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IMPLEMENTASI KEBIJAKAN PENYELENGGARAAN PENDIDIKAN NASIONAL PADA PENYELENGGARAAN PENDIDIKAN TENAGA KESEHATAN PROGRAM D-III KEPERAWATAN DI PROPINSI DKI JAKARTA ROSA, ELSYE MARIA
JURNAL ILMIAH EDUCATIONAL MANAGEMENT Vol 1, No 2 (2011): JURNAL ILMIAH EDUCATION MANAGEMENT
Publisher : JURNAL ILMIAH EDUCATIONAL MANAGEMENT

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The objective of this research is to analyze the implementation of national education policy in the nursing education D-III program in Jakarta Province. The evaluation was based on the implementation of the National Education Systems No. 20 year 2003. The research was conducted at the Akademi keperawatan province in Jakarta. It was using policy analysis method. The sample of this research were 7 person of Akademi Keperawatan, Pusdiknakes and Kopertis 3 that was selected randomly. NVIVO version 8 was used to analyze the data collected. The research findings are: (1) most of the nursing educations were Diploma III vocational educations; (2) the ownership status of nursing academies was in the hand of private; (3) the management of diploma III nursing education owned by public was mostly executed by the Department of Health through the Center of Health National Education and Agency for Health of the Jakarta Province; (4) three duty university was not yet implemented completely as a mandatory reference for the institutions and lecturers. Based on these findings, it could be concluded that --- the implementation of National Education Systems No. 20 year 2003 in performing nursing education diploma III was not carried out well. This was happened because of the involving parties were not able to cooperate effectively and efficiently. Transitional management by the Department of Health, in this case the Center of Health National Education and Agency for Health of the Jakarta Province was not implemented thoroughly. Thereby, the implementation of the National Education Law No. 20 year 2003 could be in jeopardy simply because of its inappropriate execution.Key words: National Education Systems No. 20 year 2003, Nursing education D-III Program
PENGISIAN SIGN IN DALAM MENINGKATKAN KEPATUHAN SAFE SURGERY DI RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA II Saputra, Andri Firman; Rosa, Elsye Maria
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 4, No 2 (2015): July
Publisher : Magister Manajemen Rumah Sakit

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Background: Complications and deaths due to surgery become one of the global health problems. World Health Organization estimates that at least half a million deaths due to preventable surgical. An effort to improve the quality of surgical services including the Surgical Safety Checklist to use made by World Health Organization. Compliance to use this surgery checklist which is can increase the number of safe surgery, reduce the wrong site surgery and nearmiss. Method: This research is a qualitative action research design. The study population was all the doctors and nurse anesthetist. Number of samples 6 people. The data is collected by observation sheet Surgical Safety Checklist: Sign In RS PKU Muhammadiyah Yogyakarta Unit II for 3 cycles of observation.Result and Discussion: The results of observations on the first to the third cycle shows that all disobeying nurse anesthetist (100%) the Surgical Safety Checklist to fill: Sign In. The results of the response every cycle and a structured interview with the anesthesiologist showed that nurses are still confused how to use the checklist, the checklist has not been a necessity, the culture of patient safety is still minimal, lack quality of human resources, lack of supervision and lack of socialization mechanisms Surgical Safety Checklist noncompliance that influence nurses Sign In to to fill.Conclusion: Completing Sign In in the installation of surgery center in PKU Muhammadiyah Yogyakarta Unit II Hospital is noncompliance, because they still haven’t got the identity bracelet mounted on a patient who will be operating and marking the location of a rare surgery. Advice to hospital are to create a Standard Operating Procedure (SOP), SOP socialize regularly, make in-house training, increase the commitment of doctors and nurses, create a surveillance system, create a system of reward and punishment. Keywords: Sign In, Compliance Safe Surgery   
PRAKTEK KOLABORASI DOKTER-PERAWAT TERHADAP KEPUASAN KERJA DOKTER UMUM DI RSUD NGANJUK Paramita, Galuh Pradhi; Rosa, Elsye Maria
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 3, No 1 (2014): January
Publisher : Magister Manajemen Rumah Sakit

