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The Impact of SIMCAR LASTRI Development on Team Communication in the Implementation of the Nursing Career Ladder at RSUD Tanjungpinang Asmeriyanty, Asmeriyanty; Arif, Yulastri; Putri, Zifriyanti Minanda; Dorisnita
Frontiers on Healthcare Research Vol. 2 No. 1 (2025)
Publisher : Rumah Sakit Umum Pusat (RSUP) Dr. M. Djamil

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63918/fhr.v2.n1.p77-83.2025

Abstract

Background: The implementation of a career ladder system in hospitals is crucial for the professional development of nurses. However, communication barriers within nursing teams often hinder the effectiveness of this system. SIMCAR LASTRI was developed to enhance communication within nursing teams, ensuring a more structured and efficient career progression process. This study aims to analyze the impact of SIMCAR LASTRI on team communication in the implementation of the nursing career ladder at RSUD Tanjungpinang. Methods: This study employed a quantitative analytical approach with a quasi-experimental design, involving 76 nursing practitioners at RSUD Tanjungpinang. Data were collected using structured questionnaires and analyzed using the Wilcoxon signed-rank test to assess the impact of SIMCAR LASTRI on team communication in career ladder implementation. Results: The univariate analysis revealed that the majority of respondents were female (92.1%), aged 26-35 years (73.7%), with a vocational education background (84.2%) and 7-15 years of work experience (54%). Before the implementation of SIMCAR LASTRI, 43.4% of nurses were at the Pre-PK level, and 61.84% of respondents perceived career ladder implementation as suboptimal, with major obstacles in the credentialing process (50%), competency assessment (36.84%), and issuance of Clinical Assignment Letters (SPK) and Clinical Authority Details (RKK) (34.21%). The analysis showed that before SIMCAR LASTRI implementation, the mean team communication score was 34.09 (median 34.00, range 30-37), which significantly increased to 41.88 (median 42.00, range 39-42) after implementation. Bivariate analysis confirmed a statistically significant positive impact of SIMCAR LASTRI on team communication, with a p-value of 0.000, indicating that its implementation facilitated better coordination, improved information flow, and enhanced clarity in career progression for nurses. Conclusion: These findings suggest that SIMCAR LASTRI plays a crucial role in improving communication within nursing teams, thereby optimizing the implementation of the career ladder system in hospitals. Further research is recommended to explore its long-term effects on job satisfaction, professional development, and healthcare service quality.
Analyzing Andalas University Hospital’s Disaster Management Capacity Using the Hospital Safety Index Arif, Yulastri; Pertiwi, Lia; Dorisnita, Dorisnita
Jurnal Kesehatan - STIKes Prima Nusantara Vol 14 No 1 (2023): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v14i1.929

Abstract

Background: Indonesia, especially West Sumatra Province, is a disaster-prone area. Thus, assessing the preparedness of institutions, especially hospitals as health service facilities in disaster management, is important to do, including the Andalas University Hospital as one of the educational hospitals prepared for disaster management. One of the measuring tools used to analyze hospital preparedness in disaster management is the Hospital Safety Index (HSI). Through HSI, it can be assessed the preparedness of hospitals in disaster management in terms of the functional capacity of disaster emergency management. HIS also looks at how far the hospital can operate in a disaster emergency.Purpose: The purpose of this study was to analyze the Functional Capacity Preparedness of Andalas University Hospital in Disaster Management Based on the Hospital Safety Index.Method: This research is a quantitative research with an evaluative descriptive approach. The research population was all staff and management of Andalas University Hospital who were involved in the disaster management process at the hospital, totaling 379 people and a sample of 15 people were selected by purposive sampling technique. The instrument in the study used the Hospital Safety Index checklist module 4 regarding preparedness of the functional capacity of the hospital and interview guidelines. Hospital preparedness analysis using the Hospital Safety Index Calculator on the Excell tabulation.Result: The results showed that the functional capacity preparedness index for disaster emergency management at Andalas University Hospital was 0.69. This shows that the classification of Andalas University Hospital is in status A with a high level of preparedness (index range 0.66-1). Hospital constraints in improving disaster preparedness in terms of functional capacity are limited budget funds, limited human resources, the location of the hospital is quite far and the focus of hospital management on disaster preparedness has not been. Hospitals have taken various strategies to overcome the obstacles experienced in order to optimize the functions of hospitals in disaster preparedness.