Analysis of the effectiveness of bed occupation rate capacity in Dengue Hemorrhagic Fever (DHF) disease nursing services at Kendari City Hospital, Southeast Sulawesi Province, Indonesia, 2024

Background: Dengue Hemorrhagic Fever (DHF) is one of the health problems that often require intensive care in hospitals. Bed Occupation Rate (BOR) capacity is an important indicator in measuring the efficiency and quality of hospital services, especially in nursing services. Non-ideal BOR can affect the effectiveness of services, especially in handling DHF patients who require special attention. In handling DHF, Kendari City Public Hospital often faces a surge of patients in certain seasons, especially during an outbreak. This surge can affect nursing services, which play an important role in supporting patient recovery. The effectiveness of nursing services is strongly influenced by the availability of beds, the ratio of nurses to patients, and the hospital's ability to manage BOR capacity efficiently. This study is important to analyze the effectiveness of BOR capacity management in nursing services for dengue fever in kendari city public hospital. By understanding the dynamics of BOR and nursing services, it is expected that optimization strategies can be found that not only improve the operational efficiency of the hospital but also the quality of care for DHF patients. Methods: This study used a qualitative approach with an exploratory descriptive design. Data were collected through in-depth interviews with nursing staff, hospital management, and patients or their families. In addition, secondary data regarding the BOR rate and the number of DHF patients were analyzed to provide context. Data analysis was conducted using thematic techniques. Results: The results showed that the BOR rate at Kendari City Hospital often exceeded the ideal limit (>85%) during the peak season of DHF cases. The BOR level significantly affects the quality of care. A BOR that is too high can reduce the quality of care due to excessive workload, while a BOR that is too low causes resources not to be optimally utilized. To effectively treat DHF patients, hospitals need to ensure that the BOR is within the optimal range while keeping additional resources ready to handle the surge in cases during the outbreak season. This results in increased nurse workload, limited time for individualized care, and decreased patient satisfaction. Despite this, nursing staff apply various adaptive strategies to maintain service quality, such as teamwork and prioritization of critical patients. Under high bed occupancy rate (BOR) conditions, providing optimal care to dengue fever patients requires good management and effective collaboration among health workers. Hospital management also sought temporary capacity additions during the surge, although challenges in resource allocation remained. Conclusion: High BOR capacity affects the effectiveness of nursing services for DHF patients at Kendari City Hospital. Optimizing bed capacity management and increasing the ratio of nursing staff are important steps to improve service quality. This study provides recommendations for hospital management to develop long-term strategies to deal with the surge of DHF patients.