Analysis of Nurse Staffing Needs Based on Workload Using the ABK-KES Method in the Emergency Department of Teuku Umar Regional Hospital, Aceh Jaya

Abstract

This study aims to analyze the need for nursing staff based on workload using the Health Workload Analysis (ABK-Kes) method in the Emergency Department (IGD) of Teuku Umar Aceh Jaya Regional Hospital. The research design used is a mixed method sequential exploratory, namely a quantitative approach to measure nurses' workload and a qualitative approach to deepen understanding of the quantitative results. Data collection was conducted through one month of observation of 21 ER nurses and in-depth interviews with five key informants from the hospital management. The analysis results show that nurses have Available Working Time (WKT) of 72,000 minutes per year with 58 main tasks and 2 supporting tasks. Based on the calculation of Workload Standards (SBK) and Supporting Task Standards (STP = 1.0221), the ideal need for nursing staff in the ER is 17 people, while the actual number available is 21 people, resulting in an excess of four nurses. From the interview results, most informants stated that the current number of nursing staff is sufficient, but still needs regular evaluation to ensure balanced distribution of staff between units. The main obstacles identified included limited emergency competency and unequal distribution of training certificates. This study confirms that the implementation of the ABK-Kes method can produce more objective, efficient, and field-specific workforce planning. It can also serve as a reference for hospitals in developing nursing human resource management policies.

Keywords:

ABK-Kes Method, Emergency Room, Nursing Needs, Workload

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