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Nurse Work Stress in Inpatient Room of Pasar Minggu Regional General Hospital, South Jakarta Siregar, Tatiana -; Kurniarti, Tri -; Widakdo, Giri -
Jurnal Keperawatan Soedirman Vol 15, No 3 (2020)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2020.15.3.1175

Abstract

A nurse is a professional medical personnel at the forefront of hospital services. The number of nurses is the highest and they continuously work on shifts for up to 24 hours. For the past two years, Pasar Minggu Regional General Hospital, South Jakarta has had an increasing number of patients along with the regulation of Social Security Organizing Agency (BPJS), which every hospital has to apply, this condition burdens the nurses and causes work stress. This research aims to investigate the experiences of the nurses regarding work stress in the inpatient rooms of the General Hospital Region, South Jakarta. The research method is qualitative phenomenology, with 10 nurse participants taken using purposive sampling. The researchers carried out the retrieval of data by means of structured and in-depth interviews, observations and notes. The analysis data utilized the Colaizzi method, which resulted in four main themes, i.e., understanding the state of work stress, the response of work stress, coping mechanisms and the expected support from the hospital leaders. The hospital leaders are expected to be able to make policies in managing nurse work design, which is in accordance with the competencies, so that the nurses do not experience work stress and will eventually benefit the hospital and patients.
RIWAYAT KONTAK DAN STATUS GIZI BURUK DAPAT MENINGKATKAN KEJADIAN TUBERKULOSIS PADA ANAK erni rita; Indah Noviana Saputri; Giri Widakdo; Tria Astika Endah Permatasari; Ika Kurniaty
Jurnal Kesmas (Kesehatan Masyarakat) Khatulistiwa Vol 7, No 1 (2020): Jurnal Kesmas (Kesehatan Masyarakat) Khatulistiwa
Publisher : Universitas Muhammadiyah Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29406/jkmk.v7i1.1988

Abstract

Abstrak: Tuberkulosis merupakan penyakit infeksi yang masih menjadi masalah kesehatan masyarakat terutama di Indonesia. Penderita tuberkulosis dapat mengahasilkan 3000 percikan droplet yang dapat menularkan kepada 10 – 15 orang, selain itu tuberkulosis juga menjadi penyebab kematian nomor satu untuk kategori penyakit infeksi. Tujuan penelitian ini adalah untuk mengetahui hubungan riwayat kontak dan status gizi terhadap kejadian tuberkulosis pada anak di wilayah Puskemas Jakarta Pusat dan Jakarta Timur.Desain penelitian ini menggunakan cross sectional study ,sampel  menggunakan teknik total sampling, dengan 91 responden anak. Hasil penelitian diolah secara statistik dengan menggunakan uji chi-square, dari hasil penelitian ini menunjukkan bahwa status gizi yang buruk dan secara substansi bahwa riwayat kontak dapat meningkatkan kejadian tuberkulosis pada anak dengan status gizi  p-value 0,002 dan OR 18,5 (95% CI  1,158-108,37) dan riwayat kontak p-value 0,029 dan OR 1,33 (95% CI  0,95-1,693).Penelitian ini menunjukkan bahwa  terdapat hubungan yang signifikan antara riwayat kontak dan status gizi terhadap kejadian tuberkulosis pada anak di wilayah Puskesmas Jakarta Pusat dan Jakarta Timur. Selain itu anak yang memiliki riwayat kontak akan berisiko terkena Tuberkulosis sebesar 1,33 kali dan anak dengan gizi kurang  berisiko 18,5 kali lebih besar terkena Tuberkulosis . Upaya yang dapat dilakukan untuk memutus rantai penularan tuberkulosis adalah dengan pemeriksaan kontak serumah sedini mungkin. Serta peningkatan kualitas gizi penderita sangat diperlukan.
Efek Penyakit Kronis terhadap Gangguan Mental Emosional Giri Widakdo; Besral Besral
Jurnal Kesehatan Masyarakat Nasional Vol. 7 No. 7 Februari 2013
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (533.074 KB) | DOI: 10.21109/kesmas.v7i7.29

