Rina Listyowati, Rina
Fakultas Kedokteran Universitas Udayana

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PERSEPSI PENGGUNA LAYANAN KESEHATAN PRIMER MENGENAI KUALITAS PELAYANAN PADA PUSKESMAS BADAN LAYANAN UMUM DI KABUPATEN GIANYAR Listyowati, Rina; Indrayathi, Putu Ayu; Sri Nopiyani, Ni Made
ARCHIVE OF COMMUNITY HEALTH Vol 3 No 1 (2016)
Publisher : Program Studi Kesehatan Masyarakat Universitas Udayana

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Abstract

One of the reasons for establishing Public Service Agency (BLU) policy at Community Health Care Centers is the number of complaints for poor quality services. This policy was implemented in January 2010 by the Gianyar Government in every Community Health Care Center in Gianyar.  This is the realization of the Gianyar Government's attention in improving the quality of the Community Health Care Center Services.  This study aims to determine the public perception of the quality of services provided by the Community Health Care Center in Gianyar District. This study was a cross-sectional analytic study and conducted at four Community Health Care Centers with BLUD?s status in Gianyar District with 105 respondents selected by multistage random sampling method. The data collection included survey questionnaires and analyzed descriptively by chi square test. The results showed that overall the respondents had a "good" perception towards the elements of Community Health Care Center services with BLU status in Gianyar District. However, there are three elements that were "perceived as poor" comprising responsiveness (14.3%), accuracy (11.4%) and environmental comfort (12.4%). The results of the chi square test showed that there were significant differences between the age factors with the respondent perceptions of service quality in Community Health Care Center with BLU status (p = 0.004), but gender, education level and occupation did not have a meaningful relationship. This research suggests that the Health Office should increase the intensity of coaching and facilitation of procedures related to the Community Health Care Center so that the expected performance of attendant care becomes more patterned.
READINESS OF GIRLS AGED 10-12 YEARS FOR AN EARLY MENARCHE: A TRANSTHEORETICAL MODEL OF BEHAVIOURAL CHANGE ANALYSIS Diaris, N.M.; Listyowati, Rina; Januraga, P.P.
Public Health and Preventive Medicine Archive Vol 5 No 1 (2017): Public Health And Preventive Medicine Archive
Publisher : Program Magister Ilmu Kesehatan Masyarakat Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/PHPMA.2017.v05.i01.p09

Abstract

Background and purpose: Studies have revealed that girls are now having menarche much younger. An early menarche put young girls at higher risk for physical and psychological problems. This study aims to explore stages of readiness of girls aged 10-12 years for an early menarche.Method: A qualitative study was conducted in Denpasar City. A total of 20 students both from primary school and junior high school aged between 10 and 12 years were purposively selected to participate in the study. Ten students had menarche while the other 10 were yet to have menarche. Data were collected through in-depth interviews at the schools after approval from parents was obtained. Data were analysed using a thematic approach.Results: All informants have conceded the pre-contemplation and contemplation stages. Most of them were at the preparation stage. Some children were at the action stage though some were just entered the action stage. In-depth interviews revealed that the majority of informants understood the basic knowledge of menstruation. Their mother provided information and supports after they had menarche. However, some informants stated that they were panic, ashamed, and anxious during their menarche. They also believed that several activities including washing hair, drinking icy beverages, and eating sweets were forbidden.Conclusion: Some girls are not fully at the action stage leading to fear and shame when they had menarche. This suggests that a more comprehensive education program and psychological supports especially from mother should target younger girls to prepare them for an early menarche.
Mutu Pelayanan Puskesmas Perawatan yang Berstatus Badan Layanan Umum Daerah Indrayathi, Putu Ayu; Listyowati, Rina; Nopiyani, Ni Made Sri; Ulandari, Luh Putu Sinthya
Jurnal Kesehatan Masyarakat Nasional Vol 9 No. 2 November 2014
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (539.955 KB) | DOI: 10.21109/kesmas.v9i2.519

