Analisis kinerja petugas (perawat dan non perawat) dalam pelayanan administrasi pasien rawat inap Rumah Sakit Tugu Ibu Cimanggis-Depok

RAHAYU, Sri, dr. Tjahjono Kuntjoro, MPH.,DrPH

2005 | Tesis | S2 Ilmu Kesehatan Masyarakat

Penelitian ini tentang analisis kinerja petugas (perawat dan non perawat) dalam pelayanan administrasi pasien rawat inap di Rumah Sakit Tugu Ibu Cimanggis Depok yang bertujuan untuk mengetahui variabel-variabel yang mempengaruhi kinerja pelayanan tersebut. Beberapa hipotesa akan di uji dalam penelitian ini yaitu adanya hubungan variabel individu yang terdiri dari pendidikan, masa kerja, motivasi dan persepsi peran serta variabel persepsi individu terhadap organisasi yang terdiri dari persepsi individu terhadap strutur organisasi, kepemimpinan, sumber daya, insentif, desain pekerjaan dan beban kerja dengan kinerja petugas (perawat dan non perawat) dalam pelayanan administrasi pasien rawat inap. Metode yang digunakan bersifat deskriptif analitik dengan pengumpulan data potong lintang. Instrumen yang digunakan untuk menilai kinerja petugas adalah kuesioner tertutup dengan menggunakan metode likert. Populasi penelitian adalah para pegawai di Tempat Pendaftaran Pasien, Administrasi Pasien Jaminan, Kasir dan para perawat/bidan pelaksana di ruang rawat inap Rumah Sakit Tugu Ibu Cimanggis Depok sebanyak 105 orang. Pengambilan data di lapangan dilakukan selama 2 bulan. Uji hubungan dua variabel dengan menggunakan uji korelasi, menunjukkan hasil bahwa kinerja petugas (perawat) memiliki hubungan dengan masa kerja (correlation coefficient = -0,353 dan sig = 0,002), pendidikan (correlation coefficient = 0,970 dan sig = 0,002), motivasi (Correlation Coefficient = 0,244 dan sig = 0,034), persepsi individu terhadap kepemimpinan (Correlation Coefficient = 0,195 dan sig = 0,042), insentif (Correlation Coefficient = 0,293 dan sig = 0,007), sumber daya (Correlation Coefficient = -0,232 dan sig = 0,043), disain pekerjaan (Correlation Coefficient = 0,874 dan sig = 0,019),dan struktur organisasi (Correlation Coefficient = 0,222 dan sig = 0,043), sedangkan untuk petugas yang non perawat dengan masa kerja (correlation coefficient = -0,342 dan sig = 0,013), pendidikan (correlation coefficient = 0,240 dan sig = 0,004), persepsi peran (Correlation Coefficient = 0,446 dan sig = 0,043), persepsi individu terhadap kepemimpinan (Correlation Coefficient = 0,429 dan sig = 0,050), insentif (Correlation Coefficient = 0,578 dan sig = 0,006), beban kerja (Correlation Coefficient = 0,437 dan sig = 0,048), dan disain pekerjaan (Correlation Coefficient = 0,461 dan sig = 0,035). Berdasarkan analisis multivariat untuk petugas (perawat), faktor utama yang paling dominan korelasinya dengan kinerja adalah masa kerja persepsi individu terhadap kepemimpinan dan sumber daya (korelasi negatip) sedangkan non perawat hanya masa kerja (korelasi negatip). Mengacu hasil penelitian, perlu menjadi perhatian pimpinan rumah sakit dalam peningkatan kinerja terhadap para petugas (perawat dan non perawat) yang sudah lama masa kerjanya, dan penyediaan sumber daya yang dapat membantu menyelesaikan tugas dan tanggung jawab pekerjaan mereka.

This research about health workers (nurse and non nurse) performance analysis in administrative services of hospitalized patient of Tugu Ibu Hospital is aimed to know the variables that influence service performance. Some hypothesizing will be tested in this research, they are existence of correlation between individual variable consisting of education, working period, motivation and perception of role, and also individual perception to organization variable which consist of individual perception to organization structure, leadership, resource, incentive, job design and job responsibility with health workers (nurse and non nurse) performance analysis in administrative services of hospitalized patient. This study used a correlation descriptive design with transversal cross sectional. Instrument used to value the officers’ performance is a closed questioner using likert method. Research population are health workers in patient registration counter, guaranteed patient administration, cashier, and nurses / midwifes in hospitalized patient’s room, counted 105 people. Data collecting was conducted within 2 months Test of two variables correlation by using correlation test, shows a result that health workers (nurse) performance has a relation with working period (correlation coefficient = -0,353 and sig = 0,002), education (correlation coefficient = 0,970 and sig = 0,002), motivation (Correlation Coefficient = 0,244 and sig = 0,034), individual perception to leadership (Correlation Coefficient = 0,195 and sig = 0,042), incentive (Correlation Coefficient = 0,293 and sig = 0,007), resource (Correlation Coefficient = -0,232 and sig = 0,043), job design (Correlation Coefficient = 0,874 and sig = 0,019), and organization structure (Correlation Coefficient = 0,222 and sig = 0,043), and while non nurse has relation with working period (correlation coefficient = - 0,342 and sig = 0,013), education (correlation coefficient = 0,240 and sig = 0,004), perception of role (Correlation Coefficient = 0,446 and sig = 0,043), individual perception to leadership (Correlation Coefficient = 0,429 and sig = 0,050), incentive (Correlation Coefficient = 0,578 and sig = 0,006), job responsibility (Correlation Coefficient = 0,437 and sig = 0,048), and job design (Correlation Coefficient = 0,461 and sig = 0,035). Pursuant to multivariate analysis for the health workers (nurse), the primary factors with dominant correlation with performance are working period, individual perception to leadership and resource (negative correlation). while non nurse, the primary factors is only working period (negative correlation) According to result of research, things that require to become attention of the head of the hospital are improvement of performance to all health workers (nurse and non nurse) with a long year of service, and supply of resource that can help them finish their duty and job responsibility.

Kata Kunci : Manajemen Rumah Sakit,Rawat Inap,Kinerja Petugas Administrasi, Administration, Performance