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Peran Kepemimpinan Dalam Implementasi Patient Centered Care Terhadap Motivasi Kerja Perawat Olivia Talahatu; Fandro Armando Tasijawa
MOLUCCAS HEALTH JOURNAL Vol 3, No 3 (2021): Desember
Publisher : Lembaga Penerbitan Fakultas Kesehatan Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/mhj.v3i3.817

Tujuan penelitian ini untuk mengetahui peran kepemimpinan dalam implementasi Patient Centered Care atau disingkat PCC terhadap motivasi kerja perawat. Metode dalam penelitian ini menggunakan desain observasional analytical dengan pendekatan cross sectional. Hasil dari penelitian ini : Adanya pengaruh implementasi PCC terhadap motivasi kerja perawat di RS Bhayangkara TK I Said Sukanto Jakarta Timur. Simpulan: Peran kepemimpinan merupakan peran pada implementasi PCC yang paling utama dan paling dominan dalam meningkatkan motivasi kerja perawat di RS Bhayangkara TK I Said Sukanto Jakarta Timur.

"It Feels Different": A Qualitative Study of Schizophrenic Client Couples About Sexuality Meyke Rosdiana; Fandro Armando Tasijawa
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

One of the basic needs of human life is sexuality. Sexuality in schizophrenic clients has not been explored optimally by researchers and health workers in hospitals or health centers. Various previous studies have explored antipsychotic drugs that cause sexual dysfunction. However, the experience of intimacy and sexual relations between schizophrenic clients and their partners is not necessary to help maintain relationships that positively impact schizophrenia recovery. The method used in this research is qualitative research with a phenomenological approach. This research was conducted from August to September 2022 at the Outpatient Poly Hospital, Dadi Makassar Hospital. Seven participants were recruited using purposive sampling. Participants were interviewed in depth using a voice recorder, transcribed the data, validated, and analyzed using the Colaizzi method. The results of this study found three themes, namely (1) caring for a partner because of love, (2) "it feels different" during sexual intercourse, and (3) the quality of sexual intercourse decreases due to drugs. New insights in this study about caring for a partner because of love, can inspire others to care for clients with sincerity, sincerity, and complete love regardless of the disease. This study also identifies problems that must be resolved by every health worker to be comprehensive in sexual assessment and intervention for schizophrenic clients and their partners. Abstrak: Salah satu kebutuhan dasar kehidupan manusia adalah seksualitas. Seksualitas pada klien skizofrenia belum dieksplorasi secara maksimal oleh peneliti dan tenaga kesehatan di rumah sakit ataupun puskesmas. Berbagai penelitian sebelumnya telah mengeksplorasi obat antipsikotik yang menyebabkan terjadinya disfungsi seksual. Namun, pengalaman keintimanan dan hubungan seksual klien skizofrenia serta pasangannya belum diteliti untuk membantu menjaga hubungan intim yang berdampak positif bagi recovery skizofrenia. Metode yang digunakan dalam penelitian ini yaitu penelitian kualitatif dengan pendekatan fenomenologi. Penelitian ini dilaksanakan pada bulan Agustus sampai September 2022 di Poli Rawat Jalan rumah sakit Dadi Makassar. Tujuh partisipan direkrut menggunakan purposive sampling. Partisipan diwawancarai mendalam menggunakan voice-recorder, data ditranskripsi, divalidasi, dan dianalisis menggunakan metode Colaizzi. Hasil penelitian ini menemukan tiga tema, yaitu (1) merawat pasangan karena cinta, (2) “rasanya beda” saat berhubungan seksual, (3) kualitas berhubungan seksual menurun karena obat. New insight dalam penelitian ini tentang ‘merawat pasangan karena cinta”, hal ini dapat menginspirasi orang lain dalam proses merawat klien dengan tulus, ikhlas dan cinta yang utuh tanpa melihat penyakitnya. Penelitian ini juga mengidentifikasi masalah yang harus diselesaikan oleh setiap tenaga kesehatan agar komprehensif dalam pengkajian dan intervensi seksual kepada klien skizofrenia dan pasangannya.

