Widodo J. Pudjirahardjo
Departemen Administrasi dan Kebijakan Kesehatan Fakultas Kesehatan Masyarakat Universitas Airlangga Surabaya

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ANALISIS KEBIJAKAN RANCANGAN UNDANG-UNDANG TENTANG PRAKTIK KEPERAWATAN (DRAF KE-19) Dwilaksono, Agung; Pudjirahardjo, Widodo J.; Wulandari, Ratna Dwi
Buletin Penelitian Sistem Kesehatan Vol 11, No 2 Apr (2008)
Publisher : Buletin Penelitian Sistem Kesehatan

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Abstract

Nurses wishes to pursued them from doctors as a profession. The realization was through conducting nursing law. The implementation of this nursing law need circumstantial policy analysis to comprehend its consequences. This policy analysis studied the 19th device of nursing law. Several questions should be answered in the policy review of nursing law device such as kinds of policy problem which will be entered, value of changing, important actors which involved, approaches that will be used, kinds of resistance which possible emerge and trades off which predicted has possibility goes into effect. Conclusion of this article is that this nursing law device represent policy which relative new anticipating other profession which have established. This policy device was less detailed, less clear about boundaries and some section become weaknessess to this policy. There are resistant to effort application of this device, especially from nurses which can not fulfill the laws criterion on nursing practices. Key words: policy analysis, nursing practice, nursing law device
Beban Kerja Obyektif Tenaga Perawat di Pelayanan Rawat Inap Rumah Sakit Romadhoni, Rohmat Dwi; Pudjirahardjo, Widodo J.
Jurnal Administrasi Kesehatan Indonesia Vol 4, No 1 (2016)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v4i1.2016.57-66

Abstract

Inpatient services at the X Hospital consists of Intensive Care Units and Inpatient Units. In 2014, a nurse  at the unit as a whole experienced a shortfall of 66.67% from 9 rooms there. This shortage triggered theincreasing of nurse workload. This study aimed to find out the objective workload on nurses in Intensive Care Units and Inpatient Units. This research is quantitative descriptive with cross-sectional design. The sample used is total sampling, as many as 174 nurses. Data obtained using activity sheets time and motion study indirectly (self-assessment). Results from this study show the objective workload in the Intensive Care Unit on the morningshift have a heavy workload category, afternoon shift and the night shift has a moderate workload category, while at Inpatient Unit on the morning shift and afternoon shift has a heavy workload category, and shift night has amoderate workload category. The conclusion of this study is objective workload in the Intensive Care Unit has a moderate workload category, while the objective workload in the Inpatient Unit has a heavy workload category.Keywords: nurse,objective workload, time and motion study
Improving Performance of Nursing Documentation Based on Knowledge Management Through Seci Concept Model’s Santoso, R. Arief; Pudjirahardjo, Widodo J.
Jurnal Ners Vol 8, No 2 (2013): Vol 8 No. 2 Oktober 2013
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v8i2.3850

Abstract

Introduction: Documentation of nursing care in Kalianget RSI in 2011 was totaled average 58,1% and in 2012 achieve was still low. According the lowest component was nursing diagnosis. This research aims to improve the performance of nursing care documentation based on knowledge management through the SECI Model’s concept in Garam Kalianget RSI Sumenep District. Method: Design of this research was action research. Population and sample in the research of knowledge, motivation and work responsibility were all nurses total ed 29 people. The dependent variable were knowledge, performance, motivation, work responsibility, and performance after intervention knowledge management (KM) and as independent variable in this research was knowledge, performance, and intervention research knowledge management in documentation nursing care. Data were collected by using questionnaires and checklists. Result: The results after the SECI model’s intervention and using Paired t Test with a 95% confidence level of knowledge obtained p = 0.0001 which means that there was a significant knowledge difference between before and after intervention, comparison of performance documenting of nursing care obtained value ρ = 0.004, which means there was a difference significant performance between before and after intervention. Comparison of SBAR effective communication performance values obtained ρ = 0.001, which means there was a significant performance difference between before and after intervention. Discussion: Knowledge management through SECI model’s has important role in improving performance documentation of nursing care and SBAR effective communication. It is recommended to do in forum sharing nurse’s experience or informant in practical communication in periodic, recording, documentation, and keep document well and doing supervision continously especially form nursing care and SBAR effective communication.
Formulasi Rancangan Kebijakan Ketenagaan Dokter Umum di Kabupaten Blitar Laksono, Agung Dwi; Pudjirahardjo, Widodo J.; Mulyono, Iwan M.
Jurnal Kebijakan Kesehatan Indonesia Vol 1, No 2 (2012)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (402.392 KB) | DOI: 10.22146/jkki.v1i2.36013

