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"Perkesmas merupakan upaya program pengembangan puskesmas yang kegiatannya terintegrasi dalam upaya kesehatan wajib dan upaya kesehatan pengembangan lainnya. Tujuan penelitian ini untuk mengetahui hubungan kompetensi perawat puskesmas dan tingkat keterlaksanaan kegiatan perkesmas di Kota Pontianak. Desain yang digunakan adalah analitik korelasi secara cross sectional dengan sampel 118 perawat. Analisis data dengan chi-square, uji t independen, dan regresi logistik.Hasil analisis menunjukkan adanya hubungan antara kompetensi perawat puskesmas dan tingkat keterlaksanaan kegiatan perkesmas (p=0,000). Lebih lanjut diketahui bahwa terdapat interaksi antara kompetensi dan pelatihan. Penelitian ini merekomendasikan peningkatan kompetensi perawat guna keoptimalan pelaksanaan perkesmas melalui pelatihan, pembinaan melalui tim yang ditugasi, ataupun kerja sama dengan teman sejawat serta memberikan dukungan berupa kebijakan untuk penghargaan dan sanksi seperti jenjang karir perawat.

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Community Health Care (Perkesmas) is an effort of Community Health Center (Puskesmas) development program whose activities integrated into the compulsory health efforts and health development efforts. The purpose of this research was to determine the relationship between the competence of community health center (puskesmas) nurses and the implementation level of community health care (perkesmas) activities at Pontianak This research is an analytic correlation research with cross sectional program, and using 118 nurses as the sample. The data was analyzed by the Chi-Square test, the independent t test, and the logistic regression test.From the data analysis, it has been recognized that there is a relation between the competence of community health center nurses and the implementation level of community health care (p=0,000). Further revealed that an interaction between competence and training has been found. This research recommends enhancing the competence of nurses for the optimal implementation of community health center through training, coaching through the team assigned to, or cooperation with peers, and also provides support in the form of a policy of rewards and punishments such as career path for nurses."

"Perkesmas merupakan upaya program pengembangan puskesmas yang kegiatannya terintegrasi dalam upaya kesehatan wajib dan upaya kesehatan pengembangan lainnya. Tujuan penelitian untuk mengetahui hubungan kompetensi perawat puskesmas dan tingkat keterlaksanaan kegiatan perkesmas di Kota Pontianak. Desain penelitian adalah analitik korelasi secara cross sectional dengan sampel 118 perawat. Analisis data dengan Chi-Square, uji t independen, dan regresi logistik. Hasil analisis menunjukkan adanya hubungan antara kompetensi perawat puskesmas dan tingkat keterlaksanaan kegiatan perkesmas (p= 0,000; α= 0,05). Lebih lanjut diketahui bahwa terdapat interaksi antara kompetensi dan pelatihan. Penelitian ini merekomendasikan peningkatan kompetensi perawat guna keoptimalan pelaksanaan perkesmas melalui pelatihan, pembinaan melalui tim yang ditugasi, ataupun kerja sama dengan teman sejawat serta memberikan dukungan berupa kebijakan untuk penghargaan dan sanksi seperti jenjang karir perawat.

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Community Health Care (Perkesmas) is activity of Community Health Center (Puskesmas) development program whose activities integrated into the compulsory health efforts and health development efforts. The purpose of this research was to determine the relationship between the competence of community health center (puskesmas) nurses and the implementation level of community health care (perkesmas) activities at Pontianak This research is an analytic correlation research with cross sectional program, and using 118 nurses as the sample. The data was analyzed by the Chi-Square test, the independent t test, and the logistic regression test. From the data analysis, it has been recognized that there is a relation between the competence of community health center nurses and the implementation level of community health care (p=0.000; α= 0.05). Further revealed that an interaction between competence and training has been found. This research recommends enhancing the competence of nurses for the optimal implementation of community health center through training, coaching through the team assigned to, or cooperation with peers, and also provides support in the form of a policy of rewards and punishments such as career path for nurses."

