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Jurnal Aisyah : Jurnal Ilmu Kesehatan
Published by Universitas Aisyah Pringsewu
ISSN : 25024825     EISSN : 25029495     DOI : 10.30604/jika
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Jurnal Aisyah: Jurnal Ilmu Kesehatan (JIKA), with registered number ISSN 2502-4825 (Print) and ISSN 2502-9495 (Online), is an international peer-reviewed journal published two times a year (June and December) by Universitas Aisyah Pringsewu (UAP) Lampung. JIKA is intended to be the journal for publishing articles reporting the results of research on Health Science field especially Nursing and Midwifery, as well as with their development through interdisciplinary and multidisciplinary approach. The submission process of the manuscript is open throughout the year. All submitted manuscripts will go through the blind peer review and editorial review before being granted with acceptance for publication.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
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The Effect of Service Quality on Patient Satisfaction in Obstetrics and Gynecology Polyclinic of PKU Muhammadiyah Gombong Hospital, Kebumen District During the Covid-19 Pandemic Rahmadhani, Wulan; Kusumastuti, K; Phu MD, Phan Trieu
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (601.377 KB) | DOI: 10.30604/jika.v6i3.642

Abstract

Health is one of the indicators of community welfare, so the community needs quality health services to meet their basic needs. To improve services and increase patient satisfaction, hospitals need to apply the Covid-19 policy in screening and service flows which are predicted to affect patient satisfaction. The aim of this study was to determine the effect of service quality on patient satisfaction during the COVID-19 pandemic. The research method in this study used a cross-sectional approach. The population was outpatients at the obstetrics and gynaecology polyclinic. The sample was determined using the accidental sampling technique with a total of 360 patients. The data were analyzed to determine the most dominant factor by using a logistic regression test. Based on the results of multivariate analysis, the variables with the greatest influence on patient satisfaction are the assurance variable (95% CI 1.50-6.06 with a p-value of 0.012), empathy (95% CI 1.38-4.65 with a p-value of 0.006), and tangible (95% CI 1.04- 4.08 with a p-value of 0.001). Based on the results, it can be concluded that there is a relationship between the dimensions of service quality and patient satisfaction. The quality of service during the Covid-19 pandemic is considered good but needs to be optimized on the dimensions of assurance, empathy, and tangible.  Abstrak: Kesehatan adalah indikator kesejahteraan masyarakat yangpaling utama, dan untuk memenuhi kebutuhan dasarnya masyarakat membutuhkan pelayanan yang bermutu. Rumah sakit berusaha meningkatkan pelayanan dan kepuasan pasien perlu adanya kebijakan mengatasi penularan Covid-19 berupa prosedur pelayanan, keharusan screening, serta alur proses pelayanan yang berubah diduga juga berpengaruh terhadap kepuasan pasien dan mutu pelayanan.  Tujuan penelitian ini bertujuan untuk mengetahui pengaruh mutu pelayanan terhadap kepuasan pasien dalam masa pandemic covid-19. Metode Penelitian menggunakan pendekatan cross sectional. Populasi penelitian adalah pasien rawat jalan di poliklinik kebidanan dan kandungan, Prosedur sampel Accidental Sampling sebanyak n=360. data hasil survey di analysis untuk mengetahui factor yang paling dominan dengan menggunakan uji regresi logistic.  Berdasarkan hasil analisis multivariate variabel yang paling besar pengaruhnya terhadap kepuasan pasien adalah variabel Assurance dengan nilai 95%CI 1.50-6.06 dan p =0.012, Emphaty 95%CI 1.38-4.65 p=value 0.006 dan Tangiable dengan nilai 95%CI 1.04-4.08 dan p=value 0.001. Berdasarkan hasil pada penelitian ini dikatakan bahwa terdapat hubungan pada dimensi mutu pelayanan dengan kepuasan pasien. Mutu pelayanan yang terjadi selama masa pandemi Covid-19 dinilai mulai sudah baik, akan tetapi harus di tingkatkan da dioptimalkan pada dimensi jaminan, emphaty dan tangibles.
The Needs Fulfillment of Medical and Specialist Doctors in West Nusa Tenggara, Indonesia Ayuningtyas, Dumilah; Fachry, Anwar; Barinda, Sandra; Windiarti, Sri; Rahmadhani, Nurul Saptorini; Hadi, Muhammad Sapoan; Misnaniarti, M; Sutrisnawati, Ni Nyoman Dwi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (655.449 KB) | DOI: 10.30604/jika.v6i3.508

