scholarly journals ANALYSIS OF THE NEED FOR HEALTH WORKERS USING WORKLOAD INDICATOR STAFFING NEED (WISN) METHOD IN INPATIENT SERVICES IN REGIONAL GENERAL HOSPITAL OF BUTON UTARA REGENCY IN 2021

2021 ◽  
Vol 9 (7) ◽  
pp. 155-163
Author(s):  
Elvi Nurfitriani ◽  
Nani Yuniar ◽  
Ramadhan Tosepu ◽  
Sartiah Yusran ◽  
Asnia Zainuddin ◽  
...  

Motivation/Background: The ratio of the number of doctors to the population in North Buton is 1:2135. Meanwhile, the ratio of the number of nurses to the population is 1:308. This number is not in accordance with the standards stipulated in the Decree of the Minister of Health No.81/Menkes/SK/I/2004. Method: This research used Workload Indicator Staffing Need (WISN) method in inpatient services at the Regional General Hospital of Buton Utara. Results: The workload of specialist doctors at the Regional General Hospital of Buton Utara in the Obstetrics and Gynecology Treatment room could be handled by two specialist doctors, while each of the Child Care room, Internal Medicine room, and Surgery room was handled by one specialist doctor. The number of nurses needed was 9 people, and the number of midwives needed was 11 people. Conclusions: The Regional General Hospital of Buton Utara is still lacking health workers, and this condition causes a high workload on medical services. This fact results in the quality of health services at the Regional General Hospital of Buton Utara not being optimal. This hospital requires one specialist doctor, 4 nurses, and 4 midwives for the Obstetrics and Gynecology Treatment room.

PHARMACON ◽  
2019 ◽  
Vol 8 (2) ◽  
pp. 360
Author(s):  
Dwi Baluntu ◽  
Weny I. Wiyono ◽  
Marina Mamarimbing

ABSTRACT This research to determine the knowledge and attitudes of health workers regarding reporting and reporting systems of medication errors has been carried out. Medication errors is any event that can cause or resulted  in improper health services or harm to patients that actually can be avoided. This research is a qualitative descriptive study using in-depth interviews with data analysis conducted using thematic analysis. The results showed that the health workers at Monompia General Hospital GMIBM Kotamobagu did not understand the reporting of medication errors, decision making to report medication errors was determined by the severity of the result of errors and lack of reporting due to fear of disciplinary action and fear of losing their jobs. Monompia General Hospital GMIBM Kotamobagu City continues to strive to improve the quality of health services, but the limitations of facilities and infrastructure as well as human resources were the obsracles. Keywords : Knowledge, Medication Errors, Reporting System ABSTRAK Telah dilakukan penelitian untuk mengetahui pengetahuan dan sikap tenaga kesehatan mengenai pelaporan dan sistem pelaporan medication error. Medication error merupakan setiap kejadian yang dapat menyebabkan atau berakibat pada  pelayanan kesehatan yang tidak tepat atau membahayakan pasien yang sebenarnya dapat dihindari. Penelitian ini merupakan penelitian yang bersifat deskriptif kualitatif menggunakan wawancara mendalam dengan analisis data yang dilakukan menggunakan tematik analisis. Hasil penelitian menunjukan bahwa tenaga kesehatan  di RSU Monompia GMIBM Kota Kotamobagu belum memahami mengenai pelaporan medication error, pengambilan keputusan untuk melaporkan kesalahan pengobatan ditentukan oleh tingkat keparahan hasil dari kesalahan dan minimnya tingkat pelaporan disebabkan karena tenaga kesehatan takut tindakan disiplin serta takut kehilangan pekerjaan. RSU Monompia GMIBM Kota Kotamobagu terus berupaya untuk meningkatkan mutu pelayanan kesehatan, tetapi keterbatasan sarana dan prasarana serta sumber daya manusia menjadi kendala tesendiri. Kata kunci : Pengetahuan, Medication error, sistem pelaporan


2019 ◽  
Vol 6 (2) ◽  
pp. 38-41
Author(s):  
Reza Noviar ◽  
Jaenudin ◽  
Loura Weryco Latupeirissa

