Abstrak: Ketidaksesuaian jumlah kesediaan perawat dengan perhitungan kebutuhan perawat merupakan suatu masalah yang perlu dikaji. Salah satunya dengan mengetahui beban kerja sebenarnya sebagai usaha peningkatan mutu pelayanan keperawatan di rumah sakit. Beban kerja yang tidak sesuai kemampuan perawat akan menyebabkan kelelahan, stress kerja hingga ketidakpuasan pasien yang dirawat. Penelitian ini menganalisa kebutuhan tenaga perawat pelaksana di Ruang Rawat Inap Teratai berdasarkan beban kerja menggunakan time and motion study yang kemudian diolah berdasarkan metode WISN dan metode Ilyas. Penelitian secara observasional dilaksanakan selama 7 hari kepada 7 orang perawat pelaksana untuk mengetahui beban kerja perawat. Hasil penelitian memperoleh waktu produktif perawat 91% dari seluruh waktu kegiatan perawat. Beban kerja pada shif sore memiliki nilai lebih tinggi dibandingkan shif pagi. Peneliti menyimpulkan beban kerja perawat di ruang rawat inap Teratai termasuk kategori berat dan memerlukan penambahan tenaga perawat. Pengalihan beberapa kegiatan keperawatan kepada professional lain sesuai tugas dan jabatannya dapat mengurangi beban kerja perawat. Diharapkan penelitian ini dapat menjadi pertimbangan dalam menentukan metode perhitungan kebutuhan perawat di Instalasi Rawat Inap Rumah Sakit Badan Pengusahaan Batam.

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The discrepancy between the number of nurses' willingness and the calculation of nurse needs is a problem that needs to be studied. One of them is knowing the actual workload as an effort to improve the quality of nursing services in hospitals. Workloads that are not in accordance with the ability of nurses will cause fatigue, work stress and dissatisfaction of patients who being treated. This study analyzes the need for practical nurses in the Teratai Ward based on workload using time and motion studies which are then processed based on the WISN method and the Ilyas method. Observational research was carried out for 7 days to 7 nurses to determine the workload of nurses. The results of the study obtained that the productive time of nurses was 91% of the entire time of nurses' activities. The workload on the afternoon shift has a higher value than the morning shift. The researcher concludes that the workload of nurses in the Teratai ward is in the heavy category and requires additional nursing staff. Transfered of some nursing activities to other professionals according to their duties and positions can reduce the workload of nurses. Hoppely that this research can be a consideration indetermining the method of calculating the needs of nurses in the Inpatient Installation, Hospital of Badan Pengusahaan Batam

Abstrak: Sebesar 60% karyawan Krakatau Medika Hospital adalah perawat. Fokus utamanya adalah pelayanan perawatan kelas menengah atas, sehingga penelitian dilakukan di Ruang Flamboyan. Adanya keluhan perawat pelaksana mengenai beban kerja dan merasa kekurangan tenaga, diperlukan analisis kebutuhan tenaga berdasarkan beban kerja nyata dengan menggunakan metode Workload Indicator Staff Need (WISN). Hasil perhitungan didapatkan masih kekurangan 3 orang. Namun, perawat juga melakukan beberapa tugas pramuwaluya. Jika RS mengeluarkan tugas tersebut, maka kekurangan 1 perawat pelaksana dengan menambah 2 pramuwaluya. Dengan demikian, diharapkan perubahan uraian tugas, menambah tenaga, melibatkan kepala ruangan dalam perencanaan kebutuhan tenaga tahunan, dan menggunakan WISN di unit lain.

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Total nurses in Krakatau Medika Hospital are 60%. The main focus is on care services for upper-middle class, so the study was conducted in Flamboyan Room. One of human resources planning method based on workload is Workload Indicator Staff Need (WISN). Based on calculation, there is under staffing 3 people. There are some tasks of pramuwaluya done by nurses. If hospital put out these tasks, 1 practical nurse and 2 pramuwaluya are needed. Thus, researcher suggested to changing job description, addition staff, involve head room in planning the need of human resources annual, and using WISN method in other units.

Abstrak:

ABSTRAK Nama : M. Zaid Alherisyah Program Studi  : Magister Ilmu Kesehatan Masyarakat Judul : Sistem Informasi Pemenuhan Kebutuhan Perawat ICU berdasarkan Analisis Beban Kerja dan Kualifikasi Standar Minimal di RS PMC Pekanbaru Penelitian ini bertujuan mengembangkan sistem informasi pemenuhkebutuhan tenaga perawat ICU berdasarkan analisis beban kerja yang sesurekomendasi Kementerian Kesehatan, dan berdasarkan kualifikasi standminimal perawat ICU. Metode pengembangan sistem yang digunakan adalaSDLC (System Development Life Cycle) yang berbasis prototypinPengembangan sistem dimulai dari tahap perencanaan dengan analisis kelayakaanalisis sistem informasi, desain interface dan perancangan database, serimplementasi yang dibatasi sampai pada uji coba prototipe sistem informasi yanmenghasilkan informasi hasil analisis ABK, analisis pemenuhan kualifikastandar minimal perawat ICU dan perawat pelamar. Dari hasil simulasi prototipsistem informasi ini membantu memudahkan pengguna untuk mendapatkinformasi kebutuhan jumlah tenaga berdasarkan beban kerja ril berdasarkan ABdan informasi pemenuhan kualifikasi standar minimal perawat ICU.  Untuimplementasi yang berkelanjutan diperlukan peningkatan kemampuan dapengguna dan dukungan manajemen seperti adanya aspek legal dan ketersediainsfratruktur. Kata kunci: Sistem Informasi, SDLC, Analisis Beban Kerja, Perawat ICU.

