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"Penelitian ini bertujuan mengetahui pengaruh fungsi pengarahan kepala ruang dan ketua tim terhadap kepuasan kerja perawatpelaksana di unit rawat inap. Metode penelitian adalah quasi experiment dengan desain pre-post test design with controlgroup. Data diambil sebelum dan sesudah dilaksanakan pelatihan, bimbingan dan pendampingan fungsi pengarahan (operan,pre conference, post conference, iklim motivasi, supervisi dan delegasi) pada kepala ruang dan ketua tim. Sampel penelitiandiperoleh secara purposive sampling, terdiri dari 35 perawat pelaksana sebagai kelompok intervensi dan 40 perawat pelaksanasebagai kelompok kontrol. Instrumen untuk mengukur kepuasan kerja menggunakan Minnesota Satisfaction Questionnaireberjumlah 36 pernyataan. Hasil penelitian didapatkan kepuasan kerja perawat pelaksana yang mendapat pengarahan dari kepalaruang dan ketua tim yang sudah memperoleh pelatihan, bimbingan dan pendampingan meningkat lebih tinggi secara bermaknadibandingkan dengan kepuasan kerja perawat pelaksana yang mendapat pengarahan dari kepala ruang dan ketua tim yang tidakdilatih fungsi pengarahan (p= 0,000; = 0,005). Fungsi pengarahan bila dilaksanakan secara konsisten oleh kepala ruang danketua tim, berpeluang meningkatkan kepuasan kerja sebesar 67,40% dan diperkirakan mampu meningkatkan nilai kepuasanperawat pelaksana sebesar 16.746 poin setelah dikontrol jenis kelamin. Rumah sakit dapat mengupayakan dan meningkatkankondisi kepuasan kerja perawat pelaksana secara berkelanjutan dengan mengimplementasikan fungsi pengarahan agar dapatmemberikan asuhan keperawatan berkualitas tinggi.The aim of this study was to investigate the influence of directing function of nurse unit manager and team leader to the nursejob contentment among staff nurses. The research method was a quasi experiment, pre-post test with control group design.The data gathered before and after the directing function (hand over, pre conference, post conference, motivational climate,supervision and delegation) had trained and guided to the nurse unit manager and team leader. The samples were 75respondents, determined by purposive sampling. They were 35 nurse staffs (experimental group) and the others (controlgroup). The instrument was a questionnaire consisted 36 of Likert scale statements adopted from Minnesota SatisfactionQuestionnaire. The result showed that the level of nurse job satisfaction in the experimental group increased higher significantlythan the control group (p= 0.000; = 0.005). Putting the directing function into action consistently in the daily nursingpractice improved the probability of the nurse job satisfaction level about 67.40% and enhanced it around 16.746 point. Theday-to-day maintaining their job satisfaction level should be done through directing function so that they will deliver highqualitynursing care."

"Keberhasilan pelayanan keperawatan yang bermutu dipengaruhi oleh tingkat kepuasan kerja perawat. Kepuasan kerja perawat dapat diupayakan melalui MPKP Jiwa modifikasi pendekatan manajemen fungsi pengarahan, namun kegiatan MPKP dan fungsi pengarahan belum dijalankan secara konsisten. Tujuan penelitian ini adalah mengetahui pengaruh fungsi pengarahan kepala ruang dan ketua tim terhadap kepuasan kerja perawat pelaksana di unit rawat inap RSUD Blambangan Banyuwangi. Penelitian ini menggunakan metode quasi experiment dengan desain pre-post test with control group, dan pelatihan serta bimbingan fungsi pengarahan (operan, pre conference, post conference, iklim motivasi, supervisi dan delegasi) pada kepala ruang dan ketua tim di kelompok intervensi. Sampel penelitian diperoleh secara purposive sampling, terdiri dari 35 perawat pelaksana RSUD Blambangan Banyuwangi sebagai kelompok intervensi dan 40 perawat pelaksana di RSUD dr. Haryoto Lumajang sebagai kelompok kontrol. Instrumen yang digunakan untuk mengukur kepuasan kerja diambil dari Minnesota Satisfaction Questionnaire.Hasil penelitian menunjukkan bahwa kepuasan kerja perawat pelaksana yang mendapat pengarahan dari kepala ruang dan ketua tim yang sudah memperoleh pelatihan, bimbingan dan pendampingan fungsi pengarahan meningkat lebih tinggi secara bermakna dibandingkan dengan kepuasan kerja perawat pelaksana yang mendapat pengarahan dari kepala ruang dan ketua tim yang tidak dilatih fungsi pengarahan. Fungsi pengarahan bila dilaksanakan secara konsisten oleh kepala ruang dan ketua tim, berpeluang meningkatkan kepuasan kerja sebesar 67,40%. RSUD Blambangan Banyuwangi dan RSUD dr. Haryoto Lumajang dapat mengupayakan dan meningkatkan kepuasan kerja perawat pelaksana secara berkelanjutan dengan mengimplementasikan fungsi pengarahan dari MPKP Jiwa Modifikasi umum.

