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All Journal Jurnal Kedokteran Brawijaya Media Penelitian dan Pengembangan Kesehatan SALAM: Jurnal Sosial dan Budaya Syar-i JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo JASF (Journal of Accounting and Strategic Finance) Journal of Community Health and Preventive Medicine (JOCHAPM) JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Nikma Fitriasari
Master Program In Hospital Management, Faculty Of Medicine Universitas Brawijaya
Religion Humanities Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Redesigning Clinical Pathway of Elective Caesarean Section Using Activity-Based-Costing Reduce Exposure to COVID-19 Lidia Asjanti; Nikma Fitriasari; Ali Djamhuri
Journal of Accounting and Strategic Finance Vol 4 No 1 (2021): JASF (Journal of Accounting and Strategic Finance)
Publisher : UNIVERSITAS PEMBANGUNAN NASIONAL VETERAN JAWA TIMUR

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jasf.v4i1.145

Abstract

This research objective is to discover non-value-added activities in the elective cesarean section (CS) clinical pathway (CP) through cost analysis using the ABC method and redesign elective CS CP at W Hospital. Activity-Based Costing (ABC) is an accounting system designed through activity management. The ABC system identifies all functions in the service process chain, calculates the activity costs, and assigns costs to cost objects, such as activity-based service products. This calculation method emphasizes the service process. The ABC method is seen as a unit cost calculation system that is suitable for hospitals. CP costing using the ABC method is a cost analysis using CP as the basis for service activities. The CP of Elective CS consists of various activities. This study used a case study approach. The eight informants were the head of finance, the head of medical services and support, one ob-gyn specialists, one anesthetist specialists, one outpatient installation nurse, one midwife, one inpatient installation midwives, and one nutritionist. The COVID-19 changed the procedures and influenced the activities of CS CP. The analyses were conducted using the ABC method and data triangulation. Non-value-added activities found were clinical assessment in the emergency room (ER), laboratory activities, and organic waste treatment. Non-value-added found in clinical assessment in the ER, laboratory examinations, and organic waste treatment. CP CS redesign consists of activities of admission, pre-operation, and post-operation, surgery, pharmacy, nutrition, medical records, laundry, billing, logistics, and management administration. The researchers suggest that W hospital should redesign elective CS CP activities to eliminate non-value-added activities.
Spirituality in The Workplace: Solution to Reduce Nurse Turnover Intention Nikma Fitriasari
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 9, No 2 (2020): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.92125

Abstract

A frequent problem in hospitals is nurse turnover, which reaches 27.3% annually in Indonesia. The solution to this problem is increasing spirituality intelligence through the formation of spirituality in the workplace. Good spirituality in the workplace can increase productivity and organizational commitment, and reduce turnover. The study was conducted to determine the effect of spirituality in the workplace on nurse turnover intention. The study used a quantitative design with a cross-sectional approach. The sample used was 92 nurses who were determined by Proportionate Random Sampling. Data were processed using Partial Least Square (PLS). The PLS results showed T statistics of 8.927 with direct coefficients of -0.423. The application of spirituality in the workplace shapes nurses’ perceptions more positively towards hospitals, so that, nurse turnover intention is low.
Analisis Pelaksanaan Timbang Terima Pasien Antar Perawat di Unit Rawat Inap RSU “X” Tahun 2019 Hendra Setiawan; Nikma Fitriasari
Media Penelitian dan Pengembangan Kesehatan Vol 31 No 2 (2021)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/mpk.v31i2.3736

