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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
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INDONESIA
Jurnal Aisyah : Jurnal Ilmu Kesehatan
ISSN : 25024825     EISSN : 25029495     DOI : 10.30604/jika
Core Subject : Health,
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.
Articles 952 Documents
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (674.181 KB) | DOI: 10.30604/jika.v7i1.897

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (682.143 KB) | DOI: 10.30604/jika.v7i1.786

Abstract

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.
Literature review: Impact of Implementing Hospital-Based Health Technology Assessment (HB-HTA) in Hospital Vianney, Yohanes Mario; Suryawati, Chriswardani; Kartasurya, Martha Irene
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 (3374.437 KB) | DOI: 10.30604/jika.v6i3.1048

Abstract

Hospital-based health technology assessment (HB-HTA) is very beneficial for the use of hospital medical technology, cost management, quality improvement, and protection of patient safety, and its usage is rising daily around the world. The main challenge of modern hospitals is purchasing medical technologies. Hospital-based health technology assessments (HB-HTAs) are used in healthcare facilities around the world to support management boards in providing relevant technologies for patients. Although some jurisdictions have used local/hospital-based HTA for more than two decades, little is known about its impacts and influence on hospital budgets, clinical practices, and patient outcomes. We performed a review using a mixed-methods approach with the goal of synthesizing existing information about the impacts and impact of community/hospital-based care. This study uses a narrative review, with many articles on the same topic. Articles were taken from the Scopus, Science Direct, ProQuest, SpringerLink, Google Scholar, Nature, JSTOR, and Emerald Insight databases with a total of 19 articles used. The purpose of this study was to determine does the implementation of HB-HTA in hospitals have a good impact on the progress of the hospital, and also discuss what are the benefits that will be obtained if implementing HB-HTA in hospitals.  Abstrak: Penilaian teknologi kesehatan berbasis rumah sakit (HB-HTA) sangat bermanfaat untuk penggunaan teknologi medis rumah sakit, manajemen biaya, peningkatan kualitas, dan perlindungan keselamatan pasien, dan penggunaannya meningkat setiap hari di seluruh dunia. Tantangan utama rumah sakit modern adalah membeli teknologi medis. Penilaian teknologi kesehatan berbasis rumah sakit (HB-HTA) digunakan di fasilitas kesehatan di seluruh dunia untuk mendukung dewan manajemen dalam menyediakan teknologi yang relevan bagi pasien. Meskipun beberapa yurisdiksi telah menggunakan HTA berbasis lokal/rumah sakit selama lebih dari dua dekade, sedikit yang diketahui tentang dampak dan pengaruhnya terhadap anggaran rumah sakit, praktik klinis, dan hasil pasien. Kami melakukan tinjauan menggunakan pendekatan metode campuran dengan tujuan mensintesis informasi yang ada tentang dampak dan dampak perawatan berbasis komunitas/rumah sakit. Penelitian ini menggunakan review naratif, dengan banyak artikel dengan topik yang sama. Artikel diambil dari database Scopus, Science Direct, ProQuest, SpringerLink, Google Scholar, Nature, JSTOR, dan Emerald Insight dengan total 19 artikel yang digunakan. Tujuan dari penelitian ini adalah untuk mengetahui apakah penerapan HB-HTA di rumah sakit berdampak baik bagi kemajuan rumah sakit, dan juga membahas apa saja manfaat yang akan diperoleh jika penerapan HB-HTA di rumah sakit.
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1079.932 KB) | DOI: 10.30604/jika.v7i1.893

Abstract

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.
The Role of Information System for Risk Management in Hospital: A Narrative Review Sutejo, Sutejo; Prasetijo, Agung Budi; Agushybana, Farid
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 (630.685 KB) | DOI: 10.30604/jika.v6i3.1014

