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PATIENT SATISFACTION QUALITY DESIGN BASED ON MINAHASA CULTURE AT RSUD Dr. SAM RATULANGI TONDANO PHENOMENOLOGY STUDY Prisylia Meggy Wuisang; Blacius Dedi; Susi Nurhayati
Jurnal SMART Keperawatan Vol. 12 No. 2: DECEMBER 2025
Publisher : Universitas Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/k7pc4595

Abstract

Background. Minahasan culture has an important role in shaping community attitudes and behavior, including in health services, with cultural values If All Children Tumou Too, has principles that are very relevant in improving the quality of hospital services. This design aims to integrate local Minahasan wisdom into the hospital service system to increase patient satisfaction. The aim of this research is to determine the quality of patient satisfaction based on Minahasa culture at RSUD Dr.  Sam Ratulangi Tondano  Method. The research design used was qualitative phenomenological. The source of informants or participants in this study were 10 people consisting of patients or families of patients who were undergoing treatment in the surgical room at RSUD Dr. Sam Ratulangi Tondano. Primary data was obtained through in-depth interviews using interview guides conducted with informants. Data analysis in this research uses content analysis  Results. The research results showed that there were 5 themes that emerged, namely: Responsiveness in accordance with Minahasa culture, Malinga-lingaan (listen to each other), Empathy, that is  Mangenang-genangan (feeling what the patient feels, praying for each other, visiting). Tangible, that is Maesa-esa’an, (must be united), Maesa-esa’an (remind each other), Reliability that is Matombo-tombolan (support each other) and Assurances that is  Mapalus, (help and please help). In providing health services, especially at RSUD Dr. Sam Ratulangi Tondano Minahasan culture continues to be preserved, especially in context ma-saali (service), where a nurse provides good service to patients, both in terms of appearance and friendliness.  Conclusion. Aspects of Minahasan culture applied at RSUD Dr. Sam Ratulangi Tondano, namely Malinga-lingaan (listen to each other), Maleo-leosan (attitudes and behavior that love each other), Maesa-esa’an, (must be united), Mangenang-genangan (remind each other), Matombo-tombolan (support each other) and Mapalus, help each other and help each other.  Suggestion. For the hospital to make signboards to rooms or corridors, providing announcements using language Tolour or Tondano language, and wearing work clothes/uniforms using local batik (batik bentenan) and for nurses and medical personnel to provide hospital services with Minahasan cultural dimensions, magenang-genangan, masawang-sawangan, matombo-tombolan, malinga-lingaan dan maleo-leosan
PENGALAMAN PASIEN HEMODIALISA YANG TERPASANG ARTERIOVENOUS FISTULA (AVF) BERDASARKAN PERSPEKTIF KUBLER ROSS DI RS ‘AISYIYAH KUDUS Yulisetyaningrum Yulisetyaningrum; Blacius Dedi; Yunani Yunani
Jurnal Ilmu Keperawatan dan Kebidanan Vol 14, No 2 (2023): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v14i2.1965

Abstract

Gagal ginjal kronis telah diakui sebagai salah satu masalah kesehatan dengan prevalensi terbanyak di seluruh dunia dengan 13,4% dari total populasi. Kondisi medis saat ini penatalaksanaan masih dengan hemodiafiltrasi jangka Panjang. Pasien dengan pengalaman pertama kali hemodialisa muncul rasa cemas karena ketakutan terhadap managemen terapi bahkan sampai adanya penolakan. Pemasangan dan pemeliharaan arteriovenus fistula merupakan salah satu masalah yang sering pada pasien. Pasien mengalami berbagai tahap kesedihan yang berbeda selama proses berduka, dan tidak semua orang dapat mencapai keadaan pikiran yang positif. Saat ini belum ada penelitian yang mengeksplorasi pengalaman pasien hemodialisa yang terpasang arteriovenous fistula (AVF). Tujuan penelitian untuk menggali pengalaman pasien hemodialisa yang terpasang arteriovenus fistula berdasarkan perspektif Kubler Ross di RS ‘Aisyiyah Kudus. Penelitian ini adalah penelitian kualitatif dengan pendekatan studi fenomenologi. Pengambilan data menggunakan  in-depth interview, partisipan 11 orang yang terdiri partisipan pasien dan keluarga. Partisipan pasien merupakan pasien hemodialisa yang terpasang AVF satu tahun terakhir. Dari hasil penelitian didapatkan 4 tema yaitu (1) partisipan berespon menyangkal dan menerima  sebagai pasien hemodialisa yang terpasang Avf Shunt, (2) Membatasi makan, minum dan perawatan Avf shunt di rumah, (3) Membutuhkan dukungan keluarga dan (4) Hambatan yang dialami keluarga pasien dalam psikologis, sosial dan ekonomi kemudian ditindaklanjuti dengan pembuatan buku panduan perawatan arteriovenus fistula dalam tahap penolakan.Kata Kunci : Arteriovenous fistula, hemodialisa, Kubler Ross, Pengalaman
Approach Pattern to The Effectiveness of Local Government Policies In Reducing The Prevalence of Stunting in Central Mamberamo District Based on The Theory of Betty Neuman Study Phenomenology Saria Dewi Sartika Hutagao; Blacius Dedi; M. Jamaluddin
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.54287

