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"Perawatan pasca operasi adalah perawatan yang diterima pasien sesudah dilakukan tindakan pembedahan, dimulai setelah prosedur pembedahan hingga selesainya masa rawat inap pasien di rumah sakit. Dua puluh empat jam pertama pasca operasi adalah periode awal pemulihan pasien setelah menjalani anestesi umum atau regional yang membutuhkan pemantauan dan perawatan khusus. Selama periode ini, perawat bertanggungjawab dalam perencanaan dan pelaksanaan perawatan pasca operasi. Salah satu peran penting perawat adalah sebagai edukator yang mengedukasi pasien agar memahami kondisi pasca operasi dan hal- hal yang harus diperhatikan untuk mencegah komplikasi serta mencapai derajat kesehatan yang optimal. Laporan kasus ini menganalisis implementasi edukasi perawatan post operasi pada 24 jam awal pasca operasi oleh perawat serta rekomendasi untuk mengoptimalkan implementasi. Penilaian implementasi dilakukan dengan observasi partisipatif dan wawancara. Hasil wawancara didapatkan dalam 24 jam periode awal pasca operasi 40% perawat melakukan edukasi. Hambatan yang ditemukan perawat dalam mengimplemetasikan edukasi pasca operasi pada periode awal adalah beban kerja dan keterbatasan sumber daya manusia. Pembuatan tools edukasi periode awal pasca operasi dapat membantu meningkatkan implementasi edukasi perawatan post operasi oleh perawat.

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Postoperative care is the care that patients receive after surgery, starting from post surgical procedure until the end of the patient's care in the hospital. First twenty-four hours post-operative is the initial period of recovery for a patient after anesthesia which requires special monitoring and care. During this period, the nurse is responsible for planning and implementing postoperative care. One of the important roles of nurses is as educators who educate patients to understand postoperative conditions and things that must be considered to prevent complications and achieve optimal health status. This case report analyzes the implementation of postoperative care education in the first 24 hours after surgery by nurses and recommendations for optimizing implementation. Implementation assessment was carried out by participatory observation and interviews. The results of the interviews were obtained within 24 hours of the initial postoperative period, 40% of nurses provided education. Obstacles found by nurses in implementing postoperative education in the early period were workload and limited human resources. Making educational tools for the early postoperative period can help improve the implementation of postoperative care education by nurses."

"Pemakaian antibiotik profilaksis pada sebagian kasus bedah caesar telah terbukti dapat mengurangi kejadian infeksi daerah operasi. Tujuan penelitian ini adalah untuk mengetahui gambaran penggunaan antibiotik profilaksis serta kesesuaian penggunaan antibiotik profilaksis yang digunakan pada pasien bedah caesar di Rumah Sakit Anak dan Bunda Harapan Kita Tahun 2016. Penelitian dilakukan secara observasional dengan menggunakan metode deskriptif analitik dan data diperoleh dari rekam medis pasien secara retrospektif. Data yang di analisis meliputi kesesuaian jenis antibiotik, dosis, dan waktu pemberian dibandingkan degan pedoman. Pasien yang memenuhi kriteria inklusi sebanyak 267 pasien.Hasil analisis data menunjukkan antibiotik profilaksis yang banyak digunakan adalah seftriakson injeksi. Ditinjau dari jenis antibiotik yang digunakan, dosis, dan waktu pemberiaan kesesuaiannya masing-masing sebesar 59,18 , 74,91 , 76,40 . Secara keseluruhan, penggunaan antibiotik profilaksis pada pasien bedah caesar 28,46 mendapatkan penggunaan antibiotik profilaksis yang sesuai dan 71,54 tidak sesuai terhadap Clinical Pathway Sectio Caesarea di RSAB Harapan Kita, American Society of Health-System Pharmacists ASHP 2013, dan Drug Information Handbook 17th Edition.