Abstract

Hasil Riset Kesehatan Dasar tahun 2007 menunjukkan 11,6% penduduk Indonesia berumur 15 tahun ke atas mengalami gangguan mental emosional. Penelitian ini bertujuan untuk mengetahui efek penyakit kronis terhadap gangguan mental emosional. Desain penelitian ini adalah potong lintang mengggunakan data Riskesdas tahun 2007. Sebanyak 660.452 responden berusia di atas 15 tahun yang tidak mengalami gangguan jiwa dijadikan sampel. Gangguan mental emosional dinyatakan ada jika responden mem-punyai paling tidak enam dari 20 gangguan. Penyakit kronis seperti tuberculosis (TB) paru, hepatitis, jantung, diabetes, kanker, dan stroke diukur melalui wawancara yang didasarkan pada diagnosis petugas kesehatan. Hasil penelitian menunjukkan bahwa dari sepuluh penderita penyakit kronis, dua sampai lima penderita akan mengalami gangguan mental emosional. Analisis regresi logistik multivariat memperlihatkan bahwa risiko gangguan mental emosional semakin tinggi bersamaan dengan semakin banyak jumlah penyakit kronis yang diderita oleh responden. Responden yang menderita satu penyakit kronis berisiko 2,6 kali lebih besar untuk mengalami gangguan mental emosional, yang menderita dua penyakit kronis berisiko 4,6 kali, yang menderita tiga penyakit kronis atau lebih berisiko 11 kali. Kementerian Kesehatan disarankan untuk mengembangkan standar pelayanan penyakit kronis terkait dengan pengurangan dampak pada gangguan mental emosional dan dibentuknya tim bimbingan teknis pelayanan penyakit kronis.Basic Health Research (Riskesdas) year 2007 showed that 11.6 percent of Indonesia’s population aged 15 years and above suffering from mental emotional disorder. This study aimed to examine the effects of chronic illness to the mental emotional disorders. A cross-sectional study was performed that used Riskesdas 2007 data. Atotal of 660,452 respondents aged 15 years and over who are mentally health become sample of this study. Mental emotional disorders exist if they have at least six of the 20 disorder. Chronic diseases such as pulmonary tuberculosis, hepatitis, heart disease, diabetes, cancer, and stroke were measured based on diagnosis by health pro-fesional. The results showed that out of ten respondents with chronic illness, aproximately two to five will suffering from mental emotional disorder. Multivariat logistic regression analysis shows that the risk of developing mental emotional disorders higher as more number of chronic illnesses suffered by the respondent. Respondents suffering from one chronic disease were 2.6 times greater risk for emotional mental disorder, suffering from two chronic dis-ease have risk 4.6 times, which had three or more chronic disease risk have risk 11 times. It is suggested that the Ministry of Health to develop a standard of care of chronic diseases associated with reducing impact on the mental emotional disorders and establishment of teams for technical guidance chronic disease care.
Characteristics of Patients, Self-Efficacy and Quality of Life among Patients with Type 2 Diabetes Mellitus Karina Megasari Winahyu; Revi Anggita; Giri Widakdo
Jurnal Keperawatan Padjadjaran Vol. 7 No. 3 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1332.171 KB) | DOI: 10.24198/jkp.v7i3.1175

Abstract

Diabetes mellitus as a chronic disease requires a long-term care, which influence the quality of life (QOL). A mechanism perceived by the patients who engage in long-term treatment, such as self-efficacy (SE) is prerequisite for the success of disease management. The study aimed to identify the relationship between characteristics of patients, SE and domains of QOL among patients with type 2 diabetes mellitus (T2DM) living in community. The study used a correlational analytical with a cross-sectional approach and recruited 105 patients with type 2 diabetes in Sukasari Public Health Center, Tangerang. Self-administered questionnaires were used to measure sociodemographic of T2DM patients, while the Diabetes Management Self-Efficacy Scale (DMSES) UK and Asian Diabetes Quality of Life (Asian DQOL) were used to measure SF and QOL, respectively. Data were analyzed using Spearman Rank-Order Correlation. The study revealed that characteristics of patients, including age and period of illness were negatively associated with memory and cognition domains of QOL, while years of education positively associated interpersonal relationship domains of QOL. For SE, it was positively significant associated with diet habit, energy, and financial aspects domains of QOL. The SE was positively associated with the QOL (r=0.31; p-value ≤ 0.01). The SE is relationship with QOL of T2DM. Therefore,  health care provider should need to maintain the domains of QOL through improving SE, while considering the characteristics of T2DM patients, including age, period of illness, and years of education.
Pijat Oketani dan Tekanan di Titik Akupresur GB-21 terhadap Produksi ASI pada Ibu Post Sectio Caesarea Putri Permata Sari; Irna Nursanti; Giri Widakdo
Jurnal Keperawatan Silampari Vol 4 No 1 (2020): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (260.139 KB) | DOI: 10.31539/jks.v4i1.1626

