Ditemukan 3 dokumen yang sesuai dengan query :: Simpan CSV
Khanza Nur Padma Arriya; Pembimbing: Septiara Putri; Penguji: Adang Bachtiar, Wing Irawati
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Hingga saat ini, masih ada tenaga kesehatan terutama di Pusat Kesehatan Masyarakat (puskesmas) yang mengerjakan tugas di luar kompetensinya. Kementerian Kesehatan RI sebagai pemerintah pusat yang membidangi urusan kesehatan mengeluarkan kebijakan mengenai kredensial tenaga kesehatan di puskesmas sebagai suatu sistem penjaminan mutu dengan memperbarui kemampuan para tenaga kesehatan agar tetap professional, perencanaan tindak lanjut pada puskesmas dan Dinas Kesehatan Kab/Kota, dan menempatkan tenaga kesehatan sesuai bidang kompetensinya. Karena pelaksanaannya baru berjalan di tahun 2022, penelitian ini dilakukan untuk memberikan masukan atas percepatan dan peningkatan kualitas program kredensial tenaga kesehatan di puskesmas dalam ruang lingkup Kementerian Kesehatan RI. Penelitian ini menggunakan desain studi deskriptif dengan menggunakan pendekatan kualitatif. Sumber data dari penelitian ini berasal dari data primer berupa wawancara pada tim kerja pelaksana kredensial tenaga kesehatan di puskesmas dalam ruang lingkup Kementerian Kesehatan RI sebanyak 7 orang, serta data sekunder berupa telaah dokumen dan observasi. Hasil penelitian menunjukkan bahwa program kredensial tenaga kesehatan di puskesmas dalam ruang lingkup Kementerian Kesehatan RI yang dijalankan oleh Tim Kerja sudah baik karena hampir seluruh komponen input, proses, dan output sesuai dengan standar internal Kementerian Kesehatan RI dan standar kredensial melalui acuan Petunjuk Teknis Kredensial Tenaga Kesehatan Di Pusat Kesehatan Masyarakat. Pelaksanaan dan monitoring evaluasi sudah sesuai dengan perencanaan, namun belum berjalan secara optimal dikarenakan data yang belum dianalisis, tidak memantau pelaksanaan tindak lanjut oleh Dinas Kesehatan Kab/Kota, serta kesamaan antara uji petik dan pendampingan. Saran yang dapat diberikan yaitu sosialisasi dan advokasi lebih rutin, tindak lanjut anggaran kredensial tenaga kesehatan di puskesmas, sistem penyimpanan online untuk hasil kredensial, pendataan secara berkala, monitoring sampai ke tahap pelaksanaan tindak lanjut, memanfaatkan hasil analisis data untuk RTL dan mapping, memperbarui petunjuk teknis kredensial tenaga kesehatan di puskesmas, dan tindak lanjut hasil rekomendasi.
Until now, there are still health workers, especially at Community Health Centers (puskesmas), who perform tasks outside of their competence. The Ministry of Health of the Republic of Indonesia as the central government in charge of health affairs issued a policy regarding the credentialing of health workers in health centers as a quality assurance system by updating the ability of health workers to remain professional, follow-up planning at health centers and District/City Health Offices, and placing health workers according to their fields of competence. Because the implementation has only been running since 2022, this study was conducted to provide input on accelerating and improving the quality of the health worker credentialing program at puskesmas within the scope of the Indonesian Ministry of Health. This research uses a descriptive study design using a qualitative approach. The data source of this study comes from primary data in the form of interviews with the work team implementing the credentials of health workers at health centers within the scope of the Ministry of Health of the Republic of Indonesia as many as 7 people, as well as secondary data in the form of document review and observation. The results showed that the health worker credentialing program at puskesmas within the scope of the Ministry of Health of the Republic of Indonesia carried out by the Work Team was good because almost all input, process, and output components were in accordance with the Ministry of Health's internal standards and credentialing standards through the reference to the Technical Guidelines for Credentialing Health Workers at Community Health Centers. Implementation and evaluation monitoring are in accordance with planning, but have not run optimally due to data that has not been analyzed, monitoring until the implementation of follow-up by the District Health Office has not been done, and the similarity between uji petik and pendampingan.. Suggestions that can be given are more routine socialization and advocacy, follow-up on the budget for credentialing health workers at puskesmas, an online storage system for credentialing results, regular data collection, monitoring up to the follow-up implementation stage, utilizing the results of data analysis for RTL and mapping, updating the technical guidelines, and follow-up on the results of recommendations.