Abstract

One of the challenges in improving health services in Indonesia is the uneven number and distribution of health workers in some areas, especially doctors and specialist doctors. Therefore, the aim of this study was to review the conduciveness and support of the policy environment towards meeting the needs of specialist doctors in West Nusa Tenggara (NTB) Province, Indonesia. This study was the narrative review method. Keywords used are environmental policy, specialist doctor, and remote area. Critical appraisal was performed by utilizing the PRISMA method. This study showed that there is political support from the Central and Regional Governments. However, several aspects are still recognized negatively, aspects of national policies related to incentives and facilities. Regional Government Policies are considered not sufficiently significant to improve the availability of doctors and specialist doctors, especially in terms of the advocacy mechanisms. This matter impacts the lack of doctors and specialist doctors’ interest to be placed in remote areas. The policy environment towards meeting the needs of a specialist doctors in West Nusantara Tenggara (NTB) was enough conducive and supportive. It still needs improving coordination mechanisms among institutions and providing advocacy channels, which are crucial to support the effectiveness of meeting the needs of specialist doctors’ policies.Abstrak: Salah satu tantangan dalam meningkatkan pelayanan kesehatan di Indonesia adalah belum meratanya jumlah dan distribusi tenaga kesehatan di beberapa daerah, terutama dokter dan dokter spesialis. Oleh karena itu, penelitian ini bertujuan untuk mengkaji kondusifitas dan dukungan lingkungan kebijakan terhadap pemenuhan kebutuhan dokter spesialis di Provinsi Nusa Tenggara Barat (NTB), Indonesia. Penelitian ini menggunakan metode review naratif. Kata kunci yang digunakan adalah kebijakan lingkungan, dokter spesialis, dan daerah terpencil. Critical appraisal dilakukan dengan menggunakan metode PRISMA. Studi ini menunjukkan adanya dukungan politik dari Pemerintah Pusat dan Daerah. Namun demikian, beberapa aspek masih diakui secara negatif, aspek kebijakan nasional terkait insentif dan fasilitas. Kebijakan Pemerintah Daerah dinilai belum cukup signifikan untuk meningkatkan ketersediaan dokter dan dokter spesialis, terutama dari sisi mekanisme advokasi. Hal ini berdampak pada minimnya minat dokter dan dokter spesialis untuk ditempatkan di daerah terpencil. Lingkungan kebijakan untuk memenuhi kebutuhan dokter spesialis di Nusantara Tenggara Barat (NTB) cukup kondusif dan mendukung. Masih perlu perbaikan mekanisme koordinasi antarlembaga dan penyediaan jalur advokasi yang sangat penting untuk mendukung efektivitas pemenuhan kebutuhan kebijakan dokter spesialis.
Comparison on the Effectiveness of Postpartum Exercise And Oxytocin Massage for Uterine Involution of Postpartum Women in Kebumen, Indonesia Kusumastuti, Kusumastuti; Mutoharoh, Siti; Rahmadhani, Wulan
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (600.953 KB) | DOI: 10.30604/jika.v6i3.647