Abstract

This study aims to determine the effectiveness of oketani massage and acupressure pressure of GB-21 on milk production in post-Caesarea section mothers. The research method used is quantitative research with a quasi-experimental research design, one group pre-posttest design. The results showed that the pressure on the acupressure point of GB-21 was sufficient based on mother and baby indicators. The statistical test results showed differences in milk production before and after pressure at the acupressure point of Gb-12 (p-value = 0.000). In conclusion, oketani massage is more effective in increasing milk production in group A, post section caesarea mothers compared to group B, the pressure at the acupressure point Gb-21 from infant indicators. Keywords: Gb-21 Acupressure, Breast Milk, Oketani Massage, Sectio Caesarea
Aplikasi Web Cek Riska sebagai Upaya Meningkatkan Pengetahuan Ibu Mendeteksi Dini Risiko Tinggi Kehamilan Ni Luh Putu Martini; Irna Nursanti; Giri Widakdo
Jurnal Keperawatan Silampari Vol 4 No 1 (2020): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (317.345 KB) | DOI: 10.31539/jks.v4i1.1629

Abstract

This study aimed to determine the effect of the risk checks web application on the knowledge of mothers to detect high risk early in pregnancy. The research design used in this study was a quasi-experimental design with one group design without control. The results showed that the mean difference before and after the intervention was 13.00, with a p-value of 0.000. In conclusion, the risk check web application can increase mothers' knowledge to detect high risk early in pregnancy. Keywords: Web Application, High-Risk Pregnancy
Masalah Emosi dan Perilaku pada Penderita TB Anak Giri Widakdo; Erni Rita; Indah Noviana Saputri; Tria Astika Endah Permatasari; Ika Kurniaty
HEALTH CARE : JURNAL KESEHATAN Vol 9 No 1 (2020): Health Care : Jurnal Kesehatan
Publisher : STIKes Payung Negeri Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (488.663 KB) | DOI: 10.36763/healthcare.v9i1.75

Abstract

One of the effects of emotional and behavioral problems in children with TB is the disruption of productivity and quality of life including children's education.This study aims to identify emotional and behavioral problems in children with TB in the Central Jakarta Health Center and East Jakarta Health Center. The design of this study was cross-sectional in 91 pediatric TB patients in 2019 as measured using the Strength and Dfficulties Questionary (SDQ). The results showed an analysis of the distribution of problem scores and behavior of TB sufferers in children based on covariates, namely: for behavior problems found in the abnormal group both for normal nutritional status (89.4%), history of household contact (57.6%) and TB status negative (80.3%) and for relationships with peers, the largest abnormal group was found in normal nutritional status (92%), family contact history (60%) and negative TB status (84%) and difficulty scores in the abnormal category were in normal nutritional status (89.9%), household contact history (60%) and negative TB status (80%) Conclusion:. The distribution of SDQ scores with covariates (Nutritional Status, Contact History and TB Status), for the abnormal categories are: peer behavior problems and difficulty scores. Parents, teachers or health centers can follow up on SDQ results to anticipate mental health disorders in children
Penguatan Kualitas Pendidik Klinik/Preseptor Klinik Melalui Peningkatan Kemampuan Evaluasi Pembelajaran Dengan Metode: Objective Structured Clinical Examination (OSCE) Tahap Basic Naryati Naryati; Muhammad Hadi; Rizki Nugraha Agung; Melati Fajarini; Giri Widakdo
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 7 (2022): Volume 5 No 7 Juli 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i7.6880

