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ABSTRAK Pada era globalisasi atau era pasar bebas organisasi dinmtut umuk bisa berkompefisi dan mempunyai daya saing Puskesmas merupakan organisasi yang memberikan pelayanan kesehatan terdepan kepada masyarakat tidak terlepas dari timtutan tersebut. Pimpinan puskesmas sangat berperan dalam kemajuan organisasi, karena pelayanan kesehatan yang dibelikan oleh puskesmas mcrupakan hasil keljasama antara staf beserta pimpinan. Pimpinan puskesmas harus mampu memberikan kepuasan kepada setiap individu dalam organisasi dan dapat menggabungkan tujuan-tujuan individu menjadi bagian dari tujuan organisasi. Pegawai atau staf yang tidak puas tidak akan mau dan mampu untuk menghasilkan suatu pekeijaan yang bcrmutu, juga tidak akan pemah mendapatkan pelanggan yang terpuaskan, sehingga pimpinan puskesmas harus bisa memberilcan dukungan fungsi~fungsi utama manajemen kepada pelanggnn intemal atau staf dan pelanggn ekstemai atau konsumen. Salah satu fungsi manajemen dalam organisasi adalah gaya Icepemimpinan dari pimpinan puskesmas. Tujuan penelitian ini adalah untuk mempcroleh gambaran pengaruh gaya kepemimpinan terhadap kepuasan kcnja staf puskesmas di Kabupaten Majalengka. Penelitian ini mcnggunakan desain cross sectional dengan pendekatan lcuantitatif dengan jumlah sampel 127 staf puskesmas. Pengumpulan data dengan menggunakan kuesioner yang didistribusikan kepada 127 staf puskesmas. Hasil peneiitian memperlihatkan bahwa kepuasan keija (total) staf puskesmas dengan menggunakan cuz of point median dalam menilai kepuasan kemja tertinggi azhlah 50,4%. Kepuasan kelja tcrtinggi pada peniiaian kepedulian pimpinan (94,5%) dan terendah pada penilaian motivasi pimpinan (S0,4%). Dari basil uji bivariat diperoleh adanya hubungan yang bermakna antara gaya kepemimpinan tcrhadap kcpuasan kerja staf puskesmas (p= 0,00l). Dimensi gaya kepemimpinan yang mempimyai hubungan yang bermakna terhadap kepuasan kexja adaiah dimcnsi komunikasi (p= 0,00l), dimensi motivasi (p= 0,002) dan dimensi koordinasi (p= 0,002). Hanya faktor confolmding lama keija saja yang bermakna (p=0,005) terhadap gaya kepemimpinari Hasil uji statistik multivariat didapatkan faktor yang paling dominan berhubungan dcngan kepuasan kerja staf puskesmas adalah dimensi koordinasi dan pimpinan (p Wald = o,005) dan nnai OR (2,95). Persepsi gaya kepemimpinan mempunyai pengaruh terhadap kepuasan kerja staf, perbaikan fungsi koordinasi dad pimpinan puskesmas bisa diadopsi untuk memperbaiki gaya kepemimpinaxmya sekaligus memperbaiki organjsasi secam keseluruhan sehingga akhirnya diperoleh kepuasan kelja staf puskesmas.
ABSTRACT At globalization era or organizational free market era is claimed competition to be able to and has competitiveness. Puskesmas is organization giving health service of the iirst to public is not quit ofthe demand Head of puskesmas so central in organization progress, because health service given by puslcesmas is result of cooperation between staives along with learder. Head of puskesmas must be able to give satisfaction to every individual in organization and can merge purposeof individuals to become part of organization.Unsatis?ried officer or staff will not will and eble to yeild a certiiiable work, nor would have ever got cutomer client which left nothing to be desired. So leader puskesmas should be able to give main functions support from of management to internal cutomer client or staff and cutomer client of extemal or consumer. One of tixnction of management in organization is leadership style from leads' puskesmas. Purpose of this research is to obtain image of leadership style influence to job satisfaction of staff puskesmas in Majalengka district. this research applies design cross sectional with quantitative approach with number of sample 127 stafves puskesmas. Result of research shows that job satisfaction total staff puskesmas by using cut of median point in assessing highest job satisfaction is 50,4%. Highest job satisfaction at assessment of leader caring (94,5%) and low of motivation of leader (50,4%) From bivariatc test result is obtained existence of relationship having a meaning of between leadership styles toward job satisfaction of staff puskesmas (p=0,00l). Dimension leadership style having relationship having a meaning to job satisfaction is communications dimension (p=0,001), motivation dimension ( p=0,002) and coordination dimension ( p=0,002). Only factor counfonding having a meaning just duration of action ( p=0,005) to leadership style. Statistic test result multivariat yields factor that is most dominant related to job satisfaction Of staff puskesmas is coordination dimension from leader ( p Wald = 0,005) and value OR (2,95). Perception of leadership style has influence to job satisfaction of staff; repair function of coordination from leader puskesmas can be adopted to improve;repair its(the leadership style is at the same time improve;repair organization as whole so that finally is obtained job satisfaction of staipuskesmas.
