Good perceptions on accreditation have an important role to play in achieving five-star accreditation and continuous implementation of accreditation. In the pre-survey, we found that the problem, a low perceived accreditation benefits, participation, and organizational commitment, as well as employees’ performance of the accreditation process that did not meet the target. The purpose of this study was to analyze the impact of the perceived benefits of accreditation on the performance of employees in the accreditation process. The research method used was a causal analysis study with a cross-sectional quantitative approach and a path analysis hypothesis test. The sample was taken by means of an objective sampling of X mother & children hospital (Rumah Sakit Ibu dan Anak/RSIA) health personnel. The results found that the perception of the benefits of accreditation had a positive and significant effect through mediation of participation and commitment to performance. The impact of the perceived benefits of accreditation, participation and organizational commitment on employee performance is 46.9%. This research implies for hospital management to optimize the performance of the accreditation process by increasing the perception of the benefits of accreditation through training, sharing, assessment, award and monitoring and evaluation involving all employees.
Introduction The COVID-19 pandemic creates new life for all sectors, such as health, government and business. All health protocols must be made into new habits every day, such as using masks, washing hands, taking a shower after leaving the house, carrying a hand sanitizer, and bringing their respective worship equipment. For the health area, the hospital is required to redesign the service flow of all units in the hospital to maintain patient safety as well as health personnel serving patients. Hospitals need to prepare tighter safety procedures where massive sterilization must be carried out in every corner of the hospital. The admission procedure will also undergo changes including the universal use of masks, stricter screening procedures ranging from screening for COVID-19 symptoms to rapid examinations such as rapid tests, use of visit schedules, and restrictions on visitors / patient companions and even separation of facilities for COVID-19 and non-COVID-19 patients. In the era of COVID-19, based on the latest regulations from WHO, the IGD is required to be more selective in accepting patients. Screening patients must be rapid but also very selective. The IGD must first separate ARI (Acute Respiratory Infection) and non-ARI patients before entering the hospital area which is called the primary triage area. If after screening in the primary triage, the patient is proven to have ARI then the patient must be screened for COVID-19 in the secondary triage according to existing guidelines, such as laboratory tests, chest X-rays, and rapid tests and even CT Scan Thorax and PCR Swab for hospitals that are available after it is proven not to be COVID-19, new patients can be transferred to non-ARI emergency rooms but if otherwise the patient must be immediately put into an isolation room or sent home to carry out independent isolation and monitored by the department local health (HIPGABI, 2020). With the new IGD service flow, it will have an impact on increasing patient waiting time and can lead to patient stagnation. Patients who experience stagnation in the IGD are closely related to the incidence of patient accumulation in the IGD (emergency department crowding). According to the Australian College for Emergency Medicine (2019) defines Emergency Department Crowding as a condition in which the function of the emergency department is hampered mainly because the number of patients waiting to be seen, undergoing examination and treatment, or waiting to be transferred, exceeds the capacity of the bed and / or the capacity of emergency personnel. So, crowding is a condition in which the
Untuk mengetahui kepatuhan multidisplin dalam implementasi clinical pathway pada kasus diare akut pada anak umur 0-18 tahun, kelengkapan pengisian clinical pathway sesuai dengan SPO yang diperlukan sebagai sarana dalam peningkatan mutu pelayanan kesehatan dan akreditasi di Rumah Sakit Palang Merah Indonesia Bogor. Penelitian ini didesain meggunakan mixed methode yaitu kuantitatif dan kualitatif dengan sequensial (sequential mixed method design). Strategi mixed method yang digunakan adalah sequential explanatoris sequencial design (Quan -Qual mixed methods design). Jumlah sampel 58 clinical pathway diare akut pada anak yang terintegrasi di dalam rekam medis, menggunakan teknik purposive sampling. Pengumpulan data menggunakan metode kuantitatif dan kualitatif dengan pendekatan grounded theory selanjutnya dianalisis menggunakan SPSS 16. Kemudian disusun kuesioner untuk melihat representasi social. Hasil penelitian kepatuhan DPJP dan perawat 100%, farmasi 0% dan nutritionis 53,4%, prognosis bonam 48,3%. Rata-rta LOS pada diare akut 4-6 hari (51,7%). Umur responden rata-rata 0-5 tahun (93,1%), jenis kelamin laki-laki 60,3%, berat badan 1-20kg (93,1%), anamnesis BAB cair > 5x sehari (44,8%), diagnosis diare akut dehidrasi 56,9%, varian diagnosis diare akut dehidrasi 65,5%, hasil kuisioner 40% participant menjawab ya untuk pengisian Clinical Pathwaysecara manual dan 76% participant menjawab setuju untuk pengisian clinical pathway dengan lengkap. Hasil analisis data dari kuisioner partisipan didapat efektivitas clinical pathway adalah 68% hal ini belum sesuai dengan standar yang ditetapkan yaitu 70%. Efektivitas tidak tercapai karena tidak semua multidisiplin terlibat dalam pengisisn clinical pathway. Hal ini karena audit dan evaluasi belum dilakukan dengan seharusnya. Efektivitas dapat tercapai bila semua multidisiplin dapat melaksanakan semua tugas yang didukung oleh sarana dan prasarana serta peraturan atau ketentuan yang dibuat sehingga dapat mencapai target dengan berorientasi pada hasil dan proses yang direncanakan.
In the world of health, Holistic Nursing Care is a standard with a multi-disciplinary approach through integrated and holistic assessment. Geriatric patients have complex needs that must be identified to address the needs that must be met by a hospital service to provide patient survival, quality of life and satisfaction. Holistic nursing care is influenced by several variables such as integrated geriatric assessment and effective communication. In addition to these two variables, there are other variables that can affect this relationship, one of which is the caring behavior of nurses. The purpose of this study was to analyze the relationship between Integrated Geriatric Assessment and Effective Communication of Holistic Nursing Care with Nurse Caring Behavior as Intervening Variables at Siti Khadijah Islamic Hospital, Palembang City. This research is explanatory research with a quantitative approach in the form of causality using 7 hypotheses with a sample of 80. The conclusion in this study is that there is a significant relationship between integrated geriatric assessment and effective communication on nurse caring behavior and holistic nursing care, besides that caring behavior turns out to be able to Intervene a significant relationship between integrated geriatric assessment and effective communication of holistic nursing care. Meanwhile, another significant relationship is between the caring behavior of nurses and holistic nursing care at Siti Khadijah Islamic Hospital, Palembang. The theoretical implications of this study will prove the effect of research variables and managerially will further improve the evaluation system for the quality of nursing care for geriatric services in hospitals and the overall management of geriatric patients for healthy old age.
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