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All Journal Media Kesehatan Masyarakat Indonesia Jurnal Sosial Humaniora Terapan
Triana Karnadipa
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Physiotherapy Service without Documentation at a Community Based Rehabilitation for Children with Disabilities in Makassar City: A Case Study of Physiotherapist’s Perspective Triana Karnadipa; Ari Nurfikri
Jurnal Sosial Humaniora Terapan Vol 2, No 2: June 2020
Publisher : Program Pendidikan Vokasi UI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jsht.v2i2.83

Abstract

This study aims to analyse the consequences of a lack of documentation in a community-based rehabilitation (CBR) unit for children with disabilities. 278 hours of observation and two structured interviews were conducted. Observation notes were depicted in a fishbone chart and interview findings were coded manually in a series of open, axial, and selective coding. The findings, field notes, and self-reflective notes were triangulated and link thematically. The findings revealed that failures to address children’s needs and progress, inability to modify the intervention based on evidence and lack of confidence in the therapists’ professionalism are the common problems experienced by the therapists due to lack of record-keeping. While the needs of CBR units are greatly increased for people with disabilities, CBR organisations and the Indonesia physiotherapy association need to cooperate in order to develop a clear clinical pathway and standardised documentation for a CBR context.  
Akreditasi:Pengaruhnya Terhadap Program Hand Hygiene Di Rumah Sakit Muhammadiyah Cirebon Ari Nurfikri; Triana Karnadipa
Jurnal Sosial Humaniora Terapan Vol 2, No 2: June 2020
Publisher : Program Pendidikan Vokasi UI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jsht.v2i2.87

Abstract

This study aims to measure the implementation of the hand hygiene program at the Muhammadiyah Hospital Cirebon after accreditation. The method used is a qualitative analysis method, with a case study design. The research case is the Infection Control Prevention Working Group in which there is a hand hygiene program at the time of accreditation, including those that do not meet the minimum passing score, so the hand hygiene program implementation will be measured from an effective strategy, organizational characteristics, influence of the behavior of officers and patients and their families, and budget support from post accreditation management. The research instrument used interview guides with 4 respondents. The results of this study indicate that the Muhammadiyah Hospital in Cirebon does not yet have an effective strategy in building a hand hygiene culture. The post-accreditation Infection Control Prevention Team Organization is not running, so a hand hygiene program has not been established at the Muhammadiyah Hospital in Cirebon. The behavior of officers and patients the level of compliance with handwashing is still lacking, due to the use of consumables after accreditation is still low. In terms of the budget, the hospital has a good financial condition, but because there is no work program, the proposed expenditure budget of each unit does not reflect the need for programs that include training, procurement of consumables, and education for both officers and patients. ineffective hand hygiene strategies, PPI Committee organizational structure is not going well, there has been no change in hand hygiene behavior of employees, patients and visitors, and the PPI Committee budget is still contained in the unit budget, has not become a special budget item.Keyword: Hospital accreditation; cost; hand hygiene
A Case Study: Negative Effects of Unscheduled Appointment System to Physiotherapists and Paediatric Patients Triana Karnadipa
Media Kesehatan Masyarakat Indonesia Vol. 16 No. 3: SEPTEMBER 2020
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (618.337 KB) | DOI: 10.30597/mkmi.v16i3.9864

Abstract

Community-Based Rehabilitation (CBR) units are growing in developing countries, including Indonesia. However, patient safety measures in CBR units have not yet been conducted, especially regarding flexible, unscheduled appointment system. This study aims to evaluate the unscheduled appointment system as a cause of errors in the care delivery of a CBR unit for children with disabilities in Makassar city. This case study conducted 278-hours observations and three structured interviews. The observation findings, encoded interview findings, field notes, and self-reflective notes were triangulated and link thematically. Four key findings were illustrated in an explorative model. The CBR unit implements a day-based scheduling system without time slots. Working in this system, the therapists experienced random visits, long waiting times, and excessive workload as a result of this flexible scheduling system. Significant risks of human errors and patient safety were revealed due to these consequences. As flexible scheduling systems produce more negative effects to the therapists and children, it is suggested that a CBR unit or a health care unit implement a scheduled appointment system with timeslots to achieve prudent healthcare.
Co-Authors Ari Nurfikri Ari Nurfikri