EFFECT OF SEPARATION OF INITIAL ASSESSMENT DOCUMENTS ON THE LENGTH OF STAY IN EMERGENCY INSTALLATION IN KENDARI CITY GENERAL HOSPITAL

Background: A preliminary survey of prospective researchers in the Kendari City General Hospital especially in the Emergency Installation (ER), the number of emergency room visits has decreased in the last 3 years, in 2017 the total number of patients treated in the ER was 10.869 patients, then in 2018 the number of visits decreased to 10.768 patients, and in 2019 the number of visits fell to 9.747 patients. Meanwhile, based on the data in the last few months in 2020 there was a very large spike in decline in the last month, in January 2020 the number of patient who visited, were 849 people, then in February 2020 the number of the patient were 1202 patients, March 2020 the number of visits was 1216 patients and finally in April 2020 it fell to 451 people. The purpose of this study is to analyse the effect of separation of the initial assessment documents on Length of Stay in Emergency Installation in Kendari City General Hospital. Methods: The research design was experimental with design pretest post-test one group design. The research location was in the Emergency Room of the Kendari City Regional General Hospital which was carried out during February 2021. The population of all patients who were hospitalized was> 17 years old while the sample was 18 people with the sampling technique of separated random sampling. Result: This study found separation of the initial assessment documents affected significantly to Length of Stay patients in Emergency room in Kendari City General Hospital (p- value = 0.045 < 0.05). Conclusion: Separation technique of the initial assessment documents on Length of Stay was effective to reduce the Length of Stay patients in Emergency room in Kendari City Hospital.

RELATIONSHIP BETWEEN LEADERSHIP STYLE AND EMPLOYEE PERFORMANCE IN PUBLIC HEALTH CENTER KONAWE DISTRICT

Background: Based on the preliminary interview, it shows that most of the employees have a less satisfied response with the existing leadership style at the Public health center and although most say that the leadership is very open to suggestions and criticism from their employees. Furthermore, the Public health center with a leadership style that according to some staff is less favorable, but has better service to the public than the Public health center with a leadership style that is preferred by its staff. So, the question is whether the influence of the leadership style carried out by the leadership of the Public health center, and the organizational culture that is formed will be able to influence the increase in employee productivity at each Public health center. Methods: This research is a quantitative using cross sectional design. The research was conducted from February to March 2021 with 124 samples. Result: It is known that there is a relationship between Authoritarian Leadership Style and Employee Performance ( X2calculation, Chi Square= 41.90> X2 table3.84), Delegation Leadership Style with Employee Performance (X2 Count or Chi Square= 57.56> from 3.84 or X2 table), Participatory leadership style with Employee Performance (X2 Count or Chi Square 26.82> of 3.84 or X2 table). Conclusion: Authoritarian Leadership Style has a strong relationship, delegation has a strong relationship, and also participation has a strong enough relationship to the performance of employees at the Konawe District Health Center.

FACTORS WHICH ARE RELATED TO LEVEL ACCREDITATION IN THE PUBLIC HEALTH CENTER IN KONAWE DISTRICT

Background: Based on a preliminary survey conducted at a public and basic accredited health center by interviewing several staff at the health services , they said that the accredited Public health center had human resources in terms of quality and quantity, inadequate facilities and infrastructure. Also, administrative services was under standard operating procedures and it has not been carried out optimally. The quality of service has not met the standards as a service facility at the first level. Methods: This study is an observational study which used a cross sectional approach. The sample in this study were 139 health workers. The analysis used chi square. Result: There is a significant positive relationship between resources with the level of Public health center accreditation ( p-value= 0.000<0.05). There is a significant positive relationship between infrastructure and the level of accreditation ( p-value= 0.000<0.05). There is a significant positive relationship between service quality and accreditation level ( p-value= 0.005<0.05). Conclusion: There is the relationship between resources, infrastructure, service quality and the level of Public health center accreditation.

RELATIONSHIPS BETWEEN THE PROVIDING OF SELF-PROTECTIVE EQUIPMENTAND OCCUPATIONAL STRESS EVENTS OF HEALTH OFFICERS IN THE HANDLING OF COVID-19 IN KANDAI HEALTH CENTER

Background: The corona virus (covid-19) pandemic in Indonesia is still growing. Every week the number of infections of Covid-19 was 2,273 cases. Where as, 198 of them died and 164 people were treated. In fact, among them are healthy workers who help treat corona virus patients and become infected afterward. There was a shortage of personal protective equipment (PPE) for health workers in Southeast Sulawesi province, especially at Kendari City, Health Center Kandai. This makes health workers have to take turns wearing PPE if they want to do their job. Therefore, many health workers feel restless and do not want to carry out their duties if they are not provided with adequate PPE, because they will examine people or patients whose health status is not yet known. The purpose of this study is to analyze the relationship between the providing of self-protective equipment and occupational stress events of health officers in the handling of Covid-19 at Kandai health center. Methods: This type of research is an analytic study with a cross-sectional approach. The sample in this study amounted to 58 people using the total sampling method. Results: The results showed that there was a relationship between the provision of Personal Protective Equipment (PPE) with the incidence of work stress for health workers in handling covid-19 at Kandai Health CenterKendari City, with the statistical test results being 18,322. Conclusion: It is hoped that policy makers, especially the head of the Kandai Health Center, pay more attention to the safety and health of their employees, such as in the provision of PPE, and for health workers, especially at Kandai Health Center, to further improve the Covid-19 protocol that is applied to themselves and patients.

