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All Journal Jurnal Kedokteran Brawijaya JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Journal of Issues in Midwifery Journal of Community Health and Preventive Medicine (JOCHAPM)
Ratri, Devita Rahmani
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Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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Patient Identification in Wards: What Influences Nurses’ Complicance? Rahmawati, Tri Wahyuning; Sari, Dwi Ratna; Ratri, Devita Rahmani; Hasyim, Mafrurrochim
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 9, No 2 (2020): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.92121

Abstract

Patient safety is important because people have easy information and hospital reports related to medical errors. Patient identification is the most important cause of patient safety incidents. In 2019, 12 near misses due to misidentification of patients in the inpatient, laboratory, and pharmacy at the private class D hospital in Blitar. This prompted the authors to conduct a case study and analyze the causal factors of the problems. The method used in this research is descriptive and case study approach. Identification of the root problems was done by observation and interviews with implementing inpatients rooms nurses using observation sheets. Determination of the root problems is determined through a two-stage focus group discussion (FGD) using a fishbone diagram. Six root problems were found that affect the low compliance in the implementation of patient identification in inpatient installations, they are low supervision and supervision from the leadership, no resocialization regarding patient identification, a small number of patients, lack of safety culture, lack of supporting tools, and patients’ willingness to be served quickly. Knowing the root factors that affect the officers’ compliance is essential so supervision methods that are appropriate to the conditions of the hospital can be conducted.
LOSS OF LINEN STOCK AT RSIA PURI BUNDA: WHAT IS AFFECTING? DRIE, IVAN -; Ratri, Devita Rahmani; Nuthea, Merry -
Jurnal Kedokteran Brawijaya Article in Press 2
Publisher : Fakultas Kedokteran Universitas Brawijaya

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Abstract

The number of linens is insufficient, the cleanliness of the linen is lacking, and the inaccuracy of the time in linen services will affect the quality of hospital services. In addition, it has an impact on inefficient financing for linen needs and decreased patient satisfaction with linen services. Based on the results of research conducted at RSIA Puri Bunda Malang, it was found that there were still 108 linen incidents from the initial stock of linen 792. This research is a descriptive study that aims to find the root of the problem about what factors influence the loss of linen at RSIA Puri Bunda. From the results of the research conducted, there were several root problems that affected the missing linen in the inpatient unit, namely the absence of a hospital policy that regulated complete linen management techniques, weak evaluation monitoring, and inadequate linen management planning. The problem of the factors that influence the loss of linen in the inpatient unit of RSIA Puri Bunda Malang is the hospital management repairing and completing the existing linen management system or guidelines with a missing management monitoring and control system to make it more effective and efficient as well as strengthening the monitoring and evaluation functions under general manager coordination.
THE COMMUNITY’S STIGMA CAUSE OF DECREASE VISITING “X” HOSPITAL IN COVID-19 PANDEMIC Megawati, Devvy; Erzi’, Alfan; Ratri, Devita Rahmani
Jurnal Kedokteran Brawijaya Article in Press 2
Publisher : Fakultas Kedokteran Universitas Brawijaya

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Abstract

“X” hospital Tulungagung is a class D with madya accredited hospital in collaboration health BPJS. "X" hospital Tulungagung has a problem of decreasing the utilization bed in the Inpatient Unit during Covid-19 pandemic. These problems lead to decline of 32.5% income. Decreasing income has an impact on cash flow, increasing operating expenses, hospitals experiencing losses, and threatening the continuity of service operations. At "X" hospital Tulungagung the research aims to identify the root of problem and find the best solution based on the problem. The research at "X" hospital Tulungagung is mixed method research. Qualitative research method uses interviews and quantitative methods uses a questionnaire in totaling 164 samples with eta correlation test method. The results of the fishbone diagram analysis obtained the root of problem, namely community's stigma about Covid-19 pandemic and rapid test at the "X" Tulungagung hospital, Tulungagung Regency's had the policy for private hospitals not take care of Covid-19 patients, Prohibition to visiting families for inpatients, expensive operational costs of Covid-19 screening, and SDI's stigma regarding to care of Covid-19 patients. The most dominant root of problem is community's stigma about Covid-19 pandemic and rapid test at the "X" Tulungagung hospital. The efforts to enhance visits at "X" Tulungagung hospital, namely eliminating the stigma of society through the creation of an educational Starter Kit about Covid-19 protocol at "X" Tulungagung hospital, which is part of hospital health promotion.
FACTORS CAUSES OF STOCK OUT AND DRUG STAGNANT AT PHARMACY INSTALLATION OF HOSPITAL X MALANG Tri Utami, Ni Nyoman Ayu; Ratri, Devita Rahmani; Nuthea, Merry
Jurnal Kedokteran Brawijaya Article in Press 2
Publisher : Fakultas Kedokteran Universitas Brawijaya