S-11365
Depok : FKM-UI, 2023
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Monalisa Simbolon; Pembimbing: Masyitoh; Penguji: Jaslis Ilyas, Puput Oktamianti,Ratikh Pranita, Margaretha Indah
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Studi di Rumah Sakit Fatima Ketapang mengungkap hubungan antara Quality of Work Life (QWL) tenaga kesehatan dengan kinerja mereka. Meskipun pentingnya QWL di lingkungan kesehatan diakui, penelitian ini bertujuan untuk menemukan komponen QWL spesifik yang memengaruhi kinerja tenaga kesehatan. Studi ini dilakukan selama dua bulan pada tahun 2023 dengan pendekatan kuantitatif dan cross-sectional, serta bertujuan menganalisis hubungan tersebut. Hasil penelitian menunjukkan tidak adanya hubungan signifikan antara variabel QWL dan kinerja di Rumah Sakit Fatima Ketapang. Hasil yang tidak terduga ini mungkin dipengaruhi oleh latar belakang pendidikan responden, yang sebagian besar memiliki gelar D3, yang berpotensi memengaruhi hubungan ini. Meskipun kondisi kerja dan kinerja tenaga kesehatan umumnya positif, tidak ada komponen spesifik dari QWL yang teridentifikasi secara langsung terkait dengan kinerja mereka. Penelitian ini menegaskan kompleksitas pengaruh QWL terhadap kinerja tenaga kesehatan, mendorong eksplorasi lebih lanjut terhadap faktor-faktor lain yang memengaruhi efektivitas mereka. Pemahaman yang lebih mendalam tentang dinamika ini dapat memberikan strategi yang lebih terfokus untuk meningkatkan baik QWL maupun kinerja dalam lingkungan kesehatan.
The study at Fatima Ketapang Hospital explores the link between healthcare workers' Quality of Work Life (QWL) and their performance. While QWL's significance in healthcare settings is well-known, this research aimed to identify specific QWL components impacting worker performance. Conducted over two months in 2023, using a quantitative, cross-sectional approach, the study analyzed this relationship. The findings, however, showed no significant correlation between QWL variables and performance at Fatima Ketapang Hospital. This unexpected outcome might be due to the educational background of respondents, mostly holding D3 degrees, potentially affecting this relationship. Despite generally positive work conditions and performance levels among healthcare workers, no specific QWL components stood out as directly linked to their performance. This research highlights the complexity of QWL's influence on healthcare worker performance and identifies the need for further investigation into other factors that might contribute to their effectiveness. Enhancing the understanding of these dynamics could assist in tailoring strategies to improve both QWL and performance outcomes in healthcare settings.
B-2414
Depok : FKM-UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Puspita Gaharu Nisaa; Pemimbing: Robiana Modjo; Penguji: L. Meily Kurniawidjaja, Stevan D. Anbiya, Achmad Muchlis, Corah Usman
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Tenaga kesehatan senantiasa dihadapkan dengan tuntutan kerja dan bahaya risiko psikososial yang berpengaruh terhadap kesehatan mental seperti distress kerja, kondisi tersebut dapat bermanifestasi terhadap kesejahteraan tenaga kesehatan dan kualitas pelayanan pasien. Tahun 2024, diketahui terdapat tenaga kesehatan di RSUD Balaraja yang memiliki derajat distress sedang hingga berat terkait upaya kerja. Tesis ini bertujuan menganalisis hubungan faktor risiko psikososial serta faktor individu dan distress kerja pada tenaga kesehatan yang bekerja di RSUD Balaraja Kabupaten Tangerang Tahun 2025. Desain penelitian adalah cross-sectional dengan pendekatan kuantitatif pada total 140 tenaga kesehatan (dokter, perawat, farmasi, dan tenaga kesehatan lain seperti bidan, perekam medis, fisioterapis, analis kesehatan, radiografer, dsb.) Distress kerja diukur menggunakan instrumen distress dari DASS-21 yang dikategorikan menjadi “Normal-Ringan” dan “Sedang-Berat”. Faktor risiko psikososial (berdasarkan model Effort-Reward Imbalance, COPSOQH III dan NIOSH Generic Stress Scale) dan faktor individu diukur melalui kuesioner. Hasil penelitian ditemukan 14,3% responden dengan distress kerja sedang-berat. Analisis inferensial menunjukan hubungan signifikan antara faktor psikososial dengan distress kerja. Variabel yang berhubungan dengan distress kerja diantaranya ketidakseimbangan kerja-rumah (OR=17,34; 95% CI 3,84–78,41; p<0,001), komitmen kerja berlebihan (OR=14,48; 95% CI 3,21–65,31; p<0,001), upaya kerja yang tinggi (OR=6,44; 95% CI 2,03–20,44; p=0,001) dan penghargaan kerja yang tidak baik (OR=4,14; 95% CI 1,31–13,10; p=0,02). Tidak ditemukan hubungan statistik yang signifikan antara faktor