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ABSTRACT Name : M. Zaid Alherisyah Study Program : Master of Public Health Title : Information System for Fulfillment of Nursing Needs of ICU Nurses based on Workload Analysis and Qualification of Minimum Standards at PMC Hospital Pekanbaru This study aims to develop an information system for the fulfillment of ICU nurses based on workload analysis according to recommendation of the Ministry of Health, and based on the minimum standard qualifications of ICU nurses. System development method used is SDLC (System Development Life Cycle) based on prototyping. The development of the system starts from the planning phase with feasibility analysis, information system analysis phase, interface design and database design, and implementation is limited to the prototype test of information system that produces workload analysi information, the analysis of fulfillment with minimum qualification of ICU nurses and applicant nurses. From the simulation it showed that this information system help the users to obtain information needs of the number of personnel based on the real workload based and information on the fulfillment of minimum qualifications of ICU nurses. For the implementation it will need user capabilities and  management support as legal aspects and infrastructures. Key words: Information system, SDLC, workload, ICU nurses.

Abstrak: Perawat gawat darurat bekerja memberikan perawatan kepada pasien yang membutuhkan perawatan segera secara cepat dan tepat, jumlah yang tidak dapat diprediksi, tingkat keparahan yang berbeda-beda, dan ditambah dengan kondisi kurangnya tenaga perawat dapat meningkatkan beban kerja perawat di Instalasi Gawat Darurat. Beban kerja perawat yang berat memiliki efek negatif terhadap perawat itu sendiri dan dampaknya berpotensi untuk bervariasi. Tujuan dari penelitian ini untuk mengidentifikasi dampak yang dialami oleh perawat berkaitan dengan beban kerja perawat di Instalasi Gawat Darurat. Penelitian ini menggunakan metode scoping review yang disajikan secara naratif, kualitatif. Pendekatan evidence synthesis output dilakukan dalam memastikan kebutuhan informasi dapat terpenuhi, sesuai konteks, dan sistematis. Hasil penelitian mengidentifikasi dampak stres kerja, burnout, kelelahan, gangguan psikosomatis, kepuasan kerja yang rendah, persepsi terhadap risiko keselamatan pasien, keinginan untuk keluar dari pekerjaannya, dan risiko gangguan muskuloskeletal pada gawat darurat. Sebagian besar studi mengidentifikasi dampak stres kerja. Kesimpulan dari penelitian ini antara lain dampak pada perawat berkaitan dengan beban kerja perawat yang berat di Instalasi Gawat Darurat meliputi stres kerja, burnout, kelelahan, dan persepsi terhadap risiko keselamatan pasien. Kata Kunci: Beban Kerja Perawat, Dampak pada Perawat, Perawat gawat darurat, Instalasi Gawat Darurat. Emergency nurses work 24 hours and seven days to provide immediate and appropriate care to patients. Emergency Department (ED) is often faced with conditions where the lack number of visits is unpredictable, the severity varies, and the lack of nurses can increase the workload of nurses. The heavy nurse workload has a negative influence on the nurse itself and the impact has the potential to vary. The purpose of this study is to identify the impact experienced by nurses related to the workload of nurses in the Emergency Department. This study uses a scoping review method that is presented in a narrative, qualitative manner. The evidence synthesis output approach is carried out in ensuring information needs can be fulfilled, contextually, and systematically. The results of the study identify the impacts on nurses namely work stress, burnout, fatigue, psychosomatic disorders, low job satisfaction, desire to leave work, perceptions of patient safety risks, and the risk of musculoskeletal disorders related to nurses' heavy workload. Job stress is found to be the impact that is most identified in this study. The conclusions from this study include the effects of job stress, burnout, fatigue, and perceptions of patient safety risks associated with heavy nurses' workloads. Keywords: Workload, Nurse Outcomes, Emergency Nurse, Emergency Department.

