ANALISIS KINERJA PETUGAS DIINSTALASI RADIOLOGI RUMAH SAKIT LANCANG KUNING PEKANBARU

Sumber daya manusia yang ada di Instalasi Radiologi Rumah Sakit Lancang kuning Pekanbaru masih belum memadai,pendidikan dan pelatihan yang masih jarang dilakukan serta kurangnya motivasi yang diberikan kepada petugas dan SOP yang belum dilaksanakan secara maksimal. Tujuan dari penelitian ini adalah untuk diketahuinya Analisis Kinerja Petugas DiInstalasi Radiologi Rumah Sakit Lancang Kuning Pekanbaru Tahun 2020. Penelitian ini merupakan penelitian deskriptif dengan pendekatan metode kualitatif. Informan penelitian berjumlah 4 orang yaitu Informan Utama terdiri dari Kepala Ruangan Radiologi dan Petugas Radiologi dan Informan Penunjang yaitu Direktur Rumah Sakit dan Kepala Bidang Pelayanan Medik atau Penunjang Medik. Hasil penelitian diketahui jumlah SDM yang ada masih belum memadai dan perlu adanya penambahan lagi, pendidikan dan pelatihan hanya berupa seminar-seminar saja karna tidak adanya dana dari rumah sakit untuk melaksanakan pelatihan, motivasi yang diberikan atasan hanya berupa arahan saja tidak diberikan bonus, reward atau insentif kepada petugas, SOP di Instalasi Radiologi sudah ada dan sudah berjalan walaupun belum 100% karena masih terdapat kendala pada alatnya. Diharapakan SDM di Instalasi Radiologi ditambah dan diberikan pelatihan dan pendidikan sesuai kebutuhan, serta peningkatan motivasi kepada petugas. The existing human resources in the Radiology Installation of LancangKuning Hospital in Pekanbaru are still inadequate, education and training are still rarely done as well as the lack of motivation given to officers and Standar Operasional Prosedur that have not been carried out to the fullest. The purpose of this research is to know the Performance Analysis of Radiology Installation Officer at LancangKuning Hospital Pekanbaru in 2020. This research is a descriptive study with a qualitative method approach. There were 4 research informants, namely the Main Informant consisting of the Head of the Radiology Room and Radiology Officers and Supporting Informants, namely the Hospital Director and the Head of Medical Services or Medical Support. The results of the study revealed that the number of existing human resources was still inadequate and there was a need for more additions, education and training were only in the form of seminars because there was no funding from the hospital to carry out training, motivation given by superiors was only in the form of directives, not given bonuses, rewards or incentives to officers, Standar operasional prosedur in Radiology Installation already exists and is already running even though it is not yet 100% because there are still problems with the equipment. It is expected that HR in the Radiology Installation will be added and given training and education as needed, as well as increased motivation for officers.

Reducing the use of sleep-inducing drugs during hospitalization by a multi-faceted intervention - a pilot study

Objectives. Many patients receive benzodiazepines or Z-drugs during hospitalization due to sleeping problems. In a pilot study, we aimed to find out whether, and to what degree, a multi-faceted intervention can reduce the use of these drugs, especially in older patients and those without a psychiatric or neurological disorder. The results of this pilot study should inform the design of a randomised controlled trial (RCT). Methods. In a quasi-experimental design, we implemented the intervention in a German hospital with the support of the hospital director, medical and nursing staff and employee representatives. We compared prescription data for sleep-inducing drugs before and after the intervention by Fisher's exact test and used Odds-Ratios (ORs) with their 95 % confidence intervals (CI) as measure of effect size. Results. The data from 960 patients aged 65 and older before intervention and 1049 patients after in-tervention were analysed. Before intervention, 483 (50.3%) of the patients received sleep-inducing drugs at some time during their hospital stay. After the intervention, 381 (36.3%) patients received a sleep-inducing drug, resulting in an OR of 0.56 (95% CI: 0.47 to 0.68; p <0.001). The reduction was particularly pronounced in patients without a psychiatric or neurological disorder (from 45.0% to 28.8%). Especially benzodiazepines were significantly reduced (from 24.3% to 8.5%; OR: 0.31 (0.23-0.4); <0.001). Conclusions. A multi-faceted intervention to change the practice of the use of sleep-inducing drugs in one hospital was successful in terms of drug reduction, particularly for benzodiazepines. The interven-tion was effective especially for target persons, i.e. those without a psychiatric or neurological disease. Being aware of the magnitude of the change and the role of important stakeholders could help researchers, hospital physicians and hospital pharmacists to design a large RCT, including control hospitals, to evaluate the success of a multi-faceted intervention on a scientifically sound basis.

