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Jurnal Aisyah : Jurnal Ilmu Kesehatan

jika
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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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Search results for , issue "Vol 7, No 1: March, 2022" : 56 Documents clear

The Effect of Anxiety and Burnout on The Motivation of Nurses' Work in The Era of The Covid-19 Pandemic at The Regional General Hospital in D.I. Yogyakarta Province Baharuddin, M Akhyar; Rosa, Elsye Maria
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Health workers, who have been at the forefront of the fight against COVID-19, have been working hard to treat COVID-19 positive patients. Several of these medical staff became infected with COVID-19. This study aims to analyze the impact of anxiety and burnout on nurses' work motivation at a public hospital in Yogyakarta. The population of this study is all nurses who provide services to Covid-19 patients, with 167 nurses being sampled using total sampling, data analysis using The structural equation modelling model. The study showed that anxiety had a positive and significant effect on nurses' burnout, with an original sample value (O) of 0.175, an at-statistical value of 2,332, and a p-value of 0.020. The effect of anxiety on work motivation was affected by the value (O) of -0.275, the t-statistical value of 3,883, and the p-value of 0.000, indicating that anxiety had a negative and significant effect on the work motivation of nurses', and the effect of burnout on motivation was affected by the value (O) of -0.199, the t-statistical value of 2,296, and the p-value of 0.000, indicating that burnout was effected so there is an impact of anxiety and burnout on nurses' work motivation at a public hospital in Yogyakarta. Abstrak: Tenaga kesehatan sebagai garda terdepan dalam melawan COVID-19 telah berusaha keras untuk mengobati pasien yang positif COVID-19. Tidak sedikit dari tenaga medis tersebut yang ikut tertular COVID-19 bahkan sampai meninggal dunia. penelitian ini bertujauan meneliti pengaruh kecemasan dan burnout terhadap motivasi kerja perawat pada era pandemic Covid-19 di RSUD di Yogyakarta.Jenis penelitian merupakan kuantitatif dengan metode cross-sectional. Populasi penelitian ini adalah seluruh perawat yang memberikan pelayanan bagi pasien Covid-19 di RSUD di Yogyakarta dengan teknik sampling total sampling, jumlah sampel sebanyak 167 perawat. Teknik analisis data dalam penelitian ini menggunakan model Structural Equation Modeling.Hasil analisis didapatkan nilai original sample (O) sebesar 0,175, nilai t-statistik sebesar 2,332, p-value 0,020, maka kecemasan berpengaruh positif dan signifikan terhadap burnout petugas medis. Kemudian pengaruh kecemasan terhadap motivasi didaptkan nilai (O) sebesar -0,275, nilai t-statistik sebesar 3,883, p-value 0,000, maka kecemasan berpengaruh negatif dan signifikan terhadap motivasi kerja petugas medis, dan pengaruh burnout terhadap motivasi didapatkan nilai (O) sebesar -0,199, nilai t-statistik sebesar 2,296, p-value 0,000, maka burnout berpengaruh negatif dan signifikan terhadap motivasi kerja petugas medis. Sehingga dapat disimpulkan terdapat pengaruh kecemasan dan burnot pada motivasi kerja perawat di RSUD di Yogyakarta.

