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All Journal Media Kesehatan Masyarakat Indonesia BULETIN PENELITIAN SISTEM KESEHATAN Jurnal Kebijakan Kesehatan Indonesia Bulletin of Electrical Engineering and Informatics Jurnal Administrasi Kesehatan Indonesia Jurnal Media Gizi Indonesia (MGI) The Indonesian Journal of Public Health Jurnal Penelitian Kesehatan Suara Forikes Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Jurnal Keperawatan Silampari Amerta Nutrition INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Jurnal Ilmu Kefarmasian Indonesia Public Health Perspective Journal Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal PREPOTIF : Jurnal Kesehatan Masyarakat Journal of Community Empowerment for Health An-Nadaa: Jurnal Kesehatan Masyarakat Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Indian Journal of Forensic Medicine & Toxicology Jurnal Kesehatan Tambusai Journal of Community Mental Health and Public Policy JOURNAL OF HEALTH MANAGEMENT RESEARCH The Journal of Management Information and Health Technology JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)

Thinni Nurul Rochmah

Departemen Administrasi Dan Kebijakan Kesehatan Fakultas Kesehatan Masyarakat Universitas Airlangga, Surabaya

Author-ID : 362848

Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Environmental Science Health Professions Mechanical Engineering Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Influence of the Work Units’ Psychological Ownership and Intention in Establishing the Patient Safety Program in Hospitals in Probolinggo, East Java Mirrah Samiyah1 , Thinni Nurul Rochmah1 , Widodo J. Pudjihardjo1 , Usman Hadi2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.12093

Introduction: There is high rate of patient safety incidents in the hospitals, which reaches 1217 incidents(21,31%) from 2016 until July 2017. There are some factors which cause the high rate of the patientsafety incidents which come from the hospitals. The aim of this research is to analyze the effects of thepsychological ownership and intention towards the work units’ output performance in carrying out thepatient safety program in the hospitals.Materials and Method: This research uses the survey research method with the cross-sectional approach. Itwas carried out from October 2018 until January 2019. The research samples are the service unit, supportingunit, management and general sector in the work units 4 hospital ini Probolinggo City, Indonesia. Thesamples are obtained using the simple random sampling method. The instruments used are questionnairesand observation sheets. The analysis is carried out using linear regression tests.Result: The work unit’s psychological ownership in carrying out the patients’ safety program is regarded asgood, with the rate of 46,7%. The work unit’s intention in carrying out the patients’ safety program is alsoregarded as good, with the rate of 41,1%. The work unit’s output in carrying out the patients’ safety programin Probolinggo Regency is regarded as bad, with the rate of 64,5%. There is a significant influence of thepsychological ownership variable (p-value=0,02) and intention (p-value=0,00) towards the output’s workperformance in carrying out the patients’ safety program in the hospitals of Probolinggo Regency.Conclusion: The work unit’s psychological ownership and intention have a significant effect towards thework unit’s work performance in in carrying out the patients’ safety program in the hospitals of ProbolinggoRegency on 2019. The hospitals should carry out work unit approaches instead of individual approaches toincrease the report of the patient safety incidents.

National Health Insurance Participants Satisfaction in General Polyclinic Services at First Level Healthcare Facilities Thinni Nurul Rochmah1 , Djazuly Chalidyanto1 , Ernawaty1 , Rachmad Suhanda2,3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.12174

The need of health services, especially at first level healthcare facilities (FKTP) for the community to accessbasic health services has increased in Indonesia. This condition related to the regulation for the entire citizenin Indonesia to become a National Health Insurance (JKN) participant. Some problems related to the servicesstill occur, such as queues length and non-optimal examination process. This research aimed to analyzepatients’ satisfaction in general polyclinic services differences in FKTP. This was an observational researchwith a cross-sectional study using primary data from both types of FKTP (Puskesmas and Non-Puskesmas)as the healthcare provider in two cities of East Java. The number of research respondents was 219 in 20FKTP. The sampling method used was proportional random sampling technique. Patients’ satisfactionscores obtained from the two types of FKTP were analyzed using independent sample T Test. The resultsobtained was the satisfaction score in Puskesmas and Non-Puskesmas exceeded 95%. Patients’ satisfaction inPuskesmas was significantly higher than Non-Puskesmas (p = 0.01). Out of the six dimensions, dimensionsof service ability and aesthetics in exception, the other four dimensions had significant differences. Theresults provide recommendation that FKTP should improve their services from various dimensions.