Abstract

Background: The medical doctor ratio in the Regency of Blitar is far below the normative ratio (1: 2,500). From the number of physicians working in health institutions, it is clear that not only the present ratio (1: 12,125) but the distribution in every dis- trict is also uneven. Based on these two findings, this re- search aims to formulate a manpower policy draft for medical doctors in Blitar Regency. With reference to regency and na- tional level policy, the draft will take into consideration: the community demographic characte-ristics, the number of Puskesmas visitation, the number of Puskesmas, geographic characteristics, infrastructure, health programs of Blitar Re- gional Health Office, the availability of medical doctors and the fiscal potency of Blitar Regency. Methods: This is a policy research consisted of several stages i.e. identifying public issues, formulating public issues, analyzing public issues, deciding criteria and alternative poli- cies, and forecasting and determining target and priority. Con- ducted from February until June 2008, the research location was the Blitar Regency. Information sources are regency and national level policy documents and also policy actors (policy- makers and policy-implementers). Results: The result shows four basic estimations for medical doctors’ manpower requirement which can be applied in Blitar Regency. Those are the number of population, the number of Puskesmas, the number of districts and the total visitation of each Puskesmas. It was settled and approved by all policy actors that the population number should be the basis for estimating medical doctor’s manpower requirement. Pursuant to this calculation, 454 medical doctors are projected for the year 2009, up to 470 physicians in the year 2018. Blitar Re- gency policy actors predict the increasing fiscal potency of the regency following the trend of the past five years. The prediction includes the increasing percentage of health bud- get. Derived from the Focus Group Discussion, the policy ac- tors stated only 10 medical doctors for every two years could be provided by the Blitar regional government. Conclusion: The recommendations are: formulating medical doctor’s policy implicitly should include medical doctor’s facilitatiye character; using ideal ratio adapting to Blitar regency’s recent condition and fiscal ability; using a strategy of appointing medical doctor’s from the regency’s PTT (tempo- rary assigned doctors) and making an incentive pattern with regard to Blitar Regency region mapping.Latar Belakang: Rasio dokter di Kabupaten Blitar adalah masih jauh di bawah rasio normatif (1:2,500). Dari jumlah dokter yang bekerja di lembaga kesehatan, terlihat jelas bahwa tidak hanya rasio saat ini (1:12,125) tetapi distribusi di setiap kecamatan juga tidak merata. Berdasarkan dua temuan ini, penelitian ini bertujuan untuk merumuskan rancangan kebijakan tenaga dok- ter di Kabupaten Blitar. Mengacu pada kebijakan tingkat kabupaten dan nasional, rancangan ini akan mempertimbang- kan: karakteristik demografi masyarakat, jumlah visitasi Pus- kesmas, jumlah Puskesmas, karakteristik geografis, infrastruk- tur, program kesehatan Dinas Kesehatan Kabupaten Blitar, ke- tersediaan dokter dan potensi fiskal Kabupaten Blitar. Metode: Penelitian ini merupakan penelitian kebijakan yang terdiri dari beberapa tahap, yaitu mengidentifikasi isu-isu publik, merumuskan isu-isu publik, menganalisis isu-isu publik, memu- tuskan kriteria dan alternatif kebijakan, serta meramalkan dan menentukan target dan prioritas. Lokasi penelitian adalah di Kabupaten Blitar yang dilaksanakan mulai Februari hingga Juni 2008. Sumber informasi adalah dokumen kebijakan di tingkat kabupaten dan nasional serta pelaku kebijakan (pembuat kebi- jakan dan pelaksana kebijakan). Hasil: Penelitian ini menunjukkan empat estimasi dasar untuk kebutuhan tenaga dokter yang dapat diterapkan di Kabupaten Blitar. Empat estimasi dasar tersebut adalah jumlah penduduk, jumlah Puskesmas, jumlah kecamatan dan visitasi total di setiap Puskesmas. Semua pelaku kebijakan telah menyelesaikan dan menyetujui bahwa jumlah penduduk harus menjadi dasar untuk memperkirakan kebutuhan tenaga dokter. Berdasarkan perhi- tungan ini, 454 dokter telah diproyeksikan untuk tahun 2009, hingga 470 dokter yang diproyeksikan pada tahun 2018. Pelaku kebijakan di Kabupaten Blitar memprediksi meningkatnya poten- si fiskal Kabupaten yang mengikuti tren dari lima tahun terakhir. Prediksi tersebut meliputi peningkatan persentase anggaran kesehatan. Berdasarkan hasil dari diskusi kelompok terarah, pelaku kebijakan menyatakan bahwa untuk setiap dua tahun hanya 10 dokter dapat disediakan oleh pemerintah daerah Kabupaten Blitar. Kesimpulan: Rekomendasi yang diajukan dalam penelitian ini adalah: secara implisit merumuskan kebijakan dokter harus mencakup karakter fasilitas dokter, menggunakan rasio yang ideal yang sesuai dengan kondisi dan kemampuan fiskal Kabu- paten Blitar sekarang, menggunakan strategi penunjukkan dok- ter PTT dan membuat pola insentif yang berkaitan dengan pemetaan wilayah Kabupaten Blitar.
Effect of Dialogue Focused Supervisory Relationship In Cross-ethnic Supervision To Enhance Midwife’s Performance Trisno, Idawati; Suhariadi, Fendy; Pudjirahardjo, Widodo J.
Health Notions Vol 1, No 4 (2017): October-December
Publisher : Humanistic Network for Science and Technology (HNST)

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Abstract

Midwife’s performance at Primary Health Care (PHC) still not optimal, slacken the effort of reducing maternal death. Unavailability of doctor at  PHC placed greater responsibility on midwife, thus improving midwife’s performance is crucial. Midwife’s performance influenced by ability, motivation, and supervision. Cross- ethnic supervision combined with line manager supervision, fit in the development of dialogue focused supervisory relationship (DFSR) in midwifery supervision. This study aimed to analyse the effect of DFSR on midwife’s performance, and the relationship between cross-ethnic supervision  and DFSR. This research used crosssectional design. Using random sampling techniques, 113 pairs of midwives -supervisors working in PHC at Kupang city and Kupang district were obtained. Data analysed using regression analysis. The findings were: (1) quality of DFSR affecting  midwife’s performance improvement, with quality of dialogue give strongest influence, (2) good quality supervisory relationship decrease midwife’s performance, and (3) cross-ethnic supervision didn’t have significant relationship towards DFSR. The development of DFSR as a new construct and evident of the relationship between DFSR and midwife’s performance is a novel in this study. To enrich this finding, future research should use longitudinal design and with different type of respondent. Study in exploring factor in cross-ethnic supervision that may influence DFSR also suggested.    Keywords: Midwife’s performance, Dialogue focused supervisory relationship, Cross-ethnic supervision