Service Quality, Satisfaction and Patient Loyalty in Public Health Center of Bengkulu Febriawati, Henni; Yandrizal, Yandrizal; Angraini, Wulan
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Loyalty services by patients depend on the quality of service received. Therefore, quality is the main competitive advantage and is an important aspect of a health service. In Bengkulu City, there were 156,854 people with a total contact rate of 15,726 (10.06%) with sick visits of 13,068 (8.33%) and healthy visits of 2,658 (1.69%). The high number of sick visits requires quality individual health services. The research design used was exploratory with a cross-sectional observational approach with hypothesis testing. And then to determine the relationship between the quality of curative services, quantitative methods, and qualitative methods, to determine the role of management in improving the quality of health services on patient satisfaction and customer loyalty in community health centre services. The results showed a significant relationship between the quality of health services and patient satisfaction and patient satisfaction with the customer loyalty to the community health centre in Bengkulu City (p = 0.001). Analysis of management improvements to improve the quality of achieving the health centre's indicator targets includes planning. So every three months, to discuss any problems in the implementation of each program, monitoring the assessment and evaluation of the implementation of activities at the community health centre carried out internally and externally. The services provided are good because the community health centre officers carry out efforts in service quality, especially in terms of the dimensions of empathy and physical evidence. Nevertheless, the community health centre should continue to improve service performance to meet the wishes and needs of patients with continuous and programmed efforts.Abstrak: ualitas pelayanan merupakan keunggulan bersaing yang utama dan perlu disadari bahwa kepuasan pasien merupakan aspek penting dalam suatu pelayanan kesehatan. Jika pelayanan yang diperolah memenuhi harapan pasien maka akan memunculkan minat memanfaatkan kembali penyedia pelayanan kesehatan tersebut. Di Kota Bengkulu terdapat sebanyak 156.854 jiwa dengan jumlah kontak rate 15.726 (10,06%) dengan kunjungan sakit sebanyak 13.068 (8,33%) dan kunjungan sehat 2.658 (1,69%). Masih tinggi angka kunjungan sakit menuntut pelayanan kesehatan perseorangan yang bermutu. Desain penelitian yang digunakan adalah eksploratori dengan pendekatan observasional Cross Sectional untuk metode kuantitatif dengan uji hipotesis dan metode kuantitaf untuk mengetahui peran manajemen dalam peningkatan mutu pelayanan kesehatan terhadap kepusasan pasien dan kepuasan pasien terhadap minat memanfaatkan kembali puskesmas. Hasil penelitian menunjukan terdapat hubungan yang signifikan mutu pelayanan kesehatan terhadap kepusasan pasien dan kepuasan pasien terhadap minat memanfaatkan kembali puskesmas di Kota Bengkulu (p=0,001). Hasil penelitian kualitatif menunjukan pelayanan yang diberikan sudah baik karena petugas puskesmas menjalankan upaya demensi kualitas pelayanan terutama dari segi dimensi empati dan bukti fisik. Meskipun demikian, sebaiknya pihak puskesmas harus terus melakukan pembenahan untuk meningkatkan kinerja pelayanan guna memenuhi keinginan dan kebutuhan pasien dengan upaya secara kontinyu dan terprogram.

Determinant Factors in Dating Violence: Literature Review Ayu, Suci Musvita; Nugraheni, Sri Achadi; Gustina, Erni
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Dating violence in teenagers has become an international issue. According to studies on dating violence, the value of education is linked to the issues among teenagers. In the last two decades, research articles have revealed a great deal about the factors of dating violence. A literature study was used, comprising steps of identification, filtration, feasibility evaluation, and inclusion. From 2016 to 2021, this article was retrieved from Springer Link, JSTOR, and Portal Garuda in the previous six years. This article is a comprehensive evaluation of the research on the predictors of violence in dating among teenagers, including eight papers. The study results are reported regarding the degree of violence experienced by teenagers by gender, contributing variables, and forms of violence experienced by adolescents. This review makes recommendations for future studies to address gaps in the literature, undertake prospective studies, and investigate alternative causative variables, minimizing reliance on correlational and cross-sectional investigation techniques.Abstrak: Kekerasan dalam pacaran telah menjadi fenomena gunung es di kalangan remaja. Studi terkait dengan kekerasan dalam pacarana telah menunjukkan bahwa pentingnya edukasi terkait dengan masalah-masalah yang muncul dikalangan remaja. Artikel-artikel penelitian dalam 2 dekade ini telah secara signifikan mengungkap informasi terkait variabel kekerasan dalam pacaran. Metode yang digunakan adalah literatur review dengan tahap identifikasi, filtrasi, penentuan kelayakan, dan inklusi. Artikel ini diperoleh dari Springer Link, JSTOR dan Portal Garuda dalam enam tahun terakhir, dari 2016 hingga 2021. Artikel ini memberikan tinjauan komprehensif dari kumpulan literatur sejumlah 8 artikel terkait faktor determinan yang mempengaruhi kekerasan dalam pacaran dikalangan remaja. Hasil analisis: penelitian tentang kekerasan dalam pacaran disajikan dalam tingkatan kekerasan dalam jenis kelamin, faktor yang mempengaruhi dan jenis kekerasan yang dialami oleh remaja. Tinjauan ini menyajikan rekomendasi untuk penelitian masa depan untuk mengatasi kekurangan dalam literatur dan melakukan penelitian prospektif dan mempertimbangkan variabel-variabel penyebab lainnya, mengurangi ketergantungan mereka pada metode investigasi korelasional dan cross-sectional.

