GAMBARAN PELIMPAHAN WEWENANG KEPADA PE NATA ANESTESI DALAM PELAYANAN ANESTESI DI FASYANKES DI PROVINSI KEPULAUAN RIAU Nama Peneliti : Muslimin Subagio Program Studi D IV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email : [email protected] ABSTRAK Tujuan : P enelitian ini adalah untuk mengetahui gambaran implementasi peraturan perundang - undangan terkait pelimpahan wewenang kepada penata anestesi dalam pelayanan anestesi di F asyankes di Provinsi Kepulauan Riau. Metode : Jenis penelitian ini adalah deskriptif kua ntitatif dengan metode survey cross sectional melalui pendekatan yuridis normatif dengan pendekatan perundang - undangan. Teknik pengambilan sampel adalah dengan total sampling. Sampel adalah 72 orang penata anestesi yang bekerja di fasyankes. Hasil : Dari hasil penelitian dapat dilihat abstraksi implementasi kebijakan pelimpahan wewenang kepada penata anestesi dalam pelayanan anestesi dengan Model pendekatan Van M eter dan Van Horn bahwa meskipun karakteristik pelaksana dan komunikasi antar organisasi terkait dan kegiatan - kegiatan pelaksanaan sangat baik namun ditemukan adanya kendala pada standar dan sasaran kebijakan/ukuran dan tujuan kebijakan, sumber daya, dispo sisi atau sikap para pelaksana, serta lingkungan sosial, ekonomi dan politik sehingga implementasi kebijakan pelimpahan wewenang kepada penata anestesi dalam pelayanan anestesi belum berjalan sebagaimana seharusnya . Kesimpulan : Pentingnya implementasi kebijakan pelimpahan wewenang dalam pelayanan anestesi harus didukung pihak terkait yaitu dinas kesehatan untuk pelaksanaan monitoring dan evaluasi implementasi kebijakan pelimpahan wewenang dalam pelayanan anestesi, ketertiban admi nistrasi dan penyusunan formasi jabatan serta mendukung pengembangan pengetahuan dan kompetensi tenaga kesehatan khususnya penata anestesi guna tercapainya pelayanan bermutu yang berorientasi pada patient safety. Kata Kunci : Pelimpahan Wewenang, Penata Anestesi, Pelayanan Anestesi

THE DELEGATION OF AUTHORITY TO ANESTHESIOLOGISTS IN ANESTHESIA SERVICE AT HEALTH FACILITIES IN THE RIAU ISLANDS PROVINCE Muslimin Subagio Faculty of Health Diploma IV Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Aim . This study aimed t o identify the policy implementation on the delegation of authority to anesthesiologists in anesthesia services at Health Facilities in Riau Islands Province. Method. This study employed a descriptive quantitative with a cross - sectional survey method through a normative juridical approach with a statutory approach. To conduct this study, 72 anesthesiologists who work in health facilities were recruited as the sample through the total sampling technique. Results. Findings indicated that the abstraction of the implementation of the policy o n the delegation of authority to the anesthesiologist in anesthesia services with the Van Meter and Van Horn approach models showed that the characteristics of the implementer and communication between related organizations and implementation activities were ex cellent. However, there were obstacles to the standards and targets of policy/ measurement and policy objectives, resources, disposition , or attitude of the implementers and the social, economic, and political environment . Therefore, the policy implementat ion on delegation of authority to anesthesiologists in anesthesia services ha d not been running the way it should be . Conclusion. The importance of the policy implementation on the delegation of authority in anesthesia services must be supported by related parties . Those are the health office for monitoring and evaluating the policy implementation on delegation of authority in anesthesia services, administrative order , and the preparation of position formations and supporting the development of knowledge an d competence of health workers . E specially anesthesiologists , to achieve quality - oriented services to patient safety. Keywords: Delegation of Authority, Anesthetist, Anesthesia Service