar operasional prosedur. Untuk peneliti lain penelitian ini merupakan data awal, untuk mendapatkan hasil yang Iebih objektif dikombinasi dengan wawancara dan observasi.

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The research was providing to obtain the correlation between the nurses performance in nursing care and patient?s satisfaction. The research was conducted at Rumah Sakit Kepolisian Pusat Raden Said Sukanto, the number of sample were 110 which were taken randomly from 11 wards. Research design was cross sectional, Was held in June 2002. Data was analysed by using Chi-square to identify correlation between dependent variable with independent variable. Kartesius diagram was applied to determine the main priority.

The result of research showed that the nurses performance?s score mostly in implementation 83,6%, the rate satisfied patienst were 19,1%. From the result of Chi-square test there was a significant distinction between assesment with patient?s satisfaction (Pv = 0,000); between diagnosis with patent?s satisfaction (Pv = 0,000), between planning with patient?s satisfaction (Pv = 0,0001); between implementation with patient?s satisfaction (Pv = 0,015); between evaluation with patient?s satisfaction (Pv = 0,001). The result of multivaziate shows that diagnosis is more dominance in decisirving patient?s satisfaction after controfled by assesment and sex. Kartesius diagram shows that assesment in the demain priority.

To follow up the result of this research, it is recommended to rm the nursing process training particularly on asscsment and nursing cIignosñ. In adition supervision is needed to, as well as revision on nursing care standard and operational standard procedure. For the researcher, this research is basic data for gating the more objective result combine with interview and observation."

"Rumah Sakit Kepolisian Pusat Raden Said Sukanto merupakan badan pelaksana Dinas Kedokteran dan Kesehatan Polri (Disdokkes). Penyelenggaraan perawatan pasien inap kelas VIP merupakan salah satu kegiatan rumah sakit ini. Ruangan VIP Rumkit RS Sukanto yang baru didirikan pada awal tahun 1999 telah merawat sebagian besar pasien yang berasal dari kalangan Polri dan ABRI yaitu 84.9%, sedangkan pasien umum hanya 12.03%. Ruangan ini mempunyai kinerja yang rendah dengan Bed Occupancy Rate (BOR) pada tahun 1999 sebesar 27.46%. Tujuan umum penelitian ini adalah untuk mengidentifkasi faktor lingkunga ekstemal, faktor lingkungan internal yang memberikan peluang, ancaman, kekuatan dan kelemahan bagi peningkatan utilitas ruang rawat inap VIP Rumkit RS Sukanto serta menentukan strategi pemasaran yang tepat untuk meningkatkan kinerja Iayanan rawat Map VIP dan Rumkit RS Sukanto. Penelitian ini merupakan Operational Research yang bersifat deskriptif analitik dengan menggunakan analisa strategik. Teknik pengumpulan data yang dilakukan adalah dengan wawancara mendalam dan penyebaran kuesioner untuk memperoleh data primer, sedangkan data sekunder diperoleh dari BPS (Biro Pusat Statistik), rumah sakit di daerah Jakarta Timur, Dirjen Yanmed Depkes (Direktorat Jenderal Pelayanan Medis Departemen Kesehatan). Hasil penelitian menunjukkan secara umum berdasarkan evaluasi internal (IFE matrix) bahwa harga yang bersaing dan relatif rendah menjadi faktor kekuatan dominan dengan skor tertinggi (0.42) dengan faktor kelemahan dominan adalah kekurangan fasilitas fisik seperti telepon dengan skor 0.08. Total faktor internal untuk ruangan VIP adalah 2.45. Sedangkan berdasarkan evaluasi eksternal (EFE matrix) diketahui bahwa nilai skor tertinggi untuk faktor peluang dominan adalah 0.48, yaitu peluang untuk mengambil segmen pasar middle-top manager pada 29 perusahaan yang telah dilayani para pegawainya disertai dengan faktor ancaman dominan dengan nilai skor terendah yaitu 0.08 mengenai kurang transparannya sistem pendanaan BUMN Patti secara umum sehingga berdampak pada anggaran kesejahteraan karyawan rumah sakit. Dengari demikian total faktor eksternalnya adalah 2.18. Dari penelitian ini juga diketahui bahwa Rumkit RS Sukanto pada matriks BCG berada pada pada posisi Problem Children, di mana Rumkit RS Sukanto mempunyai pangsa pasar relatif yang rendah tetapi mempunyai rata-rata pertumbuhan yang tinggi. Sehingga pimpinan harus memutuskan untuk menguatkan posisi produk dengan Cara menambah invesiasi melalui product development atau market development atau bahkan keluar dari persaingan ini melalui harvesting, divestiture atau likuidasi. Sedangkan dalam matriks IE, Rumkit RS Sukanto berada pada sel V sehingga mengarahkan pada strategi hold and maintain, Dari keseluruhan hasil penelitian dapat disimpulkan bahwa untuk rencana ke depan Rumkit RS Sukanto perlu membuat tim pemasaran dan tujuan pemasaran yang rinci dan jelas dengan rencana program pemasarannya. Rumkit RS Sukanto juga disarankan untuk mengemas ulang produknya dengan tetap mempertahankan harga sehingga menjadi produk yang memiliki high value, disertai dengan memperkenalkan jasa pelayanan ruangan VIP kepada pimpinan-pimpinan perusahaan yang sudah bekerja sama dengan rumah sakit.

