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ANALYSIS OF THE INFLUENCE OF EXCELLENT SERVICE TRAINING ON INPATIENT SATISFACTION IN RSIA PURI BUNDA MALANG Widyaningrum, Kurnia; Ahsan, Ahsan
Jurnal Aplikasi Manajemen Vol. 15 No. 2 (2017)
Publisher : Universitas Brawijaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (58.885 KB) | DOI: 10.21776/ub.jam.2017.015.02.18

Abstract

Increasing the number of patients and hospital performance improvement should be accompanied by improved quality of service. With good quality care, the patient satisfaction will increase and will come back to use the service. Preliminary studies indicate that a decline in the level of patient satisfaction in inpatient units RSIA Puri Bunda. The purpose of this study was to determine differences in patient satisfaction before and after giving excellent service training as well as explore factors that influence service quality of patient satisfaction. This research method is the pre-post quasi-experimental design. Respondents are patients in inpatient units RSIA Puri Bunda who underwent treatment at least 2 days. Total respondents 181 people. The results showed that there was a difference in the satisfaction averages 3.86 P0, P1 and P2 4.29 4.06. Through Mann Whitney test found significant differences in the groups P1 and P2 in the variable product quality with sig 0,010 and emotional factors with sig 0.005. Advice to the management of the hospital is to conduct continuous training in order to reach the expected results.
Evaluating the Effectiveness of Chlorhexidine in Reducing Methicillin-Resistant Staphylococcus Aureus (MRSA) Contamination in Nebulizer Equipment Wisnasari, Shila; Ariningpraja, Rustiana Tasya; Lestari, Retno; Ahsan, Ahsan; Effendy, Nuraeni
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 13, No 2 (2025): EDITION JULY 2025
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v13i2.6313

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) is a significant healthcare-associated pathogen, capable of spreading through contaminated aerosols generated by medical equipment such as nebulizers. The increasing prevalence of MRSA infections, coupled with challenges in effective disinfection, highlights the urgency of identifying optimal disinfection methods. This study aims to assess the effectiveness of chlorhexidine in reducing MRSA contamination in nebulizer equipment, focusing on determining the optimal concentration for disinfecting nebulizers to minimize airborne transmission. This study employed an in vitro experimental design. The study population consisted of MRSA isolates obtained from clinical sputum specimens. The samples included nebulizer equipment inoculated with MRSA suspensions standardized to 10⁷ CFU/mL. Disinfection was carried out using chlorhexidine at concentrations of 2.5%, 4%, and 5%, each diluted in 70% alcohol. Control groups were rinsed with sterile saline and 70% alcohol. Post-disinfection, the nebulizer surfaces were swabbed and cultured on Mueller-Hinton agar to quantify colony-forming units (CFUs). Data were analyzed using paired t-tests and one-way ANOVA followed by Tukey’s post-hoc test, with a significance level set at p 0.05. The results show that chlorhexidine 2.5% reduced bacterial counts to an average of 1 CFU/plate, and 4% chlorhexidine reduced it to 49 CFU/plate. Chlorhexidine 5% resulted in an average of 1,430.6625 CFU/plate. Statistical analysis revealed significant reductions with 2.5% and 4% chlorhexidine compared to controls (p0.01), whereas 5% Chlorhexidine did not show a significant difference. These findings suggest that lower concentrations of chlorhexidine may be sufficient for effective disinfection in nebulizer equipment, addressing the risk of MRSA spread through airborne particles.
BARRIERS TO DRUG PLANNING IN THE PHARMACY UNIT OF HOSPITAL X IN MALANG, EAST JAVA, INDONESIA: MANAGERIAL AND OPERATIONAL PERSPECTIVES Zuhroh, Fifi Kurnaini; Ahsan, Ahsan; Khulud, Khoiron
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

