Electronic Theses and Dissertation

Perawat merupakan salah satu profesi kesehatan yang sangat rentan mengalami kekerasan di tempat kerja. Kekerasan dalam bentuk fisik maupun non fisik/psikologis terhadap perawat dapat berdampak negatif terhadap kualitas kerja dan pelayanan keperawatan. Tujuan penelitian ini adalah untuk mengetahui hubungan jenjang karir perawat klinis, overtime dan safety climate dengan workplace violence meliputi physical violence dan psychological violence terhadap perawat di Rumah Sakit Umum Daerah dr. Zainoel Abidin Banda Aceh. Jenis penelitian ini adalah kuantitatif dengan desain cross sectional study. Sampel penelitian ini menggunakan metode total sampling dengan responden yang memenuhi kriteria inklusi sebanyak 127 responden. Alat pengumpulan data kekerasan menggunakan kuesioer Workplace Violence In The Health Sector (WPVHS) dan iklim keselamatan menggunakan kuesioner Nordic Occupational Safety Climate Questionnaire (NOSACQ-50). Variabel jenjang karir dan overtime menggunakan data demografi. Analisa data dilakukan adalah statistic deskritif, uji chi square dan uji regresi logistic. Hasil penelitian didapatkan bahwa variabel jenjang karir, overtime dan safety climate tidak ada hubungan dengan kekerasan fisik, akan tetapi variabel tersebut terdapat hubungan dengan kekerasan psikologis/non fisik yaitu jenjang karir p-value = 0,000, overtime p-value =0,000 dan safety climate p-value = 0,020. Overtime merupakan faktor yang paling berhubungan dengan kekerasan psikologis/non fisik dengan Odds Ratio = 4,553. Berdasarkan hasil penelitian membuktikan bahwa perawat sangat berpotensi mengalami kekerasan di tempat kerja. Jenjang karir rendah, kelebihan jam kerja dan iklim keselamatan yang negatif merupakan prediktor terjadinya kekerasan. Kekerasan dapat menurunkan kinerja perawat, peningkatan turnover, kecemasan, stres kerja, depresi, gangguan tidur, tingkat kekelahan tinggi, post traumatic syndrome (PTSD), cidera fisik dan kematian.

Nurses are one of the health professions that are very vulnerable to violence in the workplace. Violence in the form of physical and non-physical/psychological against nurses can have a negative impact on the quality of work and services. The purpose of this study was to determine the relationship between clinical nurse career paths, overtime and safety climate with workplace violence (physical violence and psychological violence) against nurses at the Regional General Hospital dr. Zainoel Abidin Banda Aceh. This type of research is quantitative with a cross sectional study design. The sample of this study used the total sampling method with respondents who met the inclusion criteria as many as 127 respondents. The violence data collection tool uses the Workplace Violence In The Health Sector (WPVHS) questionnaire and the safety climate using the Nordic Occupational Safety Climate Questionnaire (NOSACQ-50) questionnaire. Career path and overtime variables were obtained from demographic data. The data analysis is descriptive statistics, chi square test and logistic regression test. The results showed that career path variables, overtime and safety climate had no relationship with physical violence, but these variables had a relationship with psychological/non-physical violence, namely career path p-value = 0.000, overtime p-value = 0.000 and safety climate p -value = 0.020. Overtime was the factor most related to psychological/non-physical violence with Odds Ratio = 4.553. Based on the results of the study proves that nurses have the potential to experience violence in the workplace. Low career paths, excess working hours and a negative safety climate are predictors of violence. Violence can reduce nurse performance, increase turnover, anxiety, work stress, depression, sleep disturbances, high levels of fatigue, post traumatic syndrome (PTSD), physical injury and death.