Abstract

The development and progress of information technology is growing rapidly, including information technology in hospital services. Hospitals are labor-intensive, technology-intensive, and risk-taking institutions that require proactive strategies and solutions in risk management. Integrated Risk Management Information System (IRMIS) is defined as an organized and integrated strategy for hospital risk control which consists of identification, assessment, implementation of strategies to reduce or eliminate risks, and monitoring and reviewing risks in hospitals. Management of patient care directly is often associated with risk management. The concept of risk management was developed from clinical and non-clinical services by considering patient safety and security. In this scenario, risk management should be viewed as a proactive activity in maintaining and maintaining the quality of hospital services and the confidentiality of patient data and information and managed in an integrated manner with the hospital management information system (SIMRS) and/or other applications in the hospital as well as business process integration. hospital. This study uses a narrative review approach, with many articles on the same issue. Articles were taken from the Scopus, Science Direct, ProQuest, SpringerLink, Google Scholar, Nature, JSTOR, and Emerald Insight databases with a total of 29 articles used. The purpose of this study was to determine whether the integrated risk management developed in the hospital has a significant influence on decision making with strategic support systems such as human resource development, program selection, marketing, and facility growth by considering clinical and non-clinical risks in the hospital.  Abstrak: Perkembangan dan kemajuan teknologi informasi semakin pesat, termasuk teknologi informasi dalam pelayanan di rumah sakit. Rumah sakit sebagai institusi yang padat karya, padat teknologi, sekaligus padat risiko yang memerlukan strategi dan solusi proaktif dalam pengelolaan risiko. Sistem Informasi Manajemen Risiko Terintegrasi (SMART) didefinisikan sebagai strategi terorganisir dan terintegrasi untuk pengendalian risiko rumah sakit yang terdiri dari identifikasi, penilaian, penerapan strategi untuk mengurangi atau menghilangkan risiko, dan pemantauan dan reviu risiko di rumah sakit. Manajemen pelayanan pasien secara langsung sering dikaitkan dengan manajemen risiko. Konsep manajemen risiko dikembangkan dari pelayanan klinis dan non klinis dengan mempertimbangan keamanan dan keselamatan pasien. Dalam skenario ini, manajemen risiko harus dipandang sebagai aktivitas proaktif dalam menjaga dan mempertahankan kualitas pelayanan rumah sakit dan kerahasiaan data dan informasi pasien serta dikelola secara terintegrasi dengan sistem informasi manajemen rumah sakit (SIMRS) dan/ atau aplikasi lain di rumah sakit serta integrasi proses bisnis rumah sakit. Penelitian ini menggunakan pendekatan naratif review, dengan banyak artikel tentang masalah yang sama. Artikel diambil dari database Scopus, Science Direct, ProQuest, SpringerLink, Google Scholar, Nature, JSTOR, dan Emerald Insight dengan total 29 artikel yang digunakan. Tujuan penelitian ini adalah untuk mengetahui apakah manajemen risiko terintegrasi yang dikembangkan di rumah sakit memiliki pengaruh signifikan dalam pengambilan keputusan dengan sistem pendukung strategis seperti pengembangan sumber daya manusia, pemilihan program, pemasaran, dan pertumbuhan fasilitas dengan mempertimbangkan risiko klinis dan non klinis di rumah sakit.
Cognitive-Behavioral Therapy in the Group on the Quality of Nurse’ Work Life Mardhiah Mardhiah; Bustami Syam; Mahnum Lailan Nasution; Elvi Andriani Yusuf
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 2: June 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (649.939 KB) | DOI: 10.30604/jika.v7i2.884

Abstract

There are many problems in the quality of nursing service found in hospitals, which is influenced by the quality of the work-life of nurses. An alternative way that can improve the quality of work-life of nurses is cognitive-behavioral therapy in group implementation. The study aimed to identify the effect of cognitive-behavioral therapy in the group on the quality of work-life of nurses in the inpatient room at the hospital. The study was quasi-experimental with a control group pre-posttest design. The sample of each group was thirty-two nurses selected by simple random sampling. Data were collected using questionnaires and analyzed by paired sample t-test and independent t-test. The result showed that there was a significant difference between the quality of work-life before and after intervention in both groups (p-value 0.027). Cognitive-behavioral therapy in the group has an impact on improving the quality of the work-life of nurses. Cognitive-behavioral therapy in the group can be applied in hospitals to improve the quality of the work-life of nurses  Abstrak: Ada banyak masalah dalam kualitas pelayanan keperawatan ditemukan di rumah sakit, yang mana berpengaruh dengan kualitas kehidupan kerja perawat. Salah satu cara alternative yang dapat meningkatkan kualitas kehidupan kerja pada perawa adalah implementasi cognitive-behavioral therapy in group. Tujuan penelitian untuk mengidentifikasi pengaruh cognitive-behavioral therapy in group terhadap kualitas kehidupan kerja parawat di ruang rawat inap rumah sakit. Penelitian ini adalah kuasi eksperiment dengan kelompok kontrol dengan rancangan sebelum dan sesudah. Sampel setiap kelompok adalah 32 perawat dipilih dengan simple random sampling. Data dikumpulkan dengan menggunakan kuesioner dan dianalisis menggunakan paired sample t-test and independent t-test. Hasil menunjukkan bahwa ada perbedaan yang significant diantara kualitas kehidupan kerja sebelum dan sesudah intervensi dalam kedua kelompok (p-value 0.027). Cognitive-behavioral therapy in group memiliki dampak terhadap peningkatan kualiats kehidupan kerja perawat. Cognitive-behavioral therapy in group dapat diterapkan di rumah sakit untuk meningktakna kualitas kehidupan kerja perawat.
The Evaluation of Congenital Hypothyroidsm Screening Program in Indonesia: A Literature Review Wahyu Setyaningsih; Ratna Dwi Wulandari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 2: June 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (647.117 KB) | DOI: 10.30604/jika.v7i2.1161

