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Empowering Caregivers To Improve Quality Of Life Of Elderly In A Social Institution In Lampung Province, Indonesia Irianto, Gunawan; Hussain Habil, Mohamad; Hashim, Farida
Journal of World Science Vol. 1 No. 8 (2022): Journal of World Science
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jws.v1i8.81

Abstract

Introduction: Elderly Quality of life is a crucial issue for the aging population in developing countries like Indonesia. Studies found that institutionalized elderly have a lower quality of life than in the community. The caregiver’s role in the social institution could be important as social support to enhance the quality of life of the elderly. This study is to empower the caregivers to improve the quality of life of the elderly in a social institution. Methode: A mixed methods exploratory sequential design was used in this study.The WHO-QOL Old questionnaire was used to examine the quality of life and Duke Social Support for social support. Sample for qualitative were seven participants who had experiences that could be explored in detail about their living in a social institution, and 72 participants for quantitative measures Result: The qualitative findings found four main themes that related to elderly experience living in social institutions, support from caregivers, and facility theme was strongly discussed. As for quantitative findings, after the four-month intervention, the score of elderly quality of life before intervention was 45,97 and after intervention 51,54 (p value>0,00), it means empowerment of caregivers significantly improves the quality of life in a social institution. Conclusion: The empowerment of caregivers as social support for the elderly in social institutions has been proven to improve the quality of life of the elderly in social institutions. However, recommendations are suggested including monitoring systems and policy from the management of social institutions need to maintain sustainability programs.
The effect of hypnobreastfeeding on breast milk expenditure in postpartum mothers primiparous days 4-7 in TPMB Heni Nurhaeni Bandung city year 2024 Nurhayati, Fitri; Irianto, Gunawan; Yulianah, Regina
Science Midwifery Vol 11 No 6 (2024): February: Midwifery and Health Sciences
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v11i6.1416

Abstract

Decreased breast milk expenditure caused by physical and emotional stress, stressful events are very vulnerable to be experienced by primiparous mothers because of the first experience in caring for and providing exclusive breastfeeding. One of the nonpharmacological efforts to deal with disorders in breast milk production is hypnobreastfeeding, by giving positive suggestions when the mother is in a relaxed state. The purpose of this study is to determine the effect of hypnobreastfeeding on breast milk expenditure in postpartum mothers Primipara days 4-7 at TPMB Heni Nurhaeni Bandung City in 2024. The type of research used is pre-experimental designs with one group pretest-posttest design. The sample of this study was 34 postpartum mothers primipara days 4-7 in January 2024 at TPMB Heni Bandung City. Data collection using observation sheets of breast milk expenditure, data analysis using univariate analysis and bivariate analysis namely Wilcoxon Test. The results of the study stated that before the intervention, the average milk expenditure was 60 ml and after the intervention was 95 ml, and there was an influence of hypnobreastfeeding techniques on breast milk expenditure in primiparous postpartum mothers days 4-7 (p value 0.000). The conclusion of this study is that there is an effect of hypnobreastfeeding on breast milk expenditure in postpartum mothers primiparous days 4-7 at TPMB Heni Nurhaeni in Bandung City in 2024. Advice for midwives, hypnobreastfeeding can be used as a natural effort to increase breast milk expenditure in postpartum mothers.
The Relationship Between Quality of Health Services with Patient Satisfaction in Private Hospital in West Java Irianto, Gunawan; Abdilah, Asep Dian; Suhat, Suhat; Kurnia, Zhafirah; Mauliku, Novie Elvinawaty
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i3.710

