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Cakupan kegiatan keperawatan komunitas di Kabupaten Cirebon masih rendah, sedangkan perawat sebagai peiaksananya merupakan tenaga kesehatan terbanyak dibandingkan dengan tenaga kesehatan lainnya Perawat melakukan asuhan keperawatan komunitas seharusnya dengan pendokummentasian atau pencatatan yang merupakan panduan sehingga kegiatannya terarah dan terpadu sesuai dengan masalah yang ditemukan. Tujuan penelitian ini adalah ingin mengetahui kualitas pencatatan asuhan keperawatan komunitas di Kabupaten Cirebon tahun 2006 dan faktor-:fuktor yang mempengaruhinya. Penelitian ini adalah penelitian kuantitatif dengan menggunakan rancangan cross-sectionaL Data dikumpulkan dari 7I perawat puskesmas dengan menggunakan perhitungan besar sampel Lot quality assurance sampling (I:QAS-Lot) secara sistematic random sampling, selain dilak:ukan wawancara juga dilakukan pemerik:saan catatan asuhan keperawatan masing-masing responden 5 dokumen. Penelitian dilakukan pada bulan September 2006 dengan menggunakan analisis univariat dan analisis jalur (path analysis). Dari data yang dikumpulkan diperoleh kualitas pencatatan dengan baik sebesar 59,2 %. Hasil pemodelan dengan analisis jalur temyata kepemimpinan merupakan variabel utama yang mempunyai pengaruh sebesar 46,8 % terhadap kualitas pencatatan asuhan keperawatan, variabel lain yang mempunyai pengaruh terhadap kualitas pencatatan asuhan keperawatan adalah pengetahuan sebesar 3 I %, sikap sebesar 17,6 %, imhalan sebesar 11,6 %, dan variabe1 masa kelja melalui sikap sebesar 4%. Kepemimpinan kepala puskesmas mampu meningkatkan lrualitas pencatatan asuhan keperawatan yang dilakukan karyawannya, selain itu kepemimpinan dapat meningkatkan pengetahuan, mengatur imbalan yang diberikan, dan dapat merubah sikap karyawannya. Bagi Dinas Kesehatan yang mempunyai kewajiban membina : kepala puskesmas maka harus selalu membina dan mengevaluasi kinelja kepala puskesmas.
Scope of community nursing activity in district of Cirebon has undervalued. In fact, number of nurse resources there larger than another medical profession. They to be organized in community nursing activity and nursing activity record-keeping as principal guide, they will working in systematic way and well integrated according to the problem raised from public health service. This research aim to determine the quality of community nursing activity record-keeping in district of Cirebon for year of 2006 and the influencing factors within. Research belong to quantitative research with cross-sectional design. Data collecting using Lot quality assurance sampling (LQAS-Lot) with systematic random sampling method by surveying and interviewing 71 nurse from local public health services, including checking of 5 document from each respondent's nursing record.' Research taken during september 2006 and using univariat analysis and path analysis. The result shows the quality of record-keeping which noticed as good are 52,2 % in value. Modelling result from path analysis put leadership as main variable which influence the quality of nursing record-keeping at 46,8%. Another variable which having influence on quality of nursing record-keeping are nurse's knowledge at 31%, nurse's attitude at 17,6%, rewards at 11,6% and working period at 4%. Leadership skills of local public service's head can improve the quality of record-keeping of community nursing activity by its employees (nurses). Besides,and change in attitude. District public health service which has responsibility in training and developing officer to become head of local public health service should control and monitor their working performance continuously leaderships skills direct to improvement of knowledge, remuneration management, and change in attitude. District public health service which has responsibility in training and developing officer to become head of local public health service should control and monitor their working performance continuously.
Kesimpulan: lama kerja > 5 tahun dan penghargaan meningkatkan partisipasi kader asuhan mandiri.
Saran: perlu bantuan bibit tanaman obat tradisional, pelatihan berjenjang dan berkala, pembinaan berkala, studi banding, penilaian kelompok asuhan mandiri dan family gathering untuk meningkatkan motivasi kader asuhan mandiri
In 2017 and 2018, the Cakung Community Health Center has given self care orientation using the herbal garden and acupressure for 77 cadres from 5 subdistrict namely Penggilingan, Pulo Gebang, Jatinegara, Ujung Menteng and West Cakung. Within 3-6 months of orientation, community health worker are expected to form self care groups. However, only one self care group was formed, namely in the Penggilingan sub-district, so the researchers were interested in analyzing the relationship between demographic factors and motivation of self care community health worker and their participation. This study uses primary data by filling out questionnaires. The research design used a non-experimental quantitative approach with a cross sectional design. The results showed that most of them were housewives, married, > 46 years old, middle school education, income < minimum wage DKI and length of work < 5 years. Most of the low motivation 39 people (60%) and the remaining high motivation 26 people (40%) and low participation 33 people (50.8%) and the remaining high participation 32 people (49.2%). The length of work factor > 5 years increased participation 4 times, while the reward motivation increased 0.1 times.
Conclusions : length of work and rewards for increasing participation.
Suggestions : need for seed herbal plant, training, supervision, study tours, competitions the self care group and family gatherings to increase motivation for self care community health worker
The implementation of accreditation policies in primary healthcare centres have been implemented since 2015, as a response towards the challenges in this globalization era. Recently in 2021, the Indonesian government made it mandatory for primary healthcare centres to have an accreditation certificate, as a prerequisite for them to be covered by the government health insurance (BPJS). This recent policy was met with a variety of opinions, both positive and negative. This study is a quantitative study with a cross sectional design. A total of 133 samples taken in April 2021. The results showed that there was a significant difference of average employee satisfaction scores between the different primary healthcare centres (p = 0,0005).