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Caregiving experiences among parents of children with physical and intellectual disabilities: a qualitative systematic review Mundakir, Mundakir; Choliq, Idham; Sukadiono, Sukadiono; Fitriyani, Vika Ramadhana; Firman, Firman
Jurnal Ners Vol. 19 No. 3 (2024): AUGUST 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i3.55282

Abstract

Introduction: This study aimed to identify caregiver experiences encountered by parents of children with physical and intellectual disabilities. Methods: The study used a systematic review method with the guidelines of Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) and PRISMA 2020. The review focused on parents caring for children with physical and intellectual disabilities. The literature was searched for relevant studies from five electronic databases including PubMed, CINAHL, Web of Science (core collection), Cochrane, and Scopus. This systematic review examined 14 articles out of a total of 63,400 articles found. The study used a thematic analysis method to analyze the study. Results: Providing care for children with physical and intellectual disabilities requires addressing a variety of challenges. It is critical to have a comprehensive understanding of these intricacies to ensure that families receive the necessary support and interventions. Our synthesis identified seven themes: (1) gendered and emotional experiences, (2) compromising quality of life: physical and psychological impact, (3) lack of knowledge about disabilities, (4) lack of social support, (5) stigma, (6) uncertain future of the recipient, and (7) unavoidable caregiving responsibility. Conclusions: The results of this study provide recommendations that health professionals and researchers further explore these challenges and strive to build a supportive and inclusive environment that recognizes the unwavering dedication of parents and prioritizes the optimal care and development of children with disabilities. Keywords: children, disability, parent, qualitative systematic review
A Literature Review: Factors Affecting Parental Behaviour in Early Detection of Children with Retinoblastoma Qur'aniati, Nuzul; Sutianingsih, Sutianingsih; Kurnia, Iqlima Dwi; Rachmawati, Praba Diyan; Mundakir, Mundakir
Holistic Nursing and Health Science Vol 7, No 2 (2024): November (Issue in progress)
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.7.2.2024.71-87

Abstract

Introduction: In Indonesia, retinoblastoma is a type of cancer with a high incidence and is the most common cause of death after leukaemia. Early detection of retinoblastoma in children is a health practise that involves identifying or screening for retinoblastoma symptoms in order to avoid consequences. However, a delay in early detection contributes to the high prevalence of disease metastases and negative consequences. This literature review aims to look at the factors affecting parental behaviour in early detection of children with retinoblastoma.Methods: This literature review searched three databases, including Web of Science, PubMed, and Google Scholar, for publications published between 2016 and 2020. The PICOS framework was utilised to set inclusion criteria while reviewing papers. The 14 papers fulfilled the inclusion criteria and. The Joanna Briggs Institute Critical Appraisal were utilised to assess study quality.Results: The review's findings revealed that parental behaviour in early detection of children with retinoblastoma is influenced by internal and external factors. The internal factors include parents' or caregiver' socioeconomic status, level of education, individual beliefs, and the age at which a child receives his or her initial diagnosis. Then, the examples of external factors include distance, the support of a healthcare provider, and the source of health information.Discussion: Internal and environmental factors influence parental behaviour in the early detection and treatment of retinoblastoma. Early detection of retinoblastoma can be sped up by providing information about early symptoms, time of diagnosis, risk factors, complications, and therapy.
Sosialisasi penggunaan Aplikasi Satu Data Kesehatan (ASDK) Untuk Implementasi Sistem Pencatatan Integrasi Pelayanan Kesehatan Primer (ILP) Di Kabupaten Tulungagung Asri; Mundakir; Alfian, Afan; Aziz, M. Aminudin
Indonesian Academia Health Sciences Journal Vol 5 No 1 (2024): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v5i1.25855