Community Satisfaction on The Utilization of E-health Information System in Surabaya City Martha, Tiara Sandi Ayu Diea; Rochmah, Thinni Nurul
Public Health Perspective Journal Artikel Inpres December 2021
Publisher : Universitas Negeri Semarang

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

E-health is an online patient registration tool at the Primary Health Centre in Surabaya City. Monitoring the level of community satisfaction is needed to ensure that e-health continues to function properly. This study aims to determine the level of community satisfaction on the utilization of e-health information systems in Surabaya City and what factors influence it. The design of this research is associative with a quantitative approach. Data was collected using a questionnaire online with an accidental sampling technique on 385 respondents. Data analysis is using statistical descriptive and multiple linear regression tests. The results of this study indicate that most users are very satisfied with the e-health information system. Age (p=0018), gender (p=0.000), and sources of information (p=0.000) influenced community satisfaction on the utilization of e-health information systems. Based on these results, it is necessary for the government to maintain the quality of e-health and make e-health as a pilot for other cities or regions in Indonesia.

Budaya Keselamatan Pasien Berdasarkan Indikator Agency for Healthcare Research and Quality di RSUD Dr. Soetomo Thinni Nurul Rochmah; Maya Weka Santi; Anang Endaryanto; Cita Rosita Sigit Prakoeswa
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 10, No 2 (2019): April 2019
Publisher : FORIKES

In the National Standard for Accreditation of Hospitals (SNARS) 2018, patient safety is one of the standards of assessment. The purpose of this study was to assess the fair and open culture in the patient safety culture survey, with the aim of assessing the culture of reporting and learning in Dr. Soetomo Hospita, Surabaya. This research was an observational study with a total sample of 406 employees spread across 34 installations and 11 fields / sections, with the same proportion. Data was collected using Hospital Survey on Patient Safety Cuture issued by AHRQ (Agency for Healthcare Research and Quality), which consisted of 12 dimensions. The results showed that the majority of employees had assessed the 12 AHRQ dimensions well, but there were several dimensions that still received poor ratings such as openness of communication, bad = 25.4%, frequency of incident reporting, rarely = 27.8% and staffing, less 39.6%; it is necessary to develop a culture of not blaming if someone reports an incident, and changes in staffing to suit the workload. Keywords: Agency for Healthcare Research and Quality, patient safety, hospital ABSTRAK Dalam Standar Nasional Akreditasi Rumah Sakit (SNARS) 2018, keselamatan pasien merupakan salah satu standar penilaian. Tujuan penelitian ini adalah untuk menilai budaya adil dan terbuka dalam survei budaya keselamatan pasien, dengan tujuan menilai budaya pelaporan dan pembelajaran di RSUD Dr. Soetomo Surabaya. Penelitian ini merupakan studi observasional dengan total sampel 406 karyawan yang tersebar di 34 instalasi dan 11 bidang/bagian, dengan proporsi yang sama. Data dikumpulkan menggunakan Hospital Survey on Patient Safety Cuture yang dikeluarkan oleh AHRQ (Agency for Healthcare Research and Quality), yang terdiri atas 12 dimensi. Hasil penelitian menunjukkan bahwa sebagian besar karyawan telah menilai baik pada 12 dimensi AHRQ, namun terdapat beberapa dimensi yang masih mendapat penilaian buruk seperti keterbukaan komunikasi, buruk=25,4%, frekuensi pelaporan insiden, jarang=27,8% dan staffing, kurang=39,6%; maka perlu dikembangkan budaya tidak menyalahkan jika ada yang melaporkan insiden, dan perubahan susunan kepegawaian agar sesuai dengan beban kerja. Kata kunci: Agency for Healthcare Research and Quality, keselamatan pasien, rumah sakit

