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Implementation of Patient Safety Program By Nurse at Hospital âXâ in Samarinda and Factors Influence Ramdan, Iwan Muhamad; Setyowati, Dina Lusiana
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 9, No 2 (2015): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Patient Safety is a system to prevent the occurrence of unexpected events due to actions taken or not even done by medical and non-medical personnel. Nurses are health workers, amounting at most and has a major role in the implementation of patient safety because the profession is to provide services for 24-hour nursing care.Â A cross-sectional descriptive study was performed on a total of 77 nurses in âXâ Hospital.Â The objective of this study was determining the association between education level, work experience, perception of professionalism, knowledge and motivation with implementation of patient safety program. Data collection using a questionnaire and data analysis using Pearsonâs product moment correlation and Chi Square test. The results indicated that work experience (p = 0.034), perception of professionalism (p = 0:03), knowledge of patient safety (p = 0.000) and motivationÂ Â Â Â Â Â Â Â Â Â (p = 0.000) influence to the implementation of patient safety.There was no significant influence of educational level on the implementation of patient safetyÂ program (p = 0.427). To improve the perception and knowledge, hospitals are advised to hold trainings related to patient safety regularly,Â and implement reward and funishment system to increase nurse motivation.

Occupational Irritan Contact Dermatitis Among Shipyard Workers in Samarinda, Indonesia Ramdan, Iwan Muhamad; Ilmiah, Siti Hikmatul; Firdaus, Ade Rahmat
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 2 (2018)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v14i2.13417

Occupational irritant contact dermatitis (OICD) is still a occupational health problem. Shipyard workers are susceptible to OICD. A cross sectional study was conducted on 32 samples of shipyard workers in Samarinda to analyze the prevalence of OICD and related factors. The dependent variable is OICD, while independent variable consists of age, length of service, length of contact, history of skin diseases, personal hygene and personal protective equipment. Data collection through interview and direct observation, data analysis using Phi test and multiple logistic regression. All respondents had OICD and significantly correlated with working period (p = 0.001), history of skin disease (p = 0.004), personal hygene (p = 0.003) and use of PPE (p = 0.05). History of skin disease (B = 1.116) and use of PPE (B = 1.053) are most dominant variables. Personal hygiene improvements, tightening monitoring of use of PPE and improving occupational health efforts have been suggested.

Implementation of Patient Safety Program By Nurse at Hospital “X” in Samarinda and Factors Influence Ramdan, Iwan Muhamad; Setyowati, Dina Lusiana
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 9, No 2 (2015): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Patient Safety is a system to prevent the occurrence of unexpected events due to actions taken or not even done by medical and non-medical personnel. Nurses are health workers, amounting at most and has a major role in the implementation of patient safety because the profession is to provide services for 24-hour nursing care. A cross-sectional descriptive study was performed on a total of 77 nurses in “X” Hospital. The objective of this study was determining the association between education level, work experience, perception of professionalism, knowledge and motivation with implementation of patient safety program. Data collection using a questionnaire and data analysis using Pearson’s product moment correlation and Chi Square test. The results indicated that work experience (p = 0.034), perception of professionalism (p = 0:03), knowledge of patient safety (p = 0.000) and motivation (p = 0.000) influence to the implementation of patient safety.There was no significant influence of educational level on the implementation of patient safety program (p = 0.427). To improve the perception and knowledge, hospitals are advised to hold trainings related to patient safety regularly, and implement reward and funishment system to increase nurse motivation.

Factors Associated with Cholinesterase Level of Spraying Workers Using Paraquat Herbicide at Oil Palm Plantation in East Kalimantan, Indonesia Ramdan, Iwan Muhamad; Candra, Krishna Purnawan; Purwanto, Herry
Jurnal Kesehatan Lingkungan Indonesia Vol 19, No 1 (2020): April 2020
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.19.1.16-20