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Abstract

Hospital pharmacy service is a supporting service as well as a revenue center in the hospital. More than 90% of hospital services use pharmaceutical supplies and 50% of hospital revenues come from managing pharmaceutical supplies. In the Covid-19 pandemic situation, the Pharmacy Installation must calculating the logistics management of the medicine properly. However, based on the hospitalization stock in May-July at X Hospital, there was still an incidence of stock out of 4.06% and stagnation of 2.44% due to poor drug procurement, which caused drug sales to decline. This study aims to analyze the factors that causing drug stock outs and stagnation in the Pharmacy Installation of X Hospital. This study uses a descriptive approach with data collection methods through observation, Focus Group Discussion (FGD), and a Likert scale questionnaire to get the root of the problem. Then the data was analyzed using the Fishbone Diagram and Pareto Diagram. The research subjects based on total sampling were all 11 staff of the Pharmacy Installation. The results obtained through the Fishbone Diagram are 13 root causes covering aspects of Man, Money, Method, Machine, Material, and Environment. The priority of the root cause of drug stock outs and stagnation in the Pharmacy Installation of X Hospital, namely HMIS is not optimal. Solutions that can be given are conducting intensive training for Pharmacy Installation staff in the use of HMIS, developing HMIS related to drug procurement, as well as repairing warehouse and pharmacy installation facilities and infrastructure.
Loss of Linen Stock at Puri Bunda Mother and Child Hospital: What Affects This? Drie, Ivan; Ratri, Devita Rahmani; Nuthea, Merry
Jurnal Kedokteran Brawijaya Vol. 31 Supplement 2 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2021.031.02.16s

Abstract

An insufficient number of linens, lack of linen cleanliness, and untimely linen provision will affect patient satisfaction, service quality, and hospital financing. Data at Puri Bunda Mother and Child Hospital Malang showed 108 linen loss incidents from the initial stock of 792 linens. This study was conducted to identify the factors that influence linen loss at Puri Bunda Mother and Child Hospital Malang. The root of the problems was identified through observations, interviews, and Focus Group Discussion (FGD) with the laundry staff, followed by analysis using a fishbone diagram and creating a Pareto diagram to select the main root of the problems. The study results indicate the absence of hospital policies that regulate the technical management of linen, weak evaluation monitoring, and inadequate linen management planning that contribute to the incidence of linen loss.
Causes of Decreasing Hospital Visit during the Covid-19 Pandemic Megawati, Devvy; Ratri, Devita Rahmani; Erzi, Alfan
Jurnal Kedokteran Brawijaya Vol. 31 Supplement 2 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2021.031.02.2s

Abstract

The problem of decreasing bed utilization resulted in a decrease in hospital income during the Covid-19 pandemic, including in a class D private hospital, Tulungagung, that experienced a 32.5% decrease in revenue. The decrease in hospital income has made the hospital suffer losses and, at the same time, threatened the cash flow, the operating expenses, and the continuity of service operations. The study was conducted to identify the root cause of the decreasing patient visits at the hospital. The research was conducted with a case study approach at a private hospital in Tulungagung in September and October 2020. The data were collected using a Focus Group Discussion (FGD) with eight respondents who were determined based on purposive sampling. Data were analyzed using Fishbone diagrams and priorities were set based on cumulative percentages. The public's stigma about hospitals during the Covid-19 pandemic and the cost of rapid tests are the two root causes that are suspected of contributing to the decline in patient visits at the hospital.
Factors Causing Stock-Outs and Drug Stagnation at Pharmacy Installation of Puri Bunda Mother and Child Hospital Malang Tri Utami, Ni Nyoman Ayu; Ratri, Devita Rahmani; Nuthea, Merry
Jurnal Kedokteran Brawijaya Vol. 31 Supplement 2 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2021.031.02.14s

