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All Journal Nurse Media Journal of Nursing Jurnal Kedokteran Brawijaya JURNAL ILMIAH KESEHATAN KEPERAWATAN Public Health of Indonesia Jurnal Kesehatan Mesencephalon DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Binary: Jurnal Teknologi Informasi dan Edukasi
Mukhamad Fathoni
Jurusan Administrasi Publik, Fakultas Ilmu Administrasi, Universitas Brawijaya, Malang
Computer Science & IT Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Other

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EFEKTIFITAS VITALPAC EARLY WARNING SCORING SEBAGAI DETEKSI DINI PERBURUKAN PASIEN ACCESS BLOCK DI IGD dr. ISKAK TULUNGAGUNG Ahmad, Zaky Soewandi; Soeharto, Setyowati; Fathoni, Mukhamad
Jurnal Kesehatan Mesencephalon Vol 3, No 2 (2017): Jurnal Kesehatan Mesencephalon - Oktober 2017
Publisher : Jurnal Kesehatan Mesencephalon

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (108.805 KB)

Abstract

Abstract : The prolongation of length of stay access block patients in emergency department (ED) can cause the risk of deterioration. Currently there is no study to prove the accuracy of any early warning system on a group of patient who are waiting for inpatient beds in ED. The purpose of this study was to validate the performance of detecting patient deterioration using  vitalpac early warning scoring (ViEWS) for inpatient beds in ED. This prospective, an observational study was carried out over 1 month in ED of Dr.Iskak Hospital in adult and older patient presenting to the ED. The VIEWS were calculated using the recorded physiological parameters of patient. Deterioration  were used as the primary outcomes. Out of a total of 75 access block patients, 24% of them had deterioration in ED. Result analysis from Test of Contingency Coefficient in this research represented that significant correlation between ViEWS value with deterioration of access block patients which is p-value <0,05. Comparative results in AUC represented that ViEWS had AUC value (0,967), sensitivity (0,889), specificity (0,965). The conclusion is the composite ViEWS was perform well in detection of early deterioration in ED.Keyword : vitalpac early warning scoring, deterioration, access block Abstrak : Memanjangnya lama waktu tinggal pasien access blockdi IGD dapat menyebabkan resiko perburukan. Saat ini belum ada penelitian yang dapat membuktikan efektifitas dari deteksi dini pada pasien yang menunggu rawat inap di instalasi gawat darurat (IGD). Tujuan penelitian ini adalah untuk mengetahui efektifitas vitalpac early warning scoring (ViEWS)sebagai deteksi dini pasien access blockdi IGD. Penelitian ini adalah penelitian observasional analitik dengan desain studi prospektif yang dilakukan selama 1 bulan di IGD RSUD Dr. Iskak Tulungagung.Skoring VIEWSmenggunakan parameter fisiologis pasien.Outcome utama dari penelitian ini adalah perburukan pasien access block dalam 24 jam.Dari 75 pasien access block, 24% diantaranya mengalami perburukan di IGD. Hasil analisis Uji Koefisien Kontigensi penelitian menunjukkan bahwa terdapat hubungan yang bermakna antara nilai VIEWS dengan perburukan pasien access block dengan p-value< 0,05. Hasil komparatif AUC menunjukkan bahwa ViEWS memiliki nilai AUC (0,967), sensitivitas (0,889), spesifitas (0,965) Oleh karena itu ViEWS efektif sebagai deteksi dini perburukan pasien di IGD.Kata Kunci : vitalpac early warning scoring, perburukan, access block
Relationships between Triage Knowledge, Training, Working Experiences and Triage Skills among Emergency Nurses in East Java, Indonesia Fathoni, Mukhamad; Sangchan, Hathairat; Songwathana, Praneed
Nurse Media Journal of Nursing Vol 3, No 1 (2013): (JUNE 2013)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (161.676 KB) | DOI: 10.14710/nmjn.v3i1.4466