"Perkesmas adalah upaya puskesmas yang merupakan perpaduan antara keperawatan dengan kesehatan masyarakat didukung peran aktif masyarakat, serta mengutamakan pelayanan promotif, preventif tanpa mengabaikan pelayanan kuratif dan rehabilitatif secara menyeluruh ditujukan pada individu, keluarga, kelompok serta masyarakat sebagai kesatuan utuh melalui proses keperawatan sehingga meningkatkan kesehatan secara optimal. Tujuan penelitian untuk mengetahui hubungan pengetahuan perawat puskesmas dengan pelaksanaan perkesmas di Jawa Timur.Desain penelitian adalah deskriptif korelatif secara croos sectional dengan sampel 48 perawat. Analisis data dengan Chi-Square dan Uji normalitas Saphiro Wilk.Hasil analisis menunjukkan tidak adanya hubungan antara pengetahuan perawat puskesmas dengan pelaksanaan perkesmas p = 0,371; ? = 0,05 . Penelitian ini merekomendasikan peningkatan pengetahuan dan keterampilan perawat puskesmas agar pelaksanaan lebih optimal seperti pembinaan, kerja sama dengan teman sejawat, pelatihan bagi yang belum pernah serta kebijakan dukungan dinas kesehatan berupa penghargaan dan sanksi jelas seperti jenjang kerja perawat.

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Community health care Perkesmas is a service of integrated nursing care and public health which is supported by community rsquo s active cooperation and featuring promotive and preventive services without neglecting curative and rehabilitative services. The service is generally aimed for individual, family, group, and community as a whole through nursing pro ess thus improves their overall well being. The study aimed to identify relationship between health center nurses rsquo s knowledge and implementation of community health care in Eastern Java.The study design was descriptive correlative with cross sectional approach and total sample of 48 nurses. Chi square and Saphiro Wilk were employed for data analysis purposes. The result indicated that there was no correlation between health center nurse rsquo s knowledge and implementation of community health care p 0,371 0,05.The result suggested for health center nurses to improve their overall knowledge and skills to optimize the implementation of community health care through community development, cooperation with colleagues, and training for the unexperienced as well as developing supporting policy by health officials such as reward, punishment, and career ladder for nurses."

"ABSTRAKFenomena perawatan spiritual dapat dilihat dari beberapa negara, termasuk Indonesia, menunjukkan kompetensi perawatan spiritual perawat yang masih minim, sehingga memberikan pengaruh pada berbagai hal. Penyebab kompetensi perawatan spiritual yang masih minim adalah karena kurangnya pengetahuan dan pengalaman. Penelitian ini bertujuan untuk mengidentifikasi gambaran kompetensi perawatan spiritual oleh perawat dan mahasiswa keperawatan. Desain penelitian yang digunakan adalah cross sectional dengan jumlah sampel 107, terdiri dari mahasiswa ekstensi angkatan 2017 dan mahasiswa regular angkatan 2015 Fakultas Ilmu Keperawatan Universitas Indonesia, menggunakan kuesioner Spiritual Care Competence Scale (SCCS). Analisis data univariat menggunakan uji proporsi, menunjukkan hasil penelitian bahwa responden memiliki kompetensi yang cukup baik (56,1%), namun belum optimal pada pengembangan kualitas asuhan keperawatan spiritual, serta hasil penelitian lainnya yakni nilai kompetensi perawatan spiritual yang tidak pernah mendapatkan pelatihan/edukasi terkait spiritual care yakni 65, dengan persentase nilai median 108 adalah 48,3%. Penelitian ini merekomendasikan pemberian pelatihan/edukasi terkait spiritual care, sehingga dapat meningkatkan kompetensi perawatan spiritual perawat ataupun mahasiswa keperawatan yang secara mandiri sudah memberikan intervensi kepada pasien.

