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Efektifitas Senam Kaki Diabetes Menggunakan Alat Pijat Plantar Manual pada Klien Diabetes Mellitus Andi Hayyun Abiddin; Agus Khoirul Anam
Malahayati Nursing Journal Vol 6, No 6 (2024): Volume 6 Nomor 6 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i6.13450

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ABSTRACT Peripheral neuropathy is a long-term complication that attacks the nerves and loses the sensation of protection which affects about 50% of people with diabetes mellitus (DM). Diabetic foot exercises can help blood circulation, especially in the legs or lower limbs. To analyze the effect of diabetic foot exercise on sensory peripheral neuropathy in DM clients using Plantar Manual Massage Device. The study design used quasi-experimental pre-post test with control group. Samples were 20 respondents using purposive sampling and divided into two groups of 10 respondents each. The independent variable is diabetic foot massage using Plantar Manual Massage Device, and the dependent variable is peripheral sensory neuropathy. Interventions are carried out 3 times a week for 4 weeks. The research instrument using neuropathy screening score (NSS ) and  Monofilament test. Data analysis using the Wilcoxon-signed rank test with α≤0.05. The Wilcoxon-signed rank test in the treatment group showed differences in sensory peripheral neuropathy after treatment using Plantar Manual Massage Device (p=0,000) and no difference in the control group (p=0.523). Diabetic foot exercises using Plantar Manual Massage Device can be used as an alternative device to improve sensory peripheral neuropathy. Keywords: Diabetic Foot Exercise, Plantar Manual Massage Device, Peripheral Neuropathy  ABSTRAK Neuropati perifer merupakan komplikasi jangka panjang yang menyerang saraf dan kehilangan sensasi perlindungan yang menyerang sekitar 50% penderita diabetes melitus (DM). Senam kaki diabetes dapat membantu melancarkan peredaran darah, terutama pada tungkai atau anggota tubuh bagian bawah. Menganalisis pengaruh senam kaki diabetik terhadap neuropati perifer sensorik pada klien DM dengan menggunakan Alat Pijat Manual Plantar. Desain penelitian menggunakan quasi eksperimental pre-post test with control group. Sampel berjumlah 20 responden dengan menggunakan purposive sampling dan dibagi menjadi dua kelompok yang masing-masing berjumlah 10 responden. Variabel bebasnya adalah pijat kaki diabetik menggunakan Plantar Manual Massage Device, dan variabel terikatnya adalah neuropati sensorik perifer. Intervensi dilakukan 3 kali seminggu selama 4 minggu. Instrumen penelitian menggunakan skor skrining neuropati (NSS) dan tes Monofilamen. Analisis data menggunakan uji Wilcoxon-signed rank test dengan α≤0,05. Uji Wilcoxon-signed rank test pada kelompok perlakuan menunjukkan adanya perbedaan neuropati perifer sensorik setelah perlakuan menggunakan Plantar Manual Massage Device (p=0,000) dan tidak terdapat perbedaan pada kelompok kontrol (p=0,523). Senam kaki diabetik menggunakan Plantar Manual Massage Device dapat digunakan sebagai salah satu alternatif alat untuk memperbaiki neuropati perifer sensorik. Kata Kunci: Senam Kaki Diabetik, Alat Pijat Plantar Manual, Neuropati Perifer 
Kemampuan Ibu dalam Penanganan Pertama Kejang Demam Antik Wijayanti; Agus Khoirul Anam; Andi Hayyun Abiddin
Malahayati Nursing Journal Vol 7, No 1 (2025): Volume 7 Nomor 1 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i1.16769

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ABSTRACT Improper and rapid handling of febrile seizures can cause complications and can lead to death. The mother's ability in first aid for febrile seizures is essential so that if a child has a febrile seizure, the parents can cope. The purpose of this study was to identify the mother's ability regarding first aid for febrile seizures in children before being taken to the hospital. This study used a quantitative method with a quasi-experimental design through a one-group pre-test post-test design approach with a sample of 30 respondents, taken using a purposive sampling technique from the toddler posyandu in Gondang