ANALISIS KESIAPAN PUSKESMAS DEMANGAN KOTA MADIUN DALAM MENGHADAPI AKREDITASI Lailatul Maghfiroh; Thinni Nurul Rochmah
Media Kesehatan Masyarakat Indonesia Vol. 13 No. 4: DESEMBER 2017
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Peningkatan kualitas kesehatan merupakan salah satu pelaksanaan wajib yang tertuang dalam pembangunan kesehatan nasional yaitu Rencana Pembangunan Jangka Menengah Nasional (RPJMN). Dalam pelaksanaannya, setiap pelaksana pelayanan kesehatan wajib untuk melakukan akreditasi untuk mewujudkan jaminan kualitas pelayanan kesehatan. Puskesmas Demangan merupakan salah satu puskesmas tingkat pertama di Kota Madiun dan berintegrasi dengan Badan Pelayanan Jaminan Kesehatan (BPJS) Kesehatan. Sesuai peraturan, Puskesmas Demangan harus mulai mempersiapkan akreditasi untuk puskesmas tingkat pertama guna mewujudkan penjaminan mutu pelayanan. Penelitian ini bertujuan mengetahui pencapaian awal penilaian akreditasi sesuai dengan pedoman Peraturan Menteri Kesehatan No. 46/2015. Penelitian ini termasuk penelitian deskriptif observasional dengan desain cross sectional. Telusur dokumen diidentifikasi sesuai dengan standar instrumen dan dilakukan wawancara untuk mengetahui pelaksanaan prosedur tersebut. Hasil penelitian menunjukkan bahwa pencapaian akreditasi sampai dengan Maret 2016 hanya sebesar 62,9% dari semua elemen penilaian dalam standar akreditasi untuk kesiapan puskesmas dalam akreditasi. Rekomendasi penelitian ini mengarah ke pembentukan tim khusus untuk fokus ke dokumen dan monitoring evaluasi akreditasi.

Active Case Treatment Lebih Cost Effective untuk Pengobatan TB Paru Tahap Awal Ni Ketut Ardani; Thinni Nurul Rochmah; Chatarina Umbul Wahyuni
Jurnal Kebijakan Kesehatan Indonesia Vol 1, No 2 (2012)
Publisher : Center for Health Policy and Management

Background: Estimated one third of world population have been infected with Mycobacterium tuberculosis. Infected per- son will lose 3-4 months work time and will decrease 20%- 30% of income per year. Finding and treating TB patients are the best endeavor to stop TB spreading with a correct inter- vention. Jember Regency is executing Passive Case Treat- ment (PCT), which lung TB patients should come to puskes- mas to take the Tuberculosis Drug (ATD) in a certain day and hour. The method was not effective, proven by the increase of default rate for 3 years: 5.08% in 2007, 5.14% in 2008 and 6.18% in 2009, followed by the decrease of conversion rate for 3 years: 95.26% in 2007, 93.09% in 2008 and 92.08% in 2009. It is raising alertness for increased re-treatment which will lead to MDR, where MDR is clearly affecting TB patients’ quality of life. Afterward, an idea to create an ATD delivery to patients’ homes was executed, it is called Active Case Treat- ment (ACT). Method: This study was a Quasy Experimental Research with a prospective design. Conducted in 16 Puskesmas with default rate more than 5% and conversion rate less than 80% in 2009. Begin in September until November 2010, using total sampling technique. The sample was all lung TB patients who came for treatment in September 2010, with criteria were: new case, 15-50 years of age, did not suffer HIV and Diabe- tes Mellitus, was not malnourished, and was not allergic to ATD. Data collection was done through interview, filling ques- tionnaires and exploring documents. Then followed the calcu- lation of the total cost (direct and indirect cost) and Quality of Life (QoL) of both PCT and ACT. Later, total cost was com- pared to QoL, the lesser amount was considered more cost effective. Result: Research result showed that to increase 1 scale of Quality of Life (QoL) of PCT needed an amount of IDR. 35,295.00, while to increase 1 QoL scale ACT was IDR 14,377.00. ACT was smaller than PCT. Conclution: Conclusion derived from the result was that ACT is more cost effective than PCT. Recommendation to be pre- sented is to endorse lung TB treatment with ACT in Jember Regency particularly in Puskesmas with the same character- istics with this research.Latar belakang: Diperkirakan sepertiga penduduk dunia telah terinfeksi mikrobakterium tuberkulosis. Bila terinfeksi, diperkira- kan akan kehilangan waktu kerja 3-4 bulan dan berkurangnya pendapatan 20-30% pertahun. Menemukan dan menyembuhkan pasien merupakan cara terbaik dalam upaya pencegahan penu- laran TB dengan intervensi yang tepat. Pengobatan TB di Kabu- paten Jember dilakukan dengan cara Pasive Case Treatment (PCT), yang mengharuskan pasien datang ke puskesmas untuk mengambil OAT pada hari dan jam yang telah ditentukan. Cara ini ternyata kurang efektif yang ditandai dengan meningkatnya default selama 3 tahun yaitu: 2007= 5.08%, 2008= 5.14% dan 2009= 6.18%, yang diikuti dengan menurunnya conversion rate selama 3 tahun, yaitu; 2007= 95.26%, 2008= 93.09% dan 2009= 92.08%. Hal ini akan meningkatkan kasus re-treatment yang berakibat munculnya MDR (Multidrugs resistance) dan juga akan mempengaruhi kualitas hidup penderita TB. Kemudian muncul ide untuk menciptakan cara penggobatan dengan meng- antar OAT ke rumah penderita yang dilakukan oleh kader kese- hatan, yang diistilahkan dengan Active Case Treatment (ACT). Metode: Penelitian ini merupakan Quasy Experimental Re- search dengan rancangan prospektif. Dilakukan di 16 Puskes- mas di Kabupaten Jember yang memiliki angka default lebih dari 5% dan conversion rate kurang dari 80% pada tahun 2009. Dilakukan pada awal September sampai akhir Nopember 2010. Sampelnya adalah seluruh pasien TB Paru yang berobat pada bulan september 2010 dengan kriteria; kasus baru, usia 15-50 tahun, tidak HIV dan diabetes, tidak malnutrisi, dan tidak alergi terhadap OAT. Teknik pengumpulan data dilakukan dengan wawancara dan pengisian kuesioner dan penelusuran doku- men. Selanjutnya menghitung biaya total (biaya langsung dan biaya tidak langsung) dan tingkat kualitas hidup penderita TB dari kedua cara pengobatan (PCT dan ACT). Kemudian memban- dingkan antara total cost dengan tingkat kualitas hidup. Angka yang lebih kecil menunjukkan lebih cost effective. Hasil: Hasil penelitian menunjukkan bahwa untuk menaikkan 1 skala Qol dengan cara PCT dibutuhkan dana sebesar Rp. 35,295.00. Sedangkan untuk menaikkan 1 skala Qol dengan cara ACT membutuhkan dana sebesar Rp. 14,377.00. Cara ACT membutuhkan dana lebih kecil dibanding PCT. Kesimpulan: Dari hasil tersebut diatas maka dapat diambil kesimpulan akhir bahwa pengobatan TB paru cara ACT lebih cost effective dibanding dengan pengobatan TB paru cara PCT. Dengan demikian, rekomendasi yang diusulkan adalah memberlakukan pengobatan TB Paru dengan cara ACT di Kabu- paten Jember terutama pada wilayah puskesmas yang memiliki karateristik yang sama dengan penelitian ini.