Abstract

Maternal mortality rates are caused by several factors, including bleeding. During postpartum, bleeding can be caused by a failure of uterine involution which can cause subinvolution. Oxytocin plays an important role in the uterine involution process. This study aims to compare the effectiveness of postpartum exercise and oxytocin massage for the uterine involution of postpartum women in the Kebumen. This study applied a quasi-experimental design for comparing two treatments. It involved a total of 534 respondents with 267 respondents in each group. Each group received 10 minutes of intervention per day for 9 days. The data were collected through observation sheets. The univariate analysis used frequency distribution and bivariate analysis used an independent t-test. The statistics show that the p-value (0.002) was lower than (0.05) meaning that the postpartum exercise and oxytocin massage provide different uterine involution times. The mean of uterine involution for the postpartum exercise group decreases by 137.60 hours compared to the oxytocin massage group by 159.06 hours. Postpartum exercise can be applied in post-natal care as it can make uterine involution faster. Abstrak: Kematian ibu di sebabkan beberapa factor termasuk perdarahan. Selama postpartum perdarahan di sebabkan oleh kegagalan involusi uterus yang di sebabkan oleh subinvolusi. Oxitosin memaikan peran yang sangat penting dalam proses involusi uteri. Penelitian ini bertujuan adalah untuk membandingkan efektifitas dari senam nifas dan pijat oksitosin terhadap proses involusi uteri paa ibu postpartum di wilayah kerja Kebumen. Metode quasi experiment di gunakan dalam penelitian ini dengan membandingkan dua treatment. Sampel pada penelitian ini berjumlah 534 dengan masing-masing 267 respondent pada masing-masing kelompok. Analisis univariate menggunakan distribusi frekuensi dan analisis bivariate menggunakan independent t-test. Hasil pada penelitian ini di temukan bahwa p-value (0.002) kurang dari 0.05 yang mana terddapat perbedaan antara senam nifas dan pijat oksitosin terhadap perubahan involusi uteri. Mean dari involusi uteri pada grup senam nidas menurun menjadi 137.60 jam di banding dengan pijat oksitosin grup dengan 159.06 jam. Senam nifas bisa di jadikan atau di aplikasikan dalam perawatan pascapersalinan karena dar hasil dapat membuat dan membantu involusi uteri lebih cepat pada ibu nifas.
An Analysis of The Role and Support on Stakeholders of Village Level in The Implementation of Maternal and Child Health Programs Through Optimizing The Utilization of Village Funds in Tegal Regency Jati, Sutopo Patria; Sriatmi, Ayun; Martini, Martini
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (656.434 KB) | DOI: 10.30604/jika.v6i3.588

Abstract

Maternal and infant mortality rates are one of the health problems in Indonesia, including at the village level. Currently, the Village has its own authority to manage village funds in an effort to prosper the community. The purpose of the study is analysis the role and support stakeholders in the Maternal and Child Health (MCH) Program through optimizing village funds, with a quantitative design and analytical descriptive approach. The study analyzes the role of stakeholders (attitudes, influencing power, and interests), with respondents, namely village level stakeholders in Tegal Regency who were selected by purposive sampling technique and analysis by Rank Spearman Test. Education has a significant relationship with power of influencing stakeholders (p value= 0.002; CC = 0.561) Stakeholder attitudes and perceptions (p-value = 0.047, CC = 0.379) and power of influence (p-value = 0.017, CC = 0.449) has strong correlation towards optimizing village funds for MCH program. Stakeholder interests (p value=0.003, CC=0.534) have a strong correlation with the implementation of the MCH program in the village. In optimizing allocation village funds, support and the role of stakeholders are needed, especially the attitude and power in making decisions, planning strengths and formulating allocation policies. Likewise, the role of stakeholders in the interests of the MCH program for community welfare will increase multi-sectoral cooperation.Abstrak: Angka Kematian Ibu dan Bayi menjadi salah satu permasalahan kesehatan di Indonesia termasuk di tingkat Desa. Saat ini Desa memiliki wewenang sendiri untuk mengelola dana desa sebagai upaya mensejahterakan masyarakatnya. Tujuan penelitian ini adalah analisis peran dan dukungan stakeholder dalam Program KIA melalui optimalisasi dana desa, dengan desain kuantitatif dan pendekatan deskriptif analitik. Penelitian menganalisis peran stakeholder (sikap, kekuatan memepengaruhi, dan kepentingan), dengan responden yaitu stakeholder tingkat Desa di Kabupaten Tegal yang dipilih berdasarkan teknik purposiv sampling dan dianalisis dengan uji Rank Spearman. Pendidikan memiliki hubungan yang signifikan dengan kekuatan mempengaruhi stakeholder (p value=0.002, CC=0,561) Sikap dan persepsi stakeholder (p value=0.047, CC=0.379) dan kekuatan mempengaruhi (p value=0.017, CC=0.449) memiliki korelasi yang kuat terhadap optimalisasi dana desa untuk program KIA. Kepentingan stakeholder (p value=0.003, CC=0.534) memiliki korelasi yang kuat terhadap pelaksanaan program KIA di Desa. Dalam optimalisasi alokasi dana desa sangat dibutuhkan dukungan dan peran stakeholder terutama sikap dan kekuatan dalam membuat keputusan, merencanakan kekuatan dan merumuskan kebijakan pengalokasian Begitupun dengan peran stakeholder terhadap kepentingan program KIA bagi kesejahteraan masyarakat akan meningkatkan kerjasama multisektor.
Penerapan Program Sepuluh Langkah Kesehatan untuk Peningkatan Pemberian ASI Eksklusif: Model Evaluasi CIPP (Context, Input, Process, Product) Fatmawati, Novianti Indah; Rochmah, Thinni Nurul; Wulandari, Anis; Pramono, Andini Yulina
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (652.136 KB) | DOI: 10.30604/jika.v6i3.521

