Indonesian Journal of Health Administration
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THE RELATIONSHIP BETWEEN CAREER LADDER AND NURSES JOB SATISFACTION AT A HOSPITAL
Get PDFBackground: Career ladder is given to nurses to encourage and maintain professional development and practice of nursing. Career ladder has an impact on raising clinical levels, promotion opportunities, competency complexity, rewards and recognition. In this study, the career ladder has started by mapping and conducting, credentials and competency assessment at the levels of pre Nurse Clinicians, Nurse Clinicians Level I and Nurse Clinicians Level II. Almost half of the nurses were dissatisfied (47.2%) with their career development.Aims: This study was to analyzed the relationship between the career ladder and nurses' job satisfaction.Methods: This study was a quantitative correlational study with a cross-sectional approach. There were 108 nurses as samples selected using consecutive sampling techniques. These respondent who met the inclusion criteria came from Inpatient Room, (i.e VVIP, VIP, Class I, Class 2/3, Ophthalmology Inpatient), Polyclinic, Chemotherapy Unit, NICU (Neonatal Intensive Care Unit), ICU (Intensive Care Unit), Hemodialysis, Emergency room and COT (Centra Operation Theater). Data were analyzed using the Spearman test.Results: There was a significant relationship between career ladder (p=0.000) and nurse' job satisfaction. The nurse were satisfied with her career development related to implementation of career ladder. Besides, career ladder allowed to be promoted as the heads of the rooms. Rewards and recognition of nurses' competencies through job promotion affected nurses' satisfaction.Conclusion: Career ladder affects nurse satisfaction. Nurses can advance their careers through a career promotion, competencies, rewards and recognition from other health professionals. Support from nurse manager is needed as a form of mentoring and evaluation of nurse performance in the career ladder. Keywords: career ladder, job satisfaction, nurse
HAND HYGIENE KNOWLEDGE AMONG HOSPITAL HEALTH WORKERS IN PALEMBANG DURING COVID-19 ERA
Get PDFBackground: Hand hygiene is the simplest practical method of preventing cross-infection. Knowledge of hand hygiene plays a vital role in determining adherence to hand hygiene. Nosocomial infection is an infection that occurs in patients in hospital.Aims: This study aims to analyze the knowledge of health workers regarding hand hygiene in Palembang hospitals during Covid-19 era.Methods: This study used a cross-sectional design with 300 health workers who worked in hospitals in Palembang. They are selected by simple random sampling. Data were collected using online questionnaire during October 2020.Results: The majority of respondents were female (88.67%), with the majority age group 30-39 years (43.67%), the majority of respondent came from nurses (63%), work in inpatient rooms (27.33%). A total of 80.67% of respondents have received formal training related to hand hygiene. 96% used alcohol-based hand rub. About 15.33% of respondents indicated good knowledge, moderate knowledge (80.33%), and less knowledge (4.3%) regarding hand hygiene. The difference in health workers' profession was significantly related to the level of knowledge about hand hygiene (p <0.05).Conclusion: There are differences in the level of knowledge about hand hygiene in each type of health worker professionKeywords: Hand Hygiene; Knowledge; Health Workers; Onlin
THE QUALITY OF TUBERCULOSIS SERVICES IN PATIENTS' PERSPECTIVES: A LITERATURE REVIEW
Get PDFBackground: The assessment from the patient's perspective is the assurance of TB service' quality to achieve the "End TB" target. The information regarding TB services' quality assessment in the dimensions of QUOTE TB Light is not widely found.Aims: The study aims to review TB services' quality from the patients' perspective in the 7 dimensions of QUOTE TB Light.Methods: This literature review study searched from 3 databases, namely PubMed, Science-Direct, and Google Scholar since July - October 2020. The inclusion criteria were research on TB services quality, patients' perspective, and patient assessment of 7 dimenssion. Articles assessed the other health services' quality and published before January 2015 was excluded.Results: A total of 7 from 89 articles found were selected for review. The patients' assessments are based on their experiences or satisfactions. Most of the studies are satisfied with service availability, communication, patient-provider interactions, competence, and affordability. The patients' dissatisfactions about infrastructure and stigma acquired during treatment.Conclusion: Infrastructure and stigma are assessed negatively. The continously evaluation and training for health workers need to be improved so they can serve patients well. The patients' perspectives can be the major consideration for providers to enhance the TB services' quality.Keywords: Quality of TB services, QUOTE TB Light, patients' perspectives, Tuberculosi
THE PERFORMANCE DIFFERENCES BETWEEN HIGH AND LOW SALES TURNOVER COMMUNITY PHARMACIES
Get PDFBackground: Pharmacy managers will make various efforts to increase their income. In spite of this, pharmacies that have the same facilities can generate greatly varied incomes.Aims: The purpose of this study was to determine the difference between high sales turnover pharmacies and low sales turnover pharmacies as observed through employee motivation, organizational culture, and patient satisfaction.Methods: This study used an analytical design with a questionnaire and checklist. Consumers were selected using the purposive sampling system to assess patient satisfaction. All employees were sampled to assess work motivation and organizational culture. Data analysis was performed using descriptive, bivariate, and multivariate testing.Results: Direct observation of pharmaceutical services from the two outlets shows that there were differences in the time it takes for pharmacist to retrieve the drug, the time for providing drug information, collecting information from patients, and the type of drug information provided, as well as employee motivation, organizational culture, and patient satisfaction.Conclusion: Services at pharmacies with high sales turnover are different from pharmacies with low sales turnover. Empathy has the greatest effect on sales turnover, followed by reliability, responsiveness, assurance, and tangible dimensions. Outlets that have high sales turnover have better organizational culture and higher employee motivation when compared to outlets that have low sales turnover. Keywords: motivation, organizational culture, patient satisfaction, sales turnove
HOW HAS COVID-19 CHANGED THE WAY HOSPITALS DELIVER CARE?
Get PDFDuring the pandemic, healthcare facilities in Indonesia faced very vulnerable conditions. So far, dealing with the pandemic has had a significant impact on the national referral system for health services. Hospitals are the last line of defence for the increase in COVID-19 referral cases, leading to high percentage of BOR (Bed Occupancy Rate). We have selected several articles related to health services, especially hospitals, to provide perspectives and contributions to different referral health services
DIRECTIVES ON COMMUNITY USE OF FACE MASKS DURING COVID-19 PANDEMIC: A COMMENTARY ARTICLE
Get PDFWearing a universal face mask is recommended by most health authorities during the COVID-19 pandemic. This commentary elaborates directives given in relation to the use of face masks and identify the underlying principles for public health recommendations by the government authorities of Australia, Canada, China, Hong Kong, Singapore, the United Kingdom and the United States of America. Key data were considered from official government websites by a team of healthcare management experts. It was argued that the directives recommended by the governments were based on the principles addressing the different facets of COVID-19 pandemic, population dynamics, resource availability and scarcity, and the fact that how the proposed standard of practices would be translated into compulsory obligations in the community. The principles involved regulations versus voluntary compliance of the population, transmission scenario, protection from sick or asymptomatic people, special needs and vulnerable groups, synergistic versus substitute/alternative, occupational health risk, adverse effects on usage, types of masks which depend on the risk or context, change in use practices depending on demand, scarcity and quality assurance. Recommendations of the use of face masks were found to be heterogeneous and apparently inconstant. Within the dynamic situation of the COVID-19 pandemic, the directives on community use of face masks were issued based on certain dominant principles and interplayed between principles that should be deeply explored by the healthcare decision makers. Keywords: COVID-19, face masks, pandemic, public health measure