Abstract

Kebijakan pusat pelayanan kesehatan masyarakat (puskesmas) sebagai Badan Layanan Umum Daerah (BLUD) diimplentasikan untuk meningkatkan kualitas pelayanan kesehatan dasar. Kebijakan BLUD puskesmas telah diterapkan di Kabupaten Gianyar sejak tahun 2010 dan berlaku pada puskesmas perawatan maupun nonperawatan. Pelaksanaan BLUD puskesmas tidak selalu meningkatkan mutu layanan. Penelitian ini bertujuan mengetahui gambaran mutu pelayanan puskesmas perawatan yang berstatus BLUD di Kabupaten Gianyar. Penelitian ini merupakan penelitian potong lintang dengan pendekatan kuantitatif dan kualitatif. Tempat dan waktu penelitian ini dilakukan di Kabupaten Gianyar, Agustus hingga Desember 2013. Data kuantitatif dikumpulkan melalui penyebaran kuesioner kepada 105 pengguna layanan di empat puskesmas yang dipilih dengan cara multistage random sampling. Data kualitatif dikumpulkan melalui wawancara mendalam kepada 13 penyedia pelayanan kesehatan yang dipilih secara purposive sampling. Data kuantitatif dianalisis secara deskriptif dan data kualitatif dianalisis dengan analisis tematik. Dari hasil penelitian, pelayanan di puskesmas perawatan berstatus BLUD di Gianyar dinilai kurang memuaskan karena keterbatasan peralatan medis dan kurangnya tenaga yang kompeten dalam pengelolaan keuangan. Pelatihan pengelolaan keuangan pada staf puskesmas dan perekrutan tenaga berlatar belakang akuntansi penting untuk dilakukan. Quality of Services in Health Care Center with General Services Agency StatusThe policy of primary health care as local public service agencies (BLUD) was established to improve the quality of basic health care services. The public service agencies primary health care policy has been implemented to all primary health care in Gianyar district since 2010. The implementation does not always improving health service quality. This research was aimed to overview the quality of services in primary health care with general services agency status in Gianyar district. This research was a crosssectional study with mixed of quantitative and qualitative approaches.This research was conducted in Gianyar between August and December 2013. The quantitative data was collected through questionaire survey to 105 patients in four primary health care who were chosen with multistage random sampling technique. The qualitative data was collected through in-depth interviews to 13 health care providers in primary health care who were chosen with pusposive sampling. The quantitative data was analysed descriptively and the qualitative data was analysed using thematic analysis. The result of the study was primary health care quality in BLUD puskesmas with inpatient services was perceived as poor due to the limited availability of medical equipment and lack of staff who major in financial management. Training on financial management and recruitment of staff with accounting background should be conducted.
Akses Jaminan Kesehatan Nasional pada Pekerja Seks Perempuan Nopiyani, Ni Made Sri; Indrayathi, Putu Ayu; Listyowati, Rina; Suarjana, I Ketut; Januraga, Pande Putu
Jurnal Kesehatan Masyarakat Nasional Vol. 9 No. 4 Mei 2015
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (138.866 KB) | DOI: 10.21109/kesmas.v9i4.734

Abstract

AbstrakPekerja seks perempuan (PSP) merupakan kelompok yang termarginalkan secara sosial dan memiliki kerentanan yang tinggi terhadap masalah kesehatan. Upaya perluasan Jaminan Kesehatan Nasional (JKN) pada PSP masih terbatas sehingga penting dilakukan untuk mendukung pencapaian universal health coverage. Penelitian ini bertujuan untuk memperoleh gambaran mengenai akses JKN pada PSP di Denpasar. Penelitian ini merupakan studi kualitatif. Data dikumpulkan melalui wawancara mendalam terhadap 15 orang PSP dan empat orang mucikari di Denpasar pada Agustus hingga Oktober 2014. Hasil wawancara diolah dengan analisis tematik. Kerangka analisis yang digunakan adalah The Health Access Livelihood Framework. Kepemilikan JKN pada PSP di Denpasar masih rendah, meskipun sebagian PSP memiliki kemauan untuk menjadi peserta JKN dan memiliki kemampuan membayar iuran JKN. Faktor penghambat akses JKN pada PSP adalah rendahnya pengetahuan mengenai prosedur pendaftaran dan portabilitas JKN, kekhawatiran keberlanjutan pembayaran iuran, persepsi buruk mengenai kualitas layanan yang akan diterima jika menggunakan JKN, ketidaklengkapan administrasi kependudukan serta kebijakan yang mengharuskan peserta bukan penerima bantuan iuran (Non-PBI) Mandiri untuk mendaftarkan seluruh anggota keluarga. Akses JKN pada PSP terhambat oleh faktor-faktor individual, layanan dan kebijakan yang perlu diatasi untuk meningkatkan cakupan JKN pada PSP. AbstractFemale sex workers (FSW) is marginalized social group having a high vulnerability of health problems. Effort to expand national health insurance on FSW is still limited, so it is necessarily performed in order to support the achievement of universal health coverage. This study aimed to obtain the depiction of the insurance access among FSW in Denpasar. This study was qualitative. Data was collected through in-depth interview of 15 FSW and four pimps in Denpasar from August to October 2014. The interview result was analyzed using thematic analysis. The analysis framework used was The Health Access Livelihood Framework. The insurance ownership among FSW in Denpasar was low, even though some FSW were willing to be participants and afford to pay the premium. Factors inhibiting the insurance access were the lack of knowledge regarding registration procedures and portability, fear of premium payment sustainability, negative perceptions of quality of services that would be received if using the insurance, incomplete population administration and policy requiring independent non-premium support receiver participants to register all of their family members. The insurance access among FSW was hindered by individual, service and policy factors that need to be conquered to increase the insurance coverage among FSW.
SOSIO EKONOMIC FACTORS OF INFANT DEATH AT MUNTIGUNUNG COUNTY, KARANGASEM REGENCY, BALI Suariyani, Ni Luh Putu; Widarsa, I Ketut Tangking; Widarini, Ni Putu; Sutiari, Ni Ketut; Listyowati, Rina
Jurnal Ilmu Kesehatan Masyarakat Vol 1, No 3 (2010): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Faculty of Public Health Universitas Sriwijaya