Abstract

This study aimed to evaluate the ten steps to successful breastfeeding policy implementation as the basis to enhance the achievement of exclusive breastfeeding practices in the Kediri District. This study was an evaluative study using the CIPP (Context, Input, Process, Product) model. There were seven inpatient primary healthcare centres involved in this study. Respondents in this study were the head and staff of primary healthcare centres and all midwives. The results show that based on the context evaluation, the objective of the policy implementation reached 77.6%. The input evaluation showed that the infrastructure and facilities, as well as the health personnel’ support, was not adequate with a value of 56.4%. In terms of the process evaluation, the primary healthcare centres have not carried out formulating the policy and forming supporting groups for breastfeeding with a score of 73.9%. In the product evaluation, exclusive breastfeeding decreased in 2018 and stay behind the trend in the past four years. It has not met the target of a strategic plan formulated by the regional government. In conclusion, the policy of ten steps to successful breastfeeding in the inpatient primary healthcare centres has not been implemented well. It is recommended that the local government should formulate regulations about exclusive breastfeeding. The District Health Office should socialize the ten steps to successful breastfeeding and include it in the assessed elements in the accreditation of primary healthcare centres. Moreover, the District Health Office should guide and give rewards to health facilities, as well as a guide to the health-related organization by cooperating with baby milk producers and improve the knowledge and skills of health personnel about breastfeeding counselling.  Abstrak: Penelitian ini bertujuan untuk mengevaluasi sepuluh langkah keberhasilan implementasi kebijakan ASI sebagai dasar untuk meningkatkan pencapaian praktik ASI eksklusif di Kabupaten Kediri. Penelitian ini merupakan penelitian evaluatif dengan model CIPP (Context, Input, Process, Product). Ada tujuh Puskesmas rawat inap yang terlibat dalam penelitian ini. Responden dalam penelitian ini adalah kepala atau  staf puskesmas (7 orang) dan seluruh bidan (94 orang). Hasil penelitian menunjukkan bahwa berdasarkan evaluasi konteks, berupa tujuan pelaksanaan kebijakan tercapai 77,6%. Evaluasi masukan menunjukkan bahwa sarana dan prasarana serta dukungan tenaga kesehatan kurang memadai, hanya tercapai 56,4%. Berdasarkan hasil evaluasi proses, Puskesmas belum melakukan perumusan kebijakan dan pembentukan kelompok pendukung ASI, sehingga capaiannya hanya 73,9%. Evaluasi produk, pemberian ASI eksklusif menurun pada tahun 2018 dan tertinggal dari tren selama empat tahun terakhir. Target rencana strategis yang disusun oleh pemerintah daerah belum terpenuhi. Kesimpulan: kebijakan sepuluh langkah keberhasilan menyusui di Puskesmas rawat inap belum terlaksana dengan baik. Disarankan agar pemerintah daerah menyusun regulasi tentang ASI eksklusif. Dinas Kesehatan Kabupaten hendaknya mensosialisasikan kesepuluh langkah sukses menyusui dan memasukkannya ke dalam elemen penilaian dalam akreditasi Puskesmas. Selain itu, dibutuhkan pembentukan kelompok KP-ASI di masyarakat.
Returning of Medical Record Documents Among Hospitalized Patients: Literature Review Nurmawati, Ida; Handayani, Sari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (664.422 KB) | DOI: 10.30604/jika.v6i3.516

