Garuda - Garba Rujukan Digital

HUBUNGAN KUALITAS PELAYANAN GAWAT DARURAT DENGAN TINGKAT KEPUASAN PASIEN PENGGUNA BPJS KESEHATAN DI IGD RSI UNISMA MALANG Ikhda Ulya; Melli Anggraeni; Dewi Kartikawati Ningsih
Viva Medika Vol 10 No 2 (2017)
Publisher : Universitas Harapan Bangsa Purwokerto

Background : BPJS Health as a legal body health insurance providers continue to develop themselves to serve the basic needs of public health. But in its development there are still some obstacles that can affect user satisfaction, especially in the field of emergency services. Objective: To analyze the relationship quality of emergency services with the level of satisfaction patient BPJS Health at RS Unisma Malang. Method : This research design using cross sectional approach. Determination of sample by using purposive sampling technique with number of 144 respondents. Results : Spearman's Rho did got p-value 0.000 (<0,05) itâ€™s mean that there are relation between quality of emergency service with patient satisfaction level of BPJS. Correlation coefficient value of 0.810, the meaning of the relationship of emergency service quality with patient satisfaction level BPJS included in the category very strong with the direction of a positive relationship. The better quality of emergency services will increase patient satisfaction. Conclusion: There is a relationship between the quality of emergency services to the level of patient satisfaction BPJS Health at RS Unisma Malang. so, the hospital is expected to maintain and improve the quality of emergency services provided, so that the level of patient satisfaction BPJS Health well maintained. Keywords: Emergency Service Quality, Patient Satisfaction Level, BPJS Health.

PERBEDAAN SURVIVAL PASIEN RUJUKAN DAN NON RUJUKAN DENGAN CEDERA KEPALA DI INSTALASI GAWAT DARURAT (IGD) RSUD dr. SAIFUL ANWAR MALANG Made Martini; Mochammad Hidayat; Dewi Kartikawati Ningsih
Journal of Nursing Science Update (JNSU) Vol. 4 No. 2 (2016)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

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Banyak faktor yang mempengaruhi survival pasien cedera kepala. Manajemen awal cedera kepala dan sistem rujukan yang tepat menjadi aspek penentu survival pasien cedera kepala. Tujuan penelitian ini yaitu mengetahui perbedaan survival antara pasien rujukan dan non rujukan dengan cedera kepala berdasarkan rentang waktu pra rumah sakit di Instalasi Gawat Darurat (IGD) RSUD dr. Saiful Anwar Malang. Penelitian ini menggunakan rancangan observasional analitik dengan metode Cohort Restropective dengan mengobservasi catatan rekam medis pasien cedera kepala rujukan dan non rujukan di IGD RSUD dr Saiful Anwar selama 2 tahun terakhir, jumlah sample 96 terdiri dari 48 pasien rujukan dan 48 pasien non rujukan yang diperoleh dengan teknik purposive sampling. Penelitian membandingkan survival pasien rujukan dan non rujukan secara umum dan berdasarkan rentang waktu pra rumah sakit, saat tiba di IGD RSUD dr Saiful Anwar, dengan uji analisis survival Kaplan Meiner, uji Log Rank dan Mann Whitney untuk melihat perbandingan grafik Kaplan Meiner. Hasil uji analisis Mann Whitney menunjukkan bahwa tidak ada hubungan yang signifikan survival antara pasien rujukan dan non rujukan p= 0,337, sedangkan pada uji analisis survival Kaplan Meiner dan uji Log Rank menunjukkan terdapat perbedaan signifikan pada grafik Kaplan Meiner dalam mempengaruhi survival Â terutama pada rentang waktu pra rumah sakit. Dapat disimpulkan bahwa secara umum tidak ada perbedaan yang signifikan survival pasien rujukan dan non rujukan dalam 24 jam sejak tiba di IGD RSUD dr. Saiful Anwar, namun jika dilihat dari rentang waktu pra rumah sakit terdapat perbedaan yang berhubungan dengan survival pasien rujukan dan non rujukan saat tiba di IGD RSUD dr. Saiful Anwar. Dengan demikian diperlukan tatalaksana awal pasien cedera kepala yang cepat dan tepat dan meminimalkan Golden Hours untuk meningkatkan survival.Kata kunci: Survival, Cedera Kepala, Rujukan

PENGARUH PERAN PERAWAT SEBAGAI CARE GIVER TERHADAP LENGTH OF STAY (LOS) DI IGD RSUD DR.T.C.HILLERRS MAUMERE DENGAN PELAKSANAAN TRIAGE SEBAGAI VARIABEL MODERASI Yuliani Pitang; Edi Widjajanto; Dewi Kartikawati Ningsih
Journal of Nursing Science Update (JNSU) Vol. 4 No. 2 (2016)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