Abstract

Inpatient care is a patient safety centered care. Inter-shift handover is a critical time that needs special attention to maintain and improve patient safety. This study aims to identify problems in nurse shifts handover implementation in inpatient unit and determine solutions to overcome those problems. This research is a social qualitative research using focus group discussion (FGD) method preceded by secondary data identification. The research was conducted from August to October of 2019 in one of the adult inpatient units of class C hospitals in Malang, East Java. The informants involved in this study were twelve executive nurses and three nursing management who were divided into two different discussion groups. The chosen solutios are determine the needs to make policy draft that define communication methods, effective communication guidelines that include monitoring and evaluation obligations as well as SOPs for implementation of inter-shift handover as well as compiling proposals for socialization, training and workshops. The conclusion of this study shows that inter-shift handover implementation at the hospital “X” has problems related to internal regulation and understanding of human resources for health workers on their professional duties. The process of identifying problems and determining solutions by involving stakeholders will be able to reflect conditions that are closer to reality in daily implementation. Abstrak Layanan rawat inap adalah pelayanan kesehatan berpusat pada keselamatan pasien. Timbang terima adalah salah satu waktu kritis yang perlu mendapat perhatian khusus untuk menjaga dan meningkatkan keselamatan pasien. Penelitian ini bertujuan untuk mengidentifikasi masalah dalam pelaksanaan timbang terima antar shift perawat pada unit rawat inap dan menentukan solusi untuk mengatasi masalah tersebut. Penelitian kualitatif sosial ini dilaksanakan menggunakan metode diskusi terarah yang didahului dengan dengan identifikasi data sekunder. Penelitian dilaksanakan pada bulan Agustus hingga Oktober tahun 2019 di salah satu unit rawat inap dewasa rumah sakit umum kelas C di daerah Malang, Jawa Timur. Partisipan yang terlibat dalam penelitian ini berjumlah dua belas orang perawat pelaksana dan tiga orang pihak manajemen bidang keperawatan. Hasil yang diperoleh yaitu belum ada kebijakan yang menetapkan metode komunikasi, belum ada usulan sosialisasi dari Bidang Keperawatan, belum ada kebijakan yang menetapkan metode monitoring dan evaluasi komunikasi timbang terima yang menyebabkan belum adanya metode komunikasi yang dibakukan dan panduan pelaksanaan yang mengatur tentang bagaimana komunikasi efektif tersebut dilaksanakan, serta kurangnya advokasi peran perawat. Pada tahap penentuan solusi didapatkan penyusunan draf kebijakan yang menetapkan metode komunikasi, panduan komunikasi efektif yang menyertakan kewajiban monitoring dan evaluasi serta SOP pelaksanaan timbang terima disertai dengan menyusun usulan sosialisasi, pelatihan, dan workshop pelaksanaan timbang terima dari Bidang Keperawatan. Kesimpulan penelitian ini menunjukkan pelaksanaan timbang terima di rawat inap RSU “X” memiliki masalah yang berkaitan dengan regulasi internal dan pemahaman sumber daya manusia tenaga kesehatan terhadap tugas keprofesiannya.
Pencegahan Primer Membentuk Masyarakat Sehat Di Era Covid-19 Nikma Fitriasari
SALAM: Jurnal Sosial dan Budaya Syar-i Vol 7, No 12 (2020)
Publisher : Faculty of Sharia and Law UIN Syarif Hidayatullah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15408/sjsbs.v7i7.15407

Abstract

The situation of the growth of COVID-19 cases is very fast in Indonesia. Primary prevention efforts become the most appropriate prevention because there is no drug for COVID-19 therapy. This research aims to further study the proper and rational primary prevention to establish a healthy society as an effort to prevent transmission of COVID-19. Primary prevention can be done in the form of health promotion and special protection. Primary prevention through promotion is done by selectively selecting information from social media, applying a cough ethic, consumption of nutritious food, and exercise. Primary prevention through special protection is done by resignation. cleaning hands regularly, using masks, social distancing and self-isolation, and avoiding unprotected contact with wild animals.Keyword: COVID-19, primary prevention, healthy society Abstrak Situasi pertumbuhan kasus COVID-19 sangat cepat di Indonesia. Upaya pencegahan primer menjadi pencegahan yang paling tepat karena belum ada obat untuk COVID-19.  Penelitia ini bertujuan untuk mengkaji lebih jauh tentang pencegahan primer yang tepat dan rasional untuk membentuk masyarakat sehat sebagai upaya pencegahan penularan kasus COVID-19. Pencegahan primer dapat dilakukan berupa promosi kesehatan dan perlindungan khusus. Pencegahan primer melalui promosi dilakukan dengan selektif memilih informasi dari media sosial, menerapkan etika batuk, konsumsi makanan bergizi, dan olahraga. Pencegahan primer melalui perlindungan khusus dilakukan dengan resignasi. membersihkan tangan secara rutin, menggunakan masker, social distancing dan isolasi diri, serta menghindari kontak tanpa pelindung dengan hewan liar.Kata Kunci: COVID-19, pencegahan primer, masyarakat sehat 
Pengaruh Waste Dengan Pendekatan Lean Hospital Terhadap Pengendalian Biaya Kualitas dan Produksi Taufik Nugroho; Nikma Fitriasari; Putu Ayu Ekasari; Ira Prasanti
Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Vol 5, No 1 (2019): JMK Yayasan RS.Dr.Soetomo, April 2019
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (260.675 KB) | DOI: 10.29241/jmk.v5i1.128