Health Promotion Through Audio Visual and Simulation Effectively Reduces Children's Anxiety Due to Hospitalization Fadlilah, Siti; Damayanti, Santi; Wijayanthi, Rachma Sukma; Widayati, Ririn Wahyu
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Preschool-aged children who are hospitalized are prone to anxiety. This anxiety, if not treated, can hinder the treatment process, and the length of treatment will increase. This study aims to determine the effect of health promotion using audio-visual media and simulations on the anxiety of hospitalized children in Mimika, Papua, Indonesia. The research used a quasi-experimental with a pretest-posttest control group. The sample used the control and intervention groups with 24 people in each group, the sampling technique used consecutive sampling. The instruments used were animated videos about medical devices and procedures, medical devices for simulation, standard operating procedures, observation sheets, and the Modified Yale Preoperative Anxiety Scale (mYPAS) anxiety questionnaire. Bivariate analysis is Paired T-Test and Independent T-Test: The intervention group decreased the average posttest anxiety score more than the control group (30.0 more than 5.4). Bivariate test between gender and age with anxiety showed p less than 0.05. The pretest-posttest comparison in the control and intervention groups was p=0.343 and p=0.000. At the same time, the comparison of posttest between the control and intervention groups showed p=0.002. Age and gender are related to the anxiety of pediatric patients. Health promotion and simulation of health tools and measures effectively reduce anxiety in pediatric patients.Abstrak: Anak usia prasekolah yang dirawat di rumah sakit rentan terhadap kecemasan. Kecemasan ini jika tidak diobati dapat menghambat proses pengobatan, dan lamanya pengobatan akan bertambah. Penelitian ini bertujuan untuk mengetahui pengaruh promosi kesehatan menggunakan media audio visual dan simulasi terhadap kecemasan anak rawat inap di Mimika, Papua, Indonesia. Penelitian menggunakan eksperimen semu dengan pretest-posttest control group. Sampel menggunakan kelompok kontrol dan intervensi dengan jumlah masing-masing 24 orang, teknik pengambilan sampel menggunakan consecutive sampling. Instrumen yang digunakan adalah video animasi tentang alat dan prosedur medis, alat simulasi medis, prosedur operasi standar, lembar observasi, dan kuesioner kecemasan Modified Yale Preoperative Anxiety Scale (mYPAS). Analisis bivariat adalah Paired T-Test dan Independent T-Test: Kelompok intervensi mengalami penurunan rata-rata skor kecemasan posttest lebih besar dibandingkan kelompok kontrol (30,0 lebih dari 5.4). Uji bivariat antara jenis kelamin dan usia dengan kecemasan menunjukkan p kurang dari 0,05. Perbandingan pretest-posttest pada kelompok kontrol dan intervensi adalah p=0,343 dan p=0,000. Sementara itu, perbandingan posttest antara kelompok kontrol dan intervensi menunjukkan p=0,002. Usia dan jenis kelamin berhubungan dengan kecemasan pasien anak. Promosi kesehatan dan simulasi alat dan tindakan kesehatan secara efektif mengurangi kecemasan pada pasien anak.

