Dari berbagai pendapat dan analisis para pengelola pendidikan maupun pemakai tenaga kesehatan di pelayanan, ada simpulan dan benang merah yang sama yaitu "Mutu lulusan yang berkualitas masih menjadi harapan yang belum jadi kenyataan". Banyak faktor yang mempengaruhi mutu lulusan dan belum pernah diteliti. Dengan demikian penelitian ini bertujuan untuk mengetahui mutu lulusan Akper di Propinsi kalimantan Barat dan faktor-faktor yang berhubungan dengan mutu lulusan Akper di Propinsi Kalimantan Barat tahun 2000. Disain penelitian ini menggunakan pendekatan dua studi yaitu kuantitatif dan kualitatif. Pada studi kuantitatif menggunakan. rancangan penelitian potong lintang dengan jumlah sampel 83 orang, sementara studi kualitatif dengan menggunakan metode wawancara mendalam dengan 8 informan. Pengolahan data dengan menggunakan analisis univariat, bivariat dan multivariat, sedang untuk kualitatif dengan menggunakan analisis isi. Hasil analisis univariat menunjukkan bahwa nilai rerata mutu lulusan Akper adalah 2,57 dengan range 1,01. Sementara hasil bivariat menunjukkan adanya hubungan bermakna antara kemampuan kualitatif (r= 0,404 ; p<0,05) dan kemampuan kuantitatif (r= 0,321; p<0, 05) dengan mutu lulusan Akper. Hasil analisis mutivariat terlihat bahwa kemampuan kualitatif dan kemampuan kuantitatif merupakan faktor dominan yang berhubungan dengan mutu lulusan Akper. Saran untuk meningkatkan mutu lulusan Akper di Propinsi Kalimantan Barat agar Sipensimaru dilaksanakan sesuai ketentuan yang berlaku, serta informasi tentang penerimaan Sipensimaru Diknakes, khususnya D-III Keperawatan lebih optimal lagi untuk menjaring calon pendaftar sebanyak-banyak.

Analysis of the Quality of Nurse Academy Graduates and Factors that Correlate with the Quality of the Graduates in West Kalimantan Province in Year 2000Referring to comments and analyses obtained from the management of various nurse academies and from users of health workers in health services, it may be concluded that "Excellent graduates of nurse academies are still far from reality". There may he various factors that influence the quality of the graduates. However, these factors have not been revealed much in existing studies. Therefore, this study is aimed at investigating the quality of nurse academy graduates in West Kalimantan Province as well as investigating factors that correlate with quality of the nurse academy graduates in West Kalimantan Province in year 2000. This study employed two research approaches, namely quantitative and qualitative. In term of quantitative approach, the design of study was cross sectional with 83 people as study sample while the quantitative one employed an in-depth interview method with 8 informants. Quantitative data gathered were analyzed using univariate, bivariate and multivariate techniques while qualitative data obtained from the informants were analyzed by using content analysis technique. Results from univariate analysis show that the mean of the quality score of nurse academy graduates is 2, 57 with 1, 02 range while results from bivariate analysis show that there is a significant correlation between qualitative competence (r= 0,404; p<0, 05) and quantitative competence (r= 0,321; p<0, 05) with the quality score. The multivariate analysis revealed that both qualitative and quantitative competences are dominant factors that correlate with the quality of nurse academy graduates. It is recommended that to increase the quality of nurse academy graduates in West Kalimantan Province, the Sipensimaru (freshmen recruitment system) should be executed in compliance with the prevailing standards furthermore information regarding the opening of freshmen recruitment for health workers education (Diknakes), particularly for D-11I Nursing Program, should be disseminated widely to recruit as many enrollers as possible.

