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All Journal Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Nursing and Health Sciences Journal (NHSJ)
Yennike Tri Herawati
Fakultas Kesehatan Masyarakat, Universitas Jember, Indonesia
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Implementation Of Universal Precaution Policy On Class I Nurses In Hospital X Ika Rachmawati; Yennike Tri Herawati; Reni Reni Indrayani; Dodi Wijaya
Nursing and Health Sciences Journal (NHSJ) Vol. 2 No. 4 (2022): December 2022
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhs.v2i4.206

Abstract

Universal precaution is a strategy to protect health care workers to prevent the transmission of infectious diseases in all health facilities. The latest data on HAIs at Hospital X shows that the highest number of HAIs occurs in class I inpatient rooms at 3.8%. This study aims to describe the implementation of the universal precaution policy on class I inpatient nurses at Hospital X. Informants consisted of nurses from Hospital X including IPCN, class I inpatient nurses, IPCLN ICU rooms, and room leader of class I inpatient rooms. The result of this study is that all informants have understood the purpose of the universal precaution policy at Hospital X, but cannot mention the full policy objectives. Human resources, funds, and facilities at Hospital X have fulfilled the need for implementing universal precaution policies. Communication between implementing parties is good, but there are no sanctions and rewards. The available competencies are sufficient. Supervision in the implementation of this policy is carried out by the KPPI (Infection Prevention and Control Committee) and tiered supervision that has been running well. Class I inpatient nurse at Hospital X has good cognition on universal precaution points. KPPI Hospital X needs to conduct upgrading to refresh the cognition of officers regarding the universal precaution policy. It is necessary to have a separate budget post for KPPI, as well as periodic awards for employees of Hospital X.
Ketersediaan Dokter Terhadap Kinerja Pelayanan Kesehatan Primer Berdasarkan Indikator Kapitasi Berbasis Kinerja Yennike Tri Herawati; Nida Ardelia Rosyda; Ervina Handayani
Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Vol 12, No 1 (2026): JMK Yayasan RS.Dr.Soetomo, April 2026
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29241/jmk.v12i1.2550

Abstract

Ketersediaan dokter merupakan determinan penting dalam kinerja pelayanan kesehatan primer, terutama dalam skema Kapitasi Berbasis Kinerja (PBC) pada sistem Jaminan Kesehatan Nasional di Indonesia. Penelitian ini bertujuan menganalisis ketersediaan dokter dan hubungannya dengan indikator kinerja PBC pada 50 Puskesmas di Kabupaten Jember tahun 2024. Penelitian menggunakan desain kuantitatif cross-sectional dengan data sekunder kinerja dan kepegawaian. Rasio dokter terhadap peserta kapitasi dianalisis bersama tiga indikator PBC, yaitu angka kontak, rasio rujukan non-spesialistik (RRNS), dan rasio peserta penyakit kronis terkendali (RPPT). Analisis menggunakan uji korelasi Spearman. Hasil menunjukkan seluruh Puskesmas memiliki rasio dokter melebihi standar optimal (1:5.000), mengindikasikan kekurangan tenaga dokter. Namun, sebagian besar Puskesmas mencapai kategori aman pada indikator kinerja. Tidak ditemukan hubungan signifikan antara ketersediaan dokter dengan angka kontak, RRNS, maupun RPPT. Temuan ini menunjukkan ketersediaan dokter tidak berpengaruh langsung terhadap kinerja jangka pendek, namun tetap penting bagi keberlanjutan mutu pelayanan.
Co-Authors Dodi Wijaya Ervina Handayani Ika Rachmawati Nida Ardelia Rosyda Reni Reni Indrayani