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"Komitmen perawat pada organisasi merupakan faktor individu, sedangkan lingkungan kerja perawat merupakan faktor organisasional dalam pelayanan keperawatan di rumah sakit. Penelitian ini merupakan penelitian deskriptif dengan desain potong lintang yang bertujuan untuk mendapatkan gambaran hubungan antara komitmen pada organisasi dan lingkungan kerja perawat dengan kinerja perawat pelaksana di Rumah Sakit Tugu Ibu Cimanggis Depok. Populasi Penelitian adalah seluruh perawat pelaksana di Rumah Sakit Tugu Ibu Cimanggis Depok, dengan sampel penelitian adalah seluruh populasi yang memenuhi kriteria inklusi yaitu 107 perawat. Analisis hubungan variabel dilakukan melalui uji korelasi partial, sedangkan analisis faktor dominan melalui uji regresi linier ganda. Hasil penelitian menunjukkan adanya hubungan signifikan komitmen pada organisasi dengan kinerja perawat pelaksana setelah dipengaruhi karakteristik perawat (p = 0.0005) dengan kekuatan hubungan sedang dan berpola positif. Komitmen afektif dan komitmen normatif memiliki hubungan dengan kinerja perawat pelaksana, sedangkan komitmen berkesinambungan tidak berhubungan dengan kinerja perawat pelaksana. Lingkungan kerja secara signifikan berhubungan dengan kinerja perawat pelaksana setelah dipengaruhi karakteristik perawat (p = 0.0005) dengan kekuatan hubungan kuat dan berpola positif. Lingkungan kerja dari aspek manajemen, kepemimpinan dan budaya; kendali terhadap praktik berhubungan dengan kinerja perawat pelaksana, sedangkan kendali terhadap beban kerja dan sumber memadai tidak berhubungan dengan kinerja perawat pelaksana. Faktor paling dominan berhubungan dengan kinerja perawat pelaksana adalah komitmen afektif. Usulan penelitian pada institusi pelayanan, berupaya meningkatkan komitmen perawat pada organisasi melalui perhatian dan penghargaan organisasi terhadap kinerja, kesejahteraan, menumbuhkan motivasi, etos kerja dan kebutuhan berprestasi dan kecintaan terhadap profesi. Meningkatkan kualitas lingkungan kerja melelaui efektifitas komunikasi, peningkatan kemampuan majerial bagi tenaga perawat, penyediaan fasilitas perpustakaan, mendorong program ilmiah, penyusunan dan sosialisasi standar kinerja pelayanan, mencukupi kebutuhan sumber daya perawat dan fasilitas peralatan. Bagi peneliti disarankan untuk melakukan penelitian faktor lain yang mempengaruhi kinerja atau melakukan penelitian yang melihat hubungan faktor individu, organisasi yang mempengaruhi komitmen perawat, seperti motivasi, kebutuhan berprestasi, nilai dan sikap maupun faktor organisasi seperti kepemimpinan, kebijakan organisasi, struktur, pengambilan keputusan dan lingkungan kerja.

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Nurses commitment on organization is an individual factor, while nurses working condition is an organizational factor in hospital nursing services. This study used correlational descriptive design with cross sectional. The Purpose of the study was to describe the relationship between commitment to organization and nurses working condition with the performance of nurse provider at Tugu Ibu Hospital, Cimanggis, Depok. The sample of this study was consisted of total population meeting the inclusive criteria of 107 nurses. Analysis of variable correlation utilized partial correlation test, for while analysis the determinant factor used multiple linear regression test. The result of the study depicted that there was a significant relationship between commitment to organization with nurse providers performance after affected by nurses characteristics (p = 0.0005) with medium magnitude and positive pattern of correlation. Affective and normative commitments had correlation with nurse providers performance, while continuance commitment had no correlation with nurse providers performance. Nurses working condition had a significant relationship with the performance nurse providers after affected by the characteristic of nurses (p = 0.0005) with a strong magnitude and positive pattern of correlation. Working condition of management, leadership and culture aspect; control towards practice had correlation with nurse providers performance. while control towards workload and resource adequacy had no correlation with nurse providers performance. The most determinant factor related to nurse providers performance was affective commitment. Its proposed that the health service institustions should improve the commitment of nurses towards the organization through better reward system for nurses performance, welfare, improve motivation, and work ethos as well as the needs for accomplishment and high prestige and commitement to professional growth and development. To improve quality of working environment by effective communication and better managerial skills of nurses, provision of library facilities, scientific program and development and socialization of standard of nursing care professional performance, ensuring adequate number of qualified nurses and equipment. Its suggested that the researchers to study other factor affecting the performance of nurses or conduct research related to individual, and organizational factors which influence commitment of nurses, such as motivation, desire for prestige, value and attitude as well as organizational and leadership factors, organization policy, structure, decision making and working condition."