Latar Belakang: Organisasi Kesehatan Dunia pada tahun 2006 memperkirakan 1-5 juta kasus keracunan pestisida setiap tahun pada pekerja pertanian dengan kematian mencapai 220.000 korban. Sekitar 80% keracunan pestisida dilaporkan di negara-negara berkembang, termasuk Indonesia. Pada 10 tahun terakhir, luas perkebunan kelapa sawit di Kalimantan Timur meningkat sebesar 7,7%. Pada tahun 2017 perkebunan kelapa sawit di Kalimantan Timur mencapai 1,2 juta ha dengan jumlah pekerja mencapai 234 ribu orang. Hingga saat ini belum pernah ada kajian dampak paparan pestisida terhadap gangguan kesehatan dengan indikator kadar cholinesterase. Tujuan penelitian ini untuk menganalisis faktor yang berhubungan dengan tingkat keracunan penyemprot perkebunan kelapa sawit yang mengaplikasikan herbisida paraquat.Metode: Penelitian cross-sectionaldengan metoda sampling acak sederhana telah dilakukan pada 326 penyemprot dari 10 perkebunan kelapa sawit yang menggunakan herbisida paraquat, untuk mengidentifikasi prevalensi keracunan dan faktor risikonya. Tingkat keracunan pestisida diukur berdasarkan kadar enzim cholinesterase darah menggunakan Tintometer kit. Usia, masa kerja, dan area penyemprotan per hari dikumpulkan dengan wawancara langsung. Data dianalisis menggunakan Uji Spearman.Hasil:Penyemprot herbisida sebagian besar berusia >26-34 tahun (31,9%), mempunyai masa kerja < 5 tahun (76,1%), menyemprot area seluas < 4 ha per hari (84%). Toksisitas ringan dialami oleh 29 orang penyemprot (8,9%). Keracunan ringan herbisida tersebut berkorelasi signifikan dengan usia (p=0,000) dan area penyemprotan per hari (p=0,014).Kesimpulan: Prevalensi keracunan paraquat di kalangan pekerja penyemprot herbisida di perkebunan kelapa sawit relatif rendah. Penggunaan herbisida dengan dosis yang lebih rendah dan pengurangan area semprot menjadi faktor penting untuk dipertimbangkan dalam usaha pencegahan keracunan herbisida yang lebih buruk.ABSTRACTBackground:Â In 2006, World Health Organization estimates a number of 1-5 million cases of pesticide poisoning per year in agricultural workers with deaths reaching of 220,000 casualties. About 80% of pesticide poisoning was reported in developing countries, including Indonesia. In the last ten years, palm oil plantation area in East Kalimantan increased at 7.7%. In 2017, palm oil plantation covered an area of 1,2 billion ha with 234.000 workers. Until now, there is no study on pesticide exposure on health disorder with indicator using cholinesterase level.Methods: A cross-sectional study has been conducted using simple random sampling on 326 sprayers from 10 oil palm plantations using paraquat herbicide to identify herbicide poisoning prevalence, and its risk factor. The pesticide poisoning rate was measured based on blood cholinesterase enzyme level using a Tintometer kit. Age, working period, and spraying area per day were collected by direct interview. Data were analysed by Spearman test.Result: The most sprayer workers was at age of > 26-34 years (31.9%), having working experience <5 years (76.1%), implementing a spray area per day of <4 ha (84%). A mild toxicity was experienced by 29 sprayers (8.9%). The prevalence of paraquat herbicide was correlated significantly with age (p=0.000) and spraying area per day (p=0.014).Conclusion: The prevalence of paraquat among herbicide sprayer at oil palm plantation was relative low. Application of herbicide with lower doses and reducing the spraying area are the necessary factors to be considered in order to prevent the herbicide poisoning become worst.

Perception of preventing behavior against COVID-19 among Indonesian industrial workers Iwan Muhamad Ramdan; Krishna Purnawan Candra; Muhammad Sultan
International Journal of Public Health Science (IJPHS) Vol 11, No 1: March 2022
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v11i1.21071