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Setiap tahun, lebih dari 2 juta orang/tahun datang mengunjungi IGD dan tidak jarang terjadi penumpukan pasien atau overcrowded yang menjadi masalah serius yang terjadi di IGD, dimana hal ini menyebabkan waktu tunggu yang lama dan ketidakpuasan pasien terhadap pelayanan di IGD. LOS merupakan indikator yang efektif untuk menilai kinerja dari IGD dan kualitas dari triage, hal ini menuntut Â perawat IGD untuk selalu menjalankan perannya di berbagai situasi dan kondisi yang meliputi tindakan penyelamatan pasien secara profesional. Metode yang digunakan kuantitatif observasional analitik dengan pendekatan studi penampang analitik (analytic cross sectional study), jumlah sampel yang digunakan 20 responden untuk subjek perawat dan 100 responden untuk subjek pasien dengan quota sampling. Hasil uji chi square (p value <0,05) menunjukan tidak ada pengaruh peran perawat sebagaI care giver terhadap lenght of stayÂ pasien di IGD dengan nilai signifikansi 0,649 dan penentuan pengaruh triage terhadap LOS pasien dilakukan dengan uji fisher menunjukan bahwa tidak memberikan pengaruh terhadap LOS pasien dengan nilai signifikansi 0,410 (p value <0,05). Kesimpulan adalah tidak ada pengaruh peran perawat sebagai care giver dengan LOS pasien dengan pelaksanaan triage sebagai variabel moderasi. Adapun faktor-faktor yang mempengaruhi LOS diantaranya waktu kedatangan, waktu konsultasi, waktu pemeriksaan lab, waktu pemeriksaan radiologi dan waktu disposisi fisik, dan ketersediaan tempat tidur di unit lain. Berdasarkan hasil penelitian tersebut diatas maka dianggap perlu untuk menyempurnakan hasil penelitian ini dengan memperbaiki setiap kekurangan yang ada, diantaranya menambah jumlah sampel, menambah waktu penelitian, memperbaiki metode observasi dan melakukan penelitian lebih lanjut terhadap faktor-faktor yang berpengaruh terhadap LOS pasien.Kata Kunci : Peran perawat Care Giver, Triage, Length Of stay pasien

FACTOR ANAYSIS THE CAUSE OF DELAYED INTERVENTION WITH LENGTH OF STAY PATIENTS ADMISSION IN EMERGENCY DEPARTMENT OF PROF. DR. W.Z. JOHANNES GENERAL HOSPITAL KUPANG Maria Fatimah Fouk; Titin Andri Wihastuti; Dewi Kartikawati Ningsih
Journal of Nursing Science Update (JNSU) Vol. 5 No. 2 (2017)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Overcrowding patients is a crisisÂ problem in hospital and plays a significant role as a front line in hospital which performing good and bad quality of care. Length of Stay (LOS) patients admission measurement indicator toward service process and patients density marker. Length of stay has important essence in reviewing process because helping to identify the cause of action delay and elongated LOS. EDLOS is influenced by input and trough put factor. Input factor: age, coming time, main complaint and co-morbidity. Trough put factor: triage level, door to doctor, the quickness in laboratory check, the quickness in specialist consultation and patients transfer to nursing room, staffing. This study is aimed to analyze the correlation of causing factor on action delay with LOS patients admissionÂ in Prof. Dr. W. Z. Johannes Public Hospital Kupang. This study uses cross sectional approach and quota sampling by the number of 200 patients and nurses also doctors. Data was collected by observation sheet. Result of this study shows that there are significant correlation between co-morbidity with LOS patients admission (p value = 0,001 and r = - 0,227), between the quickness of specialist consultation with LOS patients admission (p value = 0,001 and r = 0,238) and between patients transfer to nursing room LOS patients admission (p value = 0,000 and r = 0,699). Based on the result of linear regression test, it is concluded that factor that has very close correlation with LOS patients admission patients transfer to nursing room (p value < 0,001, regression coefficient 0,015 and correlation coefficient 0,774). Conclusion: co-morbidity, specialist consultation and patients transfer to nursing room is LOS patients admission predictor. Developing centralized bed control dan transporter is mandatory for decrease overcrowding and LOS patients admission in emergency department.

ANALYSIS OF FACTORS AFFECTING THE APPLICATION OF AUSTRALASIAN TRIAGE SCALE (ATS) IN EMERGENCY DEPARTEMENT NGUDI WALUYO WLINGI HOSPITAL Mohammad Nur Firdaus; Setyowati Soeharto; Dewi Kartikawati Ningsih
Journal of Nursing Science Update (JNSU) Vol. 6 No. 1 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Indonesia doesnâ€™t have a national standard for triage system which means implementation in each hospital can be different. Nurses have an important role in the application of triage. The Australasian Triage Scale method (ATS) is one of the triage system in the world used in some countries including Indonesia but it is very difficult to implementation in overcrowded emergency departement. Nurses ratio and unstandard triage room make the ATS standart times is difficult to achieve. The aim of this study was to analyze the various factors affecting Australasian Triage Scale (ATS) in emergency departement NgudiWaluyo Wlingi Hospital. We used quantitative research with cross sectional approach and the respondent are 28 nurses in Emergency Departement Ngudi Waluyo Wlingi Hospital. Univariate analysis is used toknow the description of each variable. Fisher test to determine the relationship between variables. Logistic regression analysis to determine the most dominant factor affecting the application of Australasian Triage Scale. Fisher test result show p-Value as follows: performance factor (leadership), p =0.028 < Î± = 0,05, client factor (waiting time) p = 0.011 < Î± = 0,05, equipment factor (triage documentation) p = 0,036 < Î± = 0,05, staff requirements factor (education) ) p = 0.013 <Î± = 0,05, staff requirements factor (training) p = 0.036 <Î± = 0,05 The result of logistic regression shows staff requirements factor (education) p = 0.019 < Î± = 0.05 with OR 0.059. In conclusion there is a significant affecting between performance leadership factor, waiting time factor, triage documentation factor,education factor, training factor on the application of ATS and education is a dominant factor to predict the accuracy of the application of ATS.

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