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IMPLEMENTASI KEBIJAKAN PENYELENGGARAAN PENDIDIKAN NASIONAL PADA PENYELENGGARAAN PENDIDIKAN TENAGA KESEHATAN PROGRAM D-III KEPERAWATAN DI PROPINSI DKI JAKARTA
ROSA, ELSYE MARIA
JURNAL ILMIAH EDUCATIONAL MANAGEMENT Vol 1, No 2 (2011): JURNAL ILMIAH EDUCATION MANAGEMENT
Publisher : JURNAL ILMIAH EDUCATIONAL MANAGEMENT
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The objective of this research is to analyze the implementation of national education policy in the nursing education D-III program in Jakarta Province. The evaluation was based on the implementation of the National Education Systems No. 20 year 2003. The research was conducted at the Akademi keperawatan province in Jakarta. It was using policy analysis method. The sample of this research were 7 person of Akademi Keperawatan, Pusdiknakes and Kopertis 3 that was selected randomly. NVIVO version 8 was used to analyze the data collected. The research findings are: (1) most of the nursing educations were Diploma III vocational educations; (2) the ownership status of nursing academies was in the hand of private; (3) the management of diploma III nursing education owned by public was mostly executed by the Department of Health through the Center of Health National Education and Agency for Health of the Jakarta Province; (4) three duty university was not yet implemented completely as a mandatory reference for the institutions and lecturers. Based on these findings, it could be concluded that --- the implementation of National Education Systems No. 20 year 2003 in performing nursing education diploma III was not carried out well. This was happened because of the involving parties were not able to cooperate effectively and efficiently. Transitional management by the Department of Health, in this case the Center of Health National Education and Agency for Health of the Jakarta Province was not implemented thoroughly. Thereby, the implementation of the National Education Law No. 20 year 2003 could be in jeopardy simply because of its inappropriate execution.Key words: National Education Systems No. 20 year 2003, Nursing education D-III Program
Analisis Pengaruh Pemasangan Kateter Urin terhadap Insidensi Infeksi Saluran Kemih di Rumah Sakit
Asbone, Asbone;
Rosa, Elsye Maria;
Ulfa, Maria
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 2 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan
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DOI: 10.12928/kesmas.v11i2.6375
Background: Urinary tract infection (UTI) -related catheters are one of the four most common HAIs types in hospitals worldwide in addition to IDO, Pneumonia, and Primary Blood Flow Infection (IADP). UTI-related catheters are a significant cause of morbidity and mortality. The absence of data on the incidence of UTI related catheters in hospitals as an indicator is still low implementation of patient safety in hospitals. The purpose of this study to determine the incidence of urinary tract infections and germs that cause UTI. Method: This research was an analytical descriptive research using cross sectional observational quantitative design. Population and Sample of the study were catheter-attached patients as the subjects of the study through total sampling. Observation sheet urinary tract infections using this instrument are obtained from Centers for Disease Control and Prevention (CDC). Results: Of the 57 patients treated in the ward during the 209 days, seven patients with UTI were exposed, the incidence of symptomatic UTI in RS PKU Muhammadiyah Bantul was 33.49 â° from one culture of urine samples found Escherichia Coli and Candida Non Albicans. Conclusion: The incidence rate of symptomatic UTI in RS PKU Muhammadiyah Bantul is 33,49 â° and germs that cause urinary tract infection are Escherichia Coli and Candida Non Albicans.
