Search Repository Universitas Fort De Kock

Rumah sakit merupakan penghasil limbah klinis terbesar.Dari data 578
Rumah Sakit yang melakukan pengelolaan limbah B3 fasyankes sesuai dengan
standar, diketahui bahwa ada sebanyak 518 Rumah Sakit yang memiliki
kerjasama pengolahan limbah dengan pihak ketiga, dengan didominasi oleh
Rumah Sakit yang berada di pulau Jawa (55%), diikuti dengan pulau Sumatera
(27%).
Penelitian ini menggunakan metode penelitian kuantitatif dan kualitatif. Jenis
penelitian kuantitatif menggunakan rancangan Cross Sectional dan kualitatif
menggunakan pendekatan Fenomenologi dilakukan bulan Desember 2020
Januari 2021. Pengambilan sampel menggunakan teknik total sampling sebanyak
81 sampel yaitu perawat yang bertugas dirawat inap dan rawat jalan di RSUD
Mohammad Natsir serta kriteria inklusi dan ekslusi. Data dianalisa menggunakan
uji Chi-Square dan Regresi Logistic.
Hasil kuantitatif didapatkan ada hubungan perilaku (p=0,000), motivasi
(p=0,000), ketersediaan sarana (p=0,000) dan pengawasan (p=0,000) memiliki
pengaruh terhadap pengelolaan limbah medis padat di RSUD Mohammad Natsir.
Sedangkan pendidikan (p=0,544), masa kerja (p=1,000),umur (p=0,662) serta
jenis kelamin (p=0,335) tidak memiliki pengaruh terhadap pengelolaan limbah
medis padat. Hasil multivariate adalah perilaku (p=0,006) dan pengawasan
(p=0,000). Hasil kualitatif, input prioritas masalah, ketenagaan dan Standar
Operasional Prosedur sudah mencukupi sedangkan pembiayaan dan kebijakan
belum mencukupi. Proses perencananaan pengelolaan ,teknis operasional sudah
sesuai dengan standar namun masih kurang di pengawasan dan pencatatan. Output
meliputi pengelolaan limbah sudah sesuai dengan peraturan yang berlaku.
Kesimpulan penelitian faktor dominan adalah perilaku dan pengawasan.
Input, dan proses belum berjalan. Diharapkan Manajemen rumah sakit serta Dinas
Lingkungan Hidup Propinsi Sumatera Barat membuat kebijakan baru terhadap
kegiatan ini.

Hospitals are the biggest producers of clinical waste. From the data of 578
hospitals that manage hazardous toxic waste in health service facilities according
to standards, it is known that there are 518 hospitals that have waste management
cooperation with third parties, dominated by hospitals on the island of Java (55%),
followed by the island of Sumatra (27%).
This research uses quantitative and qualitative research methods. This type of
quantitative research used a cross sectional and qualitative design using a
phenomenological approach carried out in December 2020 - January 2021.
Sampling used a total sampling technique of 81 samples, namely nurses who were
inpatient and outpatient at Mohammad Natsir Hospital and inclusion and
exclusion criteria. Data were analyzed using Chi-Square test and Logistic
Regression.
Result quantitatively, it was found that there was a relationship between
behavior (p = 0,000), motivation (p = 0,000), availability of facilities (p = 0,000)
and supervision (p = 0,000) had an influence on solid medical waste management
in the general hospital in the Mohammad Natsir area. Meanwhile education (p =
0.544), years of service (p = 1,000), age (p = 0.662) and gender (p = 0.335) had no
effect on solid medical waste management. The multivariate results were behavior
(p = 0.006) and supervision (p = 0.000). Qualitative results, input priority issues,
personnel and Standard Operating Procedures are sufficient while financing and
policies are not sufficient. The management planning process, technical
operations are in accordance with standards but are still lacking in supervision and
recording. Output includes waste management in accordance with applicable
regulations.
The conclusion of this research is that the dominant factors are behavior and
supervision. Input, and the process is not yet running. It is hoped that the hospital
management as well as the West Sumatra Province Environment Agency will
make a new policy for this activity