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Journal : Jurnal Aisyah : Jurnal Ilmu Kesehatan

Effectiveness of the Use Hospital Information And Management System (SIMRS) For Services Based on Hot-Fit Theory Nugroho, Tri Adi; Mufreni, Agung; Wulandari, Rizki Yeni; Wijayanto, Wisnu Probo
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S1 (2022): Suplement 1
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (604.728 KB) | DOI: 10.30604/jika.v7iS1.1199

Abstract

The use of a computer-based Hospital Information and Management System (SIMRS) in the Medical Record unit is carried out in an integrated manner. The data management process includes, among others, data collection (registration), data processing (assembling, coding, indexing), and data reporting. The SIMRS implementation at the general hospital of Az-Zahra has not yet been fully implemented. The objective of this study was to determine the effectiveness of the use of hospital information and management systems (SIMRS) for services at the general hospital of Az-Zahra Kalirejo through the HOT-FIT theory. This type of research was qualitative, the research design used exploratory with the objective of describing the effectiveness of the use of Hospital Information and Management systems for services at the general hospital of Az-Zahra Kalirejo. The population in this study was 134 people, and the sample in this study was 9 informants, namely the doctor in charge of services (DPJP), general practitioner and head of finance. The results of the study are known in the human aspect, SIMRS officers at the general hospital of Az-Zahra already understand how to use SIMRS, but for specialist doctors and general practitioners they are still assisted by nurses in inputting. In the organizational aspect, it is known that the directors, management and staff of the hospital fully support the use of SIMRS. The technology aspect of SIMRS at the general hospital of Az-Zahra is in accordance with the accreditation standards of the Hospital and Social Security Administrator’s Health, but often experiences problems with the internet network, which can interfere with the operation of using SIMRS. Researchers suggest that SIMRS training be held for general practitioners and specialists, as well as improving the internet network so that the connection is even better.
The correlation between workload and nurse performance during the covid-19 pandemic at hospital Wulandari, Rizki Yeni; Prasandi, Adi; Nugroho, Tri Adi; Gusmeta, Noverita
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No S1: Supplement
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (593.692 KB) | DOI: 10.30604/jika.v8iS1.1724

Abstract

High work demands because the provision of nursing care is carried out 24 hours a day with patients who require special care. This activity causes the work of nurses to increase and can increase the physical workload of nurses. Based on a preliminary study of 10 nurses, it was found that as many as 8 people (80%) stated that the workload they carried out was heavy. The research objective was to determine the correlation between workload and nurse performance during the Covid 19 pandemic at the Muhammadiyah Metro Hospital. This research used a quantitative method, with a cross-sectional approach. The sample used in this study amounted to 164 respondents by taking the total sampling technique. The analysis used is Spearman Rho. The research result showed that there is a correlation between workload and nurse performance during the Covid 19 pandemic at the Muhammadiyah Hospital in Metro City P-value = 0.000 with a correlation strength of 0.475, which is included in the moderate or sufficient correlation. It is recommended for hospitals to pay attention to the workload given by nurses when patients are overloaded so, the nurses do not experience a workload that is too heavy. It can be done by increasing service capacity and human resources. Abstrak: Tuntutan kerja yang tinggi karena pemberian asuhan keperawatan dilakukan selama 24 jam setiap hari dengan pasien yang memerlukan perawatan khusus. Aktivitas inilah yang menyebabkan kerja perawat menjadi meningkat dan dapat menambah beban kerja fisik perawat. Berdasarkan studi pendahuluan dari 10 perawat diperoleh gambaran bahwa sebanyak 8 orang (80%) menyatakan bahwa beban kerja yang dilaksanakannya yaitu berat. Tujuan penelitian ini mengetahui hubungan beban kerja dengan kinerja perawat masa pandemi Covid 19 di Rumah Sakit Muhammadiyah Metro. Penelitian ini menggunakan metode kuantitatif, dengan pendekatan crossectional sampel yang digunakan dalam penelitian ini berjumlah 164 responden dengan mengambil teknik teknik total sampling. Analisis yang digunakan menggunakan spearman rho. Hasil penelitian diketahui. Ada hubungan beban kerja dengan kinerja Perawat pada masa pandemi Covid 19 di Rumah Sakit Muhammadiyah Kota Metro P value = 0,000 dengan kekuatan korelasi sebesar 0,475 masuk dalam korelasi sedang atau cukup. Disrankan bagi rumah sakit agar memperhatikan beban kerja yang diberikan oleh perawat ketika pasien sedang overload, sehingga perawat tidak mengalami beban kerja yang terlalu berat, dengan cara menambah kapasitas pelayanan dan SDM.
Correlation Between Nurse Time Management with Documentation of Nursing Care in The Inpatient Room of Muhammadiyah Hospital in Metro Wulandari, Rizki Yeni; Yunitasari, Eva; Hakim, Arif Rahman; Prasandi, Adi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No S1 (2022): Suplement 1
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (592.533 KB) | DOI: 10.30604/jika.v7iS1.1202