"ABSTRAKLatar belakang Akurasi triple diagnostic USG guided FNAB untuk menentukan keganasan pada kasus nodul tirodi masih belum diketahui. Hal tersebut penting untuk diketahui sehingga tindakan definitif dan jenis operasi dapat ditentukan tanpa harus dilakukan pemeriksaan potong beku.Metode Penelitian dilakukan pada 131 pasien dengan pembesaran kelenjar tiroid pada periode Januari 2014 ndash; Desember 2014 dengan menggunakan desain potong lintang. Penelitian ini menghitung nilai sensitivitas, spesifisitas, nilai prediksi positif, nilai prediksi negatif, akurasi triple diagnostic dengan USG guided FNAB dibandingkan dengan histopatologi.Hasil Hasil penelitian ini menunjukan triple diagnostic yang concordant ganas memiliki sensitivitas 81,17 , spesifisitas 96,55 , nilai prediksi positif 98,57 , nilai prediksi negatif 36,36 , dan akurasi 85,08 .Kesimpulan Tingginya nilai prediksi positif yang didapatkan dalam penelitian ini, sehingga triple diagnostic dapat digunakan untuk terapi definitif tanpa dilakukan pemeriksaan potong beku intra operatif.

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ABSTRACT Background The triple diagnostic accuracy with Ultrasound guided FNAB to determine the risk of malignancy in cases of thyroid nodules remains unknown. It is important to know so that definitive measures and types of operations can be determined without the need for a frozen section. Methods The study was conducted using cross sectional design on 131 patients with thyroid nodule in the period of January 2014 December 2014. This study calculated the values of sensitivity, specificity, positive predictive value, negative predictive value, triple diagnostic accuracy with ultrasound guided FNAB compared with histopathological result.Results This study show triple diagnostic with malignant concordant has sensitivity of 81.17 , specificity of 96.55 , positive predictive value of 98.57 , negative predictive value of36.36 , and 85.08 accuracy.Conclusions The high positive predictive values obtained in this study, show that triple diagnostic can be used for definitive therapy without intraoperative frozen section"

"Keselamatan dan kepuasan pasien merupakan indikator kualitas pelayanan belum terpenuhi secara optimal. Model budaya belajar perawat membentuk perawat kompeten dalam penerapan sasaran keselamatan pasien. Penelitian bertujuan mengidentifikasi budaya belajar tentang keselamatan pasien, mengembangkan model budaya belajar perawat dan mengidentifikasi pengaruhnya terhadap kompetensi perawat, keselamatan dan kepuasan pasien. Desain operasional riset, tahap pertama kualitatif fenomenologi dengan sembilan partisipan, tahap kedua pengembangan model, dan tahap ketiga desain quasi eksperiment pre-post test design with control group dengan 139 responden perawat dan 240 responden pasien.Hasil penelitian tahap pertama didapat sembilan tema yaitu arti keselamatan, persiapan penerapan, fokus keselamatan, implemetasi, masalah, tahapan budaya belajar, aktivitas pembelajaran dan dukungan pengembangan budaya belajar. Tahap kedua diperoleh model budaya belajar "SAYA perawat" tentang sasaran keselamatan pasien dengan komponen, perawat; Sistem dukungan, aktivitas pembelajaran dan tahapan budaya belajar. Tahap ketiga model budaya belajar "SAYA Perawat" tentang sasaran keselamatan pasien berpengaruh secara bermakna terhadap kompetensi perawat dalam penerapan sasaran keselamatan pasien (p 0,0001), keselamatan (p 0,0001) dan kepuasan pasien (p 0,0001). Terdapat hubungan bermakna kompetensi perawat dalam penerapan keselamatan pasien dengan keselamatan (p 0,0001) dan kepuasan pasien (p 0,0001). Model budaya belajar ini agar dapat diimplementasikan di ruang perawatan untuk memenuhi keselamatan dan kepuasan pasien.

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Safety and patient satisfaction which are indicators of quality cannot be optimaly fulfilled. Learning culture models about patient safety form nurses competent in the application of patient safety. This study aims to identify nurses learning culture about patient safety, develop a model of nurse learning culture and identify its affect on nurses competency, patient safety and satisfaction. The research design used operational research, the first phase used qualitative phenomenology with nine participants, the second stage is the development of the model, and the third stage is the quasi experimental design pre-post test design with control group with 139 nurses and 240 patient respondents.

The results of the first phase of research obtained nine themes, namely the meaning of safety, preparation for application, focus on safety, implementation, problems, stages of learning culture, learning activities and support for the development of a learning culture. The second stage was obtained learning culture models "SAYA Nurses" about patient safety goals is fit and valid there have components, nurses as the subject of development; support systems, learning activities and the learning culture stage . The third stage of the learning culture model "SAYA Nurses about patient safety goals has a significant effect on nurses' competence (p 0,0001), patient safety (p 0,0001) and satisfaction (p 0,0001). There is a significant relationship between nurses' competence with patient safety (p 0,0001) and satisfaction (p 0,0001). The learning culture models to be implemented in the ward to safety and satisfaction."