ANALISIS BURDEN OF DISEASE HIPERTENSI PADA MASYARAKAT DI KABUPATEN KEDIRI Atika Binti Utari; Thinni Nurul Rochmah
The Indonesian Journal of Public Health Vol. 14 No. 2 (2019): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

The incidence of hypertension is the highest non-communicable disease in Kediri in 2016. The prevalence of hypertension in Kediri reaches 27.9. This situation even exceeds the prevalence rate in East Java (26.2). This study aims to calculate the value of economic losses caused by hypertension sufferers in Kediri. This research is a quantitative research with the cross-sectional method. The primary data collection was done by interviewing 100 hypertension sufferers. The results show that the direct medical cost incurred by patients due to hypertension is IDR 563,360 per capita. Meanwhile, the indirect costs to be incurred by patients during suffering hypertension reach IDR 789,272 per capita. Disability-Adjusted Life Years or years lost due to premature death and disability caused by hypertension disease in Kediri regency amount to 189,915 years. Consequently, the Burden of disease value obtained due to hypertension in Kediri District is IDR 330,882,930,485. It can be concluded that the economic burden caused by hypertension is significantly high. The indirect costs incurred by the patients are greater than the direct costs. Therefore, it is recommended to intensify the dissemination and preventive efforts to decrease the incidence of hypertension.