Drug planning, a key responsibility of the hospital’s pharmacy unit, plays a crucial role in ensuring that drug management is safe, effective, and efficient. Inadequate drug planning can lead to stockouts and dead stock which negatively affect the quality of patient care and resource utilization. The purpose of this study was to identify the obstacles hindering the optimal implementation of the drug planning process in the pharmacy. This study employed a qualitative approach in the form of a case study. Data collection was carried out from September to October 2024 through in-depth interviews with informants and direct observation through document review. Informants were selected using purposive sampling and included the Assistant Manager of Medical Support, the Head of the Pharmacy Unit, and the Person in Charge of the Pharmacy Warehouse. The data analysis was conducted using triangulation to check the validity of the data. The results of the study revealed that there were five main problems that caused obstacles in planning so pharmaceutical management was not optimal. These obstacles are the imbalance between the workload and the number of officers, lack of officer skills, the absence of a drug planning team, inappropriate drug planning calculation and methods, and inadequate hospital information system (HIS) related to drug planning. In conclusion, although the management of drug planning and procurement in the pharmacy unit of Hospital X, Malang City, East Java, Indonesia, has been carried out, its implementation remains suboptimal because of various managerial and operational barriers.
The Effect of Parenting Alliances and Demographic Characteristics on Nutritional Status in Children with Avoidant Restrictive Food Intake Disorder in Malang Regency, Indonesia Prasetyo, Yoyok B.; Nursalam, Nursalam; Hargono , Rachmat; Ahsan, Ahsan; Kumboyono, Kumboyono
Jurnal Ilmiah Kesehatan Vol 18 No 03 (2025): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v18i03.7045

Abstract

Avoidant restrictive food intake disorder (ARFID) is an eating problem in children, causing nutritional deficiency, obstructing growth, and development. This study investigates the correlation between demographic characteristics and parenting alliance to nutritional status in children with ARFID in Malang Regency. This analytic observational study used a cross-sectional approach from December 2018 to March 2019. There were 245 respondents with multistage sampling. Parenting alliance was quantified using questionnaires, and the children's nutritional status was quantified using anthropometry, categorized based on Z-score weight-for-age. Data analysis used Pearson correlation coefficients and Multiple linear regression with α=0.05. The result showed no correlation between parenting alliance and children's nutritional status (p>0.05). The multiple linear regression analysis demonstrated that children's nutritional status was influenced by a child's age (β = -0.156, p=0.020) and the number of children in a family (β = -0.263, p=0.029). In conclusion, parenting alliance is not directly related to children's nutritional status in children with ARFID. Nevertheless, the child's age and the number of children in a family affect their nutritional status.
Nrima Ing Pandum Sebagai Strategi Menghadapi Kehidupan Dalam Lagu Aja Padha Nelangsa Karya Koes Plus Ahsan, Ahsan; Prasetiyo, Ari
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 4 No. 3 (2024): COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/comserva.v4i3.1403