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ABSTRACTThe phenomenon of spiritual care can be seen from several countries, including Indonesia, showing that nurses spiritual care competencies are still minimal, so that it influences many things. The reason that spiritual care competence is still minimal is due to lack of knowledge and experience. This study aims to identify the description of the competence of spiritual care by nurses and nursing students. The research design used was cross sectional with a sample of 107, consisting of extension class of 2017 and regular class of 2015 of the Faculty of Nursing, University of Indonesia, using the Spiritual Care Competence Scale (SCCS) questionnaire. Univariate data analysis using proportion test, showed the results of the study that the respondents had a fairly good competence (56.1%), but not yet optimal in developing the quality of spiritual nursing care, as well as other research results namely the value of spiritual care competencies that had never received training/education related to spiritual care is 65, with the percentage median value of 108 being 48.3%. This study recommends providing training/education related to spiritual care, so as to improve the spiritual care competence of nurses or nursing students who have independently provided interventions to patients."

"Analisis kemampuan dan kemauan membayar masyarakat terhadap tarif pelayanan kesehatan bertujuan untuk mendapatkan gambaran kemampuan membayar (ATP) dan kemauan membayar (WTP) terhadap- tarif pelayanan kesehatan di Puskesmas Cikole Kabupaten Daerah Tingkat II Bandung, dikaitkan dengan adanya perubahan tarif dan Rp. 700,- menjadi Rp. 2000,- sesuai Perda No. X Tahun 1997. Penelitian merupakan analisis deskriptif dengan rancangan cross sectional. Pengumpulan data dengan mengadakan wawancara menggunakan kuesioner yang mengacu pada instrumen Survey Sosial Ekonomi Nasional 1995 terhadap keluarga yang pernah berobat ke Puskesmas setelah adanya kenaikan tarif. Hasil penelitian dideskripsikan melalui analisis persentase masyarakat yang "tersingkir" pada tarif tertentu. Hasil analisis antara lain terlihat masyarakat masih mempunyai kemampuan dalam membayar tarif Puskesmas sesuai Perda No. X Tahun 1997. Hal ini ditunjukkan dalam simulasi ATP1 (pengeluaran bukan makanan) dan ATP2 (pengeluaran non esensial), sedangkan bila disimulasikan dengan ATP3 (5% pengeluaran bukan makanan) maka sebesar 6% masyarakat akan "tersingkir ". Apabila biaya pelayanan berada di atas tarif yang ditetapkan yaitu misalnya ditambah dengan adanya pembebanan bagi pembelian jarum suntik, dimana tambahan biaya pembebanan juga meningkat dengan adanya kenaikan harga akibat krisis moneter akan mengakibatkan biaya pelayanan Puskesmas Cikole semakin tinggi, dan semakin banyak masyarakat yang tersingkir dari pelayanan Puskesmas. Turunnya kunjungan Puskesmas Cikole setelah diberlakukannya tarif baru - Rp.2000,- bukan sekedar disebabkan oleh adanya peningkatan tarif tersebut, tetapi merupakan dampak akumulatif dari adanya peningkatan tarif dan situasi moneter. Masyarakat yang tersingkir perlu didukung dengan program kartu sehat dan juga melaksanakan efisiensi biaya operasional untuk mengurangi pembebanan biaya pelayanan.

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People's Ability to Pay and Willing to Pay Analysis upon the Health Service Tariff of Puskesmas Cikole, Kabupaten Daerah Tingkat II BandungPeople's ability to pay and willing to pay analysis upon the health service tariff' is aimed for getting the view of ability to pay and willing to pay upon the health service tariff at Puskesmas Cikole Kabupaten Daerah Tingkat II Bandung, related to the increasing tariff from Rp. 700,- to Rp. 2000,- according to Perda No. X /1997. This research is a descriptive analysis with cross sectional outline. The data gathered by carrying out interviews using questionaires according to " Survey Sosial Ekonomi Nasional 1995 " instrument to the families who have gone to get a medicaL treatment at the Puskesmas after the tariff increasing. The result of this reseach is described through the percentage analysis of people eliminated at a certain tariff. From the analysis, it seems that people still have the ability to pay Puskesmas tariff according to Perda No. X / 1997. This is shown in ATP 1 ( non - food expenses ) and ATP 2 ( non - essensial expenses) simulation, whereas if it was simulated by the ATP 3 ( 5% non - food expenses ), the 6 % of people will be eliminated. If the service cost is higher than the stated tariff; for example, addition with expenses for purchasing syringe, where the addition was also increased by the increasing prices as the result of monetary crisis, will make the service cost at Puskesmas Cikole higher, and more people will be eliminated from the Puskesmas services. The decreasing visits to Puskesmas Cikole after the new tariff Rp. 2000,-implemented, is not only because of the increase tariff; but also a cummulative effect from the increased tariff and monetary situation. The peoplie who are eliminated need to be supported by the " Kartu Sehat " program and also by carrying out operational cost efficiency to lessen cost burdening."

