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All Journal JAM : Jurnal Aplikasi Manajemen E-Prodenta Journal of Dentistry Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Asih Tri Rachmi
Magister Managemen Rumah Sakit - Fakultas Kedokteran Universitas Brawijaya Malang
Decision Sciences, Operations Research & Management Dentistry Health Professions Medicine & Pharmacology Public Health

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PENGARUH PENGETAHUAN DAN SIKAP DOKTER DAN PERAWAT TERHADAP KESIAPAN BERUBAH DALAM MENERAPKAN CLINICAL PATHWAY Balbeid, Merlya; Rachmi, Asih Tri; Alamsyah, Arief
E-Prodenta Journal of Dentistry Vol 2, No 1 (2018)
Publisher : Fakultas Kedokteran Gigi UB

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (278.946 KB) | DOI: 10.21776/ub.eprodenta.2018.002.01.1

Abstract

ABSTRAK Penelitian ini dilatarbelakangi oleh adanya dampak era globalisasi di bidang kesehatan dan keluhan pasien terhadap variasi rawat inap di rumah sakit, sehingga diperlukan konsep pelayanan kesehatan untuk meningkatkan mutu pelayanan kesehatan yaitu clinical pathway (CP). Tujuan: untuk mengetahui pengaruh baik secara simultan maupun parsial dari pengetahuan dan sikap dokter dan perawat terhadap kesiapan untuk berubah dalam menerapkan CP di RSUD Kanjuruhan Kepanjen Malang. Manfaat CP antara lain cost effective dan membangun kolaborasi antara klinisi, manajemen kasus, perawat, farmasi dan profesi kesehatan lain. Untuk menerapkan CP dengan benar diperlukan perubahan perilaku baik individu (dokter dan perawat) maupun grup. Metode: Desain penelitian ini adalah cross sectional. Sampel dalam penelitian ini diambil keseluruhan populasi atau sensus, yaitu sebanyak 119 responden, 44 responden dari kelompok dokter dan 75 responden dari kelompok perawat, dan menggunakan kuesioner tertutup. Hasil: Secara simultan pada kelompok perawat pengetahuan dan sikap berpengaruh signifikan terhadap kesiapan berubah dalam menerapkan CP, sedangkan pada kelompok dokter tidak berpengaruh. Secara parsial, pada kelompok dokter yang berpengaruh signifikan terhadap kesiapan untuk berubah adalah sikap, sedangkan pada kelompok perawat  pengetahuan. Kesimpulan: Kelompok dokter yang berpengaruh dominan adalah sikap terhadap CP, sedangkan kelompok perawat adalah pengetahuan. Kata Kunci : Clinical Pathway, Pengetahuan, Sikap, Kesiapan untuk berubah.ABSTRACT This research was based on impact of globalization era in health and complain from inpatient in hospital for variation of cost with same disease and the same class, for those reason  it is needed a concept in health service for improving quality of health service, that called clinical pathway (CP). Objectives: To know the influence partially or simultanly of knowledge and attitude of phycisian and nurse to readiness to change for implementing clinical pathway in General Hospital Region ”Kanjuruhan” Kepanjen  Malang. The benefit of CP are cost effective and to build collaboration between clinician, case management, pharmacy, and health proffesion. It is needed behavior change individually or group to implementation CP in proper way. Knowledge and attitude of physician and nurse are needeed to improve readiness to change for implementing CP in hospital. Methode: Research’s design is cross sectional study. The correspondence of this study is total population, 119 correspondence. There are two group of them, physician group (44 correspondence) and nurse group (75 correspondence), with closed quetionnaire. Result: Simultaneously in nurse group, knowledge and attitude are significant influence readiness to change, but in physician group is not significant. Knowledge is partially influence readiness to change in physician group, attitude is partially influence in nurse group. Conclusion: The most influenced variable to readiness to change is attitude in physician group and knowledge  in nurse group. Keywords: Clinical pathway, Knowledge, Attitude, Readiness to change 
Hubungan Dimensi Mutu Pelayanan Farmasi Rawat Jalan dengan Kepuasan Pasien di RS Baptis Batu: Peran Kepesertaan Asuransi Megawati, Megawati; Hariyanto, Tatong; Rachmi, Asih Tri
Jurnal Aplikasi Manajemen Vol. 14 No. 1 (2016)
Publisher : Universitas Brawijaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (130.477 KB) | DOI: 10.18202/jam23026332.14.1.16