Is Adolescent Fertility High in Maluku Province? Indonesian Demographic and Health Survey (IDHS) Data Analysis in 2017 Fandro Armando Tasijawa; Jino Tehusalawany; Vernando Yanry Lameky; Alisye Siahaya; Indah Benita Tiwery
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 3: September 2021
Publisher : Universitas Aisyah Pringsewu

Adolescent fertility becomes an important issue for it gives an impact on education, employment, economic status, gender inequality, and poor health or death. The evidence was based on research to improve adolescent sexual and reproductive health. However, the matter of adolescent fertility was not well-known in Maluku Province. The importance of this problem to be investigated is related to what factors cause the high incidence of adolescent fertility in Maluku Province. The method used in this study was the quantitative approach of 2017 IDHS secondary data analysis which has received approval from the ICF Institutional Review Board. The population of this study were all female adolescents aged 15-19 years old in Maluku with a total sample of 371 respondents. The data analysis in this study consisted of univariate, bivariate and multivariate analysis. The results showed that the proportion of adolescent fertility in Maluku Province was 9,7%. It was found statistically that the variables of age, education, area of residence, marital status, contraceptive use and economic status had a significant relationship with adolescent fertility (p-value less than 0,05). This study also showed that the variable of age became the most dominant variable affecting the incidence of adolescent fertility.Abstrak: Fertilitas remaja menjadi isu penting karena berdampak pada pendidikan, pekerjaan, status ekonomi, ketidaksetaraan gender, dan kesehatan yang buruk atau kematian. Evidence based melalui penelitian untuk meningkatkan kesehatan seksual dan reproduksi remaja perlu ditingkatkan. Namun, masih terbatas yang diketahui tentang fertilitas remaja di Provinsi Maluku. Pentingnya permasalahan ini untuk diteliti terkait faktor-faktor apa saja yang menyebabkan tingginya kejadian fertilitas remaja di Provinsi Maluku. Metode pada penelitian ini menggunakan pendekatan kuantitatif analisis data sekunder SDKI tahun 2017 yang telah mendapat persetujuan dari ICF Institutional Review Board. Populasi penelitian ini adalah seluruh remaja wanita berusia 15-19 tahun di Maluku dengan total sampel 371 responden. Analisis data dalam penelitian ini terdiri dari analisis univariat, bivariat dan multivariat. Hasil penelitian menunjukkan proporsi fertilitas remaja di Provinsi Maluku sebesar 9,7%. Ditemukan secara statistik variabel umur, pendidikan, daerah tempat tinggal, status pernikahan, penggunaan kontrasepsi dan status ekonomi memiliki hubungan yang signifikan dengan fertilitas remaja (p-value kurang dari 0.05). Penelitian ini juga menunjukkan variabel umur menjadi variabel yang paling dominan mempengaruhi kejadian fertilitas remaja.

SIDIK SIAMA: An instrument for Risk Detection of Stunting Since Pregnancy Devita Madiuw; Feby Manuhutu; Adriana Sainafat; Zasendy Rehena; Vanny Leutualy; Fandro Armando Tasijawa; Valensya Yeslin Tomasoa; Dian Thiofany Sopacua; Joan Herly Herwawan; Arthur Huwae
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Stunting problems need to be detected early so that the interventions given can reduce long-term effects. One of the reasonable periods to detect the risk of stunting is pregnancy. Ironically, there has not been an instrument to detect the risk of stunting since pregnancy. This study aims to develop and test the validity of an instrument for early detection of stunting risk since pregnancy (SIDIK SIAMA). Instrument development uses the seven stages of development from Roberth DeVellis (2017). A total of 20 women were involved in pre-testing, and 100 pregnant women were involved in instrument testing. Based on a literature search, 28 articles were used to construct the item pool and produce 10 items to be tested for validity and reliability. Content validity uses the content validity index (CVI) and construct validity used principal component analysis (PCA). Alpha Cronbach is used to test the reliability of the instrument. The validity test results showed that there were 9 valid and reliable items, with a CVI of 1 and a Measure of Sampling Adequacy (MSA) value of less than 0.5, and a Cronbach Alpha value of 0.682. Thus, the SIAMA SIDIK instrument has achieved good validity and reliability so that it can be used to detect the risk of stunting since pregnancy. Abstrak: Permasalahan stunting perlu dideteksi sejak dini, sehingga intervensi yang diberikan dapat mengurangi efek jangka panjang. Salah satu periode tepat untuk mendeteksi risiko stunting yaitu sejak kehamilan, ironisnya belum teridentifikasi instrumen untuk mendeteksi risiko stunting sejak masa kehamilan. Penelitian ini bertujuan untuk mengembangkan dan menguji validitas instrumen deteksi dini risiko stunting sejak kehamilan (SIDIK SIAMA). Pengembangan instrumen menggunakan tujuh tahapan pengembangan dari Roberth DeVellis (2017). Sebanyak 20 wanita terlibat dalam pre-testing dan 100 wanita hamil terlibat dalam pengujian instrumen. Berdasarkan pencarian literatur, 28 artikel digunakan untuk menyusun item pool dan menghasilkan 10 item untuk diuji validitas dan reliabilitas. Validitas isi menggunakan content validity index (CVI) dan validitas konstruk menggunakan principal component analysis (PCA). Alpha Cronbach digunakan untuk menguji reliabilitas instrumen. Hasil uji validitas menunjukan sebanyak 9 item valid dan reliabel, dengan CVI adalah 1 dan nilai Measure of Sampling Adequacy (MSA) kurang dari 0.5, serta nilai Cronbach Alpha adalah 0.682. Dengan demikian, instrumen SIDIK SIAMA telah mencapai validitas dan reliabilitas yang baik, sehingga dapat dipakai untuk mendeteksi risiko stunting sejak kehamilan.