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Raden Said Sukanto Center Police Hospital is an executor board of Indonesian Police Medical and Health Official. The operational of nursing VIP inpatient is one of the activities of this hospital. VIP room of the RS Sukanto hospital was exist in early 1999 and had nursed for 84,9 % of military and the police patient, while at that time had nursed 12,03 % civil patient. This room had low performance with bed occupancy rate in 1999 about 27,46 %.

The aim of this research is to identify the external factor environment and the internal factor environment, which could give opportunities, threats, utilities, and weaknesses. Also to establish the marketing strategy that could improve the service performance of the VIP room.

This research is an operational research, which has a descriptive analytic characteristic and uses the strategic analysis. The technique of collecting data was by doing in-depth interview and spreading questioners to get the primary data. The secondary data was obtained from statistic center bureau, health department, and other hospitals in East Jakarta.

Generally, the result of this research based on the internal evaluation (WE Matrix) shows that the competitive and relatively low price become the dominant strength factor with the highest score (0,42) and the dominant weakness factor which is the lack of physical facilities like telephone with score 0,08. The total internal factor for VIP room CPS IV is 2,45.

While based on the external evaluation (EFE Matrix), the highest score for the dominant opportunity factor is 0,48, which is to take the middle top manager segment from 29 Firms that the employees have already been served by RS Sukanto hospital. Follow by the dominant threat factor that have the lowest score (0,08) which is the untransparancy of funding system of military government business organization that effect to the employees welfare budgeting of this hospital.

From this research study, we knew that RS Sukanto hospital is in the problem children position at the BCG matrix. This mean that RS Sukanto has low relative market share but has high growth market rate, while on the internal external (IE) matrix RS Sukanto hospital is in the 5th cell. Based on the IE Matrix and ECG matrix, the alternative adaptation strategy for VIP room are product development and market penetration. Moreover, based on QSPM the selected adaptive strategy is product development.

The overall of this study, could be resume for future planning that RS Sukanto hospital need to establish marketing team and a detail marketing goal with the planning of marketing program. RS Sukanto hospital is also suggested to recovered VIP room product and still maintaining the price so that product become a high value product, besides that, RS Sukanto hospital have to promote the VIP room service to the top managers form the firm that had already been cooperate with this hospital."

"Penelitian ini dilakukan untuk mendapatkan gambaran persepsi pasien pada kualitas interaksi, kualitas lingkungan fisik, kualitas hasil, dan kualitas jasa keseluruhan Instalasi Rawat Inap B dan C RS Bhayangkara Tk. I Raden Said Sukanto dengan dasar adanya penurunan jumlah pasien rawat inap pada tahun 2010-2011 (17,3%) dan belum terwujudnya kebijakan Zero Complaint di lingkungan pelayanan rumah sakit. Penelitian diselenggarakan dengan desain cross sectional dan dengan analisis univariat. Hasil penelitian menunjukkan bahwa persepsi pasien baik pada kualitas interaksi, kualitas lingkungan fisik, kualitas hasil, maupun persepsi kualitas jasa keseluruhan tergolong dalam kategori baik. Meskipun demikian kualitas lingkungan fisik merupakan variabel dengan persentase kategori buruk terbesar diantara variabel-variabel lainnya (36,5%), sehingga dapat disimpulkan bahwa aspek lingkungan fisik rumah sakit masih memerlukan banyak perbaikan agar dapat memberikan pelayanan secara maksimal. Peneliti menyarankan diadakan peningkatan upaya pemeliharaan fasilitas fisik secara berkelanjutan.

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This research was conducted to get the description of patient perception on the interaction quality, physical environment quality, outcome quality, and overall service quality of B and C Inpatient Wards at Bhayangkara Tk.I Raden Said Sukanto Hospital, based on the decreasing amount of inpatients during 2010-2011 (17,3%) and the Zero Complaint in the hospital service area which can not be established yet. This research employed cross sectional research design with unvaried analysis.

