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ABSTRACTIntroduction: Hospital is an organization that produces a product in the form ofhealth services which consists of several professions and disciplines of Science,one of which plays an important role is the nurse. Nurses in quantity become thelargest workforce, providing 24 hour service continuously and absorb more than50% Hospital budget. High nurse turnover rates can cause disruption to servicesprovided to patients. Standard turn over employees, which can still be tolerated is10% per year. Turn over nurses that occurred in RSU Prima Medika whichincreased from 2015 to 2017, causing concerns from the management, especiallyat the end of 2016 intention turnover rate of 22.1%.The purpose of this study is to determine the determinants of Turn Over IntentionNurses at Prima Medika Hospital in 2017Method: This research is analytic with quantitative approach. This study usedcross sectional design. The number of samples used in this study was 114 nurseswho come from employees who work at Prima Medika Hospital after deductingexclusion criteria.Results: Salary Factor has relationship with nurse work satisfactory at RSU PrimaMedika in the year of 2017. Other factors such as: working conditions; statuswithin the organization; supervision; peer-partner interpersonal relationships,superiors and subordinates; achievement and the work itself, has no significantrelationship with nurse job satisfactory. Job satisfactory has relationship withturnover intention nurses at Prima Medika Hospital in 2017Conclusion: nurse intention turnover is influenced by job satisfaction that lies inthe salary, so the salary in this case needs to be considered."

"ABSTRACTName : Ni Nyoman Risana DewiStudy program : Kajian Administrasi Rumah SakitTitle : Analysis Of Turn Over Intention Nurse In GeneralHospital Prima Medika 2017Consellor : Dr. dr. Sandi Iljanto, MPHIntroduction: Hospital is an organization that produces a product in the form ofhealth services which consists of several professions and disciplines of Science,one of which plays an important role is the nurse. Nurses in quantity become thelargest workforce, providing 24 hour service continuously and absorb more than50 Hospital budget. High nurse turnover rates can cause disruption to servicesprovided to patients. Standard turn over employees, which can still be tolerated is10 per year. Turn over nurses that occurred in RSU Prima Medika whichincreased from 2015 to 2017, causing concerns from the management, especiallyat the end of 2016 intention turnover rate of 22.1 .The purpose of this study is to determine the determinants of Turn Over IntentionNurses at Prima Medika Hospital in 2017Method: This research is analytic with quantitative approach. This study usedcross sectional design. The number of samples used in this study was 114 nurseswho come from employees who work at Prima Medika Hospital after deductingexclusion criteria.Results: Salary Factor has relationship with nurse work satisfactory at RSU PrimaMedika in the year of 2017. Other factors such as: working conditions; statuswithin the organization; supervision; peer-partner interpersonal relationships,superiors and subordinates; achievement and the work itself, has no significantrelationship with nurse job satisfactory. Job satisfactory has relationship withturnover intention nurses at Prima Medika Hospital in 2017Conclusion: nurse intention turnover is influenced by job satisfaction that lies inthe salary, so the salary in this case needs to be considered.Keywords: turnover intention, job satisfaction, extrinsic factor, intrinsicfactor

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ABSTRACTName Ni Nyoman Risana DewiStudy program Kajian Administrasi Rumah SakitTitle Analysis Of Turn Over Intention Nurse In GeneralHospital Prima Medika 2017Consellor Dr. dr. Sandi Iljanto, MPHIntroduction Hospital is an organization that produces a product in the form ofhealth services which consists of several professions and disciplines of Science,one of which plays an important role is the nurse. Nurses in quantity become thelargest workforce, providing 24 hour service continuously and absorb more than50 Hospital budget. High nurse turnover rates can cause disruption to servicesprovided to patients. Standard turn over employees, which can still be tolerated is10 per year. Turn over nurses that occurred in RSU Prima Medika whichincreased from 2015 to 2017, causing concerns from the management, especiallyat the end of 2016 intention turnover rate of 22.1 .The purpose of this study is to determine the determinants of Turn Over IntentionNurses at Prima Medika Hospital in 2017Method This research is analytic with quantitative approach. This study usedcross sectional design. The number of samples used in this study was 114 nurseswho come from employees who work at Prima Medika Hospital after deductingexclusion criteria.Results Salary Factor has relationship with nurse work satisfactory at RSU PrimaMedika in the year of 2017. Other factors such as working conditions statuswithin the organization supervision peer partner interpersonal relationships,superiors and subordinates achievement and the work itself, has no significantrelationship with nurse job satisfactory. Job satisfactory has relationship withturnover intention nurses at Prima Medika Hospital in 2017Conclusion nurse intention turnover is influenced by job satisfaction that lies inthe salary, so the salary in this case needs to be considered.Keywords turnover intention, job satisfaction, extrinsic factor, intrinsicfactor"

