Articles
Trends and Determinants of The Maternal Mortality Ratio Based on Healthcare Resources
Eka Nur Sejati;
Elsye Maria Rosa;
Bayu Anggileo Pramesona
Unnes Journal of Public Health Vol 12 No 1 (2023): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))
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DOI: 10.15294/ujph.v12i1.57020
ABSTRACT Health resources play an essential role in realizing the unattainable Sustainable Development Goals targets in lowering maternal mortality ratio (MMR) globally. The study aimed to analyze trends and determinants of MMR based on the number of healthcare resources in Indonesia. This study was a descriptive retrospective study with a cross-sectional approach. Data on the health program achievements in Central Java province, Indonesia from 2016 to 2020 was analyzed using bivariate analysis with scatter plots, statistical analysis with Pearson correlation tests, and multiple linear analysis using Tableau software. Results showed that the MMR was decreased in 2016-2019, however it was increased in 2020. The ratio of obstetrics-gynecology specialists and nutritional personnel had impact on the maternal mortality ratio in 2016 (p-value <0.05). While the general practitioners and nutritional workers ratio also affected the maternal mortality ratio in 2017 and 2019 to 2020 with p-value <0.05. Our study concluded that the trend of MMR in Indonesia was affected by the number of healthcare personnel resources. It is recommended that the Indonesian government should fulfill the quantity and equalization of the distribution of healthcare personnel resources particularly the obstetrics-gynecology specialists, general practitioners, and nutritional workers so the MMR could be decreased.
GAMBARAN PERILAKU KEPATUHAN PENGOBATAN ARV PADA PASIEN HIV AIDS DI PUSKEMAS TIMIKA
Renny Endang Kafiar;
Elsye Maria Rosa;
Falasifah Ani Yuniarti
Jurnal Kesehatan Karya Husada Vol 5 No 2 (2017): Jurnal Kesehatan Karya Husada
Publisher : Jurnal Kesehatan Karya Husada
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DOI: 10.36577/jkkh.v5i2.56
Latar Belakang: AIDS (Acquired Immune Deficiency Syndrome) merupakan salahsatu penyakit yang mematikan dan menjadi wabah internasional. Ketidakpatuhandalam pengobatan menjadi masalah kegagalan pasien HIV/AIDS dalam menjalanipengobatan ARV.Tujuan Penelitian: Menganalisis perilaku kepatuhan pengobatan ARV pada pasienHIV AIDS di Puskemas Timika.Metode Penelitian: Penelitian ini menggunakan desain penelitian diksriptifkuantitatif. Sampel dalam penelitian ini sebanyak 29 responden yang diambil denganteknik consecutive sampling. Instrumen yang digunakan adalah kuesioner kepatuhanpengobatan ARV dan tabel catatan pemantauan kepatuhan minum obat. Teknikanalisis data menggunakan analisis univariat.Hasil Penelitian: Karakteristik responden sebagian besar berusia berusia 26-55tahun, jenis kelamin perempuan, suku bukan papua, status pernikahan sudahmenikah, status pekerjaan sebagai wiraswasta, dan tingkat pendidikan SMA/SMK.Perilaku kepatuhan pengobatan ARV pada pasien HIV AIDS pada kategori tinggisebanyak 16 responden Kategori tidak patuh sebanyak 16 responden (55,2%),kategori sedang sebanyak 8 responden (27,6%), dan kategori rendah sebanyak 5responden (17,2%).Kesimpulan: Perilaku kepatuhan pengobatan ARV pada pasien HIV-AIDS diPusmesmas Timika dalam kategori tinggi.