Abstract

This study aims to determine whether the level of user satisfaction pharmacy services in the Baptist Hospital. It is related to the users'perception on the quality dimension of pharmaceutical ministry. Moreover, to determine whether the level of users' satisfaction in installation services Outpatient Pharmacy (IFRJ) RSBB is influenced by insurance membership status. This study uses cross-sectional study approach. The instrument uses a questionnaire with Likert scale. Validity and reliability testing uses Cronbach Alpha and non additivity Tuckey testing. Normality testing uses One-sample chi-square. The correlation analysis uses Spearman rho, while the differences between the two groups use Two Way ANOVA analysis. There is no significant difference in gender, marital status, educational background,and employment status unless the age characteristics in which BPJS-K respondents'age were older than un-insured patients. The results show the seven dimensions of pharmaceutical care outpatient quality can be used to measure patients'satisfaction un-insured or BPJSK.However, if look closely at the component dimensions turned out to be no difference between the dimensions of information provision and waiting times services in which a group of un-insured higher scores than insured BPJS-K group. While the level of respondents'satisfaction on each quality dimension of outpatient pharmacy services is not the same between the two groups. It can be seen that the dimensions of satisfaction with lounge facilities and dimensions of satisfaction with the speed waiting time drug services in uninsured group, higher than the insured group BPJS-K.
Faktor-Faktor Hygiene dan Motivator: Pengaruhnya terhadap Kepuasan Kerja Perawat di Rumah Sakit Baptis Batu Kolibu, Febi Kornela; Rachmi, Asih Tri
Jurnal Aplikasi Manajemen Vol. 12 No. 4 (2014)
Publisher : Universitas Brawijaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

The aims of this study is to identify the factors that affect nurses'job satisfaction at Rumah Sakit Baptis Batu (RSBB). This analysis used analytical descriptive method with cross sectional approach. Respondents are all of the nurses who are working in RSBB, sixty seven persons in total. Multiple linear regression test showed that, simultaneously, hygiene and motivator factors have significant effect on the job satisfaction with a significance value of 0.000. Partially, motivator factors constitute influential variable that affecting the job satisfaction with a significant value of 0.001 and dominant variable of the job satisfaction with a beta value of 0.620.
Pengaruh Bauran Pemasaran (Marketing Mix) terhadap Keputusan Menggunakan Jasa Rawat Jalan di Rumah Sakit Bina Sehat Jember Ulfah, Maria; Rachmi, Asih Tri; Yuniarinto, Agung
Jurnal Aplikasi Manajemen Vol. 11 No. 3 (2013)
Publisher : Universitas Brawijaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