Role of Dutch internal policy advisors in a hospital quality improvement programme and their influence on nurses’ role development: a qualitative study

ObjectiveNurses are vital in providing and improving quality of care. To enhance the quality improvement (QI) competencies of nurses, hospitals in the Netherlands run developmental programmes generally led by internal policy advisors (IPAs). In this study, we identify the roles IPAs play during these programmes to enhance the development of nurses’ QI competencies and studied how these roles influenced nurses and management.DesignAn exploratory ethnographical study comprising observations, informal conversations, semistructured interviews, focus groups and a strategy evaluation meeting.SettingA teaching hospital in an urban region in the Netherlands.ParticipantsIPAs (n=7) in collaboration with four teams of nurses (n=131), team managers (n=4), senior managers (n=4) and the hospital director (n=1).ResultsWe identified five distinct advisory roles that IPAs perform in the hospital programme: gatekeeper, connector, converter, reflector and implementer. In describing these roles, we provide insights into how IPAs help nurses to develop QI competencies. The IPA’s professional background was a driving force for nurses’ QI role development. However, QI development was threatened if IPAs lost sight of different stakeholders’ interests and consequently lost their credibility. QI role development among nurses was also threatened if the IPA took on all responsibility instead of delegating it timely to managers and nurses.ConclusionsWe have shown how IPAs’ professional background and advisory knowledge connect organisational, managerial and professional aims and interests to enhance professionalisation of nurses.

Gaya Kepemimpinan Demokratis Direktur Rumah Sakit terhadap Kedisiplinan Karyawan

This study aims to determine the effect of the democratic leadership style of the hospital director on the discipline of the employees of RSU DR Moedjito Dwidjosiswojo. This research method uses a survey method carried out by collecting data through a questionnaire (questionnaire). The results showed three leadership styles at Dr. Moedjito Dwidjosiswojo General Hospital, 6 with SD 0, democracy with 21 points with 5 SD, and accessible 1 with 1 SD. In conclusion, Dr. Moedjito Dwidjosiswojo's director's democratic leadership style influenced employee discipline with no evidence. Undisciplined employees based on predetermined work hours. Keywords: Leadership Style, Employee Discipline

MO1050ACCESS TO DIALYSIS IN PUBLIC HOSPITALS FOR CHRONIC KIDNEY DISEASE PATIENTS: RESULTS FROM THE HEMODIALYSIS REGISTRY WAITING LIST AT ARISTIDE LE DANTEC HOSPITAL IN SENEGAL

Background and Aims The lethality and cost of chronic kidney disease (CKD) management are high in Senegal. The aim of this study was to evaluate the access in dialysis at Senegalese public’s hospitals. Method This was a retrospective cohort during 4 years (2014-2018) from the hemodialysis registry waiting list at Aristide Le Dantec University Hospital. This registry is composed by: a registration form (social survey and doctor's visa); a written letter addressed to hospital director and the national identity card. From this registry, telephone calls were made to collect data relating to mortality and access to dialysis. Results seven hundred fifty-one (751) files were collected. The mean age of the patients was 48.12 ± 15.28 years with a sex ratio of 1.02. The socioeconomic level was low in 85.40% (521/610) and average in 13.61% (83/610). The geographic origin was rural in 11.15%, semi-urban in 07.54% and urban in 81.31%. Ten patients (1.64%) had medical care coverage. On call, 49.70% (373/751) were died before accessing to public dialysis, 29.70% (223/751) had accessed public dialysis and 04.00% (30/751) didn’t yet need dialysis. Hundred twenty-one (16.10%) were unreachable and 0.50% (4/751) was unknown. Conclusion The lethality of CKD was high. Access to dialysis in public hospital remains problematic in Senegal despite its democratization. Additional efforts are needed for effective management of all patients at dialysis stage.

