Faktor-faktor yang mempengaruhi kinerja perawat gigi berdasarkan kompetensi pada usaha kesehatan gigi sekolah di Propinsi Bali

GEJIR, I Nyoman, drg. Niken Widyanti S., MDSc

2006 | Tesis | S2 Ilmu Kedokteran Gigi

Latar belakang : Perawat gigi adalah salah satu tenaga kesehatan gigi yang memiliki fungsi sebagai pelaksana upaya promotif-preventif pada pelayanan asuhan kesehatan gigi dan mulut melalui Usaha Kesehatan Gigi Sekolah (UKGS). Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi kinerja perawat gigi berdasarkan kompetensi pada UKGS di Propinsi Bali. Metode penelitian : Penelitian ini merupakan penelitian non eksperimental dengan rancangan cross sectional dengan mengambil 77 sampel dari 69 puskesmas yang melaksanakan UKGS, dan dipilih 5 dari 9 kabupaten di Bali secara cluster random sampling. Pengumpulan data untuk variabel bebas (pengetahuan, keterampilan, peralatan kerja, dan prosedur kerja) dilakukan dengan kuesioner, sedangkan penilaian kinerja perawat gigi digunakan checklist. Data yang diperoleh dianalisis dengan uji regresi berganda. Hasil : Hasil uji regresi berganda menunjukkan bahwa ada pengaruh bermakna antara faktor pengetahuan, keterampilan, peralatan kerja, dan prosedur kerja terhadap kinerja perawat gigi berdasarkan kompetensi dalam UKGS di Propinsi Bali. Pengaruh tersebut masing - masing sebesar : pengetahuan (β = 0,065 dan p = 0,032), keterampilan (β = 0,608 dan p = 0,000), peralatan kerja (β = 0,319 dan p = 0,002), prosedur kerja (β = 0,433 dan p = 0,003). Keempat variabel tersebut memberi kontribusi pengaruh sebesar 59,6%. Variabel pengetahuan memberi pengaruh sebesar 6,2%, variabel keterampilan memberi pengaruh sebesar 25,2%, variabel peralatan kerja memberi pengaruh sebesar 12,4%, dan variabel prosedur kerja memberi pengaruh sebesar 11,8%. Kesimpulan : (1) Semakin tinggi pengetahuan dan keterampilan perawat gigi maka semakin tinggi kinerja perawat gigi (2) Semakin lengkap peralatan kerja maka semakin tinggi kinerja perawat gigi (3) Semakin baik prosedur kerja maka semakin tinggi kinerja perawat gigi.

Background: Dental nurse is one of the dental health manpower who has the role in the implementation of the promotive-preventive efforts in the oral and dental health care through the School Dental Health Service Program (SDHS). The purpose of this study is to identify factors influencing the performance of the dental nurse in the Province of Bali based on the SDHS competency. Methods: A cross sectional study was carried out on 77 samples from 69 Community Health Centers (Puskesmas) that has implemented SDHS and has been selected from 5 out of 9 regencies in Bali by cluster random sampling. Questionnaires were used to assess the independent variables (knowledge, skills, working tools, and working procedures) and a checklist was used to assess the dependent variable (the performance of dental nurses). Results: The result of the multiple regression analysis showed that there was a significant influence among the knowledge, skill, working tools and working procedures towards the performance of the dental nurses based on the SDHS programme in the Province of Bali (β = 0.065 and p = 0.032; β = 0.608 and p = 0.000; β = 0.319 and p = 0.002; β = 0.433 and p = 0.003 respectively). The contribution of those four factors in influencing the performance of dental nurses was 59,6%. The contribution of the variables of knowledge, skill, working tools and working procedures was 6.2%, 25.2%, 12.4%, and 11.8% respectively. In conclussion : (1) The better the knowledge and the skill of the dental nurses, the better is the performance of the dental nurses based on the competency in the SDHS program in the Province of Bali (2) The more complete the working tools, the better is the performance of the dental nurses (3) The better the working procedures, the better is the performance of the dental nurses.

Kata Kunci : pengetahuan, keterampilan, peralatan kerja, prosedur kerja, kinerja perawat gigi