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Background: RSUD Nganjuk is a type B hospital. Patient care in RSUD Nganjuk inpatient unit is done by group of specialists from different disciplines, general practitioners, nurses, and other health personnel. But there are still many obstacles that occur in collaborative practice. Physician-Nurse interactions affect the quality of collaboration practices and physician’s job satisfaction. Method: The study is a quantitative study with cross sectional approach. Populations consisted of all physicians in RSUD Nganjuk. The sampling method used in this study is total sampling. There are 18 respondents. Analysis of the data using multiple linear regression statistical test.Result and Discussion: The result of this study showed the value of F calculating (7,75) >  t table value (4,221), and probability value was 0,02. That’s means that the physician-nurse collaboration significantly influences physician’s job satisfaction. Regression equivalent showed: Y = 0,267 X1 + 0,078 X2 + 0,452 X3 + 0,470 X3.Whereas determinant coefficient 0,614. This implied that physician-nurse collaboration simultaneously influence as much as 61,4% to physician’s job satisfaction. Physician-nurse collaboration variable practice that influence physician’s job satisfaction is mutual interest (p=0,03) The other factor: communication (p=0,17), scope of practice (p=0,77), and common goal (p=0,05) has not yet been influence in physician’s job satisfaction. Conclusion: There was a significant influence among the collaboration variable practice consisting of communication (X1), the scope of practice (X2), mutual interests (X3), and a common goal (X4) simultaneously on physician’s job satisfaction at the inpatient unit of RSUD Nganjuk. The most influential factor is the common goal.Keywords: Physician-Nurse Collaboration, Physician’s Job Satisfaction
HUBUNGAN ANTARA KOHESIVITAS KELOMPOK DAN SIKAP PERAWAT PELAKSANA DENGAN PRODUKTIVITAS KERJA PERAWAT PELAKSANA DIRUANG RAWAT INAP RSUPN. DR. CIPTOMANGUNKUSUMO Rosa, Elsye Maria; Nurachmah, Elly; ., Budiharto
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 1, No 1 (2012): January
Publisher : Magister Manajemen Rumah Sakit

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Cooperation between the nursing team is a very important factor for achieving optimal quality of service. Teamwork in the hospital much influenced by the attitudes of nurses to perform nursing actions. The purposes of this study were to determine the relationship between group cohesiveness and the attitude of the nurse executive with labor productivity in RSUPN nurse executive Dr. Ciptomangunkusumo.The method of research is Deskriptive correlational, with cross sectionaldesign. The hypothesis of the study, relationship between group cohesiveness with the productivity of labor and the relationship between nurse executive position with the labor productivity of nurse executives.The results of bivariate statistical tests found that there were no relationship between group cohesiveness with the productivity of nurses working with a p-value executor 0.231, while attitudes have a significant association with work productivity perawata implementing the values of r = 0216, p-value 0.0007.Conclusion there was no significant relationship between group cohesiveness with the productivity of labor while a significant relationship between nurse executive with the work attitude of labor productivity in the inpatient nurses RSUPN. Cipto Mangunkusumo.Key words: cohesiveness, attitude and work productivity
KELENGKAPAN PENGISIAN BERKAS REKAM MEDIS PELAYANAN MEDIK RAWAT JALAN DAN PATIENT SAFETY DI RSGMP UMY Santosa, Erwin; Rosa, Elsye Maria; Nadya, Famella Tiara
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 3, No 1 (2014): January
Publisher : Magister Manajemen Rumah Sakit

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Background: health care givers are required to make the medical record and give priority to patient safety. The problems that often arise in medical record is charging charging medical record completeness and implementation of patient safety. The purpose of this research is to know the implementation and problems in charging medical record and patient safety that is run by koass at RSGMP UMY.Method: qualitative descriptive method. The subjects of the research koass in RSGMP UMY. Medical record file the research object 2013 as much as 367 medical record. Qualitative Data using descriptive statistics and coding interviews.Results: completeness of patient identity aspects 367 (100%) name, medical record number 338 (92,1%), place/date of birth and gender of 366 (99,7%). Increase of effective communication has not been fully carried out effectively. Improving drug safety needs to be policed for the right drug, right dose, right patient, right document 66 (68.7%) and timely and precise ways of administering 64 (66,7%). Exact location of certainty, right procedure, the right of patients to the operating date and time actions 320 (99.3%), anamnesa 322 results (100%), charging odontogram 169 (91,8%), 318 (98.7%) diagnostic, treatment action plan of 321 (99,7%), supporting and physical examination (94.5 per cent) of 120 and informed consent 71 (65,1%). Reduction of risk of infection related to medical services is already quite good but not completely orderly run.Summary: the completeness of charging medical record and implementation of patient safety in RSGMP UMY due to time limitations, the knowledge operator, not a supervisor and physician supervision.Key words: completeness, medical record, patient safety.
ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI KEPATUHAN PENGISIAN REKAM MEDIS DI RUMAH SAKIT GIGI DAN MULUT PENDIDIKAN UMY Ridho, Khasib Mabrur; Rosa, Elsye Maria; Suparniati, Endang
Jurnal Medicoeticoilegal dan Manajemen Rumah Sakit Vol 2, No 2 (2013): July
Publisher : Magister Manajemen Rumah Sakit