Abstract

The delays in returning inpatient medical record documents in the hospital are still common. The purpose of this study was to analyze the delays in returning inpatient medical record document factors in the hospital. The study used the literature review method to 16 articles which were searched through Google Scholar, GARUDA, Rama Repository, and E-Library Politeknik Negeri Jember. The result of the research showed from 16 analyzed articles, the delays in returning inpatient medical record documents caused by the lack of doctor’s discipline in filing medical record documents completely, there is no reward and punishment for obedient officers, lack of the standard operating procedure socialization in returning inpatient medical record documentation for the nurses and doctors, the distance between inpatient and medical record unit is too far, there are no facilities for helping in returning of medical record document activity in medical record unit such as trolley. The suggestion that could be given is, they need to conduct socialization of the standard operational procedure in returning inpatient medical record documents at the hospital regularly. So that, the nurses and doctors are always paying attention to the specified time in returning inpatient medical record documents.Abstrak: Keterlambatan pengembalian DRM pasien rawat inap di rumah sakit masih sering terjadi. Tujuan dari penelitian ini adalah untuk menganalisis faktor penyebab keterlambatan pengembalian DRM pasien rawat inap di rumah sakit. Penelitian dilakukan dengan menggunakan metode studi literatur terhadap 16 artikel penelitian yang ditelusuri melalui Google Scholar, GARUDA, Rama Repository, dan E-Library Politeknik Negeri Jember. Hasil penelitian menunjukkan bahwa dari 16 artikel yang dianalisis, keterlambatan pengembalian DRM pasien rawat inap di rumah sakit disebabkan oleh kurangnya kedisiplinan DPJP dalam melakukan pengisian DRM secara lengkap, tidak terdapatnya reward dan punishment terhadap petugas, kurangnya sosialisasi SOP pengembalian DRM pasien rawat inap kepada perawat dan DPJP, jarak antara unit rawat inap dengan unit rekam medis yang terlalu jauh, dan belum terdapatnya sarana untuk menunjang kegiatan pengembalian DRM ke unit rekam medis seperti troli. Saran yang dapat diberikan adalah perlu diadakan kegiatan sosialisasi SOP pengembalian DRM pasien rawat inap di rumah sakit secara berkala agar perawat dan DPJP selalu memperhatikan standar waktu pengembalian DRM yang telah ditentukan.
Effectiveness of Music Therapy Against Decreased Pain Levels Post-Heart Surgery: Scoping Review Taupikurrahman, Muhammad; Sagiran, S
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (641.588 KB) | DOI: 10.30604/jika.v6i3.584

Abstract

Heart disease is one of the major health problems worldwide, with common terms defined as coronary heart disease (CHD), peripheral artery disease, rheumatic heart disease, congenital heart disease, and venous thromboembolism, thus globally heart disease accounts for 31% of deaths. The increase in the incidence of heart disease in adults aged less than 20 years was overall 48% (121.5 million). The surgical procedure will certainly be associated with the patient's sensation of the pain felt. Inadequate pain management may delay postoperative recovery. Music therapy is defined as the use of music in clinical interventions that aim to fulfil physical, emotional, social, and cognitive needs. This study was aimed to conduct a review of the current novelty of the effectiveness of music therapy against decreased pain levels post-heart surgery. The literature search method uses the PubMed, EBSCO, ProQuest, and Science Direct databases. The total search result was 1,289 articles, five articles met the criteria for inclusion in the author's review. The conclusion of the review of the five articles that the administration of music therapy has a significant influence on the decrease in pain intensity, taking into account the focus on parts such as the length of music therapy action given for 30 minutes and the choice of music favoured by the patient, thus giving maximum effect during recovery.Abstrak: Penyakit jantung merupakan salah satu masalah kesehatan utama diseluruh dunia, dengan istilah umum yang didefinisikan sebagai penyakit jantung koroner (PJK), penyakit arteri perifer, penyakit jantung rematik, penyakit jantung kongenital dan tromboemboli vena, sehingga secara global penyakit jantung menyumbang 31% kematian. Peningkatan kejadian penyakit jantung pada orang dewasa dengan usia kurang dari 20 tahun adalah secara keseluruhan 48% (121,5 juta). Prosedur bedah yang dilakukan tentunya akan dikaitkan dengan sensasi pasien terhadap nyeri yang dirasakan. Manajemen nyeri yang tidak memadai dapat menunda pemulihan pasca operasi. Terapi musik didefinisikan sebagai penggunaan musik dalam intervensi klinis yang bertujuan sebagai upaya pemenuhan berupa kebutuhan fisik, emosional, sosial, dan kognitif). Tujuan penelitian adalah untuk melakukan tinjauan kebaruan saat ini tentang efektivitas terapi musik terhadap penurunan tingkat nyeri pasca operasi jantung. Metode pencarian literatur menggunakan database PubMed, EBSCO, ProQuest dan Science Direct. Hasil total pecarian sebanyak 1.289 artikel, terdapat lima artikel yang memenuhi kriteria inklusi dalam ulasan penulis. Kesimpulan ulasan dari kelima artikel bahwa pemberian terapi musik memiliki pengaruh yang signifikan dalam penurunan intensitas nyeri, dengan memperhatikan fokus pada bagian seperti lamanya tindakan terapi musik yang diberikan selama 30 menit dan pilihan musik yang disukai oleh pasien, sehingga memberikan efek maksimal selama pemulihan.
The Implementation of Nurses’ Safety during the Covid-19 Pandemic based on Work Stress Widiyanto, Puguh; Nugroho, Sri Hananto Ponco
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (632.526 KB) | DOI: 10.30604/jika.v6i3.586

