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PENGALAMAN PASIEN TERPASANG KATETER URIN URETHRAL JENIS INDWELLING DAN INTERMITTEN: QUALITATIVE REVIEW Sirli Agustiani; Arlina Dewi
Jurnal Surya Muda Vol 5 No 1 (2023): Jurnal Surya Muda
Publisher : LPPM STIKES Muhammadiyah Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38102/jsm.v5i1.210

Abstract

The use of urinary catheter affect the patient’s life in holistic. There is one review article that explores about experiences of urinary catheter patient’s inserted. But the article only discusses about psychosocial aspect and not discusses patient in holistic. The aim of this research to explore about experiences of urethral catheter patients insertedwith indwelling and intermitten. This research is qualitative review. The researcher searched data from PubMed, SAGE Journals, and Mendeley. The search was restricted to English language articles and limited to last 2001-2020. The main keywords use experience and “urinary catheter*”. There were 23 articles included in the inclusion criteria. Holistically, several experiences were reviewed including physical aspects such as sleep, comfort, pain, physical activity, urinary tract infections, muscle spasm, and bleeding. In psychological aspect, include anxiety, self-adaptation or self-acceptance, self-identity, self-image, self-ideal and self-esteem. In social aspects such as social activity and social interaction. In environmental aspects include size of toilets, toilet cleanliness, material from catheter which affect the environment. In other aspects include patient knowledge, role of health professionals (nurse), and economy crisis. Negative and positive experiences were felt for urethral catheter patients inserted with indwelling and intermitten. Nurses are expected to provide holistic nursing care for patients with urinary catheters.
HUBUNGAN MUTU, INDIKATOR KINERJA KUNCI, DAN KINERJA PELAYANAN RUMAH SAKIT (STUDI KASUS PADA RUMAH SAKIT AUMAKES) Arlina Dewi; Aris Suparman Wijaya; Fradita Eka Sukardi
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 2 No. 2 (2013): July 2013
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v2i2.175

Abstract

Background: Muhammadiyah and 'Aisha had a vision of 2020 is going to be a major driver of the establishment of networks between social groups that support healthy communities self-reliant and vision of 2015. Thus conducted a study of 40 hospitals under the auspices of Aumakes in 2009, from that data, researchers interested in conducting research on the quality of 40 hospitals under the auspices of Aumakes. Purpose: The research objective is 1). To analyze the relationship of the hospital quality with Key Performance Indicators (KPI), 2) to analyze the relationship of the Hospital Quality with BOR and 3). To analyze the relationship of the hospital quality with ALOS. Methods: Types of research taking secondary data in 2009 with the design of the quantitative analysis method of retrospective study. Location of the study in 40 hospitals under the auspices of Aumakes. Analyzed using quantitative with correlation statistical program. Result:. Correlation statistical data shows significant relationship exists between the quality and KPI with significance values is 0.00 and with strong correlation is 0.719. There is a significant relationship between hospital quality and BOR with significant value is 0.016 by weak correlation 0.394. There was no significant relationship between the quality and ALOS which is significance values 0.831.
ANALISIS BUDAYA KESELAMATAN PASIEN DI RSU PKU MUHAMMADIYAH, BANTUL Aris Suparman Wijaya; Arlina Dewi; Della Mawros Dwita
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 4 No. 1 (2015): January 2015
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v4i1.190

Abstract

Background: Patient safety culture in PKU Muhammadiyah Hospital of Bantul based on Putri (2010) in the category of enough. Though PKU Muhammadiyah Hospital of Bantul is a Class C has an obligation to implement the Patient Safety throughout the service area. Method: This study used a mixed methods research approach is a quantitative method using cross sectional and qualitative methods with case study approach with a descriptive research design. Research subjects are nurses who deal directly with patients. A total of 61 people. Measurement of patient safety culture using a questionnaire from the AHRQ (Agency for Healthcare Research and Quality) in 2004 entitled HSOPSC (Hospital Survey on Patient Safety Culture). The questionnaire consisted of 12 questions dimensions with 42 items and is equipped with the interview data and report patient safety incidents from Patient Safety Team PKU Muhammadiyah Hospital, Bantul. Results and Discussion: Patient Safety Culture at PKU Muhammadiyah Hospital of Bantul in the category of enough with a mean and median of 73.9. Still found gaps between the patient safety incident reporting patient safety teams and real in the field. As well as barriers to implementation of patient safety in PKU Muhammadiyah Hospital of Bantul is still not optimal support came from management, not optimal team performance because the work load and the persistence of blaming culture in the unit.
EVALUASI KUALITAS PELAYANAN TERHADAP KEPUASAN PASIEN RAWAT JALAN PESERTA BPJS DI RSUD PANEMBAHAN SENOPATI BANTUL Fidela Firwan Firdaus; Arlina Dewi
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 4 No. 2 (2015): July 2015
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v4i2.211