Abstract

Hospital pharmacy service is a supporting service as well as a revenue center in a hospital. More than 90% of hospital services utilize pharmaceutical supplies, and 50% of hospital revenues originate from pharmaceutical supply management. In the Covid-19 pandemic situation, the pharmacy installation must calculate the logistics management of the medicine correctly. However, based on stocktaking in May-July at Puri Bunda Mother and Child Hospital, there were stock-outs (4.06%) and drug stagnation (2.44%) due to poor drug procurement, causing declining drug sales. This study analyzed the factors causing stock-outs and drug stagnation in the Pharmacy Installation of Puri Bunda Mother and Child Hospital. This study uses a descriptive approach with data collection methods using observations, Focus Group Discussion (FGD), and Likert-scale questionnaires to find the roots of the problems. The data were analyzed using the Fishbone Diagram and Pareto Diagram. The research subjects based on total sampling were all 12 staff of the Pharmacy Installation. The results obtained through the Fishbone Diagram were 13 root causes covering the aspects of Man, Money, Method, Machine, Material, and Environment. The priority of the root cause of stock-outs and drug stagnation in the Pharmacy Installation of Puri Bunda Mother and Child Hospital Malang is the suboptimal use of the Hospital Management Information System (HMIS). The possible solutions are conducting intensive training for Pharmacy Installation staff in using HMIS, developing HMIS related to drug procurement, as well as repairing warehouse and pharmacy installation facilities and infrastructure.
Hubungan Kompetensi Kader Posyandu dalam Pelayanan Balita dengan Capaian Pelayanan Gizi Balita di Desa Gunungrejo Kecamatan Singosari Suhailah, Wildatus; Fransiska, Ratna Diana; Ratri, Devita Rahmani
Journal of Issues in Midwifery Vol. 9 No. 1 (2025): Volume 9 No 1
Publisher : Journal of Issues in Midwifery

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.JOIM.2025.009.01.4

Abstract

ABSTRAKLatar Belakang: Berdasarkan riset dari (SSGI) pada tahun 2022 mengenai status gizi balita di Indonesia, prevalensi stunting di Indonesia 21,6%, overweight 3,5%, underweight 17,1% dan wasting 7,7%. Pemantauan status gizi balita dilaksanakan melalui penimbangan bulanan di posyandu dengan mengacu pada parameter SKDN. Salah satu parameter yang digunakan ialah N/D (persentase anak yang mengalami kenaikan berat badan dibandingkan dengan total anak yang diperiksa). Indikator N/D pada tahun 2022, di desa Gunungrejo hanya mencapai 52,9%. Kader posyandu diharapkan memiliki kompetensi yang baik dalam melakukan pelayanan karena dengan kompetensi yang baik bisa mengentaskan masalah gizi pada balita. Tujuan: untuk mengetahui hubungan kompetensi kader posyandu dalam pelayanan balita dengan capaian pelayanan gizi balita di posyandu. Metode: menggunakan desain penelitian kuantitatif dengan jenis penelitian observasional dan menggunakan pendekatan cross sectional serta dianalisis dengan metode spearman. Pengambilan data pada penelitian ini menggunakan kuisioner kompetensi kader posyandu dalam pelayanan balita dan kuisioner capaian pelayanan gizi balita. Besar sampel diambil menggunakan pendekatan purposive sampling, dan mendapatkan hasil 70 sampel ibu balita. Hasil: terdapat korelasi yang signifikan antara kompetensi kader posyandu dan capaian pelayanan gizi balita. Dari hasil analisis didapatkan bahwa responden menilai kompetensi kader posyandu dalam pelayanan balita dengan kategori baik 28 (40,0%), cukup 19 (27,1%) dan kurang 23 (32,9%). Kemudian, capaian pelayanan gizi balita dengan kategori baik 27 (38,6%), cukup 18 (25,7%), kurang 25 (35,7%). Selanjutnya, terdapat hubungan kompetensi kader posyandu dalam pelayanan balita dengan capaian pelayanan gizi balita dengan (pvalue 0,002) dan korelasi koefisien sebesar 0.365 menunjukkan kedua hubungan variabel tersebut lemah dikarenakan kompetensi kader posyandu merupakan faktor eksternal dalam capaian pelayanan gizi balita. Kesimpulan: terdapat hubungan antara kompetensi kader posyandu dalam pelayanan balita dan capaian pelayanan gizi balita di Desa Gunungrejo Kecamtan Singosari.Kata kunci : kompetensi, kader, posyandu, gizi, balita
EFFECT OF WORKLOAD ON NURSES’ PERFORMANCE IN DELIVERING NURSING CARE IN LOW CARE INPATIENT UNITS OF DR. SAIFUL ANWAR HOSPITAL EAST JAVA PROVINCE: THE MODERATING ROLE OF WORK VALUES Hidayati, Khusnul; Wardhani, Viera; Ratri, Devita Rahmani
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

