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All Journal Jurnal Keperawatan Indonesia STOMATOGNATIC- Jurnal Kedokteran Gigi Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Proceedings of the International Conference on Applied Science and Health Journal of Indonesian Health Policy and Administration The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Adang Bachtiar
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Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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The Relationship of Smoking Habits to Public Health Status in Efforts Tobacco Control in Indonesia (Secondary Data IFLS 5 2014) Nurzalia Safanta; Adang Bachtiar
Kesmas Indonesia Vol 12 No 2 (2020): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ki.2020.12.2.2195

Abstract

Tingkat konsumsi rokok di Indonesia meningkat setiap tahun sehingga mempengaruhi kondisi kesehatan masyarakat. Konsumsi rokok merupakan salah satu penyebab faktor risiko Penyakit Tidak Menular. Upaya pemerintah dalam mengendalikan rokok diatur dalam PP 109 tahun 2012. Tujuan penelitian ini untuk mengetahui hubungan kebiasaan merokok terhadap status kesehatan masyarakat dalam upaya pengendalian tembakau di Indonesia. Penelitian ini menggunakan data sekunder dari Indonesia Family Life Survey 5 (IFLS 5) dengan metode mix method. Desain penelitian ini sequential eksplanatory design, didahului analisis data kuantitif pada 5.221 responden dan dilanjutkan dengan penelitian kualitatif. Variabel independen terdiri dari provinsi, umur, jenis kelamin, pekerjaan, penghasilan, usia mulai merokok, jumlah rokok, jenis rokok, dan kesulitan menahan diri untuk tidak merokok di tempat umum. Variabel dependen yaitu status kesehatan masyarakat Indonesia. Hasil akhir menunjukkan bahwa variabel yang memiliki hubungan signifikan dengan status kesehatan adalah provinsi (OR 1,504); jenis kelamin (OR 2.574); pekerjaan (OR 8,730-19,275); penghasilan (OR 0,501-1,366); usia mulai merokok (OR 1,019); jenis rokok (OR 1,076-3,023). Pengendalian tembakau belum berhasil, pemerintah harus lebih serius, tegas, dan ketat dalam membuat regulasi pengendalian tembakau sehingga dapat menekan tingkat konsumsi rokok di Indonesia.
Perbedaan Karakteristik Perawat, Sistem Penempatan Tenaga Keperawatan Dihubungkan Dengan Produktivitas Waktu Asuhan Antara Perawat PNS Dan TKK Di RSUD Serang, 2003 Sari Mulyati; Elly Nurachmah; Adang Bachtiar
Jurnal Keperawatan Indonesia Vol 7 No 1 (2003): Maret
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v7i1.124

Abstract

Rumah Sakit Umum Daerah Serang (RSUD Serang) merupakan rumah sakit (RS) pemerintah yang telah swadana tipe B non pendidikan berkapasitas 285 tempat tidur dengan jumlah tenaga keperawatan sebesar 218 orang; terdiri dari 75 pegawai negeri sipil PNS (34.4%) dan 143 (65.6%) tenaga kontrak (TKK) yang telah ditempatkan di berbagai ruang rawat (Bidang keperawatan, 2001). Perbedaan status ini menimbulkan permasalahan yang perlu dikaji serius antara lain bahwa tenaga perawat kontrak merasa keamanan dan kestabilan kerja belum terjamin. Hal ini ditunjukkan dengan banyaknya perawat yang pindah ke RS lain yang dinilai lebih mapan. Sebaliknya, perawat PNS yang memiliki jaminan keamanan kestabilan kerja belum menunjukkan produktifitas sesuai dengan harapan. Banyak keluhan telah disampaikan oleh klien mengenai tenaga perawat PNS ini (Mulyati, 2001).Tujuan penelitian ini adalah untuk mengetahui perbandingan produktifitas waktu asuhan keperawatan yang dilakukan kedua jenis perawat dan hubungannya dengan sistem penempatan tenaga keperawatan di RSUD Serang. Desain yang digunakan adalah deskriptif komparatif secara potong lintang. Dengan 76 responden. Pengumpulan data melalui kuesioner untuk mengkaji sistem penempatan tenaga dan mengukur beban kerja untuk menetapkan produktifitas waktu kerja kedua jenis perawat melalui observasi. Hasil penelitian menunjukkan tidak ada perbedaan bermakna dalam pemanfaatan waktu dari kedua jenis perawat. Angka produktifitas kedua jenis perawat ini masih rendah (47.84%). Selain itu, tidak ada perbedaan bermakna dalam produktifitas waktu dihubungkan dengan sistem penempatan tenaga bagi kedua jenis perawat. Rekomendasi telah disampaikan pada pimpinan rumah sakit, dan penelitian lebih lanjut masih diperlukan untuk mengkaji lebih dalam beberapa variabel lain dengan menggunakan desain yang berbeda. The local government hospital in Serang (RSUD Serang) is a self-financed type B non teaching hospital that has a capacity of 285 beds. It employs 218 nurses who work in the inpatient units, consists of 75 civil servant nurses (34.4%), and 143 (65.6%) contractual based nurses who are placed in variety of units (Department of nursing, 2001). The different of the employment status has produced many problems that has to be explored seriously. Many contractual based nurses perceived that they have no job security and stability. This was demonstrated by the fact that many of them had resigned and moved to another hospitals that could provide them with job security and stability. On the other hand, civil servant nurses who have more job security and stability apparently have not yet demonstrated high productivity as has been expected. Many complaints raised by patients on the staff work performance (Mulyati, 2001). The purpose of the study was to identify the difference in nursing care time productivity between both types of nurses and its relationship with the staff placement system in RSUD Serang. The design was a descriptive comparative using cross sectional approach (76 respondents). A questionnaire was used to collect data on staff placement system, and a series of observation was done to measure workload to determine time productivity for both groups of nurses. The findings demonstrated that there was no significant difference in time utilization between both types of nurses; the productivity score in both groups was low (47.84%). In addition, there was no significant difference in time productivity related to staff placement system for both groups. Some recommendation were contributed to the hospital management, and further study needs to be done to explore some other variables using different design.
Model Pengorganisasian Sistem Informasi Instalasi Gigi Mulut sebagai Sub Sistem Informasi Rumah Sakit Tjen Dravinne Winata; Budiharto Budiharto; Adang Bachtiar
STOMATOGNATIC - Jurnal Kedokteran Gigi Vol 7 No 3 (2010)
Publisher : Fakultas Kedokteran Gigi Universitas Jember

