Electronic Theses and Dissertation

Faktor-faktor yang Berpengaruh Terhadap Efektivitas Penerapan Sistem Manajemen Keselamatan dan Kesehatan Kerja (SMK3) di Puskesmas Rawat Inap Kabupaten Bireuen
109 Halaman + 9 Tabel + 5 Gambar
ABSTRAK
Latar Belakang: Penerapan Sistem Manajemen Keselamatan dan Kesehatan Kerja (SMK3) di puskesmas masih menghadapi kendala seperti keterbatasan sumber daya, rendahnya budaya keselamatan kerja dan belum optimalnya integrasi sistem sehingga efektivitas implementasi belum tercapai secara maksimal. Tujuan Penelitian: Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi efektivitas penerapan SMK3 pada level klaster di Puskesmas rawat inap Kabupaten Bireuen. Metode Penelitian: Penelitian menggunakan pendekatan kuantitatif dengan desain cross-sectional. Sampel terdiri dari 45 klaster, dengan responden ketua klaster sebagai representasi manajemen unit. Analisis data dilakukan menggunakan Partial Least Square-Structural Equation Modeling (PLS-SEM). Hasil Penelitian: Hasil penelitian menunjukkan bahwa sarana dan prasarana K3 serta budaya keselamatan kerja berpengaruh positif dan signifikan terhadap mekanisme evaluasi, sedangkan kompetensi SDM berpengaruh negatif signifikan. Namun, kompetensi SDM, sarana dan prasarana, serta budaya keselamatan kerja tidak berpengaruh signifikan terhadap komitmen manajemen. Selain itu, komitmen manajemen dan mekanisme evaluasi tidak berpengaruh signifikan terhadap efektivitas SMK3. Kesimpulan: Kesimpulan penelitian ini menunjukkan adanya implementation gap, di mana komponen sistem telah tersedia tetapi belum terintegrasi secara optimal. Oleh karena itu, diperlukan penguatan integrasi sistem, khususnya melalui optimalisasi mekanisme evaluasi berbasis tindak lanjut pada level klaster.

Kata kunci: SMK3, efektivitas, klaster, evaluasi, komitmen manajemen

Factors Influencing the Effectiveness of the Implementation of the Occupational Health and Safety Management System (OHSMS) in Inpatient Community Health Centers in Bireuen Regency 109 Pages + 9 Tables + 5 Figures ABSTRACT Background: The implementation of the Occupational Health and Safety Management System (OHSMS) in community health centers still faces several challenges such as limited resources, low occupational safety culture, and suboptimal system integration resulting in less effective implementation of OHSMS. Objectives: This study aimed to analyze the factors influencing the effectiveness of OHSMS implementation at the cluster level in inpatient community health centers in Bireuen Regency. Methods: This study employed a quantitative approach with a cross-sectional design. The sample consisted of 45 clusters, with cluster heads serving as representatives for the unit management. Data were analyzed using Partial Least Square–Structural Equation Modeling (PLS-SEM). Results: The results showed that occupational health and safety facilities and infrastructure, as well as occupational safety culture, had a positive and significant effect on evaluation mechanisms, while human resource competence had a significant negative effect. However, human resource competence, facilities and infrastructure, and occupational safety culture did not significantly affect management commitment. In addition, management commitment and evaluation mechanisms did not significantly affect OHSMS effectiveness. Conclusion: The findings indicate the presence of an implementation gap, where system components are available but have not been optimally integrated. Therefore, strengthening system integration is necessary, particularly through optimizing follow-up-based evaluation mechanisms at the cluster level. Keywords: OHSMS, effectiveness, cluster, evaluation, management commitment