IDENTIFYING THE CONSTRAINT RESOURCES ON SERVICE PERFORMANCE WITH THE THEORY OF CONSTRAINT APPROACH ON INPATIENT INSTALLATION OF SURABAYA HAJJ HOSPITAL

The trend of Gross Death Rate (GDR) Surabaya Ha jj Hospital had tended to increase from 2012 to 2015 . H owever , it eventually decreased in 2016. T his research aims to analyze the constraints in the service performance at the inpatient unit of Surabaya Haj j Hospital . The research utilized the theory of constraint to minimize the constraint s and to prevent the trend of increased GDR over the year s . Th e research employed observational descriptive and cross - sectional design. The primary d ata w ere directly collected from the nurses as respondents through questionnaire s . The result s of the research indicated that the resource constraint s w ere the workload, lack of facilities, lack of medical and non-medical equipment, and lack of nurse workforce. In conclusion, with all the foregoing constraint s, such as the workload, lack of facilities , medical , and non-medical equipment, and lack of nurse's workforce , d o not directly affect the service performance of the nurses . Accordingly, improvement efforts are recommended for the existing obstacles.