Based on preliminary studies conducted at Waled General Hospital the value of GDR and NDR has increased beyond the ideal standard set by the Ministry of Health, namely for GDR = ≤ 45 ‰ and for NDR = ≤ 25 ‰. The GDR in 2013 was 49.95 ‰, and in 2014 it was 61.10 ‰, while the NDR in 2013 was 19.71 ‰, and in 2014 it was 24.30 ‰. The results of the 2013 and 2014 calculations show the value of the GDR and NDR indicator numbers getting higher year after year. This type of research is a descriptive study. The method used is the observation method. The purpose of this study is to analyze the results of GDR and NDR calculations. Data collection procedures in this study by recording the results of monthly recapitulation of inpatient visits about GDR and NDR in 2013-2017. The population and sample in this study were GDR and NDR records from 2013 to 2017. The time of the study was conducted on 28 July 2018 in Waled County General Hospital. From the observations obtained the value of GDR and NDR in 2013-2017 tends to increase and decrease beyond the ideal limit that has been set. The lowest NDR was in 2013 with a value of 19.71 ‰, and the highest in 2015 with a value of 27.60 ‰. The lowest GDR was in 2013 with a value of 49.95 ‰, while the highest GDR was in 2016 with a value of 64.43 ‰. From the results of the study it is suggested that it is necessary to carry out medical audits and in-depth interventions regarding the improvement of GDR and NDR indicators and graph the GDR and NDR, so that they can always monitor the rise or fall of these indicator numbers, and for planning efforts to improve the quality of health services.


2021 ◽  
Vol 10 (2) ◽  
pp. 313-320
Author(s):  
Desak Nyoman Suartini ◽  
Andi Syamsul Bachri Jamal ◽  
Anas Budi

Background: Hospital Minimum Service Standards (SPM) are provisions for hospitals issued by the Minister of Health of the Republic of Indonesia in the context of government efforts to ensure the quality of hospital services. This Minimum Service Standard can be used as a guideline for the quality of service for every hospital in Indonesia. The Minimum Service Standard (SPM) is a quality guideline issued by the Minister of Health regarding the minimum service that must be provided by the hospital, where each hospital is required to assess and provide services in accordance with the Minimum Service Standards (SPM). Objectives: A study to analyze the implementation of minimum service standards in the Emergency Department (IGD) Regional General Hospital (RSUD) I Lagaligo, East Luwu. Methods: The research used in this research is descriptive analytic with a cross-sectional approach, in which all observed variables are measured simultaneously when the research is taking place. This research was conducted in the Emergency Room Installation Room (IGD) Regional General Hospital (RSUD) I Lagaligo East Luwu. Sample selection with total sampling technique. The research subjects were 33 respondents in the IGD Lagaligo Wotu East Luwu Regional Hospital. Results: Infrastructure and human resources with minimum service standards. The results showed that the results of the bivariate analysis used the Chi-Square Test. It shows that there is a relationship between infrastructure and minimum service standards with a value of p = 0.008, there is a relationship between human resources and minimum service standards with a value of p = 0.000. Conclusion: There are infrastructure facilities that can be used directly by health workers for the benefit of patients in the form of tools, materials, comfortable rooms and others. The human resources in the emergency department of Lagaligo Wotu Hospital are of good quality.


2020 ◽  
Vol 7 (2) ◽  
pp. 166
Author(s):  
Kesty Aprini ◽  
Nurlely Nurlely ◽  
Nani Kartinah

