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"ABSTRAKPemanfaatan tempat tidur yang terisi (BOR) di Rumah Sakit Bhayangkara Tk. IRaden Said Sukanto tahun 2011 mengalami penurunan sementara imbalan yang diterimasudah standar bagi perawat pelaksana dan bidan yang berstatus PNS. Tujuan penelitian iniuntuk mengetahui ?Analisis hubungan karakteristik individu, faktor organisasi, dan motivasiterhadap Kinerja perawat pelaksana dan bidan di Rumah Sakit Bhayangkara Tk. I Raden SaidSukanto tahun 2011? dalam memberikan asuhan keperawatan. Desain penelitian ini adalahdeskriptif cross sectional dengan jumlah populasi sebanyak 407, sedangkan sampel diambilsebanyak 102 responden. Data diperoleh dengan menggunakan kuesioner berupa angket danlembar observasi yang telah diuji validitas dan realibilitasnya. Analisis data dilakukan denganbantuan program SPSS versi 18.0 menggunakan uji Chi-Square. Dalam penelitian ini,karakteristik individu, faktor organisasi, dan motivasi terhadap Kinerja perawat pelaksanadan bidan yang baik sebanyak 66,7% dan karakteristik individu, faktor organisasi, danmotivasi terhadap Kinerja perawat pelaksana dan bidan yang kurang baik sebanyak 33,3%.Dari hasil uji Chi-Square, jenis kelamin, kepemimpinan, imbalan, dan motivasi berhubunganterhadap Kinerja perawat pelaksana dan bidan di Rumah Sakit Bhayangkara Tk. I Raden SaidSukanto tahun 2011. Peneliti menyarankan kepada pihak manajerial Rumah SakitBhayangkara Tk. I Raden Said Sukanto agar lebih memperhatikan aspek jenis kelamin,kepemimpinan, imbalan, dan motivasi bagi perawat pelaksana dan bidan di Rumah SakitBhayangkara Tk. I Raden Said Sukanto dalam bentuk pengembangan karir bagi perawat yangmerata hal ini dilakukan agar setiap perawat pelaksana dan bidan memiliki kesempatan yangsama untuk memiliki karir sampai jenjang karir profesional yang tertinggi sehingga mobilitasberfungsi dengan baik dan benar.

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ABSTRACTUtilization of the occupied bed (BOR) in Bhayangkara Hospital Level I Raden Said

Sukanto in 2011 has decreased while the consideration received already implementing

standards for nurses and midwives with the status of civil servants. The purpose of this study

to determine the "Analysis of the relationship of individual characteristics, organizational

factors, and motivation towards implementing Performance nurses and midwives in the

Hospital Bhayangkara Tk. I Raden Said Sukanto of 2011 "in providing nursing care. This

study design is descriptive cross-sectional with a population of 407, while the sample is taken

as 102 respondents. Data obtained using the questionnaire in the form of questionnaires and

observation sheets that have tested the validity and realibilitasnya. Data analysis was

performed with SPSS version 18.0 using Chi-Square test. In this study, individual

characteristics, organizational factors, and motivation towards implementing Performance

nurses and midwives are good as much as 66.7% and individual characteristics,

organizational factors, and motivation towards implementing Performance nurses and

midwives are not good as much as 33.3%. From the results of Chi-Square test, gender,

leadership, rewards, and motivation related to the performance of nurses and midwives in

implementing Bhayangkara Hospital Tk. I Raden Said Sukanto in 2011. Researchers suggest

that the managerial Bhayangkara Hospital Tk. I Raden Said Sukanto to pay more attention to

aspects of gender, leadership, rewards, and motivation for nurses and midwives in

implementing Bhayangkara Hospital Tk. I Raden Said Sukanto in the form of career

development for nurses who evenly this is done so every nurse and midwife executor has the

same opportunity to have a career to the highest professional career path so that the mobility

function properly and correctly. "