Abstract

Poverty in Central Mamberamo Regency is exacerbated by the low daily malnutrition rate (PoU) per capita, which is only 26.1% of the AKG in 2023. This region is of particular concern because it contributed 35.42% of the highest stunting prevalence among 28 other regions in Papua in the same year. The Neuman System Model encourages the role of nurses in maintaining the stability of the client system (individual, family, group, or community) through primary, secondary, and tertiary interventions. This study aims to explore the pattern of approaches to the effectiveness of local government policies and the supporting factors and obstacles to the success of programs in reducing stunting rates in Central Mamberamo Regency based on Betty Neuman's theory. This study used a qualitative approach with a case study or applied phenomenology method, focusing on an in-depth understanding of the experiences and perspectives of various stakeholders (pregnant women, postpartum women, mothers with stunted toddlers, nurses, and heads of agencies) selected through a combination of purposive sampling and snowball sampling methods at the Kobakma Community Health Center in Central Mamberamo from June to July 2025, with sample size determined based on data saturation. The results showed that the success of the ANC program in Central Mamberamo was evident in the increase in pregnant women's weight and normal births. This is supported by Betty Neuman's theoretical approach with structured interventions (education, supplements) to prevent stunting, along with cross-sector collaboration. However, this is hampered by a shortage of professional health human resources. Government strategies, which include nutrition education, iron supplementation, and nutritional rehabilitation for stunted toddlers, have shown effectiveness in improving maternal and infant health, although human resource challenges need to be addressed urgently. This study highlights the program's success in improving ANC adherence among pregnant women and healthy birth outcomes, with cross-sector collaboration as a key contributing factor. However, inadequate human resources (HR) for health professionals was identified as an urgent inhibiting factor that needs to be addressed. Keywords: Betty neuman's theory; Policy effectiveness; Central mamberamo; Prevalence of stunting
Pengaruh Implementasi Handover Bedside Teaching Base On Patient Centered Care Terhadap Kepuasan Pasien Di Ruang Rawat Inap RS Columbia Asia BSD Ina Maelani; Blacius Dedi; Witri Hastuti
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.57090

