Health Service Hospitals Research Articles

Perancangan Arsitektur Sistem Informasi Menggunakan Metode Agile Dengan Kerangka Kerja Scrum Pada Pelayanan Instalasi Gizi RSUD. Ciamis

A hospital nutrition service is an inseparable part of other health services in hospitals, besides that nutrition service is an effort to improve the quality of health services for inpatients or outpatients in hospitals. In implementing the Scrum work frame in the architectural design of the nutrition service information system at the Regional Public Hospital Ciamis (RSUD. Ciamis) it is expected to produce products that are in accordance with the client's needs. The stages from preparation (Initialization), making a product backlog, making a sprint backlog to the execution stage of this method indicate an iterative method because it prioritizes product functions. The Scrum framework implements work functions according to its role, namely the Product Owner who is fully responsible for the products that it produces, the Development team is responsible for project work, and the Scrum master is the person who controls so that the implementation of the work does not go out of the rules of the Scrum game. The results of designing an information system with application development, this research uses the scrum framework which is carried out with 3 sprints with the estimated processing time for each sprint as follows: sprint 1 reaches 30 days, sprint 2 reaches 27 days and sprint 3 reaches 30 days. According to the rules of the scrum framework, each sprint should not exceed one month so that the project can be implemented quickly and produce the desired results

Analisis Efektivitas Program Pendidikan dan Pelatihan dalam Meningkatkan Kinerja Pegawai Rekam Medis

There is an era 4.0 where information and communication technology is maximally utilized. Medical records and registration are written evidence of the service process that contains the patient’s clinical data during the diagnosis and treatment process. Medical record management in hospitals is to support the achievement of orderly administration in order to achieve hospital goals, namely improving the quality of health services in hospitals by conducting education and training programs for employees. The purpose of this study is to measure the extent to which the success of the program, the success of the program objectives, satisfaction with the program, the level of input and output produced and the achievement of overall goals need attention from the organizers of education and training (diklat). This research is a qualitative research using primary data and secondary data. Data collection techniques in this study were through observation and interviews. The selection of informants in this study was carried out using purposive sampling method. The results of this study as what has been conveyed by the three informants can be said that the implementation of the education and training program (diklat) in xyz hospital has not been able to meet its objectives, namely to increase employee motivation, employee productivity, and organizational performance.

ANALISIS PELAYANAN BIDANG FARMASI MENGGUNAKAN INDIKATOR LAYANAN BERBASIS WHO: TINJAUAN SISTEMATIS

Pharmaceutical services in hospitals are an inseparable part of the hospital's health service system that is oriented towards patient service, the provision of quality and affordable pharmaceutical preparations, medical devices, and consumables for all levels of society including clinical pharmacy services. The purpose of this study is to systematically review the implementation of pharmaceutical services based on WHO indicators. The articles used were selected from the Google Scholar journal database published from January 2013 to December 2023. Keywords for the study included "service" or "pharmaceutical" or "pharmacy" or "indicator" or "hospital" or "WHO". A total of 476 articles were generated from the initial search, the author identified 8 articles on pharmaceutical services based on WHO indicators. Based on a systematic review, most hospitals have implemented pharmaceutical services based on WHO indicators. Based on a systematic review, the implementation of pharmaceutical services in accordance with WHO standards is the selection stage: conformity with the hospital formulary; procurement: frequency of procurement of each drug item annually and on an EOQ basis; distribution: the degree of availability of the drug; Usage: percentage of generic prescriptions, percentage of drugs delivered, percentage of drugs labeled complete and average time spent serving prescriptions.