This study aims to figure out the general description of marketing mix including: product, price, place, promotion, people, process and physical evidence, that is related to the decision to utilize outpatient services at Bina Sehat Hospital Jember; besides, this research also aims to figure out  both simultaneous and partial influences of  marketing mix on  the decision to utilize outpatient service of Bina Sehat hospital Jember. The study conducts analytical survey (non experimental) with a cross-sectional approach on 80 patients of polyclinic Bina Sehat hospital  Jember. The sample is taken using purposive sampling technique. The Independent variables are product, price, place, promotion, people, process and physical evidence; whereas, the dependent variable is decision to utilize outpatient service at Bina Sehat hospital Jember. The variables are measured by questionnaires instrument. The study is conducted  at outpatient polyclinic Bina Sehat hospital Jember. Formerly, before the questionnaire is used, the researcher tests its validity and reliability. The instrument's validity utilizes product moment correlation; while the reliability test uses Cronbach alpha method. The data are analyzed by utilizing multiple linear regression analysis.The study reveals that marketing mix simultaneously and significantly affects the decision of taking outpatient services at Bina Sehat hospital Jember. The Ris 0.809; it implies that the ability of  the independent variables consisting of Products (X1), Price (X2), Place (X3), Promotion (X4), People (X5), Process (X6) and Physical Evidence (X7), is able to explains the variability of dependent variable, which is the decision to utilize outpatient service (Y), as much as 80.9%. The rest, or 19.1%, is explained by other independent variables which are not observed in this study. Product,place, promotion, people and physical evidence affect the decision to utilize services of Bina Sehat hospital; meanwhile, price and process variables do not significantly affect the decision to utilize outpatient services. The dominant dependent variable which affects the decision to utilize outpatient services (Y) is  product (X1) as it counts for 29.94%; in addition, the other influence comes from physical evidence (X7) which counts for 18.77%, place (X3) which counts for 14.76 %, promotions (X4) which counts for 12.10%, People (X5) which counts for 9.72%, Process (X6) which counts for 3.94% ,and Price (X2) which counts for 0.55%
Nurses’ Intention and Behavior in Reporting Adverse Event: Application of Theory of Planned Behavior Ekayani, Ni Putu; Wardhani, Viera; Rachmi, Asih Tri
Kesmas Vol. 11, No. 3
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Data menunjukkan bahwa secara global jumlah pelaporan insiden keselamatan pasien masih rendah, begitu juga di Rumah Sakit Baptis Batu, Jawa Timur. Penelitian ini bertujuan untuk mengetahui pengaruh antara sikap, norma subjektif, dan perceived behavioral control (PBC) terhadap niat dan untuk menentukan hubungan antara PBC dan niat terhadap perilaku perawat dalam melaporkan kejadian tidak diharapkan (KTD). Penelitian ini menggunakan pendekatan potong lintang dan dilakukan di Rumah Sakit Baptis Batu pada tanggal 16-31 Maret 2016. Pengambilan data dilakukan dengan menggunakan kuesioner yang dibagikan kepada 82 (dari 85) perawat yang bekerja di Rumah Sakit Baptis Batu. Data dianalisis menggunakan regresi linier berganda dan korelasi Spearman. Hasil penelitian menunjukkan bahwa sikap (B = 0.496; nilai p = 0.000) dan PBC (B = 0.766; nilai p = 0.037) secara signifikan memengaruhi niat untuk melaporkan KTD, sedangkan norma subjektif (B= -0.087; nilai p = 0.540) tidak berpengaruh terhadap niat melaporkan KTD. Tidak terdapat hubungan antara PBC (r = 0.037; nilai p = 0.739) dan niat (r = 0.031; nilai p = 0.783) terhadap perilaku melaporkan KTD. Temuan ini menunjukkan bahwa niat perawat dalam melaporkan KTD dipengaruhi oleh sikap dan PBC, bukan norma subjektif. Sebaliknya, niat dan PBC tidak berhubungan dengan perilaku melaporkan KTD. Data show that globally the number of patient safety incident reporting remains low, also at Baptis Batu Hospital, East Java. This study aimed to determine the influence between attitude, subjective norm and perceived behavioral control (PBC) to the intention and to determine relation between PBC and intention toward nurses’behavior in reporting adverse event. This study used cross sectional approach and conducted at Baptis Batu Hospital from March 16th to March 31st, 2016. Data measurement was done using questionnaires that were distributed to 82 (of 85) nurses working at Baptis Batu Hospital. Data were analyzed using multiple linear regression and Spearman correlation. The results showed that attitude (B = 0.496; p value = 0.000) and PBC (B = 0.766; p = 0.037) significantly influenced the intention to report adverse events, while subjective norm (B = -0.087; p value = 0.540) did not influence the intention to report adverse events. There was no relation found between PBC (r = 0.037; p = 0.739) and intention (r = 0.031; p value = 0.783) to behavior of reporting adverse event. These findings indicated that nurses’ intention in reporting adverse event was influenced by attitude and PBC, not subjective norm. In contrast, intention and PBC did not relate to adverse event reporting behavior.
Co-Authors Agung Yuniarinto Arief Alamsyah Balbeid, Merlya Febi Kornela Kolibu Maria Ulfah Megawati - Ni Putu Ekayani, Ni Putu Tatong Hariyanto Viera Wardhani