"ABSTRAKNama : I Made Mahadinata Putra MNProgram Studi : Kajian Administrasi Rumah Sakit Judul : Peran Kepemimpinan, Motivasi Kerja, Beban Kerja, danKelelahan Kerja Terhadap Kinerja Perawat di Instalasi RawatInap RSU Prima Medika Denpasar Tahun 2018.Pembimbing : Dr. Ede Surya Darmawan, SKM., MDM.Latar Belakang : Pelayanan keperawatan di rumah sakit merupakan salah satufaktor penting dalam pelayanan kesehatan. Kinerja perawat yang baik akanmemberikan kepuasan pada pengguna jasa baik internal maupun eksternal.Kinerja perawat dipengaruhi oleh berbagai macam faktor. Dipersepsikan bahwapenyebab kinerja perawat terganggu adalah gaya kepemimpinan, motivasi kerja,beban kerja, dan kelelahan kerja. Kinerja perawat di RSU Prima MedikaDenpasar selama ini dilaporkan baik, namun belum diketahui secara pasti kinerjaperawat yang sebenarnya. Adapun tujuan penelitian ini adalah untuk mengetahuifaktor-faktor determinan yang berpengaruh terhadap kinerja tenaga perawat.Metode : Metode penelitian ini merupakan penelitian kuantitatif denganrancangan cross-sectional yang dianalisis menggunakan analisis multivariat,dengan sampel perawat pelaksana yang berjumlah 74 responden.Hasil : Hasil penelitian menunjukkan proporsi kinerja yang kurang baik lebihbesar dibandingkan dengan kinerja yang baik, adanya hubungan yang bermaknaantara gaya kepemimpinan, beban kerja, dan kelelahan kerja terhadap kinerjaperawat berturut-turut sebesar 3,784, 2,971, dan 1,320. Sedangkan tidak terdapathubungan yang bermakna antara motivasi kerja dengan kinerja perawat.Simpulan : Kepemimpinan memiliki hubungan paling besar terhadap kinerjaperawat pelaksana. Kepemimpinan yang baik perlu senantiasa diterapkan dalamupaya meningkatkan kinerja perawat.Kata kunci :Kepemimpinan, motivasi kerja, beban kerja, kelelahan kerja; kinerja perawat.

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ABSTRACTName I Made Mahadinata Putra MNStudy Program Study of Hospital AdministrationTitle The Role of Leadership, Job Motivation, Workload,and Burnout with Nurse Performance In HospitalizationService In Prima Medika General Hospital, 2018.Counsellor Dr. Ede Surya Darmawan, SKM, MDM.Introduction Nursing services in hospitals is one of the important factors inhealth services. A good nurse performance will provide satisfaction to bothinternal and external service users. The performance of nurses is influenced byvarious factors. It is perceived that the cause of the nurse rsquo s performance isdisrupted by the style of leadership, work motivation, workload, and workfatigue. The performance of nurses at RSU Prima Medika Denpasar has been wellreported, but it is not yet known exactly the actual performance of the nurses. Thepurpose of this study is to determine various factors that affect the performanceof nurses.Method This research method is quantitative research with cross sectionaldesign which analyzed using multivariate analysis, with sample of nurse executorwhich amount 74 respondent.Result The result of the study shows that the proportion of poor performance isgreater than the good performance, there is a significant correlation betweenleadership style, work load, and work fatigue on nurse performance 3,784, 2,971,and 1,320 respectively. While there is no significant relationship between workmotivation and nurse performance.Conclusion This study concluded that leadership has the greatest relation to thenurse performance. A good leadership should always be applied in an effort toimprove the performance of nurses.Keywords Leadership, work motivation, workload, burnout performance of nurses"

"Penelitian ini bertujuan untuk mengetahui pelaksanaan supervisi keperawatan pada perawat orientasidi Instalasi Rawat Inap Rumah Sakit Kanker Dharmais tahun 2017 dilihat dari aspek input, proses dan output. Jenis penelitian yang digunakan adalah kuantitatif dan kualitatif dengan menggunakan kuesioner, wawancara mendalam dan telaah dokumen. Hasil penelitian menunjukan bahwa kesesuaian perawat orientasi melaksanakan kewenangan klinisnya dengan persentase terendah yaitu pemberian obat yang aman dan tepat sebesar 30 . Didapatkan belum terdistribusi secara merata ratio antara perawat supervisor dan perawat orientasi di setiap ruangan.

