Pengaruh Audit Internal Terhadap Kepatuhan Perawat Unit Rawat Inap Di Rumah Sakit Islam Ahmad Yani Surabaya

Abstract

ABSTRACT

Background: Employees with the highest percentage of health and non-health human resources (HR) totaling 247 as of December 2018 were in the nursing workforce and the results of the preliminary survey of inpatient nurse compliance were 5.2% which was caused by human error, namely employees forgot to fill out proof of attendance, late arrival as much as 18.9%, employees go home earlier than predetermined working hours which reaches a percentage of 2.92%, Alpha as much as 1.13%, permission due to illness as much as 1.3% and permission to leave namely as much as 5.7%. Adherence to attitudes, work discipline and appearance that employees pay less attention to can reduce the level of hospital discipline along with the quality of performance that is less effective. Nurse compliance is influenced by poor work attitudes and discipline which has become a habit so that it has an impact on decreasing the quality of hospital services. It can be predicted that there is an influence between inpatient unit compliance with internal audit at the Ahmad Yani Islamic Hospital in Surabaya. So that internal audit analysis needs to be carried out on an ongoing basis in the hope of minimizing and preventing nurse non-compliance in obeying hospital rules. The aim of this study was to determine the effect of internal audit on nurse compliance in the inpatient unit at the Ahmad Yani Islamic Hospital in Surabaya.

Research Subjects and Methods: This study used a quantitative method with a pre-experimental design approach with the type of one-group pretest-posttest. The population of this study were all inpatient unit nurses at Ahmad Yani Islamic Hospital Surabaya, totaling 30 respondents. Sampling using purposive sampling Data collection techniques using observation and interviews. The analysis prerequisite test is the Wilcoxon test.

Research results: This study shows that (1) Compliance of inpatient unit nurses before being given an internal audit is a percentage of 60%, (2) Compliance of inpatient unit nurses after being given an internal audit is equal to 93%, (3) There is a significant value effect ( 0.000).

Conclusion: Seeing the results of the research, it is necessary to increase the effectiveness of internal audits on nurse compliance in order to improve the quality of employee performance.

Keywords: Internal Audit, Nurse Compliance