The coronavirus disease 2019 (COVID-19) pandemic is continuing, but companies have been allowed to continue their business with the obligation strictly to apply health protocol. A cross-sectional study aimed to examine the perception of COVID-19 and its prevention behavior based on the health belief model was conducted on 285 industrial workers from eight company types sampled by online survey. The results show that most workers have poor COVID-19 perceptions (54.7%). However, the workers showing good behavior (61.1%) in preventing COVID-19 transmission. Gender (p=0.009), education background (p=0.017) and company types (p=0.001) were related to the COVID-19 perception. In addition, the perceptions related to the behavior in preventing COVID-19 transmission (p=0.000). Except cues to action, all perception components, i.e., perceived susceptibility (p=0.000), seriousness (p=0.005), benefits (p=0.000), barriers (p=0.000), and self-efficacy (p=0.000) related to behavior to prevent COVID-19 transmission. However, the perception components show a weak correlation with preventing behavior (r=0.167-0.234). The information types were related to perceived barriers (p=0.046) and cues to action (p=0.007). Maintain a safe distance (p=0.029), using a face mask (p=0.039), and eat nutritious food (p=0.019) related to information types. The increase of COVID-19 perception is the key to improve industrial workers' behavior to prevent the COVID-19 transmission.

Menurunkan Keluhan Gangguan Muskuloskeletal Pada Penenun Tradisional Sarung Samarinda Melalui Pelatihan Peregangan Otot di Tempat Kerja Iwan Muhamad Ramdan; Azizah Azahra
Jurnal Abdimas BSI: Jurnal Pengabdian Kepada Masyarakat Vol 3, No 2 (2020): Agustus 2020
Publisher : LPPM Universitas Bina Sarana Informatika

Gangguan muskuloskeletal merupakan masalah kesehatan kerja di seluruh dunia, baik pada pekerja sektor formal maupun informal dan telah menimbulkan kerugian yang cukup besar baik bagi dunia usaha maupun bagi pekerja. Salah satu upaya pencegahan gangguan muskuloskeletal adalah dengan pemberian pelatihan peregangan otot di tempat kerja (muscle streching exercise). Kegiatan pengabdian masyarakat bagian Kesehatan dan Keselamatan Kerja Fakultas Kesehatan Masyarakat Universitas Mulawarman dilaksanakan di Kelurahan Tenun Kota Samarinda yang merupakan ikon pariwisata Kota Samarinda Kalimantan Timur. Sasaran pengabdian masyarakat adalah penenun tradisional sarung Samarinda yang berjumlah 75 orang. Kegiatan dimulai dengan pengukuran gangguan muskuloskeletal dengan instrumen Nordic Body Map, kemudian penjelasan tujuan dan manfaat kegiatan, pemberian peregangan otot di tempat kerja disela-sela kegiatan menenun 2 kali setiap minggu selama 1 bulan, dan diakhiri dengan pengukuran kembali gangguan muskuloskeletal. Sebelum pelaksaan intervensi, gangguan muskuloskeletal pada penenun didapatkan kategori rendah (49,4%), kategori menengah (32,5%), kategori tinggi (15,5%). Evaluasi 2 minggu pertama didapatkan gangguan muskuoskeletal kategori rendah (81,8%) dan kategori menengah (15,6%), dan evaluasi 2 minggu kedua didapatkan hasil gangguan musculoskeletal kategori sangat rendah (32,2%), rendah (44,2) dan menengah (20,8%). Disimpulkan, peregangan otot di tempat kerja dapat menurunkan keluhan gangguan muskuloskeletal walaupun belum semuanya teratasi. Kegiatan ini sangat bermanfaat bagi penenun tradisional sarung Samarinda dalam rangka pencegahan kejadian gangguan muskuloskeletal yang lebih parah

Determinan Keluhan Muskuloskeletal pada Tenaga Kerja Wanita Iwan Muhamad Ramdan; Tiyanpri Bayu Laksmono
Jurnal Kesehatan Masyarakat Nasional Vol. 7 No. 4 November 2012
Publisher : Faculty of Public Health Universitas Indonesia

