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HOW EFFECTIVE IS SIMULATION-BASED EDUCATION FOR IMPROVING THE NURSES’ KNOWLEDGE ON PEDIATRIC IV INSERTION: A SYNTHESIS FROM AWAL BROS HOSPITAL GROUP IN INDONESIA Retno Dewi Sulistyowati; Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Simulation-based nursing education has been growing rapidly and becomes one of the most popular teaching methods for improving patient safety and patient care. One of the difficult Nursing skills to achieve is IV insertion. Due to the high complaints in the number of IV insertion attempts in the paediatric patients, the Nursing Corporate of Awal Bros Hospital Group organized an educational program emphasizing the team training, clinical decision- making and communication skills. These were the first internal education sessions using live rabbits and mannequins. This study aimed to evaluate the attitude of the participants, the self- confidence level and their change in the knowledge on clinical performance in Paediatric IV Insertion after attending the educational program. Methods: The training and education sessions were conducted at Awal Bros Hospitals in Bekasi Barat and Tangerang during March and April 2019. The participants included a total of 52 Nurses. Pre- and Post-tests consisting of 20 multiple choice questions were administered to the participant before and after the 3-day simulation-based training workshop in Bekasi Barat and after the 2-day simulation- based training workshop in Tangerang. The workshop also utilized rabbits for the participants to practice their hands-on skills. Results: A total of 52 Nurses working in different Nursing units were enrolled. The mean pre-test and post-test scores were 43.81 and 87.52 respectively. In the Statistics Test table, the value of Asymp. Sig (2-tailed) was 0,000. Because the value of sig 0,000 < 0.05 was according to the statistical tests we used, then there are significant differences between before training and after training. Conclusions: Participants had positive attitude toward this new training program. They stated that this technique was more exciting and effective compared to the “traditional” techniques such as lecture, power point presentations or Q&A that they attended. Significant improvement of the knowledge on clinical performance in Nurses participating in these training and education session was observed after the participation in this simulation-based educational program. Many expressed their higher self- confidence in doing IV insertion to the future patients, especially babies and children. More simulation- based education using pre- and post-tests are recommended.
EFFECTIVENESS OF CAESAREAN SECTION CLINICAL PATHWAY TOWARDS HOSPITAL LENGTH OF STAY: A SYSTEMATIC REVIEW Maria Wahyu Daruki; Atik Nurwahyuni; Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Improving quality and efficiency in hospital services can be done by using Clinical Pathway (CP). CP can decrease the hospital length of stay and cost. In indonsia, the increasing number of Caesarean Section (SC) affects to the Length of Stay (LOS) in hospital. This study aims to examine the effectiveness of clinical pathway in caesaren section to length of stay in the hospital. Methods: This study was a systematic review used PRISMA guidelines. Data obtained from Electronic journal databases Pubmed and ProQuest that published between 2014 until 2019 and used English language. By using keywords such as clinical pathway, childbirth labor, and length of stay to find the relevant journal. Results: The search found out 4,937, studies from 2 journal databases. The articles that not suitable with the criteria inclusion must be exclude. Totally, 6 studies were analyzed in this study. 1 study explained the affect of increasing length of stay in the National Health Insurance, 2 studies mentioned that CP was not affected to the length of stay in hospital and 3 studies mentioned that CP was reduced the length of stay in hospital. Conclusion: Clinical pathway in Caesarean section can reduced the length of stay in hospital. The hospital should implement the clinical pathway in caesarean section to increase the quality of hospital service and reduce the cost.