Village, Nganjuk. Data collection used questionnaires and observations of the mother's ability—the data analysis technique in descriptive statistics by calculating the percentage. The results of the study obtained 43% of respondents' knowledge in the poor category, and 30% of respondents' abilities in the sufficient category. Based on the study above, it can be concluded that the mother's knowledge in the poor category was 13 respondents (43%) based on the lack of exposure to information. Lack of knowledge can result in errors in implementation and can endanger children. The mother's ability in the good category was 13 respondents (43%), sufficient as many as 10 respondents (33%), and lacking as many as 7 respondents (23%). This is based on the level of knowledge and age factors that influence the mother's ability to provide initial treatment for febrile seizures. Keywords: Febrile Seizures, Mother, First Handling Of Febrile Seizures  ABSTRAK Penanganan kejang demam yang tidak tepat dan cepat dapat menimbulkan komplikasi dan dapat menyebabkan kematian. Kemampuan ibu dalam penanganan pertama kejang demam sangat penting sehingga apabila terjadi kejang demam pada anak, orang tua mampu mengatasi. Tujuan penelitian ini untuk mengidentifikasi kemampuan ibu mengenai penanganan pertama kejang demam pada anak sebelum dibawa ke rumah sakit. Penelitian ini menggunakan metode kuantitatif dengan design quasi experimental melalui pendekatan one grup pre-test post-test design dengan sampel sebanyak 30 responden, diambil dengan teknik purposive sampling dari posyandu balita desa gondang, Nganjuk. Pengumpulan data menggunakan kuisioner dan observasi kemampuan ibu. Teknik Analisa data dalam statistik deskriptif dengan melakukan perhitungan presentase. Hasil penelitian diperoleh 43% pengetahuan responden kategori kurang, dan 30% kemampuan responden kategori cukup. Berdasarkan penelitian diatas dapat disimpulkan pengetahuan ibu dalam dalam kategori kurang sebanyak 13 responden (43%) hal ini didasari dengan kurangnya terpapar informasi. Kurangnya pengetahuan dapat mengakibatkan kesalahan dalam pelaksanaan dan dapat membahayakan anak. Kemampuan ibu dalam kategori baik sebanyak 13 responden (43%), cukup sebanyak 10 responden (33%), dan kurang sebanyak 7 responden (23%). Hal ini didasari dengan adanya tingkat pengetahuan dan faktor usia yang mempengaruhi kemampuan ibu dalam penanganan pertama kejang demam. Kata Kunci: Anak, Kejang Demam, Ibu, Penanganan Pertama Kejang Demam
Knowledge of Cardiovascular Emergency Management Among Posbindu Cadres Tiara Margaretha Putri Fauzi Tiara Margaretha Putri Fauzi; Mohamad Miftachul Ulum Mohamad Miftachul Ulum; Andi Hayyun Abiddin
JOSAR (Journal of Students Academic Research) Vol 11 No 1 (2026): March 2026
Publisher : Universitas Islam Balitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35457/fytwpr55

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Non-communicable diseases (NCDs) are becoming an increasingly troubling health problem, every year, the number of cases continues to increase, causing deep concern, especially those related to the cardiovascular system remains the leading cause of death and remains top-ranked in East Java. Posbindu cadres have a very important role in PTM cardiovascular emergencies. The purpose of the study was to determine the level of knowledge of cardiovascular emergencies in posbindu cadres. The method that has been used in this study is descriptive quantitative, with a total of 30 respondents taken with a total sampling technique. Data collection instruments in the form of questionnaire sheets containing knowledge of cardiovascular emergencies. Based on research conducted in March 2024 at Posbindu 2 Pakunden Village, Blitar City. The results of this study showed that the level of knowledge of cardiovascular emergencies in posbindu cadres was mostly good knowledge. Knowledge in cardiovascular emergencies that is still lacking is about cardiovascular risk factors. The lack of action in conveying information and the internet causes most respondents to lack understanding and has never been done such as education or training so they cannot implement it.