Abstract

Karya sastra lirik lagu berisi tentang kenyataan sosial beserta cara menghadapinya. Rumusan masalah penelitian ini adalah bagaimana strategi menghadapi kehidupan sosial era peralihan Orde Lama ke Orde Baru yang direpresentasikan di dalam lirik lagu APN karya Koes Plus. Penelitian ini bertujuan memahami kondisi masyarakat di era peralihan Orde Lama ke era Orde Baru serta bagaimana masyarakat menghadapi masalah tersebut. Temuan penelitian ini semoga dapat menjadi alternatif rujukan bagi masyarakat dalam menghadapi dan menjalani segala permasalahan hidup. Objek penelitian ini adalah karya sastra berupa lirik lagu Aja Padha Nelangsa karya Koes Plus yang diterbitkan pada tahun 1974 dalam album pop Jawa Vol.1. Metode yang digunakan dalam penelitian ini adalah metode kualitatif deskriptif. Analisis data dilakukan dengan cara menerjemahkan secara harfiah teks lirik lagu Aja Padha Nelangsa dengan berpedoman pada kamus Bausastra Jawa. Kemudian, hasil terjemahan tersebut dianalisis mendasarkan pada konteks kehidupan sosial yang terjadi pada era peralihan Orde Lama ke Orde Baru menggunakan pendekatan sosiologi sastra yaitu mimetik menurut Meyer Howard Abrams. Penelitian ini mendapatkan temuan pesan moral berupa strategi bagaimana sebaiknya dalam menghadapi jaman rêkasa atau kehidupan serba sulit yang dialami masyarakat pada masa tersebut. Kondisi serba sulit tersebut seyogyanya dijalani dengan sikap nrima ing pandum sesuai nilai ajaran budaya Jawa agar hati senantiasa tenteram serta menumbuhkan kesadaran pada Tuhan. Dengan begitu, hasil kerja yang demikian akan menghasilkan hidup mulia (berkecukupan).
INTERNAL AND EXTERNAL DETERMINANTS OF NURSING CARE DOCUMENTATION: A SCOPING REVIEW IN INPATIENT SETTINGS Soekerno, Nany; Ahsan, Ahsan; Laily, Laily
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 17 No 2 (2025): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v17i2.2943

Abstract

Dokumentasi asuhan keperawatan merupakan bagian penting dari pelayanan kesehatan, berfungsi sebagai sarana komunikasi antarprofesional sekaligus bukti hukum tindakan keperawatan. Kelengkapan dokumentasi berdampak langsung pada keselamatan pasien, mutu layanan, dan keberlanjutan proses asuhan. Scoping review ini bertujuan memetakan faktor internal dan eksternal yang memengaruhi kelengkapan dokumentasi keperawatan di ruang rawat inap serta mengidentifikasi strategi peningkatan kepatuhan. Review dilakukan dengan kerangka PRISMA. Pencarian literatur dilakukan melalui Scopus (n=85), PubMed (n=125), dan ProQuest (n=90), dengan total 300 artikel. Setelah menghapus duplikasi (n=60), penyaringan otomatis (n=30), serta mengecualikan artikel tidak lengkap atau tidak relevan (n=30), sebanyak 45 artikel dinilai kelayakannya. Sebanyak 15 artikel memenuhi kriteria inklusi (diterbitkan dalam lima tahun terakhir, berbahasa Inggris atau Indonesia, dan relevan dengan kepatuhan dokumentasi) untuk dianalisis secara naratif. Hasil menunjukkan tingkat kepatuhan dokumentasi berkisar 60–80%. Faktor internal meliputi latar belakang pendidikan, pengalaman kerja, pengetahuan, sikap, dan motivasi perawat. Faktor eksternal mencakup supervisi kepala ruang, beban kerja, pelatihan berkelanjutan, serta dukungan teknologi informasi. Strategi efektif untuk meningkatkan kelengkapan dokumentasi antara lain supervisi terstruktur, pembagian beban kerja proporsional, pelatihan berkesinambungan, dan penerapan sistem dokumentasi elektronik yang terintegrasi serta mudah digunakan dengan panduan jelas. Kesimpulannya, peningkatan kelengkapan dokumentasi keperawatan membutuhkan dukungan sistematis, bukan hanya upaya individu. Optimalisasi jumlah tenaga sesuai kapasitas ruang dan adopsi sistem elektronik terintegrasi dapat memperkuat akurasi, efisiensi, dan konsistensi, sehingga mutu pelayanan keperawatan tetap terjaga.
Effectiveness of Self-Management Training, “EDUDARA”, on Psychological Wellbeing and Cortisol Levels in Breast Cancer Patients during the COVID-19 Pandemic Supriati, Lilik; Nova, Renny; Rodli, Muhammad; Ahsan, Ahsan; Hidaayah, Nur; Rismayanti, I Dewa Ayu
Nurse Media Journal of Nursing Vol 14, No 1 (2024): (April 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i1.61652