STRATEGY FORMULATION FOR HOSPITALS IN REMOTE AREAS: CASE STUDY OF X HOSPITAL, WEST BORNEO PROVINCE, INDONESIA, 2019 Dewi Citra Puspita; Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Located in remote area, X Hospital is facing various challenges as a private non-profit class C hospital. Therefore, it needs to develop an appropriate strategic plan for the year 2020-2024 to overcome challenges and achieve its vision. This study is aimed at identifying the strengths, weaknesses, opportunities and threats from internal and external strategic factors, determine strategic positioning, and formulate alternative strategies for X Hospital.  Method: This is a preliminary study with qualitative - exploratory design. Data were collected through in-depth interviews, group discussions and observation. The interviews were conducted with 7 key informants holding strategic management positions. This study was conducted in two in-depth stages using Consensus Decision Making Group (CDMG) method to avoid bias. Data were analyzed using Internal Factor Evaluation (IFE) and External Factor Evaluation (EFE) matrixes at the input stage and Internal External (IE) and Threat Opportunity Weakness Strength (TOWS) matrixes at the matching stage. This study was conducted at X Hospital, West Borneo Province, Indonesia, from March to April 2019. Results: The IFE final score was 2.38 with strength (1.68) greater than weakness (0.70) and EFE score of 2.16 with threats (1.10) greater than opportunities (1.06). Such input stage results indicate that X Hospital has average response in utilizing its internal and external strategic factors where strengths are more prominent than weaknesses but the threats are still overshadowing its opportunities. Consequently, the results of matching stage place X Hospital on the position of hold or maintain strategies and formulate 11 alternative strategies that focus on market or product development. Conclusions: X Hospital is currently on a strategic position to develop its services as the basis for the five-year strategic planning. A new policy should be made to encourage the establishment of a network with private hospitals to promote healthcare in remote areas. 
OUTCOME OF PATIENT SAFETY CULTURE USING THE HOSPITAL SURVEY ON PATIENT SAFETY CULTURE (HSOPSC) IN ASIA: A SYSTEMATIC REVIEW WITH META ANALYSIS Rizky Anggraita Damayanti; Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Patient safety is a critical component of the quality of health care. In the process, it allows health services, especially hospitals, to well understanding aspects of patient safety. Hospital Survey on Patient Safety Culture (HSOPSC) was established to examines patient safety culture and the correlation between patient safety culture composite hospitals in Asia. This study aims to assess patient safety culture which using Hospital Survey on Patient Safety Culture (HSOPSC). Methods: Systematic Review and meta-analysis method by using PRISMA-P 2015 were used in this study. We were collected through searching electronic literature from Elsevier, Science Direct, PubMed, and Google Scholar by using keywords "Hospitals Survey on Patient Safety Culture" and "HSOPSC Asia" published from January 2009 to January 2019. English language papers only are used as the inclusion criteria. Results: Totally,160 articles were found and after deleting duplicates document, 126 journals left. Finally, 16 eligible journals which fulfil the inclusion criteria were reviewed. The HSOPSC overall average percentage positive response rate for HSOPSC was 53.58. Of the 12 patient safety composites evaluated, the highest average score is teamwork within unit 74.29±11.92. The bivariate analysis used Spearman correlation for correlation between patient safety composite, the composite Frequency of Event Reported the weakest correlation with teamwork within unit ( r = 0.052), and the composite teamwork across unit had the strongest correlation with teamwork within unit (r = 0.761). Conclusion: Patient safety culture is crucial toward improving overall performance and quality of services in hospitals, especially teamwork within unit. Culture safety patient at the hospital must be applied in every hospital for quality improvement, especially for increasing patient safety culture.
CURRENT STATE OF THE ART HEALTH POLICY IN INDONESIA: THE ROLE OF UNIVERSITY Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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PERCEPTION OF WOMEN OF REPRODUCTIVE AGE TOWARDS LONG-ACTING CONTRACEPTIVE (LAC) COUNSELING OF FAMILY PLANNING COUNSELORS: A QUALITATIVE STUDY Asdawati Asdawati; Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Long-acting contraceptive (LAC) is one kind of birth control method for preventing, spacing pregnancy or stopping the fertility for an extended period. Increasing the number of LAC user can be done by providing a good quality of LAC counseling. This study aims to explore the perception of reproductive woman in LAC counseling by family planning counselors. Methods: This study was a qualitative study with Rapid Assessment Procedure (RAP) design. This study conducted in Bontomatene, Selayar Island on April 2019. There were 6 samples that represent 3 samples used LAC and 3 samples used non-LAC. The in-depth interview was used to get the information and the interactive model analysis was used in analyzed the data. Results: 5 of 6 respondents mentioned when the family planning counselor explained LAC used native language was easier to understand. The counseling by family planning counselor was already good because the counselor explained in detail information about LAC, visited the house of respondents to give information and did not push the respondents to select contraceptive methods. Conclusions: The reproductive woman in Bontomatene, Selayar Island feel more comfortable with LAC counseling held by family planning counselor if using native language, explain in detail information and not force respondent to use LAC methods.