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Abstract

Background:Muntigunung is a dried country at Karangasem regency with higher number of poor people and infant death rate among other county at Karangasem regency. Therefore, it necessary to identified the socio economic factors of infant death at Muntigunung. Method : The methodology of this research is qualitatif (descriptive explorative) , family who has infant death in last five year is as a case. All data  (birth, infant death, education, job, earning of family and geographic) are collecting by interviewing and observing the subjects.  This interviewing will be recorded and make the transcripst. The transcripst of interview was analysed by qualitative method of base on the contents of socio economic factors of infant death. Result : The result from 8 cases of infant death was from 5 families, 6 deaths was birth death, one death was when he/she 2 days and 1 when was 2 months. The cause of death was asfixsia ?? or infection and death before they got medicationwhose familiess have low socio economic status. Conclussion: Socio economic factors of the family  with low education of the parents, low income of the family are as one of infant death factor. Keyword: Socio economi, education, income, infant death and  
Akses Jaminan Kesehatan Nasional pada Pekerja Seks Perempuan Nopiyani, Ni Made Sri; Indrayathi, Putu Ayu; Listyowati, Rina; Suarjana, I Ketut; Januraga, Pande Putu
Jurnal Kesehatan Masyarakat Nasional Vol. 9 No. 4 Mei 2015
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (138.866 KB) | DOI: 10.21109/kesmas.v9i4.734

Abstract

AbstrakPekerja seks perempuan (PSP) merupakan kelompok yang termarginalkan secara sosial dan memiliki kerentanan yang tinggi terhadap masalah kesehatan. Upaya perluasan Jaminan Kesehatan Nasional (JKN) pada PSP masih terbatas sehingga penting dilakukan untuk mendukung pencapaian universal health coverage. Penelitian ini bertujuan untuk memperoleh gambaran mengenai akses JKN pada PSP di Denpasar. Penelitian ini merupakan studi kualitatif. Data dikumpulkan melalui wawancara mendalam terhadap 15 orang PSP dan empat orang mucikari di Denpasar pada Agustus hingga Oktober 2014. Hasil wawancara diolah dengan analisis tematik. Kerangka analisis yang digunakan adalah The Health Access Livelihood Framework. Kepemilikan JKN pada PSP di Denpasar masih rendah, meskipun sebagian PSP memiliki kemauan untuk menjadi peserta JKN dan memiliki kemampuan membayar iuran JKN. Faktor penghambat akses JKN pada PSP adalah rendahnya pengetahuan mengenai prosedur pendaftaran dan portabilitas JKN, kekhawatiran keberlanjutan pembayaran iuran, persepsi buruk mengenai kualitas layanan yang akan diterima jika menggunakan JKN, ketidaklengkapan administrasi kependudukan serta kebijakan yang mengharuskan peserta bukan penerima bantuan iuran (Non-PBI) Mandiri untuk mendaftarkan seluruh anggota keluarga. Akses JKN pada PSP terhambat oleh faktor-faktor individual, layanan dan kebijakan yang perlu diatasi untuk meningkatkan cakupan JKN pada PSP. AbstractFemale sex workers (FSW) is marginalized social group having a high vulnerability of health problems. Effort to expand national health insurance on FSW is still limited, so it is necessarily performed in order to support the achievement of universal health coverage. This study aimed to obtain the depiction of the insurance access among FSW in Denpasar. This study was qualitative. Data was collected through in-depth interview of 15 FSW and four pimps in Denpasar from August to October 2014. The interview result was analyzed using thematic analysis. The analysis framework used was The Health Access Livelihood Framework. The insurance ownership among FSW in Denpasar was low, even though some FSW were willing to be participants and afford to pay the premium. Factors inhibiting the insurance access were the lack of knowledge regarding registration procedures and portability, fear of premium payment sustainability, negative perceptions of quality of services that would be received if using the insurance, incomplete population administration and policy requiring independent non-premium support receiver participants to register all of their family members. The insurance access among FSW was hindered by individual, service and policy factors that need to be conquered to increase the insurance coverage among FSW.
ASSOCIATION OF PHYSICAL FITNESS PARTICIPATION WITH COGNITIVE FUNCTION AND BALANCE AMONG THE ELDERLY IN DENPASAR ., Lanawati; Listyowati, Rina; Kuswardhani, R.A Tuty
Public Health and Preventive Medicine Archive Vol 3 No 2 (2015): Public Health and Preventive Medicine Archive
Publisher : Program Magister Ilmu Kesehatan Masyarakat Universitas Udayana

