Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)
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EFISIENSI BIAYA DAN KETENAGAAN MELALUI KEBIJAKAN SENTRALISASI KEPERAWATAN
Abstract
Tujuan penelitian: Artikel ini bertujuan untuk mendiskusikan aplikasi teori resource mobilization dalam proses diseminasi kebijakan sentralisasi keperawatan. Konsep kunci dari teori tersebut menggarisbawahi bahwa keberhasilan implementasi kebijakan ditentukan oleh kemampuan mengelola sumber daya. Selain itu hasil sebuah kebijakan dapat diukur secara objektif, seperti efisiensi biaya dan ketenagaan. Metode: Proses diseminasi kebijakan sentralisasi keperawatan berlangsung selama enam bulan sejak bulan Mei sampai Desember 2024. Pihak yang terlibat terdiri atas berbagai pemangku kepentingan mulai dari perawat, nurse leader, para kepala instalasi, team leader, asisten manajer, manajer tim kerja dan jajaran direksi rumah sakit. Implementasi kebijakan dilakukan melalui tiga tahapan, yaitu premobilisasi, mobilisasi, dan posmobilisasi. Evaluasi dilakukan dengan mengukur efisiensi tenaga dan biaya. Hasil: Proses mobilisasi tenaga keperawatan sebagai salah satu kebijakan sentralisasi meningkatkan efisiensi biaya, menambah tempat tidur tanpa penambahan tenaga perawat, meningkatkan volume operasi (87%), dan menurunkan jumlah operasi elektif yang dibatalkan (0,29%). Diskusi: Dalam proses mobilisasi tenaga perawat, ada dua hal utama yang perlu menjadi pertimbangan, yaitu kompetensi dan keterlibatan aktif. Kesimpulan: Luaran dari sebuah kebijakan sangat bergantung pada proses diseminasi kebijakan tersebut ke pihak-pihak terkait. Keterlibatan aktif dan dini memiliki dampak positif terhadap luaran kebijakan.
Kata Kunci: kebijakan, ketenagaan, manajemen, perawat, sentralisasi
Cost and Workforce Efficiency Through A Nursing Centralization Policy
ABSTRACT
Objective: This article discusses the application of resource mobilization theory in the dissemination process of a nursing centralization policy. The key concept of this theory emphasizes that successful policy implementation depends on the effective management of available resources. Policy outcomes can also be measured objectively, including cost and workforce efficiency. Methods: The dissemination process of the nursing centralization policy took place over six months, from May to December 2024. The process involved various stakeholders, including staff nurses, nurse leaders, heads of clinical units, team leaders, assistant managers, work team managers, and members of the hospital board of directors. Policy implementation followed three stages: premobilization, mobilization, and postmobilization. Evaluation focused on measuring workforce and cost efficiency. Results: The mobilization of nursing staff as part of the centralization policy improved cost efficiency, increased bed capacity without adding additional nursing personnel, raised the surgical volume by 87%, and reduced the rate of cancelled elective surgeries to 0.29%. Discussion: Two main factors require attention during the mobilization of nursing personnel, namely professional competence and active engagement. Conclusion: Policy outcomes depend strongly on how the policy is disseminated to relevant stakeholders. Early and active engagement contributes positively to the effectiveness of policy implementation.
Keywords: policy, workforce, management, nurses, centralizationFull Text:
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DOI: http://dx.doi.org/10.32419/jppni.v10i3.699
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