ABSTRAK
Jumlah pasien yang masuk di Instalasi Gawat Darurat RSUD dr. Djasamen Saragih Pematangsiantar tergolong tinggi setiap harinya, namun jumlah perawat yang menangani pasien tidak seimbang sehingga kondisi itu memengaruhi jumlah
kematian pasien di Instalasi Gawat Darurat RSUD dr. Djasamen Saragih Pematangsiantar yang pada tahun 2008 rata-rata 35%.
Tujuan penelitian ini untuk menganalisis pengaruh beban kerja kuantitatif dan kualitatif terhadap kinerja perawat (implementasi kegiatan ABCD, Airway
management; Breathing management; Circulation management; Drug Defibrilator Disability) dalam pelayanan kegawatdaruratan di RSUD dr. Djasamen Saragih Pematangsiantar. Jenis penelitian survey dengan tipe explanatory. Populasi penelitian sebanyak 32 orang dan seluruh populasi menjadi sampel. Data diperoleh dengan
wawancara, dianalisis dengan uji uji regresi linear berganda pada α = 5%.
Hasil penelitian menunjukkan bahwa beban kerja kuantitatif dan kualitatif berpengaruh terhadap kinerja perawat dalam pelayanan kegawatdaruratan. Beban kerja kuantitatif memberikan pengaruh paling besar terhadap kinerja perawat dalam pelayanan kegawatdaruratan.
Disarankan RSUD. dr. Djasamen Saragih Pematangsiantar untuk : 1) menyesuaikan jumlah perawat di instalasi gawat darurat dengan jumlah pasien
yang dilayani, 2) membuat kebijakan tentang tugas perawat di instalasi gawat darurat sehingga setiap perawat hanya melakukan tugas sesuai dengan tugas pokok dan fungsinya sebagai tenaga keperawatan. 3) memberikan pelatihan BTCLS (Basic Trauma Cardiac Life Support) kepada perawat yang bertugas di instalasi gawat darurat sehingga mampu melaksanakan pelayanan kegawatdaruratan sesuai dengan konsep ABCD.
Kata kunci : Perawat, Instalasi Gawat Darurat, Kinerja
ABSTRACT
The number of patients admitted in the emergency room at dr. Djasamen Saragih General Hospital Pematangsiantar every day it is high, but the number of nurses who treat patients are not balanced so that the conditions that affect the number of deaths of patient in the emergency room at dr. Djasamen Saragih General Hospital Pematangsiantar which in 2008 an average of 35%.
The purpose of this survey study with explanatory approach was to analyze the influence of quantitative and qualitative workload on the performance of nurses (Airway management; Breathing management; Circulation management; Drug Defibrilator Disability, ABCD implementation) in providing emergency service at dr. Djasamen Saragih General Hospital Pematangsiantar. The population of this study were 32 nurses and all of them were selected to be the samples. The data for this study were obtained through interviews and were analyzed through multiple linear regression tests at a = 5%.
The result of this study showed that quantitative and qualitative workload had an influence on the performance of the nurses in providing emergency service. The quantitative workload provided the biggest influence on the performance of the nurses in providing emergency service.
The management of dr. Djasamen Saragih General Hospital Pematangsiantar is suggested to : 1) adjust the number of nurses assigned to work in the emergency room to the number of the patienfs served, 2) make a policy on the work activity of the nurses working in the emergency room that every nurse only does the activity according to his job description and function as nursing staff, and 3) provide the Basic Trauma Cardiac Life Support training to the nurses working in the emergency room that can help them be able to implement the emergency services according to the concept of ABCD.
Key words: Nurse, Emergency Room, Performance