Abstract

Background: Since there are increased numbers of clients with traumatic injuries and non-traumatic cases in the emergency department in Indonesia, triage skill is an essential competency required for the emergency nurses.Purposes: This study aimed to examine the level of perceived triage skills and the relationship between knowledge, training, working experience and perceived triage skills among emergency nurses.Method: Two hundred and sixty six emergency room (ER) nurses working in two secondary and two tertiary public hospitals in East Java Province, Indonesia, were recruited by purposive sampling. Data were collected using a set of questionnaires which included the Demographic Data including training and working experiences, Triage Knowledge Questionnaire (TKQ) and Triage Skill Questionnaire (TSQ). The contents of questionnaires were validated by three experts and tested for reliability. The correlation coefficient for the TKQ was 0.99 and Cronbach’s alpha coefficient of the TSQ was 0.93. The collected data were analyzed using descriptive statistics including Pearson’s product-moment correlation to examine the relationship.Result: The results showed that the majority of subjects were female (71.4%) with aged of 22 – 40 years (79.3%), educated to diploma level (94.4%). All subjects had attended Basic Life Support (BLS) and Advanced Life Support (ACLS), and about half of them had greater than 5 years working experiences in ED. Overall perceived triage skill was at a moderate level with the mean score of 75.12 (SD = 11.23). There were significantly positive correlations between triage skill and working experience (r = .27, p < .01), training experience (r = .37, p < .01), and triage knowledge (r = .38, p < .01).Conclusion: The findings provide a better understanding of triage skills among ER nurses and suggest that the continuing education and training courses related to triage and advanced management of medical emergencies for ER nurses are required in order to increase and update the triage skills in enhancing the quality of emergency care and patient safety.Key Words :Triage knowledge, triage skills, training, working experience, emergency nurse
FAKTOR DOMINAN DALAM MEMPREDIKSI MORTALITAS PASIEN DENGAN SEPSIS DI UNIT GAWAT DARURAT Akbar, Ilham; Widjajanto, Edi; Fathoni, Mukhamad
Jurnal Kedokteran Brawijaya Vol 30, No 2 (2018)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2018.030.02.14

Abstract

Mortalitas pasien dengan sepsis meningkat secara drastis dengan tingkat keparahannya. Ada banyak faktor yang yang menjadi pertanda perburukan kondisi maupun kematian pasien dengan sepsis. Seorang perawat diharapkan dapat menjadi lini terdepan di unit gawat darurat untuk dapat memprediksi mortalitas pasien dengan sepsis untuk menentukan tindakan definitif dengan segera tanpa melakukan pemeriksaan laboratorium. Tujuan penelitian yaitu menganalisis faktor dominan yang berhubungan dengan mortalitas pasien dengan sepsis. Penelitian kuantitatif ini menggunakan desain observasi analitik dengan pendekatan retrospektif. Sampel menggunakan rekam medis pasien dengan sepsis disesuaikan dengan kriteria inklusi dan ekslusi dan ditentukan dengan teknik consecutive sampling yaitu sebanyak 75 responden. Analisis bivariat yang dilakukan pada penelitian ini menggunakan kontigensi lambda dan chi square, sedangkan analisis multivariat menggunakan regresi logistik. Hasil uji bivariat menunjukkan bahwa usia (r=0,305, p=0,030), nilai qSOFA (r=0,678, p=0,000), dan penyakit komorbid (r=0,243, p=0,030) masing-masing memiliki arah hubungan positif dengan mortalitas pasien sepsis. Hasil regresi logistik menunjukkan penyakit komorbid meningkatkan 6,6 kali mortalitas pada pasien sepsis (OR=7,000, p=0,016). Penyakit komorbid dan nilai qSOFA adalah faktor yang dapat mempredikisi mortalitas pasien sepsis namun penyakit komorbid merupakan faktor yang paling dominan. 
ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN OUTCOME PASIEN CEDERA KEPALA DI IGD RSUD Prof. Dr. MARGONO SOEKARDJO PURWOKERTO Suwaryo, Putra Agina Widyaswara; Wihastuti, Titin Andri; Fathoni, Mukhamad
Jurnal Ilmiah Kesehatan Keperawatan Vol 12, No 3 (2016): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM STIKES MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (74.188 KB) | DOI: 10.26753/jikk.v12i3.164