Collaborative Model for Using Village Funds to Support Maternal and Child Health Resilience in Cirebon Regency Jati, Sutopo Patria; Budiyanti, Rani Tiyas; Nandini, Nurhasmadiar; Yunita Dewanti, Nikie Astorina; Kusariana, Nissa
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

COVID-19 disease has the potency to increase maternal and child mortality rates. It is because pregnant women and children include the vulnerable groups. To increase maternal and child health resilience during the COVID-19 pandemic, community empowerment was needed. Many programs can be done through innovative planning and budgeting. The village fund can be an alternative solution in this condition. This research was qualitative research that used Focus Group Discussion with the participant contains village head, cadres, health professional, Department of Health agent, Village Community Empowerment Service, Regional Planning and Development Agency in the Cirebon Regency. Based on the research, maternal and child health resilience could be improved through developing the innovation program related to maternal and child health such as support in COVID-19 vaccination to pregnant women, support to high-risk pregnant women, and so on. The collaborative model could be done between village funding, Corporate Social Responsibility (CSR), Family Welfare Empowerment’s funding, and non-governmental funding. To identify the situation analysis it can be done through discussion at the village level (Musdes). It also can collaborate the maternal and child program with the national program, adaptation of new habits, and strategic local issues.Abstrak: Penyakit COVID-19 berpotensi meningkatkan angka kematian ibu dan anak. Sebab, ibu hamil dan anak-anak termasuk kelompok rentan. Untuk meningkatkan ketahanan kesehatan ibu dan anak di masa pandemi COVID-19, diperlukan pemberdayaan masyarakat. Banyak program yang dapat dilakukan melalui perencanaan dan penganggaran yang inovatif. Dana desa bisa menjadi alternatif solusi dalam kondisi ini. Penelitian ini merupakan penelitian kualitatif dengan metode Focus Group Discussion dengan peserta terdiri dari kepala desa, kader, tenaga kesehatan, Dinas Kesehatan, Dinas Pemberdayaan Masyarakat Desa, Pemberdayaan Kesejahteraan Keluarga (PKK), dan Badan Perencanaan dan Pembangunan Daerah di Kabupaten Cirebon. Berdasarkan penelitian, ketahanan kesehatan ibu dan anak dapat ditingkatkan melalui pengembangan program inovasi terkait kesehatan ibu dan anak seperti dukungan vaksinasi COVID-19 pada ibu hamil, dukungan pada ibu hamil risiko tinggi, dan sebagainya. Model kolaboratif dapat dilakukan dengan dukungan dana desa, Corporate Social Responsibility (CSR), pendanaan PKK, dan swadaya masyarakat. Untuk mengetahui kebutuhan serta analisis situasi, diskusi dapat dilakukan melalui musyawarah tingkat desa (Musdes). Kolaborasi program dan pendanaan juga dapat dilakukan dengan menginsersikan program kesehatan ibu dan anak dengan program strategis nasional, adaptasi kebiasaan baru, dan program strategis terkait isu lokal.

Analysis of Obedience Factors of Distribution Facilities in Distributing Cosmetics in East Java Agustina, Pipin Eri; Pristianty, Liza; Rochmah, Thinni Nurul
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Cosmetics that have no Marketing Authorization Number (MAN) can harm people's health. This study aimed to analyze the factors that affect the obedience of cosmetics distribution facilities in distributing cosmetics that have MAN in East Java-based on Niven's theory (understanding the instructions, quality of interaction, beliefs, attitudes, personality, social isolation) and Milgram's theory (the status of the facilities, personal responsibility, the legitimacy of authority figures, the status of authority figures, peer support, the proximity of authority figures). This study was a cross-sectional study, using a validated questionnaire. 179 participants were chosen using simple random sampling. The data were analyzed using Partial Least Square (PLS) (p= 0.05). The factor based on Niven's theory that has a significant relationship with obedience is personality (p=0.001). The factors based on Milgram's theory that have a significant relationship with obedience are the legitimacy of authority figures (p=0.025) and peer support (p=0.000). Whereas, understanding the instructions, quality of interaction, beliefs, attitudes, social isolation, the status of facilities, personal responsibility, the status of authority figures, and the proximity of authority figures have no correlation. Milgram’s theory more affects obedience than Niven’s theory. Various kinds of education and monitoring evaluation of distribution facilities were implemented to improve obedience. Abstrak: Kosmetik merupakan salah satu kebutuhan penting tetapi juga dapat membahayakan kesehatan apabila kosmetik tersebut tidak memiliki nomor izin edar. Penelitian ini bertujuan untuk menganalisis faktor kepatuhan sarana distribusi dalam mengedarkan kosmetika yang memiliki nomor izin edar di Jawa Timur berdasarkan Teori Niven (pemahaman tentang instruksi, kualitas interaksi, keyakinan, sikap, kepribadian, isolasi sosial) dan Teori Milgram (status sarana, tanggungjawab pribadi, legitimasi figur otoritas, status figur otoritas, kedekatan figur otoritas). Jenis penelitian observasional dengan desain studi cross sectional. Jumlah sampel sebanyak 179 responden dipilih secara simple random sampling. Instrumen penelitian adalah kuesioner yang sudah divalidasi. Analisis data statistik menggunakan Partial Least Square (PLS) (p= 0.05). Faktor berdasarkan Teori Niven yang mempengaruhi kepatuhan adalah kepribadian (p=0,001). Faktor berdasarkan Teori Milgram yang mempengaruhi kepatuhan adalah legitimasi figur otoritas (p=0,025) dan dukungan rekan (p= 0,000). Sedangkan pemahaman tentang instruksi (p=0,513), kualitas interaksi (p=0,860), keyakinan (p=0,064), sikap (p=0,597), isolasi sosial (p= 0,333), status sarana (p=0,504), tanggungjawab pribadi (p=0,707), status figur otoritas (p=0,060), dan kedekatan figur otoritas (p=0,072) tidak memiliki hubungan signifikan terhadap kepatuhan. Teori Milgram lebih mempengaruhi kepatuhan daripada Teori Niven. Upaya untuk meningkatkan kepatuhan dilakukan melalui berbagai macam edukasi dan evaluasi monitoring sarana distribusi kosmetika.