Abstract

Congenital hypothyroidism is one of the main causes of mental retardation which can be prevented. Research in 2020 found that the prevalence of congenital hypothyroidism in Indonesia was 1:1167. During the previous 18 years of implementation of the Congenital Hypothyroidism Screening Program (CHSP), it was found that only 4,6% of newborns. This study aims to conduct a literature review to identify problems and obtain information on improving the implementation of congenital hypothyroidism screening programs in Indonesia. This research was carried out between November-December 2021 and consists of a review of a range of research articles and journals which have been published within the last decade. Several studies have shown that during the implementation of the CHSP, several obstacles were found which hindered the effectiveness of the program, namely the lack of training for health workers, sources of financing which have not been fully borne by the center, accuracy of collection and sample delivery, and less than optimal management function in regulating the implementation of the program thus a more in-depth evaluation needed, especially in terms of economic benefits and the level of effectiveness of the screening program. Abstrak: Hipotiroid kongenital merupakan salah satu penyebab utama keterbelakangan mental yang dapat dicegah. Penelitian pada tahun 2020 menemukan bahwa prevalensi hipotiroid kongenital di Indonesia adalah 1:1167. Selama 18 tahun terakhir pelaksanaan Congenital Hypothyroidsm Screening Program (CHSP), ditemukan hanya 4,6% bayi baru lahir. Penelitian ini bertujuan untuk melakukan studi literatur untuk mengidentifikasi masalah dan memperoleh informasi dalam meningkatkan pelaksanaan program skrining hipotiroid kongenital di Indonesia. Penelitian ini dilakukan antara November-Desember 2021 dan terdiri dari review berbagai artikel penelitian dan jurnal yang telah diterbitkan dalam dekade terakhir. Beberapa penelitian menunjukkan bahwa selama pelaksanaan CHSP ditemukan beberapa kendala yang menghambat efektifitas program, yaitu kurangnya pelatihan bagi tenaga kesehatan, sumber pembiayaan yang belum sepenuhnya ditanggung oleh pusat, ketepatan pengumpulan dan penyampaian sampel, dan kurang optimalnya fungsi manajemen dalam mengatur pelaksanaan program sehingga diperlukan evaluasi yang lebih mendalam terutama dari segi manfaat ekonomi dan tingkat efektivitas program skrining hipotiroid kongenital.
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (754.761 KB) | DOI: 10.30604/jika.v7i1.1252

Abstract

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.
Factors Affecting Outpatients Intention to Revisit Health Services at Public Health Center in Demak District Lina Dwi Yoga Pramana; Antono Suryoputro; Cahya Tri Purnami
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 2: June 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (666.308 KB) | DOI: 10.30604/jika.v7i2.1049