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Background: RSGMP UMY been utilizing computer-based information systems and manually medical records. Problems often arise in filing medical records are incomplete filling process. The purpose of this study to find out the problems in filling medical records, and analyzes the factors that influence adherence charging medical records in RSGMP UMY. Method: using quantitative and qualitative methods. Subjects in research is coass and physician mentors in RSGMP UMY. Research object is files medical records in 2012. Quantitative data using descriptive statistics, qualitative data using a coding interview. Results: The complete medical records of 236 (64.84%), and incomplete medical records of 128 (35.16%). Incomplete completeness aspect is the identity of the patients (3.85%), the date and time (1.65%), the name and signature of the doctor (23.35%), and correction of errors (16.21%). Medical record is incomplete due to factors selecting lecturers, lack of faculty, number of patients, limited time, knowledge, and attitudes operator. Conclusion: Factors affecting compliance to medical records in RSGM-P UMY is knowledge, limited time, operator attitude, sum of patient, and motivation.Keywords: Factor, Compliance, Medical Record.
EFEKTIVITAS PENERAPAN SUPERVISI KEPALA RUANG TERHADAP PELAKSANAAN PENDOKUMENTASIAN ASUHAN KEPERAWATAN DI RUANG RAWAT INAP RUMAH SAKIT PKU MUHAMMADIYAH BANTUL ., Goziyan; Rosa, Elsye Maria
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 1, No 2 (2012): July
Publisher : Universitas Muhammadiyah Yogyakarta

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Background: Activity of care documentation is a main element of responsibility for care profession performance. Therefore, treatment supervision is needed in order that effectiveness and efficiency of work are optimum. In approximately recent 4 months, the implementation of treatment supervision in the PKU Muhammadiyah Hospital of Bantul was vacuum, results of interview with the ward heads indicated that there was indication of dissatisfaction of ward head which was also appointed as supervisor in terms of incentive acceptance. Method: This study is quantitative research with quasi experiment pre and post-test design without control group. Respondents of this study were all inpatient ward heads using total sampling.Results and discussion: Results of this study indicated that average percentage of care documentation (standard operational procedure) implementation before treatment supervision training in the inpatient wards of PKU Muhammadiyah Hospital of Bantul was 42.6%, and after training, the percentage was 51.4%. Based on results of statistical test with paired t-test, it was found that p-value of effectiveness of ward head supervision application on implementation of care documentation in the inpatient ward s of PKU Muhammadiyah Hospital of Bantul was 0.002 (p<0.05). There was 8.8% increase in average percentage of care documentation implementation before and after ward head supervision training.Conclusion: The ward head supervision training was found effective on implementation of care documentation in the inpatient wards of PKU Muhammadiyah Hospital of Bantul. Keywords: supervision, head ward, documentation of nursing care
EVALUASI PELAKSANAAN SASARAN KESELAMATAN PASIEN SESUAI AKREDITASI RUMAH SAKIT VERSI 2012 DI RUMAH SAKIT KHUSUS IBU DAN ANAK PKU MUHAMMADIYAH KOTAGEDE YOGYAKARTA Sundoro, Totok; Rosa, Elsye Maria; Risdiana, Irma
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 5, No 1 (2016): January
Publisher : Universitas Muhammadiyah Yogyakarta

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The purpose of this study was to knowing description (policy, implementation, barriers, recommendation) on compliance efforts in patient safety goals RSKIA PKU Muhammadiyah Yogyakarta Kota Gede. Qualitative research with case study design (case study). Subjects were hospital management, the staff of the hospital and the patient. The study object is the implementation of Patient Safety Goals Hospital Accreditation Hospital In Version 2012. Policy and implementation for the implementation of 6 targets have not been fully made patient safety and well-executed yet because there are still adhere to standards that do not, do not know the rules, socialization and motivation are lacking and there is no management support. Recommendation needs to be done is the hospital management and the need to formulate a policy direction that comes with phasing as a guide to target patient safety in hospitals.
PELAKSANAAN KEBIJAKAN DAN PENILAIAN PENGGUNAAN APD (ALAT PELINDUNG DIRI) OLEH DOKTER DAN BIDAN DI RUANG BERSALIN DAN NIFAS RSU PKU MUHAMMADIYAH YOGYAKARTA UNIT I TAHUN 2014/2015 Supiana, Nia; ., Supriyatiningsih; Rosa, Elsye Maria
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 4, No 1 (2015): January
Publisher : Universitas Muhammadiyah Yogyakarta