Recovery from ‘schizophrenia’: Perspectives of mental health nurses in the Eastern island of Indonesia Tasijawa, Fandro Armando; Suryani, Suryani; Sutini, Titin; Maelissa, Sinthia Rosanti
Belitung Nursing Journal Vol. 7 No. 4 (2021): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1621

Background: Recovery is a way of life to make people’s lives more meaningful by working and interacting socially in the community. The recovery has become a new vision of mental health services, including in persons with schizophrenia. However, this concept is relatively new and still limited to nurses in developing countries, such as Indonesia. Several studies among nurses related to this topic have been conducted in the Western part of Indonesia. Yet, no studies have been implemented in the Eastern part of Indonesia. Therefore, exploring nurses’ perspectives in the Eastern island of Indonesia is necessary to provide a complete understanding of recovery in patients with schizophrenia.Objective: To explore the perspectives of mental health nurses on recovery from schizophrenia. Methods: This was a qualitative study using a phenomenological design. The study was conducted from April to May 2020 at community health centers in Maluku, Indonesia. Eight nurses recruited using purposive sampling participated in in-depth interviews. The interviews were audio-recorded, transcribed verbatim, validated, and analyzed based on Colaizzi’s method of data analysis.Results: Five themes were generated, including (i) treat a patient like a brother, (ii) recovery as an unfamiliar term with various meanings, (iii) medication as the primary action but also the main problem, (iv) being recovered if referred to a mental hospital, and (v) ineffective mental health programs.Conclusion: The findings of this study can be used as an input and evaluation for nurse managers to make an effort to uniform the perception among nurses in Indonesia regarding the recovery process in schizophrenia. It is also suggested that community health centers leaders and mental health policymakers prioritize and optimize recovery-oriented mental health programs and services in the Eastern island of Indonesia. Additionally, the findings offer new insight about ‘we are brothers’ or called ‘hidop orang basudara’, which is expected to be one motto for nursing care in Indonesia and beyond.

Optimalisasi Penerapan Sanitasi Total Berbasis Masyarakat (STBM) Melalui Program Pemberdayaan Pada Masyarakat (PPM) Pugesehan, Donny Japly; Tasijawa, Fandro Armando; Leutualy, Vanny; Madiuw, Devita; Lesnussa, Rio Harly; Tupamahu, Ganezia M; Kakiay, Mitha Loudia; Bartholomeus, Yakomince; Yusak, Olivya; Alfons, Sheila; Huwae, Harlen; Pembuain, Damiaris; Setiawan, Rafi; Sahetapy, Friska
Aksiologiya: Jurnal Pengabdian Kepada Masyarakat Vol 8 No 2 (2024): Mei
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/aks.v8i2.12854