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Abstract

Background and purpose: Aging is known to cause cognitive impairment and bodily imbalance. Studies havefound that physical exercise helps to delay such depreciation. The purpose of this study was to assess the relationshipbetween participation in physical fitness and cognitive function and balance among the elderly in Denpasar.Methods: Study was cross sectional, involving 60 elderly who were categorised into those who participated inphysical exercise and those who did not, using proportional stratified random sampling. MoCa-Ina was used todetermine the level of cognitive function and Romberg Test was applied to determine body balance. Data wereanalysed using chi-square and logistic regression tests.Results: The proportion of normal cognitive function among elderly who did and did not participate in physical fitnesswere 80% and 20%, respectively. Similarly, proportions of normal body balance among the elderly who did and did notparticipate in physical fitness were 86.7% and 20.0% respectively. These differences were statistically significant. Inlogistic regression analysis, it was shown that the variables affecting cognitive function were participation in physicalfitness and in a hobby, and variables that affected body balance were participation in physical fitness and diseasehistory.Conclusion: Participation in physical fitness was associated with cognitive function and bodily balance among elderly.
Mutu Pelayanan Puskesmas Perawatan yang Berstatus Badan Layanan Umum Daerah Indrayathi, Putu Ayu; Listyowati, Rina; Nopiyani, Ni Made Sri; Ulandari, Luh Putu Sinthya
Jurnal Kesehatan Masyarakat Nasional Vol 9 No. 2 November 2014
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (539.955 KB) | DOI: 10.21109/kesmas.v9i2.519