Abstract

Nurses’ safety is one of the prominent issues during the COVID-19 pandemic. The pandemic has also given psychological effects to nurses especially work stress. This research aimed to investigate the relationship between work stress and the implementation of nurses’ safety. This was a descriptive correlational study with a cross-sectional approach. The samples were 134 nurses in a hospital in Magelang Regency who were obtained by purposive sampling. The data were gathered through DASS 21 questionnaire and a questionnaire on nurses’ safety practices during the COVID-19 pandemic. Then, the data were analyzed by the Spearman rank tests. The results indicated that there was a significant relationship between work stress and the implementation of nurses’ safety (p= 0.000). Nurses who had normal work stress implemented nurses’ safety properly.Abstrak: Keselamatan perawat merupakan salah satu isu penting dalam masa pandemi Covid-19. Masa pandemi Covid-19 juga memberikan dampak psikologis pada perawat terutama stres kerja. Penelitian ini bertujuan mengetahui hubungan stres kerja dengan pelaksanaan keselamatan perawat. Desain penelitian yang digunakan adalah korelasi deskriptif dengan pendekatan cross sectional. Teknik pengambilan sampel menggunakan purposive sampling dengan jumlah sampel sebanyak 134 perawat di sebuah rumah sakit di Kabupaten Magelang. Pengambilan data menggunakan instrumen kuesioner Depression, Anxiety, and Stress Scale (DASS 21) dan kuesioner pelaksanaan keselamatan diri perawat pada masa pandemic Covid-19. Selanjutnya di analisis menggunaan uji rank spearman. Hasil penelitian menunjukkan ada hubungan bermakna antara stres kerja dengan pelaksanaan keselamatan perawat (p= 0,000). Perawat yang memiliki tingkat stres kerja normal ditemukan melaksanakan keselamatan perawat dengan baik.
The Analysis of Predisposing and Reinforcing Factors on the Accuracy of Returning Inpatient Medical Records Documents Atma Deharja; Fatika Laily Novitasari; Ervina Rachmawati; Maya Weka Santi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (618.176 KB) | DOI: 10.30604/jika.v6i3.523