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This study aims to determine the implementation of nursing supervision at the nurse orientation in Installation of Inpatient Dharmais Cancer Hospital in 2017 seen from the aspects of input, process and output. The type of research used is quantitative and qualitative by using questionnaires, indepth interviews and document review.

The results showed that the suitability of the nurse orientation exercises its clinical authority with the lowest percentage of safe and proper drug delivery by 30 . Obtained unequally distributed ratio between nurse supervisor and nurse orientation in each room."

"Dalam menjawab keluhan perawat mengenai besarnya beban kerja di ruang rawat inap Cattleya B RSU Bhakti Yudha, perlu dilakukan analisis kebutuhan tenaga perawat dengan menggunakan beberapa formula yaitu, Workload Indicator Staff Needs (WISN), formula Gillies, PPNI, dan formula Ilyas. Penelitian dilakukan di ruang rawat inap Cattleya B menggunakan pendekatan kuantitatif dan kualitatif dengan melakukan observasi terhadap aktivitas perawat menurut metode work sampling serta in-depth interview pada 21-30 Mei 2012.Hasil penelitian menyatakan beban kerja perawat pada kategori produktif (80%) dengan hanya 33.98% yang merupakan aktivitas keperawatan langsung dan 47.4% merupakan aktivitas keperawatan tidak langsung. Penggunaan waktu untuk kegiatan pribadi dan non produktif perawatmasih di dalam standar ILO (14.98%) Formula Gillies dan PPNI, dan Ilyas tidak menggambarkan sejumlah kegiatan keperawatan tidak langsung dari perawat seperti administrasi dan pencatatan laporan, yang justru pada saat observasi membutuhkan proporsi yang lebih besar. Sebaliknya metode WISN yang menghasilkan jumlah perawat sebesar 35 orang ditambah dengan 1 kepala ruangan dianggap lebih tepat dan sesuai dengan RS karena menggambarkan beban kerja nyata.Diharapkan pihak manajemen dapat memberikan toleransi seperti pemberian hari kepelatihan bagi perawat, menambah jumlah tenaga baik perawat dan non perawat sesuai kebutuhan untuk meningkatkan mutu pelayanan.

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In order to answer the concern of high workload nursing care at Cattleya B Ward of Bhakti Yudha Hospital, there is a need to analyze the requirement of nursing staff with some formulas:Workload Indicator Staff Needs (WISN), Gillies?, PPNI, and Ilyas? Formula. This Research was held in Cattleya B Ward of Bhakti Yudha Hospital on May 21st-30th 2012 using Quantitative and Qualitative approach with an observation to nursing activity based on work sampling method and also in-depth interview with some informants to gain any information for analysis.

The result of this research proved that nursing workload is in productive state (80%) with only 33.98% are direct nursing care activities and 47.4% are indirect nursing care activities. The usage of time for individual activity and non-productive activity are still in the ILO Standard (14.98%) Gillies?, PPNI, and Ilyas? Formula did not described some of indirect activity like administration, and making nursing report which in observation need higher proportions than others. In the contrary, WISN, which results 35 nurses as staff with 1 additional nurse as the head of Cattleya B ward, is suitable with hospital because described the real work load in the ward.

In the future, hopefully manager can give any tolerance like training day for nurse; add some staff both nursing staff and non-nursing staff as needs for service quality."

"ABSTRAKTenaga perawat di ICU RSU Tabanan yang memiliki dasar pelatihan perawat ICUsebagai suatu keharusan, kurang dari 50%. Profesionalisme perawat merupakanbagian intergral dari pelayanan asuhan kesehatan didasarkan pada ilmu danketerampilan keperawatan menuju pelayanan kesehatan yang bermutu.Tesis ini tentang hubungan antara sistem rekrutmen, sistem penempatan danorientasi serta pengembangan SDM terhadap kompetensi perawat melaluipendekatan kuantitatif dan kualitatif. Populasi penelitian kuantitatif adalahperawat ICU sedangkan informan untuk kualitatif adalah manajemen SDM rumahsakit umum Tabanan.Hasil penelitian menunjukkan kompetensi perawat di ICU RSU Tabanan kurangdari nilai yang diharapkan, namun ada hubungan yang bermakna antara sistemrekrutmen, sistem penempatan dan orientasi serta pengembangan SDM dengankompetensi perawat. Belum adanya standar sistem penempatan tenaga perawatsesuai kompetensinya serta sistem rekrutmen, orientasi perawat danpengembangan SDM belum berjalan sesuai standar yang telah ditetapkan.Oleh karena itu perlunya disusun standar yang baku untuk meningkatkankompetensi perawat sehingga akan menghasilkan tenaga yang berkompeten danberkinerja tinggi.

