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All Journal JURNAL PENELITIAN PERAWAT PROFESIONAL Journal of Rural Community Nursing Practice Journal of Rural Community Nursing Practice
Safi'i, Akhmad
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Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Clinical Pathway dan Dampaknya terhadap Lama Rawat Inap (Los) dan Efektivitas Biaya di Rumah Sakit: Tinjauan Literatur Asmara, Ananda Arantika Widi; Safi'i, Akhmad; Sutedja, Ade Armada; Zakaria, Achmad
Jurnal Penelitian Perawat Profesional Vol 7 No 3 (2025): Juni 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i3.6735

Abstract

Clinical pathway merupakan panduan tertulis berbasis bukti yang mengintegrasikan pelayanan pasien secara multidisipliner untuk diagnosis tertentu dalam jangka waktu yang ditetapkan. Tujuan dari tinjauan literatur ini adalah untuk menganalisis efektivitas implementasi clinical pathway dalam menurunkan length of stay (AVLOS) dan meningkatkan efektivitas biaya. Penelitian ini merupakan studi Literatur Review. Kata kunci yang digunakan adalah “Clinical Pathway” AND “Length of Stay (ALOS)” AND “Efektivitas Biaya” AND “Rumah Sakit”. penelusuran artikel diperoleh dari database PubMed dan Google Scholar, diterbitkan antara tahun 2014 hingga 2025, berbahasa Indonesia atau Inggris, tersedia dalam bentuk full text, dilakukan di rumah sakit, dan membahas pengaruh clinical pathway terhadap LOS dan efektivitas biaya. Dari 128 artikel yang diidentifkasi, sebanyak 11 artikel terpilih dan dianalisis menggunakan diagram alur PRISMA. Hasil tinjauan menunjukkan bahwa seluruh artikel melaporkan penurunan LOS setelah implementasi clinical pathway. Selain itu, sebanyak 9 dari 11 artikel menunjukkan penurunan biaya perawatan melalui efisiensi lama hari rawat inap. Penerapan clinical pathway yang konsisten, berbasis bukti, dan melibatkan kolaborasi lintas disiplin merupakan strategi penting dalam optimalisasi mutu layanan rumah sakit dan efisiensi sistem kesehatan.
Relationship Between Nurses' Workload and Surgical Safety Checklist Implementation at Nahdlatul Ulama Islamic Hospital Demak Munir, Abdul; Rajin, M; Safi'i, Akhmad; Azizah, Ninik
Journal of Rural Community Nursing Practice Vol. 3 No. 2 (2025): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i2.590

Abstract

The Surgical Safety Checklist (SSC) is an essential tool for enhancing patient safety in the operating room; however, its implementation can be influenced by nurses’ workload, particularly in the Central Surgical Installation (IBS) at Nahdlatul Ulama Islamic Hospital (RSI NU) Demak. This study employed a quantitative cross-sectional design involving 15 nurses, with data collected through a workload questionnaire and SSC implementation observations, followed by univariate and bivariate analysis using Spearman’s correlation. Results showed that the majority of nurses experienced a light workload (67%), with a smaller proportion in the moderate category and very few in the heavy category, possibly influenced by long work experience (>20 years) causing some nurses to perceive routine tasks as light. Most SSC implementations were classified as good (60%), with a smaller number rated as fairly good, and very few rated as poor. Bivariate analysis indicated a significant positive correlation between nurses’ workload and SSC implementation (rs = 0.549, p = 0.034). These findings suggest that even among nurses with higher workloads, SSC implementation remains good, likely influenced by extensive work experience, professional motivation, and a strong safety culture in the IBS. Nurses with lower SSC performance may benefit from targeted refresher training or additional supervision to ensure the quality and safety of surgical care is maintained.
Relationship Between Nurses' Workload and Surgical Safety Checklist Implementation at Nahdlatul Ulama Islamic Hospital Demak Munir, Abdul; Rajin, M; Safi'i, Akhmad; Azizah, Ninik
Journal of Rural Community Nursing Practice Vol. 3 No. 2 (2025): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i2.590

Abstract

The Surgical Safety Checklist (SSC) is an essential tool for enhancing patient safety in the operating room; however, its implementation can be influenced by nurses’ workload, particularly in the Central Surgical Installation (IBS) at Nahdlatul Ulama Islamic Hospital (RSI NU) Demak. This study employed a quantitative cross-sectional design involving 15 nurses, with data collected through a workload questionnaire and SSC implementation observations, followed by univariate and bivariate analysis using Spearman’s correlation. Results showed that the majority of nurses experienced a light workload (67%), with a smaller proportion in the moderate category and very few in the heavy category, possibly influenced by long work experience (>20 years) causing some nurses to perceive routine tasks as light. Most SSC implementations were classified as good (60%), with a smaller number rated as fairly good, and very few rated as poor. Bivariate analysis indicated a significant positive correlation between nurses’ workload and SSC implementation (rs = 0.549, p = 0.034). These findings suggest that even among nurses with higher workloads, SSC implementation remains good, likely influenced by extensive work experience, professional motivation, and a strong safety culture in the IBS. Nurses with lower SSC performance may benefit from targeted refresher training or additional supervision to ensure the quality and safety of surgical care is maintained.
Co-Authors Abdul Munir Achmad Zakaria Asmara, Ananda Arantika Widi Rajin, M Sutedja, Ade Armada