Digital Transformation in Public Hospital Management: Improving the Patient Experience

Purpose: This article aims to investigate the impact of digital transformation on public hospital management in Peru, with a specific focus on enhancing the patient experience through the adoption of digital technologies. Objective: The primary objective is to assess the effectiveness of digital transformation strategies in improving the efficiency and accessibility of health services in public hospitals, ultimately aiming to enhance the overall patient experience. Theoretical Reference: The study is grounded in a mixed-method approach, incorporating elements of qualitative and quantitative research. It includes a comparative analysis of digital transformation strategies implemented in a representative sample of public hospitals at international, regional, and national levels. Method: The research design involves in-depth interviews with healthcare professionals and patients, as well as the analysis of secondary data from national and international health databases. The study encompasses a diverse sample of public hospitals, considering varying technological capabilities and levels of digital development. Results and Conclusion: The findings indicate that the progressive implementation of digital technologies in public hospitals in Peru has shown promise in improving the efficiency and accessibility of health services. However, challenges related to infrastructure, systems integration, and data security remain. The study underscores the need for a comprehensive and coordinated strategy for digital transformation in public hospital management. Implications of Research: The study highlights the importance of greater investment and development of digital health policies at the national level to bridge the gap in the adoption and implementation of digital technologies in hospital management. It emphasizes the significance of a collaborative approach between government, healthcare providers, and technology developers to drive digital transformation in the healthcare sector in Peru. Originality/Value: This research contributes to the understanding of the potential of digital transformation in public hospital management, particularly in developing countries like Peru. It provides insights into the challenges, opportunities, and implications of implementing digital technologies to enhance the patient experience and improve healthcare delivery in public hospitals.

Relationship between Workload and Nurses' Performance in the Implementation of Hospital Health Services in Makassar

Health care is any effort organized alone or together in an organization to maintain and improve the health of individuals, families, groups and or communities. Documentation in nursing is an important part of the action taken by nurses after performing nursing actions. The records carried out contain reports that are needed to decide on assessment, diagnosis, develop nursing plans, implement and evaluate nursing activities, which have been designed in a structured, valid and able to be accounted for both morally and legally. The purpose of the study was to determine the relationship between workload and nurse performance in the implementation of nursing care. This research is descriptive research. This research took place in the treatment room of Makasar City Hospital. The population in this study were all nurses who served in the treatment room of Makasar City Hospital and the research sample was 35 nurses using the Total Sampling Technique. Data analysis using Univariate and Bivariate analysis using statistical tests with a level of meaning α = 0.05. The statistical test used is Chi- square using the SPSS computer program version 25.0 for windows. The results of the study using the Chi-square statistical test using SPSS on the relationship between workload and the performance of the implementation of nursing care documentation in the treatment room of Makassar City Hospital obtained a p-value = 0.001 or smaller than a = 0.05, then H0 is rejected and Ha is accepted, which means that there is a relationship between workload and the implementation of nursing care documentation.

The response of regional general hospitals in Indonesia to COVID-19

PurposeThis study aims to determine the influence of the role of hospital leaders, the COVID-19 budget and health service facilities at regional general hospitals (RSUDs) to Indonesia on hospital responses in overcoming the COVID-19 pandemic, moderated by hospital class level.Design/methodology/approachThis research was designed as quantitative research using partial least square-structural equation modeling (PLS-SEM) to test hypotheses.FindingsUsing a sample of 185 RSUDs, it was found that the role of hospital leaders, the COVID-19 budget and health service facilities in RSUDs had a positive and significant effect on the hospital's response to the COVID-19 pandemic. The findings show that the role of hospital leaders, in this case, the RSUD director, is essential in improving health services during the COVID-19 pandemic. The COVID-19 budget and health service facilities at RSUD can run effectively during the COVID-19 pandemic if the RSUD director issues appropriate policies during the COVID-19 pandemic crisis.Originality/valueThis study is the first to determine the influence of hospital leaders, the health budget for COVID-19 and hospital health service facilities simultaneously on the hospital's response to the COVID-19 pandemic. This study also provides empirical evidence regarding the idea of stewardship theory, which suggests the role of leaders in supervising organizations to achieve organizational goals effectively in times of crisis.