Abstract

The socialization of the Health Single Data Application (ASDK) in Tulungagung Regency aims to enhance the integration of primary healthcare service (ILP) recording through the utilization of information technology. This activity was conducted on June 15, 2024, involving 50 healthcare workers from various community health centers. The methods used included intensive training, data recording simulations, and evaluation through pre-test and post-test assessments. The evaluation results indicated a significant improvement in participants' understanding, with 85% reporting increased proficiency in using ASDK. Additionally, the participants' enthusiasm during the training sessions demonstrated the effectiveness of interactive approaches and the use of visual media. The main challenges in implementing ASDK were the lack of human resource readiness and uneven technological infrastructure. Therefore, recommendations included regular training and the development of more user-friendly ASDK features. As a result, the ASDK socialization successfully improved the efficiency and accuracy of health data recording, supporting the creation of more integrated and responsive primary healthcare services in Tulungagung Regency.
PKM Pemberdayaan Ibu dan kader Posyandu Melalui Aplikasi N’care dalam Mencegah Stunting di Posyandu Intan Putih, Kejawan Putih Tambak Surabaya Hakim, Lukman; Ariani, Betty; Mundakir, Mundakir; Nasrullah, Dede; Rohman, M.Taufiqur; Fauziana, Windyanisa Afifah; Solikah, Amanat
Jurnal SOLMA Vol. 14 No. 1 (2025)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v14i1.17629

Abstract

Background: Stunting merupakan suatu kondisi dimana berat dan tinggi badan anak yang tidak sesuai dengan standar usia. Beberapa faktor penyebab stunting adalah kurangnya asupan gizi, buruknya kebersihan dan sanitasi, serta infeksi penyakit. Kegiatan PKM ini bertujuan untuk meningkatkan kemandirian belajar ibu binaan dan kader Posyandu Intan putih tambak dalam edukasi pencegahan stunting, sehingga harapannya kasus stunting dapat dicegah sejak dini bagi putra-putri warga Kejawan Putih tambak Surabaya. Mitra program PKM ini adalah Posyandu Intan Putih, Kejawan Putih, Tambak, Surabaya. Kader posyandu mengalami berbagai kendala seperti sulitnya sosialisasi pemenuhan gizi dan bahaya stunting kepada peserta posyandu, serta ketidaksesuaian data adminitrasi penyintas stunting. Kegiatan administratif masih dilakukan secara manual dan dinilai tidak efektif. Metode: Metode pelaksanaan program ini terdiri dari 5 tahap yaitu tahap persiapan, tahap implementasi, tahap monitoring dan evaluasi, tahap penyusunan laporan pelaksanaan kegiatan dan keberlanjutan program. Hasil: Penerapan aplikasi N’Care berhasil meningkatkan pemahaman kader posyandu dan ibu tentang pencegahan stunting melalui akses informasi yang lebih mudah dan praktis. Hasil evaluasi menunjukkan adanya peningkatan pengetahuan mereka mengenai faktor penyebab stunting dan langkah-langkah pencegahannya. Kesimpulan: Aplikasi N’Care dapat digunakan sebagai media penyimpanan data peserta posyandu dan penyintas stunting. Aplikasi N’Care juga dilengkapi dengan materi edukasi seputar ibu dan anak yang mampu membantu kader posyandu serta peserta untuk dapat belajar secara mandiri.
The Psychosocial Experiences in Ex-Leprosy Patients: A Qualitative Study Mohammad Jufriyanto; Ah Yusuf; Mundakir Mundakir
STRADA : Jurnal Ilmiah Kesehatan Vol. 9 No. 2 (2020): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v9i2.380

Abstract

Ex-leprosy is a leprosy patient who has undergone treatment and is declared cured from a medical examination. The ex-leprosy have psychological and social problems due to disability and community stigma, caused them difficulty in re-socializing with the community. The aim is to identify the psychosocial experiences of ex leprosy in living their social life. This research is a phenomenological descriptive qualitative research method. The number of participants in this study were twelve using purposive sampling. Data collection using in-depth interviews and field notes, analyzed by the Collaizi method. This study produced six main themes, Social stigma, Support system, Able to do activities, Response to stress, Coping strategies, and Social support. Participants' social activity after recovering from leprosy has increased although there is still a stigma in some communities. Support from family and community is needed as well as good coping mechanisms for ex leprosy patients.
Parenting self-efficacy mediates relationship between caregiving burden and parenting stress among parents of adolescents with disabilities: a cross-sectional study Mundakir, Mundakir; Choliq, Idham; Sukadiono, Sukadiono; Vika , Ramadhana Fitriyani; Firman, Firman
Jurnal Ners Vol. 20 No. 2 (2025): VOLUME 20 ISSUE 2 MAY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i2.68276