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The use of antibiotics prophylaxis in some cases of caesarean has been shown to reduce the incidence of surgical site infections. The purpose of this study was to know the description of the use of antibiotics prophylaxis and the suitability of antibiotics prophylaxis used in cesarean section patients at Mother and Children 39 s Hospital Harapan Kita in 2016. The study was conducted in observation using descriptive analytics method and data aquired from the patient 39 s medical records investigation retrospectively. The data analyzed included suitability of antibiotic type, dosage, and delivery time compared with guidelines. Patients who met the inclusion criteria were 267 patients.The results of the data analysis show that the widely used prophylactic antibiotics are ceftriaxone injection. Judging from the type of antibiotics used, dose of confirmity, and time of conformity, suitability was 59.18 , 74.91 , and 76.40 , respectively. Overall, the use of prophylactic antibiotics in cesarean section 28.46 of the use of appropriate prophylactic antibiotics and 71.54 were incompatible with the clinical pathway of Sectio Caesarea at Mother and Children 39 s Hospital Harapan Kita, American Society of Health System Pharmacists ASHP 2013, and Drug Information Handbook 17th Edition."

"ABSTRAKAmbulasi pascaoperasi penting dilakukan untuk mempercepat pemulihan pada pasien fraktur ekstremitas bawah. Ambulasi pascaoperasi sesuai dengan waktu yang direkomendasikan dapat memberikan manfaat klinis dan mencegah komplikasi pascaoperasi. Studi ini bertujuan untuk menguji efektifitas program konservasi keperawatan terhadap kemampuan ambulasi pascaoperasi. Metode penelitian yang digunakan yaitu uji klinis dengan kontrol tanpa randomisasi. Program konservasi keperawatan dirancang berdasarkan Model Konseptual Levine, yang terdiri dari; manajemen energi, latihan nafas dalam, latihan kekuatan otot, latihan rentang pergerakan sendi, terapi latihan; ambulasi, pendidikan kesehatan dan pemberdayaan keluarga. Populasi dalam penelitian yaitu: fraktur pinggul, fraktur femur, fraktur tibia/ fibula, dan fraktur pergelangan kaki. Penarikan sampel secara convenience sebanyak 54 responden, 30 responden kelompok kontrol dan 24 responden kelompok intervensi. Primary outcome yang dinilai, yaitu kemampuan ambulasi; waktu ambulasi, kemampuan fungsional dan tingkat ketergantungan. Sedangkan, secondary outcome yang dinilai yaitu: tingkat kelelahan, tingkat nyeri, keyakinan diri, dan dukungan keluarga. Hasil penelitian menunjukkan bahwa penerapan program konservasi keperawatan efektif mempercepat waktu ambulasi, meningkatkan kemampuan fungsional, menurunkan tingkat ketergantungan, menurunkan tingkat kelelahan, menurunkan tingkat nyeri, dan meningkatkan keyakinan diri p

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ABSTRACTAbstract Postoperative ambulation is an essential intervention to facilitate recovery in patients with lower extremities fracture. Regular post operative ambulation may contribute to the positive clinical outcomes and prevent post operative complications. This study aimed to examine the effectiveness of Nursing Conservation Program towards ambulation ability in patients with lower extremities fracture. A non randomized control clinical trial design was used in this study. Nursing Conservation Program was designed based on Levine rsquo s Conceptual Model which consisted of energy management, deep breathing exercise, muscle strength exercise, range of motion exercise, exercise therapy ambulation, health education, and family empowerment. Population in this study were patients with hip, femur, tibia fibula, and ankle fracture. The samples were recruited using convenience sampling technique, yielding 54 respondents, 30 respondents were in the control group and 24 respondents were in the intervention group. Primary outcomes were included ambulation ability which consisted of time, functional ability, and dependency level. Meanwhile, secondary outcomes were assessed from the level of fatigue, pain level, self confidence, and family support. This study found that the application of Nursing Conservation Program was effective to accelerate ambulation time, enhance functional ability, reduce self dependency, fatigue and pain level, and increase self confidence p"