Orrelation of Administrative Services and Pharmacy Services to BPJS Patient Satisfaction

Introduction: According to Director Decree No. 4 Year 2009 About the Hospital requires high support and commitment to achieve quality primary care for BPJS health patients. One that can assess the success of a hospital with good quality is to increase patient satisfaction. The purpose of this study was to determine the levelof satisfaction of BPJS patients with health services, especially in administration and pharmacy waiting time. Method: This study uses a quantitative approach, especially observational analytical design to investigate the hypotheses formulated and identify potential relationships between variables this study design uses sectional scoss with questionnaires of 103 respondents who are members of BPJS Health patients. Results: Based on satisfaction that the level of BPJS patient satisfaction in each dimension of reliability 70.4%, comprehension 71.6%, guarantee 73.6%, physical evidence 69.4% and empathy 73.8%. Conclusion: patient satisfaction in hospital health services in terms of administrative services 89.3%, BPJS patient services in terms of pharmacy 89.1% and those who stated relatively fast in waiting time 64.1%

Management of Infections in Palliative Care Patients at the End-of-Life and Active Process of Death: A Brazilian Retrospective Study.

There is a lack of specific studies on the management of infections in patients receiving palliative care (PC) in the final stages of life and during the active process of death, related to specific nursing care. There is clinical and social importance as patients in PC represent a vulnerable population, and adequate management of infections is crucial to improve quality of life and the experience of comfort. This study analyzed how infections are managed in patients undergoing PC at the end-of-life and in the active process of death in two hospital health services. This is an observational, analytical, and retrospective study. Data collection took place in two hospitals that assist individuals who are hospitalized under PC, located in Brazil, in a city in the interior of the state of São Paulo. The sample consisted of 113 medical records, in which the oncological diagnosis was the most prevalent. There was a predominance of infection diagnoses based on the patient's clinical symptoms, the main focus being the pulmonary, in individuals at the end-of-life. The management of infection in the study sample occurred through care and procedures that generate physical discomfort, however aiming at relieving symptoms. Such findings must be documented, as they invite us to reflect on our practical attitudes and what it means to be comfortable for these people, making it possible to incorporate this information into the design of interventions focused on enhancing the experience of comfort.

A holistic approach to geriatric telemedicine: developing and implementing the Shinta workflow and communication model for senior health services in Indonesian hospitals

A holistic approach to geriatric telemedicine: developing and implementing the Shinta workflow and communication model for senior health services in Indonesian hospitals

Healthy ageing in remote Cape York: a co-designed Integrated Allied Health Service Model.

Allied health services in rural and remote hospitals often work in siloed and solo discipline-specific positions. They are often part of general multi-disciplinary teams without a clearly articulated service model that integrates care for individuals and addresses broader community health needs. Integrated care service models for clients with complex disabilities or chronic health needs have demonstrated improved outcomes, but feasible service models are rarely described in the context of rural, remote and Aboriginal and Torres Strait Islander communities. Integration can support primary health care in remote communities where resources are thin, and the breadth of multidisciplinary service providers is not available. A remote health service, in collaboration with a University Department of Rural Health and community partners, developed a community rehabilitation and lifestyle service for adults who experience chronic disease, disability or were at risk of functional decline due to frailty. Using an integrated approach, this model of care improves access to specialist and primary healthcare services, delivers targeted group-based rehabilitation and preventative activities, and addresses community and workforce capacity to meet the needs of the remote community. This paper describes a remote primary health care, Integrated Allied Health Service Model, developed with a focus on the co-ordination and integration of care and resources between the health service, education and community.

ANALISIS KEBUTUHAN TENAGA KERJA BERDASARKAN BEBAN KERJA METODE WORKLOAD INDICATOR STAFFING NEED DI RSIA RUMKITBAN MALANG

Management of medical records in hospitals is to support the achievement of orderly administration in order to achieve hospital goals, namely improving the quality of health services in hospitals. One important element to support effectiveness and efficiency in managing medical records is the human resources aspect. The phenomenon that exists in an institution is not only a lack of workforce, but there can also be a buildup of staff in one installation without clear work. Therefore, it is necessary to make efforts to calculate the workforce requirements in an agency by calculating the existing workload. One of the obstacles to registration is the limited number of personnel. Based on a survey, the number of employees in the medical records installation is 25 people. Where the available working time is 281 days/year or 118,200 minutes/year. The aim of this research is to find out more clearly how to calculate workforce needs using the workload indicator staffing need (WISN) method at the medical records installation at the COVID 19 referral hospital RSIA Rumkitban 05.08.02 Malang. This type of research is a quantitative research approach with a descriptive study design. The results of research using the WISN method estimate that 2 medical records personnel in the TPPRI section are needed, and human resources are also needed to change shifts. There is a shortage of medical records personnel in the TPPRI section at RSIA Rumkitban because from the calculation results an additional 2 people are needed and currently only 2 medical records personnel are available.