"ABSTRAKPasien yang dirawat di rumah sakit membutuhkan perawatan yang holistik salah satunya yaitu perawatan spiritual. Memberikan perawatan spiritual menjadi salah satu peran penting perawat. Perawatan spiritual yang diberikan oleh perawat dapat membuat pasien merasakan kedamaian batin serta mendapatkan harapan yang baru. Tujuan dari penelitian ini yaitu untuk mengetahui hubungan antara kompetensi dengan pemberian perawatan spiritual oleh perawat. Penelitian ini menggunakan desain cross sectional dengan jumlah sampel sebanyak 112 orang perawat pelaksana di sebuah Rumah Sakit daerah Jakarta yang bertugas di ruang rawat inap dan ruang intensive care yang dipilih dengan menggunakan teknik proportional stratified random sampling. Instrumen yang digunakan dalam penelitian ini yaitu Spiritual Care Competence Scale (SCCS) dari van Leeuwen (2008) dan Nurse Spiritual Care Therapeutics Scale (NSCTS) dari Mamier & Taylor (2015). Hasil penelitian ini menunjukkan bahwa terdapat hubungan yang bermakna antara kompetensi dengan pemberian perawatan spiritual, yaitu semakin tinggi kompetensi yang dimiliki oleh seorang perawat maka semakin tinggi pemberian perawatan spiritual (r = 0,437; p < 0,0001; 95% CI). Upaya untuk meningkatkan pemberian perawatan spiritual agar dapat memenuhi kebutuhan spiritual pasien dapat dilakukan dengan meningkatkan kompetensi perawat salah satunya melalui pemberian pelatihan/ edukasi kepada perawat terkait spiritual care. Selain itu, pihak Rumah Sakit diharapkan dapat membuat standar operasional prosedur (SOP) pemberian spiritual care yang dapat dijadikan pedoman oleh perawat dalam memberikan perawatan spiritual kepada pasien.

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ABSTRACTPatients who get treatment at the hospital were need holistic care, that is spiritual care. Provide spiritual care become one of the important roles of nurses. Spiritual care provided by nurses can make patients get inner peace and get new hope. The purpose of this study is to determine the relationship between competence and the presentation of spiritual care by nurses. This study used a cross sectional design with a total sample of 112 nurses at the Jakarta Regional Hospital who work at inpatient and intensive care rooms and selected using proportional stratified random sampling techniques. Instruments that used in this study are Spiritual Care Competence Scale (SCCS) from van Leeuwen (2008) and Nurse Spiritual Care Therapeutics Scale (NSCTS) from Mamier & Taylor (2015). The result of this study indicate that there is a significant relationship between competence and the presentation of spiritual care, that is the higher competence possessed by a nurse, will be more higher presentation of spiritual care (r = 0,437; p < 0,0001; 95% CI). Efforts to improve the presentation of spiritual care in order to meet patients spiritual needs can be done by increasing the nurses competence, one of which is by providing training/ education for nurses related to spiritual care. In addition, the Hospital is expected to be able to make standard operating procedures (SOP) about spiritual care administration that can be uses by nurses in providing spiritual care to patients."

