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Unit Stroke RSPAD Gatot Soebroto adalah salah satu unit di Rumah Sakit Gatot Soebroto yang khusus menangani dan merawat pasien-pasien stroke. Di unit ini dirawat pasien-pasien dari TNI beserta keluarganya dan masyarakat umum. Untuk menunjang pelayanan terhadap anggota TNI dan keluarganya, dengan melayani masyarakat umum Unit Stroke diharapkan dapat memberikan sumbangsih yang berarti dalam bidang keuangan tetapi sampai saat ini belum dapat terealisasi. Agar dapat meningkatkan pelayanan terhadap masyarakat umum maka dibutuhkan suatu analisa mengenai faktor-faktor Eksternal dan Internal yang berpengaruh terhadap kinerja Unit Stroke, menentukan alternatif strategi, strategi yang dipilih serta hubungannya dengan bauran pemasaran.Jenis Penelitian ini operasional research yang dilakukan dengan cara pengumpulan data primer dengan cara wawancara mendalam serta data sekunder yang diperoleh dari RSPAD Gatot Soebroto maupun Biro Pusat Statistik. Penelitian ini dilakukan dari bulan Mei 2002 sampai dengan bulan Agustus 2002.Penelitian ini dilakukan meialui 3 tahapan sebagai berikut :Tahap I (Input Stage) meliputi analisa lingkungan eksternal dan lingkungan internal Unit Stroke RSPAD Gatot Soebroto.Tahap II (Matching Stage), dimana hasil dari tahap I dianalisa dengan menggunakan Internal-Eksternal (IE) matrix dan TOWS matrix.Tahap III (Decision Stge), dengan menggunakan QSPM.Dari hasil penelitian, pada pemilihan alternatif strategi dengan berdasarkan hasil dari IE Matrix memperlihatkan Unit Stroke RSPAD Gatot Soebroto berada pada posisi hold and Maintain dengan strategi yang dianjurkan adalah market developmen, market penetration dan product development. Setelah menggunakan QSPM maka diperoleh strategi Product Development.Penelitian ini menyimpulkan bahwa Unit Stroke RSPAD Gatot Soebroto mempunyai peluang dalam persaingan bila diadakan perbaikan-perbaikan yang berarti.Sebagai saran untuk tindak lanjut, maka strategi yang terpilih perlu diopersionalkan secara optimal dengan pemantauan agar pelaksanaan nya dapat tercapai dengan baik sesuai dengan Visi Misi RSPAD Gatot Soebroto.
Strategic Planning for Development of Stroke Unit RSPAD Gatot Soebroto in the Year 2002 - 2004The RSPAD Gatot Soebroto Stroke Unit is one of the units in RSPAD Gatot Soebroto Hospital that take care of the strokes patients. In this unit patients that is take cared are from the military, their family and also form the civil. To improve the service to the military and their family, serving the civil can make some addition to the financial mater. Till now the Stroke unit hasn't made a good addition to the financial. To increase the public service, the unit needs an External and Internal analysis which influence the units perform, make an alternative strategic then chose the best strategic and apply it to the marketing mix.The research is a operational research which done by primary data collecting that was taken by interviewing and the secondary data collecting was taken from the Hospital and the Statistical Bureau. The research was done in May 2002 until August The research was done in three stages:Stage I (Input stage) covers the external and internal analysis of the RSPAD Gatot Soebroto Soebroto Stroke Unit.Stage II (matching stage), the result of stage I was analyzed using the Internal-External and the TOWS matrix.Stage III (decision stage) was determined best strategy priorities using the QSPM matrix.The result, from the IE matrix, the Stroke Unit is in the Hold and Maintain position and the strategies are market development, market penetration and product development.It can be concluded than, that the Stroke Unit has a significant market potential and strong internal capability if they make some changes.It is advised that the chosen strategy is the best way to increase the perform of the RSPAD Stroke Unit according with the RSPAD Gatot Soebroto's vision and mission.