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Introduction: The study examines the role of parenting self-efficacy as a mediator in the relationship between caregiver burden and parenting stress. Methods: A cross-sectional study was conducted with 204 parents of children with disabilities. Data were collected using self-administered questionnaires, including the General Information Questionnaire, Zarit Burden Interview Questionnaire, Parenting Sense of Competence Scale (PSOC Scale), and Parenting Stress Index. Data analysis included multiple linear regression and Hayes’s PROCESS Macro. Results: The mean scores for caregiving burden, parenting self-efficacy, and parenting stress were 16.98 (SD = 10.10), 31.03 (SD = 6.72), and 61.72 (SD = 12.84), respectively. Parenting stress was negatively correlated with parenting self-efficacy (r = –0.35, p < 0.001). The findings reveal that caregiving burden significantly reduces parenting self-efficacy (B = −0.16, p < 0.001), which in turn lowers the ability of caregivers to manage stress (B = −0.48, p < 0.001). While caregiving burden has a direct effect on parenting stress (B = 0.07, p < 0.001), the total impact, including both direct and indirect influences, remains significant (B = 0.52, p < 0.001) with mediation percentages of 12.9%. Conclusions: The findings suggest that strategies to enhance parenting self-efficacy could significantly reduce the negative impact of caregiving burden on parenting stress. By improving self-efficacy, caregivers may better manage stress, highlighting the importance of targeted interventions that boost self-efficacy.
Increasing the Accuracy of Random Forest Algorithm Using Bagging Techniques in Cases of Stunting Toddlers Ali, Amir; Purwanto, Purwanto; Mundakir, Mundakir
Jurnal Sistem Informasi Bisnis Vol 15, No 2 (2025): Volume 15 Number 2 Year 2025
Publisher : Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/vol15iss2pp167-172

Abstract

Increasing the accuracy value can be increased by using other algorithms. Increasing the accuracy value of a classification algorithm, the level of success of the algorithm's prediction is more precise and appropriate in providing its label. The purpose of the research is look performance of accuracy value for prediction with bagging algorithm. This research use random forest algorithm and bagging algorithm used for optimization. 12 data whose position is far from other data. 12 data deviate from the data pattern and are outliers. With z-score process, it will be processed to eliminate outlier data. After removing the outlier data, the data clean is 137 toddler data. After removing outliers and standardizing the data, the accuracy value obtained was 71% up to 100th accuracy with random forest algorithm. Optimization of a bagging algorithm to predict stunting in a dataset of toddlers that has been acquired and assessed its performance. This can be seen from the optimization of prediction results up to the 100th iteration, where the prediction accuracy results were 80.67%. Using the Random Forest algorithm and bagging techniques, the prediction of stunting in toddlers works well. Optimization of prediction results up to the 100th iteration, where the prediction accuracy results were 80.67%.
Inovasi Strategi Electronic Presciption Check-in Information Monitor Evaluation Delivery di Rumah Sakit Fahrudda, Ansarul; Cahyadi, Rachmad; Muzzamil, Muzzamil; Mundakir, Mundakir; Wiliyanarti, Pipit Festi; Sukadiono, Sukadiono
Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Vol 11, No 1 (2025): JMK Yayasan RS.Dr.Soetomo, April 2025
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29241/jmk.v11i1.2122

Abstract

Waktu layanan dan kepuasan pelanggan menjadi dua indikator utama dalam layanan farmasi di raumah sakit. Untuk mencapai target diperlukan sistim inovasi layanan bertransfomasi yaitu sistim Electronic Presciption Check-in Information Monitor Evaluation Delivery (ECIMED), suatu sistim layanan famasi yang terintegrasi dengan pelayanan rawat jalan serta pihak asuransi kesehatan sehingga terjadi percepatan waktu tunggu dan memberikan peningkatan kepuasan kepada pelanggan. Tujuan penelitian ini mengetahui implementasi dari sistim ECIMED beserta mengukur hasil capaian dan mengetahui faktor-faktor pengaruhnya. Penelitian ini adalah penelitian implementasi, Generic Implementation Framework (GIF) dengan menggunakan design mix-methode. Hasil didapatkan dengan jumlah resep pada triwulan III 2024 meningkat 11,4% dibandingkan dengan triwulan yang sama di tahun 2023, namun waktu tunggu rata-rata terjadi percepatan dari 1 jam 17 detik menjadi 40 menit 12 detik untuk obat non racikan dan untuk obat racikan dari 1 jam 39 menit 9 detik menjadi 42 menit 19 detik. Capaian indeks kepuasan pada bulan September 2024 sebesar 91,13, angka tersebut menunjukkan terdapat peningkatan 5,6% dibandingkan tahun 2023 di bulan yang sama. Simpulan, meskipun terjadi peningkatan jumlah resep dari tahun ke tahun, namun waktu tunggu semakin cepat. sebagai faktor pendukung keberadaan tim pelayanan, aplikasi elektronik sesuai kebutuhan, informasi proses dan antar obat, monitoring evaluasi dan sebagai faktor penghambat, gangguan teknis dan karakter pasien. Sistim ECIMED sebagai inovasi proses sangat bisa digunakan dalam rangka upaya peningkatan kualitas layanan farmasi.
The Influence of Organizational Support, Motivation, and Completeness of ERM SOP on Compliance of Health and Medical Personnel Mundakir Mundakir; Diny Wulansari
International Journal of Health and Social Behavior Vol. 2 No. 3 (2025): August: International Journal of Health and Social Behavior
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhsb.v2i3.486

