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Analisis Pengelolaan Limbah Medis di Puskesmas Kabupaten Aceh Timur Welliana, Meli; Efendi, Ismail; Aini, Nur
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 8, No 1 (2022): APRIL 2022
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v8i1.1960

Abstract

Puskemsas merupakan fasilitas pelayanan kesehatan dasar sekaligus melakukan pengelolaan limbah medis sesuai Peraturan MLHK RI No: P.56/MenLHK-Setjen/2015. Puskesmas Lokop dan Puskesmas Lubok Pempeng Kecamatan Ranto Peureulak pengelolaan limbah medis meliputi pemilahan, penyimpanan, pengangkutan, pengolahan, penguburan atau penimbunan belum efektif diduga disebabkan keterbatasan dana, keterbatasan petugas, pelatihan tidak memadai dan fasilitas kurang mendukung terutama insenerator. Tujuan penelitian adalah menganalisis pengelolaan limbah medis di Puskesmas Kabupaten Aceh Timur. Jenis penelitian adalah kualitatif dengan pendekatan fenomenologi. Informan penelitian berjumlah 8 orang terdiri dari 2 orang kepala Puskesmas, 2 orang petugas kesehatan lingkungan Puskesmas, dan 1 orang Kabid Kesehatan Lingkungan Dinas Kesehatan dan 2 orang bendahara Puskesmas dan 1 orang Kepala Dinas Lingkungan Hidup. Penelitian dilakukan bulan September–November tahun 2020 melalui wawancara dan observasi. Data dianalisis menggunakan deskriptif kualitatif melalui tahapan reduksi data, penyajian dan penarikan kesimpulan. Hasil penelitian menunjukkan pemilihan limbah medis sudah dilakukan tetapi belum didukung fasilitas pendukung, penyimpanan menggunakan kantung plastik warna hitam dan kardus tidak tahan benda tajam dan air, limbah medis diangkut tanpa alat pengangkut sejenis angkong (troly) dan areal penguburan/ penimbunan limbah medis belum sesuai peraturan. Pengelolaan limbah medis belum efektif  karena keterbatasan biaya, sumber daya manusia, dan juga areal pekarangan Puskesmas. Kesimpulannya bahwa pelaksanaan pengelolaan limbah medis belum terlaksana sesuai Peraturan MLHK RI No: P.56/MenLHK-Setjen/2015. Disarankan Dinas Kesehatan dapat menerbitkan usulan anggaran dana pengelolaan limbah medis dan meningkatkan kerjasama lintas sektoral dalam pengawasan, pelatihan dan supervisi kepada setiap Puskesmas.        Kata Kunci:  Pengelolaan Limbah MedisPuskesmas is a basic health service facility as well as medical waste management in accordance with MLHK RI Regulation No: P.56/MenLHK-Setjen/2015. Lokop Health Center and Lubok Pempeng Health Center, Ranto Peureulak District, medical waste management including sorting, storage, transportation, processing, burial or stockpiling has not been effective, allegedly due to limited funds, limited staff, inadequate training and inadequate facilities, especially incinerator. The purpose of the study was to analyze the management of medical waste at the East Aceh District Health Center. This type of research is qualitative with a phenomenological approach. The research informants were 8 people consisting of 2 heads of health centers, 2 environmental health workers at the health centers, and 1 person from the Head of Environmental Health, the Health Office and 2 treasurers of the Puskesmas and 1 head of the Environmental Service. The research was conducted in September-November 2020 through interviews and observations. Data were analyzed using qualitative descriptive analysis through the stages of data reduction, presentation and conclusion. The results showed that the selection of medical waste has been carried out but has not been supported by supporting facilities, storage using black plastic bags and cardboard cannot withstand sharp objects and water, medical waste is transported without a means of transporting a rickshaw (troly) and the burial / landfill area of medical waste has not been implemented because limited costs, human resources, and also the area of the Puskesmas yard. The conclusion is that the implementation of medical waste management has not been implemented in accordance with the MLHK RI Regulation No: P.56 / MenLHK-Setjen / 2015. Recommended that the Health Office be able to issue a budget proposal for medical waste management funds in each Puskesmas and increase cross-sectoral cooperation in supervision, training and supervision of Puskesmas.Keywords: Medical Waste Management
Pengaruh Konflik Interpersonal dan Beban Kerja Terhadap Stres Kerja Perawat di Ruang Rawat Inap RSUD Gunung Tua Kabupaten Padang Lawas Utara Tahun 2021 Dewi, Puspita; Efendi, Ismail; Afriani, Miskah
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 8, No 1 (2022): APRIL 2022
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v8i1.1950