Pengembangan Bra Kompres dalam Mengatasi Masalah Pada Masa Laktasi Rahajeng Siti Nur Rahmawati; Agus Khoirul Anam; Finta Isti Kundarti; Iva Firdayanti; Andi Hayyun Abiddin
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.v6i6.22968

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ABSTRACT Breast milk has a composition tailored to the needs of infants, containing protective substances, providing psychological benefits, and reducing the risk of dental caries, malocclusion, and chronic diseases in children. However, issues commonly arising during lactation often hinder mothers from breastfeeding effectively, with some even opting to stop breastfeeding altogether. The most frequent problems include breast engorgement and mastitis. These issues can be prevented by utilizing certain natural materials as compresses applied to the mother's breasts. Unfortunately, this method is considered inefficient as it cannot be done freely, especially while breastfeeding. To address this, researchers aim to develop a compression bra that can be used even while the mother is breastfeeding, ensuring the process is not disrupted. This study employs a Research Development (RD) design using the ADDIE development model. Validation results from two experts indicate a product assessment score of 86.6% (highly feasible) and 80% (feasible). Based on the product development outcomes, the compression bra is deemed suitable for addressing lactation-related issues as it meets the criteria of a feasible and highly feasible product Keywords: Compress Bra, Breast, Product Development.  ABSTRAK ASI memiliki komposisi yang sesuai dengan kebutuhan bayi, mengandung zat protektif, memiliki efek psikologis, mengurangi karies dentis, maloklusi dan kejadian penyakit kronis pada anak. Namun karena masalah yang sering muncul pada masa laktasi menjadikan ibu tidak dapat menyusui secara maksimal dan bahkan ada yang memilih untuk berhenti menyusui. Masalah yang paling sering terjadi adalah     bendungan ASI dan mastitis. Kedua masalah tersebut dapat dicegah dengan memanfaatkan beberapa bahan dari alam yang dikompreskan pada payudara ibu.       Sayangnya, cara tersebut dinilai tidak efisien dikarenakan tidak dapat dilakukan dengan leluasa, apalagi sambil menyusui bayinya. Oleh karena itu peneliti berupaya mengembangkan sebuah bra kompres yang dapat digunakan meski ibu sedang menyusui sehingga tidak mengganggu proses menyusu. Penelitian ini menggunakan desain Research Development (RD) dengan model pengembangan ADDIE. Hasil validasi dari dua pakar menunjukkan hasil penilaian produk  sebesar 86,6% (sangat layak) dan sebesar 80% (layak). Berdasarkan hasil pengembangan produk didapatkan bahwa bra kompres layak digunakan untuk mengatasi masalah dalam masa laktasi karena sudah memenuhi kelayakan sebuah  produk dengan hasil layak dan sangat layak. Kata Kunci: Bra Kompres, Payudara, Pengembangan Produk.
Pertanggungjawaban Pidana dalam Tindakan Medis Tanpa Informed Consent yang Mengakibatkan Kematian Pasien Imma Apriana; Vieta Imelda Cornelis; Vallencia Nandya Paramitha; Andi Hayyun Abiddin
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.v6i6.25248

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ABSTRACT Informed consent is a fundamental principle in medical practice, closely related to the protection of patients’ rights to bodily autonomy and free, informed decision-making. However, medical procedures performed without valid consent are still encountered, whether due to administrative negligence or emergency circumstances that often give rise to legal controversy. This study aimed to analyze the forms of criminal liability of medical practitioners and healthcare professionals for medical actions performed without Informed consent that result in the loss of a patient’s life. This normative juridical research employs statutory and conceptual approaches by examining Law Number 1 of 2023 on the Indonesian Criminal Code, Law Number 17 of 2023 on Health, and Minister of Health Regulation Number 290/MENKES/PER/III/2008 