Applying Milgram’s Theory and Health Belief Model in Understanding Compliance to Health Protocols of Covid-19 Pandemic Ernawaty, Ernawaty; Rochmah, Thinni Nurul; Afro, Rahmafika Cinthya; Dewi, Maya Sari; Wulandari, Anggun
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

COVID19 pandemic has significantly changed the world and human's normal life into a new normal life. World Health Organization had recommended early in the pandemic for the people to wear a face mask, keep a distance at a minimum of 1 meter between individuals and practice frequent handwashing with soap. Compliance with health protocols in the COVID-19 pandemic may be influenced by external factors and internal factors i.e., individual perception, knowledge, attitude, beliefs and intentions. This study aimed to compare Milgram's compliance theory and HBM concerning the community’s compliance to the health protocols of COVID-19 prevention. An online survey for a cross-sectional study had been conducted among the community in East Java province in 2020 which had obtained a total of 350 respondents. The results showed some internal factors in Milgram Theory such as region status, personal responsibility, support between communities, and relationship of heads of villages with the community had significantly influenced compliance to health protocols. Meanwhile, internal factors in HBM Theory which include perceived benefits, perceived barriers, self-efficacy, and cues to action had also a significant influence on the community’s compliance with health protocols. The internal factors in HBM Theory were more influential on the community's compliance compared to the external factors in Milgram Theory. Based on this, the government and other related parties who are responsible for improving community awareness and understanding on the need to comply with health protocols could apply the internal factors as stipulated in the HBM. The community awareness on the internal factors could also be a success factor in declining the case fatality rate (CFR) from Covid 19 infection.

A SEM-PLS Model Analysis: The Relationship of Health Promotion Model Components and Personal Hygiene Behavior to Prevent Scabies in Prisoners Cahyani, Dinar Yuni Awalia Anilam; Zuhriyah, Lilik; Sri Hayati, Yati
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