KOMPARASI ELASTISITAS PEMBIAYAAN PENANGGULANGAN PENYAKIT MENULAR DIREGIONAL JAWA BALI DAN PAPUA Nuzulul Kusuma Putri; Herti Maryani; Thinni Nurul Rochmah; Ernawaty Ernawaty
Buletin Penelitian Sistem Kesehatan Vol 21 No 2 (2018)
Publisher : Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan

The rapid growth and the various communicable diseases should be compensated with qualifi ed health programs. The programs’ budget should be able to meet the need of communicable disease intervention. In the era of decentralization, differences in the ability of each district in handling health problems could triger the disparity between districts. This research analyzes the difference of budget elasticity that existed in the communicable disease intervention between districts in Java Bali and Papua region. This is an analytical study which analyze the difference of communicable disease budget elasticity based on the geographic characteristics, fi scal capacity, and health status in each districts. The data is collected cross sectional in all districts that exist in Java Bali and Papua as the population. The difference of elasticity based on each indicator used in this study was analysed using independent t-test. The elasticity of communicable disease prevention fi nancing is different among districts with different public health index inJava Bali and Papua regional. Themajority of communicable disease budget in districts are inelastic, in both regions. It is different with the assumption that budget elasticity of communicable disease should be responsive. The budget elasticity of communicable disease in Indonesia is infl uenced by its health condition of each district. This condition is contrast to the ideal budget elasticity that should be elastic in accordance to the communicable disease problems. The use of economic assumption for further research should be concerns to the uncertainty of health characteristic. Abstrak Tingginya laju pertumbuhan dan bervariasinya jenis penyakit menular harus diimbangi dengan upaya penanggulangan yang responsif. Pembiayaan penanggulangan penyakit menular harus menyesuaikan dengan perkembangan penyakit menular. Di era desentralisasi, terdapat perbedaan kemampuan tiap daerah dalam pembiayaan kesehatan sehingga menyebabkan adanya disparitas penyakit antar daerah. Penelitian ini bertujuan untuk melakukan komparasi elastisitas pembiayaan yang telah dikeluarkan oleh pemerintah daerah dalam penanggulangan penyakit menular di regional Jawa Bali dan Papua. Komparasi ini dilakukan sebagai analisis lanjut Riset Pembiayaan Kesehatan tahun 2015 oleh Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. Penelitian analitik ini melakukan komparasi elastisitas pembiayaan penanggulangan penyakit menular berdasarkan perbedaan karakteristik geografi , kemampuanfiskal, dan status kesehatan pada setiap kabupaten/kota yang ada di regional Jawa Bali dan Papua. Data dikumpulkan secara cross sectional pada Dinas Kesehatan kabupaten/kota yang ada di regional Jawa Bali dan Papua. Komparasi elastisitas terhadap setiap indikator yang digunakan dalam penelitian ini dianalisis menggunakan independent t-test. Elastisitas pembiayaan penanggulangan penyakit menular antar Kabupaten/Kota berbeda pada regional Jawa Bali dan Papua dengan IPKM berbeda. Kondisi pembiayaan penanggulangan penyakit menular yang seharusnya elastis, tidak terjadi pada kedua regional. Mayoritas Kabupaten/Kota cenderung inelastis dalam membiayai penanggulangan penyakit menular di masing-masing daerah. Elasitisitas pembiayaan penanggulangan penyakit menular pada Kabupaten/Kota di Indonesia dipengaruhi oleh kondisi kesehatan masing-masing daerah. Kondisi ini bertolak belakang dengan asumsipembiayaan penanggulangan penyakit menular yang harusnya responsif sesuai dengan masalah penyakit menular yang muncul. Penggunaan asumsi yang juga memperhatikan beberapa masalah kesehatan lain merupakan hal yang perlu digunakan pada penelitian selanjutnya.

ANALISIS NEED DAN DEMAND PELAYANAN KESEHATAN PADA PUSKESMAS SIWALANKERTO KOTA SURABAYA DI ERA JKN Eriska Haning; Thinni Nurul Rochmah; Ira Ummu Aimanah
Buletin Penelitian Sistem Kesehatan Vol 21 No 3 (2018): Buletin Penelitian Sistem Kesehatan
Publisher : Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan

