Continuous Learning-Based Knowledge Management in the Implementation of Standard Operating Procedures (SOP) for Hyperbaric Oxygen Therapy (HBOT) at the Bhayangkara Police Hospital

Abstract

This study aims to develop and analyze the application of Sustainable Learning-based KM in the development and implementation of HBOT SOPs at the Bhayangkara Polri Hospital. The main focus of the study is directed at how the application of KM can improve the effectiveness, consistency, and adaptability of HBOT SOPs, as well as build a culture of continuous learning in the police hospital. This study uses an Action Research approach that involves direct collaboration between: researchers, medical personnel, hospital management, and policy makers. The research cycle includes the stages of problem identification, action planning, implementation, observation, and continuous reflection. Data were collected through a combination of quantitative survey methods, in-depth interviews, participant observation, and analysis of SOP documents in various HBOT service units. Research informants included 100 participants from various levels of analysis (individual, group, organizational, and system), with data triangulation carried out to ensure the validity and depth of the findings. The results of the study indicate that the Action Research approach is effective in driving real changes in SOP management based on continuous learning. The Sustainable Learning-based KM model can be an innovative framework for the development of national medical SOPs in the police health sector. The research results systematically revealed: (1) the implementation of Sustainable Learning-based KM increases the effectiveness of HBOT SOPs with an action cycle that includes problem identification, implementation, observation, reflection, resulting in increased consistency, staff engagement, and procedural understanding; (2) organizational capacity and awareness for continuous learning increases, strengthening the learning organization culture in the hospital; (3) cross-unit collaboration accelerates SOP updates and effective coordination between medical teams, quality management, and training; (4) Action Research spurs real changes in work practices and quality management through the active involvement of all stakeholders; (5) gaps between regions can be addressed through a continuous learning mechanism, where Bhayangkara Palu Hospital develops adaptive knowledge sharing and SOP digitalization to support equitable distribution of national HBOT service quality. The implementation of KM improves procedural compliance, operational efficiency, and uniformity of practice between regions through team reflection and adaptive SOP revision.