Pengaruh Pengetahuan, Pendidikan dan Pelatihan terhadap Kinerja Dokter di Instalasi Gawat Darurat (IGD) dalam Pelayanan Kegawatdaruratan di RSUD Dr Pirngadi Medan

Abstract

The personnel who work in the !GD should have skills and alertness whenever they are needed The health workers should also be ready for and capable of handling the emergency situation and minimal response time, that is, life saving response time. Based on the preliminary survey in March 2012, there were 563 patients who were treated in the !GD; 198 of them underwent life saving response time ± jive minutes and definitive ± two hours. 343 patients underwent long response time (three to five hours), and 20 of them even underwent definitive response time of > ten hours. The problem of the response time had caused the patients and their families complained about the quality of the assistance in the IGD. The aim of the research was to analyze the influences of education, training, and knowledge on the doctors' performance in emergency service in the /GD (Emergency Room) of RSUD Dr. Pirngadi, Medan. The research used an analytic survey with cross sectional design. The population was 50 critical patients treated in the /GD, and all of them were used as the samples. The specification of population was based on the average number of inpatients in one month. The data were analyzed by using bivariat with chi square test and multivatriat by using multiple logistic regression tests. The result of the research showed that there were the influences of education and training on the doctors' performance in emergency service in the !GD of RSUD Dr. Pirngadi, Medan; on the other hand, knowledge did not have any influence on the doctors' performance in emergency service in the /GD of RSUD Dr. Pirngadi, Medan. The most dominant influence on the doctors' performance in emergency service in the /GD of RSUD Dr. Pirngadi, Medan, was training. It is recommended that the management of RSUD Dr. Pirngadi, Medan, should make a policy on the education of the doctors who work in the IGD; they should be specialists since it is evidence that they are faster in handling critical patients than general practitioners. It is also recommended that Emergency Service System issued by Depkes (Ministry of Health) in 1999 should be implemented; each of the personnel who works in the !GD should have follow PP DG (Training on Handling Emergency) since it becomes the most influencing variable on doctors' performance in handling critical patients in the IGD