Florence Nightingale: Visionary for the Role of Clinical Nurse Specialist

Florence Nightingale is well known as the mother of nursing, aptly recognized as “Lady in Chief”, immortalized as “the Lady with the Lamp”, and revered as a visionary and a catalyst for healthcare reform. Nightingale’s life and impact on patient care, nursing and nursing practice, and healthcare systems and organizations parallel the clinical nurse specialist (CNS) roles and three spheres of impact. In this article we highlight key events of Nightingale’s work that illustrate her calling and devotion as a nurse and review her observations of organizations and nursing practice and her famous twenty-month experience (1854-1856) in the Crimean War at the British Army Hospitals at Scutari. Nightingale’s critical thinking and problem analyses; implementation of interventions and positive outcomes; advancement of nursing practice based on evidence; detailed documentation and statistical analysis; and tenacious political advocacy to reform healthcare systems resembles the role of the CNS as an expert clinician, nurse educator, researcher, consultant, and leader in healthcare systems and policy creation. This article explores Nightingale’s contribution to nursing practice and education as a visionary for the role of the clinical nurse specialist.

733 From the Trenches of War to the Bedside of Civilians: Joseph E. Murray MD FACS and the Contributions of Military Surgeons to Advances in Burn Care

Introduction Significant advances in medical and surgical care have often originated from our experience caring for those wounded on the battlefield. The year of the ABA’s 52nd annual meeting marks the 30th anniversary of the selection of Joseph E. Murray MD FACS as recipient of the 1990 Nobel Prize in Medicine. Methods In his autobiography Surgery of the Soul: Reflections on a Curious Career, Dr. Murray credits a 22 year old US Army aviator named Charles Woods with guiding him into an emerging field of transplantation surgery. On December 23, 1944, Woods sustained burns over 70% of his body in an accident during takeoff while teaching another pilot at his Army Air Corps base in India. Woods survived and eventually was transferred back to the US where came under of the care of a young 25 year old surgeon named Joseph Murray. Results Like many young surgeons of his era, Dr. Murray joined the military service during WWII. Dr. Murray had just completed his internship at Peter Bent Brigham in Boston in September 1944 when he was assigned to Valley Forge General Hospital in Phoenixville, PA. Valley Forge was one of eight regional US Army hospitals created during WWII dedicated to plastic surgery and burn care. It was during his care for soldiers wounded in battle at this time in his early formative years that Dr. Murray developed his curiosity regarding tissue transplantation. Following military service, he completed his surgical training in Boston and New York City, and returned to the Brigham in July 1951. His military service caring for burn victims instilled a passion and curiosity regarding transplantation of human tissue. This culminated in his leading a team to perform the first human kidney transplantation on December 23, 1954...exactly 10 years to the day after the airplane crash that injured Charlie Woods. Conclusions Recognizing his dedication and accomplishments in the field of transplantation surgery, the Nobel selection committee awarded Dr. Murray thirty-six years later it’s Prize in Medicine. Applicability of Research to Practice Dr. Murray’s legacy which began during his care of soldiers during WWII offers an inspiration to all those caring for patients who have sustained burn injuries.

Pengaruh Kompetensi Pegawai, Tingkat Pemanfaatan Teknologi Informasi, dan Efektivitas Sistem Pengendalian Intern Terhadap Penyajian Laporan Keuangan Rumah Sakit TNI AD Di Kesdam XIV/Hasanuddin

The presentation of financial statements reflected by opinion of intern auditor (Itdam) and external auditor (BPK). Audit result show there are still many army hospitals which have not yet attained WTP opinion. The variables in this study consist of independent variables: employee competence (X1), information technology (X2), and internal control system (X3). On the other hand, the dependent variable is the presentation of financial statement (Y). This is a quantitative research using non probability sampling with census sampling method. The value of the coefficient of determination shows that employee competence, information technology, and internal control system simultaneously contribute to the presentation of financial statement. Partially test results show that information technology and internal control system influence significantly the quality of financial statement. Employee competence does not influence significantly the presentation of financial statement.Keywords: Presentation of Financial Statement, Employee Competence, Information Technology, and Internal Control System.Abstrak. Penyajian laporan keuangan rumah sakit TNI AD tercermin dari opini auditor internal (Itdam) maupun eksternal (BPK) atas laporan keuangan rumah sakit TNI AD. Hasil audit menunjukkan masih banyak rumah sakit TNI AD yang belum mendapatkan opini WTP. Variabel dalam penelitian ini sebagai variabel independen adalah kompetensi pegawai (X1), tingkat pemanfaatan teknologi informasi (X2), dan efektifitas sistem pengendalian intern (X3), sedangkan variabel dependen adalah penyajian laporan keuangan (Y). Jenis penelitian ini adalah kuantitatif dengan menggunakan metode linier berganda, dan sampel diambil dengan teknik non probability sampling menggunakan sampling jenuh/sensus pada pengelola keuangan rumah sakit TNI AD di Kesdam XIV/Hasanuddin. Nilai koefisien determinasi menunjukan bahwa kompetensi pegawai, pemanfaatan teknologi informasi dan efektifitas sistem pengendalian intern bersama-sama berkontribusi terhadap penyajian laporan keuangan rumah sakit TNI AD di Kesdam XIV/Hasanuddin. Hasil pengujian secara parsial menunjukkan bahwa pemanfaatan teknologi informasi dan efektifitas sistem pengendalian intern memiliki pengaruh signifikan terhadap penyajian laporan keuangan, sedangkan kompetensi pegawai tidak memiliki pengaruh signifikan terhadap penyajian laporan keuangan.Kata kunci: Penyajian Laporan Keuangan, Kompetensi Pegawai, Pemanfaatan Teknologi Informasi dan Efektifitas Sistem Pengendalian Intern.