Abstract

Kebijakan pusat pelayanan kesehatan masyarakat (puskesmas) sebagai Badan Layanan Umum Daerah (BLUD) diimplentasikan untuk meningkatkan kualitas pelayanan kesehatan dasar. Kebijakan BLUD puskesmas telah diterapkan di Kabupaten Gianyar sejak tahun 2010 dan berlaku pada puskesmas perawatan maupun nonperawatan. Pelaksanaan BLUD puskesmas tidak selalu meningkatkan mutu layanan. Penelitian ini bertujuan mengetahui gambaran mutu pelayanan puskesmas perawatan yang berstatus BLUD di Kabupaten Gianyar. Penelitian ini merupakan penelitian potong lintang dengan pendekatan kuantitatif dan kualitatif. Tempat dan waktu penelitian ini dilakukan di Kabupaten Gianyar, Agustus hingga Desember 2013. Data kuantitatif dikumpulkan melalui penyebaran kuesioner kepada 105 pengguna layanan di empat puskesmas yang dipilih dengan cara multistage random sampling. Data kualitatif dikumpulkan melalui wawancara mendalam kepada 13 penyedia pelayanan kesehatan yang dipilih secara purposive sampling. Data kuantitatif dianalisis secara deskriptif dan data kualitatif dianalisis dengan analisis tematik. Dari hasil penelitian, pelayanan di puskesmas perawatan berstatus BLUD di Gianyar dinilai kurang memuaskan karena keterbatasan peralatan medis dan kurangnya tenaga yang kompeten dalam pengelolaan keuangan. Pelatihan pengelolaan keuangan pada staf puskesmas dan perekrutan tenaga berlatar belakang akuntansi penting untuk dilakukan. Quality of Services in Health Care Center with General Services Agency StatusThe policy of primary health care as local public service agencies (BLUD) was established to improve the quality of basic health care services. The public service agencies primary health care policy has been implemented to all primary health care in Gianyar district since 2010. The implementation does not always improving health service quality. This research was aimed to overview the quality of services in primary health care with general services agency status in Gianyar district. This research was a crosssectional study with mixed of quantitative and qualitative approaches.This research was conducted in Gianyar between August and December 2013. The quantitative data was collected through questionaire survey to 105 patients in four primary health care who were chosen with multistage random sampling technique. The qualitative data was collected through in-depth interviews to 13 health care providers in primary health care who were chosen with pusposive sampling. The quantitative data was analysed descriptively and the qualitative data was analysed using thematic analysis. The result of the study was primary health care quality in BLUD puskesmas with inpatient services was perceived as poor due to the limited availability of medical equipment and lack of staff who major in financial management. Training on financial management and recruitment of staff with accounting background should be conducted.
TINGKAT PENGETAHUAN PETUGAS TENTANG STANDAR PELAYANAN MINIMAL DI INSTALASI GAWAT DARURAT DAN PENUNJANG PELAYANAN KEGAWATDARURATAN RUMAH SAKIT UMUM DAERAH KABUPATEN KLUNGKUNG TAHUN 2018 Sumandari, Made Riastuti; Listyowati, Rina
ARCHIVE OF COMMUNITY HEALTH Vol 6 No 1 (2019): Juni 2019
Publisher : Program Studi Kesehatan Masyarakat Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2019.v06.i01.p10

Abstract

ABSTRAK Rumah Sakit Umum Daerah Kabupaten Klungkung sebagai rumah sakit yang sudah menerapkan Pengelolaan Keuangan Badan Layanan Umum terus meningkatkan dan mengembangkan mutu pelayanan, terutama mutu pelayanan kegawatdaruratan. Tujuan penelitian ini untuk mengetahui gambaran tingkat pengetahuan petugas di Instalasi Gawat Darurat dan Penunjang Pelayanan Kegawatdaruratan Rumah Sakit Umum Daerah Kabupaten Klungkung tentang Standar Pelayanan Minimal. Penelitian ini merupakan penelitian deskriptif kuantitatif, dengan rancangan cross-sectional. Populasi dalam penelitian ini adalah seluruh petugas yang bekerja di Instalasi Gawat Darurat dan penunjang pelayanan kegawatdaruratan. Jumlah sampel pada penelitian ini 94 petugas dengan teknik pengumpulan sampel yaitu total sampling. Teknik pengumpulan data pada penelitian ini yaitu dengan menyebarkan kuesioner dan analisis data yang digunakan yaitu analisis univariat.  Hasil penelitian ini adalah mayoritas petugas memiliki pengetahuan baik mengenai SPM yaitu sebesar 86,17% sedangkan 13,83% memiliki pengetahuan kurang baik. Dilihat dari tingkat pengetahuan berdasarkan karakteristik, pengetahuan baik sebagian besar pada umur umur ?30 (88,14%), jenis kelamin perempuan (96,23%), pendidikan DIII (87,93%) dan masa kerja >10 tahun (88,46%). Saran yang bisa diberikan kepada Rumah Sakit Umum Daerah Kabupaten Klungkung, sebaiknya rumah sakit memberikan sosialisasi kepada seluruh petugas mengenai SPM dengan rutin dan terjadwal sehingga petugas mendapatkan informasi mengenai SPM merata. Kata Kunci: Tingkat Pengetahuan, Standar Pelayanan Minimal ABSTRACT Klungkung Regency Regional General Hospital as a hospital that has implemented Financial Management Public Service Agency continues to improve and develop the quality of services, especially the quality of emergency services. The purpose of this study was to determine the level of knowledge of officers in the Emergency Installation and Supporting Emergency Services of the Klungkung Regency General Hospital on Minimum Service Standards. This research is a quantitative descriptive study, with a cross-sectional design. The population in this study were all officers who worked in the Emergency Installation and supporting emergency services. The number of samples in this study were 94 officers with total sample collection techniques. Data collection techniques in this study are by distributing questionnaires and data analysis used is univariate analysis. The results of this study were that the majority of officers had good knowledge of MSS, amounting to 86.17% while 13.83% had poor knowledge. Judging from the level of knowledge based on characteristics, good knowledge is mostly at the age of ?30 (88.14%), female gender (96.23%), DIII education (87.93%) and years of service> 10 years (88, 46%). Suggestions that can be given to the Klungkung Regency Regional General Hospital, the hospital should provide information to all officers on MSS routinely and on a regular basis so that officials get information about SPM evenly. Keywords: Knowledge Level, Minimum Service Standards.
PENGETAHUAN, SIKAP DAN MOTIVASI PERAWAT PELAKSANA TENTANG KESELAMATAN PASIEN TERKAIT KEBERSIHAN TANGAN DI RUANG RAWAT INAP RUMAH SAKIT UMUM DAERAH KABUPATEN BULELENG Ristayani, Luh Ayu; Listyowati, Rina
ARCHIVE OF COMMUNITY HEALTH Vol 5 No 2 (2018): Desember (2018)
Publisher : Program Studi Kesehatan Masyarakat Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2018.v05.i02.p10