individu dan distress kerja (p >0,05). Faktor individu yang perlu diberi perhatian yakni pada variable status single dan perilaku tidak sehat (kurang aktifitas fisik, merokok, minum kopi, dan minum alkohol.) Kesimpulan adalah distress kerja pada tenaga kesehatan di RSUD Balaraja secara dominan berasosiasi dengan faktor psikososial yang bersifat organisasional dan dapat dimodifikasi. Intervensi berbasis prioritas terutama untuk perbaikan area kritis diantaranya ketidakseimbangan antara kehidupan kerja-rumah serta komitmen berlebihan. Rekomendasi difokuskan pada kebijakan organisasional sehingga tercipta budaya kerja yang sehat, suportif dan positif, diantaranya adalah, pertama, pemberian pelatihan sesuai kompetensi, edukasi pengelolaan distress dan manajemen waktu serta fleksibilitas pemilihan waktu libur atau cuti; Kedua, evaluasi beban kerja agar tidak berlebihan dan lebih merata, fit to work bagi tenaga kesehatan pasca dengan keterbatasan fisik atau pemulihan dari sakit, komunikasi dan transparansi sistem penghargaan maupun kompensasi kepada seluruh tenaga kesehatan, termasuk dalam pemberian insentif dan kebijakan upah kerja lembur dalam rangka keseimbangan upaya kerja dan penghargaan kerja yang lebih baik; Ketiga, evaluasi tugas kerja dan beban kerja oleh manajemen secara periodik yang disertai adanya keterlibatan karyawan dalam pengambilan keputusan. Rekomendasi lain adalah kegiatan senam rutin 150 menit per minggu, kelompok konseling kesehatan mental dan perilaku tidak sehat, serta perbaikan sistem antrian pasien rawat jalan dengan pemberlakuan kode booking kunjungan ulang atau fast track untuk pasien kontrol merupakan strategi yang dapat diambil untuk peningkatan kesehatan kerja dan upaya penurunan distress kerja bagi tenaga kesehatan di RSUD Balaraja.
Healthcare workers are constantly faced with work demands and psychosocial hazards that affect their mental health, such as work related distress. This condition can manifest in the well-being of healthcare workers and the quality of patient care. In 2024, it was found that a number of healthcare workers at Balaraja Regional General Hospital (RSUD) experienced moderate to severe distress related to their work effort. This thesis aims to analyze of risk factors associated with work-related distress to healthcare workers of RSUD Balaraja, Tangerang Regency In 2025. This study used cross-sectional design with a quantitative approach, involved total 140 healthcare workers as respondens (doctors, nurses, pharmacists, and other health care workers such as midwife, medical recorders, physichal therapist, health analysts, radiographer, etc.) Work related distress was measured using a standardized instrument based on distress scale from DASS 21 and categorized as "Normal-Mild" and "Moderate-Severe". Psychosocial risk factors (based on the Effort-Reward Imbalance model, COPSOQ III, and the NIOSH Generic Job Stress Questionnaire) and individual factors were measured through a questionnaire. The results showed that 14.3% of respondents experienced moderate-to-severe work related distress. Inferential analysis indicated an association between psychosocial factors and work related distress, included work-life imbalance (OR=17.34; 95% CI 3.84–78.41; p<0.001), overcommitment (OR=14.48; 95% CI 3.21–65.31; p<0.001), high effort (OR=6.44; 95% CI 2.03–20.44; p=0.001), and low reward (OR=4.14; 95% CI 1.31–13.10; p=0.02). No statistical significant association was found between individual factors and work related distress (p > 0.05). Individual factors that may warrant attention include single marital status and unhealthy bahaviors (lack of physical activity, smoking, and consumption of coffee or alcohol.) The conclusion is that work related distress among healthcare workers at RSUD Balaraja is predominantly associated with modifiable, organizational psychosocial factors. Priority-based interventions are needed, especially to improve critical areas such as work-life imbalance and overcommitment. Recommendations focus on organizational policies to create a healthy, supportive, and positive work culture. These include provide competency-based training, education on distress and time management, and offer flexibility in scheduling holiday or day off; Second, conduct workload evaluations to prevent overload and ensure equitable distribution. Implement "fit-to-work" assessments for healthcare workers with physical limitations or recovering from illness. Ensure transparent communication regarding reward and compensation systems for all staff, including incentives and overtime pay policies, to achieve a better effort-reward balance. Third, reviewing workload policies