RELATIONSHIP BETWEEN THE COST LEADERSHIP STRATEGY AND THE QUALITY OF HEALTH SERVICES IN KENDARI CITY HOSPITAL

Background: A hospital in Kendari is tracing the problems namely about interactions with employees. Also the information about the strategies which is used to improve hospital performance has not been clearly stated. The efforts to improve services are still relatively routine in nature. The use of strategic terms is still relatively traditional, so the strategic position of this hospital is unclear. The purpose of this study is to analyse the relationship between the cost leadership strategy and the quality of health services in Kendari City Hospital. Methods: This research is quantitative study with a cross sectional approach. The research location was in the Kendari City Regional Hospital and was conducted from February to March 2021. The population was 456 people and a sample of 95 people was all employees of the Kendari City Regional Hospital. The sampling technique used the Proportive Random Sampling. Results: There is a relationship between Cost leadership strategy with Service Quality, it is known that the value of chi square ( X2 count is greater than X2table, and a value of Phi is 0.239 or it lies between 0.20-0.399. This means that there is a weak relationship. Conclusion: Offensive Strategy or Growth is a strategy that is recommended to improve the quality of services in the Kendari City Regional Hospital.

GIVING RED RICE (ORIZA NIVARA) TO CHANGE GLUCOSE LEVELS IN DIABETES MELLITUS PATIENTS IN KENDARI CITY

Background:Diabetes mellitus (DM) is a phenomenon which the body cannot produce insulin supply which is indicated by increasing blood glucose levels. Red Rice (Oriza nivara) contains flavonoid compounds which have antidiabetic abilities. It can reduce blood glucose by increasing insulin secretion and preventing insulin resistance. This study aims to determine the effect of giving brown rice (Oriza nivara) to change blood glucose levels in people with diabetes mellitus in Kendari City. Methods: This research method was carried out with a quasi-experimental design with pre-post test design for 1 week with primary and secondary data collection techniques. The respondents were determined by proportional random sampling. Respondents in this study were 33 people with DM. Result:The results of the study on checking blood glucose levels before and after giving brown rice (oriza nivara) within 1 week obtained P value = 0.000 < alpha 0.05. Conclusion: there is a significant effect of giving brown rice (oriza nivara) on changes in blood glucose level in diabetes mellitus people in Kendari City.

RELATIONSHIP BETWEEN BENEFITS AND CONSTRAINTS PERCIEVED WITH THE HABIT OF SMOKING IN HEALTH PROFESSIONALS IN LATAMBAGA SUB-DISTRICT KOLAKA DISTRICT

Background:From the results of a preliminary study conducted at the Kolakaasi Puskesmas and Latambaga Puskesmas, through direct interviews and direct observation that out of 10 (ten) health workers who were observed, 7 (seven) were active smokers and 3 (three) were non-smokers. Therefore, through this research, the researcher wants to conduct in-depth research related to the smoking habits of health workers in which a health worker should be able to provide a good example for the community. Methods:This research is an analytical survey using a cross-sectional approach. The population in this study were 106 all health workers in Latambaga District, with a sample size of 84 respondents using the sampling techniqueSimple random sampling. Result:Based onanalysis of the chi square test for the benefit variable having a significance level of 95% was obtained p-value = 0.000 <? = 0.05, so Ho is rejected. The constraint variable based on the chi square test analysis has a significance level of 95%, the obtained p-value = 0,000 <? = 0.05, so Ho is rejected. Conclusion:There is a relationship between perceived benefits and constraints with habits smoking health personnel in the Latambaga District, Kolaka Regency.

EXPERIENCE AND TRAINING RELATE TO PERFORMANCE CLEAN AND HEALTHY LIVING BEHAVIOR IN CADRE IN THE WORKING AREA OF POASIA PRIMARY HEALTH CARE, KENDARI CITY

Background:Southeast Sulawesi Provincial data shows thatCommunity life behavior is measured by the number of households with a clean and healthy lifestyle which is assessed based on predetermined indicators. in 2015 the percentage of Clean and Healthy Living Behaviors was 45%, in 2016 there was an increase of 52% and decreased in 2017 by 49% and 2018 by 46%, for 2019 there was an increase in the percentage of 53% again.Based on these data the coverage is still low because the target set according to the minimum service standard is 80%. The orientation of community empowerment for health cadres is still insufficient, it is noted that only 36 people have received community empowerment training. The insufficient number of cadres can also make a negative contribution, resulting in the lack of achievement of the Puskesmas program Methods:This type of research is a quantitative study, with a cross sectional study approach. The population in this study amounted to 100 people and a sample of 80 all cadres in 20 Posyandu in the working area of ??Puskesmas Poasia, Kendari City. The sampling technique used in this study was simple random sampling. Result:Based onthe results of statistical tests show that the value (X2hit) = 0.286 <X2tab =3,841, meaning that there is no relationship between experience and performance of clean and healthy living behavior cadres, household structures and values ??(X2hit) = 15,556> X2tab =3,841, meaning that there is a relationship between training and the performance of clean and healthy living behavior cadres in household arrangements in the working area of ??Puskesmas Poasia, Kendari City. Conclusion:Cadres are expected to play an active role in increasing their knowledge and experience through training activities on cadre performance held by Puskesmas Poasia.