Abstract

Stress kerja dapat beresiko bagi kesehatan dan keselamatan kerja. Terdapat beberapa faktor yang dapat menyebabkan stress kerja pada perawat diantaranya adalah konflik interpersonal dan beban kerja. Berdasarkan studi pendahuluan diketahui bahwa perawat di ruang rawat inap RSUD Gunung tua mengalami stress kerja. Penelitian ini membahas tentang stress kerja yang diakibatkan oleh konflik interpersonal dan beban kerja, dimana konflik interpersonal berupa ego dan policy conflik. Tujuan dalam penelitian ini yaitu untuk mengetahui pengaruh konflik interpersonal dan beban kerja terhadap stres kerja perawat di RSUD Gunung Tua Kabupaten Padang Lawas Utara Tahun 2021. Penelitian ini merupakan penelitian kuantitatif dengan desain survei analitik dengan pendekatan Cross Sectional. Populasi dalam penelitian ini sebanyak 67 orang dan Sampel dalam penelitian ini menggunakan tehnik total sampling dengan menggunakan kriteria inklusi dan ekslusi dengan jumlah sampel sebanyak 57. Analisa Data dilakukan secara Univariat, Bivariat dan Multivariat. Untuk Analisis Bivariat menggunakan Uji statistik chi square dan uji multivariat menggukanan regresi linear berganda. Hasil penelitian menunjukkan bahwa ada pengaruh antara konflik interpersonal terhadap stresss kerja dengan nilai signifikan < 0.05.berdasarkan uji multivariate diketahui bahwa konflik interpersonal lebih memengaruhi stress kerja perawat. Disarankan kepada pihak rumah sakit untuk melakukan evaluasi terhadap manajemen konflik interpersonal dan memberikan reward atau hadiah kepada perawat yang mempunyai beban kerja yang tinggi dan membuat kebijakan mengetnai tugas perawat sesuai SOP di ruang rawat inap dan kebijakan terkait jam kerja perawat di ruang rawat inap.Kata Kunci: Konflik interpersonal, beban kerja, stres kerja perawatOccupational stress can risk safety and health of workers. There are several factors that can cause work stress on nurses including interpersonal conflict and workload. As per preliminary studies, nurses in the inpatient room at Gunung Tua Hospital is stressed at work. Work stress is caused by interpersonal conflict and workload, the interpersonal conflict focusing on the process of ego and policy conflict in this study. The purpose of the research is just how interpersonal conflict and workload effect nurses' work stress in 2021 at Gunung Tua Hospital in North Padang Lawas Regency. The analytical survey using a cross sectional approach was employed as the quantitative research method. The study's population was 67 respondents, and the sample employed a total sampling technique with inclusion and exclusion criteria, creating a total sample of 57 people. Univariate, Bivariate, and Multivariate data analysis were used. The chi square statistical test was used for bivariate analysis, and the ordinal logistic regression analysis was used for multivariate analysis.With a significant value of 0.05, the results showed that interpersonal conflict would have an effect on work stress. According the multivariate test, interpersonal conflict has a greater impact on nurses' work stress. It is recommended that its hospital evaluate the management of interpersonal conflict, give rewards or prizes to nurses who have a high workload, and adopt policies for nurse skills in inpatient rooms founded on SOPs, and policies for nurses' working hours in inpatient rooms.Keywords: Interpersonal Conflik, Nurse Workload, Nurse Work Stress, Inpatient Room
The Effect of The Project-Based Learning (PjBL) Model on Students' Cognitive Learning Outcomes: Weni Rostakina; Ismail Efendi; Sri Nopita Primawati
PAIDAGOGIA: Jurnal Inovasi Pendidikan dan Pembelajaran Vol. 2 No. 2 (2025): December
Publisher : Lombok Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63757/pjipp.v2i2.48

Abstract

This study investigates the effect of the Project-Based Learning (PjBL) model on students' cognitive learning outcomes, compared with Problem-Based Learning (PBL), in senior high school biology. The research was motivated by persistently low cognitive achievement and teacher-centred practices observed at SMA Negeri 3 Selong, where many Grade X students scored below the minimum mastery criterion and struggled to construct coherent scientific arguments. A quantitative quasi-experimental design with a non-equivalent control group pretest–posttest design was employed. The population consisted of all Grade X students (N = 84), with purposive sampling used to select two intact classes: X-8 as the experimental group (PjBL; n = 21) and X-7 as the control group (PBL; n = 21). The experimental class engaged in an authentic project constructing aquascapes from recycled jars, while the control class followed PBL-based instruction on the same content. Cognitive learning outcomes (C1–C4) were measured using a multiple-choice and an essay test. Assumption checking using the Shapiro–Wilk and Levene's tests indicated that posttest data met the requirements for parametric analysis. An independent-samples t-test on posttest scores revealed a statistically significant difference between groups (p = 0.001), with the PjBL class outperforming the PBL class by an average of 17.476 points. These findings demonstrate that PjBL has a significant and positive impact on students' cognitive learning outcomes in biology and is more effective than PBL in enhancing lower- and middle-order cognitive processes. The study recommends systematic integration of PjBL in science classrooms and further research with larger, multi-site samples, including additional outcome variables such as motivation, critical thinking, and creativity.