"Kegiatan edukasi merupakan bagian dari proses pemberian asuhan keperawatan yang harus diperhatikan. Salah satu tujuan pemberian edukasi adalah menurunkan kejadian rawat inap berulang dengan diagnosis yang sama. Penelitian ini bertujuan mengidentifikasi gambaran kegiatan edukasi perawat di ruang rawat inap di sebuah rumah sakit di Jakarta. Kegiatan edukasi meliputi 4 komponen yaitu pengkajian, perencanaan, pelaksanaan, dan evaluasi. Penelitian ini merupakan penelitian deskriptif dengan pendekatan potong lintang. Sampel penelitian ini adalah 134 perawat pelaksana yang dipilih menggunakan teknik stratified random sampling. Pengumpulan data menggunakan kuesioner yang telah dilakukan uji validitas dan reliabilitas dengan Alpha Cronbach rsquo;s 0,946. Hasil penelitian menunjukkan nilai tengah gambaran kegiatan edukasi perawat secara umum 4,0 min-maks=1,9-5,0; IK95 3,9-4,2 , dengan nilai komponen perencanaan tertinggi 4,2 min-maks=2,2-5,0; IK95 4,0-4,3 dan nilai komponen pelaksanaan terendah 3,8 min-maks=1,6-5,0; IK95 3,7-4,0 . Pelaksanaan kegiatan edukasi perlu dioptimalkan dengan pemenuhan fasilitas dan media yang dibutuhkan, serta penjadwalan secara terstruktur dan monitoring dari pihak manajemen. Penelitian ini merekomendasikan dilakukan penelitian lebih lanjut mengenai faktor-faktor yang mempengaruhi pelaksanaan kegiatan edukasi di rumah sakit.Kata kunci: edukasi, perawat pelaksana, rencana pemulangan.

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Education is an integral part of nursing care to the patients. Education plays a vital role in reducing patient rsquo s rehospitalization with the same diagnoses. This study aimed to explore the education activities performed by nurses in inpatient units of a private hospital in Jakarta, Indonesia. The education activities are divided into 4 stages of assessment, planning, implementation, and evaluation. This cross sectional study involved 134 nurses selected by using stratified random sampling. Data were collected using questionnaires. Prior to data collection, validity and reliability tests were conducted, with the Alpha Cronbach rsquo s score of 0,946. Results of the study demontrated that the overall median score of education was 4,0 min maks 1,9 5,0 CI95 3,9 4,2 . The analysis further showed that the median score was highest during the planning stage 4,2 min maks 2,2 5,0 CI95 4,0 4,3 whereas it was lowest during the implementation stage 3,8 min maks 1,6 5,0 IK95 3,7 4,0 . The educational activities require adequate facilities, appropriate media, planned schedules, and continuous supports and supervision from nursing leaders managers to encourage their staffs to carefully perform the 4 stages of education activities. This study recommended continuous research to explore factors education activities application at hospital.Keyword discharge planning, educational activities, nurses."