Gangguan muskuloskeletal merupakan masalah kesehatan dan keselamatan kerja yang penting karena masih berkontribusi pada penurunan produktivitas kerja. Penelitian ini bertujuan untuk mengetahui hubungan umur tenaga kerja, masa kerja, indeks massa tubuh, dan sikap kerja dengankeluhan gangguan muskuloskeletal pada tenaga kerja wanita di unit produksi bagian kupas di PT SSM Kalimantan Timur. Penelitian kuantitatif yang menggunakan desain penelitian cross sectional ini dilakukan pada tenaga kerja wanita bagian pengupasan yang berjumlah 46 orang (total sampling).Variabel bebas penelitian terdiri dari umur, masa kerja, indeks massa tubuh, dan posisi kerja, sementara variabel terikat adalah keluhan gangguan muskuloskeletal. Analisis data yang digunakan adalah uji chi-square dengan level signifikansi 0,05 (5%). Hasil penelitian menunjukkan tidak terdapat hubungan umur dengan keluhan gangguan muskuloskeletal (p = 0,066),terdapat hubungan yang signifikan antara masa kerja (p = 0,044), indeks massa tubuh (p = 0,025), dan sikap kerja (p = 0,001) dengan keluhan gangguan muskuloskeletal. Perusahaan disarankan untuk membuat kursi kerja yang ergonomis, melakukan rotasi kerja, dan melakukan pelatihan dengan materi tata cara kerja yang ergonomis.Kata kunci: Gangguan muskuloskeletal, produktivitas, sikap kerjaAbstractMusculoskeletal disorders are still a health and safety issue that needs to be examined in more depth, because it still contributes to the decline in labor productivity. The objective of this research was to know the relationship between age, working periode, body mass index and work posture with complaint of musculoskeletal disorders. Quantitative research with crosssectional approach has been done on 46 (total sampling) female labor in peeling sections. The independent variables consisted of age, year, body mass index, and work posture, while the dependent variable was the complaint of musculoskeletal disorders. The data analysis used was chi-square test with a significance level of 0.05 (5%). The results showed no association between age with symptoms of musculoskeletal disorders (p = 0,066), there is a significant association between working period (p = 0,044), bodymass index (p = 0,025), and work posture (p = 0,001) with complaints of musculoskeletal disorders. Companies are advised to make an ergonomic office chair, job rotation, and training with ergonomic material working procedures.Keywords: Musculoskeletal disorders, productivity, work posture

Unsafe Behavior of Workers in Rotary Lathe Section in One of the Plywood Industries in East Kalimantan Iwan Muhamad Ramdan; Dyyka Indah Wijayanti
Jurnal Kesehatan Masyarakat Nasional Volume 13, Issue 1, August 2018
Publisher : Faculty of Public Health Universitas Indonesia

Occupational accidents and diseases remain the global health problem, two main factors for this are unsafe behavior and conditions. Previous study provedthat the main cause is unsafe behavior factor. This study aimed to analyze factors associated with occupational unsafe behavior in workers at PT IAW andanalyze the most influential factor. A cross-sectional study was conducted from July to August 2016 with 104 samples. Independent variables consisted ofperception, communication, supervision, the availability of personal protective equipment (PPE), training and workplace temperature. While the dependentvariable was unsafe behavior. Data analysis used Pearson product moment and multiple linear regression. In conclusion, perception (p value=0.00, R=0.817),communication (p value=0.000, R=0.810), supervision (p value=0.00, R=0.529), availability of PPE (p=0.000, R=0.902) and workplace temperature arerelated significantly, very strong, positive and directly proportional to unsafe behavior, while training (p value=0.092, R=0.166) are not related. Perception isthe most dominant variable influencing unsafe behavior.AbstrakKecelakaan kerja dan penyakit akibat kerja masih menjadi masalah kesehatan dunia, dua faktor utama penyebabnya adalah perilaku dan kondisi lingkungankerja yang tidak aman. Penelitian sebelumnya membuktikan penyebab utamanya adalah faktor perilaku yang tidak aman. Penelitian ini bertujuan menganalisisfaktor-faktor yang berhubungan dengan perilaku tidak aman dalam bekerja pada tenaga kerja di PT IAW dan menganalisis faktor yang paling berpengaruh.Penelitian potong lintang dilakukan pada bulan Juli sampai Agustus 2016 terhadap 104 sampel penelitian. Variabel bebas terdiri dari persepsi, komunikasi,pengawasan, ketersediaan alat pelindung diri (APD), pelatihan dan suhu lingkungan kerja. Variabel terikat adalah perilaku tidak aman. Analisis data menggunakanPearson produk moment dan uji regresi linier berganda. Disimpulkan persepsi (nilai p=0,00, R=0,817), komunikasi (nilai p=0,000, R=0,810), peng -awasan (nilai p=0,00, R=0,529), ketersediaan APD (nilai p=0,000, R=0,902) dan suhu lingkungan kerja berhubungan signifikan, sangat kuat, positif danberbanding lurus dengan perilaku tidak aman, sedangkan pelatihan keselamatan kerja (nilai p=0,092, R=0,166) tidak berhubungan. Persepsi keselamatankerja merupakan variabel yang paling dominan memengaruhi perilaku tidak aman dalam bekerja.