"Berdasarkan Peraturan Menteri Kesehatan Nomor 43 Tahun 2019 Tentang Pusat Kesehatan Masyarakat, Puskesmas menyelenggarakan Upaya Kesehatan Masyarakat (UKM) dan Upaya Kesehatan Perseorangan (UKP) tingkat pertama, dengan mengutamakan upaya promotif dan preventif tanpa mengabaikan upaya kuratif maupun rehabilitatif. Di era Jaminan Kesehatan Nasional, fungsi puskesmas lebih banyak melakukan pengobatan dari pada pencegahan penyakit. Puskesmas memiliki Puskesmas Pembantu sebagai jaringan yang sebenarnya dapat memperkuat UKM dan UKP di tingkat Desa/Kelurahan jika Puskesmas Pembantu menjadi Fasilitas Kesehatan Tingkat Pertama (FKTP). Namun, belum ada kebijakan tentang puskesmas pembantu dapat menjadi FKTP. Penelitian ini menggunakan metode penelitian kualitatif dengan Pendekatan teori proses analisis kebijakan William N. Dunn. Lokasi penelitian di Puskesmas Perkotaan (Kota Solok), Puskesmas Perdesaan (Kabupaten Tanah Datar), Puskesmas Terpencil (Kabupaten Solok Selatan), serta di Direktorat Tata Kelola Kesehatan Masyarakat Kementerian Kesehatan yang dilaksanakan pada bulan juni sampai juli 2023. Penelitian dilaksanakan dengan wancara mendalam terhadap 9 orang Kepala Puskesmas, 9 orang penanggungjawab Puskesmas Pembantu, 9 orang Masyarakat, Plt. Direktur Tata Kelola Masyarakat, dan Fokus Group Discussion (FGD) terhadap 4 orang Tim Kerja Kebijakan Puskesmas dan Integrasi Layanan Primer, serta telaah dokumen. Temuan penelitian mengungkapkan, Puskesmas memiliki beban kerja yang berat dan lebih fokus pada pelayanan pengobatan, akses masyarakat terhadap FKTP belum semuanya mudah dijangkau oleh masyarakat, belum ada kebijakan yang mengatur wewenang Puskesmas Pembantu sebagai FKTP, dan sebenarnya Puskesmas Pembantu telah layak dijadikan FKTP Klinik Pratama. Diharapkan ada Peraturan Menteri Kesehatan tentang Puskesmas Pembantu menjadi FKTP Klinik Pratama untuk memperkuat Upaya Kesehatan Masyarakat dan Upaya Kesehatan Perorangan yang terintegrasi di tingkat Desa/Kelurahan.

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Based on the Regulation of the Minister of Health Number 43 of 2019 concerning Puskesmas, the Puskesmas organizes first-level Public Health Efforts (UKM) and Individual Health Efforts (UKP), with priority on promotive and preventive efforts without neglecting curative and rehabilitative efforts. In the era of the National Health Insurance, the function of the puskesmas was more to treat disease than to prevent disease. The health center has a sub-health center as a network which can actually strengthen UKM and UKP at the Village/Kelurahan level if the sub-health center becomes a First Level Health Facility (FKTP). However, there is no policy regarding how auxiliary puskesmas can become FKTPs. This study uses qualitative research methods with William N. Dunn's policy analysis process theory approach. The research locations were Urban Health Centers (Solok City), Rural Health Centers (Tanah Datar Regency), Remote Health Centers (South Solok Regency), as well as at the Ministry of Health's Directorate of Public Health Management which was conducted from June to July 2023. The research was conducted with in-depth interviews with 9 Heads of Health Centers, 9 people in charge of Supporting Health Centers, 9 people from the Community, Plt. Director of Community Governance, and Focus Group Discussion (FGD) of 4 Community Health Center Policy Work Teams and Integration of Primary Services, as well as document review. The research findings revealed that Puskesmas have a heavy workload and are more focused on medical services, not all of the community's access to FKTPs are easy for the community to reach, there is no policy that regulates the authority of Puskesmas Pembantu as FKTPs, and actually Puskesmas Pembantu are appropriate to be made Primary Clinic FKTPs. It is hoped that there will be a Regulation of the Minister of Health regarding Puskesmas Pembantu to become Primary Clinic FKTPs to strengthen Integrated Public Health Efforts and Individual Health Efforts at the Village level."