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Abstract

The focus of this dissertation is about obligation organization processes data at organization, department, and end user level in administration, billing, clinical and non clinical patients management when Indonesian Police Hospital Raden Said Sukanto developing dental instalation information system as part of hospital information system to produce a model. This research use qualitative with case study methodology. As a conclution of this study suggest that Model can be use by hospital to collect organization processes data that can be use to plan or guide dental instalation information system development with better performance and more user satisfaction.
NURSE’S ATTITUDE TOWARD PATIENT SAFETY POLICY IN BALI ROYAL HOSPITAL, INDONESIA: INDIVIDUALIZED APPROACH USING HEALTH BELIEF MODEL Dewa Ayu Dyah Widya; Adang Bachtiar; Dumilah Ayuningtyas; Vetty Yulianty Permanasari
Proceedings of the International Conference on Applied Science and Health No. 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Patient safety is one of the most important dimensions in quality of healthcare. Nurses are the key in care delivery, their compliance toward Patient Safety policy cannot be overlooked. Studies evaluating determinants of nurse’s compliance to Patient Safety policy is still lacking. Aims: To evaluate nurse’s attitude toward Patient Safety policy using Health Belief Model (HBM). Methods: An analytical cross-sectional study was carried on in Bali Royal Hospital, Indonesia, on December 2016. An anonymous, self-administered questionnaire was used to collect the data on socio demographics, knowledge, and attitude toward Patient Safety policy. Attitudes are specifically assessed using HBM. Results: A total of 124 nurses are included in this study. Mean age of the study population was 29.7±6.7 years. Mean score for knowledge about Patient Safety policy was 12.68±3.40 from 18.0- point scale. Nurses perceived a low risk of non-compliance (mean perceived risk 8.07±1.89) and a low barrier to comply with Patient Safety policy (mean perceived barrier 8.66±1.78). Knowledge and attitudes toward Patient Safety policy did not differ by sex and educational background but it did differ according to unit of workplace. Age and length of work correlated positively to knowledge (Spearman’s r=0.439, p-value 0.000; and r=0.400, p-value <0.001, respectively). A positive and moderate correlation was observed between knowledge vs. perceived severity (r= 0.394, p-value <0.001) and knowledge vs. perceived benefit (r=0.422, p-value < 0.001). There was a strong and positive correlation between perceived severity and perceived benefit (r= 0.725, p-value <0.001). Conclusion: Nurse’s attitudes toward Patient Safety policy were generally good and correlate positively with knowledge. The use of HBM provides an increased understanding of how individual perceptions can be influenced to improve nurse’s engagement in promoting safer health care. 
A QUALITATIVE STUDY: EVALUATION OF WAITING TIME IN REGISTRATION FROM HUMAN RESOURCES WITH MALCOM BALDRIGE APPROACH Sukaria Susana Br. Ginting; Adang Bachtiar
Proceedings of the International Conference on Applied Science and Health No. 1 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Backgound: Building a health system is one of the SDG targets – universal health coverage (UHC). Strong primary health care system needs to be in place (4). The critical issue is the quality of health by improving patient safety, effectiveness, focus on patients, timely, efficient and fair (4, 10). Long waiting times decreased utilization of national health insurance, decreased use by the public and the rising cost of health. (5,7,8,9). The aim of this paper is to investigate how the human resources can lead to long waiting times in the registration by using Malcolm Baldrige approach (6). Method: This study used qualitative design to describe waiting time problem and it’s causes. Informants were appropriately and adequately selected in relation to waiting time including patients clinic, staff and management so the information were triangulated by resources,by methods and by data itself. The results were write as transcription and content analysis carefully done to identify themes and problem. This study held at Public Health Center, Cariu, Bogor, Indonesia in December 2016. Results: All the informants expressed their concern related to waiting time and need to formulate effective solutions. The solutions were proposed related to causes to the waiting time ; no monitoring and evaluation effort to control waiting time and it’s impact, clinical safety procedures, unsatisfied patients and ineffective clinical outcomes ; low priority to human resources management; no supervision ; no on the job training; no evaluation of patients need and expectation, the public health center never had services design ; network instability and inflexibility in the provision of facilites. Conclusion: Monitoring and evaluation, human resources management, supervision, on the job training, strategic planning, patients focus , commitment and the leadership itself are needed to decrease waiting time. 
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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Abstract