Masalah kesehatan masyarakat Indonesia yang membutuhkan perhatian, salah satunya yaitu diare. Hal ini terlihat dari meningkatnya kasus diare dari tahun ke tahun. Pemerintah telah berupaya dengan berbagai program. Salah satu program yang menjadi kebijakan nasional yaitu Sanitasi Total Berbasis Masyarakat (STBM). STBM merupakan program untuk meningkatkan kesadaran, kepedulian masyarakat terkait kesehatan lingkungan tempat tinggal. Namun, analisis situasi di Desa Sehati masih ditemukan ada keluarga yang tidak menggunakan jamban dan buang air besar sembarangan, serta kejadian diare yang masih cukup tinggi. Kegiatan untuk mengoptimalisasi kesehatan lingkungan dilakukan dengan 4 program berkelanjutan sebagai bagian dari pengabdian kepada masyarakat yaitu analisis situasi 5 pilar STBM, rancangan program bersama dengan masyarakat, sosialisasi oleh dinas kesehatan, dan implementasi program pada pilar 1, 2 dan 4. Kegiatan ini dilaksanakan pada tanggal 11-19 November 2021 dengan melibatkan dinas kesehatan Kabupaten Maluku Tengah, Camat Amahai, Staf Pemerintah Desa Sehati, tokoh masyarakat, tokoh agama, tokoh pemuda, dan masyarakat. Hasil kegiatan didapatkan bahwa masyarakat terlibat dalam implementasi program dari sosialisasi STBM, siswa SD menunjukkan antusias dan adanya perubahan sebelum dan setelah dilakukan pelatihan. Kegiatan ini juga dilakukan pemasangan tanda larangan membuang sampah dan pembuatan tempat sampah. Kegiatan ini diharapkan dapat menjadi kunci penambahan pemahaman, kesadaran dan mengubah perilaku masyarakat tentang pentingnya kesehatan lingkungan.

Optimalisasi Penerapan Sanitasi Total Berbasis Masyarakat (STBM) Melalui Program Pemberdayaan Pada Masyarakat (PPM) Pugesehan, Donny Japly; Tasijawa, Fandro Armando; Leutualy, Vanny; Madiuw, Devita; Lesnussa, Rio Harly; Tupamahu, Ganezia M; Kakiay, Mitha Loudia; Bartholomeus, Yakomince; Yusak, Olivya; Alfons, Sheila; Huwae, Harlen; Pembuain, Damiaris; Setiawan, Rafi; Sahetapy, Friska
Aksiologiya: Jurnal Pengabdian Kepada Masyarakat Vol 8 No 2 (2024): Mei
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/aks.v8i2.12854

Masalah kesehatan masyarakat Indonesia yang membutuhkan perhatian, salah satunya yaitu diare. Hal ini terlihat dari meningkatnya kasus diare dari tahun ke tahun. Pemerintah telah berupaya dengan berbagai program. Salah satu program yang menjadi kebijakan nasional yaitu Sanitasi Total Berbasis Masyarakat (STBM). STBM merupakan program untuk meningkatkan kesadaran, kepedulian masyarakat terkait kesehatan lingkungan tempat tinggal. Namun, analisis situasi di Desa Sehati masih ditemukan ada keluarga yang tidak menggunakan jamban dan buang air besar sembarangan, serta kejadian diare yang masih cukup tinggi. Kegiatan untuk mengoptimalisasi kesehatan lingkungan dilakukan dengan 4 program berkelanjutan sebagai bagian dari pengabdian kepada masyarakat yaitu analisis situasi 5 pilar STBM, rancangan program bersama dengan masyarakat, sosialisasi oleh dinas kesehatan, dan implementasi program pada pilar 1, 2 dan 4. Kegiatan ini dilaksanakan pada tanggal 11-19 November 2021 dengan melibatkan dinas kesehatan Kabupaten Maluku Tengah, Camat Amahai, Staf Pemerintah Desa Sehati, tokoh masyarakat, tokoh agama, tokoh pemuda, dan masyarakat. Hasil kegiatan didapatkan bahwa masyarakat terlibat dalam implementasi program dari sosialisasi STBM, siswa SD menunjukkan antusias dan adanya perubahan sebelum dan setelah dilakukan pelatihan. Kegiatan ini juga dilakukan pemasangan tanda larangan membuang sampah dan pembuatan tempat sampah. Kegiatan ini diharapkan dapat menjadi kunci penambahan pemahaman, kesadaran dan mengubah perilaku masyarakat tentang pentingnya kesehatan lingkungan.