Pengaruh Kompetensi Pegawai, Tingkat Pemanfaatan Teknologi Informasi, dan Efektivitas Sistem Pengendalian Intern Terhadap Penyajian Laporan Keuangan Rumah Sakit TNI AD Di Kesdam XIV/Hasanuddin

The presentation of financial statements reflected by opinion of intern auditor (Itdam) and external auditor (BPK). Audit result show there are still many army hospitals which have not yet attained WTP opinion. The variables in this study consist of independent variables: employee competence (X1), information technology (X2), and internal control system (X3). On the other hand, the dependent variable is the presentation of financial statement (Y). This is a quantitative research using non probability sampling with census sampling method. The value of the coefficient of determination shows that employee competence, information technology, and internal control system simultaneously contribute to the presentation of financial statement. Partially test results show that information technology and internal control system influence significantly the quality of financial statement. Employee competence does not influence significantly the presentation of financial statement.Keywords: Presentation of Financial Statement, Employee Competence, Information Technology, and Internal Control System.Abstrak. Penyajian laporan keuangan rumah sakit TNI AD tercermin dari opini auditor internal (Itdam) maupun eksternal (BPK) atas laporan keuangan rumah sakit TNI AD. Hasil audit menunjukkan masih banyak rumah sakit TNI AD yang belum mendapatkan opini WTP. Variabel dalam penelitian ini sebagai variabel independen adalah kompetensi pegawai (X1), tingkat pemanfaatan teknologi informasi (X2), dan efektifitas sistem pengendalian intern (X3), sedangkan variabel dependen adalah penyajian laporan keuangan (Y). Jenis penelitian ini adalah kuantitatif dengan menggunakan metode linier berganda, dan sampel diambil dengan teknik non probability sampling menggunakan sampling jenuh/sensus pada pengelola keuangan rumah sakit TNI AD di Kesdam XIV/Hasanuddin. Nilai koefisien determinasi menunjukan bahwa kompetensi pegawai, pemanfaatan teknologi informasi dan efektifitas sistem pengendalian intern bersama-sama berkontribusi terhadap penyajian laporan keuangan rumah sakit TNI AD di Kesdam XIV/Hasanuddin. Hasil pengujian secara parsial menunjukkan bahwa pemanfaatan teknologi informasi dan efektifitas sistem pengendalian intern memiliki pengaruh signifikan terhadap penyajian laporan keuangan, sedangkan kompetensi pegawai tidak memiliki pengaruh signifikan terhadap penyajian laporan keuangan.Kata kunci: Penyajian Laporan Keuangan, Kompetensi Pegawai, Pemanfaatan Teknologi Informasi dan Efektifitas Sistem Pengendalian Intern.

Analysis of Leadership Style and Remuneration System According to the Perception of Human Resources (HR) in Radiological Installation in Army Hospitals dr. Soepraoen Malang

Human resources in an institution such as a hospital are an important strategy to create an accelerated improvement in overall health status, integrated, equitable, affordable and acceptable to the entire community. In maintaining the continuity and life of its organization, organizations are required to be able to maintain good relations between the leaders of the organization and human resources as the driving force of an organization. This research was conducted by taking the object of research in the installation of radiology at the Army Hospital Dr. Soepraoen, Malang City. This study aims to determine the perceptions of human resources (HR) from Radiology Installation in Army Hospital Dr. Soepraoen Malang towards leadership style and remuneration system. The method used in this study is qualitative research with a descriptive approach. The sampling technique that will be used in this study is a total sampling of 15 radiology installation employees at the Army Hospital Dr. Soepraoen. The results of the study show that a good perception of Human Resources (HR) related to Leadership Style in the Installation of Army Hospital Radiology dr. Soepraoen Malang and the application of remuneration carried out by Army Hospital Dr. Soepraoen Malang city runs well. Advice from researchers is expected to be able to develop knowledge in the field of administration and quality of hospital services. In addition, this research might be able to help further similar research, especially with regard to the remuneration system and leadership style in hospitals.

The army nurse practitioner transition to practice program

The Army Nurse Corps established a Transition to Practice Program (TPP) to better position Army NPs to excel in complex clinical environments. The purpose of the TPP was to provide a structured educational transition to clinical practice for new graduate Advance Practice Registered Nurses (APRNs). A small pilot (test-of-change) was conducted at two Army hospitals. The results of the pilot indicated that length of time was the most important factor for the program. Findings during this pilot implementation were limited, but provide great insight into revising the program in order to produce skilled and confident Army APRNs.