Puskesmas merupakan satuan unit terdepan yang memberikan pelayanan kesehatan kepada seluruh lapisan masyarakat ternasuk masyarakat miskin. Dalam era globalisasi ini setiap organisasi dituntut untuk dapat berkompetisi dan mempunyaj daya saing sehingga organisasi tersebut dapat mempertahankan keberadaannya. Pelayanan yang dihasilkan dari organisasi puskesmas merupakan kerjasama antara pimpinan puskesmas dan staf puskesmas, dari basil kerjasama yang baik akan menghasilkan pelayanan yang bennutu. Peran pimpinan puskesmas terhadap kemajuan organisasi sangat utama dan pimpinan harus mampu rnemberikan kepuasan kerja terhadap staf dalam organisasi, kepuasan kerja staf dalam organisasi akan menciptakan suatu pelayanan yang bermutu kepada masyarakat. Tujuan penelitian ini adalah untuk mendapatkan gambaran dan hubungan antara kepemimpinan kepala puskesmas dan kepuasan kerja staf puskesmas dalam melaksanakan Program Jaringan Pemeliharaan Kesehatan Masyarakat Miskin di Kabupaten Serang Tahun 2007. Penelitian ini menggunakan desain cross sectional dengan pendekatan kuantitatif terhadap 144 staf puskesmas dari 38 puskesman di Kabupaten Serang. Analisis yang digunakan adalah univariat, bivadat dan multivariat dengan uji statistik Chi square dan Regresi logistik ganda. Hasil penelitian menunjukkan bahwa persentase kepuasan kerja (total) staf puskesmas menggunakan cut of point mean sebesar 50,9o/a, kepuasan kerja tertinggi pada dimensl kepuasan kelja 1erhadap gaji (60,5%) dan terendah pada dimensi kepuasan ketja terhadap pembagian jasa medis (35)1%). Mayoritas kepala puskesmas menampilkan gaya kepemimpinan transaksional (55,3%) dikoinbinasikan dengan gaya kepemimpinan transformasional (52.6%). Dari hasil uji bivariat diperoleh ada hubungan bermakna antara gaya kepemimpioan transformasional terhadap kepuasan kerja staf puskesmas (P=0,02). Ada hubungan bermakna antara gaya kepemimpinan transaksional terhadap kepuasan kerja staf puskesmas (P= 0 04) Dimensi kepemimpinan yang mempunyai hubungan bermakna terhadap kepuasan keija staf adalah dimensi attributed charismatik (P= 0,001), dimensi idealized influence (P= 0,024), dirnensi intelectual stimulation (P= 0,025), dimensi individualized consideronce (P= 0,008), dimensi Cl)nfingen reward (P= 0,020), dimensi laissez faire (P= 0,038). Foktor konfonding tidak mempunyai hubungan bermakna terhadap kepuasan kerja staf puskesmas. Hasil uji statistik multivariat didapatkan faktor yang paling dominan mempengaruhi hubungan kepemimpinan kepala puskesmas dan kepuasan kerja staf puskesmas adalah kepemimpinan transfonnasional dengan dinlensinya attributed charismatik. Persepsi gaya kepemimpinan mempunyai pengaruh terhadap kepuasan kerja staf disarankan kepada kepala puskesmas agar meningkalkan gaya kepemimpinan transformasional terutama dimensi attributed charismatik, perlu memperkenalkan gaya ini kepada para calon kepala puskesmas melalui pelatihan kepemimpinan. Para kepala puskesmas agar lebih memperhatikan pembagian jasa medis kepada stafnya dan disesuaikan dengan beban kerja yang diemban para staf, sehingga kepuasan kerja staf dapat meningkat, tetap menjaga dan meningkatkan hubungan antar staf yang sudah baik.