High workloads, the complexity of nursing tasks, declining care quality, increased risk of medical errors, and reduced patient satisfaction are persistent challenges in hospitals that require strategic solutions.  Work values may serve as motivational factors that encourage nurses to perform optimally, particularly under stressful conditions. This study aimed to analyze the effect of workload on nurse performance in delivering nursing care in low-care inpatient units, by considering work value as a potential moderating variable. This observational analytical study used a cross-sectional design. Data were collected from 195 nurses using proportional cluster random sampling based on unit assignment. Instruments included a demographic questionnaire, NASA-TLX to assess workload, an adapted career value scale to evaluate work values, and a nurse performance questionnaire developed from nursing practice standards. Data collection was conducted via Google Forms, and Partial Least Squares (PLS) moderation analysis was used to examine the relationships between variables. The results showed that most nurses experienced a moderate workload (49.7%) and demonstrated sufficient performance (78.5%). The highest contributing work value dimensions were intrinsic value and the competence sub-dimension. Workload and work value had a significant direct effect on nurse performance, but work value did not moderate the relationship between workload and performance. In conclusion, increased workload and stronger work values are associated with improved nurse performance.
THE EFFECT OF ANXIETY LEVEL ON BURNOUT MODERATED BY WORK MOTIVATION OF NURSES IN THE INTEGRATED INFECTION SERVICE INSTALLATION AT DR. SAIFUL ANWAR HOSPITAL Suyanto, Suyanto; Ahsan; Ratri, Devita Rahmani
Journal of Community Health and Preventive Medicine Vol. 5 No. Issue Supplement 1 (2025): JOCHAPM Vol. 5, Issue Supplement 1, March 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

The nursing profession plays a crucial role in healthcare, requiring both physical and psychological preparedness. Registered nurses (RNs) specializing in infectious disease care are particularly vulnerable to heightened anxiety due to the physical demands of their work, uncertainty in patient care, and the risk of infection. Prolonged exposure to these stressors can lead to burnout, ultimately compromising the quality of patient care. This study examines the effect of anxiety levels on burnout, with work motivation as a moderating variable, among nurses in the Integrated Infection Service Installation at Saiful Anwar Hospital. This study employs an observational analytic approach, utilizing a cross-sectional design. The data were collected from 72 nurses through a questionnaire and analyzed using the Moderated Regression Analysis (MRA) method. The results indicate a significant positive association between anxiety levels and burnout (path coefficient = 0.803, t-statistic = 4.965, p = 0.000), while work motivation exhibited a significant negative effect on burnout (path coefficient = -0.405, t-statistic = 3.160, p = 0.002). Additionally, work motivation moderated the relationship between anxiety and burnout, mitigating its impact (path coefficient = 0.179, t-statistic = 2.134, p = 0.033). These findings underscore the importance of fostering a work environment that enhances motivation through performance-based rewards, professional training, and collaborative relationships. Furthermore, integrating anxiety management programs, such as counseling and mindfulness training, is essential for reducing anxiety and preventing burnout among nurses working in infectious disease care settings.
Co-Authors Ahsan Asfi Manzilati Drie, Ivan DRIE, IVAN - Dwi Ratna Sari, Dwi Ratna Erzi, Alfan Erzi’, Alfan Harjayanti, Nofita Dwi Hasyim, Mafrurrochim Hidayati, Khusnul Jimmy S., Rifdinia Bregita Megawati, Devvy Nuthea, Merry Nuthea, Merry - Rahmawati, Tri Wahyuning Ratna Diana Fransiska Suhailah, Wildatus Suyanto Suyanto Tita Hariyanti Tri Utami, Ni Nyoman Ayu Viera Wardhani Widodo Mardi Santoso, Widodo Mardi Wulandari, Meidina