Abstract

Nursing documentation is necessary in the nursing care process. In Indonesia, nursing care documentation is still not up to standard, leading in issues with nursing care implementation, such as poor documentation of the quality of care provided in hospitals, making it difficult to verify that nursing care was administered correctly.  Documentation of nursing care is an indicator of nurse performance which is influenced by nurse time management. The research objective was to determine the correlation between nurse time management and documentation of nursing care at the Muhammadiyah Hospital in Metro. This research was quantitative research, with a cross-sectional approach. The sample was 157 people taken by the purposive sampling technique. Univariate and bivariate data analysis used Spearman test correlation analysis (rho). From the results obtained from 61 respondents, it is known that nurses have good time management as many as 33 people (54.1%), and as many as 24 nurses (39.3) had enough time management. There is a correlation between time management and documentation of nursing care at the Muhammadiyah Hospital in Metro 2022, a value of p = 0.001 (p = less than 0.05). It is expected that the Muhammadiyah Hospital in Metro, especially for the nursing management, will be able to carry out regular checks on patient status or nursing records from assessment to evaluation, and can improve the quality of service in nursing by providing opportunities for nurses to take part in seminars on good time management and documentation of nursing care. Abstack: Dokumentasi keperawatan merupakan hal sangat penting dalam rangkaian asuhan keperawatan. Pendokumentasian asuhan keperawatan di Indonesia masih belum sesuai dengan standar sehingga muncul masalah dalam pelaksanaan asuhan keperawatan yaitu ketidaklengkapan dokumentasi asuhan keperawatan yang dilakukan di rumah sakit sehingga sulit untuk membuktikan bahwa asuhan keperawatan telah dilakukan dengan benar. Pendokumentasian asuhan keperawatan adalah indikator kinerja perawat yang dipengaruhi oleh manajemen waktu perawat. Tujuan penelitian ini untuk mengetahui hubungan manajemen waktu perawat dengan pendokumentasian asuhan keperawatan di Rumah Sakit Muhammadiyah Metro. Penelitian ini merupakan jenis penelitian kuantitatif, dengan pendekatan cross sectional sampel berjumlah 157 orang dengan teknik purposive sampling. Analisis data univariat dan bivariat dengan analisis korelasi uji spearman (rho).Hasil penelitian didapatkan dari 61 responden diketahui bahwa perawat  memiliki manajemen waktu baik sebanyak 33 orang (54,1%), manajemen waktu cukup sebanyak 24 perawat (39,3). Ada hubungan hubungan manajemen waktu dengan pendokumentasian asuhan keperawatan di Rumah Sakit Muhammadiyah Metro Tahun 2022 nilai p=0,001 (p=kurang dari 0,05). Diharapkan bagi Rumah Sakit Muhammaadiyah Metro terutama bagi pihak manajemen keperawatan untuk dapat melakukan pemeriksaan secara berkala terhadap status pasien atau catatan keperawatan mulai dari pengkajian sampai evaluasi, serta dapat meningkatkan kualitas pelayanan dalam keperawatan dengan memberikan kesempatan bagi perawat mengikuti kegiatan seminar tentang manajemen waktu yang baik dan pendokumentasian asuhan keperawatan.
Hubungan Pengetahuan dan Lama Pengobatan TB Paru dengan Kepatuhan Minum Obat pada Pasien TB Paru Di Klinik Harum Melati Dwiningrum, Riza; Wulandari, Rizki Yeni; Yunitasari, Eva
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6 (2021): Special Issue GINC
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1365.285 KB) | DOI: 10.30604/jika.v6iS1.788