Petugas kesehatan mempunyai pengaruh terhadap kualitas pelayanan kesehatan, termasuk pelayanan kesehatan terhadap pasien TB yang akan berpengaruh terhadap kepatuhan berobat.  Tujuan penelitian ini menentukan persentase petugas kesehatan kategori baik, cukup, kurang dalam memberikan informasi dan tindakan terhadap pasien tuberkulosisdi Kabupaten Banjar. Penelitian ini dilakukan terhadap 97 petugas kesehatan dengan pendekatan cross sectional menggunakan kuesioner. Subjek pada penelitian ini yaitu tim program TB (Dokter, Perawat, Petugas lab) dan Apoteker/AA. Penilaian dilakukan terhadap karakteristik petugas, informasi dan tindakan yang diberikan petugas kesehatan terhadap kepatuhan berobat pasien TB yaitu dikategorikan baik, cukup dan kurang. Hasil penelitian pada karakteristik petugas kesehatan yaitu jenis kelamin perempuan sebanyak 68 orang, kategori umur >30 tahun sebanyak 57 orang, pendidikan terakhir yang paling banyak yaitu D3 sebanyak 47 orang, masa jabatan sebagai petugas TB (perawat) yang paling banyak yaitu selama <5 tahun sebanyak 20 orang. Informasi yang diberikan oleh petugas kesehatan terhadap kepatuhan berobat pasien TB dalam kategori baik yaitu 61 (62,88%)  petugas kesehatan dan tindakan petugas TB sebanyak 47 (48,46%) petugas kesehatan. Oleh karena itu petugas kesehatan perlu memperhatikan lagi terkait kinerja pelayanan kesehatan agar informasi dan tindakan terhadap kepatuhan berobat pasien TB jauh lebih baik Health workers have an influence on the quality of health services, including health services for TB patients which will affect treatment compliance. The purpose of this study was to determine percentage of health workers in good, sufficient, and inadequate categories in providing information and action on tuberculosis patients in Banjar District. This research was conducted on 97 health workers with a cross sectional approach using a questionnaire. The subjects in this study were TB team programs which consist of Doctors, Nurses, Lab Officers and Pharmacists/Pharmacist assistant. An assessment was made of  staff characteristics, information and actions given by health workers to TB patient treatment was categorized as good, sufficient and lacking. Thye result of this study characteristics on health workers are female sex which were  68 people, age categories>30 years as many as 57 people, the most recent education is D3 which were 47 people, while the longest term as TB officers (nurses) was for less than 5 years which were 20 people. Information provided by health workers on TB patient compliance in the good category was 61 (62.88%) health workers and the actions of TB workers were 47 (48.46%) health workers. Therefore, it is necessary to pay more attention to the performance of health services so that information and actions on TB patient compliance more better Keywords: TB Health care workers, Tuberculosis, Information, Action


PALAPA ◽  
2018 ◽  
Vol 6 (1) ◽  
pp. 50-68
Author(s):  
Arif Budiwibowo

The era of globalization brings the very rapid effects in the development of cutting-edge medical technology. These conditions have an impact on medical services is very complex and very potentially cause errors, so that the necessary improvement of the quality of health services. Patient safety is one important component in the quality of health services. Improving patient safety measures needed to prevent and minimize unexpected events (KTD). Nurses are one of the health workers who are at the front of health services have a very important role in improving patient safety. The aim of this research to assess patient safety analysis on the Attitudes of ward nurses in public district general hospital Bima and in particular to know the components of patient safety climate Attitudes include teamwork, job conditions, employment decisions, factors that support and hinder patient safety Attitudes. The study was descriptive qualitative. Subjects were nurses of three subjects and patients with interviews. Data collection techniques in this study are the tape recorder. Qualitative data analysis technique that was using descriptive analysis techniques to describe the data in the field were analyzed and concluded. Attitudes of patient safety component of work climate Attitudes patient safety team showed low, job satisfaction shows high patient safety Attitudes at the components of job satisfaction, working conditions showed low Attitudes patient safety, because of logistical and laboratory support is still lacking. Components of patient safety high Attitudes namely job satisfaction component of patient safety is low Attitudes climate of teamwork and conditions of employment because of logistical and laboratory support is still lacking.


2017 ◽  
Vol 1 (1) ◽  
pp. 30
Author(s):  
Supriadi Supriadi

Background: The era of globalization requires hospitals to improve the quality of health services. Efforts to improve the quality of health services can not be separated from efforts to improve the quality of nursing services because nurses are the most numerous health workers in hospitals that provide continuous service for 24 hours. The quality of nursing services describes the performance of nurses. The performance of a nurse can be judged by the quality of nursing care given to the patient. The performance of nurses can be influenced by various factors such as motivation, work ethic, work environment, competence, job satisfaction. Objective: The general objective of this research is to know factors related to Nurse Performance at Yogyakarta Islamic Hospital PDHI. And the specific objective of this research is to know the relationship motivation, work ethic, work environment, competence, job satisfaction with performance Nurse at Yogyakarta Islamic Hospital PDHI. Method: The research design  in this research is descriptive correlation research with cross sectional approach. Population in this research is Nurses at Yogyakarta Islamic Hospital PDHI amounted to 128 people. Sampling technique used was purposive sampling with inclusion and exclusion criteria obtained by a sample of 51 respondents. Data analysis used statistical test of kendall’s tau and multiple linear regression with significance level 5%. Result : Result of research got all variable that is motivation, work ethic, work environment, competence and job satisfaction influence nurse performance with p value 0,011, 0.000, 0,018, 0.000, 0.000 (P <0.05). Multivariate test obtained sig value. 0.000, which means simultaneously independent variables associated with the performance of nurses.