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The quality of nursing care delivery (MPKP Jiwa modification sub directing function) has some bearing on the level of nursing staffs? job satisfaction. However, the MPKP activity and the directing function has not put into daily nursing practice consistently in the district general hospital. The aim of this study was to investigate the influence of directing function of nurse unit manager and team leader to the nurse job contentment among staff nurses in Blambangan District General Hospital, Banyuwangi and dr. Haryoto District General Hospital, Lumajang. The research methods were a quasi experiment, pre-post test with control group design and training and guiding to the nurses unit manager and nurses team leader of Blambangan district general hospital. The samples were 75 respondents, determined by purposive sampling. They were 35 nurse staffs of Blambangan hospital (experimental group) and the others from dr. Haryoto Hospital (control group). The research instrument was a questionnaire consisted 36 of Likert scale statements adopted from Minnesota Satisfaction Questionnaire.The result showed that the level of nurse job satisfaction in the experimental group increased higher significantly than the control group. Putting the directing function which comprise with nursing hand over, pre conference, post conference, motivational climate, supervision and delegation into action consistently in the daily nursing practice improved the probability of the nurse job satisfaction level about 67.40%. The day-to-day maintaining and increasing their job satisfaction level should be done through directing function of MPKP Jiwa modification Blambangan District General Hospital, Banyuwangi and dr. Haryoto District General Hospital, Lumajang."

"Penelitian ini dilatarbelakangi masih rendahnya pelaksanaan asuhan keperawatan di instalasi rawat map RSUD Sumedang. Penelitian ini menggunakan desain deskriptif korelasi dengan pendekatan cross sectional. Tujuan penelitian ini untuk menguji hubungan fungsi manajemen kepala ruangan menurut persepsi perawat pelaksana dengan pelaksanaan asuhan keperawatan di instalasi rawat map RSUD Sumedang. Jumlah sampel 117 perawat pelaksana dengan kriteria inklusi pendidikan D III Keperawatan dan SPK, sudah bekerja minimal 1 tahun. Instrumen penelitian dibuat sendiri, dengan hash uji reliabilitas: instrumen fungsi manajemen r = 0,936; asuhan keperawatan r=0,968. Hasil uji Chi Square terdapat hubungan fungsi manajemen kepala ruangan dengan pelaksanaan asuhan keperawatan, karakteristik individu perawat pelaksana tidak berhubungan secara signifikan terhadap pelaksanaan asuhan keperawatan. Sedangkan fungsi manajemen kepala ruangan yang berhubungan secara signifikan dengan pelaksanaan asuhan keperawatan adalah fungsi perencanaan, pengorganisasian, pengaturan shift, dan pengawasan.Hasil analisis multivariat dengan regresi logistik ganda diperoleh basil fungsi-manajemen yang dominan terhadap pelaksanaan asuhan keperawatan adalah fungsi perencanaan (p = 0,042) dan pengawasan (p = 0,0213) dan yang paling dominan pengaruhnya terhadap pelaksanaan asuhan keperawatan menurut persepsi perawat pelaksana adalah fungsi pengawasan (p value = 0,021) dengan OR = 2,768. Dengan diketahuinya hubungan yang signifikan antara hrngsi ranajemen kepala mangan dengan pelaksanaan asuhan keperawatan, make seyogyanya setiap kepala ruangan hares mempunyai kemampuan manajerial. Untuk meningkatan kemampuan manajerial kepala ruangan dalam mengelola asuhan keperawatan perlu memperbaiki sistem seleksi kepala ruangan terutama kemampuan manajerial, penerapan pengorganisasaian pasien dengan menggunakan metoda tim, penerapan sistem jenjang karir perawat fungsional, meningkatkan pendidikan kepala ruangan dan ketua tim ke jenjang yang lebih tinggi, sistern penilaian kinerja perawat, meningkatakan fungsi pengawasan kepala ruangan melalui ronde keperawatan harian pasien dan audit keperawatan.

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This research background is still lower of implementation of nursing care in inpatient care department of Sumedang, district hospital. This research used a correlation descriptive design which purpose to examine relation between management function of nursing unit manager based on staff nurses perception and individual characteristic with the implementation of nursing care in inpatient care department of Sumedang, District Hospital. Amount of samples are 117 staff nurses with education of Diploma III of Nursing and SPK (Nursing Education School) who have worked minimally 1 year. Research instrument is made by itself with reliability test result: management function instrument of r = 0,936; nursing care of r = 0,968. To examine relation of management function of nurse unit manager and individual characteristic staff nurse with implementation of nursing care using Chi Square test. Individual characteristic staff nurses do not correlate significantly with implementation of nursing care, while management function of nurse unit manager that related significantly with implementation of nursing care, and management function of nurse unit manager that related significantly with implementation of nursing care, such as: planning function, organization, staff regulation and supervision.

According to multivariate analyze result - with double logistic regression test, so it results a dominant management function of nursing care implementation, such as planning function (p=0,042) and observation (p=0,021). Most of dominant implication for implementation of nursing care according to staff nurse perception, such as observation function (value p=0, 0021) with OR=2,768. By knowing relation of management function of nurse unit manager with implementation of nursing care significantly, so nurse unit manager selection ought to consider managerial ability. Because if managerial ability of nurse unit manager is good, so implementation of nursing care itself will be good. To improve implementation of nursing care need an organizational applying for patient by using team method, applying of functional nurse career system, improving education of nurse unit manager and implementer nurse to higher level, assessment system of nurse performance, and repair in nurse unit manager selection, especially for his management ability, improving an observation function of nurse unit manager through nursing round and nursing audition."