Abstract

Compliance of healthcare and medical personnel with established procedures—particularly Enterprise Risk Management (ERM) Standard Operating Procedures (SOPs)—is crucial for ensuring patient safety, high-quality healthcare services, and the sustainable operation of hospitals. This study analyzes the influence of Organizational Support, Motivation, and the Completeness of ERM SOPs on personnel compliance at Petrokimia Gresik Driyorejo Hospital. A quantitative approach using a survey method was employed. The study population included all healthcare and medical personnel directly involved with ERM SOPs. Through purposive sampling, 85 respondents were selected. Data collection used closed-ended questionnaires tested for validity and reliability. Data were analyzed using multiple linear regression through SPSS version 25. The analysis found that Organizational Support (X1), Motivation (X2), and ERM SOP Completeness (X3) simultaneously had a statistically significant effect on Compliance (Y), with the F-test showing F_calculated > F_table and significance < 0.05. Individually, all three independent variables showed a positive and significant relationship with compliance. Among them, ERM SOP Completeness had the greatest influence, followed by Motivation and then Organizational Support. These findings emphasize that clear, comprehensive, and accessible SOPs are essential in guiding staff behavior and ensuring consistent adherence to risk management protocols. Additionally, motivated employees supported by the organization are more likely to comply with procedures and internal policies. Therefore, organizational strategies should not only focus on developing complete SOPs but also on fostering a supportive work culture and enhancing staff motivation through training, recognition, and leadership support. In conclusion, the study suggests that hospitals aiming to improve compliance with ERM procedures should adopt a holistic approach by investing in SOP development, providing consistent organizational support, and maintaining high levels of employee motivation. These efforts will contribute to better risk mitigation, service quality, and overall hospital performance.
The Influence of Intrinsic and Extrinsic Motivation on Employee Performance Diny Wulansari; Mundakir Mundakir
International Journal of Health and Social Behavior Vol. 2 No. 3 (2025): August: International Journal of Health and Social Behavior
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhsb.v2i3.487

Abstract

Employee performance is a critical determinant of service quality and operational success in hospitals. High-performing employees contribute directly to patient satisfaction, service efficiency, and overall institutional reputation. This study investigates the influence of intrinsic and extrinsic motivation on the performance of employees at Petrokimia Gresik Hospital, aiming to provide empirical evidence to guide strategic human resource management in healthcare settings. A quantitative research design was employed, with data collected using structured questionnaires. The respondents consisted of 85 permanent employees selected through simple random sampling, ensuring that the sample fairly represented the hospital's workforce. The questionnaire was designed to measure aspects of both intrinsic motivation (such as self-fulfillment, recognition, and meaningful work) and extrinsic motivation (such as salary, benefits, and job security), along with indicators of employee performance. Data were analyzed using multiple linear regression analysis to examine the individual and joint effects of the motivational variables on performance. The results revealed that both intrinsic motivation (β = 0.532, p < 0.05) and extrinsic motivation (β = 0.487, p < 0.05) had a statistically significant and positive impact on employee performance. The model showed that the combination of these two factors accounted for 68.2% of the variation in employee performance (R² = 0.682), indicating a strong explanatory power. These findings underscore the importance of a balanced motivational strategy in hospital management. Relying solely on financial incentives is insufficient; efforts must also be made to cultivate a positive and fulfilling work environment. Therefore, hospital administrators are encouraged to design integrated motivation programs that address both intrinsic and extrinsic factors to enhance employee engagement, productivity, and ultimately, the quality of healthcare services provided.