Central public health as a leading unit which give health care services to the whole society including the impecunious. in globalization era, every organization have to be able to compete and also have the competitive ability so that the organizations are able to maintain the existance. The service that produced by central public health organization a cooperation between heed central public health and staff; the result from this cooperation will produce a service quality. The role of the head puskesmas to organization progress is very important which he gave the work satisfaction to staff and mixed the individual target to be improve a part organization target, therefore work satisfaction of staff on organization will improve the service quality to society. The aim of this research are to get picture and the relation between head to puskesmas leadership and work satisfaction of puskesmas staff to execute the JPKMM program in Serang district in 2007. This research uses cross sectional desaign with quantitative approach for 144 puskesmas staf from 38 puskesmas in Serang district. Analysis type that used are univariat, bivariate and multivariate with Chi square and double logistics regresi statistic test. The resu1t of this research indicates that percentage of work satisfaction (totalize} staff puskesmas staf use 50.9% cut off point mean the highest work satisfaction at dimension of work satisfaction to salary (60,5%) and lowest at dimension of work satisfaction to share of medical service fee (35,1%). Majority of head puskesmas presents transactional style leadership (55,3%) combined with transformational style leadership (52,6%). The result from bivariate test obtained that there is significant relationship between transformational style leadership to work satisfaction of puskesmas staff (P= 0,02). Significant relationship also found has a transaktional leadership style to work satisfaction of puskesmas (P= 0,04) Leadership dimension which have significant relationship to work satisfaction of puskesmas staff is attributed charismatik dimension (P= 0,001), idealized influence dimension (P= 0,024), intellectual stimulation dimension (P= 0,025), individualized considerance dimension (P= 0,008), contingen reward dimension (P= 0,020), laissez faire dimension (P= 0,038). Confounding factor has no significant relationship to work satisfaction ] puskesmas of staff. The result from multivariate statistic test obtained that the most dominant factor influence the relation between head puskesmas leadership and work satisfaction of puskesmas staff is transformational leadership with its attributed cbarismatik dimension. Leadership styles Perception have influence to work satisfaction of puskesmas staff, it is suggested to head puskesmas to improve transformational styles leadership especially attributed charismatic dimension, this leadership styles must introduced was to head puskesmas candidate through a leadership training. Heads puskesmas have to concerned more to share of about medical service fee to its staff raised up and also have to maintain and improve the relation among that has been good.
Diantara tahun 2002 - 2005, terjadi konflik/unjuk rasa staf di 7 Puskesmas di wilayah Kabupaten Bekasi. Berdasarkan survei awal yang dilakukan penulis untuk membuktikan dugaan penyebab terjadinya konflik, ternyata tingkat kepuasan kerja Staf Puskesmas masih rendah, yaitu hanya 56,17%, serta adanya hubungan yang positif antara kepemimpinan dengan kepuasan kerja Staf Puskesmas. Survei yang sejenis belum pernah dilakukan di Kabupaten Bekasi. Penelitian ini bertujuan membuktikan adanya hubungan kepemimpinan transfomasional, transaksional dan laissez faire terhadap tingkat kepuasan kerja Staf Puskesmas di 34 Puskesmas yang berada di wilayah Kabupaten Bekasi. Desain penelitian merupakan penelitian analitik deskriptif dengan pendekatan cross sectional, yang dilakukan di seluruh Puskesmas di Kabupaten Bekasi. Data dikumpulkan dari seluruh Staf Puskesmas yang berjumlah 681 orang dan 33 Kepala Puskesmas pada tahun 2006. Analisis data menggunakan analisis univariat dan bivariat dengan menggunakan uji Chi Square dan uji korelasi sedehana. Hasil penelitian menunjukkan bahwa tingkat kepuasan kerja Staf Puskesmas sebesar 2,9% (dengan cut-off point 80%) dan 49,6%(dengan cut-off point nilai tengah). Peralatan kerja Puskesmas merupakan faktor kepuasan kerja Staf yang mempunyai nilai terendah. Mayoritas Kepala Puskesmas menampilkan kepemimpinan transformasional yang dikombinasikan dengan kepemimpinan transaksional. Ada hubungan yang bermakna antara dimensi attributed charissmatik dari kepemimpinan transformsional dengan kepuasan kerja Staf Puskesmas. Staf Puskesmas yang mempersepsikan dimensi attributed charismatic Kepala Puskesmasnya "kuat" mempunyai peluang untuk merasa lebih puas dalam bekerja. Hubungan ini mungkin masih dipengaruhi oleh umur, jenis kelamin, tingkat pendidikan, latar belakang profesi Staf Puskesmas, serta besamya insentif dan tunjangan hari raya yang diterima. Dimensi attributed charismatik dari kepemimpinan transformasional mampu meningkatkan kepuasan kerja Staf Puskesmas. Perlunya pengenalan tipe kepemimpinan ini kepada para Kepala Puskesmas. Hal ini dapat digunakan dalam seleksi calon Kepala Puskesmas dan pelatihan-pelatihan kepemimpinan bagi orang¬-orang yang akan dipromosikan menjadi pimpinan dalam organisasai kerjanya. Peralatan kerja Puskesmas yang mempunyai skor kepuasan terendah, perlu menjadi perhatian semua pihak yang terkait.