GHealth is an important thing needed by man to sustain all activities of his life. The phenomenon of people who prefer to seek treatment abroad than using domestic health services becomes a big challenge. This challenge can be answered with the improvement of quality in all areas, especially in health field. Thus, this will help healthcare providers define strategies to meet community health needs. The aim of this research was to determine the need, demand and value of public health services in Puskesmas Siwalankerto, Surabaya. This was observational research using cross sectional approach. Data collection technics using questionnaires and data processed using descriptive statistical tests. The population was the communities located in the region of Siwalankerto health centers, Surabaya. With a sample size of 50 people. This research was conducted on May 2016. Results of this research that need indicate that the main needs of respondents related to public service is quality and access. Community Demand is a service of dental care and general medical treatment which is provided by Puskesmas Siwalankerto. Abstrak Kesehatan merupakan hal penting yang dibutuhkan oleh manusia untuk menopang semua aktivitas hidupnya. Fenomena masyarakat yang lebih memilih untuk berobat keluar negeri dibandingkan menggunakan layanan kesehatan dalam negeri menjadi sebuah tantangan besar. Tantangan ini dapat dijawab dengan peningkatan mutu dalam segala bidang khususnya bidang kesehatan. Maka, hal inilah yang akan membantu penyedia jasa layanan kesehatan dalam menetapkan strategi untuk memenuhi kebutuhan masyarakat di bidang kesehatan. Tujuan penelitian adalah untuk mengetahui need, demand dan utility pelayanan kesehatan masyarakat di wilayah kerja Puskesmas Siwalankerto, Surabaya. Jenis penelitian observasional dengan pendekatan cross sectional. Teknik pengumpulan data dengan menggunakan kuesioner terstruktur dan diolah menggunakan uji statistik. Populasi adalah masyarakat yang tinggal di wilayah kerja puskesmas Siwalankerto, Surabaya. Dengan jumlah sampel 50 orang. Penelitian dilakukan pada bulan Mei 2016. Hasil penelitian terkait need menunjukkan bahwa kebutuhan utama responden terkait fasilitas pelayanan kesehatan adalah kualitas dan jarak ≤ 3 km. Demand masyarakat adalah pelayanan poli gigi dan poli umum yang disediakan oleh Puskesmas Siwalankerto

Analisis Kesiapan Layanan Nicu pada Neonatus dengan Berat Lahir Rendah di Rumah Sakit Ibnu Sina Gresik Titik Maimanah; Thinni Nurul Rochmah
Buletin Penelitian Sistem Kesehatan Vol 23 No 2 (2020): Buletin Penelitian Sistem Kesehatan
Publisher : Pusat Penelitian dan Pengembangan Humaniora dan Manajemen Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/hsr.v23i2.1213

The Net Death Rate (NDR) of low birth weight neonates have signiﬁ cantly increased from 2014 to 2017 at Neonatal Intensive Care Units (NICU) of Gresik Ibnu Sina Hospital. And it has faced high demands and unbalances to readiness and availability of Comprehensive Emergency Neonatal and Obstetric Services (PONEK). This study aims to analyze the readiness of neonate’s patient service with a low birth weight case. This study was observational with a cross-sectional design. Subjects were medical professionals, including paramedics and medical facilities at NICU of Gresik Ibnu Sina Hospital from December 2017 until June 2018. Data gathering methods conducted with an interview, checklist, and document review of NICU services. It also conducted a gap analysis to assess service needs of 2021 and service reality of 2018. The Number of human resources has still lacked, mainly consultant pediatricians and nurses. 4 of 15 nurses are duty at NICU, clinical working experience less than fourth years. Furthermore, physician and nurse competencies, some facilities, and standard operating procedures regarding NICU services were still incompleted. In order to improve NICU services, hospital management has to develop human resource capacity, facilities, and complete the standard operating procedure to fulﬁ ll service needs that estimated in 2021. Its necessity managed capacity planning, planning, and development to accomplish standards and needs. Abstrak Net death rate neonatus bayi berat lahir rendah di ruang NICU Rumah Sakit Ibnu Sina Gresik terus meningkat selama tahun 2014-2017. Rumah sakit mengalami permintaan yang tinggi serta terjadi ketidakseimbangan antara kesiapan dan ketersediaan PONEK. Penelitian ini bertujuan untuk menganalisis kesiapan layanan pasien neonatus kasus bayi berat lahir rendah. Penelitian observasional deskriptif dengan rancangan cross sectional. Subyek penelitian meliputi petugas medis, paramedis, dan fasilitas medis di NICU Rumah Sakit Ibnu Sina pada bulan Desember 2017 – Juni 2018. Pengambilan data dilakukan dengan wawancara, pengisian checklist, dan telaah dokumen pelayanan NICU Rumah Sakit Ibnu Sina. Data dianalisis dengan analisis kesenjangan kebutuhan pelayanan pada Tahun 2021 dan kondisi pelayanan Tahun 2018. Jumlah sumber daya yang dibutuhkan masih kurang terutama dokter konsultan anak dan perawat. Sebagian perawat yang ditugaskan belum memiliki lama kerja klinik lebih dari empat tahun. Kompetensi sumber daya perawat dan dokter serta beberapa fasilitas dan standar operasional prosedur pelayanan NICU belum lengkap. Untuk meningkatkan pelayanan NICU maka manajemen RS harus menambah kapasitas sumber daya, fasilitas, dan melengkapi standar operasional prosedur untuk memenuhi kebutuhan pelayanan yang diproyeksikan pada Tahun 2021. Rumah sakit diharapkan menyusun capacity planning dan perencanaan pengembangan untuk memenuhi standar dan kebutuhan.