Abstract

Pulmonary TB disease in Indonesia is a serious problem, the number of confirmed pulmonary TB patients in Indonesia has increased significantly. In 2018, there were 511.873 cases of pulmonary TB in Indonesia, 294.757 cases for men and 217.116 cases for women. The success rate of treatment in Indonesia in 2018 was only 87.12% of the national target of 90%. Preliminary study at the Harum Melati Clinic, of 60 patients 35 were old patients who were undergoing treatment in the advanced phase and 25 were new patients undergoing intensive phase of treatment. From 25 people out of 60 patients undergo the lack of knowledge about TB. The research objective was to determine the correlation between knowledge and duration of treatment with medication adherence in pulmonary TB sufferers at the Harum Melati Clinic 2021. This type of research was quantitative research with descriptive correlation design using a cross sectional approach. The population of this research was pulmonary TB patients at the HarumMelati Clinic, Gadingrejo as many as 60 people, all of which were used as samples. This research used the Chi Square hypothesis test. The results showed that there was correlation between knowledge and medication adherence on TB patients at the HarumMelati Clinic in 2021, as evidenced by p-value = 0.001 less than 0.05 with an OR value of 6.000. There was correlation between knowledge and medication adherence on TB patients at the HarumMelati Clinic in 2021, as evidenced by p-value = 0.001 less than 0.05 with an OR value of 2.667. It is recommended for health workers to provide information to pulmonary TB sufferers and their families about the importance of routinely taking medication in an effort to accelerate the healing process.Penyakit TB paru di Indonesia merupakan masalah yang serius, jumlah pasien TB paru di Indonesia terkonfirmasi mengalami peningkatan signifikan. Pada tahun 2018 tercatat kejadian TB paru di Indonesia sebanyak 511.873 kasus, laki-laki sebanyak 294.757 kasus dan perempuan sebanyak 217.116 kasus. Angka keberhasilan pengobatan di Indonesia pada tahun 2018 hanya sebesar 87,12% dari target nasional sebesar 90%. Studi pendahuluan di Klinik Harum Melati, dari 60 pasien 35 orang adalah pasien lama yang sedang menjalani pengobatan pada fase lanjut dan 25 orang lainnya adalah pasien baru yang menjalani pengobatan fase intensif. 25 orang dari 60 pasien mengalami kurang pengetahuan tentang TB. Tujuan penelitian ini adalah diketahui hubungan pengetahuan dan lama pengobatan dengan kepatuhan minum obat pada pasien TB Paru di Klinik Harum Melati Tahun 2021. Jenis penelitian ini merupakan penelitian kuantitatif dengan desain deskriptif korelasi menggunakan pendekatan cross sectional. Populasi penelitian ini adalah pasien TB paru di Klinik Harum Melati Gadingrejo sebanyak 60 orang yang seluruhnya dijadikan sampel. Penelitian ini menggunakan uji hipotesis Chi Square. Hasil penelitian menunjukkan bahwa ada hubungan pengetahuan dengan kepatuhan minum obat pada pasien TBC di Klinik Harum Melati Tahun 2021 dibuktikan p-value = 0,001 kurang dari 0,05 dengan OR didapatkan nilai 6.000. Ada hubungan pengetahuan dengan kepatuhan minum obat pada pasien TBC di Klinik Harum Melati Tahun 2021 dibuktikan p-value = 0,001 kurang dari 0,05 dengan OR didapatkan nilai 2.667. Disarankan kepada petugas kesehatan untuk memberikan informasi kepada penderita TB paru dan keluarga tentang pentingnya rutin meminum obat sebayai upaya mempercepat proses kesembuhan.
Hubungan Pengetahuan dan Sikap Perawat Terhadap Pelaksanaan Identifikasi Patient Safety di Ruang Rawat Inap Rumah Sakit Wulandari, Rizki Yeni; Nugroho, Tri Adi; Febrianti, Celly Devita
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6 (2021): Special Issue GINC
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (579.696 KB) | DOI: 10.30604/jika.v6iS1.789