Abstract

Trauma is one of the biggest causes of death in the world. Thousands of people died from trauma each years. Many trauma occur in developing countries or countries with low incomes. The survey carried out showed 90% of trauma occur in developing countries. Outcome head injury patients determined from the initial condition when the patient entered in the ER (Emergency Room). Analysis of the patient's condition will determine the appropriate nursing actions that affect patient outcome. The purpose of this study was to analyze factors associated with outcome head injury patients in ER Prof. Dr. Margono Soekardjo Purwokerto Hospital. This study is a prospective with observational analytic design. The sample in this study amounted to 56 people.The results of Spearman and coefficient contingency indicates that there is a relationship between initial GCS score (p = 0.000) and systolic blood pressure (p = 0.000)with a outcomes of head injury patient. There is no correlation between age (p = 0.478)respiratory rate (p = 0.956) and pulse (.318) with a outcomes of head injury patient. Analysis of logistic regression shows that systolic blood pressure (RR = 6.768) is the dominant factor associated with outcomes of head injury patient. Therefore, the need to improve the management hemodynamic of the patient's, especially blood pressure to prevent bad outcomes. Keywords: outcome, head injury, Emergency Room
RELATIONSHIP BETWEEN PERSONAL SELF-EFFICACY AND FLOOD DISASTER PREPAREDNESS OF INDONESIAN NURSES Wurjatmiko, Adi Try; Zuhriyah, Lilik; Fathoni, Mukhamad
Public Health of Indonesia Vol. 4 No. 1 (2018): January - March
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (189.298 KB) | DOI: 10.36685/phi.v4i1.161

Abstract

Background: Indonesia is one of the countries that is prone to natural disaster. There are between 1,500-2,000 cases of natural disasters annually and most of the cases are related to hydro meteorological activities such as flood. Preparedness is a critical phase in disaster management as it is able to decrease or prevent negative effects of natural disasters for example negative effects of natural disaster in health sector. Nurse preparedness is one of the determining factors in describing how severe effects of natural disasters are in health sector.Objective: To identify and analyze relationship between personal self-efficacy and flood disaster preparedness of Indonesian nurses.Method: The study used analytical observational design with cross sectional approach. The population was 191 nurses and the samples were 160 nurses working in public health centers. The sampling method was purposive sampling. The setting on the study was 5 public health services located in areas prone to flood in Kendari, Southeast Sulawesi, Indonesia. Spearman rank correlational test was used for data analysis with significant level (α) =0.05.Results: Spearman Rank correlational test showed a significant relationship between self-efficacy and flood disaster preparedness of nurses (p =0.00 and r =0.63).Conclusion: Personal factor such as nurses' self-efficacy in dealing with flood is related to their flood disaster preparedness in Kendari, Southeast Sulawesi, Indonesia.
ENGARUH PELATIHAN PENANGANAN PERTAMA CEDERA KEPALA TERHADAP PENGETAHUAN SISWA SMAN 6 MALANG Christianingsih, Siska; Wihastuti, Titin Andri; Fathoni, Mukhamad
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 5 No 2 (2017): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (265.612 KB)

Abstract

Head injuries still a health problem that has serious consequences for the sufferer, wheretrauma is the leading cause of death. The most common cause is a motor vehicle accident. Thehighest prevalence of injury is in the age group 15-24 years (11.7%). The lack of communitycompetence in preventing secondary injury that often accompanies the patient and is the maincause of death. This study aim to analyze the effect of head injuries first aid to increaseknowledge in students of SMA Negeri 6 Malang. The method in this research was quasyexperimental. The samples was 52 respondents using proportionate stratified random samplingtechnique. The result of independent t test showed that there was significant difference inknowledge variable (0,017). The need for training in common people to recognize the needs andprovide appropriate early care to victims of acute trauma and can provide more accurateinformation to the ambulance.
Upaya Peningkatan Mutu Pendidikan Sekolah Melalui Sistem Informasi Menejemen Sekolah muarif, muarif; Fathoni, Mukhamad; Sari, Nindy Devita; Vaujiah, Nadif
Binary: Jurnal Teknologi Informasi dan Edukasi Vol. 1 No. 1 (2024): Vol 1 No 1 Tahun 2024
Publisher : Universitas Nurul Huda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30599/binary.v1i1.797