Hospital Responsibilities in Medical Services Based on Law no. 17 of 2023 concerning Health and Islamic Law

The hospital as one of the health service facilities is part of the health resources that have a vital role in creating a plenary health organization. Patient Safety Goals (SKP) have become a global issue in health services in hospitals so that they require special attention in their implementation. In addition to the SKP, each hospital also has an SOP (Standard Operating Procedure) that must be fulfilled by every worker, in this case the doctors at the hospital. When all procedures have been carried out and fulfilled by workers, the work provider, in this case the hospital, is obliged to protect their workers and how it is related with islamic law as an Indonesian way of life. The purpose of this study is to find out the legal responsibility of hospitals for medical accidents that occur in their hospitals according to Law No. 17 of 2023 and Islamic Law. The results of this study are that hospitals as providers of health services are required to implement hospital governance and clinical governance so that it can avoid problems with work accidents that might occur. So that the management of doctors and other workers must be good with the ultimate goal of increasing the health standard of the Indonesian people. Its fundamental in islamic way how important is health and trustworthiness in our lives especially if it connected with other lives

Analysis of the Relationship between Tangible and Reliability with Patient Satisfaction in Level III Hospital Pharmacy Installations in Southeast Sulawesi

Backgrounds: Hospital Pharmaceutical Services are an inseparable part of the Hospital health service system which is oriented towards patient service, providing quality and affordable Pharmaceutical Preparations, Medical Devices and Consumable Medical Materials for all levels of society, including clinical pharmacy services. The results of the survey conducted in June 2021, the average tangible value was (6.70%), while the reliability value was (46.83%). The aim of this research is to analyze the relationship between Tangible and Reliability and Patient Satisfaction in Level III Hospital Pharmacy Installations in Southeast Sulawesi.
 Methods: This research is a quantitative study with a cross sectional study design. The population in this study was 314 people. The sample size was 206 people. Data was processed using the SPSS program.
 Results: Test results using the chi-square test show significance figures for five variables. Tangible variables show a value of pvalue = 0.634 > α value = 0.05 indicating there is no relationship between the service quality variable (tangible) and patient satisfaction in hospital pharmacy installations, the Reliability variable shows a significance value of Asym.sig pearson chi-square 0.004 < α value = 0.05 indicates there is a relationship between the service quality variable (Reliability) and patient satisfaction in the hospital pharmacy installation.
 Conclusion: It is necessary to improve the quality of service in order to maintain a satisfactory level of service, where the Hospital should continue to maintain conditions such as Tangible and Reliability dimensions.

Antecedents Service Quality at Mother and Child Hospital in Purwakarta

Health-supporting equipment and infrastructure affect how well medical services are delivered in hospitals. Other resources cannot replace human resources in an organization. This shows that the success of a hospital's health services depends on the quality of the health workers owned by the hospital. Research on the topic of service quality with the addition of the independent variables of work-life balance and job satisfaction in health workers with a background in the health sector is still rare in Purwakarta Mother and Child Hospital, where the existing literature has not been explained. This study was to determine the effect of work-life balance, job satisfaction, and work-life balance and job satisfaction on the quality of care for nurses. The sample in this study was 200 female nurses at the Purwakarta Mother and Child Hospital. The hypothesis was tested by structural equation modeling (SEM) with Lisrel 88.0 software. The result of the research is that job satisfaction has a significant effect on service quality. Work-life balance and job satisfaction have an important role in determining the improvement of the quality of nurse services at the Mother and Child Hospital in Purwakarta, West Java Province. This research study implies that hospitals can improve the work-life balance and job satisfaction experienced by nurses at the Mother and Child Hospital in Purwakarta, West Java Province, so that the quality of nurse services can continue to improve.

