Pengaruh Faktor Operasional dan Administratif terhadap Beban Kerja Tenaga Kesehatan di Unit Rawat Inap RSUD Lapatarai Kabupaten Barru
DOI:
https://doi.org/10.54082/jupin.1998Kata Kunci:
Beban Kerja, Beban Administratif, BOR, Distribusi Tenaga, Rasio Pasien-PerawatAbstrak
Beban kerja tenaga kesehatan di unit rawat inap RSUD Lapatarai Kabupaten Barru meningkat seiring rasio pasien terhadap perawat yang mencapai 12,5 : 1 di beberapa ruang, beban administratif tinggi akibat pencatatan ganda selama masa transisi sistem rekam medis elektronik, serta tingkat hunian tempat tidur (Bed Occupancy Rate/BOR) yang mencapai 84% pada tahun 2023 melampaui standar nasional 60–80%. Kondisi ini berisiko menurunkan mutu pelayanan dan meningkatkan kelelahan kerja tenaga kesehatan. Penelitian ini bertujuan menganalisis pengaruh jumlah pasien, jam kerja dan sistem shift, kompleksitas kasus, beban administratif, serta kebijakan distribusi tenaga terhadap beban kerja tenaga kesehatan serta menentukan faktor yang paling dominan. Pendekatan kuantitatif dengan desain cross-sectional digunakan pada 120 tenaga kesehatan yang dipilih melalui purposive sampling. Data dikumpulkan menggunakan kuesioner skala Likert yang telah diuji validitas dan reliabilitasnya, kemudian dianalisis dengan korelasi Pearson dan regresi linier berganda. Hasil analisis menunjukkan bahwa beban administratif (r = 0,498) dan jumlah pasien (r = 0,425) memiliki hubungan terkuat dengan beban kerja (seluruh p < 0,01). Secara parsial, hanya jumlah pasien (β = 0,217; p = 0,048) dan beban administratif (β = 0,376; p < 0,001) yang berpengaruh signifikan, dengan beban administratif sebagai faktor dominan (β standar = 0,356). Temuan ini menegaskan perlunya reformasi manajemen SDM dan percepatan digitalisasi RME untuk menekan beban administratif dan meningkatkan efisiensi pelayanan.
Referensi
Adler-Milstein, J., Holmgren, A. J., & Kralovec, P. (2020). Hospital adoption of interoperability functions improved from 2014 to 2018, but challenges remain. Health Affairs, 39(10), 1790–1796. https://doi.org/10.1377/hlthaff.2020.00328
Anisa, N., Rahmawati, S., & Hadi, M. (2022). Analisis kebutuhan tenaga perawat menggunakan pendekatan WISN di rumah sakit. Jurnal Manajemen Informasi Kesehatan Indonesia, 10(1), 55–63.
Bakhoum, M. F., et al. (2021). Time and motion study of nursing documentation: Impact on patient care. Nursing Informatics, 28, 91–97.
Bakker, A. B., Demerouti, E., & Sanz-Vergel, A. I. (2023). Burnout and work engagement: The JD-R approach. Annual Review of Organizational Psychology and Organizational Behavior, 10, 1–27. https://doi.org/10.1146/annurev-orgpsych-012420-091232
Carayon, P., & Perry, S. J. (2020). Human factors and ergonomics systems approach to healthcare quality and patient safety. Applied Ergonomics, 87, 103107. https://doi.org/10.1016/j.apergo.2020.103107
Dall, T. M., et al. (2022). The health and economic impact of improved nurse staffing: A meta-analysis. Medical Care, 60(2), 120–127.
Dall’Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020). Burnout in nursing: A theoretical review. International Journal of Nursing Studies, 109, 103504. https://doi.org/10.1016/j.ijnurstu.2020.103504
De Groot, K., Triemstra, M., Paans, W., & Francke, A. L. (2022). The impact of electronic health records on nurses’ perceived workload and workflow. Journal of Advanced Nursing, 78(5), 1130–1142. https://doi.org/10.1111/jan.15085
Dinas Kesehatan Provinsi Sulawesi Selatan. (2023). Laporan Tahunan Kesehatan Provinsi Sulawesi Selatan 2023.