Message of the Philippine General Hospital Director

Sir Winston Churchill once said, “Never let a good crisis go to waste.” This was when, after the ravages of World War II, he sought to form the United Nations. This pandemic has affected our daily lives in unimaginable ways, much like the World War did, almost 80 years ago. The onslaught of daily challenges required us to change our strategies, modify our course, and even abandon some plans. It did not, however, extinguish our quench for knowledge and the desire to share it with others. I am truly proud of this COVID-19 special issue of Acta Medica Philippina, which stands as a testament to the unsinkable research spirit of the Philippine General Hospital (PGH) and the University of the Philippines as a whole. Ironically, it is in this unusual period that PGH has achieved its highest publication rate. The vital lessons that the articles in this issue impart to its readers, culled from the seemingly desperate situation we are all in, would surely be instrumental for us to emerge out of this crisis better and wiser. Gerardo D. Legaspi, MD Director Philippine General Hospital

Message of the Philippine General Hospital Director

The proverbial "walking while chewing gum" statement has been once again proven by our colleagues in PGH. Being able to publish quality research articles amidst the challenges brought about by the turn of events, is testament to not only the grit that we have developed in its wards but also to the commitment in pursuing new knowledge. Prior to the pandemic, PGH has shown a continuous trend of increasing annual publication. From 8% in 2015, it has steadily risen to 42%. The investment in focused attention guided by a clear agenda, extensive funding and protected time for research obviously is paying off handsomely. It is my fervent hope that we will be able to bring our research output to the next level which is health policy formulation based on the knowledge that we have generated. Gerardo D. Legaspi, MDDirectorPhilippine General Hospital

Hospital Management Innovation in Public Services in Regional Public Hospitals Lanto Dg. Pasewang Jeneponto District

Services in the health sector are one of the most needed forms of service by the community. This study aims to describe the process of public service innovation carried out by the Hospital Management and to identify the factors that influence public service innovation implemented by the Jeneponto District Hospital. This research is also expected to provide input (suggestions) in the process of implementing innovation in public services to create quality services and improve the performance of the Regional General Hospital Lanto Dg. Pasewang. The research method used is descriptive qualitative. Researchers will explain the research problem in detail, namely the innovation process and the factors that influence it. Data collection was obtained through direct observation of the object of research and in-depth interviews with relevant sources, namely, Hospital Management in public services at the Lanto Dg. Pasewang Regional General Hospital led by the Hospital Director, and Heads of fields and communities involved directly feel the hospital service innovation. The results of this study indicate that Hospital Management Innovations in Public Services at the Lanto Dg. Pasewang Regional General Hospital Jeneponto Regency, have made public service innovations in improving services to the patients

Future skills needed for hospitals' directors in the Kingdom of Saudi Arabia – Applied study on governmental hospitals in Riyadh –: المهارات المستقبلية المطلوبة لدى مديري المستشفيات في المملكة العربية السعودية - دراسة تطبيقية على المستشفيات الحكومية في مدينة الرياض

The study aimed to identify future skills required for hospital managers in the Kingdom of Saudi Arabia, and the study followed the descriptive analytical approach, where the questionnaire was relied upon as a tool to collect data, and the study community is one of the hospital managers in the Kingdom of Saudi Arabia, and applied to a sample of (200) individuals from various locations in a sample of hospitals. The study reached results, the most important of which is that future skills What is required for the hospital director is primarily time management skills, followed by planning and organizational skills, change management skills, as well as decision-making skills, communication skills, and committee and meeting management skills. In the light of the results, the study recommended the necessity of working on a periodic evaluation of the performance of the hospital director to determine the skills that he possesses and whether they are appropriate for his job location, and the need to work on identifying the training needs of the hospital director and preparing appropriate training and educational programs to develop those skills and refine them in a way that is appropriate for the hospital’s work Administrative and medical.

Policy implementation of No Smoking area in Undata Public Hospital Palu City

The determination of the No Smoking Area is an effort to protect the community against the risk of health problems due to the environment contaminated with cigarette smoke. The purpose of this study was to determine the implementation of the No Smoking Area policy at the Undata Regional General Hospital (RSUD), Palu, especially in the aspects of communication, resources, disposition. , and bureaucratic structures. This type of research is qualitative research with a case study approach. Determination of informants is done through purposive sampling technique, namely the researcher uses his judgment in selecting informants to obtain in-depth information according to the research objectives. the concept of communication is good enough. The KTR Task Force at Undata Hospital uses print and electronic media. In the resource variable, the results are not good enough. The KTR Task Force at Undata Hospital is still lacking in terms of the number, namely only 15 people previously numbered 30 people. The disposition variables obtained in this study are good enough. The appointment of the KTR task force at Undata Hospital is directly selected by the hospital director, but the supervisory officers still lack incentives. In the bureaucratic structure variable, the results were quite good. The most authorized person in implementing the implementation of the KTR policy implementation at the Undata Hospital Palu is the Task Force coordinator. The suggestion in this research is that the KTR Task Force at Undata Hospital should be added and the Undata Hospital should create a smoking area.