Abstract

ABSTRAK Instalasi farmasi beralih dari revenue center menjadi cost center terbesar rumah sakit berupa biaya produksi dan biaya kualitas. Identifikasi dan penghapusan waste diharapkan dapat menjadi solusi efisiensi biaya di rumah sakit. Tujuan penelitian untuk melihat pengaruh kejadian waste terhadap biaya produksi dan biaya kualitas. Penelitian menggunakan desain penelitian kuantitatif observasional dengan pendekatan cross sectional. Jumlah responden 33 dengan teknik total sampling. Analisis data menggunakan Partial Least Square (PLS). Hasil PLS menyatakan bahwa koefisien direct effect waste terhadap pengendalian biaya produksi sebesar 0.184, berarti waste berpengaruh positif dan signifikan terhadap pengendalian biaya produksi. Koefisien direct effect pengendalian biaya kualitas terhadap pengendalian biaya produksi sebesar 0.616, berarti pengendalian biaya kualitas berpengaruh positif dan signifikan terhadap pengendalian biaya produksi. Koefisien indirect effect waste terhadap pengendalian biaya produksi melalui pengendalian biaya kualitas sebesar -0.056, berarti waste berpengaruh negatif dan tidak signifikan terhadap pengendalian biaya produksi melalui pengendalian biaya kualitas. Semakin tinggi waste, maka cenderung meningkatkan pengendalian biaya kualitas dan biaya produksi. Semakin baik pengendalian biaya kualitas yang disebabkan oleh semakin rendahnya waste, maka cenderung meningkatkan pengendalian biaya produksi, meskipun penurunan tersebut tidak signifikan.Kata Kunci : Waste; Lean; Biaya Kualitas; Biaya Produksi.
Instagram Optimization as Digital Marketing Media: Study at a Private Hospital in Batu City Nico Christian Sunaryo; Wiwin Indriani; Nikma Fitriasari
Jurnal Kedokteran Brawijaya Supplement 1, 2022
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

During the COVID-19 pandemic, up-to-date information becomes a necessity for the public, and social media, especially Instagram, play a significant role in digital marketing, including hospitals. The Instagram account of a private hospital in Batu City had a decreasing performance and has become inactive since the COVID-19 pandemic outbreak. This study aimed to find a solution to the decreasing performance of the hospital’s Instagram account to increase visits, trust, and patient satisfaction. This research was a quasi-experimental study with a pre- and post-test design without control conducted from September to October 2021. The intervention carried out was conducting training on optimizing the Instagram features. The research sample was ten people obtained through the total sampling method. The data were analyzed using a descriptive analysis test. The training was carried out twice in a period of one week. The first training session discussed the basic features of Instagram and their use, and discussions on the technical aspects of content creation were done in the second session. Measurement of training understanding was carried out by pre-test and post-test. All points in the questionnaire showed positive points of increasing knowledge after the training. Instagram optimization training at the hospital in Batu City can improve staff understanding of digital marketing and is expected to expand the business and introduce the hospital to new patients.
Instagram Optimization as Hospital Digital Marketing Tool Dina Nofitria Rahayu; Anang Imam Massa Arif; Nikma Fitriasari
Jurnal Kedokteran Brawijaya Supplement 1, 2022
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Social media, one of which is Instagram, has been proven effective as a hospital marketing medium. A private hospital in Tulungagung Regency has had an Instagram account for four months but has not been well managed. As a result, the account does not function optimally and reflect digital marketing facilities. Based on this condition, the researchers aimed to analyze the ways to optimize Instagram as a hospital digital marketing tool. The method used was experimental research with pre- and post-experimental design without control in a private hospital in Tulungagung Regency in October 2021. The unit analyzed was the hospital marketing department. Two interventions were implemented, providing digital marketing training through Instagram and optimizing the hospital’s Instagram management. The knowledge instrument was measured using a questionnaire, and the Instagram management instrument was measured by examining Instagram Insights. The results showed that Instagram training and management could optimize the use of Instagram as a hospital digital marketing tool. Knowledge about Instagram and activity increased after training and management on Instagram had been implemented. Yearly, monthly, and daily schedule preparation needs to be implemented to increase marketing optimization. The absence of a dedicated settle team in charge of managing the Instagram account makes the implementation challenging to evaluate. A team specifically addressing hospital social media will be able to focus the work and improve the management, so digital marketing through social media can be optimized.
Implementation of Google Forms as Alternative for Quality Indicator Recording and Reporting Systems in the Time of COVID-19 Pandemic Marshal Octavianus; Wiwin Indriani; Nikma Fitriasari
Jurnal Kedokteran Brawijaya Supplement 1, 2022
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Recording and reporting are parts of health services aiming to create administrative discipline to improve health service quality. COVID-19 pandemic prevalence has impeded unit quality indicator recording and reporting, causing suboptimal quality measurements. This study aimed to see the implementation of Google Forms as a solution to overcome obstacles in unit quality indicator recording and reporting. This study was a one-group pre-experimental with a pre-and post-intervention design without control. The sample was seven people who were Laboratory Unit staff of a Private Hospital in Batu City. The results showed that applying Google Forms can provide staff’s ability and timeliness in measuring unit quality indicators. A good quality measurement method can increase the effectiveness of monitoring and evaluation related to patient-centered quality improvement.
COMPARISON BETWEEN ANTHROPOMETRIC MEASUREMENT RESULTS BY CADRES AND MEDICAL PROFESSION STUDENTS USING TIPS (TIKAR PENDETEKSI STUNTING) Siti Dwi Astuti; Lilik Zuhriyah; Alfryan Janardhana; Arum Sulistyarini; Indriani Ningrum; Rifqi Rinanto; Thalia Suharli; Rochelle siem; Zahra Zahra; Wandira Lalitya; Ahmad Ikbal P; Eleonora Sucahyo; Adeliza Firzarosany; Fariza Kusuma W; Helen Lioni; Ardy mahendra; Asrini Kaninta; Nafisa Naaz; Pedro gonzales; Proscilla Maiselina; Ekkel Aisyiyah; Nikma Fitriasari
Journal of Community Health and Preventive Medicine Vol. 3 No. 1 (2023): JOCHAPM Vol. 3 No. 1 2023
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (422.224 KB) | DOI: 10.21776/ub.jochapm.2023.003.01.1