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ABSTRACTIntensive Care Nurse as health care provider in Tabanan Hospital that have basicskill as intensive care is a necessary quality, less than 50%. Nurse Profesionalismis an integral part to health care services based on nursery knowledge and skilltoward better helath care.This thesis focus on relationship between recruitment system, placement system,orientation,and also development of human resource against nursecompetencethrough qualitative and quantitativeapproach. Quantitative study in populationsubject is nurse while informant for qualitative study is Human resourcemanagement in Tabanan General HospitalThe results showed that the nurse competeny of nurses in ICU of TabananGeneral Hospital is less than the expected value, but there is a meaningfulrelationship between the recruitment system, placement and orientation system aswell as the development of human resources with the competence of nurses. Lackof standardization of nurse placement system suitable for their competencies, aswell asrecruitment system,nurse orientation and human resource development notdeveloping according to a predetermined standard.Because of this reasons, we need to establish a standardized approach to improvenurse competency to produce competent human resource and better inperformance"

"Perawat merupakan salah satu sumber daya manusia di rumah sakit yang memberikan layanan asuhan keperawatan dan merupakan tulang punggung dimana perawat merupakan tenaga kesehatan dengan proporsi terbesar, melayani pasien selama 24 jam secara terus menerus dan berkesinambungan. Pengembangan karir perawat merupakan suatu perencanaan dan penerapan rencana karir yang dapat digunakan untuk penempatan perawat pada jenjang yang sesuai dengan kompetensinya. Pengembangan karir merupakan salah satu faktor yang dapat meningkatkan motivasi kerja. Tujuan penulisan adalah untuk mengetahui pengembangan pola karir perawat di RS Azra Bogor dan merancang pengembangan pola karir perawat. Metode penelitian adalah metode kualitatif deskriptif dengan rancangan studi kasus. Pengumpulan data dilakukan dengan telaah dokumen, wawancara mendalam, FGD dan CDMG. Karakteristik tenaga perawat di Rumah Sakit Azra Bogor paling banyak berada pada rentang usia 22 - 27 tahun sebanyak 68.3%, memiliki masa kerja paling banyak pada rentang 0-3 tahun sebanyak 62.8% dan latar belakang pendidikan terbanyak adalah D-III Keperawatan sebanyak 95.6%. Pengembangan pola karir perawat yang ada saat ini belum optimal dan belum ada komite keperawatan. Diharapkan pengembangan pola karir perawat dapat dilaksanakan dengan dibuatnya sistem remunerasi serta membentuk komite keperawatan.

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Nurse is one of the human resources at the hospital who provide nursing care and nurses are the backbone of which is the largest proportion of health workers, serving patients for 24 hours continuously and sustainably. Career development nurse is a career planning and implementation of plans that can be used for the placement of nurses on the ladder according to their competence. Career development is one factor that can increase the motivation to work. The purpose of writing is to know the pattern of career development nurse at the Azra Hospital Bogor and designing career development nurse pattern.

The research method is a qualitative descriptive with case study design. Data was collected through document review, in-depth interviews, focus group discussions and CDMG. Characteristics of nurses at the Azra Hospital Bogor most are in the age range 22-27 years as much as 68.3%, has the most tenure in the span of 0-3 years as much as 62.8% and the highest educational background is a D-III Nursing as much as 95.6%. Development of the existing nursing career path has not been optimal, and there is no committee of nursing. Expected career development nurse pattern can be implemented with the establishment of a remuneration system and set up a committee of nursing."

"Berbagai keunggulan sistem informasi dalam memudahkan pengumpulan data mengenai angka kejadian infeksi (HAis) dalam praktiknya bukan merupakan hal yang mudah untuk dilaksanakan . Sebelum pnerapan sistem dibutuhkan identifikasi faktor kesiapan perawat sebagai pengguna Penelitian ini bertujuan untuk mengetahui determinan kesiapan perawat dalam penggunaan surveilans berbasis sistem informasi di RSUD Bayu Asih Purwakarta. Sampel terdiri dari 81 orang perawat orang yang terpilih secara random dari 12 ruangan rawat inap. Desain yang digunakan dalam penelitian ini adalah cross sectional dengan menggunakan instumen penelitian kuesioner. Hasil yang didapat pada penelitian ini adalah faktor yang paling dominan mempengaruhi kesiapan perawat adalah jenis kelamin. Penerapan sistem dengan memperhatikan jenis kelamin akan mempengaruhi peningkatan pelayanan keperawatan yang lebih cepat dan akurat jika dilakukan dengan baik sehingga dapat mensukseskan program surveilans di RS yang akan berdampak pada manajemen pencegahan dan pengendalian infeksi di RS.