Pemantapan Mutu Internal adalah kegiatan yang harus dilakukan oleh seluruh petugas laboratorium untuk menjamin mutu hasil pemeriksaannya dengan mencegah terjadinya kesalahan dan mendeteksi sedini mungkin bila ada kesalahan. Dilaksanakan secara terus menerus, mulai tahap pra analitik, analitik dan pasca analitik. Pada tahun 1997 Pusat Laboratorium Kesehatan (sekarang Direktorat Laboratorium Kesehatan) telah mengeluarkan buku pedoman Pemantapan Mutu Internal Laboratorium Kesehatan yang memuat uraian tentang aspek-aspek yang harus diperhatikan dan dilaksanakan oleh seluruh petugas Balai Laboratorium Kesehatan dalam melaksanakan Pemantapan Mutu Internal. Kegiatan ini harus dilaporkan secara berkala melalui tim Pemantapan Mutu Internal yang telah dibentuk di masing-masing balai laboratorium kesehatan. Pada bulan April 1999 Balai Laboratorium Kesehatan Pontianak mendapat teguran karena tidak disiplin dalam penyampaian laporan tersebut sedangkan dari hasil survey pendahuluan diketahui hanya 45 % petugas patuh dalam menerapkan buku pedoman tersebut. Berdasarkan hal tersebut dilakukan penelitian sejak tanggal 6 hingga 24 Oktober 2000, dengan pendekatan kuantitatif secara pengamatan (observational) dengan desain potong lintang (cross sectional), dan metode work sampling. Jumlah sampel 23 orang petugas dengan jumlah pengamatan 1176 dengan tujuan untuk mengetahui gambaran kepatuhan, faktor-faktor yang berhubungan dan faktor yang paling dominan berhubungan dengan kepatuhan petugas dalam menerapkan pedoman Pemantapan Mutu Internal. Hasil penelitian menunjukkan bahwa kepatuhan petugas adalah 52,2 %. Dari hasil uji statistik bivariat dengan Chi Square diketahui bahwa motivasi petugas dan pengawasan tim berhubungan bennakna dengan kepatuhan petugas dan uji statistik multivariat dengan regresi logistik menunjukkan bahwa pengawasan tim adalah faktor yang paling dominan berhubungan dengan kepatuhan. Berdasarkan hasil tersebut terdapat beberapa saran untuk Balai Laboratorium Kesehatan Pontianak yaitu pengawasan tim perlu tetap dilanjutkan dan diaktifkan, perlu ditinjau kembali susunan tim yang telah ada kemudian mengevaluasi hasil yang telah dicapai dan membahas masalahnya secara bersama-sama. Dalam 5K pimpinan tentang susunan tim perlu dicantumkan batas tugas, sehingga tim dan anggota mempunyai target yang harus dicapai. Sering diberlakukan sistem penghargaan dalam bentuk pengakuan pujian didepan rapat umum tentang keberhasilan tim serta terhadap petugas/ subseksi yang melakukan kegiatan Pemantapan Mutu Internal dengan baik. Saran bagi Direktorat Laboratorium Kesehatan perlu diintensifkan pelatihan tidak hanya ketua tim tetapi juga anggota tim secara bergantian untuk meningkatkan pemahaman, pengetahuan, ketrampilan dan komitmen tentang pentingnya Pemantapan Mutu Internal serta perlu dilakukan pengawasan intensif dengan datang langsung ke balai laboratorium kesehatan.

Internal Quality Assurance is an activity that every laboratory staff should do to ensure the quality of the laboratory examination by error prevering and error detecting. This Internal Quality Assurance is carried out continuously beginning from the pre-analysis, analysis, and post analysis stages. In 1997, the Health Laboratory Center (now Directorate of Health Laboratory) issued a manual concerning the Internal Quality Assurance for Health Laboratory that contains details of aspects to consider and conduct by all staffs of the House of Health Laboratory in implementing the Internal Quality Assurance. This activity should be reported regularly to an Internal Quality Assurance Team that was established at each house of health laboratory. On April 1999 the Health Laboratory Institute of Pontianak was notified for being indiscipline in reporting, while the preliminary survey results reveal that only 45 % of the staff adhered to implementing the manual. It was based on both reports that this study was conducted from October 6 to October 24, 2000. This study employed a quantitative approach and used observational and cross sectional as well as work sampling methods. Sample of this study consisted of 23 staffs with 1176 observations from which description of factors that correlate with as well as factor that mostly correlate with the staffs's adherence to implementing the manual of Internal Quality Assurance were investigated. The study results show that the staffs adherence to implementing the manual is 52,2%. The bivariate statistical analysis using Chi Square reveals that staffs' motivation and team supervision has significant correlation with the staffs' adherence to implementing the manual, while the multivariate statistical test describes using Logistic Regression describes that team supervision is the most dominant factor that correlates with the staffs' adherence. Based on such study results, some recommendations are addressed to the Health Laboratory Institute. It is recommended that team supervision be sustained and activated; the existing team structure be reviewed; the achieved goals be evaluated; and problems be solved by all members of the team. It is also recommended that job description of the supervision team be included in the chief's decree so that the team and its members have some goals to achieve. Reward system should be also applied that may include recognition in general meeting of the team and each staff achievements in excellent implementation of the Internal Quality Assurance. The Directorate of Health Laboratory is recommended to intensify the training program for not only team leaders but also for team members on a shift basis to enhance understanding, knowledge, skills and commitment in the Internal Quality Assurance. In addition, there should be an intensive supervision by means of on-site visit to the health laboratory.