2020 ◽  
Vol 7 ◽  
pp. 238212052095969
Author(s):  
Alexander Ostapenko ◽  
Samantha McPeck ◽  
Shawn Liechty ◽  
Daniel Kleiner

Purpose: As the COVID-19 pandemic continues to evolve, the healthcare system has been forced to adapt in myriad ways. Residents have faced significant changes in work schedules, deployment to COVID-19 units, and alterations to didactics. This study aims to identify the effects of the COVID-19 pandemic on resident perception of their own education within the Nuvance Health Network. Methods: We conducted an observational study assessing resident perception of changes in education and lifestyle during the COVID-19 pandemic. A survey was developed to assess the quality and quantity of resident education during this time and administered anonymously to all residents within the healthcare network. Results: Eighty-four (68%) residents responded to the survey from 5 different specialties, including general surgery, internal medicine, obstetrics and gynecology, pathology, and radiology. The average change in hours per week performing clinical work was −6 hours (SD = 17; P = .003), in time studying was +0 hours (SD = 5; P = .96), in weekly didactics was −2 hours (SD = 3; P < .001), and in attending involvement was −1 hours (SD = 2; P < .001). Additionally, 32% of residents expressed concern that the pandemic has diminished their preparedness to become an attending, 13% expressed concern about completing graduation requirements, and 3% felt they would need an additional year of training. Conclusion: During the COVID-19 pandemic thus far, residents perceived that time spent on organized didactics/conferences decreased and that attending physicians are less involved in education. Furthermore, the majority of residents felt that the quality of didactic education diminished as a result of the pandemic. Surprisingly, while many residents expressed concerns about being prepared to become an attending, few were concerned about completing graduation requirements or needing an extra year of education. In light of these findings, it is critical to devote attention to the effects of the pandemic on residents’ professional trajectories and create innovative opportunities for improving education during this challenging time.


2021 ◽  
Vol 4 (2) ◽  
pp. 232-238
Author(s):  
Andi Nailah Amirullah ◽  
Yuliani ◽  
Nurhidayat

Health care facilities are expected to provide satisfactory services in hospitals. Have not being able to provide the maximum service expected by service users is the problem often faced by hospitals. Where the main assessment of the quality of health services is patient satisfaction. Based on a preliminary study at the RS Hikmah Makassar, it was found that more people were dissatisfied with health services. The purpose of this study was to find out the factors related to BPJS service satisfaction in BPJS Health participants at Hospital Hikmah of Makassar. The research design used Cross-Sectional. The population is 426 people. The sample in this study were some participants who used BPJS cards in Hospital Hikmah Of Makassar as many as 81 people, taking samples by purposive sampling technique. This research was conducted in May - June 2019. Data was collected with Questioner and analysed with the Chi-Square test. The results showed that there was a relationship between BPJS administration services, doctors and nurses services, supporting examination services and drug services with the satisfaction of BPJS services for BPJS Health participants in Hospital Hikmah of Makassar. The study suggested to health workers provide patients with a more friendly attitude and attention to patients recipients of health services.


2020 ◽  
Vol 10 (2) ◽  
pp. 93
Author(s):  
Ratna Ratna ◽  
Nadiatul Khoiroh

One of the targets of Obstetrics and Gynecology at the general hospital of bulian estuary, namely increasing the level of patient satisfaction so that this becomes one of the indicators for measuring service quality. One of the main elements supporting the level of patient satisfaction is patients with their resources. The purpose of the study was to determine the level of patient satisfaction with the quality of care in obstetrics and gynecology at the general hospital of bulian estuary. Respondents were patients with obstetrics and gynecology at 75 general hospitals in the bulian estuary servants. Methods of collecting data using questionnaires, observation, documentation. To test the hypothesis, the technique used is path analysis. Research results: (1) the quality of services in obstetrics and gynecology is very good, (2) the level of patient satisfaction with obstetrics and gynecology is very good. Advice for obstetrics and gynecology public hospitals in bulian estuary servans must improve service quality and maintain then maintain existing quality must be done, so that customers or users of the hospital do not feel disappointed and the service users do not move elsewhere.


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