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Various advantages of informational systems in facilitating data collecting on the incidence of infections (HAis) in practice are not easy things to be implemented. Before the implementation of the system, the identification of nurse readiness factors as user was required. This study was aimed to determine the readiness of nurse's determinants in using the informational system-based surveillance in Bayu Asih Hospitals in Purwakarta. The samples were eighty one nurses that were randomly recruited from twelve of wards.

The design used in this study was a cross sectional study using a questionnaire instrument. The most dominant factor affecting the readiness of nurses was gender. The system application by taking gender into account would affect the improvement of nursing services to be faster and more accurate if it was done properly so that the surveillance program in the hospital would be successful which will have an impact on the management of the infection prevention and control in hospitals."

"Skripsi ini bertujuan untuk menganalisis turnover perawat rawat inap di RSU Zahirah Tahun 2012. Latar belakang dari penelitian ini adalah tingginya angka turnover perawat rawat inap pada tahun 2012 yang mencapai 40%. Oleh karena itu, peneliti ingin mengetahui faktor-faktor apa saja yang berhubungan dengan turnover, dilihat dari faktor individu, faktor pekerjaan, dan faktor organisasi. Penelitian ini merupakan penelitian kualitatif dengan metode analisis-deskriptif. Terdapat 8 (delapan) orang informan, diantaranya manajer SDM, manajer keperawatan, kepala unit rawat inap, 3 (tiga) orang perawat rawat inap yang masih bekerja, dan 2 orang perawat rawat inap yang sudah keluar dari RSU Zahirah. Hasil penelitian menyatakan bahwa ada beberapa faktor yang berhubungan dengan turnover perawat rawat inap di RSU Zahirah, yaitu kompensasi sebagai faktor utama, beban kerja, dan kesempatan untuk maju.

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This thesis aims to analyze the inpatient nurses turnover at Zahirah Hospital on 2012. The background of this study was the high rate of inpatient nurses turnover on 2012 reached 40%. Therefore, the researchers wanted to know what factors are associated with turnover, views of the individual factors, occupational factors, and organizational factors. This research is a qualitative with descriptive-analysis method. There are 8 (eight) informant, including HR manager, nursing manager, heads of inpatient units, three (3) inpatient nurses who are still working, and 2 inpatient nurses who are already out of RSU Zahirah. The study states that there are several factors related to inpatient nurses turnover in Zahirah Hospital, namely compensation as a major factor, workload, and the opportunity to advance."

"Sebesar 60% karyawan Krakatau Medika Hospital adalah perawat. Fokus utamanya adalah pelayanan perawatan kelas menengah atas, sehingga penelitian dilakukan di Ruang Flamboyan. Adanya keluhan perawat pelaksana mengenai beban kerja dan merasa kekurangan tenaga, diperlukan analisis kebutuhan tenaga berdasarkan beban kerja nyata dengan menggunakan metode Workload Indicator Staff Need (WISN). Hasil perhitungan didapatkan masih kekurangan 3 orang. Namun, perawat juga melakukan beberapa tugas pramuwaluya. Jika RS mengeluarkan tugas tersebut, maka kekurangan 1 perawat pelaksana dengan menambah 2 pramuwaluya. Dengan demikian, diharapkan perubahan uraian tugas, menambah tenaga, melibatkan kepala ruangan dalam perencanaan kebutuhan tenaga tahunan, dan menggunakan WISN di unit lain.

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Total nurses in Krakatau Medika Hospital are 60%. The main focus is on care services for upper-middle class, so the study was conducted in Flamboyan Room. One of human resources planning method based on workload is Workload Indicator Staff Need (WISN). Based on calculation, there is under staffing 3 people. There are some tasks of pramuwaluya done by nurses. If hospital put out these tasks, 1 practical nurse and 2 pramuwaluya are needed. Thus, researcher suggested to changing job description, addition staff, involve head room in planning the need of human resources annual, and using WISN method in other units."