concerning Consent to Medical Treatment. The study is complemented by doctrinal analysis and comparative perspectives from common law and civil law systems. Primary, secondary, and tertiary legal materials were collected through library research and analyzed descriptively and qualitatively using deductive reasoning to assess normative consistency and formulate legal prescriptions regarding criminal liability for medical actions performed without informed consent resulting in a patient’s death. This study indicated that informed consent serves as a primary determinant of the legality of medical actions. The absence of valid consent may qualify a medical intervention as an unlawful act and reinforce the element of fault, particularly in cases involving patient death. Criminal liability is generally constructed as professional negligence; however, under certain circumstances, it may extend to intentional conduct when actions are performed with awareness of significant risks, without consent, and outside emergency conditions. Informed consent constitutes both a prerequisite for the legality of medical interventions and a manifestation of patients’ rights. Its absence may give rise to criminal liability, especially when resulting in death and where fault or violations of professional standards are established. Strengthening documentation practices, clarifying standard operating procedures, and enhancing patient education and communication between medical practitioners, healthcare professionals, and patients are essential to ensure proper implementation. Keywords: Informed Consent, Patient’s Life, Criminal Liability, Medical Practitioners, Healthcare Professionals. ABSTRAK Informed consent merupakan prinsip fundamental dalam praktik kedokteran yang berkaitan erat dengan perlindungan hak pasien atas otonomi tubuh dan pengambilan keputusan bebas serta sadar. Namun, masih ditemukan tindakan medis yang dilakukan tanpa persetujuan yang sah, baik karena kelalaian administratif maupun alasan kedaruratan yang kerap menimbulkan perdebatan hukum. Untuk menganalisis bentuk pertanggungjawaban pidana tenaga medis dan tenaga kesehatan atas tindakan medis yang dilakukan tanpa Informed consent yang mengakibatkan hilangnya nyawa pasien. Penelitian yuridis normative ini menggunakan pendekatan perundang-undangan, konseptual, dengan menelaah Undang-Undang Nomor 1 Tahun 2023 tentang KUHP, Undang-Undang Nomor 17 Tahun 2023 tentang Kesehatan, serta Peraturan Menteri Kesehatan Nomor 290/MENKES/PER/III/2008 tentang Persetujuan Tindakan Kedokteran, disertai kajian doktrin dan praktik di negara common law dan civil law. Bahan hukum primer, sekunder, dan tersier dikumpulkan melalui studi kepustakaan dan dianalisis secara deskriptif-kualitatif dengan penalaran deduktif untuk menilai konsistensi norma serta merumuskan preskripsi hukum mengenai pertanggungjawaban pidana tenaga medis dan tenaga kesehatan atas tindakan tanpa Informed consent yang berimplikasi pada hilangnya nyawa pasien. Penelitian ini menemukan bahwa Informed consent merupakan determinan utama legalitas tindakan medis. Ketiadaan persetujuan yang sah mengakibatkan tindakan dikualifikasikan sebagai perbuatan melawan hukum dan memperkuat unsur kesalahan, terutama dalam kasus yang mengakibatkan kematian pasien. Pertanggungjawaban pidana umumnya dikonstruksikan sebagai kelalaian profesional, namun dalam kondisi tertentu dapat mengarah pada kesengajaan apabila tindakan dilakukan dengan kesadaran atas risiko tanpa persetujuan dan di luar keadaan darurat.  Informed consent merupakan syarat legalitas tindakan medis dan perwujudan hak pasien. Ketiadaannya dapat menimbulkan pertanggungjawaban pidana, khususnya jika mengakibatkan kematian dan terbukti adanya kesalahan atau pelanggaran standar profesi. Optimalisasi implementasi memerlukan penguatan dokumentasi, kejelasan SOP, serta peningkatan edukasi dan komunikasi antara tenaga medis, tenaga kesehatan dan pasien. Kata Kunci: Informed-Consent, Nyawa-Pasien, Pertanggungjawaban-Pidana, Tenaga-Medis, Tenaga-Kesehatan.