Analysis of the Quality of Health Services on Outpatient Satisfaction at the Outpatient Clinic of Kolodale Regional Hospital, North Morowali Regency, Indonesia

Health services have an important role in the implementation of health services in hospitals as a whole, especially nursing. Health services are considered good if the health services can create a feeling of satisfaction for each patient. Achieving a level of satisfaction with the services provided to patients, both the quality of health services and the health service system, means that patients will prefer quality health services that are quality, guaranteed, and affordable to patients, or in other words, consumers are one of the most important factors in achieving the level of satisfaction in a health service. This research aims to analyze the quality of health services on the satisfaction of outpatients at Kolonodale Hospital, North Morowali Regency. This research is a quantitative study that uses an analytical survey research method with a "cross-sectional study" design approach, sampling by accidental sampling with a sample size of 50 respondents taken from outpatients at the polyclinic. The instrument used was a test developed using a Likert scale, the data obtained was analyzed using descriptive and analytical statistical analysis, namely the chy square test with a significance level of 5 percent. The results of the research showed tangible values (p=0.000), reliability (p=0.000), responsiveness (p=0.000), assurance (p=0.000), and empathy (p=0.000) because the value ρ<α (0.05) so it can be said that there is a relationship between tangible, reliability, responsiveness, assurance and empathy on outpatient satisfaction in Kolonodale Regional Hospital, North Morowali Regency. Tangible and empathy variables have the strongest level of relationship with patient satisfaction. So it would be better for the hospital to provide a suggestion box, so that input from patients can be conveyed and can help improve the quality of the hospital in the future.

Implementasi Handover Sbar Pada Perawat di Ruang Rawat Inap Sebagai Upaya Peningkatan Kualitas Pelayanan

<em>SBAR handover for nurses is an indicator of the quality of hospital services. SBAR handover quality in nurses affects patient satisfaction, patient safety, and length of patient stay. In its implementation in the field, this method has not been widely used or has been used but has not been maximized, there needs to be focused training so that it can provide good quality SBAR handovers.This PKM aims to increase the knowledge and skills of nurses about SBAR Handover in the inpatient room one of the government hospitals in Bukittinggi city. The method used in this PKM includes dissemination of knowledge related to SBAR Communication during nurse handovers, socialization of SBAR Handover SOPs and Roleplay. The results of this PKM obtained an increase in the knowledge and skills of nurses in carrying out SBAR Handovers, as well as the creation of SOPs for implementing Nurse Handovers with SBAR Communication. From the results of monitoring and evaluating PKM activities, it is known that nurses understand and are able to practice independently implementing the SBAR Handover in each shift. It is hoped that this activity can continue to be improved by inaugurating the SOP and supervision of the head of the room so that nurses are competent in SBAR Handover as an effort to improve the quality of health services in hospitals.</em>

Peningkatan Caring Islami Pada Perawat

<em><span lang="EN">Nurses are the largest human resource in health services in hospitals, where nurses work 24 hours a day in rotation and continuously to provide comprehensive and professional nursing care and are ready to help patients at any time. In an effort to improve the quality of health services, nurses are required to provide the best service in the form of caring behavior or caring attitude towards others. Caring behavior given by nurses to clients can increase patient satisfaction, especially by incorporating Islamic values where Islamic values are rahmatan lil alamin or compassion for all beings regardless of race, ethnicity, nation, language and religion. RSU Yarsi Pontianak is an Islamic-based hospital in providing nursing care. In accordance with the hospital's vision "to become a hospital based on Islam with high-quality and international standard health services", Yarsi General Hospital prioritizes services that have Islamic values, especially in providing nursing care. The purpose of this community service is to increase nurses' knowledge of the application of Islamic caring at YARSI Pontianak General Hospital (RSU). Community service activities are carried out through several stages, namely the preparation, implementation and evaluation stages. The results of the initial measurement of nurses' knowledge about Islamic caring found that most nurses had sufficient knowledge, namely 55%. Whereas after being given training on Islamic caring, most of the nurses had good knowledge, namely 80%. Training is an effective and efficient activity to increase nurses' knowledge about Islamic caring. Based on the results of community service, there was an increase in nurses' knowledge after being given Islamic caring training.</span></em>

Age-specific differences in cervical cancer screening rates in women using mental health services in New South Wales, Australia.