ANTIMICROBIAL RESISTANCE CONTROL PROGRAM ON THE RATIONAL USE OF ANTIBIOTICS IN EKA HOSPITAL PEKANBARU, INDONESIA Rosinta Magdalena; Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Antimicrobial resistance (AMR) threatens the effective prevention and treatment of an ever-increasing range of infections caused by bacteria, parasites, viruses and fungi. Rational use of antibiotics can reduce the emergence of antimicrobial resistance, cost of treatment, length of stay in hospitals, and improve health outcomes. This study aims to analyse the output of AMR control program implementation on the rational use of antibiotics in hospitals. Method: This research is a retrospective study, using descriptive analysis with Gyssens' algorithm. Data were assessed from the medical records of patients treated at Eka hospital in 2017. The number of samples 877, in the ICU wards amounted to 307 and Hopea B 570. The analysis was performed by assessing the suitability of antibiotic therapy. The results are presented in therapeutic terms: the antibiotics used and the percentage of use based on the Gyssens algorithm. Result:The results of data analysis found there is an increase in the rationality of the use of antibiotics on the unit ICU (67.77%), Hopea B (67.36%). There is a decrease in Patients Length of Stay (LOS) in ICU (26%), in Hopea B (58%). The level of antibiotic use without indication in ICU (8.82%). in the Hopea B ward (5.34%.). Attitude of non-compliance of doctors against hospital guidelines and inadequate monitoring of antibiotic therapy. In the case of prophylactic antibiotics remain unobserved because of the lack of pharmacists who can monitor their use. Conclusion: Eka Hospital has established an AMR Control program, but it has not been implemented properly. Continuous evaluation, awareness raising and understanding of doctors, the addition of monitoring officers (pharmacists), patient screenings and hospital staff on an ongoing basis, are worthy of consideration in order to improve the implementation of the program. 
QUALITY OF SERVICE OF OUTPATIENT UNIT IN BA HOSPITAL, INDONESIA Suvonalya Suvonalya; Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: The quality of healthcare services is crucial in the healthcare service organization to encourage every healthcare service organization to improve their healthcare service quality. This study aims to identify the description of the service quality of outpatient department in RSBA, East Jakarta, DKI Jakarta, Indonesia using the criteria of Malcolm Baldridge. Method: This research was a descriptive analytical study with cross-sectional study combined with qualitative and quantitative approaches (mix method). About 110 respondents were selected as sample. The data analysis employed were univariate, bivariate and multivariate analysis of multiple logistic regression test conducted by using SPSS statistic software for Windows. Result : There was a significatt influence of on workforce, and last focus on process and focus on the service quality of outpatient department of RSBA with p-value of < 0.05 and 9. In multiple logistic regression tests, the factors that had strong closeness were the leadership and the measurement analysis and knowledge management. Conclusion : The Healthcare quality of the outpatient department of RSBA needed improvement, especially on the focus on the customers and the process. The commitment of all elements in the hospital was requried. The well and correct service customers, appropriate to the medical treatment according to the standard operating procedures, the excellent service and the effort to meet the completeness of the hospital infrastructure were important aspects that should be undergone by RSAB to improve the hospital’s service quality. 
THE EFFECT OF CLINICAL PATHWAY TOWARD HOSPITAL’S QUALITY AND COST IN “RSUS” HOSPITAL BANDAR LAMPUNG Toki Himawati; Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: One of the most appropriate policies to overcome the over budget is the quality control of cost control, the instrument is a clinical pathway, so that the hospital can perform service functions well and quality without experiencing financial loss. This research has a purpose to know how far is clinical pathway can be good as a tool of quality control of cost control at “RSUS” Hospital Bandar Lampung. Methods: The research used a qualitative research involved 35 informants comprised of shareholders, Board of Directors, Medical Committee, Provision of Care Services and Coder. Results: The results showed that in general, the informants agreed with the implementation of the clinical pathway because it can improve the quality of service, the certainty of procedures and can overcome the budget. Conclusion: RSUS Hospital has not fully use clinical pathway as a tool of quality control of cost control, thus over budget remains with low quality of service 
TRANSLATING FUTURE MILLENNIAL: STRUCTURING DISRUPTIVE HEALTHCARE Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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