Efikasi Diri, Pusat Kendali, dan Persepsi Tenaga Kerja sebagai Prediktor Pencapaian Prestasi Kesehatan dan Keselamatan Kerja Iwan Muhamad Ramdan
Jurnal Kesehatan Masyarakat Nasional Vol. 5 No. 2 Oktober 2010
Publisher : Faculty of Public Health Universitas Indonesia

Penelitian ini bertujuan untuk mengetahui apakah efikasi diri, pusat kendali, dan persepsi tenaga kerja dapat dijadikan prediktor yang akurat untuk memprediksi pencapaian prestasi kesehatan dan keselamatan kerja (K3), serta untuk menguji apakah model pencapaian prestasi K3 yang disusun dengan melibatkan interaksi tenaga kerja dengan lingkungannya cukup tepat. Dengan pendekatan cross sectional, penelitian dilakukan terhadap 200 orang responden pada perusahaan kayu di Kalimantan Timur. Variabel bebas terdiri dari efikasi diri, pusat kendali, dan persepsi tenaga kerja. Variabel tergantung yaitu prestasi K3, sedangkan variabel moderatoradalah lingkungan fisik dan kimia kerja. Analisis data menggunakan structural equation model (SEM). Hasil penelitian menunjukan efikasi diri dan persepsi tenaga kerja berhubungan positif signifikan dengan prestasi K3, merupakan prediktor yang paling akurat untuk memprediksi pencapaian prestasi K3 (p=0,007 dan p=0,012). Kedua variabel ini memberi sumbangan efektif terhadap prestasi K3 yaitu sebesar 20,2 % dan 17,3 %. Kata kunci: Efikasi diri, pusat kendali, persepsi, prestasi kesehatan dan keselamatan kerjaAbstractThis research was focused on the relationship between worker’s behavior with Occupational Health Safety (OHS) achievement.The purposes of the research is to identify whether worker’s self-efficacy, locus of control and perception can predict OHS achievement, and to examine whether the OHS model engaging workers and work environment interaction are fit. This research was cross sectionally conducted towards 200 respondents in one of plywood plant in West Kalimantan. The independent variable were the worker’sself efficacy, locus of control and perception, while the dependent variable was OHS performance. The moderator variables were physical and chemical work environment. Data analysis used structural equation model. Research findings showed that self efficacy and worker perception have significantly positive relationship with worker’s OHS performance, and could be an accurate predictor to predict OHS performance achievement (p=0.007 and p=0.012), and provided effective contribution to OHS performance as big as 20,2 % and 17,3 % as well.Key word: Self efficacy, locus of control, perception, occupational health safety performance

Measuring Work Fatigue on Nurses: A Comparison between Indonesian Version of Fatigue Assessment Scale (FAS) and Japanese Industrial Fatigue Ressearch Commite (JIFRC) Fatigue Questionnaire Iwan Muhamad Ramdan
Jurnal Keperawatan Padjadjaran Vol. 7 No. 2 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

A Nursing is one type of jobs that is at risk of experiencing fatigue because its workload is quite high. Fatigue Assessment Scale (FAS) and Japanese Industrial Fatigue Research Committee (JIFRC) fatigue questionnaire are two instruments that are often used to measure work fatigue in various types of work because the ease of use. This study aims to test and compare the validity and reliability of the Indonesian version of FAS and JIFRC among nurses in one governmental hospital in East Kalimantan Indonesia. The study was conducted on 170 nurses in one of the Class A Referral Government Hospitals in East Kalimantan. Determination of the study sample using stratification simple random sampling method, the FAS questionnaire obtained from Zuraida & Chie, the JIFRC questionnaire was taken from Tarwaka, the Validity and Reliability test using Pearson Product Moment and Cronbach’s alpha. The JIFRC in Indonesian version has a satisfactory psychometric property with adequate validity and reliability to assess work fatigue in nursing profession. The best Cronbach alpha (0.921) will be obtained if item number 3 and 16 are corrected for the editorial/sentence arrangement

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