Abstrak: Sejak operasionalnya sampai akhir tahun 2016, IGD RSUD Pasar Minggu mengalami peningkatan jumlah kunjungan pasien yang cukup signifikan, yaitu sebesar 5,3 kali lebih besar. Dari data kunjungan didapatkan bahwa perbandingan pasien dan perawat belum ideal, sehingga adanya keluhan beban kerja tinggi dan kurangnya jumlah perawat. Penelitian ini bertujuan untuk menghitung beban kerja perawat di Instalasi Gawat Darurat (IGD) RSUD Pasar Minggu Jakarta dengan menggunakan time motion study yang kemudian dilakukan perhitungan kebutuhan jumlah perawat IGD dengan menggunakan metode Work Indicator Staffing Need (WISN). Dengan menggunakan metode penelitian kualitatif dengan pendekatan observasi terhadap perawat mahir didapatkan kebutuhan perawat yaitu 31 orang. Kata kunci: Beban kerja perawat, time motion study, WISN, perhitungan kebutuhan perawat Since its operation until the end of 2016, Pasar Minggu Hospital has experienced a significant increase in the number of patient visits, which is 5.3 times greater. From the data, it was found that the comparison of patients and nurses was not ideal, so there were high workload complaints and lack of nurses. This study aims to calculate the workload of nurses at the Emergency Department (IGD) of Pasar Minggu Hospital by using time motion study which then calculated the need for the number of nurses using Work Indicator Staffing Need (WISN) method. By using qualitative research method with observation approach to the advanced nurse, the result of nurse needs are 31 people. Key word: Nursing workload, time motion study, WISN, nursing demand

Abstrak: Salah satu komponen penting dalam menghitung kebutuhan tenaga adalah beban kerja. Metode Workload Indicators of Stafing Need (WISN) merupakan metode yang menghitung kebutuhan tenaga berdasarkan beban kerja yang sesungguhnya. Penelitian ini bertujuan untuk mengetahui besar beban kerja dengan teknik Time and motion study, kemudian digunakan untuk menghitung kebutuhan tenaga. Penelitian dilakukan di unit rawat inap RSUD Cilincing pada bulan April sampai dengan Mei 2017. Penelitian ini merupakan penelitian kualitatif dengan melakukan observasi, wawancara mendalam dan telaah dokumen. Hasil penelitian diperoleh waktu kerja perawat untuk kegiatan produktif sebesar 68.25%. Belum membutuhkan tenaga baru karena dibawah 80% waktu kegiatan produktifnya. Hasil perhitungan tenaga dengan metode WISN didapatkan jumlah tenaga perawat adalah 22 orang, kelebihan sebanyak 1 orang. Dengan rasio WISN 1.04 menunjukkan jumlah perawat saat ini lebih besar daripada yang dibutuhkan. Dengan formula Ilyas didapatkan kebutuhan tenaga sebesar 22 orang. Diharapkan penelitian ini dapat menjadi dasar metode perhitungan kebutuhan perawat di unit rawat inap RSUD. Kata kunci: Perencanaan kebutuhan perawat, beban kerja perawat, time and motion study, WISN, formula Ilyas One important component in calculating power requirements is the workload. Workload Indicators of Stafing Need (WISN) method is a method that calculates the need for personnel based on actual workload. This study aims to find out the workload with Time and Motion study technique, then used to calculate the power requirement. The study was conducted at RSUD Cilincing in April to May 2017. This research is a qualitative research with observation, in-depth interview and document review. The result of this research is nurse work time for productive activity equal to 68.25%. Do not need new workforce because under 80% time productive activities. The result of power calculation by WISN method got the number of nurses is 22 people, excess of 1 people. The WISN 1.04 ratio indicates the current number of nurses is greater than required. With the formula Ilyas obtained power needs of 22 people. It is expected that this research can be the basis of the method of calculating the needs of nurses in the inpatient unit of RSUD. Keywords: Nurse staffing need, workload of nurses, time and motion study, WISN, Ilyas formula

Abstrak: Tahun 2014 terjadi transformasi Puskesmas Kecamatan Ciracas menjadi RSU Kelas D Ciracas. Belum ada standar perhitungan kebutuhan perawat sesuai dengan analisis beban kerja. Tujuan penelitian adalah diperolehnya usulan perencanaan kebutuhan perawat. Penelitian dilakukan pada bulan November 2016. Metode penelitian adalah kuantitatif yaitu perhitungan beban kerja dengan work sampling, nursing time serta metode Ilyas, dan kualitatif dengan wawancara mendalam dan telaah dokumen. Perencanaan kebutuhan perawat menggunakan metode Workload Indicators of Staffing Need (WISN) dan Formula Ilyas. Terdapat perbedaan perhitungan kebutuhan perawat dengan WISN dan Formula Ilyas. Diharapkan penelitian ini dapat menjadi dasar metode perhitungan kebutuhan tenaga perawat di RSU Kelas D.
Kata kunci : Analisis beban kerja perawat, Formula Ilyas, metode Ilyas, perencanaan kebutuhan perawat, RSU Kelas D, work sampling, WISN In 2014

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Puskesmas Kecamatan Ciracas transformed into RSU Kelas D ciracas. There was no standard in nurse staffing needs based on workload analysis. The aim of this research is to propose the nurse staffing needs. The study was conducted in November 2016. Using quantitative method, workload was calculated using work sampling, nursing time and Ilyas method. Indepth interviews and document review were conducted in qualitative approach. Nurse staffing needs were determined using WISN and Ilyas formula. There were differences observed in the needs between WISN and Ilyas formula. This research should serve as the basis in calculating nurse staffing needs in RSU kelas D.
Keywords : Ilyas Formula, Ilyas method, nurse staffing need, workload analysis RSU Class D, work sampling, WISN.