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Efektivitas Pendayagunaan Tenaga Keperawatan di Puskesmas di Jawa Timur
In, both the midwife and nursing skills, or program management is not enough, whereas the demand that nurses provide accessible, affordable and quality or professionally services. This study aimed to determine in East Java. It was a descriptive study with a cross-sectional design conducted in Tuban, Lumajang, Mojokerto, Megetan, malang, and Madiun. The samples were 121 respondents composed of 66 midwives and 55 nurses municipality, during April to September 2005. The data were collceted by in-depth interview, questionnaires, observations. FGD and secondary data. Data were analyzed descriptively. Results showed that nurse utilizing effectiveness in health centers were still low that low that for nuses was 46.33% and midwife 56.72%, respectly. For nurses, culturally honest, rirect compensation, socio and physic about environmental services significantly influenced the effectiveness utilization, and for midwifes are cultural honest, creativity and also reward as reconnition. The time activities for nurses and midwives was mostly carried out in health centers and the nurse activities were recording, examining and serving patients whereas the midwives activities were recording, preparation and homecares. The work time ineffective utilization of nurses was 32.90% and midwives was 43.09%. Nurse personnel activities in health centers were not optimal yet, so it should develop reawrd system and compensation in order to improve the nurse and midwife commitment and motivation.
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