Abstract

Aims: Quality of health services refers to the level of perfection provided by a hospital, and poor service quality can lead to dissatisfied patients and decreased patient visits. This study was to analyze the relationship between service quality and satisfaction of inpatients at RH Purwakarta Hospital. Methods: The research approach included a cross-sectional study, incorporating factors such as service quality (including characteristics of reliability, responsiveness, assurance, empathy, and physical evidence) and satisfaction. The research sample consisted of 99 inpatients from RH Purwakarta Hospital, selected using an incidental sampling technique. A questionnaire was utilized as the instrument. The analysis employed the chi-square test with a significance threshold of 95%. It involved paramedical professionals and other personnel, as mentioned by Aryanti et al. (2022). Results: The results of the analysis indicate that the contentment of inpatients at RH Purwakarta Hospital is correlated with the quality of health services (pvalue= 0,0001). Therefore, it is possible to infer that an individual's satisfaction with the quality of service will be influenced by their interest in receiving treatment at that particular service location in the future. Conclusions: Research indicates that service quality significantly impacts patient satisfaction, highlighting the need for RH Purwakarta hospital to enhance service standards to boost patient visits and loyalty.
faktor-faktor yang berhubungan dengan kinerja kader dalam pemberdayaan masyarakat di Posyandu Berbasis Integrasi Layanan Primer (ILP) Puskesmas Margahayu Raya Kota Bandung RIYANTO, AGUS; Irianto, Gunawan; Laili, Ayu; Dian Abdillah, Asep; Safitri, Aulia
JURNAL KESEHATAN KARTIKA Vol. 20 No. 3 (2025): : Jurnal Kesehatan Kartika
Publisher : Faculty of Health Science and Technology, University of Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26874/jkkes.v20i3.461

Abstract

Background: Posyandu cadre performance plays an important role in supporting the successful implementation of the Primary Service Integration (ILP) program, especially in community empowerment efforts in the health sector. Based on data in the working area of Margahayu Raya Health Center, Bandung City, the achievement of mosquito larvae-free houses shows fluctuations that have not consistently reached the target of above 95% every month. This indicates challenges in achieving optimal cadre performance. Cadre performance can be caused by several factors including education, length of service, knowledge, attitude, motivation, workload and training. Objective: The purpose of this study was to determine factors related to cadre performance in Community Empowerment at Integrated Primary Service Posts (ILP) of Margahayu Raya Health Center, Bandung City. Method: This study uses a quantitative approach using a Cross Sectional design. The sample in this study was 110 people. Data analysis using the chi square test. Results: The results showed that most cadres had good performance (58.2%). There was a significant relationship between length of service (p = 0.015), knowledge (p = 0.036), attitude (p = 0.0001), motivation (p = 0.0001), and workload (p = 0.001) with cadre performance. Meanwhile, the variables of education (p = 0.069) and training (p = 0.547) did not show a significant relationship. Conclusion: There is a significant relationship between length of service, knowledge, attitude, motivation, and workload with cadre performance. In relation to this study, the author suggests that health centers conduct ongoing coaching, increase motivation, and strengthen the capacity of cadres to support the effectiveness of the implementation of Integrated Primary Service-based Posyandu.
Reimagining Nursing Competency Evaluation: Clinical Assessors’ Readiness and Adaptation to Digital Assessment Systems in a Provincial Hospital Setting Amalia, Aam; Setiawan, Asep; Setiawati, Setiawati; Dedi, Blacius; Irianto, Gunawan
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 4 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i4.928

Abstract

Background: Clinical competency assessment is a core component of nursing governance and professional development. In many Indonesian hospitals, competency evaluations remain predominantly paper-based, resulting in administrative inefficiencies and limited data traceability. The implementation of the SICAKEP (Sistem Informasi dan Pencatatan Keperawatan) digital application at RSUD Welas Asih, West Java, represents an important step toward modernizing assessment processes; however, assessors’ experiences during this transition have not been fully explored. Objective: This study aimed to explore the lived experiences of clinical nurse assessors in conducting manual and digital (SICAKEP-based) competency assessments in a provincial teaching hospital in West Java, Indonesia. Methods: A qualitative descriptive phenomenological design grounded in a constructivist paradigm was employed. Four certified clinical nurse assessors with experience in both manual and digital assessments were recruited using purposive and snowball sampling. Data were collected through in-depth semi-structured interviews, brief observations, and document reviews between March and May 2025. Data analysis followed Colaizzi’s seven-step method, supported by reflexive journaling and member checking to enhance credibility. Results: Five themes emerged: adaptation to new assessment roles, multidimensional implementation barriers, constraints related to time and readiness, competency assessment as a driver of professionalism and quality, and transformation from manual to digital systems. Digital assessment improved efficiency and transparency but required stronger digital literacy and infrastructure support. Conclusion: Digital competency assessment represents a meaningful advancement in nursing governance, though sustained institutional support is essential to optimize its implementation