KEMAMPUAN POLISI LALU LINTAS DALAM MEMBERIKAN BANTUAN HIDUP DASAR PADA KORBAN KECELAKAAN Andi Hayyun Abiddin; Arif Arif Mulyadi; Putri Putri Setyorini
Jurnal Keperawatan Malang Vol 9 No 2 (2024): Jurnal Keperawatan Malang (JKM)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36916/jkm.v9i2.290

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Background: The increase in the number of motorized vehicles in Nganjuk Regency is related to the increase in traffic accidents. Traffic police play a very important role in reducing or preventing the impact of traffic accidents, especially cardiac arrest. Police who are trained in providing basic life support can reduce the risk of death for accident victims with cardiac arrest. Objective: To identify the ability of basic life support for accident victims provided by traffic police in the Nganjuk Police work area. Method: Descriptive quantitative observational with a population of 85 Nganjuk Regency traffic police. A total of 30 respondents were taken through purposive sampling technique. Observation sheets based on the American Health Association (AHA) version 2020 were used to collect data. Descriptive data analysis by displaying frequency distribution and percentages was used in this study. The study period was in February 2024. Results: Respondents with a good category were 19 (63.3%), respondents with a sufficient category were 6 (20.0%), and the poor category were 5 (16.7%). Implications: The majority of respondents described their ability to provide basic life support in the range of sufficient to good. This shows that the basic life support capabilities for accident victims provided by traffic police in the Nganjuk Police work area are included in the good category.
Exploratory Descriptive Study on the Management og Hospital Facilities and Infrastructure Muhammad Saleh; Prima Dewi Kusumawati; Nurwijayanti; Ning Arti Wulandari; Andi Hayyun Abiddin
Journal of Ners and Midwifery Vol 12 No 2 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v12i2.ART.p161-169

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Management of facilities and infrastructure has a very important role in the effectiveness of health services, especially in Medical Rehabilitation Installations. Hospitals face challenges related to increasing patient volumes, leading to patient overcrowding and extended waiting times. The aim of this research was to analyze the management of hospital service facilities and infrastructure. The design of this research was exploratory descriptive with a qualitative approach. The subjects of this research were 11 subjects from units related to hospital services at the West Sidoarjo General Hospital. The data collection process was carried out using interviews, observation and documentation. This study showed that improving coordination between management and medical staff as well as improving medical equipment maintenance systems will make a significant contribution to hospitals' ability to meet healthcare needs efficiently. Hospitals need to carry out routine training on the use of medical equipment, form equipment maintenance teams and carry out regular audits.
Peran Tenaga Kesehatan, Edukasi Kesehatan dan Dukungan Suami terhadap Minat Penggunaan Kontrasepsi pada Pasangan Usia Subur Endang Dwiwati; Yenny Puspitasari; Prima Dewi Kusumawati; Andi Hayyun Abiddin
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21166

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ABSTRACT Recently, high population is still a major problem faced by Indonesia. Controlling population growth through Long-Term Contraceptive Methods (LTMs) is one effort to realize quality families. However, users of LTMs in Indonesia have not yet met the target. The purpose of this study was to determine the effect of the roles of health workers, health education, and husbands' support on the interest in using Long-Lasting Mosquito Nets (LLMs) in fertile couples (PUS) in Palu City. This study used an observational research design with a cross-sectional approach. The population in this study consisted of fertile couples in Palu City, totaling 51,201 people. The sampling