Comparison of Nursing Staff Calculation Based on the Time and Motion Study and Douglas Method
Downloads
Introduction: The increase of the quality of service requires human resource with good quality and quantity. In health service, nursing staff need can be calculated by using many methods, such as Gillies method, ratio method, nursing workshop method, Thailand and Philippine method, Nina method, and Douglas method. Besides those six methods, nursing staff need can be calculated by calculating worktime and workload. This method is called Time and Motion Study. Douglas method is used to calculate nursing staff need at IRNA Bedah A Dr. Soetomo Hospital. The objective of this study was to compare the calculation of nursing staff need using Douglas method and Time and Motion Study.
Method:This study used descriptive design with observational approach. Samples, taken by total sampling, were 12 nurses at IRNA Bedah A Dr. Soetomo hospital for Time and Motion Study and all patients at IRNA Bedah A. Data for Douglas method were collected by using classification of patient's dependence into 3 categories, i.e; self care, partial care, and total care. Data for Time and Motion Study were collected by using observation of nurse's activities and calculate nurse's worktime and nurse's workload.The results showed that according to Douglas method, IRNA Bedah A needed 16 nurses, and according to Time and Motion Study, IRNA Bedah A needed 14 nurses. The mean of patient's dependence in one week was 13 patients with self care, 3 patients with partial care, and 4 patients with total care.
Result: Total productive time of the nurses at IRNA Bedah A was 3.83 hours in the morning, 2.37 hours in the afternoon, and 5.25 hours at night. Nurse's workload at IRNA Bedah A was 34.62%. It can be concluded that calculation by using method Douglas shows that IRNA Bedah A needs more nurses compared with calculation by using Time and Motion Study.
Discussion: Time and Motion Study is more effective than Douglas method to calculate nursing staff need. Most patients at IRNA Bedah A is self care. Most nurse's activity at IRNA Bedah A is non-productive activity. Most of the nurse's activities at IRNA Bedah A have done based on the standard of procedure. Nurse's workload at IRNA Bedah A is underload.
Arwani, Heru Supriyanto. 2005. Manajemen Bangsal Keperawatan. Jakarta: EGC.
Hapsari, Elsi Dwi, 2006. Menyiapkan Perawat yang Siap Berkompetisi di Era Pasar Global, (online), (http://www.inovasi-online.ca/final_research/ogc/pdf/obrien_final.pdf, diakses tanggal 2 Juli 2009, jam 23.11 WIB).
Hasibuan, H., 2008. Manajemen Sumber Daya Manusia. Jakarta: Bumi Aksara.
Sitorus, Ratna, 2006. Model Praktik Keperawatan Profesional di Rumah Sakit: Penataan Truktur dan Proses (Sistem) Pemberian Asuhan Keperawatan di Ruang Rawat. Jakarta: EGC.
Suarli, S & Yanyan Bahtiar, 2008. Manajemen Keperawatan dengan Pendekatan Praktis. Jakarta: Erlangga.
Authors who publish with Jurnal Ners agree to the following terms:
- Authors transfer the Copyright and grant Jurnal Ners the right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to remix, adapt and build upon the work with an acknowledgment of the work's authorship and of the initial publication in Jurnal Ners.
- Authors are permitted to copy and redistribute the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Jurnal Ners.
Jurnal Ners requires a formal written declaration and transfer of copyright from the author(s) for each article published. We, therefore, ask you to complete and return this form, retaining a copy for your own records. Your cooperation is essential and appreciated. Any delay will result in a delay in publication. The form can be downloaded HERE.