By the years of 2002 - 2005 there were conflicts/demonstrations in 7 Public Health Centers in Bekasi district. Based on preliminary survey conducted by the author to proved that the assumption of conflict caused, the level of job satisfaction among Public Health Center staffs was low, i.e. only 56,17%, and there was positive correlation between leadership and job satisfaction of Public Health Center staffs. A similar survey has not been conducted yet in Bekasi district. This survey attempts to prove the existence of the correlation between transformational, transactional and laissez faire leadership to the level of job satisfaction in 34 Public Health Centers in Bekasi district. The Research design was a descriptive-analytic research with cross-sectional approach, which carried out to all Public Health Centers in Bekasi district. Data were collected from all 681 staffs and 33 Public Health Center heads in 2006. These were analyzed by using univariat and bivariat analyses with Chi Square and simple corelation test. The study proved that respondents with job's satisfaction only 2,9% (with cut-off point 80%) and 49,6% (with mid-value cut-off point). The instrument of Public Health Center was a job-satisfaction factor with the lowest value. The majority of Public Health Center heads performed a transformational leadership combined with transactional one. There was an important correlation between attributted charismatic dimension of transformational leadership with employee job-satisfaction. Public Health Center staffs which have a perception about their Public Health Center head's attributed charismatic dimension as strong, have a chance to feel more satisfied in their job. This perhaps was influenced by the factors of age, sex, education and profession background of Public Health Center staff, and the amount of incentives and THR. Attributed charismatic dimension of transformational leadership tends to increase the employee's job-satisfaction. It is necessary to introduce this type of leadership to the head Public Health Centers. This can be applied in the selection of the Public Health Center head candidates, and leadership training for those that will be promoted to be a leader in their work organization. It is necessary for all related sides to pay attention to the instrument of Public Health Center that has the lowest value in job-satisfaction score.
Employees are one of the most important resources in achieving success and goals in an organization. One of the important factors in order to achieve optimal work results from an employee is the fulfillment of job satisfaction. Good human resources have qualities that can affect performance. However, no matter how good the plans and supervision are in an organization, if the human resources are less interested and unhappy in doing their work then an organization will not achieve the results it should be able to achieve. The purpose of this study was to determine the effect of job satisfaction and individual characteristics on employee performance at Puskesmas Selong. This type of research is descriptive using a cross-sectional study design approach with mixed methods, namely combining quantitative and qualitative methods. There is no effect of job satisfaction simultaneously on the performance of employees at Puskesmas Selong, it can be seen from the p value = 1,000> 0.05. Of the five indicators of job satisfaction variables, only two indicators have an effect on employee performance, namely satisfaction with rewards with a value of p = 0.018 <0.05, and satisfaction with superior supervision with a value of p = 0.029 <0.05. Individual characteristics of employees that affect performance are educational characteristics, it can be seen from the p value = 0,047<0,05. Thus the management of Puskesmas Selong needs to provide an understanding to employees regarding the determination of payment of compensation, approach and communicate more effectively in efforts to improve the supervision system, and provide feedback on the work of employees so that employees can find out their weaknesses or strengths. With more intense communication with employees through regular meetings between leaders and employees, good communication will be established so as to improve the quality of employee work
This study is quantitative research using cross sectional design to know the relationship of characteristic and job satisfaction on performance of Public Health Care officer in Belitung Regency in 2017. The sample in this research is civil servant which is found in 9 (nine) PHC in Belitung Regency which amounts to 180 people. The results showed that the characteristic variables related to the performance of PHC employee in Belitung Regency were the last education. Job satisfaction variable related to performance of PHC employee of Belitung Regency is compensation. The variable of characteristics and job satisfaction are related after tested together (simultaneous) there are three significant variables are compensation, relationship with colleagues and supervision. And the variable that has the most dominant relationship is supervision. Key words: Employee Performance, Characteristic, Job Satisfaction, Employee