"Latar belakang Pelayanan kesehatan yang bermutu mempakan salah satu kcbutuhan dasar bagi semua masyarakal. Masyarakat menuntut layanan yang lcbih baik, yaitu suatu layanan yang tidak hanya semala mendapatkan pemeriksaan fisik, tetapi juga suatu Iayanan yang ramah, berkesinambungan dapat diterima dan wajar Serta bermulu. Pengukuran mutu layanan dapat di lakukan secara subyektif mnupun secara obyektiti Pengukuran secara obyektif adalah pengukuran terhadap profesionalisme pelayanan seperti Standard Operating Procedurs. Standard Operating Procedurs adalah Suatu perangkat inslruksil langkah-langkah yang di bakukan untuk menyelesaikan suatu proses kerja rutin tertenlu. Kasus diare merupakan kasus yang paling sering di jumpai di rumah sakit. Penatalaksanaan kasus diare pada anak sangat panting, karena kesalahan pada penanganan, dimana konsentrasi terhadap kebutuhan keseimbangan cairan dan elektrolit dapat berakibat fatal yaitu kemalian. Dalam pengawasan pasien ini perawat dalam menjalankan tugasnya dituntut mtuk dapat menjalankan SOP yang telah di buat dan ditetapkan oleh mmah sakit pcnyedia jasa Iayanan kesehatan. Tujuan: Penelitian yang penulis lakukan bemgjuan untuk menjawab pertanyaan mengenai bagaimana gambaran serta apakah ada monitoring dan evaluasi pelaksanaan SOP wuhan keperawatan anak dengan diana oleh perawat di ruang rawat Rumah Sakit Rawa Lumbu. Metode penelitian: Rancangan penelitian ini adalah kualitatif dan kuantitatif dengan menganalisa data secara retrospektif dan dengan melakukan metode wawancara serta Focus Group Discussion terhadap perawat pclaksana, kepala unit ruangan, kepala bidang pcrawat dan dokter spesialis anak Rumah Sakit Rawa Lumbu. Hasil penelitian: Semua responden mengetahu adanya SOP diare pada anak dan mereka mengemhui bahwa sebagian perawat tidak menjalankan SOP tesebut, hal tersebut tenjadi di karenakan perbandingan jumlah perawat dan jumlah tempat tidur tidak seimbang Sementara itu monitoring dan evaluasi terhadap SOP belum pemah dilakukan. Kesimpulan: SOP muhan keperawatan diare pada anak saat ini sudah baik, tetapi pefawat ada sebagian yang belum memahami SOP tersebut dan belum secara lengkap menempkan SOP asuhan keperawatan diare pada anak di karenakan beban kerja perawai yang tinggi. Hal tersebut disebabkan antara Iain adalah tidak tersedianya alat penunjang kcgiatan pelaksanaan SOP juga tidak seimbangnya perbandingan jumlah perawai dan jumlah tcmpax tidur

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Background: High quality health services were one of the basic needs in all communities. Community was urging for better services, services which do not only comprising of physical diagnosis, but also kind, continual, acceptable, appropriate and high quality services. Assessment of services quality could be done by either subjective or objective ways. Objective assessment was assessment of services professionalism such as Standard Operating Procedures (SOP). SOP is an instruction or steps protocol that has to be standardized in order to finish some routine work process. Diarrhea cases were ease which very probable to found in hospital. Management of diarrhea cases in children is very important, because of error in handling, such as in the concentration of electrolyte and fluid balance needs, could causing final consequences, in the end was death. When watching these patients, nurses who doing these jobs were urged to do SOP that have been made and signed by the hospital which supplying health services.

Aim: Study which writer done was aimed to answer quwtions about how is the description and is there any monitoring and evaluation of children with diarrhea nursing care SOP implementation by nurses in Rawa Lumbu Hospital treatment room.

Researching method: this study was designed using qualitative and quantitative method by analyzing data retrospectively and by doing interview method and Focus Group Discussion with practitioner nurses, head of the room unit, and podiatrist ofllawa Lumbu Hospital.

Result of the study: All respondents knew the existence of diarrhea in children SOP and they knew that some nurses were not implementing the SOP caused by comparison of nurses and beds amount was unbalanced. ln the other hand, monitoring and evaluation of SOP were never being done before.

Conclusion: Diarrhea in children nursing care SOP were good these time, but there were some nurses who have not understand these SOP and have not completely implementing the Diarrhea in children nursing care SOP because of nurse’s high workloads. This could be caused by such thing as instrument of the SOP implementation were not provided and the unbalanced number of comparison between nurses and beds amount."