Abstract

ABSTRAK Implementasi pendidikan tahap profesi ners adalah peserta didik menerapkan ilmu pengetahuan teori, konsep dan keterampilan teknis yang telah dikuasai pada program akademik pada klien langsung melalui program internship dimana peserta didik dibimbing oleh seorang perawat sebagai preceptor. Keberadaan pendidik klinik/preceptor sangat diperlukan dalam menjamin keterlaksanaan layanan pasien yang berkualitas serta menjamin kompetensi peserta didik. Disamping itu, pendidik klinik/preceptor juga diperlukan untuk mengurangi stres yang mungkin dialami oleh peserta didik sebagai lulusan sarjana keperawatan baru yang belum mengenal dunia kerja sebenarnya serta untuk menjamin bahwa tanggung jawab tidak sepenuhnya berada pada peserta didik, tidak diberikan secara lebih dini atau tidak seharusnya diberikan secara kurang tepat. Metoda pembelajaran pada tahap profesi berfokus pada pelaksanaan pendelegasian kewenangan dari preceptor kepada peserta didiknya. Sedangkan kegiatan evaluasi pada tahap profesi lebih terfokus pada pembuktian bahwa peserta didik telah memiliki kompetensi yang ditetapkan dan disertai dengan kemandirian dalam menjalankan kompetensinya sebagai cerminan kewenangan telah dimiliki. Tujuan dari pelatihan OSCE diharapkan dapat memberi pemahaman tentang evaluasi dengan metode OSCE, sehingga para evaluator dapat mengevaluasi secara objektif sesuai kemampuan mahasiswa. Metode yang akan dilakukan adalah pelatihan OSCE kepada preseptor klinik rumah sakit aliansi.  Hasil yang didapatkan pre-tes dengan nilai rata-rata 65, setelah diberikan pelatihan meningkat menjadi 85. Kesimpulan yang didapatkan terjadi peningkatan pemahaman preseptor mahasiswa. Kata Kunci: Kompetensi Klinik, OSCE, Pendidikan Keperawatan, Pendidik Klinik, Preseptor Klinik ABSTRACT The implementation of the nursing profession education stage is that students apply theoretical knowledge, concepts and technical skills that have been mastered in academic programs to clients directly through an internship program where students are guided by a nurse as a preceptor. The existence of clinical educators/preceptors is very necessary in ensuring the implementation of quality patient services and ensuring the competence of students. In addition, clinical educators / preceptors are also needed to reduce stress that may be experienced by students as new nursing graduates who are not familiar with the real world of work and to ensure that the responsibility is not entirely on the students, is not given earlier or should not be given. given incorrectly. The learning method at the professional stage focuses on implementing the delegation of authority from the preceptor to his students. Meanwhile, evaluation activities at the professional stage are more focused on proving that students have the competencies defined and accompanied by independence in carrying out their competencies as a reflection of the authority they have. The purpose of the OSCE training is expected to provide an understanding of evaluation using the OSCE method, so that evaluators can evaluate objectively according to students' abilities. The method that will be used is OSCE training for clinical precepts of alliance hospitals. The results obtained pre-test with an average value of 65, after being given the training increased to 85. The conclusion obtained was an increase in the understanding of students' precepts. Keywords: Clinical Competence, OSCE, Nursing Education, Clinical Educator, Clinical Precept
Pressure Effectiveness At The GB-21 Acupressure Point On ASI Production In Post Sectio Caesarea) Putri Permata; Irna Irna Nursanti; Giri Widakdo
JURNAL KEPERAWATAN CIKINI Vol. 2 No. 1 (2021): Jurnal Keperawatan Cikini
Publisher : JURNAL KEPERAWATAN CIKINI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (381.819 KB) | DOI: 10.55644/jkc.v2i1.50

Abstract

Breast milk production is influenced by the secretion of the hormones prolactin and oxytocin. Caesarean section delivery is at risk of delaying exclusive breastfeeding because post-caesarean section mothers still focus on pain and are influenced by drugs during surgery so as to overcome the problem, Pressure at Acupressure Points Gb-21 is applied. Quasi experimental research method with one group pre-post test design. The sample of this research was 17 women from Post Sectio Caesarea. Results Pressure at the acupressure point Gb-21 is more effective for increasing milk production in post-sectio caesarean mothers than the indicators of the mother, the result is p value = 0.000 and the baby indicator pressure at the acupressure point GB-21 is also effective for increasing milk production in post-sectio mothers. caesarea, with the resulting p value = 0.000. Pressure intervention at the Gb-21 acupressure point is effective in promoting milk production, relaxing and helping to improve breast blood circulation. Further research needs to be done to add new variables related to nonpharmacological pressure therapy at the acupressure point Gb-21.
PENGALAMAN PEREMPUAN KORBAN KEKERASAN DALAM RUMAH TANGGA PADA MASA KEHAMILAN Irna Nursanti; Dea Aprilya; Dewi Anggraini; Giri Widakdo
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 5, No 2 (2020)
Publisher : Jurnal Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v5i2.227