Kepuasan pasien merupakan salah satu indikator untuk melihat mum pelayanan kesehatan. Puskesmas merupakan tempat pelayanan kesehatan publik yang saat ini dimanfaatkan oleh seluruh lapisan masyarakat. Rendahnya kcpuasan pasien menggambarkan kualitas pelayanan belum maksimal dan belum sesuai dengan standar, sehingga harus diperbaiki. Kepuasan pasien dapat dipengaruhi oleh banyak faktor, misalnya karakteristik pasien sendiri Serta biaya yang ada untuk mendapatkan pelayanan tersebut. Penclitian ini dilakukan di enam Puskesmas DTP di Kabupaten Bekasi dan dua Puskesmas DTP di Kota Bckasi. Penelitian ini bertujuan untuk mclihat perbandingan tingkat kepuasan pasien Puskesmas DTP di Kabupatcn dan Kota Bekasi, melihat karakteristik pasien pengguna jasa pelayanan Puskesmas, serta mclihat faktonfaktor karakteristik mana yang berhubungan dengan tingkat kcpuasan pasien. Disain penelitian adalah cross sectional pada 480 responden. Dilakukan selarna 3 bulan dari Februari sampai April 2007. Secara keseluruhan kamkteristik pasien di kedua tempat diatas adalah sama, perbedaannya ada pada tingkat pendidikan, jenis pekerjaan dan pendapatan pasien. Tingkat kepuasan pasien di Kabupaten Bekasi (gratis) 2,14 kali lebih rendah dibandingkan tingkat kepuasan pasien di Kota Bekasi (bayar). Jumlah pasien yang puas di Kota Bekasi 64,2% sementara di Kabupaten Bekasi 45,5%. Tidak ada hubungan yang bermakna antara faktor-faktor karakteristik pasien dengan tingkat kepuasan di kedua tempat diatas, serta tidak ada faktor-faktor karakteristik yang menjadi faktor konfonding. Dari Importance and Pewrmance Anabvsis unsur yang harus diperhatikan di Kabupaten Bekasi adalah jadwal perikasa dokter tiap hari tepat waktu, obat diresepkan tersedia di Puskesmas, petugas segera memenuhi keinginan pasien serta dokter menjadi pendengar yang baik bagi pasien. Sementara itu di Kota Bekasi unsur-unsur yang hams diperhatikan adalah ruang rawat inap, sarana kamar mandi/WC, keberadaan petugas di mang rawat inap/jalan, ruang tunggu, suasana lingkungan, lantai dalam/luar ruangan, pelayanan oleh dokter, obat yang diresepkan tersedia di Puskesmas. -Iasil penelitian ini diharapkan dapat dimanfaatkan oleh Dinas Kcsehatan Kabupaten Bekasi dan Kota Bekasi dalam mengambil kebijakan serta Puskesmas DTP di Kabupatzh dan Kota Bekasi dalam meningkatkan kualitas pelayanan.
The patient's satisfaction was one of the indicators to see the quality of the health service. The community health centre was the place of the health service of the public at this time used by all social stratums. The low level of the patients satisfaction depicted the quality of the service was not yet maximal and did not yet be in accordance with the standard, so as to have to be improved. The patient satisfaction could be affected by many factors, for example the characteristics of the patient personally as well as the available cost to get this service. This research was carried out in six inpatient facility in the Bekasi Regency and two inpatient facilities in the Bekasi City. This research aimed at seeing the level comparison of patient satisfaction of the inpatient facility in the Regency and the Bekasi City, saw the characteristics of the user's patient in community health centre service, as well as saw what characteristics factor that was connected with the level of the patients satisfaction. 'Ihe design of the research was cross sectional to 480 respondents. Carried out for 3 months hom February to April 2007. On the whole the characteristics of the patient in the two places above was same, its difference was in the level of education, the work kind and the income ofthe patient. The level of the patient?s satisfaction in the Bekasi Regency (ti-ee) 2.14 times was lower compared with the level ofthe patient?s satisfaction in the Bekasi City (paid). The number of patients who was satisfied in the Bekasi City 64, 2% now in the Bekasi Regency 45, 5%. There is no relation that was significant between characteristics factors ofthe patient and the level of satisfaction in the two places above, as well as did not have characteristics factors that became the factor confounding. From Importance and Performance Analysis the element that must be paid attention to in the Bekasi Regency was the doctor schedule right on time, prescription medicine was available in the community health centre, the ofiicial immediately filled the patients wish as well as the doctor to become listeners who were good for the patient. In the meantime in the Bekasi City elements that must be paid attention to were space inpatient facilities, bathroom means/the Toilet, the existence of the official in room, the waiting room, the atmosphere of the environment, the floor in/outside the room, the service by the doctor, prescription medicine was available in the community health centre. From this research, we recommended for District Health Service of Bekasi Regency and Bekasi City in taking the policy, inpatient facility in the Regency and the Bekasi City in increasing the quality ofthe service.