Women living with mental health conditions have lower cervical cancer screening rates and higher mortality. More evidence is needed to target health system improvement efforts. We describe overall and age-specific cervical cancer screening rates in mental health service users in New South Wales. Cervical cancer screening registers were linked to New South Wales hospital and community mental health service data. Two-year cervical screening rates were calculated for New South Wales mental health service users aged 20-69 years (n = 114,022) and other New South Wales women (n = 2,110,127). Rate ratios were compared for strata of age, socio-economic disadvantage and rural location, and overall rates compared after direct standardisation. Only 40.3% of mental health service users participated in screening, compared with 54.3% of other New South Wales women (incidence rate ratio = 0.74, 95% confidence interval = [0.74, 0.75]). Differences in age, social disadvantage or rural location did not explain screening gaps. Screening rates were highest in mental health service users aged <35 years (incidence rate ratios between 0.90 and 0.95), but only 15% of mental health service users aged >65 years participated in screening (incidence rate ratio = 0.27, 95% confidence interval = [0.24, 0.29]). Women who use mental health services are less likely to participate in cervical cancer screening. Rates diverged from population rates in service users aged ⩾35 years and were very low for women aged >65 years. Intervention is needed to bridge these gaps. New screening approaches such as self-testing may assist.

Experience of Pregnant Mothers in Receiving Ante Natal Care Services in Hospital

ABSTRACT Antenatal care services for pregnant women are health services received by mothers during pregnancy to determine the health condition of the mother and fetus. To determine the experience of pregnant women in receiving services at the hospital. This research method is qualitative phenomenology, data collection is carried out in natural settings with participant observation techniques and in-depth interviews. Data were analyzed with the Colaizzi method. Among mothers as hospital visitors, 3 themes were found, namely 1) Utilization of technology in antenatal care services for pregnant women in hospitals, 2) Effective communication with pregnant women as customers in hospitals, 3) Educational literacy for mothers pregnant antenatal care in health services in hospitals. Among health workers as stewards of antenatal care, two themes were found, namely: 1) the use of technology as a means of educational media, and 2) the expectations of health workers in providing services for pregnant women. The use of technology in the form of educational facilities is very important for pregnant women, especially during the antenatal care period, this is useful to help reduce the incidence of complications in the mother and fetus based on health technology monitoring. The involvement of health workers including doctors, nurses, and midwives is a determining factor for success in service excellence in 5 standard policies, namely police, place, product, process, and people in the hospital.

Environmental educational activities in hospitals for health personnel: An integrative review EDUCATIONAL ACTIVITIES IN HOSPITALS FOR HEALTH PERSONNEL: AN INTEGRATIVE REVIEW

Introduction: Among the fastest growing initiatives relating the health sector with the environment are green hospitals, sustainable hospitals, which seek to mitigate the social, environmental, economic and health impacts caused by the permanent operation of these institutions in the world. Objective: Synthesize the evidence of environmental educational interventions in hospitals for health personnel worldwide. Methodology: An integrative review was carried out on the advances related to environmental educational activities in health institutions aimed at health personnel. For the search, 7 databases were used: Pubmed, Virtual Health Library, Scopus, EMBASE, Plos One, EBSCO and Cochrane, from January 2011 to May 2021. The search terms were selected based on the question of research and the PICO strategy. Results: Of 3,246 documents, 11 were retained for the study, finding the main results of the review in 4 categories: 1) educational interventions in waste management of health services in hospitals; 2) interventions in pharmaceutical waste management; 3) interaction activities with the local community and; 4) educational strategies for the clinical and environmental approach. Conclusions: Environmental educational activities for health personnel in hospitals should be connected with an expansion of professional training in sustainability issues, linking environmental variables with the strategies of health institutions in search of an environmental culture.