for better distribution and prevention of excessive demands, providing competency-based training, and offering distress management, priority management, and coping mechanisms to restore work-life balance. Other recommendations include group exercise sessions, aiming for 150 minutes per week, Establish counseling groups for mental health support and to address unhealthy behaviors, improve the outpatient queuing system by implementing “a booking code system” for return visits or “a fast-track pathway." Furthermore, promoting a healthy work culture and controlling overcommitment through periodic evaluation of job tasks and workload by management, with input from employees, is advised. These strategies can be adopted to enhance occupational health and reduce work-related distress among healthcare workers at RSUD Balaraja.
Healthcare workers are constantly faced with work demands and psychosocial hazards that affect their mental health, such as work related distress. This condition can manifest in the well-being of healthcare workers and the quality of patient care. In 2024, it was found that a number of healthcare workers at Balaraja Regional General Hospital (RSUD) experienced moderate to severe distress related to their work effort. This thesis aims to analyze of risk factors associated with work-related distress to healthcare workers of RSUD Balaraja, Tangerang Regency In 2025. This study used cross-sectional design with a quantitative approach, involved total 140 healthcare workers as respondens (doctors, nurses, pharmacists, and other health care workers such as midwife, medical recorders, physichal therapist, health analysts, radiographer, etc.) Work related distress was measured using a standardized instrument based on distress scale from DASS 21 and categorized as "Normal-Mild" and "Moderate-Severe". Psychosocial risk factors (based on the Effort-Reward Imbalance model, COPSOQ III, and the NIOSH Generic Job Stress Questionnaire) and individual factors were measured through a questionnaire. The results showed that 14.3% of respondents experienced moderate-to-severe work related distress. Inferential analysis indicated an association between psychosocial factors and work related distress, included work-life imbalance (OR=17.34; 95% CI 3.84–78.41; p<0.001), overcommitment (OR=14.48; 95% CI 3.21–65.31; p<0.001), high effort (OR=6.44; 95% CI 2.03–20.44; p=0.001), and low reward (OR=4.14; 95% CI 1.31–13.10; p=0.02). No statistical significant association was found between individual factors and work related distress (p > 0.05). Individual factors that may warrant attention include single marital status and unhealthy bahaviors (lack of physical activity, smoking, and consumption of coffee or alcohol.) The conclusion is that work related distress among healthcare workers at RSUD Balaraja is predominantly associated with modifiable, organizational psychosocial factors. Priority-based interventions are needed, especially to improve critical areas such as work-life imbalance and overcommitment. Recommendations focus on organizational policies to create a healthy, supportive, and positive work culture. These include provide competency-based training, education on distress and time management, and offer flexibility in scheduling holiday or day off; Second, conduct workload evaluations to prevent overload and ensure equitable distribution. Implement "fit-to-work" assessments for healthcare workers with physical limitations or recovering from illness. Ensure transparent communication regarding reward and compensation systems for all staff, including incentives and overtime pay policies, to achieve a better effort-reward balance. Third, reviewing workload policies for better distribution and prevention of excessive demands, providing competency-based training, and offering distress management, priority management, and coping mechanisms to restore work-life balance. Other recommendations include group exercise sessions, aiming for 150 minutes per week, Establish counseling groups for mental health support and to address unhealthy behaviors, improve the outpatient queuing system by implementing “a booking code system” for return visits or “a fast-track pathway." Furthermore, promoting a healthy work culture and controlling overcommitment through periodic evaluation of job tasks and workload by management, with input from employees, is advised. These strategies can be adopted to enhance occupational health and reduce work-related distress among healthcare workers at RSUD Balaraja.
T-7373
Depok : FKM UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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