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Penelitian dilaksanakan di Instalasi Kamar Bedah RS Husada tanggal 11- 17 Desember 2012. Penelitian yang dilakukan merupakan penelitian deskriptif kuantitatif-kualitataif, analisa data kuantitatif dengan menggunakan metode Time and motion study, dimana aktifitas perawat bedah diteliti pada kegiatan perioperatif, serta kegiatan diluar operasi. Kemudian dengan menggunakan metode Formula Unit Ruang Bedah dihitung jumlah kebutuhan perawat bedah berdasarkan beban kerja. Penelititan kuatitatif dengan wawancara mendalam mengenai kompetensi yaitu pengetahuan, ketrampilan, dan sikap perawat bedah, kepada 3 responden yaitu Kepala Bagian Bedah, Kepala Perawat, dan perawat bedah di Instalasi Kamar Bedah untuk mengetahui jumlah kebutuhan berdasarkan kompetensi perawat bedah.
Research was conducted at the Hospital Surgery Room Installation Husada on 11 to 17 December 2012. Research conducted a quantitative-qualitative descriptive research, quantitative data analysis using the Time and motion study, which investigated the activities of a surgical nurse perioperative events and activities outside of surgery. Then using the Formula Unit Ruang Bedah calculated amount need based surgical nurse workload. Qualitative research in-depth interviews about the competence of the knowledge, skills, and attitudes of surgical nurses, to the third respondent, Head of Department of Surgery, Head Nurse Installation, and surgical nurse at Surgical Room Installation.
ABSTRAK Nama : Weny Rinawati Program Studi : Kajian Administrasi Rumah Sakit Judul : Analisis biaya perawatan stroke berdasarkan Clinical Pathway di Rumah Sakit Pusat Otak Nasional Jakarta dalam pelayanan pasien Jaminan Kesehatan Nasional Latar belakang. Masalah yang sering dihadapi pada pelayanan pasien Jaminan Kesehatan Nasional adalah kesenjangan biaya perawatan pasien stroke dengan tarif INA-CBGs. Hal ini terkait dengan biaya perawatan dan Clinical Pathway. Tujuan. Mengetahui biaya perawatan pasien stroke di Rumah Sakit Pusat Otak Nasional. Metoda. Penelitian kuantitatif deskriptif mengikutsertakan 277 subjek penyakit stroke yang diperoleh di Rumah Sakit Pusat Otak Nasional Jakarta selama Januari – Juni 2015. Biaya perawatan stroke dihitung berdasarkan biaya satuan (unit cost) dengan menggunakan metode activity based costing dan Clinical Pathway. Hasil. Biaya satuan perawatan stroke iskemik dan stroke hemoragik berdasarkan Clinical Pathway, dengan memperhitungkan biaya investasi dan biaya gaji, tanpa memperhitungkan jasa medis berturut-turut adalah Rp 311,860,860.83 dan Rp 585,083,610.01; dengan memperhitungkan biaya investasi, biaya gaji, dan jasa medis berdasarkan tarif rumah sakit adalah Rp 321,682,940.73 dan Rp598,929,450.01; dengan memperhitungkan biaya investasi, biaya gaji, dan jasa medis berdasarkan tarif IDI adalah Rp 318,360,860.73 dan Rp 594,333,610.01; tanpa memperhitungkan biaya investasi, biaya gaji, dan jasa medis adalah Rp30,361,681.00 dan Rp25,698,199.46; tanpa memperhitungkan biaya investasi dan biaya gaji, tetapi memperhitungkan jasa medis berdasarkan tarif rumah sakit adalah Rp 40,183,761.00 dan Rp 39,544,199.46; tanpa memperhitungkan biaya investasi dan biaya gaji, tetapi memperhitungkan jasa medis berdasarkan IDI adalah Rp 36,861,681.00 dan Rp 34,948,199.46. Simpulan: Dijumpai selisih biaya perawatan berdasarkan biaya satuan dan Clinical Pathway, baik yang memperhitungkan biaya investasi, gaji, dan jasa medis, maupun tanpa memperhitungkan biaya investasi, gaji, dan jasa medis, dengan tarif layanan existing dan tarif INA-CBGs Kata kunci : biaya, Clinical Pathway, INA-CBGs, stroke
ABSTRACT Name : Weny Rinawati Study Program : Hospital Administration Title : Cost of stroke treatment based on Clinical Pathway in National Brain Center Hospital, Jakarta Background. Problem often encountered in patient care National Health Insurance is the gap between the cost of stroke treatment with INA-CBGs tariff. This is related to the cost of treatment and the Clinical Pathway. Aim. Knowing the cost of stroke treatment in the National Brain Center Hospital Jakarta. Methods. Descriptive quantitative study involving 277 subjects stroke obtained at the National Brain Center Hospital Jakarta during January - June 2015. The cost of stroke treatment are calculated based on the unit cost using activity-based costing method and Clinical Pathway. Results. The unit cost of ischemic stroke and hemorrhagic stroke treatment by Clinical Pathway, taking into account investment costs and salary costs, regardless of medical services is IDR 311,860,860.83 and IDR 585,083,610.01; taking into account investment cost, salary cost, and medical services tariff based hospital is IDR 321,682,940.73 and IDR 598,929,450.01; taking into account investment cost, salary cost, and medical services tariff based IDI is IDR 318,360,860.73 and IDR 594,333,610.01; without taking into account investment cost, salary cost, and medical services are IDR 30,361,681.00 and IDR 25,698,199.46; without taking into account the investment cost and salary cost, but taking into account medical services tariff based hospital is IDR 40,183,761.00 and IDR 39,544,199.46; without taking into account the investment cost and salary cost, but taking into account medical services tariff based IDI is IDR 36,861,681.00 and IDR 34,948,199.46. Conclusion. Found difference in the cost of stroke treatment is based on unit cost and Clinical Pathway, both of which take into account the investment, salaries, and medical services cost, and without taking into account investment, salaries, and medical services cost, with existing services and tariff rates INA-CBGs Keywords: Clinical Pathway, cost, INA-CBGs, stroke
The increasing number of patients visit in the Emergency Unit of Bali RoyalHospital is not followed by a change in the number of nurses. The purpose of thisstudy was to determine the workload of nurses and nurses needs in the EmergencyUnit of Bali Royal Hospital. This research was a descriptive quantitative research.Observations were made by the researcher to determine the time spent by nurses inserving patients by using the Time Motion Study. The results shown the workloadfor critically emergency patients at 63.4 minutes per day (1.1 hours per day),critically non emergency patients 1,585.5 minutes per day (26.4 hours per day), and2,187 minutes per day (36.5 hours per day) for non critical-but emergency patientsand the need for nurses in the Emergency Unit of Bali Royal Hospital was 17 people.Nurses needed additional power as much as 3 people.Keywords : emergency unit, a nurse, time motion study, workload, the need fornurses
Nurses, as human resources for health also contribute greatly to the health servicesin hospitals and to provide services directly to patients. Nursing services atIntensive Care Unit has to be developed along with the technology development.Therefore, there is a need to concern the effieciency of nurses in term of quantityand competencies. This research discussed about the needs analysis nursing staffin the Intensive Care Unit of dr. Oen Solo Baru Hospital based on workload (usingtime and motion technique to 7 nurses then processed by Ilyas Methods) and workcompetencies based on Aditama 2007 and Ilyas (depth interview to threeinformants with a focus on job knowledge, skills and attitudes). Results of thisresearch show that productive time amounted to 81.56%, the lack of standards andcompetencies, and it need 51 nursesKey Words :Workloads , work competency , nurses, intensive care unit