The result showed that whether interaction quality, physical environment quality, outcome quality, or service quality were categorized to the good category. Nevertheless, physical environment quality is variable with the highest bad category percentage among the others (36,5%), so it can be concluded that the hospital physical environment aspect still needs more improvement in order to provide the maximum service. The researcher suggests establishing a continuous physical facility maintenance."

"Latar belakang: Salah satu cara untuk meningkatkan keselamatan pasien adalah dengan manajemen risiko. Program manajemen risiko akan berjalan baik jika ada komitmen dan pengawasan dari pimpinan, tata kelola yang baik, metodologi dalam mengidentifikasi, evaluasi serta memonitoring risiko serta adanya evaluasi dan pelaporan berkala dari program manajemen risiko. Studi ini bertujuan untuk mendeskripsikan keterlibatan perawat manajer dalam pelaksanaan manajemen risiko di rumah sakit. Metodologi penelitian: studi ini menggunakan pendekatan kualitatif deskriptif. Teknik pengumpulan data dengan menggunakan teknik Focus Group Interview pada 12 perawat manajer yang terdiri dari 1 Kepala Sub Instalasi, 7 Kepala Unit, dan 4 Ketua Tim yang dilaksanakan dalam tiga kali interview dimana satu kelompok terdiri dari empat orang. Analisis konten tematik digunakan untuk analisis data, data disajikan dengan pohon tematik. Daftar periksa kriteria konsolidasi untuk pelaporan penelitian kualitatif (COREQ) digunakan sebagai pedoman pelaporan penelitian. Hasil: Penelitian ini ditemukan enam tema: 1) Beragamnya persepsi perawat manajer tentang manajemen risiko, 2) Perawat manajer berperan penting dalam identifikasi awal risiko, 3) Proses perencanaan solusi memerlukan koordinasi antar unit dan kolaborasi interdisiplin, 4) Manajemen risiko digunakan sebagai pertimbangan pengambilan keputusan, 5) Untuk masalah berdampak besar dilakukan Failure Mode and Effect Analysis, dan 6) Kesibukan, kurang pengetahuan, dan kurang terstrukturnya monitoring dan evaluasi menjadi faktor penghambat pelaksanaan manajemen risiko. Kesimpulan: Perlunya perbaikan kebijakan berkaitan dengan proses penyusunan daftar risiko dan sistim monitoring-evaluasi, mengenali faktor penghambat dan menggunakan manajemen risiko sebagai pertimbangan keputusan dapat meningkatkan keberhasilan pelaksanaan manajemen risiko.

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Background: Risk management is one strategy to raise patient safety. The leadership's dedication and oversight, sound governance, risk identification, assessment, and monitoring techniques, as well as routine program reporting and evaluation, will all contribute to the success of the risk management program. The purpose of this study is to outline nurse managers' contributions to hospital risk management initiatives. Research methodology: a descriptive qualitative method is used in this study. Twelve nurse managers were interviewed in three groups of four, with each group including four to five individuals, as part of the focus group interviewing technique utilized for data collection. Data analysis is done using theme content analysis, and the results are displayed using a

thematic tree. The consolidated criteria for reporting qualitative research (COREQ) checklist was used to guide research reporting. Results: This research found six themes: (i) Nurse managers have different perspectives on risk management; (ii) Nurse managers are crucial in identifying risk early on; (iii) Coordination and collaboration with relevant parties are required during the solution planning process; (iv) Risk management used as consideration for decision making, (v) Failure Mode Effect Analysis is performed for problems with significant consequences; and (vi) Lack of knowledge, busyness, and unstructured monitoring are factors inhibiting the implementation of risk management. Conclusion: Improving policies related to compiling risk registers and monitoring systems, recognizing inhibiting factors, and using risk management as a decision consideration can increase the success of risk management implementation."