Fagerström, L., Kinnunen, M., & Saarela, J. (2021). Nursing workload and patient safety: A systematic review. Journal of Health Services Research & Policy, 26(4), 249–257.
Galiano, R., Martínez, M. L., & Ortega, R. (2025). Digital workload management systems reduce administrative burden among nurses: A quasi-experimental study. Health Information Science and Systems, 13(1), 45–56.
Hair, J. F., Hult, G. T. M., Ringle, C. M., & Sarstedt, M. (2021). A primer on partial least squares structural equation modeling (PLS-SEM) (3rd ed.). Sage Publications.
Hall, L. H., Johnson, J., Watt, I., Tsipa, A., & O’Connor, D. B. (2016). Healthcare staff well-being, burnout, and patient safety: A systematic review. PloS One, 11(7), e0159015. https://doi.org/10.1371/journal.pone.0159015
Ivziku, D., Ferri, P., & Marcheselli, L. (2022). Patient acuity and nursing workload: A systematic review. Journal of Nursing Scholarship, 54(1), 5–13.
Kementerian Kesehatan Republik Indonesia. (2022). Profil Kesehatan Indonesia 2022. Kemenkes RI.
Lesener, T., Gusy, B., & Wolter, C. (2020). The job demands-resources model: A meta-analytic review of longitudinal studies. Work & Stress, 34(1), 1–28. https://doi.org/10.1080/02678373.2019.1598511
Maria, M., Rosalia, E., & Tambunan, A. H. (2023). The impact of case complexity on nurse workload in critical care units. Critical Care Nursing Quarterly, 46(2), 139–147.
Martins, M. M., et al. (2025). Disparities in staff distribution and nurse workload: Implications for hospital management. International Journal of Nursing Studies, 139, 104384.
Melnyk, B. M., Hrabe, D. P., & Szalacha, L. A. (2018). Relationships among work stress, job satisfaction, mental health, and healthy lifestyle behaviors in new graduate nurses attending a nurse residency program. Journal of Nursing Administration, 48(6), 361–367.
Moy, E., Garcia, M. C., Bastian, B., Rossen, L. M., Ingram, D. D., Faul, M., ... & Iademarco, M. F. (2019). Leading causes of death in nonmetropolitan and metropolitan areas — United States, 1999–2014. MMWR Surveillance Summaries, 66(1), 1–16.
Ramadhani, R., Sari, M. M., & Haryati, H. (2023). Hubungan sistem shift kerja dengan kelelahan tenaga kesehatan di masa pandemi. Jurnal Kesehatan Masyarakat, 19(2), 111–118.
Sharma, P., & Dhar, R. L. (2022). Work-family conflict and burnout in healthcare: Mediating role of psychological capital. Journal of Health Management, 24(1), 12–26.
Silitonga, A. J., Siregar, A. Y. M., & Nasution, Y. (2023). Evaluasi rasio tenaga kesehatan terhadap pasien di RSUD. Jurnal Ilmu Kesehatan Masyarakat, 14(3), 243–252.
Skela-Savič, B., et al. (2023). Nurses’ burnout and patient safety: A cross-sectional study. International Nursing Review, 70(1), 38–45.
Twigg, D. E., Gelder, L., & Myers, H. (2021). The impact of nurse staffing on patient and nurse outcomes. Journal of Nursing Management, 29(3), 322–330.
Winter, V., Schreyögg, J., & Thiel, A. (2021). Hospital staff shortage and its impact on patient safety: A systematic review. Health Policy, 125(7), 840–854.
World Health Organization. (2016). Workload Indicators of Staffing Need (WISN): User’s manual. Geneva: WHO Press.
World Health Organization. (2023). Global strategy on human resources for health: Workforce 2030 – Midterm review. Geneva: WHO Press.
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Hak Cipta (c) 2026 Muhammad Ikbal, Saparuddin Latu, Andi Muh. Yagkin
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