technique used was probability sampling with a simple random sampling approach, obtaining a sample of 381 respondents. Data analysis used logistic analysis. The results showed that the role of health workers, with a significance level of 0.011, husband's support with a significance level of 0.014 influenced the interest in using LTMs in Fertile Couples, while health education with a significance level of 0.111 did not influence the interest in using LTMs in Fertile Couples in Palu City. In shaping public perceptions of the use of contraceptives, health workers must have an active and positive role. A comprehensive approach is needed after providing education that not only focuses on delivering information but also on overcoming other obstacles. Involving husbands is essential to achieving effective family planning goals. Keywords: Health Workers, Health Education, Husband's Support, Interest in Use, Long-Term Contraceptive Methods.  ABSTRAK Jumlah penduduk yang masih tinggi masih menjadi masalah utama yang dihadapi Indonesia saat ini. Pengendalian pertumbuhan penduduk melalui Metode Kontrasepsi Jangka Panjang (MKJP) salah satu upaya mewujudkan keluarga berkualitas. Namun, pengguna Metode Kontrasepsi Jangka Panjang Di Indonesia masih belum memenuhi target. Tujuan penelitian ini adalah Untuk mengetahui pengaruh peran tenaga kesehatan, edukasi kesehatan dan dukungan suami terhadap minat penggunaan Metode Kontrasepsi Jangka Panjang pada pasangan usia subur (PUS) di Kota Palu. Penelitian ini menggunakan desain penelitian observasional dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah pasangan usia subur di Kota Palu sebanyak 51.201 orang. Teknik pengambilan sampel menggunakan probability sampling dengan pendekatan simple random sampling diperoleh sampel sebanyak 381 responden. Analisis data menggunakan analisis logistik. Hasil penelitian menunjukkan bahwa peran tenaga kesehatan dengan tingkat signifikasi sebesar 0,011, dukungan suami dengan tingkat signifikasi sebesar 0,014 berpengaruh terhadap minat penggunaan MKJP pada Pasangan Usia Subur, sedangkan edukasi kesehatan dengan tingkat signifikasi sebesar 0,111 tidak berpengaruh terhadap minat penggunaan MKJP pada Pasangan Usia Subur di Kota Palu. Dalam membentuk persepsi masyarakat terhadap penggunaan alat kontrasepsi, tenaga kesehatan harus memiliki peran yang aktif serta positif. Perlu pendekatan yang komperhensif setelah memberikan edukasi yang tidak hanya fokus pada penyampaian informasi saja, namun juga mengatasi hambatan-hambatan lainnya. Upaya melibatkan suami sangat penting untuk mencapai tujuan perencanaan keluarga efektif. Kata Kunci: Tenaga Kesehatan, Edukasi Kesehatan, Dukungan Suami, Minat Penggunaan, Metode Kontrasepsi Jangka Panjang.
Strategi Percepatan Kemandirian Keuangan Badan Layanan Umum Daerah RSUD Sidoarjo Barat Amelia Indah Mawarni; Byba Melda; Prima Dewi Kusumawati; Andi Hayyun Abiddin
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21233

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ABSTRACT Unstable income, low Cost Recovery Rate, and high budget subsidies from the Regional Budget/National Budget are challenges faced by the West Sidoarjo Regional General Hospital, which disrupt health services. The purpose of this study is to explore the strategies implemented by the West Sidoarjo Regional General Hospital using the Balanced Scored Card. The research design employs a qualitative case study approach, utilizing a purposive sampling technique. The number of samples is 16 respondents, consisting of 12 main informants and 4 triangulator informants. The analysis was carried out using qualitative analysis based on the Balanced Scorecard, employing a 4-perspective approach: the Financial Perspective, Customer Perspective, Internal Business Perspective, and Learning and Growth Perspective. The results of the study show that the greatest weight in the strategy to accelerate financial independence is the customer perspective. The customer perspective describes the trend of increasing patient visits caused by the opening of new services, patient satisfaction with services, and the closure of competing hospitals for BPJS