Abstract

Latar Belakang: Masalah yang sering dihadapi secara umum oleh rumah sakit adalah rumah sakit belum mampu memberikan sesuatu hal yang benar-benar diharapkan pengguna jasa. Beberapa pasien banyak yang masih bingung mengenai sistem rujukan yang ditetapkan dalam BPJS Kesehatan. Begitu juga dengan pasien yang mengeluh biaya kesehatan yang dulu seluruhnya terinci saat masih berupa PT Jamsostek, sekarang banyak yang tidak terinci saat sudah berubah menjadi BPJS. Metode: Penelitian kualitatif untuk menganalisis kualitas pelayanan terhadap kepuasan pasien rawat jalan peserta BPJS di RSUD Panembahan Senopati Bantul. Data primer diperoleh dari wawancara mendalam terhadap pasien rawat jalan peserta BPJS, dokter pelayanan rawat jalan, dan petugas BPJS di RSUD Panembahan Senopati Bantul. Hasil dan pembahasan: Hal yang mempengaruhi kepuasan pasien antara lain: pendaftaran lancar, waktu tunggu, pelayanan cepat, ramah, sopan, keterampilan dan perawatan medis bagus, profesional, ruangan bersih dan fasilitas lengkap. Sebaliknya, hal-hal yang menjadi hambatan kepuasan pasien antara lain: karyawan pendaftaran datang terlambat, lambat, dan mengobrol sendiri, waktu tunggu lama, nada suara petugas medis tinggi, keramahan kurang, ruangan kurang luas, tidak memakai sekat, ruang tunggu kurang, jarak poli satu ke poli lain terlalu dekat, dan tidak ada pengeras suara. Faktor lain yang mempengaruhi yaitu BPJS. Kesimpulan dan saran: Kepuasan pasien sesuai dengan teori SERVQUAL (Parasuraman dan Zeithml, 1990). Hambatannya yaitu ruangan dan fasilitas, waktu tunggu lama, jumlah SDM, SIM RS versi lama, dan tata cara sistem rujukan. Solusinya yaitu ruangan yang lebih luas, ruang tunggu yang lebih nyaman, sekat dari dinding, memberikan pengeras suara, menambah jumlah SDM, dan memperbarui SIM RS. Sarannya yaitu melakukan survey hal-hal yang sudah membuat pasien puas dan yang masih kurang, melakukan perbaikan dan melengkapi ruangan dan fasilitas di rumah sakit, menambah sumber daya manusia, mempertimbangkan bridging system, dan melakukan evaluasi terhadap program yang sudah berjalan.
PERBANDINGAN EFISIENSI PENATALAKSANAAN APENDISITIS AKUT PADA PASIEN JAMINAN KESEHATAN NASIONAL DENGAN PASIEN UMUM (STUDI KASUS DI RSUD PANEMBAHAN SENOPATI BANTUL) Agus Tri Widiyantara; Arlina Dewi
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 5 No. 1 (2016): January 2016
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.5104

Abstract

Background: BPJS PBI’s participants patients that a part of National Health Insurrance have financing with prospective payment system, while general patient use fee for service., To avoid losses, the hospital must manage patients more efficiently in the prospective payment system than the fee for service with strict quality control and control of costs Methods: The type of research is a quantitative research using secondary data. Population is BPJS PBI’s patient and general patients who experiencing uncomplicated acute appendicitis and action appedictomi. There are 60 respondent. Analyses test using independent t test and Mann-Whitney test. Results and Discussion: BPJS PBI’s participants patient’s length of stay are shorter than general patients (p <0.001). The management cost of BPJS PBI participant patients are lower and significantly different than public patients at the component cost of the drugs (p <0.001), the cost of a physician's examination (p = 0.012), the cost of accommodation (p <0.001), the cost of BMHP (p <0.001), supporting examination (p = 0.023) and total cost (p <0.001). There is no differences of operating costs. BPJS PBI’s participants care costs are lower than public patients but there was no significant difference (p = 0.487). Conclusion: Based on the length of stay and cost management in appendicitis procedures, BPJS PBI’s participant patients more efficient than general patients.
Evaluasi Implementasi Clinical Pathway Sectio Caesarea di RSUD Panembahan Senopati Bantul Yurni Dwi Astuti; Arlina Dewi; Merita Arini
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 6 No. 2 (2017): August 2017
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.6133