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ANALYSIS OF FACTORS AFFECTING THE PERFORMANCE OF NURSE IN MUFID ACEH GENERAL HOSPITAL Putri Ilham Sari; 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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Abstract

Background: To improve the human resources of the hospital, one of nurses to ensure the hospital service is well organized, the hospital management must have good strategy management.This research was conducted at Mufid Aceh General Hospital to get an overview of the factors that affect the performance of nurses at Mufid Aceh General Hospital. Methods: It was a qualitative research focused on employment documents, income documents, monthly staff satisfaction, monthly performance results nursing, patient satisfaction in Mufid Aceh General Hospital. Results: Internal factors that affect the low performance of nurses at Mufid Aceh General Hospital are satisfaction, work-related stress factors, short working period and low work motivation. While External factors that affect the low performance of nurses is work load factor. Conclusions: Based on the result of this research, it is suggested to Mufid Aceh General Hospital to planning of nurse requirement well, to make policy about income, to make job description and authority in accordance with competence of nurse staff and creating a retention program. 
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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Abstract

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 
ACHIEVEMENT OF COMMUNITY HEALTH CENTER SEEN THROUGH ACCREDITATION RESULTS: CASE STUDY IN PUSKESMAS "X", IN SURABAYA Meily Arovi Qulsum; Kurnia Sari; Adang Bachtiar; KM Taufiq
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: Accreditation and recognition of a Community Health Center (Puskesmas) are given by an independent accredited organization, established by the Minister of Health after comply the accreditation standards. The accreditation achievement in East Java is at most of main level 76.7%. Puskesmas "X" is one of Puskesmas in Surabaya which has been accredited with basic level of status in 2015. This study aims to provide a comprehensive overview of the issues affecting the achievement of Puskesmas accreditation. Methods: This research is a qualitative descriptive study with in-depth interview and document searching using an accreditation instrument standard. Results: Based on accreditation results, the planning of the health centre was less appropriate because it was not based on identification of need and expectation. The mobilization and implementation was not working well due to lack of human health resource. Monitoring, control, and performance appraisal of the health centre have not been done. Conclusions: The accreditation of the health center, the Puskesmas X, in Surabaya is not only assessed by the document but also by the processes and system implementation activities. Achievement of Puskesmas accreditation status represents as a description of Puskesmas management and the result will have an impact on Puskesmas performance, and service quality. 
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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Abstract

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. 
Co-Authors Asdawati Asdawati Atik Nurwahyuni Budiharto Budiharto Chudahman Manan Dadang Makmun Dasril Nizam Dewa Ayu Dyah Widya Dewi Citra Puspita Dumilah Ayuningtyas Elly Nurachmah KM Taufiq Kurnia Sari Leti Ratna Kusumawati Marcellus Simadibrata Maria Wahyu Daruki Meily Arovi Qulsum Melanie Vandauli Munir Munir Murdani Abdullah Ni Putu Ayu Prima Dewi Nurzalia Safanta Petra Ade Paramita Lestari Prisca Gisella Putri Ilham Sari Rendra Hermansach Retno Dewi Sulistyowati Rizky Anggraita Damayanti Rosinta Magdalena Sari Mulyati Silvia Tarigan Siti Lestariningrum Sukaria Susana Br. Ginting Suvonalya Suvonalya Tantri Puspa Ditya Tjen Dravinne Winata Toki Himawati Vetty Yulianty Permanasari