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Background: Hospital is a place for taking care of the patients where there are many kinds of disease there. Disease caused by infection is one of disease that can be found in hospital. It can be the mild one or the severe one. Therefore, it can spread from one patient to the other patients. Besides that, the workers also can be infected since their job required them to having a contact with the infection agent. The General hospital of PKU Muhammadiyah Yogyakarta Unit 1 has formed the Komite Pencegahan dan Pengendalian Infeksi (KPPI) or Committee of Prevention and Restraint of Infection since 2012, this committee has made a policy related to universal precautions which giving protection to medical staff, patients, and patients’ families.Methods: In collecting the data, this research used mixed method with concurrent triangulation strategy design and cross-sectional approach. The population of this research is doctors in delivery and postpartum room and the members of KPPI. The total of the population is 30 people. In analyzing the data, the writer used logistic regression. The resources were taken from some related books, journals, articles, and research from several media.Results and Discussion: The result of this research showed that the degree of compliance of doctors and midwives in using PPE (Personal Protective Equipment) in postpartum room (92.9%) was higher than the using of PPE in the delivery room (76.9%). This implementation/compliance is influenced by disposition factors/attitude (ρ = 0.000 <0.05) and the structure of bureaucracy (ρ 0,000 <0.05), while the variable of communication (ρ=0,164 > 0,05) and  resource (ρ=0,431 > 0,05) do not  influence on the implementation of the use of PPE.Conclusions and Recommendations: The implementation of the use of PPE in the delivery and postpartum room is still not performing well and the evaluation process was still not optimal. The hospital is expected to improve the supervision of the head room. Moreover, the implementation of SOP (Standard Operational Procedure) on the universal Guidelines for Vigilance Implementation should be conducted especially the use of PPE in delivery and postpartum room.Keywords: Personal Protective Equipment, disposition, monitoring, evaluation, bureaucratic structure, communications and resources.
KEPATUHAN 5 MOMEN HAND HYGIENE PADA PETUGAS DI LABORATORIUM KLINIK CITO YOGYAKARTA (ACTION RESEARCH) Ananingsih, Pangisti Dwi; Rosa, Elsye Maria
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 5, No 1 (2016): January
Publisher : Universitas Muhammadiyah Yogyakarta