services. The Internal Business Perspective describes business growth from the health and non-health sectors such as asset optimization, cooperation, and acceptance of educational services. The learning and growth perspective describes the BERAKHLAK culture that has been implemented by employees, increasing employee competency through internal and external training, increasing work motivation through reward and punishment and support from the APBD budget for training. RSUD Sidoarjo Barat is not yet financially independent due to insufficient income to finance operational expenses. RSUD Sidoarjo has only been operational for 3 years; the health services that have been opened are not yet optimal, patient visits are still unstable, dependence on BPJS patients and inefficient financial management. Acceleration strategies in increasing BLUD's financial independence with service diversification, budget efficiency, asset optimization, promotion, and cooperation. Keywords : Regional Public Service Agency, Balance Scored Card, Cost Recovery Rate, Financial Independence, Revenue.    ABSTRAK Pendapatan yang belum stabil, Cost Recovery Rate rendah dan tingginya subsidi anggaran dari APBD/APBN menjadi tantangan yang dihadapi RSUD Sidoarjo Barat yang menyebabkan terganggunya pelayanan kesehatan. Tujuan penelitian ini adalah mengeksplore strategi yang dilakukan RSUD Sidoarjo Barat menggunakann Balanced Scored Card. Desain penelitian  menggunakan kualitatif  pendekatan studi kasus dengan teknik purposive sampling. Jumlah sampel sebanyak 16 responden, terdiri dari 12 informan utama dan 4 informan triangulator. Analisa dilakukan dengan analisis kualitatif berdasarkan Balanced Score Card menggunakan pendekatan 4 perspektif yaitu Perspektif Keuangan, Perspektif Pelanggan, Perspektif Bisnis Internal dan Perspektif Pembelajaran dan Pertumbuhan. Hasil penelitian menunjukkan bobot terbesar dalam strategi percepatan kemandirian keuangan adalah prespektif pelanggan. Perspektif pelanggan menggambarkan trend kenaikan kunjungan pasien yang disebabkan pembukaan layanan baru, kepuasan pasien atas layanan dan ditutupnya rumah sakit pesaing atas layanan BPJS. Perspektif Bisnis Internal menggambarkan pertumbuhan bisnis dari sektor kesehatan dan non kesehatan seperti optimalisasi aset, kerjasama dan penerimaan layanan pendidikan. Perspektif pembelajaran dan pertumbuhan menggambarkan budaya BERAKHLAK yang sudah diimplementasikan oleh pegawai, peningkatan kompetensi pegawai melalui pelatihan internal eksternal, peningkatan motivasi kerja melalui reward punishment dan dukungan anggaran APBD untuk pelatihan. RSUD Sidoarjo Barat belum mandiri secara keuangan yang disebabkan belum tercukupinya pendapatan untuk pembiayaan belanja operasioan, RSUD Sidoarjo masih 3 tahun beroperasional, belum optimalnya layanan kesehatan yang dibuka, masih belum stabilnya kunjungan pasien, ketergantungan pada pasien BPJS dan manajemen keuangan yang belum efisien. Strategi percepatan dalam meningkatkan kemandirian keuangan BLUD dengan diversifikasi layanan, efisiensi anggaran, optimalisasi aset, promosi dan kerjasama. Kata Kunci: Badan Layanan Umum Daerah, Balance Scored Card, Cost Recovery Rate, Kemandirian Keuangan, Pendapatan.
Kesiapan Implementasi Kelas Rawat Inap Standar di RSUD Sidoarjo Barat Afif Kunaifi; Indasah Indasah; Agusta Dian Ellina; Andi Hayyun Abiddin
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21339

Abstract

ABSTRACT Every individual has the right to obtain an equal standard of physical and mental health. The state is obliged to create quality health services and address health disparities caused by poverty, stigma, and discrimination. This study aims to analyze the readiness of the implementation of Standard Inpatient Classes at Sidoarjo Barat Regional Hospital. The research method in this study is qualitative with a case study approach. This study was conducted in March-April 2025. The data collection technique was with in-depth interviews with 30 informants. The informants in this study were several management ranks, Installation Coordinators, Midwives, and Nurses at Sidoarjo Barat Regional Hospital. The results of the study