Abstract

Kekerasan dalam rumah tangga adalah perbuatan yang dilakukan terhadap seseorang dalam bentuk fisik, verbal, seksual, dan psikologis yang menyebabkan penderitaan dan penelantaran rumah tangga. Tujuan: Mengetahui lebih dalam tentang pengalaman perempuan korban Kekerasan Dalam Rumah Tangga (KDRT) pada masa kehamilan di wilayah kerja Puskesmas Kampung Kawat, Kalimantan Barat. Metode: Desain penelitian ini menggunakan pendekatan fenomenologi. Penentuan partisipan menggunakan purposive sampling dan snow ball.  Sebanyak 8 partisipan terlibat dalam penelitian ini. Pengumpulan data dilakukan dengan cara in-depth interview dengan menggunakan catatan lapangan dan perekam suara.  Data dianalisis dengan metode Colaizzi.  Hasil: Penelitian ini menghasilkan 6 tema yaitu bentuk kekerasan yang diterima oleh responden selama menjadi korban KDRT pada masa kehamilan, Masalah yang timbul pada kehamilan akibat KDRT, Mekanisme koping yang dilakukan korban KDRT, Perasaan yang dirasakan responden sebagai korban KDRT, Penyebab terjadinya KDRT pada masa kehamilan, Hal-hal yang diinginkan responden terhadap pelayanan kesehatan. Diskusi: pengalaman perempuan korban kekerasan dalam rumah tangga pada masa kehamilan memberikan dampak buruk terhadap ibu maupun janin. Hal-hal tersebut terlihat pada ungkapan-ungkapan yang diberikan partisipan bahwa perbuatan yang mereka terima masih membekas hingga saat ini, meskipun sudah tidak membekas pada fisik, namun masih membekas pada batin. Kesimpulan: Hasil penelitian ini dapat dikembangkan pada penelitian lebih lanjut dan menjadi tambahan informasi dalam dunia pendidikan, serta menambah wawasan dan motivasi perawat maternitas dalam memberikan asuhan keperawatan, misalnya pendampingan pada pasangan yang menikah di usia muda dengan memberikan edukasi terkait kesiapan pasangan dalam memasuki kehidupan berumah tangga.Kata Kunci: Kehamilan, kekerasan dalam rumah tangga, perempuanExperience of Women Suffering from Domestic Violence During PregnancyABSTRACTDomestic violence is a physical, verbal, sexual, and psychological act committed against a person which causes suffering and neglect of the household. Objective: To reveal further the experience of women suffering from Domestic Violence during pregnancy in the working area of the Kampung Kawat Public Health Center, West Kalimantan. Methods: This research employed a phenomenological approach. Participants were taken using purposive sampling and snow ball. 8 participants were involved in this research. Data was collected by means of in-depth interviews using field notes and voice recorders. Data were analyzed by using the Colaizzi method. Results: This research resulted in 6 themes, namely forms of violence received by respondents while being victims of domestic violence during pregnancy, problems arising in pregnancy due to domestic violence, coping mechanisms performed by victims of domestic violence, feelings experienced by respondents as victims of domestic violence, causes of domestic violence during pregnancy, things that respondents wanted from health services. Discussion: The experience of women suffering from domestic violence during pregnancy has a negative impact on the mother and fetus. These can be seen in their expressions that the actions they receive are still imprinted today. Although no longer physically imprinted, but they are still imprinted on the mind. Conclusion: The research results can be developed in further research and serve as additional information in education, as well as add insight and motivation for maternity nurses in providing nursing care, for example mentoring couples who marry at a young age by providing education about the readiness of couples to enter a married life.Keywords: Pregnancy, domestic violence, women