Abstract

Background: Women diagnosed with breast cancer often experience emotional distress, leading to a decrease in psychological well-being. Online self-management training during the COVID-19 pandemic is crucial for maintaining psychological well-being, as it is closely related to stress hormone cortisol levels, which play a vital role in boosting the body’s immune system. However, research on self-management strategies for breast cancer patients, particularly regarding psychological aspect and its relationship to cortisol levels during the COVID-19 pandemic, remains limited.Purpose: The purpose of this study was to measure the effectiveness of self-management training on psychological well-being and salivary cortisol levels in breast cancer patients.Methods: This study used a pre-post-test quasi-experimental design with a control group. The participants included 70 breast cancer patients undergoing chemotherapy at a hospital in Malang City, East Java, Indonesia, recruited using simple random sampling. Self-management training using the EDUDARA (Edukasi Kanker Payudara) was administered to the participants in the intervention group for six weeks. Data on wellbeing were collected using the Ryff Psychological Wellbeing Questionnaire, while salivary cortisol levels were measured with the DBD cortisol kit using the competitive ELISA method. SPSS with t-tests was used to analyze the data.Results: The average post-test psychological well-being score in the intervention group was 90.3, while in the control group, it was 82.69. The results of statistical tests showed a significant difference in psychological well-being between the two groups, with the intervention group showing greater improvement after the training. Additionally, the mean salivary cortisol level post-training was 4.531 in the intervention group and 6.169 in the control group (p=0.001). This indicates a greater reduction in cortisol levels in the intervention group after training, showing that participants’ psychological condition following the “EDUDARA” training was better than that of the control group.Conclusion: Self-management training had a positive effect on increasing psychological well-being and decreasing salivary cortisol levels among breast cancer patients. Therefore, structured self-management training for these patients can be used for nursing intervention
Lived Experiences of The Recovery Process of People with Schizophrenia During a Pandemic Dharma, I Dewa Gede Candra; Ahsan, Ahsan; Lestari, Retno
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (669.8 KB) | DOI: 10.30604/jika.v7i1.820

Abstract

The existence of social restrictions and activities during the pandemic in the last two years may have hampered the recovery process of people with schizophrenia. The Denpasar City Empowered House Rehabilitation Center is designed as a place for people with schizophrenia in the community to recover, become independent, and be productive. Several studies have attempted to explain how people with schizophrenia recover, but little is known about how this happens during pandemics. Therefore, this study used interpretive phenomenological methods to explore and understand the meaning of life for people with schizophrenia. The participants were 5 people with schizophrenia who were at the Denpasar Empowered House. Furthermore, interviews were conducted using in-depth techniques. The interview data were transcribed verbatim and analyzed using the Creswell approach. The results obtained 8 themes, namely: (1) Feeling cared for by others, (2) Accepted by the community, (3) Having a positive self-identity, (4) Ngayah helping the recovery process, (5) More helpful to explore self-ability, (6) To recover, (7) Enjoy active socializing, and (8) Situations that affect self-ability. It can be concluded that the participants interpret the recovery process as a goal to return to being part of the community during a pandemic.Abstrak: Adanya pembatasan dan aktivitas sosial selama pandemi dalam dua tahun terakhir dapat menghambat proses pemulihan penderita skizofrenia. Pusat Rehabilitasi Rumah Berdaya Kota Denpasar dirancang sebagai wadah bagi penderita skizofrenia di masyarakat untuk pulih, mandiri, dan produktif. Beberapa penelitian telah menjelaskan bagaimana penderita skizofrenia dapat pulih, tetapi sedikit yang diketahui tentang bagaimana proses pemulihan penderita terjadi selama pandemi. Oleh karena itu, penelitian ini menggunakan metode interpretif fenomenologis yang bertujuan untuk menggali dan memahami makna hidup bagi penderita skizofrenia. Partisipan adalah 5 orang penderita skizofrenia yang berada di Rumah Berdaya Denpasar. Selanjutnya, wawancara dilakukan dengan menggunakan teknik wawancara mendalam. Data wawancara ditranskripsikan secara verbatim dan dianalisis menggunakan pendekatan Creswell. Hasil yang diperoleh yaitu sebanyak 8 tema: (1) Merasa diperhatikan oleh orang lain, (2) Diterima oleh masyarakat, (3) Memiliki identitas diri yang positif, (4) Ngayah membantu proses pemulihan, (5) Lebih bermanfaat untuk mengeksplorasi kemampuan diri, (6) Untuk memulihkan diri, (7) Menikmati bersosialisasi secara aktif, dan (8) Situasi yang mempengaruhi kemampuan diri. Kesimpulan penelitian ini adalah penderita skizofrenia dapat memaknai proses pemulihan sebagai tujuan untuk kembali menjadi bagian dari masyarakat selama pandemi.
The development of an islamic nursing care model to improve patient satisfaction Ardian, Iwan; Nursalam, Nursalam; Ahsan, Ahsan; Haiya , Nutrisia Nu'im; Azizah , Intan Rismatul
Jurnal Ners Vol. 19 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i1.50026