Co-Authors Absor, Sholihul Achmad Yudi Arifiyanto Adianti, Talia Puspita Afif Kurniawan Afifah Nasyahta Dila Afro, Rahmafika Cinthya Aghisni Isfiya Agustina, Pipin Eri Agustyoko, Sugeng Alifia Salma Pangestika Alifia Salma Pangestika Alissa Sita Pertiwi Alya Rahmatika Putri El Kamila Anang Endaryanto Andini Yulina Pramono Andri Sofa Armani Andriani, Merryana Anggun Wulandari Anggun Wulandari Anis Wulandari Annisa Fitria Aqsha Yuldan Arifada Atika Binti Utari Ayik Mirayanti Mandagi Ayu Nur Malasari Bangun Trapsila Purwaka Candra Setyawati Chatarina Umbul Wahyuni Chyntia Apris Christiwan Cita Rosita Sigit Prakoeswa Dahlui, Maznah Dewi Retno Suminar Dhamanti, Inge Diyah Herowati Herowati Djazuly Chalidyanto Elida Zairina Elita Halimsetiono Elita Halimsetiono Eriska Haning Ernawaty Ernawaty Ernawaty Ernawaty Ernawaty Estuningsih, Yayuk Farida Ilmah Fauziah Rizki Andini Ghea Sekar Palupi Hadidah, Imas Sayyidati Herti Maryani I Gusti Bagus Wiksuana Indana Tri Rahmawati Ira Ummu Aimanah Ismawantri, Putu Istiqomah, Ashri Nur Iwan Setiawan Kantrey Sugiarto Kumalasari, Ayu Lailatul Maghfiroh Linda Augustien Makalew Linta Meyla Putri Liza Pristianty Lutfiana Rakhmawati Mahmudin, Ahmad Amin Marline Merke Mamesah Martanto, Tri Wahyu Martha, Tiara Sandi Ayu Diea Maulida Rachmawati Maya Sari Dewi Maya Sari Dewi Maya Sari Dewi, Maya Sari Maya Weka Santi Maya Weka Santi Maznah Dahlui Merryana Andriani Mita Dwi Ayudha Mochammad Bagus Qomaruddin Moh. Basri Moh. Soleh Mohammad Hendra Kurniawan Muhammad Atoillah Isfandiari Muhammad Noor Fakhruzzaman Musa Ghufron Nabilah Bilqis Najla Huljannah Ni Ketut Ardani Nono Tri Nugroho Novianti Indah Fatmawati Novie Erva Fauziyah Nurtania, Rhesta Nurul Evriany Nurul Laily Qomariyah Nuzulul Kusuma Putri Nyoman Anita Damayanti Pipin Eri Agustina Rahmafika Cinthya Afro Rahmafika Cinthya Afro Rahmaniar, Dinda Rahmi Fitri J Raissa Manika Purwaningtias Raissa Manika Purwaningtyas Rezy Ramawan Melbiarta Rhesa Milzam Favian Rien Rahmi Riandini Rizka Rosa DM Rohilatul Jannah Sandiva Alifia Arifin Sinta Dewi Lestyoningrum Siti Fatonah Siti Rahayu Nadhiroh Sony Wijaya Stefania Widya Setyaningtyas Sururut Tazkiyah Susi Hidayah Tazkiyah, Sururut Titik Maimanah Trias Mahmudiono Ulfia Hazna Safira Umi Athiyah Vivilia Dian Mustikasari Widati Fatmaningrum Widodo Jatim Pudjirahardjo Yayuk Estuningsih YOHANES WAHYU WALUYO Yurike D Adhela

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