Abstract

The purpose of this study was performed to evaluate the content and quality of clinical pathway sectio Caesarea (CP SC), compliance evaluate the implementation of CP SC and know that there are barriers in the implementation of CP SC, so it can make recommendations to improve the implementation of CP SC in hospitals Panembahan Senopati Bantul. The research used mix method focusing in case study design at obsgyn unit room in Panembahan Senopati State Hospital in Bantul. Sample of respondent to the quantitative data to observe at the documentation and obedience to the medical records of patients who had been operated sectio caesarea’s elective that choosen by total sampling and evaluation of CP SC using the Integrated Care Pathway Appraisal Tools (ICPAT) consisting of six dimensi. Data qualitative is obtained by do a deep interviews with a purposive sampling method.
Willingness to Pay for Maternity Waiting Homes in Rural Indonesia Arlina Dewi; Supriyatiningsih Supriyatiningsih; Sri Sundari; Dianita Sugiyo; Ralph. J. Lellee
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 9 No. 2 (2020): August 2020
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.92122

Abstract

Distance to a health care facility has long been discussed as a key barrier to maternal health care utilization in rural areas. Maternity Waiting Homes (MWHs) has been proved to the reductions of maternal mortality. The objective of this study was to investigate the pregnant women’s Willingness to Pay (WTP) toward the maternity waiting homes (MWHs). The cross-sectional study was conducted in two rural areas in South Sulawesi, Indonesia. The data were collected through survey which was distributed to pregnant women and their families. A total of fifty-one pregnant women and forty-nine families participated in the study as two groups of respondents. For the results of this study, there were 66.7% of pregnant women agreed if they should stay at MWHs. For a group of pregnant women, the amount of WTP which was capable to be paid was 100.000 IDR in a month. Moreover, for a group of family, the amount of WTP which they could pay for staying at MWH was 200.000 IDR in a month. The pregnant women’s acceptance to stay in MWH is good, but their willingness to pay is still very low.
PREGNANT WOMEN'S READINESS DURING THE COVID-19 PANDEMIC Angelia Friska Tendean; Arlina Dewi; Cherol Nelson Ering
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 3: September 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v8i3.2011

Abstract

A category of people who are susceptible to COVID-19 infection is pregnant women. The safety of the mother and fetus can be determined in large part by how prepared pregnant women are to give birth. Pregnant women who are mentally and physically prepared for childbirth can have a healthy delivery that includes the removal of the baby, placenta, and membranes. The purpose of this study is to investigate how prepared expectant mothers felt for childbirth during the COVID-19 epidemic. This study employs a qualitative methodology and phenomenology. In this study, 11 informants participated. Face-to-face interviews and semi-structured video were employed in the data collection process. According to the study's findings, there were five key elements in pregnant women's preparedness for childbirth during the COVID-19 pandemic: 1) worry about COVID-19 exposure, 2) keeping healthy throughout the COVID-19 pandemic, 3) adhering to our ancestors' culture, 4) preparing for a safe and comfortable delivery, and 5) receiving the best medical facility services. Pregnant women must maintain their health and carefully arrange their deliveries. Health facilities are crucial in assisting expectant mothers with labor preparation, particularly during the pandemic. During the COVID-19 pandemic, telehealth may be employed as a substitute method of reaching pregnant women.
Persepsi Pasien dan Perawat tentang Patient Safety di Pelayanan Hemodialisa Dewi Kusumastuti; Oryzati Hilman; Arlina Dewi
Jurnal Keperawatan Silampari Vol 4 No 2 (2021): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (320.144 KB) | DOI: 10.31539/jks.v4i2.1974

Abstract

This study aims to explore patient and nurse perceptions of patient safety to increase patient engagement so that patients can be aware of patient safety in the Hospital Hemodialysis Unit. This research method uses qualitative methods of conducting in-depth interviews with patients and medical personnel. The results of this study indicate that overall the patients said they were satisfied with the services provided; this was evidenced by the patient feeling very well known by the medical staff, both nurses and doctors. In conclusion, this kinship relationship is highly valued by the patient and accompanying family so that patients can be open to medical personnel so that effective communication can be well established. Keywords: Hemodialysis, Patient Engagement, Patient Safety