The patient?s complaints regarding the lack of attitude and care of a nurse emerges due to the un fulfillment of bio-psycho-social-spiritual needs. This should not happen if nurse cares to the need of patient. In other hand, a nurse is an individual whose job is affected by his work environment, in this case, internal environment of organization as a consequence of assignment method employed. This research is aimed at proving a hypothesis of the association among work loads; interpersonal relationship; and leadership as a consequence of assignment method employed, and caring attitude of non intensive care unit nurse of Muhammad Husni Thamrin Internasional Salemba Hospital. This research employs cross sectional design. Chi Square Test was employed to analyze the association among work loads, interpersonal relationship and leadership; and caring attitude of the assigned nurse. Regression logistic was employed to see which variable is dominant toward caring attitude of assigned nurse. The population is the assigned nurse at non intensive care unit with total sampling of 42 taken from five rooms. Research instrument is made in the form of questioner which is developed from the previous research and nursing management theories to measure nurse-work-loads, inter personal relationship, leadership and Watson Caring Theory to measure nurse caring attitude according to the perception of assigned nurse. The validity and reliability of the instrument were tested at Puri Cinere Hospital. The result of the research shows that the proportion of 47.6% respondents have caring attitude while 52.4% have less caring attitude. Three (3) independent variables have significant association with caring attitude perceived by respondent. Interpersonal relationship and work loads variables are the strongest connected and significantly dominant variables. This research concludes that the less interpersonal relationship and the more work loads will cause the less caring assigned nurse. Therefore this research recommends Muhammad Husni Thamrin Internasional Salemba Hospital, to be specific the Assigned Nurse to consider the importance of communication especially therapeutic communication and work priority as Nursing Ethics in order to improve caring attitude of nurse in the frame work of enhancing the quality of nursing care. Bibliography: 56 (1974-2005)
Pasien-pasien di unit-unit perawatan intensif {ICU) lebih banyak mengalami cedera akibat adverse events hila dibandingkan dengan pasien-pasien yang bukan dirawat di ICU. Banyaknya prosedur yang dilakukan pada pasien-pasien dalam kondisi yang kritis serta banyaknya jumlah dan jenis obat yang digunakan dalam pelayanannya juga meningkntkan resiko yang lebih tinggi hilngga dibandingkan dengan pasien lainnya. Tingginya data mortalitas dan insiden di beberapa ICU rumah saklt umum pusat bantuan regional Departemen Kesehatan menunjukkan belum ada suatu analisis yang mendalam terhadap faklor-faktor penyebab yang berkaitan dengan adverse events di unit perawatan intensif (ICU) pada rumah sakit tersebut. Hasil penelitian didapatkan bahwa adverse events di unit perawatan intensif (ICU) pada !8 (delapan belas) rumah sakit umum di Indonesia yaitu sebesar 42,7 %. Faktor faktor tidak baik, prosedur tidak lengkap, kurangnya kelengkapan dan pemeliharaan alat, berkontribusi dalarn terjarlinya adverse events di ICU pada 18 nrumah sakit. Pemahaman staf dan perawat ICU terhadap patient safety di unit perawatan intensif (ICU) sangat kurang. Penyebab dari beban kerja perawat tidak sesuai yaitu sumber daya manusia yang terbatas, uraian tugas yang tidak jelas, rasio antara petugas dengan pasien tidak sesuai, mengetjakan pekexjaan yang bukan wewenangnya dan kurangnya pelatthan. Behan kelja perawat yang tinggi berdampak stress kerja perawat. Penyebab komunikasi yang karang baik yaitu masib adanya gap antara perawat senior dan perawat yunior dalam berkomunikasi, kepala unit tidak mengikuti morning briefingkomunikasi yang kurang antara tim klinis. MiskomuÂnikasi juga menyebabkan terjadinya medication error di lCU. Peralatan kesehatan tidak lengkap dan tidak sesuai standar lCU, scrta tidak adanya prosedur tertulis tentang pemakaian alat. Pimpinan unit dan supervisi klinis belum menjalankan tugrumya dengan baik. Dari hasil penelitian ini disarankan kepada pihak rumah sakit untuk meningkatkan pengetahuan dan pemahaman perawat tentang patient safety, meningkatkan peranan kepala unit, kepala ruangan, komite keperawatan dan supervisi klinis, menetapkan standar prosedur asuhan keperawatan, prosedur pemakaian dan pemeliharaan alat serta prosedur komunikasi bagi perawat di ICU, menambab surnber daya manusia kesehatan {SDMK), meningkatkan pelatihan bagi perawat, menfasilitasi sistem infOnnasi kesehatan melalui Information Technology.
Patients in intensive care units (lCUs) may be more likely than non-ICU patients to be injured by adverse events. The procedures performed on critically ill patients and the quantity and type of drugs used in their care may also increase their risk relative to non-ICU patients. The height data incident and mortality in some ICU aids centers publics hospitals regional Department of Public Healths show there is no an circumstantial analyses to factors cause of related to adverse events intensive care units ( ICU) at the hospital. It was found from the research that adverse events in intensive care unit (!CU) at 18 (eighteen) public hospitals in Indonesia that is 42,7 %. Factors like: inappropriate nurse work load poor communications, incomplete procedure Jack of equipment and conservancy of appliance, contribution in the happening of adverse events in ICU at 18 hospitals. Understanding of nurse and staff!CU to patient safety in intensive care unit ( ICU) hardly less. The cause of inappropriate nurse work load that is limited resource, breakdown of ill defined duty, ratio between officers with inappropriate patients, do work which not the authority and lack of training, High nurse work load affect stress working nurse. The cause of unfavourable communications that is still existence of gap between senior and junior nurses in communicating, lead unit don't follow morning briefing, communications which less between teams. Miscommunication also cause medication errors in ICU. Incomplete equipments and also procedure inexistence. Leader of unit and clinical supervise not yet implement the duty. From this research result suggested to the side of hospital for increasing knowledge and understanding of nurse concerning patient safety increase role of unit director, room director, treatment committee and clinical supervise, specify treatment upbringing procedure standard, usage procedure and conservancy of appliance and also communications procedure for nurse in ICU add health human resource, increase training for nurse, health information system facility through Information Technology {IT) in the form of white line as decision support system.