Abstract

Kepuasan pasien merupakan indikator kualitas layanan kesehatan yang dipengaruhi oleh kesesuaian antara harapan dan pelayanan yang diterima, terutama melalui asuhan keperawatan, komunikasi efektif, serta penerapan keselamatan pasien. Salah satu aspek penting adalah pelaksanaan handover, khususnya metode Handover Bedside Teaching berbasis Patient-Centered Care (PCC), yang memungkinkan transfer informasi akurat, keterlibatan pasien, serta peningkatan keselamatan dan kualitas perawatan. Penelitian ini bertujuan untuk mengetahui pengaruh implementasi Handover Bedside Teaching Base on Patient Centered Care terhadap kepuasan pasien di Ruang rawat inap Rumah Sakit Columbia Asia BSD. Jenis penelitian ini adalah kuantitatif dengan desain penelitian yang digunakan quasi eksperimen two group. Penelitian ini dilakukan di Ruang Rawat Inap RS Columbia Asia BSD. Adapun teknik sampling yang digunakan yaitu purposive sampling dengan jumlah sampel sebanyak 50 responden. Pengumpulan data dilakukan dengan menggunakan kuesioner kepuasan sebelum dan sesudah penerapan handover bedside teaching base on patient-centered care. Analisis data menggunakan uji paired t-test untuk mengetahui perbedaan kepuasan pasien sebelum dan sesudah intervensi. Hasil penelitian dengan analisis bivariat uji paired t-test menunjukkan bahwa terdapat perbedaan signifikan antara kepuasan kelompok kontrol dan intervensi dengan p-value = 0,001 sebelum dan sesudah penerapan handover bedside teaching base on patient-centered care. Penerapan handover dengan metode bedside teaching base on patient-centered care meningkatkan kepuasan pasien rawat inap di Rumah Sakit Columbia Asia BSD.
Implementation of Jean Watson’s Caring Theory In NICU Nursing Practice for Families of Low Birth Weight Infants (LBW) Erni Handayani; Blacius Dedi; Tri Ismu Pujianto
MAHESA : Malahayati Health Student Journal Vol 6, No 6 (2026): Volume 6 Nomor 6 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i6.23470

Abstract

ABSTRACT The increase in infant mortality rates is largely attributed to cases of low birth weight (LBW). This is supported by the high incidence of LBW cases reported in various hospitals. Low birth weight infants require prolonged and intensive care due to their susceptibility to multiple health complications. Such conditions often trigger varying levels of anxiety among family members. One of the interventions that can be applied to support families during the hospitalization period is Jean Watson’s Theory of Caring. To explore and describe the experiences of families with low birth weight (LBW) infants hospitalized in the NICU, and to examine how Jean Watson’s Caring Theory is implemented by nurses in supporting family adaptation and reducing anxiety during the hospitalization process. A qualitative descriptive phenomenological design was employed. The study involved eight participants selected through purposive sampling. Data were collected through behavioral observations and in-depth interviews with the participants. The findings revealed four main themes of caring consistent with Jean Watson’s perspective: emotional reactions, anxiety responses, caring during treatment, and family expectations. From the experiences of parents of LBW infants in the NICU, four caring themes emerged—emotional reactions, anxiety responses, caring during treatment, and family expectations. These findings were then integrated into the development of a Caring Guideline Book for the care of LBW infants based on Jean Watson’s Theory of Caring. Keywords: Low Birth Weight (LBW), Jean Watson’s Caring Theory, Family Anxiety, Length of Hospitalization.
THE EFFECTIVENESS OF AROMATHERAPY LAVENDER IN REDUCING EMESIS GRAVIDARUM IN FIRST TRIMESTER PREGNANT WOMEN Widyah Setiyowati; Gunarmi Gunarmi; Blacius Dedi
Jurnal Kebidanan VOLUME 15, NO.02 Desember 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Estu Utomo Boyolali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jurkeb.v15i02.663

Abstract

The discomfort that often occurs in pregnant women, especially in the first trimester of pregnancy, is vomiting nausea (Emesis Gravidarum). If emesis gravidarum occurs continuously and is not treated properly, it will cause symptoms of severe vomiting nausea to hyperemysis gravidarum which has adverse effects on the health of the mother and fetus. Emesis gravidarum during pregnancy can be administered pharmacologically and non-pharmacologically. Non-pharmacological actions that can be done, namely mothers can be recommended to eat often in small portions, acupuncture, and aromatherapy. One of the aromatherapy used to treat vomiting nausea is lavender aroma therapy. This study aims to find out how lavender aromatherapy affects vomiting nausea in pregnant women in the I trimester. The sample in this study was 38 I trimester pregnant women with complaints of vomiting nausea who did not use pharmacological therapy. Data analysis using the Wilcoxon test obtained the results of the p-value = 0.000 (<0.05) it can be concluded that Ha is accepted, which means that there is an influence of lavender aromatherapy in reducing emesis gravidarum in pregnant women in the I trimester. Advice can be given to pregnant women can use lavender aromatherapy as an alternative medicine to reduce emesis gravidarum. Keywords : Aromatherapy, Lavender, Nausea And Vomiting