"Penggunaan metode komunikasi dalam pelaksanaan di Ruang Rawat Inap Rumah Sakit X mengacu pada SOP yang berlaku yaitu komunikasi SBAR dalam format SOAP. Hasil karya tulis ini bertujuan untuk menganalisis penerapan K-ISBAR tool dalam pelaksanaan handover di ruang rawat inap Rumah Sakit X. Metode penulisan yang digunakan pada karya tulis ini yaitu case report dengan hasil analisis yang didapatkan dari observasi, wawancara, dan telusur dokumen. Hasil analisis pada karya tulis ini menunjukkan bahwa penyampaian informasi dalam pelaksanaan handover belum efektif sehingga diterapkan evidence-based practice berupa metode komunikasi K-ISBAR. Hal ini berkaitan dengan fungsi pengarahan dan peran interpersonal pada head nurse dan primary nurse yang belum optimal. Evaluasi penerapan komunikasi K-ISBAR masih belum maksimal. Hasil karya tulis ini merekomendasikan head nurse dan primary nurse untuk melakukan pengarahan dalam bentuk adaptasi serta evaluasi penerapan metode komunikasi yang terstruktur dalam pelaksanaan handover.

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Communication method that used during handover in inpatient room at X hospital refers to the SOP, which is SBAR communication in the SOAP format. This study aims to analyze the implementation of K-ISBAR tool during handovers in inpatient rooms at X Hospital. Case report research with the result of the analysis obtained through observations, interviews, and document research method. The results of the analysis in this paper show that the delivery of information in the handover implementation has not been effective so that evidence-based practice is applied in the form of the K-ISBAR communication method. This is related to the function of directing and interpersonal roles in the head nurse and primary nurse which are not optimal. Evaluation of the application of K-ISBAR communication is still not optimal. It is recommended for head nurse and primary nurse to conduct briefings in the form of adaptation and evaluation of the application of structured communication methods in carrying out handovers."

"Luka yang lama sembuh pada pasien pasca operasi masih menimbulkan keluhan nyeri dan menghabiskan biaya yang besar. Terapi standar topikal hidrokoloid masih membuat rasa tidak nyaman karena gel berwarna kuning, kental, dan menimbulkan bau yang tidak sedap. Terapi topikal dengan royal jelly (RJ) yang berasal dari Yamada Bee Farm (YBF), Jepang terbukti dapat mempercepat penyembuhan luka, namun belum pernah ada penelitian yang menggunakan RJ yang berasal dari Sragen, Indonesia. Penelitian ini bermaksud membandingkan efek RJ Sragen dengan RJ YBF yang diberikan pada luka pasca operasi.Penelitian ini adalah penelitian eksperimental laboratorium prospektif. Penelitian dilakukan di Animal Research Facilities Indonesian Medical Education and Research Institute (ARF-IMERI) FKUI dan Departemen Patologi Anatomik FKUI-RSCM. Penelitian dilakukan pada tanggal 14 Februari 2022-30 Agustus 2023. Penelitian dilakukan pada tikus jantan sprague dawley (SD) dan manusia. Setiap tikus terdapat 4 kelompok perlakuan yaitu: tanpa perlakuan, hidrokoloid, gel RJ Sragen 10% dan gel RJ Yamada Bee Farm (YBF) 10%. Penyembuhan luka diamati secara makroskopik dan mikroskopik (sel inflamasi, kolagen, epitelisasi, angiogenesis, TNF-α serta TGF-β) di hari ke-1, ke-3, ke-5, ke-12. Pada manusia, perlakuan diberikan sampai hari ke-21 dan difoto lukanya di hari ke-7, ke-14, dan ke-21. Ada 3 kelompok perlakuan pada manusia yaitu kelompok hidrokoloid, kelompok gel RJ Sragen 10%, dan gel RJ gel YBF 10%. Semua penilaian dihitung dengan Image J. Selanjutnya dilakukan uji general linear model repeated measures ANOVA dan analisis semikuantitatif.Aplikasi gel RJ Sragen 10% dan hirokoloid dapat menekan sel inflamasi dan menurunkan ekspresi TNF-α dan TGF-β. Walaupun kinetika perubahan jumlah sel inflamasi serta penekanan ekspresi TNF-α dan TGF-β pada aplikasi keduanya sama, namun ekspresi TNF-α dan TGF-β lebih ditekan pada aplikasi gel RJ Sragen 10%. Pada parameter kolagen dan epitelisasi kelompok gel RJ Sragen 10% dan hidrokoloid menunjukkan kemampuan yang sama. Pada parameter angiogenesis, kelompok gel RJ Sragen 10% menunjukkan peningkatan angiogenesis lebih banyak dibandingkan dengan hidrokoloid (p < 0,0001). Hal ini mungkin disebabkan beberapa sitokin seperti VEGF dan BFGF juga berperan. Penutupan diameter luka tikus terlihat lebih cepat satu hari (hari ke-10) pada kelompok gel RJ Sragen 10% dibandingkan kelompok hidrokoloid (hari ke-11) pada pengamatan makroskopik.