Evaluasi Penerapan Pencegahan Pasien Berisiko Jatuh di Rumah Sakit
Ulfa, Maria;
Sanjaya, Puguh Danu;
Rosa, Elsye Maria
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 2 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan
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DOI: 10.12928/kesmas.v11i2.6013
Background: Patient safety in hospitals is a service of a hospital system that provides care to enable patients to be more secure. Patient safety goals are to promote specific improvements in patient safety. The reduction in risk of patients falling aimed hospitals need to evaluate the risk of patient falls and take action to reduce the risk of injury when the fall is one of the goals of patient safety. This study reveals the evaluation of the application of preventive risk patient falls in Pupuk Kaltim hospital. Method: This study was a case study, in the inpatient room, the emergency room (ER) at the Pupuk Kaltim hospital. Results: This study resulted that the initial assessment in the emergency department (ED) has not been carried out, assessments of monitoring is not maximized, still found the beds are not safe as many as 26 pieces, grade three patients did not receive anti-slippery footwear. Policies and Standart Operational Procedure (SOP) has existed since 2013. Conclusion: The initial assessment of patients the risk of falling in the ER has not been carried out, assessments have not been up monitoring of risk patients, 26 beds are not safe, three unsafe gurney, patient grade three can not be footwear. Pupuk Kaltim hospital dissemination, evaluation and monitoring of the patients fall risk assessment, infrastructure and facilities.
Faktor Risiko Kejadian Infeksi Daerah Operasi pada Bedah Digestif di Rumah Sakit Swasta
Nirbita, Alam;
Rosa, Elsye Maria;
Listiowati, Ekorini
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 2 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan
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DOI: 10.12928/kesmas.v11i2.6008
Background: The incidence of IDOs in hospitals in Indonesia varies between 2-18% of all surgical procedures. No research has been done on the effects of IDO risk factors with IDO incidence in gastrophic surgery at this hospital. This study aims to determine the effect of IDO risk factors consisting of nutritional status, type of surgery, the nature of surgery, and durante surgery against the incidence of IDO in surgical patients digestif. Method: This research is an observational quantitative study. The data taken are primary (observasional) and secondary (medical record) using cross sectional method. The data were then analyzed by Chi-square bivariate and multivariate test. Result: Based on Chi-square bivariate test, the variables: operation type (p=0.000), durante surgery (p=0.000), and operational properties (p=0.029) have significant relationship while nutritional status (p=0.055) which is significant against IDO events. Conclusion: The result of multivariate test showed that the variables: nutritional status (p=0.032), type of operation (p=0.006), and durante (p=0.008) had significant influence with the type of operation is the most influential on IDO event.Â
Analisis Mutu Pelayanan Klinis Kasus Asma Bronkial Anak di Unit Gawat Darurat Rumah Sakit
Rahmaniar, Shabrina Ari;
Rosa, Elsye Maria
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 2 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan
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DOI: 10.12928/kesmas.v11i2.6174
Background: Bronchial asthma is one of the top 10 common diseases in children in the emergency room navy hospital dr. Azhar Zahir Manokwari West Papua in the past one year. Asthma bronchial requiring therapeutic measures quickly and efficiently to improve the quality of patient care in the emergency room. Medical audit was strongly associated with improved quality and standardization for the excellent medical services in hospitals, therefore any health care providers are required to provide good service to do a medical audit. This study is to evaluate the quality of medical services asthma bronchial cases of Children in the Emergency room for the excellent medical services at Navy Hospital dr. Azhar Zahir Manokwari West Papua. Method: This study is a quantitative descriptive study, were taken in a non-probability sampling with consecutive sampling method. Criteria for sample: patients who have been diagnosed with asthma bronchial, aged one to 14 years. Result: Most patients with asthma bronchial in the emergency room was mild attacks category. The application of medical standards asthma bronchial cases in these hospitals were not good enough. It was seen from the results of the analysis, where there were some standard actions that are not performed by a doctor, among others: observation for two hours, the line installation parenteral, clinical check after 12 hours, and thoracic radiograph. Conclusion: The quality of medical care to patients who did not conform to the standard treatment of bronchial asthma in children because there were some actions that are not limited facilities and infrastructure in the emergency room.