Abstract

Patient safety is a basic principle of health care in health institutions that continues to require quality improvement. Nurses' knowledge and attitudes about patient safety are important because if nurses' knowledge about patient safety is lacking, it will affect the performance of nurses in implementing patient safety in hospitals. Reports of patient safety incidents in Indonesia by the Hospital Patient Safety Committee by the province in 2007 were 46% of incidents related to patient identification, and the results of a survey at Permata Hati Hospital found data from January up to December 2019 there were six incident case reports. January up to September 2020 there were ten incident case reports. The research objective was to determine the correlation between the level of nurses' knowledge and the patient safety identification in the Inpatient Room at Permata Hati Hospital in East Lampung 2021. This type of research was a quantitative, analytical research design with a cross-sectional approach. This research was carried out at Permata Hati Hospital in East Lampung from 15 up to 20 February 2021. The sample required in this research was 35 respondents who were taken from the total number of nurses at Permata Hati Hospital in East Lampung. The test used chi-square. The results showed that there was a correlation between the level of nurses’ knowledge and the patient safety identification, p-value 0.005. (p less than 0.05), there is a correlation between nurses' attitudes towards the patient safety identification p-value 0.002 (p less than 0.05) in the Inpatient Room at Permata Hati Hospital in East Lampung 2021. It is expected that the management can involve all hospital human resources in implementing standards and carry out patient safety implementation procedures.Keselamatan pasien merupakan prinsip dasar perawatan kesehatan di lembaga kesehatan yang terus membutuhkan peningkatan kualitas. Pengetahuan Dan Sikap perawat tentang patient safety merupakan hal yang penting, jika pengetahuan perawat tentang patient safety kurang maka akan berpengaruh terhadap kinerja perawat dalam penerapan patient safety di rumah sakit. Laporan insiden keselamatan pasien di Indonesia oleh Komite Keselamatan Pasien Rumah Sakit (KKPRS) berdasarkan provinsi pada tahun 2007 sebanyak 46 % insiden terkait identifikasi pasien, dengan hasil survey di RS Permata Hati ditemukan data Januari-Desember 2019 terbisa 6 laporan kasus insiden, Januari-September tahun 2020 terbisa 10 laporan kasus insiden. Tujuan penelitian ini untuk mengetahui hubungan tingkat pengetahuan perawat terhadap identifikasi patient safety di ruang Rawat Inap Rumah Sakit Permata Hati Lampung Timur 2021. Jenis penelitian ini merupakan kuantitatif, desain penelitian analitik dengan pendekatan cross sectional. Penelitian ini telah dilaksanakan di Rumah Sakit Permata Hati Lampung Timur pada tanggal 15-20 Februari 2021.  Sampel yang diperlukan dalam penelitian ini merupakan35 responden yang diambil dari total keseluruhan perawat di RS Permata Hati Lampung Timur. Uji yang digunakan chi square.Hasil penelitian menunjukkan hubungan tingkat pengetahuan perawat terhadap identifikasi  patient safety p-value 0,005. (p kurang dari 0,05), dengan juga menunjukkan hubungan yang bermakna antara sikap perawat terhadap identifikasi patient safety p-value 0,002 (p kurang dari 0,05) di Ruang Rawat Inap Rumah Sakit Permata Hati Lampung Timur 2021.Diharapkan pihak manajemen bisa melibatkan seluruh SDM Rumah Sakit dalam menerapkan standar dengan menjalankan prosedur pelaksanaan patient safety.