THE EFFECT OF DOUBLE-DUTY STAFFING ON THE EFFECTIVENESS OF THE HOSPITAL HEALTH PROMOTION PROGRAM AT MUHAMMADIYAH BABAT HOSPITAL
DOI:
https://doi.org/10.62354/jurnalmedicare.v5i4.540Abstract
Background: The Hospital Health Promotion Program (Promosi Kesehatan Rumah Sakit [PKRS]) plays an indispensable role in community health literacy, preventive empowerment, and behavioral modification. However, in secondary healthcare institutions, chronic health workforce shortages compel hospitals to assign PKRS responsibilities as secondary tasks (double jobs) to clinical and administrative personnel who already carry full-time primary duties. This operational dual role risks excessive workload, fragmented focus, and diminished program effectiveness
Objective: To analyze the empirical effect of double-duty staffing on the effectiveness of the Hospital Health Promotion Program at Muhammadiyah Babat General Hospital (RSU Muhammadiyah Babat). Methods: This quantitative correlational study utilized a cross-sectional survey design conducted in 2026. The study recruited all 22 active cross-professional members of the PKRS operational team using a total sampling technique. Data were gathered via structured Likert-scale questionnaires measuring double-job burden and PKRS program effectiveness (policy compliance, educational delivery, resource support, and method diversification). Data were evaluated through descriptive univariate analysis and bivariate Spearman's rank correlation.
Results: A plurality of respondents reported high double-job intensity (40.9%, n = 9), with 31.8% (n = 7) experiencing moderate and 27.3% (n = 6) low double-job levels. Program effectiveness was predominantly high (45.5%, n = 10), but 36.4% (n = 8) evaluated it as low and 18.2% (n = 4) as moderate. Bivariate statistical analysis revealed an inverse, statistically significant relationship between double jobbing and PKRS effectiveness (Spearman's rho = -0.941, p < 0.001), representing a very strong negative correlation.
Conclusion: An increased double-job burden among PKRS staff is strongly associated with a severe decline in the effectiveness of hospital health promotion programs. Hospital executive boards should establish dedicated, full-time health promotion staffing and re-engineer task distributions to ensure sustainable preventive services.
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Keywords:
Double duty, Health promotion, Hospital administration, Hospital Health Promotion Program (PKRS), Spearman correlation, WorkloadReferences
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