PENGEMBANGAN BUNDLE DALAM MENURUNKAN URINARY TRACT INFECTION (UTI) DI RSUD SEJIRAN SETASON MUNTOK
Syafriati, Ani;
Rosa, Elsye Maria;
Sari, Novita Kurnia
Media Ilmu Kesehatan Vol 7 No 2: MIK Agustus 2018
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat FKes Universitas Jenderal Achmad Yani Yogyakarta
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DOI: 10.30989/mik.v7i2.283
Background: Development of CAUTI bundle is very important to evaluate the nurse in implementing nursing practice related to urinary catheter which is one of prevention efforts and risk control of CAUTI.
Objective: The purpose of this study is to develop CAUTI bundle that is adjusted to hospital condition in Sejiran Setason Muntok Hospital.
Methods: In this study used qualitative method by conducting indepth interview and focus group discussion (FGD). It conducted for 3 weeks in Sejiran Setason Muntok Hospital, the total sample are 22 participants. The result produced the themes that used as the material for the development of the bundle or the observation sheet of CAUTI.
Results: There are 10 themes which become material for the development of CAUTI bundle. The CAUTI Bundle consists of bundle components such as indication of urinary catheter insertion, urinary catheter installation must comply with SOP, monitoring of urine output by regularly, emptying urine bag regularly, performing hand hygiene before and after procedure, using masks and handscoons, patients and families must be aware of their role in minimizing the risk of CAUTI.
Conclusion: Development of the bundle is very important as one of prevention of CAUTI incident in hospital.
Keyword : Bundle, CAUTI, Development.
RESPON ADAPTASI FISIOLOGIS DAN PSIKOLOGIS PASIEN LUKA BAKAR YANG DIBERIKAN KOMBINASI ALTERNATIVE MOISTURE BALANCE DRESSING DAN SEFT TERAPI DI RSUP DR. SARDJITO YOGYAKARTA
PURWANINGSIH, LUCIA ANIK;
ROSA, ELSYE MARIA
HOSPITAL MAJAPAHIT (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MAJAPAHIT) Vol 8, No 1 (2016): HOSPITAL MAJAPAHIT VOL 8 NO 1
Publisher : HOSPITAL MAJAPAHIT (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MAJAPAHIT)
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DOI: 10.10475/hm.v8i1.339
Burns are the most severe trauma impact on both physical and psychological. With the limitedtypes of advanced dressings are available in some hospitals, many alternatives were developed based treatment of burns moist (moisture balance dressings alternative) to accelerate wound healing. Nonpharmacological interventions for the treatment of psychological stress with SEFT therapy, the patient's with SEFT therapy will be relaxed and the mind becomes calm. Relaxation created very influential in the healing process. This study aim: To identify the physiological and psychological adaptation response of burn patients were given a combination of alternative SEFT moisture balance dressings and therapies. This research used action research that determine the physiological and psychological adaptation response of burn patients were given a combination of alternative moisture balance and SEFT therapy The sample is the total population that met the inclusion criteria. Result showed that There were 8 respondents (March - June 2014). Most of the 75% of men, aged between 17-51 years, extensive of wound between 6-55% TBSA, 37.5% stage II, stage III 62.5%.Physiological adaptation response with an wound healing indicator average 42.37 (36-49) showed that physiological adaptation response is adaptive, long time recovering the second degree on average 17.6 days (7-36 days), the average grade III 28 , 8 days (20-40 days). Psychological adaptation response with an acceptance score average 44.5 (40-50) and supported by the results of interviews all indicate an adaptive response to psychological adaptation. Conclusion: Psychological and physiological adaptation response following administration of a combination of alternative moisture balance dressings and therapies SEFT are adaptive.Keywords: Alternative moisture balance dressings, SEFT therapy, physiological adaptation,psychological
Analisis Mutu Pelayanan Klinis Kasus Asma Bronkial Anak di Unit Gawat Darurat Rumah Sakit
Rahmaniar, Shabrina Ari;
Rosa, Elsye Maria
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 2 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan
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DOI: 10.12928/kesmas.v11i2.6174