Abstract

Introduction: This study aimed to the development of an Islamic nursing care model to improve patient satisfaction. Methods: Cross-sectional design random sampling technique on 134 respondents, consisting of patients and nurses in the surgical inpatient room, internal medicine inpatient room, and postpartum and gynecology inpatient rooms, using simple random techniques. The variables of this study were the nursing factors, Islamic nursing care, and patient satisfaction and were collected using questionnaire. The data were collected using questionnaire in December 2021 at Islamic Hospital, Indonesia, and processed using a Smart Partial Least Squares (SmartPLS) analysis and Sommers' correlation test. Results: The Sommers' test results show significant relationship between nursing factor (nurse knowledge, nurse's attitude, nurse competence, nurse personality) and patient satisfaction; nurse knowledge (p=0.000); nurse attitude (p=0.000); nurse competence (p=0.000); nurse personality (p=0.000; α<0.05). SmartPLS test results show the nurse factor with Islamic nursing care has a strong significant influence (p value 0.000; β value 0.539; t value> 1.96). Then for Islamic nursing care with patient satisfaction, it has a very strong significant effect (p value 0.000; β value 0.753; t value> 1.96). Conclusions: Islamic nursing care as a mediator of nurse factors with patient satisfaction can be described in this study model because Islamic nursing care is a real form of care by nurses that is felt by the patient and the application of Islamic values so that the form of nursing care makes patients feel satisfied.
Lactate and SOFA Score as Predictors of Sepsis Mortality: A Retrospective Observational Study Hardianti, Anugerah; Ahsan, Ahsan; Kristianto, Heri; Lande, Hasriadi
Journal of Applied Nursing and Health Vol. 7 No. 2 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i2.324