Abstract

ABSTRAK Rumah sakit wajib menerapkan standar keselamatan pasien yaitu pengurangan risiko infeksi terkait pelayanan kesehatan untuk meningkatkan mutu pelayanan. Namun, kejadian infeksi rumah sakit masih banyak ditemukan. Salah satu program mengurangi infeksi yaitu kebersihan tangan. Keberhasilan program disebabkan oleh beberapa faktor sehingga tujuan penelitian ini untuk mengetahui pengetahuan, sikap dan motivasi perawat tentang keselamatan pasien terkait kebersihan tangan. Jenis penelitian yaitu deskriptif kuantitatif cross sectional. Sampel sebanyak 105 perawat di ruang rawat inap RSUD Kabupaten Buleleng dengan teknik proportionated random sampling. Pengumpulan data dengan metode kuesioner dan dianalisis univariat. Hasil penelitian menunjukkan 57,1% responden memiliki pengetahuan baik dan hanya 14,3% yang kurang, 68,6% sikap positif dan 60,0% motivasi tinggi. Pengetahuan baik dan sikap positif cenderung pada umur ? 30 tahun, perempuan, pendidikan S1/Ners, masa kerja >10 tahun dan status kepegawaian tetap. Motivasi tinggi cenderung pada responden umur ? 30 tahun, jenis kelamin laki-laki, pendidikan S1/Ners, masa kerja >10 tahun dan status kepegawaian tetap. Sebagian besar responden sudah memiliki pengetahuan baik, sikap positif dan motivasi tinggi. Diharapkan rumah sakit dapat memberikan motivasi kepada petugas untuk meningkatkan kinerja, pelatihan berkala dan sosialisasi mendalam mengenai keselamatan pasien terutama sasaran pengurangan risiko infeksi pelayanan kesehatan termasuk kebersihan tangan. Kata kunci: Keselamatan pasien, Kebersihan Tangan, Pengetahuan, Sikap, Motivasi   ABSTRACT Hospitals must implement patient safety standards, namely reducing the risk of infection related to health services to improve the quality of service. However, the incidence of hospital infections is still commonly found. One program to reduce infection is hand hygiene. The success of the program is caused by several factors so the purpose of this study is to find out nurses' knowledge, attitudes and motivations regarding patient safety related to hand hygiene. This type of research is descriptive cross sectional descriptive. A sample of 105 nurses in the inpatient ward of Buleleng Regency Hospital using proportionated random sampling technique. Data collection by questionnaire method and univariate analysis. The results showed 57.1% of respondents had good knowledge and only 14.3% were lacking, 68.6% positive attitude and 60.0% high motivation. Good knowledge and positive attitudes tend to be ? 30 years old, women, S1 / Nurse education, tenure of> 10 years and permanent employment status. High motivation tends to be respondents aged ? 30 years, male sex, education S1 / Nurse, tenure of> 10 years and permanent employment status. Most respondents already have good knowledge, positive attitude and high motivation. It is expected that the hospital can provide motivation to officers to improve performance, regular training and in-depth socialization on patient safety, especially the target of reducing the risk of health care infections including hand hygiene. Keywords: Patient Safety, Hand Hygiene, Knowledge, Attitude, Motivation