Background: Bronchial asthma is one of the top 10 common diseases in children in the emergency room navy hospital dr. Azhar Zahir Manokwari West Papua in the past one year. Asthma bronchial requiring therapeutic measures quickly and efficiently to improve the quality of patient care in the emergency room. Medical audit was strongly associated with improved quality and standardization for the excellent medical services in hospitals, therefore any health care providers are required to provide good service to do a medical audit. This study is to evaluate the quality of medical services asthma bronchial cases of Children in the Emergency room for the excellent medical services at Navy Hospital dr. Azhar Zahir Manokwari West Papua. Method: This study is a quantitative descriptive study, were taken in a non-probability sampling with consecutive sampling method. Criteria for sample: patients who have been diagnosed with asthma bronchial, aged one to 14 years. Result: Most patients with asthma bronchial in the emergency room was mild attacks category. The application of medical standards asthma bronchial cases in these hospitals were not good enough. It was seen from the results of the analysis, where there were some standard actions that are not performed by a doctor, among others: observation for two hours, the line installation parenteral, clinical check after 12 hours, and thoracic radiograph. Conclusion: The quality of medical care to patients who did not conform to the standard treatment of bronchial asthma in children because there were some actions that are not limited facilities and infrastructure in the emergency room.
Evaluasi Penerapan Pencegahan Pasien Berisiko Jatuh di Rumah Sakit
Sanjaya, Puguh Danu;
Rosa, Elsye Maria;
Ulfa, Maria
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 2 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan
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DOI: 10.12928/kesmas.v11i2.6013
Background: Patient safety in hospitals is a service of a hospital system that provides care to enable patients to be more secure. Patient safety goals are to promote specific improvements in patient safety. The reduction in risk of patients falling aimed hospitals need to evaluate the risk of patient falls and take action to reduce the risk of injury when the fall is one of the goals of patient safety. This study reveals the evaluation of the application of preventive risk patient falls in Pupuk Kaltim hospital. Method: This study was a case study, in the inpatient room, the emergency room (ER) at the Pupuk Kaltim hospital. Results: This study resulted that the initial assessment in the emergency department (ED) has not been carried out, assessments of monitoring is not maximized, still found the beds are not safe as many as 26 pieces, grade three patients did not receive anti-slippery footwear. Policies and Standart Operational Procedure (SOP) has existed since 2013. Conclusion: The initial assessment of patients the risk of falling in the ER has not been carried out, assessments have not been up monitoring of risk patients, 26 beds are not safe, three unsafe gurney, patient grade three can not be footwear. Pupuk Kaltim hospital dissemination, evaluation and monitoring of the patient's fall risk assessment, infrastructure and facilities.
Faktor Risiko Kejadian Infeksi Daerah Operasi pada Bedah Digestif di Rumah Sakit Swasta
Nirbita, Alam;
Rosa, Elsye Maria;
Listiowati, Ekorini
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 2 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan
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DOI: 10.12928/kesmas.v11i2.6008
Background: The incidence of IDOs in hospitals in Indonesia varies between 2-18% of all surgical procedures. No research has been done on the effects of IDO risk factors with IDO incidence in gastrophic surgery at this hospital. This study aims to determine the effect of IDO risk factors consisting of nutritional status, type of surgery, the nature of surgery, and durante surgery against the incidence of IDO in surgical patients digestif. Method: This research is an observational quantitative study. The data taken are primary (observasional) and secondary (medical record) using cross sectional method. The data were then analyzed by Chi-square bivariate and multivariate test. Result: Based on Chi-square bivariate test, the variables: operation type (p=0.000), durante surgery (p=0.000), and operational properties (p=0.029) have significant relationship while nutritional status (p=0.055) which is significant against IDO events. Conclusion: The result of multivariate test showed that the variables: nutritional status (p=0.032), type of operation (p=0.006), and durante (p=0.008) had significant influence with the type of operation is the most influential on IDO event.