"Rumah Sakit Pusat Raden Said Sukanto yang disebut Rumah Sakit Sukanto adalah badan pelaksana pada dinas kedokteran dan kesehatan Polri. Salah satu kegiatannya adalah menyelenggarakan perawatan pasien rawat inap dan rawat jalan. Selama periode triwulan II/2002 telah melayani perawatan pasien rawat inap untuk anggota dinas dan keluarga sebanyak 3.512 orang dan pasien rawat jalan sebanyak 26.611 orang. Dalam kegiatan operasionalnya, RS. Sukanto belum dapat mencukupi kebutuhan obat-obatan untuk anggota dan keluarga.Tujuan penelitian adalah untuk mengetahui rata-rata beban biaya obat untuk anggota dinas dan keluarga di rawat inap dan rawat jalan serta total beban biaya obat-obatan yang selama ini dikeluarkan oleh pasien dinas dan anggota keluarga. Desain penelitian ini adalah survei untuk menghitung total beban biaya obat di rawat inap dan rawat jalan selama periode triwulan II/2002.Teknik pengumpulan data adalah dengan abstrasi catatan medik selama 6 hari (15 April -20 April 2002) selanjutnya analisa dilakukan melalui uji t atau uji Anova dan uji Kai Kuadrat dengan bantuan perangkat lunak (SPSS).Dari hasil perhitungan didapatkan rata-rata beban biaya obat rawat jalan sebesar Rp.39.587 dirawat inap sebesar Rp.110.171 sehingga total beban biaya obat di rawat inap dan rawat jalan pada triwulan II/2002 adalah sebesar Rp. l. 440.370.209,- dukungan anggaran dinas untuk obat-obatan sebesar Rp.798.249.900,-(55%) sisanya Rp.640.120.309,-(45%) ditanggung oleh pasien dinas sendiri.Dari keseluruhan hasil penelitian ini dapat disimpulkan bahwa perlu adanya penyempurnaan pengolahan dan perencanaan obat baik ditingkat MABES (DISDOKKES) maupun Rumah Sakit Sukanto, serta peninjauan kembali perhitungan proporsi DPK yang selama ini dipotong 2% dari setiap anggota POLRI.

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Raden Said Sukanto Police Department General Hospital is working committee on Medical and Health Service of Indonesian Police Department (POLRI), which one activity organizing health care, for ambulatory patient and in-patient.

This hospital on second quarterly 2002 had been serving member ships of police office and their families for staying care around 3.512 person and ambulatory care as much as 26.611 patients. Sukanto Hospital could not fulfill the over drugs for policemen and their families.

The objective of research is to knowing the cost charge average and total cost of medical supply that Police Department spends for policemen and their families at ambulatory care and room care.

Research design is taking survey for calculating the total cost and the cost average of medical supply at ambulatory care and room care on second quarterly 2002. While, medical record abstraction have required for collecting of data, as long as six days, in the middle of April until 20 th April 2002. Furthermore, the researcher carried our univariat analysis by t-test or anova or chi-square with assisting SPSS.

From those analysis was found that the cost charge average of medical supply in ambulatory care was Rp.39.587,- whereas in room care was Rp. 1.440.370.209,-, with the result that, the total cost both of its, on second quarterly 2002 was Rp.1.743.613.511,-. The department just only could expensed Rp.798.249.900, - (55%), and less of fund, about Rp.612.120.309, - (45%) became responsible for patients.

Conclusion of these research could explained that MABES or Sukanto Hospital necessary to make conduct preparation of medical supply with good planning, and the hospital has to make judgment in medical cost by implementation of reference system in main level or region level. Finally, in order to the membership of police office and their families didn't have much charge, the hospital has to increase quality of service and has to rise good image, as good hospital for membership of police office."

"Penelitian ini membahas mengenai kecukupan dokumen pelayanan administrasi dan manajemen yang diperlukan sebagai persyaratan untuk akreditasi rumah sakit. Penelitian ini adalah penelitian kualitatif dengan desain deskriptif. Hasil penelitian menyarankan perlunya melengkapi dokumen evalusi untuk meningkatkan nilai pada masing-masing parameter. Membuat anggaran untuk pendidikan kelanjutan master manajemen rumah sakit. Kekuatan ekstra untuk mencapai program keperawatan yang telah ditetapkan.

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The focus of this study is to evaluate the adequacy of the documents of administration service and management which is required to fulfill the process of hospital accreditation. This study is a qualitative one and using descriptive design. The results suggest the need to complete the evaluationdocuments to increase the value of each parameter. Creating a master budget for the continuation of education hospital management. Extra strength to achieve a predetermined nursing program."

