Faktor-Faktor Manajemen Pelayanan Electro Convulsive Therapy (ECT) Premedikasi yang Mendukung Aspek Subyektif Kenyamanan Kerja Dokter Spesialis Jiwa di RSJD Dr. Amino Gondohutomo Semarang

Abstract

Universitas Diponegoro Program Pascasarjana Program Magister Ilmu Kesehatan Masyarakat Konsentrasi Administrasi Rumah Sakit 2011 ABSTRAK Yayuk Sri Wahyuningsih Faktor-Faktor Manajemen Pelayanan Electro Convulsive Therapy (ECT) Premedikasi yang Mendukung Aspek Subyektif Kenyamanan Kerja Dokter Spesialis Jiwa di RSJD Dr. Amino Gondohutomo Semarang 115 halaman + 13 tabel + 2 gambar + 16 lampiran Kenyamanan kerja dokter spesialis jiwa merupakan faktor penting pendukung keberhasilan tindakan ECT premedikasi. Pihak manajemen RSJD Dr Amino Gondohutomo Semarang telah melakukan upaya peningkatan kenyamanan kerja dokter spesialis jiwa, namun masih ada keluhan dari dokter spesialis jiwa yang mengarah pada faktor-faktor manajemen pelayanan ECT premedikasi. Adapun tujuan penelitian adalah untuk menjelaskan kepemimpinan, pengorganisasian, pengawasan, insentif, kesempatan pengembangan diri dan lingkungan kerja pelayanan ECT premedikasi yang mendukung aspek subyektif kenyamanan kerja dokter spesialis jiwa di RSJD Dr Amino Gondohutomo Semarang. Penelitian ini merupakan penelitian observasional kualitatif, dengan pendekatan rancangan penelitian cross sectional. Subyek penelitian adalah 2 orang pelaksana manajemen pelayanan ECT premedikasi dan 3 orang dokter spesialis jiwa. Analisis data yang digunakan content analysis (analisa isi) yaitu pengumpulan data, reduksi data, menyajikan data dan menarik kesimpulan. Hasil penelitian menunjukkan kepemimpinan, pengorganisasian pelayanan ECT premedikasi dan insentif serta kesempatan pengembangan diri sudah mendukung aspek subyektif kenyamanan kerja dokter spesialis jiwa, tetapi pengawasan dan lingkungan kerja pelayanan ECT premedikasi belum mendukung aspek subyektif kenyamanan kerja dokter spesialis jiwa. Rekomendasi penelitian ini ditujukan kepada pihak manajemen RSJD Dr Amino Gondohutomo Semarang untuk melakukan pengkajian SOP lebih mendalam, memberikan fasilitas untuk kegiatan audit/evaluasi internal, melakukan perencanaan untuk kalibrasi dan pemeliharaan peralatan secara rutin. mendesain ruang tindakan ECT premedikasi sesuai standar untuk tindakan anestesi dan ruang tunggu pasien tertutup dan mudah diawasi, sedangkan untuk unit ECT premedikasi untuk melakukan penilaian kinerja berdasarkan pelaksanaan SOP secara berkelanjutan, melakukan perencanaan pengadaan obat-obatan dari beberapa merk dengan tidak mengurangi efektifitas dan efisiensinya. Kata kunci : Manajemen Pelayanan, ECT Premedikasi, Kenyamanan Kerja Kepustakaan : 65 (1979 – 2010) Diponegoro University Postgraduate Program Master’s Program in Public Health Majoring in Hospital Administration 2011 ABSTRACT Yayuk Sri Wahyuningsih Management Factors of Premedication Electro Convulsive Therapy (ECT) Service that Support Subjective Aspect of Psychiatrist Working Convenience at Dr. Amino Gondohutomo District Psychiatric Hospital Semarang 115 pages + 13 tables + 2 figures + 16 enclosures Psychiatrist who worked comfortably was an important factor to support the success of a premedication electro convulsive therapy (ECT) action. Managerial board of Dr. Amino Gondohutomo district psychiatric hospital (RSJD) had done efforts to improve psychiatrist comfortable working condition but there were still complaints from psychiatrists that tended to focus on management factors of premedication ECT service. The objective of this study was to explain leadership, organizing, controlling, incentive, self development opportunity and premedication ECT service working environment that supported subjective aspect of psychiatrist working pleasure at RSJD Dr. Amino Gondohutomo Semarang. This was an observational qualitative study with cross sectional approach. Study subjects were 2 management workers of premedication ECT service and 3 psychiatrists. Content analysis method was used to analyze data that included data collection, data reduction, data presentation and drawing conclusion. Results of this study showed that leadership, organizing of premedication ECT service, incentive and self development opportunity had supported subjective aspect of psychiatrist comfortable working condition. On the other hand, controlling and premedication ECT work environment had not supported subjective aspect of psychiatrist working pleasure. Recommendation of this study was aimed at the managerial board of RSJD Dr. Amino Gondohutomo Semarang to do more detailed SOP review, to give facilities for internal evaluation activity, to plan for conducting routine calibration and instruments maintenance, to design premedication ECT execution room according to the standard including room for anesthetic action and patient’s waiting room that was secure and easier to do monitoring. Premedication ECT team was suggested to do work performance assessment based on SOP implementation and continuously, to make planning medication supply from several drug companies without lessening the effectivity and efficiency. Key words : Service management, premedication ECT, Working pleasure Bibliography : 65 (1979 – 2010)