Abstract

The pandemic situation led decreasing in the number of patient visits at Public Health Centers (PHC) due to concerns about contracting Covid-19, including in Demak District which experienced a decrease in visits to 71.7% from 141.2% in 2019. The lack of usage of health services contributed to the poor community health status. The purpose of the study was to analyze the influence of various factors regarding the intention of revisits health services at PHC in Demak District during the Covid-19 pandemic. This is quantitative research with a cross-sectional approach. The population were patients who visited PHC in Demak District. Samples determined by the purposive sampling technique amounted to 332 people. Partial effect test with simple linear regression and simultaneously with multiple linear regression because classical assumption test requirements were met. A total of 57.5% of respondents have a high intention to revisit health services. Partially it’s proven that knowledge, health workers' ability, infrastructure, service quality and waiting time affected intentions to revisit health services in PHC. Variables of waiting time, infrastructure, health workers' ability, and service quality were predictors for revisits with an overall effect of 27.7%. Health centres need to develop an online queuing mechanism to reduce waiting times and gradually equip infrastructure and improve service quality through health workers' discipline.Abstrak: Situasi pandemi menyebabkan penurunan jumlah kunjungan pasien di puskesmas karena kekuatiran tertular Covid-19, termasuk di Kabupaten Demak yang mengalami penurunan kunjungan menjadi 71,7% dari 141,2% di tahun 2019. Rendahnya perilaku pemanfaatan layanan kesehatan berkontribusi pada status kesehatan masyarakat yang tidak optimal. Tujuan penelitian menganalisis pengaruh berbagai faktor terhadap niat kunjungan ulang di puskesmas Kabupaten Demak selama pandemi Covid-19. Merupakan penelitian kuantitatif dengan pendekatan cross sectional. Populasi penelitian yaitu seluruh pasien yang berkunjung di puskesmas di Kabupaten Demak. Sampel ditentukan dengan teknik purposive sampling berjumlah 332 orang. Uji pengaruh secara parsial dengan regresi linier sederhana dan simultan dengan regresi linier berganda karena persyaratan uji asumsi klasik terpenuhi. Sebanyak 57,5% responden memiliki niat tinggi melakukan kunjungan ulang. Secara parsial terbukti pengetahuan, kemampuan tenaga kesehatan, sarana prasarana, kualitas layanan dan waktu tunggu mempengaruhi niat kunjungan ulang di puskesmas. Waktu tunggu, sarana prasarana, kemampuan tenaga kesehatan dan kualitas pelayanan menjadi prediktor untuk niat kunjungan ulang dengan pengaruh keseluruhan sebesar 27,7%. Puskesmas perlu mengembangkan mekanisme antrian online untuk mengurangi waktu tunggu dan secara bertahap melengkapi sarana prasarana dan meningkatkan kualitas layanan melalui kedisiplinan tenaga kesehatan.
Analysis of Patient Safety Culture in Dental and Oral Health Services at RSGM Unimus Dwi Windu Kinanti Arti; Eka Yunila Fatmasari; Retno Kusniati; Juni Arum Sari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 2: June 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (618.499 KB) | DOI: 10.30604/jika.v7i2.883

Abstract

The Dental and Oral Hospital (RSGM) as a part of health care facilities, especially teeth and mouth, do not rule out unexpected events / near-injury events that have an impact on patient safety. The safety incidents at RSGM are only reported when an incident occurs. Solving this problem requires changing the culture of health care from one in which errors are viewed as the result of individual failure to one in which errors are viewed as opportunities to improve from one in which errors are viewed as the system. This study aims to determine the culture of patient safety in dental and oral health services at RSGM Unimus. This type of research is descriptive research with mixed methods research approaches, namely quantitative and qualitative. The study involved a sample of 65 respondents, where the study was conducted from March to April 2020. Quantitative data collection techniques used AHRQ (Agency for Healthcare Research and Quality instrument questionnaire) and qualitative through interviews. The results of the study show that in all dimensions of the AHRQ questionnaire, the highest positive response results are in the very good/strong category, which means that the level of patient safety at RSGM Unimus is already supportive. This study shows that the dissemination of patient safety has not been routinely carried out, errors in communication often occur, reporting only when unexpected incidents occur, and it is necessary to increase feedback between medical personnel and evaluation of intentional or accidental errors that is related to patient safety still needs to be improved. Abstrak: Rumah Sakit Gigi dan Mulut (RSGM) sebagai bagian dari sarana pelayanan kesehatan khususnya gigi dan mulut tidak menutup kemungkinan terjadinya kejadian yang tidak diharapkan/near injury event yang berdampak pada keselamatan pasien. Pelaporan terkait insiden keselamatan hanya di RSGM hanya dilakukan saat terjadi insiden. Masalah ini dapat dipecahkan dengan perubahan budaya keselamatan pasien dimana kesalahan seorang individu dipandang sebagai sebagai peluang untuk memperbaiki sistem. Penelitian ini bertujuan untuk mengetahui budaya keselamatan pasien dalam pelayanan kesehatan gigi dan mulut di RSGM Unimus. Jenis penelitian ini adalah penelitian deskriptif dengan pendekatan penelitian metode campuran, yaitu kuantitatif dan kualitatif. Penelitian ini melibatkan sampel sebanyak 65 responden, dimana penelitian dilakukan pada bulan Maret – April 2020. Teknik pengumpulan data kuantitatif menggunakan instrumen AHRQ (Agency for Healthcare Research and Quality instrument kuesioner) dan kualitatif melalui wawancara. Hasil penelitian menunjukkan bahwa pada semua dimensi kuesioner AHRQ, hasil respon positif tertinggi berada pada kategori sangat baik/kuat yang artinya tingkat keselamatan pasien di RSGM Unimus sudah mendukung. Beberapa indikator yang masih perlu ditingkatkan adalah sosialisasi keselamatan pasien yang belum rutin dilakukan, kesalahan komunikasi yang sering terjadi, pelaporan hanya bila terjadi insiden yang tidak diharapkan, perlu peningkatan umpan balik antar tenaga medis dan evaluasi kesengajaan atau kesalahan kecelakaan yang berkaitan dengan keselamatan pasien masih perlu ditingkatkan.