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All Journal Jurnal Kedokteran Brawijaya JASF (Journal of Accounting and Strategic Finance)
Asjanti, Lidia
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Workload of The Inpatient Nurses: What Are The Affecting Factors? Asjanti, Lidia
Jurnal Kedokteran Brawijaya Article in Press 2
Publisher : Fakultas Kedokteran Universitas Brawijaya

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Abstract

Tingginya beban kerja perawat dapat berdampak terhadap mutu pelayanan rumah sakit. Perawat merupakan ujung tombak pelayanan, sehingga harus mendapat perhatian dan dikelola secara profesional agar memberikan kontribusi yang positif bagi kemajuan rumah sakit. Studi ini dilakukan untuk menjelaskan faktor-faktor yang memengaruhi tingginya beban kerja perawat di Instalasi Rawat Inap Bedah dan Dalam B (IRNA BDB) RS. Baptis Batu. Metode studi kualitatif dan kuantitatif dengan pendekatan deskriptif eksploratif. Penentuan akar masalah menggunakan diagram fishbone. Faktor-faktor yang berpengaruh terhadap tingginya beban kerja perawat ruang rawat inap rumah sakit adalah jumlah perawat kurang memenuhi kebutuhan beban kerja, penempatan perawat yunior dan magang meningkatkan beban kerja perawat yang lebih senior, perawat melakukan tugas administrasi keuangan, sampling darah untuk pemeriksaan laboratorium dan dispensing sediaan steril, serta fasilitas nurse call dan kamar mandi pasien yang kurang mendukung. Kesimpulan penyebab tingginya beban kerja perawat adalah kurangnya jumlah perawat, kualitas perawat berbeda-beda, beban tugas non asuhan keperawatan serta fasilitas yang kurang mendukung.
Workload of the Inpatient Nurses: What are the Affecting Factors? Asjanti, Lidia; Irbantoro, Dolly; Rahmani R, Devita
Jurnal Kedokteran Brawijaya Vol. 31 Supplement 2 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2021.031.02.13s

Abstract

High nurse workload can impact the quality of hospital services. Nurses are the spearhead of the services, so they must obtain attention and be professionally managed to provide positive contributions to the advancement of the hospital. This study was conducted to describe the factors that influence the high workload of nurses in the Surgical and Internal Inpatient Installation (IRNA BDB) Baptis Batu Hospital. Qualitative and quantitative study methods with an explorative, descriptive approach were used. Determination of the root of the problem was using the fishbone diagram. Factors that influence the high workload of inpatient nurses are the number of nurses that do not meet the workload needs, placement of junior nurses and interns increases more workload for senior nurses, nurses carry out financial administrative tasks, blood sampling for laboratory examinations, and dispensing sterile preparations, as well as nurse call and bathroom facilities that are not supportive. In short, the causes of the high nurse workload are the lack of nurses, varied nurse qualities, non-nursing workloads, and less supportive facilities.
Redesigning Clinical Pathway of Elective Caesarean Section Using Activity-Based-Costing Reduce Exposure to Covid-19 Asjanti, Lidia; Fitriasari, Nikma; Djamhuri, Ali
JASF: Journal of Accounting and Strategic Finance Vol. 4 No. 1 (2021): JASF (Journal of Accounting and Strategic Finance) - June 2021
Publisher : Accounting Department, Faculty of Economics and Business, Universitas Pembangunan Nasional Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jasf.v4i1.145

Abstract

This research objective is to discover non-value-added activities in the elective cesarean section (CS) clinical pathway (CP) through cost analysis using the ABC method and redesign elective CS CP at W Hospital. Activity-Based-Costing (ABC) is an accounting system designed through activity management. The ABC system identifies all functions in the service process chain, calculates the activity costs, and assigns costs to cost objects, such as activity-based service products. This calculation method emphasizes the service process. The ABC method is seen as a unit cost calculation system that is suitable for hospitals. CP costing using the ABC method is a cost analysis using CP as the basis for service activities. The CP of Elective CS consists of various activities. This study used a case study approach. The eight informants were the head of finance, the head of medical services and support, one ob-gyn specialist, one anesthetist specialist, one outpatient installation nurse, one midwife, one inpatient installation midwife, and onenutritionist. COVID-19 changed the procedures and influenced the activities of CS CP. The analyses were conducted using the ABC method and data triangulation. Non-value-added activities found were clinical assessment in the emergency room (ER), laboratory activities, and organic waste treatment. Non-value-added found in clinical assessment in the ER, laboratoryexaminations, and organic waste treatment. CP CS redesign consists of activities of admission, pre-operation, and post-operation, surgery, pharmacy, nutrition, medical records, laundry, billing, logistics, and management administration. The researchers suggest that W Hospital should redesign elective CS CP activities to eliminate non-value-added activities.
Co-Authors Ali Djamhuri Dolly Irbantoro, Dolly Fitriasari, Nikma Rahmani R, Devita