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Chronic wound healing in post-operative patients still provoking pain complaints and spending a lot of money. Topical hydrocoloid as a standard therapy still makes you uncomfortable because the gel is yellow, thick, and causes an unpleasant odour. Topical therapy with royal jelly (RJ) originating from the Yamada Bee Farm (YBF), Japan has been shown to accelerate wound healing, but there has never been a study using RJ originating in Sragen, Indonesia. This study is intended to compare the effects of RJ Sragen with RJ YBF given to post-operative wounds.

This research is a prospective laboratory experimental research. The research was conducted at Animal Research Facilities Indonesian Medical Education and Research Institute (ARF-IMERI) FKUI and the Department of Anatomic Pathology FKUI-RSCM. The research was done on male sprague dawley mice (SD) and humans. Each rat has four treatment groups: untreated, hydrocoloid, RJ Sragen 10% gel and RJ Yamada Bee Farm (YBF) 10% gel. The wound healing was observed macroscopically and microscopically (inflammatory cells, collagen, epithelization, angiogenesis, TNF-α and TGF-β) on day 1, 3rd, 5th, 12th. In humans, the treatment was given until day 21 and the wound is photographed on day 7, 14th and 21st. There were three treatment groups in humans: the hydrocolloid group, the RJ gel group Sragen 10%, and the YBF gel RJ 10%. All assessments were calculated with Image J. Then the general linear model repeated measures ANOVA and semi-quantitative analysis were performed.

Although the kinetics of the change in the number of inflammatory cells as well as the suppression of TNF-α and TGF-β expressions in both applications were the same, the expression of RJ Sragen, as well as TGF-β, was more suppressed in the application of the 10% Sragen RJ gel. On collagen and epithelization of the 10% Sragen and hydrocoloid gels, the same ability was shown. On the angiogenesis parameters, the 10% sragen gels show a greater increase in angiogenesis compared to the hydrocoloid (p < 0,0001). This is probably because some cytokines, like VEGF and BFGF, also play a role. The closure of the diameter of the wound of the rat was seen more quickly one day (10th day) in the RJ Sragen gel group 10% compared to the hydrocoloid group (11th day), in macroscopic observations."

"Dalam memberikan pelayanan keperawatan, perawat harus mampu berkomunikasi secara efektif. Komunikasi yang efektif dapat terlihat dari penerapan kegiatan conference yang berhubungan langsung dengan proses handover setiap pergantian shift dilakukan. Conference merupakan kegiatan diskusi yang membahas terkait kegiatan selama shift sebelum melakukan operan shift berikutnya yang dilakukan oleh clinical care manager, head nurse, primary nurse dan associate nurse. Jika pelaksanaan conference tidak dilakukan dengan baik, maka informasi yang didapatkan saat proses handover dapat menjadi tidak efektif. Handover yang efektif akan mendukung kesinambungan pengobatan maupun perawatan pasien. Oleh sebab itu, dibutuhkan adanya komunikasi yang jelas dalam pemberian asuhan keperawatan, serta tim perawat akan sangat terbantu dalam memberikan perawatan yang optimal kepada pasien. Penelitian ini bertujuan untuk menganalisis pelaksanaan conference terhadap proses handover di ruang rawat inap lantai X. Penelitian ini dilakukan sejak tanggal 8 Mei sampai dengan 20 Mei 2024, dengan metode deskriptif. Sampel pada penelitian ini berjumlah 12 orang, menggunakan teknik pengambilan sampel yakni total sampling. Pengumpulan data didapatkan melalui observasi dan wawancara. Setelah data didapatkan, terlihat bahwa perawat di ruangan masih perlu diberikan edukasi terkait pelaksanaan conference agar merasa terbiasa dan mau mampu melakukan conference setiap pergantian shift. Untuk itu diharapkan adanya pelaksanaan workshop MPKP dan roleplay MPKP yang dilakukan di setiap ruangan di rumah sakit, sehingga pelaksanaan kegiatan conference dapat diterapkan sesuai standar dan kebutuhan dari rumah sakit.