"Rumah sakit memerlukan sumber daya manusia yang profesional. Salah satuupaya untuk menciptakan sumber daya manusia yang profesional, mclalui pcndidikandan pelatihan. Umuk kepcrluan ini dilakukan pelatihan PBK, pelatihan ini diiakukanterhadap pcrawat dan bidan yang bckerja di UPF Obstetri dan Ginekologi, Rumah SakitHusada.Tujuan pelatihan PBK ini untuk meningkatkan kompetensi perawat dan bidandalam mclaksanakan Standar Pclayanan Kcbidanan, dirnana pelaksanaannya, dikerjakanoleh perawat dan bidan dalam betuk tim kelja.Evaluasi pelatihan PBK ini dengan melihat kineija tim kerja perawat dan bidandalam mélaksanakan Standar Pelayanan Kebidanan Kinerja ini diukur berdasarkanBuku Pedoman Standar Pclayanan Kebidanan dan Audit Instmmcn yang diterbitkanIkatan Bidan Indonesia (2000), dimana pedoman ini akan menjadi Standar PelayananKebidanan di Indonesia. Penerapan Standar Pelayanan Kebidanan, diperlukan dalamrangka mengetahui pelaksanaan pekeijaan terscbut telah memenuhi Standar Peiayanan Kebidanan, dalam upaya meningkatkan pengetahuan, sikap dan ketcrampilan dalammelaksanakan Standar Pclayanan Kebidanan di UPF Obstetri dan Ginekologi RumahSakit Husada_Masalah utama yang diteliti apakah ada pengaruh Pelatihan PBK dengan kinenjaperawat dan bidan dalam melaksanakan Standar Pelayanan Kebidanan, scbelum dansetelah mendapat Pelatihan PBK_ IMetode penelitian yang digunakan adalah kuasi ekspcrimen pre-les! dan pos!-resr, yaitu melihat pengaruh pelatihan PBK, terhadap perubahan kinerja perawat danbidan dalam melaksanakan Standar Pelayanan Kebidanan, dengan intefvensi pelatihanPBK.Hasil penelitian diolah clengan komputer menggunakan program SPSS vcrsi 6.1dengan tcknik analisa Student t-paired test dan Mann Whitney, menurnukkan bahwapelatihan PBIQ mempengaruhi peningkatan kinerja perawat dan bidan, dalammelaksanakan Standar Pelayanan Kebidanan yang bermakna, yang diukur dcnganIntmmcn Audit bcrdasarkan Buku Pedoman Insmmen Audit [BI (2000), yang telahdimodifikasi untuk penelitian ini_ Khusus dalam Instmmcn Audit yang telah dimodiiikasiini: a) ada peningkatan, bidan dalam mengerjakan Partograi bex-makna, b) tetapi dalammelaksanakan Catatan Pelayanan Penolongan persnlinan oleh bidan dan Catatan StandarPelayanan Kebidanan, yang dikerjakan perawat dan bidan, keduanya tidak bennakna.Berdasarkan hasil penelitian tersebut, peneliti mengemukakan saran; 1) agardilakukan penelitian Iebih Ianjut, untuk mengevaluasi, tingkat kompetensi perawat danbidan, yang bckelja di UPF Obstetri dan Ginekologi, untuk menentukan pelatihanselanjutnya 2) Untuk Rumah Sakit Husada periunya pendidikan berkclanjutan untukmcnunjang profesionalisme, tenaga keperawatan dan 3) memperbaiki sistern jenjangkaricr dan imbalan bagi tenaga keperawatan.

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Abstract The influence of training for nurse and midwife performance in carrying out of standardpractice of midwifery at obgyn department of I-lusada Hospital.Hospital needs professional human resource, is through training. For has needCompetency Based Training is arranged for nurse and midwife who are working atobgyn/ maternity care department.The objective of this training is to promote nurse and midwife capability in carrying outstandard practice of midwifery, in which applied in a team work (nurse and midwife).Competency Based Training is the performance of the nurse and midwife team work incarrying out standard practice of midwifery, which is measured based on standardpractice of midwifery hand book and audit instrument published by indonesia midwiferyassociation ( 2000). These handbook will be referenced i`or standard practice ofmidwiI`eiy. The evaluation of carrying out standard practice of midwifery, is needed toknow whether the carrying out the standard has achieved or not, in respect withpromoting of knowledge attitude and skill efi`orts The main problem to be search is there is Competency Based Training to nurse andmidwife perlbrmancc in carrying out standard practice of midwifery pre and posttraining.The method of this research is experiment quotation pre and post namely to see theinfluence of training, to the nurse and midwife performance charge in carrying out thestandard practice of midwifery, 'The result of this research, which is processed by computing with SPSS 6.1 version byusing Mann Whitney and Student paired test analyses technique shows that CompetencyBased Training influences significant promotion of nurse and midwifery performance.The result is measured by modified instrument audit hand book_ Especially in thismodified audit instmment shows :a. Cure in significant improvement of midwife in partoraf assessing.b. But in assessing both of delivery?s note and standard practice of midwifery notethere is no significant changes.Based on this research, recommend and following suggestion 1l. lt is necessary to arrange a sustainable training/ continous education tosupport professionalism.2. Arranging/ following up this research to evaluate nurse capability inobgyn dept.3. Improving opportunity system and reward and punisment"