Abstract

Stunting prevalence in District Kalipare on February 2019 was about 14%. Based on the results of the preliminary studies, one of the obstacles to achieving a free stunting rate is caused by anthropometric measurement errors by cadres. The objective of this study was to compare cadres of District Kalipare anthropometric measurement results with medical profession students' anthropometric results using the Tikar Pendeteksi Stunting (TIPS). This quasi-experimental study was conducted using a non-randomized control group pretest-posttest design. The sample of toddlers is 51 toddlers. The experiment was carried out by training 50 community-based health or posyandu cadres who were representatives from 8 villages in Kalipare District. Of the 50 cadres, 25 were selected by purposive sampling according to posttest scores per village. The selected cadres were asked to measure 1-3 infants or toddlers who had previously been measured before attending the training. The variables studied were nutritional status and height. The results showed that the Kappa test obtained a value of p = 0.838 or very good agreement. This study concludes that the results of height measurements by toddler posyandu cadres are the same as or close to the results of height measurements carried out by medical profession students. Therefore, after they have received training, we can include posyandu cadres in measuring anthropometrics.
Redesigning Clinical Pathway of Elective Caesarean Section Using Activity-Based-Costing Reduce Exposure to Covid-19 Lidia Asjanti; Nikma Fitriasari; Ali Djamhuri
JASF Vol. 4 No. 1 (2021): JASF (Journal of Accounting and Strategic Finance) - June 2021
Publisher : JASF

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

This research objective is to discover non-value-added activities in the elective cesarean section (CS) clinical pathway (CP) through cost analysis using the ABC method and redesign elective CS CP at W Hospital. Activity-Based-Costing (ABC) is an accounting system designed through activity management. The ABC system identifies all functions in the service process chain, calculates the activity costs, and assigns costs to cost objects, such as activity-based service products. This calculation method emphasizes the service process. The ABC method is seen as a unit cost calculation system that is suitable for hospitals. CP costing using the ABC method is a cost analysis using CP as the basis for service activities. The CP of Elective CS consists of various activities. This study used a case study approach. The eight informants were the head of finance, the head of medical services and support, one ob-gyn specialist, one anesthetist specialist, one outpatient installation nurse, one midwife, one inpatient installation midwife, and onenutritionist. COVID-19 changed the procedures and influenced the activities of CS CP. The analyses were conducted using the ABC method and data triangulation. Non-value-added activities found were clinical assessment in the emergency room (ER), laboratory activities, and organic waste treatment. Non-value-added found in clinical assessment in the ER, laboratoryexaminations, and organic waste treatment. CP CS redesign consists of activities of admission, pre-operation, and post-operation, surgery, pharmacy, nutrition, medical records, laundry, billing, logistics, and management administration. The researchers suggest that W Hospital should redesign elective CS CP activities to eliminate non-value-added activities.
Co-Authors Adeliza Firzarosany Ahmad Ikbal P Alfryan Janardhana Ali Djamhuri Anang Imam Massa Arif Ardy mahendra Arum Sulistyarini Asrini Kaninta Dina Nofitria Rahayu Ekkel Aisyiyah Eleonora Sucahyo Fariza Kusuma W Helen Lioni Hendra Setiawan Indriani Ningrum Ira Prasanti Lidia Asjanti Lilik Zuhriyah Marshal Octavianus Nafisa Naaz Nico Christian Sunaryo Pedro gonzales Proscilla Maiselina Putu Ayu Ekasari Rifqi Rinanto Rochelle siem Siti Dwi Astuti Taufik Nugroho Thalia Suharli Wandira Lalitya Wiwin Indriani Wiwin Indriani Zahra Zahra