The full condition of prisons and the lack of health service facilities can affect prisoners' health conditions. In order to maintain their health condition, it is necessary to take preventive measures, one of which is the application of good personal hygiene. In improving the compliance of prisoners in improving their health status, it is vital to perform health promotion following the theory of the Health Promotion Model (HPM). The study aimed to identify and determine the relationship between components in the Health Promotion Model and Personal Hygiene behavior in preventing scabies in prisoners. The study utilized a cross-sectional design. The study samples were all prisoners in the Penitentiary Class IIB Mojokerto, amounting to 284 respondents, and data were collected by purposive sampling technique. Data analysis in this study used the SEM-PLS technique, with three stages of analysis: 1.) outer model test, in the form of reflective and formative models, to determine the relationship between indicators and latent variables; 2.) inner model test, consisting of R-squared test (R2), effect size (f2), predictive prevalence (Q2), and Goodness of Fit test. The inner model test aims to determine the relationship between latent variables; and 3.) hypothesis testing to observe the significance value of the effect of exogenous variables on endogenous variables through the T-statistical value (more than 1.96) and p-value (less than 0.05). A total of 284 respondents met the criteria for conducting data analysis.Abstrak: enuhnya kondisi Lembaga Pemasyarakatan dan minimnya sarana-prasarana layanan kesehatan dapat mempengaruhi kondisi kesehatan Narapidana. Agar tetap terjaga kondisi kesehatannya maka perlu adanya tindakan preventif, salah satunya dengan penerapan personal hygiene yang baik. Untuk meningkatkan kepatuhan Narapidana dalam meningkatkan derajat kesehatan mereka perlu dilakukan promosi kesehatan, sesuai dengan teori Health Promotion Model (HPM). Tujuan penelitian untuk mengidentifikasi dan menentukan hubungan antar komponen dalam Health Promotion Model dengan perilaku Personal Hygiene dalam pencegahan skabies pada Narapidana. Desain penelitian menggunakan desain cross sectional. Sampel pada penelitian ini adalah seluruh narapidana di Lembaga Pemasyarakatan Kelas IIB Mojokerto sebanyak 284 responden, pengambilan data dengan teknik Purposive Sampling. Analisis data pada penelitian ini menggunakan teknik SEM-PLS, dimana terdapat tiga tahapan analisa yaitu: 1.) uji outer model, berupa model reflektif dan formatif, untuk mengetahui hubungan indikator dengan variabel latennya; 2.) uji inner model, yang terdiri dari uji R-squared (R2), effect size (f2), predictive prevalence (Q2), dan uji Goodness of Fit. Uji inner model bertujuan untuk mengetahui hubungan antar variabel laten; dan 3.) uji hipotesis, bertujuan untuk melihat nilai signifikansi pengaruh variabel eksogen pada variabel endogen yang dilihat melalui nilai T-statisic (lebih dari 1,96), dan p-value (kurang dari 0,05). Sebanyak 284 responden memenuhi kriteria untuk dilakukan analisa data.

How Transformational Leadership and Organizational Culture Affect Health Worker Performance? A Literature Review Asrawijaya, Prasasta; Hidayah, Nur
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Health personnel must maintain their performance in delivering health care due to their numerous responsibilities. Health care professionals' performance is affected by transformational leadership and organizational culture. Identify and summarize studies on the impact of transformational leadership and organizational culture on the performance of hospitalized health professionals. This study is a literature review that was conducted by searching publications published between 2011 and 2021 in the electronic databases Pubmed, Emerald, Google Scholar, JMMR, and Scopus that met the inclusion criteria. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidance is used in the review process. Eleven papers demonstrate the impact of transformational leadership on health worker performance, while eleven publications demonstrate the impact of corporate culture on health worker performance. Implication, transformational leadership and organizational culture have a large and favorable impact on health professionals' performance. will raise the standard of healthcare services. Abstrak: Banyaknya tugas dari tenaga kesehatan menjadikan seorang tenaga kesehatan perlu menjaga kinerjanya dalam memberikan pelayanan kesehatan. Kepemimpinan transformasional dan budaya organisasi menjadi faktor dalam menjaga dan meningkatkan kinerja tenaga kesetahan. Untuk mengidentifikasi dan mensintesis penelitian tentang pengaruh kepemimpinan transformasional dan budaya organisasi terhadap kinerja tenaga kesehatan di rumah sakit. Penelitian ini merupakan Literature review dengan penelusuran artikel melalui database elektronik Pubmed, Emerald, Google Scholar, JMMR dan Scopus yang diterbitkan dari tahun 2011-2021 dan memenuhi kriteria inklusi. Proses review menggunakan panduan Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Sebelas artikel menunjukan pengaruh kepemimpinan transformasional terhadap kinerja tenaga kesehatan dan Sebelas artikel menunjukan pengaruh budaya organisasi terhadap kinerja tenaga kesehatan Artinya, kepemimpinan transformasional dan budaya organisasi memiliki pengaruh yang signifikan dan positif terhadap kinerja tenaga kesehatan. Implikasinya, rumah sakit yang dapat mempetimbangkan kepemimpinan transformasional dan budaya organisasi akan dapat meningkatkan kualitas pelayanan rumah sakitnya.