indicate that the West Sidoarjo Regional Hospital has met the minimum standards for facilities and infrastructure according to the 12 KRIS criteria. Funding for the implementation of KRIS at the West Sidoarjo Regional Hospital comes from the APBD (20%) and BLUD (80%) with consideration of budget flexibility, but requires additional health workers, especially nurses, to support the readiness of the implementation of KRIS, and strategic planning is needed regarding the policies implemented so as not to reduce the quality of hospital services, because the decline in the quality of service can reduce the interest of patient visits. In addition, the KRIS policy from the central government is still unclear and raises many questions, and the lack of socialization is feared to cause patient confusion, potentially reducing patient trust and visits to the West Sidoarjo Regional Hospital. Keywords: KRIS, BPJS, Readiness, Hospital, Facilities and Infrastructure.  ABSTRAK Setiap individu memiliki hak untuk mendapatkan standar kesehatan fisik dan mental yang setara. Negara berkewajiban menciptakan layanan kesehatan berkualitas serta mengatasi kesenjangan kesehatan yang disebabkan oleh kemiskinan, stigma, dan diskriminasi. Penelitian ini bertujuan untuk menganalisis kesiapan implementasi Kelas Rawat Inap Standar di RSUD Sidoarjo Barat. Metode penelitian dalam penelitian ini adalah kualitatif dengan pendekatan studi kasus. Penelitian ini dilakukan pada bulan Maret-April 2025. Teknik pengumpulan data  dengan indepth interview bersama 30 informan. Informan dalam penelitian ini merupakan beberapa jajaran manajemen, Koordinator Instalasi, Bidan, dan Perawat di RSUD Sidoarjo Barat. Hasil penelitian menunjukkan bahwa RSUD Sidoarjo Barat telah memenuhi standar minimal sarana dan prasarana sesuai 12 kriteria KRIS, Pendanaan implementasi KRIS di RSUD Sidoarjo Barat bersumber dari APBD (20%) dan BLUD (80%) dengan pertimbangan fleksibilitas anggaran, namun membutuhkan penambahan tenaga kesehatan, khususnya perawat, guna mendukung kesiapan implementasi KRIS, serta diperlukan perencanaan strategis mengenai kebijakan yang diterapkan agar tidak menurunkan mutu pelayanan rumah sakit, karena dengan menurunnya mutu pelayanan dapat mengurangi minat kunjungan pasien.Selain itu, kebijakan KRIS dari pemerintah pusat masih belum jelas dan menimbulkan banyak pertanyaan, serta kurangnya sosialisasi dikhawatirkan menyebabkan kebingungan pasien, berpotensi menurunkan kepercayaan dan kunjungan pasien ke RSUD Sidoarjo Barat. Kata Kunci: KRIS, BPJS, Kesiapan, Rumah Sakit, Sarana Prasarana.
Co-Authors Acob, Joel Rey U. Adinda Putri, Bulan Nathaniela Afif Kunaifi Agus Khoirul Anam, Agus Khoirul Agusta Dian Ellina Amalia, Dewi Riska Amelia Indah Mawarni Anggraini Khodijahturrohmah Anggraini Khodijahturrohmah Anggraini Khodijaturrohmah Antik Wijayanti Arif Arif Mulyadi Arif Mulyadi Arista, Fadila Ayu Atti Yudiernawati, Atti Byba Melda Cabelin Jr, Rolando S Christiana, Ananda Ekka Dewi Rachmawati Endang Dwiwati Faisal Agus Mustofa Galabay, Jolo Hananti, Freni Susilo Herya Putra Dharma Imma Apriana Indasah Indasah Indriani, Ririn Irawan, Pungky Dwi Iva Firdayanti Krisnawati, Nawang Wulan Kun Aristiati Susiloretni Kundarti, Finta Isti Lelyans Surya Risma Sinapa Mercado, Myrna Mohamad Miftachul Ulum Mohamad Miftachul Ulum Mudayatiningsih, Sri Muhammad Saleh Mujito Mujito Mujito Mujito Mujito Mujito, Mujito Nabila, Intan Ning Arti Wulandari Ning Arti Wulandari, Ning Arti Nurul Pujiastuti Nurul Pujiastuti Nurwijayanti Oqui, Maximiano Prima Dewi Kusumawati Putri Putri Setyorini Putri, Dhea Natasya Putri, Maulidya Amalia Rachman, Moh. Zainol Rahajeng Siti Nur Rahmawati Ratna Wardani Ratna Wardani Risa Arina Zakiyah Romadhon, Wimar Anugrah Rossyana Septyasih Setiyawan, Eltrik Siska Ayu Setya Ningrum Sri Mugianti Sri Wahyuni Sri Winarni Suprajitno Suryani, Pudji Swito Prastiwi, Swito Tavip Dwi Wahyuni Tiara Margaretha Putri Fauzi Tiara Margaretha Putri Fauzi Titik Kurnia Tri Anjaswarni Tri Cahyo Sepdianto Tri Cahyo Sepdianto Ulum, Mohamad Miftachul Vallencia Nandya Paramitha Vieta Imelda Cornelis Wahyuni, Eko Sari Wiwin Martiningsih Yenny Puspitasari Zahra, Rana