Abstract

Background: Managing sepsis in the emergency room presents a significant challenge, as the condition is often difficult to recognize, leading to a delay in identification and diagnosis, frequently only after the patient has reached a critical state. This study aims to analyze the correlation between lactate levels and Sequential Organ Failure Assessment (SOFA) scores with mortality risk in patients with sepsis: a retrospective study conducted in the emergency room of Dr. Wahidin Sudirohusodo Hospital, Makassar. This study follows the STROBE guidelines for observational research. Methods: This study employs a quantitative, analytical observational design with a retrospective approach. The sample consists of 321 sepsis patients diagnosed with sepsis or presenting comorbidities associated with sepsis in the Emergency Room of Dr. Wahidin Sudirohusodo Hospital, Makassar. The sample size was determined using the Slovin formula. Purposive sampling was employed as the sampling technique, while data analysis included descriptive statistics, chi-square tests, and binary logistic regression. Results: Elevated lactate levels and SOFA scores were significantly associated with increased mortality (p <0.05). Lactate levels demonstrated an odds ratio (OR) of 5.329, indicating that patients with low lactate levels were 5.3 times more likely to survive than those with high lactate levels. The SOFA score produced an OR of 10.058, suggesting that patients with lower SOFA scores had a 10.1 times greater chance of survival compared to those with higher scores. Lactate level was identified as the primary predictor of mortality. Conclusion: The results of this study indicate a significant correlation between blood lactate levels and SOFA scores with sepsis-related mortality in the Emergency Department (ED). Among these two parameters, blood lactate emerged as the most dominant predictor. These results underscore the importance of implementing early detection tools for sepsis, such as lactate testing and simplified SOFA assessments, as part of routine triage workflows, particularly at Dr. Wahidin Sudirohusodo General Hospital in Makassar.
Co-Authors Abdul Rokhman Adine Yenie Cahyaning Pradyanti, Adine Yenie Afnuhazi, Ridhyalla Ah Yusuf, Ah Ainan, Shafa Andayani, Rifka Putri Annisa Rahmania Ariningpraja, Rustiana Tasya Asmaidar, Asmaidar Ayu, Ayu Azizah , Intan Rismatul Buhaerah Buhaerah, Buhaerah Carla Wulandari Sabandar Debora, Oda Dharma, I Dewa Gede Candra Dima, Niko Dinda, Dinda Dudella Desnani Firman Yasin, Dudella Desnani Firman Dwi Indah Iswanti Dwioktaviani, Indri Putri Effendy, Nuraeni Efris Kartika Sari, Efris Kartika Faizah, Melida Nur Fajrillah Kolomboy Fanani, Qori Fitri Wahyuni Hadrawi, Hadrawi Haiya , Nutrisia Nu'im Handayani, Nurul Nisya Hardianti, Anugerah Hasana, Hasana Hasanah, Nikmatun Hayati, Yati Sri Hediturmudi, Asep Hendrawati Hendrawati Heni Dwi Windarwati Heri Kristianto Hidaayah, Nur Hm, Safika Idrus, Fitriyanti N Ilmy, Ahofi Khaqul Iwan Ardian, Iwan Jenny Primanita Diningrum, Jenny Primanita Kartikawatiningsih, Dewi Khulud, Khoiron Kumboyono Kumboyono Kurnia Widyaningrum Laily Yuliatun Laily, Laily Lande, Hasriadi Lilik Supriati, Lilik Lukitasari, Mifetika Mahjum, Moh Melliza, Nur Moecharam, Moecharam Mohammad Saifur Rohman Mu'awanah, Siti Muhammad Rodli Mukuan, Carlina Musfayu, Musfayu Musfira, Musfira Nia Agustiningsih, Nia Noviyanti, Linda Wieke Nursalam Nursalam Prasetiyo, Ari Prasetyo, Yoyok B. Prasiska, Ni Luh Putu Ayu Primanoviasari, Titis Sukma Purnamasari, Devi Putra, Muhammad G A Rachmat Hargono Racmawati, Septi Dewi Rani Rakhmawati, Rani Renny Nova, Renny Retno Lestari Rinik Eko Kapti, Rinik Eko Rismaina Putri Rismayanti, I Dewa Ayu Rofiyati, Winda Rosyida, Ratna Wirawati Saba, Hafiz Saifudin, I Made Moh. Yanuar Saputra, Ahyar Satrijo, Budi Setiawan, Doni Elwin Setyoadi Setyoadi Soekerno, Nany Sugiarto S Sunadi, Apri Tengku Isni Yuli Lestari Putri Tintin Sukartini Sukartini, Tintin Sukartini Triyono, Heru Ginanjar Ulpianti, Ulva Windarwati, Heni Wisnasari, Shila Wokas, Deyfi Christine Yoyok Bekti Prasetyo Zuhroh, Fifi Kurnaini