"ABSTRAKKepatuhan bidan menerapkan standar pelayanan antenatal menentukankualitas pelayanan. Tingkat kepatuhan bidan dalam menerapkan standarpelayanan antenatal berdasarkan survey awal adalah rendah (58,3%) di KotaPadangsidimpuan membuat penelitian ini menjadi penting.Tujuan penelitian ini adalah untuk membuktikan adanya kepatuhan bidandalam menerapkan standar pelayanan antenatal di KotaPadangsidimpuan.Disamping itu juga untuk membuktikan adanya hubunganmotivasi, supervisi, pelatihan dan beban kerjadengan kepatuhan bidanmenerapkan standar pelayanan antenatal.Penelitian ini menggunakan desain potong lintang dengan pendekatankuantitatif dan jumlah sampel 112 dari total populasi 222 orang bidan praktekswasta. Data diperoleh dengan pengisian kuesioner pada bidan dan pengamatanlangsung terhadap bidan praktek, yang dilaksanakan pada akhir bulan februarisampai dengan Meitahun 2012.Hasil penelitian menunjukkan bahwa sebagian besar bidan patuhmenerapkan standar pelayanan antenatal (58,9%). Terdapat empat variabel yangmemiliki hubungan bermakna dengan kepatuhan bidan menerapkan standarpelayanan antenatalyaitumotivasi, supervisi, pelatihandan beban kerja.Disarankan kepada Dinas Kesehatan Kota Padangsidimpuan untukmenciptakan kebijakan tentang sistem reward & punishment yang sesuaikondisidaerah Kota Padangsidimpuan, wajib uji kompetensi dan menandatanganisurat komitmen patuh menerapkan standar dalam memberikan pelayanan sebagaisyarat penerbitan surat izin praktek bidan (SIPB), melakukan perbaikan carapendekatan supervisi agar supervisor dapat memenuhi tugasnya sebagaifasilitator, komunikator dan motivator serta pentingnya memperbesar peluangmengikuti seminar-seminar dan pelatihan berkaitan kompetensi bagi bidan. Untukpermasalahan beban kerja, dinas kesehatan melalui kepala puskesmas dapatmengkaji ulang pembagian tugas seorang bidan baik dipuskesmas maupun ditempat prakteknya dan melakukan rotasi penempatan bidan agar tidak terjaditugas rangkap dan kejenuhan kerja.

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ABSTRACTThe midwife to apply compliance standard antenatal care. Low levels of

compliance with antenatal care midwives applying standards based on the initial

survey (58.3%) in the City Padangsidimpuan makes this study important.

The purpose of this study was to obtain a picture of the level of

compliance with antenatal midwife to implement standards in the City

Padangsidimpuan, what are the factors that influence adherence midwives, and

how these factors apply to the compliance standards of antenatal care midwives.

This study uses a cross-sectional design with quantitative approaches and

the number of samples of the total population of 222 112 midwives in private

practice. Data obtained by filling out the questionnaire on direct observation of

midwives and midwifery practice, which was held in late February to May 2012.

The results showed that of the majority of midwives dutifully applying

standard antenatal care (58.9%). Of the five variables studied then there are four

variables that have a meaningful relationship with midwives compliance with

antenatal care standards that apply motivation, supervision, training and workload.

Noting the results of these studies, it can be recommended to the Health

Department to make improvements Padangsidimpuan supervisory approach to

supervision in accordance with the guidelines for reporting health departments,

creating a system of reward and punishment to the midwife adapted to local

conditions Padangsidimpuan and the importance to improve training opportunities

related to improving the competence midwifery in the midwife. In addition,

establishing policies that take care of every midwife SIPB must follow the

competency test and be willing to sign a letter of adherence to implement

standards in providing services as a condition of issuing a license to practice

midwifery (SIPB). To workload issues, the health department through the chief

centers may review the job description of a good midwife dipuskesmas and in his

practice and to rotate the placement of midwives in order to avoid duplicate work

and job burnout."