Breast Cancer Risk Prevention Model (RICANDRA) to Determine the Risk Factors Associated with the Incidence of Breast Cancer in Women of Childbearing Age in Lampung Province Aprina, Aprina; Astuti, Titi
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Breast cancer in Indonesia is at the top of the list that occurs in women. Most breast cancer conditions are known to be in an advanced stage. Detection at this advanced stage has a very poor prognosis because cancer cells have spread more widely and faster than when cells were detected in an early stage. There was an increase in the number of breast cancer sufferers, both hospitalized and outpatient in RSUDAM. The objectives of this study are to determine the risk factors associated with the incidence of breast cancer in women of childbearing age in Lampung Province and to develop a breast cancer risk prevention model (RICANDRA). This type of research is quantitative with a cross-sectional design. This research was conducted from March to December 2019 in Lampung Province. The target of this study was all women of childbearing age, a sample of 458 women of childbearing age with purposive sampling. The objects taken are advanced age, the first child born at the age of more than 30 years, close family ties/hereditary, history of breast tumor, previous diagnosis, early menstruation, late menopause, use of hormones for menopausal symptoms, exposure to radiation, history of cancer, use of contraceptives hormones, obesity and stress. Collecting data using checklist sheets and questionnaires. Data analysis was univariate, bivariate (chi-square) and multivariate. Research Results: 150 (32.8%) respondents were in the high-risk category and as many as 308 (67.2%) respondents were in the alert category. The results showed that the risk factors that influence breast cancer based on bivariate analysis were advanced age (OR = 5.869; 95% CI: 3.831-8.991; p = 0.000), the first child was born at the age of more than 30 years, close family ties/hereditary, history of breast tumors, Prior diagnosis, Early menstruation, Menopause, Hormone use in menopausal symptoms, Exposure to radiation, had a history of cancer, used hormonal contraception, obesity, stress, smoking, breastfeeding, and alcohol consumption. The most dominant variable affecting the risk factors for breast cancer is the variable exposure to radiation. The magnitude of the risk of breast cancer based on the probability of the logistic function is obtained by the magnitude of the risk of 98.5% WUS experiencing breast cancer and if the risk can be avoided then only 1.5% will experience breast cancer. The Ministry of Health can facilitate regulation on efforts to accelerate efforts to reduce the incidence of breast cancer by making referral designs by strengthening human resources, infrastructure, procedures, or operational methods that can be easily applied to all health workers at the primary level. For women of childbearing age, they must increase their knowledge by participating in activities that can increase knowledge such as mother class activities, and reading or viewing pictures in books, so that WUS knows the risks that may occur in women of childbearing age.

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Contact Name
Hamid Mukhlis

Contact Email
me@hamidmukhlis.id

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+6281325790254

Journal Mail Official
me@hamidmukhlis.id

Editorial Address
Jalan A. Yani 1A Tambahrejo Gadingrejo Kab. Pringsewu Kode Pos: 35372, Phone: 0729 7081587

Location
Kab. pringsewu,

Lampung

INDONESIA

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Hamid Mukhlis

Contact Email me@hamidmukhlis.id

Phone +6281325790254

Journal Mail Official me@hamidmukhlis.id

Editorial Address Jalan A. Yani 1A Tambahrejo Gadingrejo Kab. Pringsewu Kode Pos: 35372, Phone: 0729 7081587

Location Kab. pringsewu, Lampung INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Hamid Mukhlis

Contact Email
me@hamidmukhlis.id

Phone
+6281325790254

Journal Mail Official
me@hamidmukhlis.id

Editorial Address
Jalan A. Yani 1A Tambahrejo Gadingrejo Kab. Pringsewu Kode Pos: 35372, Phone: 0729 7081587

Location
Kab. pringsewu,

Lampung

INDONESIA