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In providing nursing services, nurses must be able to communicate effectively. Effective communication can be seen from the implementation of conference activities which are directly related to the handover process at each shift change. A conference is a discussion activity that discusses activities during a shift before carrying out the next shift carried out by the clinical care manager, head nurse, primary nurse and associate nurse. If the conference is not carried out well, the information obtained during the handover process may become ineffective. Effective handover will support continuity of treatment and patient care. Therefore, clear communication is needed in providing nursing care, and the nursing team will be greatly helped in providing optimal care to patients. This research aims to analyze the implementation of the conference on the handover process in the inpatient room on floor X. This research was conducted from May 8 to May 20 2024, using descriptive methods. The sample in this study consisted of 12 people, using a sampling technique, namely total sampling. Data collection was obtained through observation and interviews. After the data was obtained, it was seen that the nurses in the room still needed to be given education regarding the implementation of conferences so that they felt used to it and were able to conduct conferences every shift change. For this reason, it is hoped that there will be MPKP workshops and MPKP roleplays carried out in every room in the hospital, so that the implementation of conference activities can be implemented according to the standards and needs of the hospital."

"Salah satu amanah UU No. 40 Tahun 2004 yaitu masyarakat memperoleh manfaat pemeliharaan kesehatan serta perlindungan terpenuhinya Kebutuhan Dasar Kesehatan (KDK) dan jika masyarakat membutuhkan rawat inap di RS maka dilayani di kelas standar. Hal ini dituangkan dalam peta jalan Jaminan Kesehatan Nasional (JKN) 2012-2019 yaitu keseragaman paket manfaat medis dan nonmedis bagi peserta JKN di RS pada tahun 2019, namun sampai saat ini belum terwujud. Terbitnya PP 47 tahun 2021 mengatur kelas standar yang akan diberlakukan tanggal 1 Januari 2023 dan juga mengatur ruang intensif, ruang isolasi dan ketentuan SDM purna waktu. Penelitian dilakukan untuk menganalisis kesiapan implementasi KRIS JKN, ruang intensif, ruang isolasi dan ketentuan SDM purna waktu dengan menggunakan pendekatan kuantitatif (kuesioner rancangan 12 konsep kriteria KRIS JKN bulan November 2021) dan kualitatif (wawancara mendalam menggunakan teori Donald van Metter dan Carl van Horn) pada 22 RS di wilayah kabupaten Tangerang. Hasil penelitian menunjukan kesiapan RS di akhir tahun 2021, untuk KRIS masih kurang dari 60% RS yang baru memenuhi kriteria kepadatan ruangan (luas ruangan per TT, jarak antar TT minimal 1,5m2, jumlah maksimal TT per ruangan); untuk ruang intensif terpenuhi 23% RS; untuk ruang isolasi terpenuhi 36% RS; serta 15%-20% terpenuhi dokter spesialis purna waktu di RS swasta dan 100% di RS pemerintah (secara kuantitas bukan kualitas). Saran penelitian ini: RS melakukan mapping ketersediaan ruang rawat inap saat ini dan penyesuaian dilakukan setelah kriteria KRIS JKN ditetapkan pemerintah; pemerintah segera membuat peraturan pelaksana termasuk ketegasan jenis kepesertaan dan tarif yang akan diberlakukan sehingga RS dapat mempersiapkannya dengan tepat , melakukan harmonisasi regulasi, memberikan keringanan pajak alat-alat kesehatan, mengalokasikan dana khusus bagi RS pemerintah , sosialisasi masif kepada RS atau masyarakat luas, melakukan mapping tenaga dokter kemudian bekerjasama dengan institusi pendidikan yang memproduksi tenaga dokter spesialistik; RS swasta juga mempersiapkan dana khusus secara mandiri untuk persiapan KRIS JKN; penerapan KRIS JKN, ruang intensif dan ruang isolasi dilakukan bertahap dalam 2-4 tahun kedepan.