Abstract

Pembangunan memiliki tujuan untuk menciptakan masyarakat yang produktif, kreatif, inovatif, dan afektif. Masyarakat yang berbudaya memerlukan manajemen pelayanan pendidikan yang efisien dan efektif, khususnya melalui penerapan sistem informasi manajemen sekolah berbasis IT. Pengambil keputusan di bidang pendidikan memegang peranan krusial dalam perencanaan, pengawasan, pemantauan, dan evaluasi sistem informasi manajemen pendidikan. Penelitian ini fokus untuk menggali lebih dalam tentang penerapan sistem informasi manajemen (SIM) guna meningkatkan kualitas layanan belajar-mengajar di SMK. Metode kualitatif dengan pendekatan deskriptif digunakan dalam penelitian ini, dengan SMK Nurul Huda Sukaraja sebagai populasi. Tujuan penelitian adalah untuk mengevaluasi perencanaan, pelaksanaan, dan evaluasi sistem informasi manajemen akademik dalam meningkatkan kualitas layanan belajar mengajar di SMK. Hasil penelitian menunjukkan bahwa perencanaan SIM akademik sudah dilakukan dengan baik, pelaksanaannya dilakukan oleh kepala sekolah dan tim akademik SIM dengan hasil yang memuaskan. Meskipun demikian, saluran informasi masih belum optimal.
Pengembangan Media E-Komik Berbasis Website Canva pada Materi Sistem Komputer Kelas X di SMA Negeri 1 Belitang Jaya: Pengembangan Media E-Komik Berbasis Website Canva pada Materi Sistem Komputer Kelas X di SMA Negeri 1 Belitang Jaya Sujatniko, Fajar; Fathoni, Mukhamad; Muarif
Binary: Jurnal Teknologi Informasi dan Edukasi Vol. 2 No. 1 (2025): Jurnal Bynary Vol. 2 No. 1 (2025)
Publisher : Universitas Nurul Huda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30599/binary.v2i1.1285

Abstract

Tujuan penelitian ini untuk menghasilkan sebuah produk media e-komik berbasis website canva sebagai salah satu sumber belajar untuk materi sistem komputer kelas X dan untuk mengetahui tingkat kemenarikan, kepraktisan dan efektifitas pengembangan media e-komik berbasis website canva. Penelitian ini menggunakan metode Research And Development (R&D) dengan model ADDIE yang terdiri dari 5 tahap pengembangan. Lokasi penyebaran angket peserta didik dilaksanakan di SMA Negeri 1 Belitang Jaya dengan 20 sampel peserta didik kelas X. Hasil penelitian menunjukan bahwa kriteria kelayakan produk melalui ahli materi dan ahli media mendapatkan nilai sebesar 85,5% kategori “sangat layak”, kriteria kepraktisan melalui ahli praktisi mendapatkan hasil sebesar 86% kategori “sangat praktis”, serta kriteria kemenarikan respon peserta didik dinyatakan sangat menarik dengan penilaian sebesar 93,5%.
Co-Authors Christianingsih, Siska Edi Widjajanto Hathairat Sangchan Ilham Akbar Lilik Zuhriyah Muarif Muarif, Muarif Praneed Songwathana Sari, Nindy Devita Setyowati Soeharto, Setyowati Sujatniko, Fajar Suwaryo, Putra Agina Widyaswara Titin Andri Wihastuti Vaujiah, Nadif Wurjatmiko, Adi Try Zaky Soewandi Ahmad, Zaky Soewandi