Kepemimpinan yang baik merupakan faktor yang sangat mcnentukan untuk keberhasilan suatu organisasi, termasuk organisasi puskesmas. Sebagai pimpinan organisasi pelayanan kesehatan masyarakat, kepala puskesmas dituntut memiliki kepemimpinan yang baik dalam pelaksanaan rnanajemcn puskcsmas. Untuk mencapai kcberhasilan tujuan tim keqia, temmasuk pencapaian program- program puskesmas. Selama ini yang terjadi, pengangkatan seorang kepala kepemimpinan ataupun kemampuan manajerialnya, sehingga tidak diketahui dengan pasti apakah kepala puskesmas tersebut mempunyai kemampuan kepemimpinan yang memadai untuk memimpin organisasi puskesmas. Design penelitian mcrupakan penelitian analitik deskriptii denan pendckatan kros-seksional, yang dilakukan di semua puskesmas scbanyak 24 puskesmas di kota Bogor. Data dikumpulkan dari hasil pengisian kuesioner oleh 98 stafpuskesmas di kota Bogor pada tahun 2009. Analisa data dilakukan secara kuantitatif menggunakan analisa univariat, bivariat, dan multivariat dengan uji chi-square dan uji regresi Iogistik ganda model prediksi. Hasil panelitian ini memperlihatkan bahwa gaya kepemimpinan dominan yang ditemui pada kepala puskesmas di kota Bogor adalah gaya supporting, hal ini menggembirakan karena sangat sesuai untuk kondisi organisasi puskesmas. Dengan tingkat kefleksibilitasan gaya kepemimpinan Heksibel dan tingkat efektifitas gaya kepemimpinan sedang. Adapun kualitas kepemimpinan sebagian besar kepala puskesmas berada pada tingkat cukup. Dari penilaian responden tentang fungsi kepemimpinan didapatkan fungsi kepemimpinan kepala puskesmas lebih banyak yang menyatakan baik. Dari hasil analisa bivariat terdapat pengaruh yang bermakna antara gaya kepemimpinan dan fungsi kepemimpinan, juga terdapat pengaruh yang bermakna antara Heksibelitas gaya puskesrnas yang dinilai dan pclatihan terhadap fungsi kepemimpinan. Dari hasil analisa multivariat didapat hasii fleksibilitas gaya kepemimpinan merupakan variabel yang mempunyai pengaruh bermakna terhadap fungsi kepemimpinan, dimana variabel gaya kepemimpinan, efektifitas gaya kepemimpinan, umur, masa kenja, lama kexja staf dengan kepala puskesmas yang dinilai serta pelatihan merupakan faktor konfounding. Disarankan untuk mcmpunyai data tentang gaya kepemimpinan kepala puskesrnas dan rnembuat percncanaan yang tepat daiam pengangkatan seorang kepala puskesmas dengan melakukan peniiaian memenuhi kriteria syarat kepemimpinan. Serta mengembangkan metode-metode pelatihan kepemimpinan bagi kepala puskesmas, dengan mempertimbangkan metode pclatihan kepemimpinan Situasional.
A good leadership is a crucial factor to determine the success of an organization, that includes the organization of the Health Centers (HCS). In order to achieve the goals of the programs of the HCS, the heads are required to posses good abilities to manage t.he HCS. So far, the recruitment of the Heads of the I-ICs in Bogor has been done without considering their leadership abilities and their managerial abilities. As a result, it has been uncertain whether the heads of the HCS have sufficient skills to manage the organization. This research was designed as an Analytical Descriptive Research with Cross Sectional Approach, that has been done in all 24 l-ICs in Bogor. The data have been collected in 2009 through answering questionnaires from 98 the staffs of the HCS in Bogor. The data have been quantitatively analyzed by Univariate, Bivariate and Multivariate analysis with Chi-square test and Multiple Logistic Regression Test Prediction Model. The result of this research has shown that the Dominant Leadership Styles of the heads of the HCS in Bogor are the Supporting Style. This result is very much satisfying since this style is quite acceptable for the condition of the HCS with the Flexibility Level of Flexible Leadership Style and in the Etfectivity Level of Mediocre Leadership Style. Most of the chiefs of the HCS leadership qualities are in sufficient level. From the responders point of you about the functions of the leadership have been identified that the fimctions of the heads of the I-ICs are in good condition. From the Bivariate Analysis has been identified there is a meaningful impact between leadership style and leadership function and also there is a meaningful impact between the flexibility leadership style and the fimction of the leadership. In individual characteristic there is a meaningful impact among the age, the duration of working of the staffs with the heads of the HCS, who have been recruited through their abilities. From the Multivariate Analysis has been identified that flexibility leadership style is a variable that has a meaningful impact towards the leadership function where the variable of the leadership style, eifectivity leadership style, age, duration of working with the head of the HCs, who have been recmited through their abilities are the Confounding Factor.It is advisable to have data considering about the leadership style ofthe heads of the HCS and to have a fixed plan in recruiting the heads of the HCS by recruiting by their abilities to meet the requirements of the leadership. lt is also advisable to develop the HCS leadership training methods by applying The Situational Leadership Training Method. |