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One of the mandates of Law Number 40 Year 2004 that the community gets the benefits of health care and protection for Basic Health Needs (KDK), and if the community requires hospitalization then it is served according to standard inpatient room. This is stated in National Health Insurance (JKN) Roadmap 2012-2019, equality of medical and non-medical benefit packages for JKN participants in hospitals in 2019, but so far this has not been realized. The issuance of PP Number 47 Yearf 2021 regulates standard classes that will be implemented on January 1, 2023 and also regulates intensive rooms, isolation rooms and provisions for full-time human resources. The study aims to analyze the readiness of implementation standard inpatient room (KRIS), intensive rooms, isolation rooms and the provision of full-time human resources using a quantitative approach (a questionnaire designed 12 concepts of KRIS JKN criteria in November 2021) and qualitative approch (in-depth interviews using the theory of Donald van Metter and Carl van Horn) at 22 hospitals in the Tangerang district. The results of the study show that the readiness of hospitals at the end of year 2021 to implement KRIS is still less than 60% of hospitals fulfill the criteria for density room (area for bed, minimum distance between beds are 1.5m2, maximum number of bed in KRIS); hospitals fulfilled 23% for intensive care criteria, 36% for isolation room; and 15%-20% full-time specialist doctors in private hospitals and 100% in government hospitals (quantity not quality). Suggestions for this research: the hospital does a mapping of the current availability of inpatient rooms and adjustments are made after the KRIS JKN criteria are set by the government; the government immediately make implementing regulations including firmness on the type of participation and tariffs to be applied so that hospitals can prepare them properly, harmonize regulations, provide tax breaks for medical devices, allocate special funds for government hospitals, massive socialization to hospitals or the wider community, conduct mapping doctors then collaborate with educational institutions that produce specialist doctors; Private hospitals also prepare special funds independently for the preparation of the KRIS JKN; the implementation of KRIS JKN, intensive rooms and isolation rooms is carried out in stages over the next 2-4 years."

"Sebesar 60% karyawan Krakatau Medika Hospital adalah perawat. Fokus utamanya adalah pelayanan perawatan kelas menengah atas, sehingga penelitian dilakukan di Ruang Flamboyan. Adanya keluhan perawat pelaksana mengenai beban kerja dan merasa kekurangan tenaga, diperlukan analisis kebutuhan tenaga berdasarkan beban kerja nyata dengan menggunakan metode Workload Indicator Staff Need (WISN). Hasil perhitungan didapatkan masih kekurangan 3 orang. Namun, perawat juga melakukan beberapa tugas pramuwaluya. Jika RS mengeluarkan tugas tersebut, maka kekurangan 1 perawat pelaksana dengan menambah 2 pramuwaluya. Dengan demikian, diharapkan perubahan uraian tugas, menambah tenaga, melibatkan kepala ruangan dalam perencanaan kebutuhan tenaga tahunan, dan menggunakan WISN di unit lain.

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Total nurses in Krakatau Medika Hospital are 60%. The main focus is on care services for upper-middle class, so the study was conducted in Flamboyan Room. One of human resources planning method based on workload is Workload Indicator Staff Need (WISN). Based on calculation, there is under staffing 3 people. There are some tasks of pramuwaluya done by nurses. If hospital put out these tasks, 1 practical nurse and 2 pramuwaluya are needed. Thus, researcher suggested to changing job description, addition staff, involve head room in planning the need of human resources annual, and using WISN method in other units."