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Background: Hospital Associated Infection (HAIs) is still a problem through out the world and in Indonesia. Health officials have a major role in the transmission of these infections. However, the low level of compliance of five moments of hand hygiene among health care workers is still one of the factors that cause high spread of HAIs. To hand let his, it is necessary to counseling about the importance of 5 moments of hand hygiene for health worker towards patient health. Counseling can be done in various models, such as posters, training and simulation.Methods: The study is a qualitative research with action research. Conducted in September 2015 in wards in Clinical Laboratory “Cito” Yogyakarta, population as well as samples in this study were all health care workers in first floor of the Clinical Laboratory Cito Yogyakarta that consisting of nurses, analysts, doctors, radiographers, customer service, and cleaning service.Results and Discussion: The results showed the average rate of compliance of five moments of hand hygiene officer in the Clinical Laboratory Cito Yogyakarta continues to increase after extension, from 0% at the stage of the pretest be at 16,67% after being given counseling using the poster (cycle I) , increased to 32,50% after being given training (cycle II) and increased to 40,83% after being given counseling using simulation (cycle III). The factors that influencing the adherence of 5moments of hand hygiene in Cito Clinical Laboratory are: workload, the fear of hitting by irritant dermatitis, forgotten, lack of motivation, the lack of commitment of the company, lack of knowledge, and access to hand hygiene.Conclusion: 5moments of hand hygiene compliance of the workers increasing after the poster socialitation, training, and simulation. The management is expected to give more attention in improving of5moments of hand hygiene for health worker in Clinical Laboratory Cito Yogyakarta.Keywords: hand hygiene, compliance, laboratory officer
Co-Authors Afandi, Moh. Afandi, Mohammad Andri Firman Saputra Andri Firman Saputra, Andri Firman Andriani, Wiwiek Retti Anggoro, Agung Huda Bayu Ani Syafriati Anisa Renang Yulianti Anjarwati Anjarwati Ariadne Aulia Arief Budiman Aris Fauzan Asbone, Asbone Asrofi Asrofi Aviv Aziz Triono azizah khoiriyati Azizzah Khoiriyati Baharuddin, M Akhyar Bayu Anggileo Pramesona Brahmana, Ivanna Beru Budiharto . Budiharto ., Budiharto Dedep Nugraha Dianita Subagyo Dienda Sesioria Assyakur Dini Desi Harmatiwi Dini Desi Harmatiwi Dwi Sulistyowati Dwi Sulistyowati Dyah Rivani Eka Nur Sejati Eka Wahyu Puspitasari Ekorini Listiowati, Ekorini Ekorini Sulistyowati Elly Nurachmah Endang Suparniati Endang Suparniati Endang Suparniati, Endang Erna Rochmawati, Erna Erwin Santosa Erwin Santosa Erwin Santosa Falasifah Ani Yuniarti, Falasifah Ani Famella Tiara Nadya Famella Tiara Nadya Famella Tiara Nadya, Famella Tiara fatma Siti Fatimah Firman Pribadi Fitri Arofiati Galuh Pradhi Paramita Galuh Pradhi Paramita Galuh Pradhi Paramita, Galuh Pradhi Goziyan . Goziyan ., Goziyan Goziyan Goziyan Guriti Guriti Gusti Jhoni Putra, Gusti Jhoni Haerul Anwar Harmatiwi, Dini Desi Haryanto, Wiwit Ciptaningsih Hendri Tamara Yuda Herlin Fitriana Kurniawati Ike Nurjana Tamrin Iman Permana Iman Permana, Iman Imram Radne Rimba Putri Indah Rizky Valiant Indah Rizky Valiant Irma Risdiana Irma Risdiana Irma Risdiana, Irma Irwandi Jaswir Junior Hendri Wijaya Kartika, Umy Khasib Mabrur Ridho Khasib Mabrur Ridho Khasib Mabrur Ridho, Khasib Mabrur Khoiriyati, Azizah Khoiriyati, Azizzah Kurnia Sari, Novita Kurniasari, Novita Lintangkerty Suryanagari Lucia Anik Purwaningsih Lucia Anik Purwaningsih, Lucia Anik M Akhyar Baharuddin Makiya, S.N Nurul Maria Putri Sari Utami Maria Ulfa Migita Vidia Amita MJW, Endrian Mochammad Sjarifudhin Moh Afandi Moh Afandi Mufdlillah Mufdlillah Muhammad Alwi Andi Muhammad Alwi Andi, Muhammad Alwi Nastain Abubakar Pattimura Nia Supiana Nia Supiana, Nia Nirbita, Alam Novita Kurnia Sari Novita Kurnia Sari Novita Kurnia Sari Nungky Kescandra Nurcahyanto, Aditiya Palupi Fatma Ningtyas Pangisti Dwi Ananingsih Pangisti Dwi Ananingsih Pangisti Dwi Ananingsih, Pangisti Dwi Pratiwi, Cesa Septiana Prihati, Dyah Restuning Puji Tri Hastuti Puspita, Sylvie Qurratul Aini Raditya Priambodo Rahmaniar, Shabrina Ari Rahmawati Husein Rahmawati Husein, Rahmawati Ratih Lestari Utami Renny Endang Kafiar Rini Juni Astusi Rio Dimas Sugiarta Riyanto Prasetyo Sanjaya, Puguh Danu Sejati, Eka Nur Shabrina Ari Rahmaniar, Shabrina Ari Siti Solichah Siti Solichah Sjarifudhin, Mochammad Sri Handari W, Sri Sri Nabawiyati Nurul Makiyah Sri Sumaryani Sri Sumaryani Sri Sundari Subagyo, Dianita Sukesih Sukesih Sukurni Sukurni Sumaryani, Sri Sundari, Sri Sundoro, Totok Supriyatiningsih . Supriyatiningsih ., Supriyatiningsih Syafriati, Ani Syafriati, Ani Tamrin, Ike Nurjana Tenny Tarnoto Tarnoto Totok Sundoro Tri Pitara Mahanggoro Ulfa, Maria Utami, Fithriani Sri Utami, Maria Putri Sari Vidya Widowati Wahyu Widodo Wiwik Kusumawati Wulan Rahmadhani, Wulan Wuriani, Wuriani Yanuar Primanda Yekti Satriandari Yohanes Andy Rias Yunita Dewi Indriani