Analisis Recovery Orang Dengan Gangguan Jiwa di Kepulauan Maluku Tasijawa, Fandro Armando; Suryani; Ratumanan, Tanwey Gerson; Nanuru, Ricardo Freedom; Tuhuteru, Hennie; Makaruku, Alfian Reymon; Nivaan, Goldy Valendria; Tomasoa, Valensya Yeslin; Leutualy, Vanny; Madiuw, Devita; Herwawan, Joan Herly; Hentihu, Emma Khumairah
KAMBOTI: Jurnal Sosial dan Humaniora Vol. 4 No. 1 (2023): KAMBOTI: Jurnal Sosial dan Humaniora
Publisher : Lembaga Layanan Pendidikan Tinggi Wilayah XII

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51135/kambotivol4issue1page13-22

Mental health is still an issue that has not received optimal attention from various parties. It is because there is a large treatment gap with most mental illness disorders not yet detected, there are still many health workers who have not been trained in mental health screening and management programs, and the treatment gap means that many People With Mental Illness (ODGJ) have not treated. This requires an analysis of recovery in the Maluku Islands region to give meaning to the lives of ODGJ even though they experience relapse. The research aims to analyze the recovery of ODGJ in the Maluku Islands region. This research used a cross-sectional approach with 268 respondents spread across five districts/cities of the Maluku Islands. The data analysis used in this research is univariate, bivariate, and multivariate. The research results show that most respondents live in Central Maluku (29.5%). In the bivariate analysis, it was found that the variables gender, religion, marital status, education level, duration of suffering from schizophrenia, living in the same house, drug consumption, and visits to the health center were significantly related to ODGJ recovery (p<0.05). Meanwhile, the variables' age and distance from home to the health center showed a statistically insignificant relationship with ODGJ recovery (p>0.05). Meanwhile,multivariate analysis shows that ODGJ living at home is the strongest predictor (OR=8.295, 95% CI=4.441-10.172) among other variables that influence the recovery of ODGJ in the Maluku Islands. The findings of this research are crucial for developing interventions and policies to promote institutional recovery in the Maluku Islands.

Mental Illness During Pregnancy: Schizophrenic Couples' Perspectives on Pregnancy Tasijawa, Fandro Armando; Herwawan, Joan Herly; Madiuw, Devita
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 2 (2024): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i2.2351

Schizophrenic patients during pregnancy have significant consequences such as gestational diabetes (especially when taking antipsychotics), gestational hypertension, venous thromboembolism, fetal growth restriction, stillbirth, premature delivery, and fetal anomalies. The quality of life of schizophrenic patients during pregnancy will never be realized without the support of all parties, including their partners. This study aims to explore the schizophrenic couple's perspective on pregnancy. The method used in this research is qualitative research using a descriptive phenomenological approach. Data collection techniques used 30-45 minutes of in-depth interviews and were analyzed using Colaizzi's seven stages. The results of this study found three themes, namely (1) sincerity in caring for those in distress, (2) Belief in God's destiny, and (3) Fear of having a child with a mental disorder. New insights in this research about 'sincerity in caring for in distress' can provide inspiration that there is still sincerity in caring for a sick partner in a difficult life. This research encourages health workers, especially nurses, to provide holistic and comprehensive health services to their partners.

Evaluasi Kinerja Instalasi Rehabilitasi Medik Berbasis Balanced Scorecard di Rumah Sakit Umum Indonesia Jotlely, Herly; Herwawan, Joan Herly; Nindatu, Maria; Tasijawa, Fandro Armando
Jurnal Keperawatan Florence Nightingale Vol 8 No 2 (2025)
Publisher : Sekolah Tinggi Ilmu Kesehatan Stella Maris Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52774/jkfn.v8i2.430

Medical rehabilitation services are one of the key pillars of the healthcare system, particularly in supporting patient recovery and preventing long-term disability. However, this unit often receives insufficient attention in hospital performance evaluations. This study aims to assess the performance of the Medical Rehabilitation Unit at RSUD Dr. M. Haulussy using the Balanced Scorecard (BSC) approach, which comprises four perspectives: learning and growth, internal business processes, customers, and finances. A quantitative research design was employed using questionnaire instruments and descriptive analysis involving 50 employee respondents and 100 patients. The findings show that, within the learning and growth perspective, there is a commitment to human resource development through training, although access to such opportunities remains uneven. The internal business process perspective highlights weaknesses in service innovation, adequacy of facilities, and continuity of patient care. From the customer perspective, the unit demonstrates a broad market share and a strong growth rate of new patients; however, patient retention and satisfaction levels remain moderate. In the financial perspective, the unit’s contribution to overall hospital revenue is still low (16%), despite clear potential for developing new services. Overall, the BSC evaluation indicates that the Medical Rehabilitation Unit is performing at a moderately good level but requires improvements in facilities, service innovation, staff engagement, and financial strategies to enhance service quality and strengthen its contribution to the hospital.

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