Abstract

According to the Procedure Operational Standard of Jember Klinik Hospital, the time for returning medical record documents is 2x24 hours after the patient's discharged from the hospital. Therefore, a medical record document return system is essential to support services, especially medical record document management. Based on the preliminary study, the average rate of returning medical record documents more than 48 hours from January to June 2019 reached 42.3%. The purpose of this study was to analyze the relationship between predisposing and reinforcing factors on the accuracy of returning inpatient medical record documents at the Jember Klinik Hospital. It is a quantitative study with a cross-sectional approach and the spearman rank correlation method. The population of this study was 67 nurses and midwives and 50 respondents as the sample. The results were that there was a significant relationship between knowledge (sig. 0,000), attitude (sig. 0.009), superiors support (sig. 0.002), and colleagues support (sig. 0.012) on the accuracy of returning medical record documents. However, the variable age (sig. 0.110) of nurses and midwives has no significant relationship with the precision of returning medical record documents. Therefore, this study can be used as a reference in evaluating the accuracy of returning medical record documents. Abstrak: Waktu pengembalian dokumen rekam medis menurut Standar Operasional Prosedur Rumah Sakit Jember Klinik maksimal 2x24 jam setelah pasien keluar dari rumah sakit. Sistem pengembaliandokumenrekammedissangatpentinguntuk menunjangpelayanankhususnya  dalam pengolahan  dokumen  rekam medis. Berdasarkan hasil studi pendahuluan di Rumah SakitJember Klinik diketahui bahwa angka rata-rata pengembalian dokumen rekam medis ke unit kerja rekam medis lebih dari 48 jam (2x24jam) pada bulan Januari hingga Juni 2019 mencapai 42,3%. Tujuan dari penelitian ini adalah menganalisis hubungan faktor predisposisi dan penguat terhadap ketepatan pengembalian dokumen rekam medis rawat inap di Rumah Sakit Jember Klinik. Jenis penelitian ini merupakan penelitian kuantitatif dengan pendekatan crosssectional dan metode korelasi spearman rank. Populasi penelitian ini yaitu sebanyak 67 petugas rawat inap dan sampel 50. Hasil penelitian yang dilakukan oleh peneliti yaitu bahwa terdapat hubungan yang signifikan antara pengetahuan (sig. 0,000), sikap (sig. 0,009), dukungan atasan (sig. 0,002), dan dukungan rekan kerja (sig. 0,012) terhadap ketepatan pengembalian dokumen rekam medis. Namun variabel usia (sig. 0,110) perawat atau bidan tidak ada hubungan yang signifikan dengan ketepatan pengembalian dokumen rekam medis. Hasil penelitian ini dapat digunakan sebagai bahan  evaluasi  bagi  pihak  rumah  sakit dalam evaluasi ketepatan pengembalian dokumen rekam medis.
Factors Related to Women Health Literacy in The Coastal Area at Semarang City Budiyanti, Rani Tiyas; Permata Ganggi, Roro Isyawati; Murni, Murni
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (587.091 KB) | DOI: 10.30604/jika.v6i3.641

Abstract

Improving women health literacy is crucial. In addition to improving individual health conditions, a mother is also closer to her child in terms of parenting. Nevertheless, there are still various factors that influence the improvement of health literacy, especially in coastal areas. This study aims to determine the health literacy of women in coastal areas and the factors that influence it. This research is quantitative research with a cross-sectional approach. The research was conducted from March to July 2021 with locations in 4 sub-districts in the coastal area at Semarang City, namely Genuk, Tugu, North Semarang, and West Semarang. Respondents in this study were 220 people who were selected using the cluster random sampling technique. Data were obtained through interviews with questionnaires and analyzed by univariate and bivariate tests. Based on the results of the study, most of the respondents (65.5%) had health literacy at a medium level. Several factors that influence health literacy include education (p-value=0.006 ), motivation (p-value=0.0001), resources (p-value=0.0001), and social culture (p-value=0.011). Increasing knowledge and motivation related to health can be done through informal health training and group sharing. In addition, the support of resources from the government and the support of community leaders is also needed to improve health literacy in coastal areas. Abstrak: Peningkatan literasi kesehatan pada wanita merupakan hal yang krusial. Selain untuk meningkatkan kondisi kesehatan individual, seorang ibu juga lebih dekat dengan anak dalam hal pengasuhan. Meskipun demikian, masih terdapat berbagai faktor yang berpengaruh dalam peningkatan literasi kesehatan terutama di daerah pesisir. Penelitian ini bertujuan untuk mengetahui literasi kesehatan pada wanita di daerah pesisir dan faktor yang mempengaruhinya. Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Penelitian dilakukan selama bulan Maret hingga Juli 2021 dengan lokasi di 4 Kecamatan daerah pesisir Kota Semarang yaitu Genuk, Tugu, Semarang Utara dan Semarang Barat. Responden dalam penelitian ini sebanyak 220 orang yang dipilih dengan menggunakan teknik cluster random sampling. Data diperoleh melalui wawancara dengan kuesioner dan dianalisis dengan uji univariat serta bivariat. Berdasarkan hasil penelitian sebagian besar responden (65,5%) memiliki literasi kesehatan dengan dengan level menengah. Beberapa faktor yang berpengaruh terhadap literasi kesehatan diantaranya adalah pendidikan (p=0.006 ), motivasi (p=0.0001), sumber daya (p=0.0001), dan kultur sosial (p=0.011). Peningkatan pengetahuan dan motivasi terkait kesehatan dapat dilakukan melalui pelatihan informal  kesehatan  dan grup sharing. Selain itu dukungan sumber daya dari pemerintah dan dukungan tokoh masyarakat juga diperlukan untuk meningkatkan literasi kesehatan di daerah pesisir.

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