EFEKTIFITAS SKALA BRADEN DAN SKALA WATERLOW DALAM MENDETEKSI DINI RESIKO TERJADINYA PRESSURE ULCER DI RUANG PERAWATAN RUMAH SAKIT “X
Sukurni Sukurni;
Elsye Maria Rosa;
Falasifah Ani Yuniarti;
Azizah Khoiriyati
Jurnal Kesehatan Karya Husada Vol 6 No 2 (2018): Jurnal Kesehatan Karya Husada
Publisher : Jurnal Kesehatan Karya Husada
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DOI: 10.36577/jkkh.v6i2.279
Latar Belakang: Pressure ulcers merupakan masalah utama dalam pelayanan kesehatan yang bisadicegah. Pengkajian pressure ulcers dengan menggunakan skala Braden dan Waterlow sebagai saranapencegahan yang perlu diuji efektifitasnya. Tujuan penelitian ini menganalisis efektifitas skala Bradendan skala Waterlow dalam mendeteksi dini resiko terjadinya Pressure Ulcer di Ruang PerawatanRumah Sakit “X.”Metode: Penelitian ini merupakan cohort prospective. Pengambilan sampel menggunakan purposivesampling dengan jumlah 34 responden. Responden dilakukan pengkajian resiko pressure ulcersmenggunakan dua skala Braden dan Waterlow pada hari ke-1, 5 dan ke-10. Uji bivariat perbedaanpengkajian resiko pressure ulcers menggunakan independent t-test. Uji diagnostik sensitifitas,spesifitas, nilai duga positif dan nilai duga negatif dengan analisis tabel 2 x 2.Hasil: Pengkajian resiko pressure ulcers menggunakan kedua skala pada hari ke-1, ke-5 ke-10 masingmasing didapat nilai signifikansi p=0.001, p=0.040 dan p=0.021. Nilai sensitifitas skala Braden 91%dan Waterlow 60%. Nilai spesifitas Skala Braden 42% dan Waterlow 78%. Nilai Duga Positif skalaBraden 74% dan skala Waterlow 88%. Nilai Duga Negatif skala Braden 71% dan skala Waterlow41%.Kesimpulan: Terdapat perbedaan yang bermakna pengukuran kedua skala pada pengkajian hari ke-1,ke-5 dan ke-10. Skala Braden lebih sensitif untuk mendeteksi resiko pressure ulcers.
PENGARUH PEMBELAJARAN BERBASIS CARING DALAM MENINGKATAN PERFORMANCE MAHASISWA KEPERAWATAN DI SKILL LABORATORY UNIVERSITAS MUHAMMADIYAH YOGYAKARTA
Dedep Nugraha;
Elsye Maria Rosa
Jurnal Kesehatan Karya Husada Vol 6 No 1 (2018): Jurnal Kesehatan Karya Husada
Publisher : Jurnal Kesehatan Karya Husada
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DOI: 10.36577/jkkh.v6i1.285
Latar belakang : Masyarakat semakin menyoroti perawat yang dianggap kurangperformance-nya. Masalah Performance perawat juga terjadi pada mahasiswa praktikankeperawatan. Kendala pembelajaran skill laboratory keperawatan yaitu mahasiswa yangkurang aktif dan instruktur yang kurang tertata. Caring merupakan bagian dari performancemahasiswa yang menjadi fokus pendidikan keperawatan.Tujuan : Menganalisis perbedaan performance mahasiswa sebelum dan setelah dilakukanintervensi pembelajaran berbasis caring di skill laboratory Universitas MuhammadiyahYogyakartaMetode : Penelitian kuantitatif dengan quasy-experiment. Penelitian dilakukan selama 2minggu dengan 2 skill pembelajaran kepada kelompok intervensi dengan adanya kelompokkontrol. Sebelum intervensi dilakukan mahasiswa diberikan modul pembelajaran. Asistendosen instruktur skill laboratory memberikan pembelajaran dengan struktur caring padamahasiswa yang dibagi dalam kelompok kecil.Hasil : Adanya perbedaan hasil performance mahasiswa keperawatan sebelum dan setelahintervensi dilakukan pembelajaran berbasis caring di skill laboratory UniversitasMuhammadiyah Yogyakarta. Namun tidak terdapat perbedaan performance antara kelompokintervensi dan kelompok kontrol. Hal ini dibuktikan hasil uji t-test Kelompok intervensi dankontrol dengan nilai p value = 0,063 (p value ≤ 0,05).Kesimpulan : Metode pembelajaran berbasis caring merupakan inti dari keperawatan yangbisa diterapkan pada pembelajaran mahasiswa keperawatan. Dengan menggunakanpembelajaran berbasis caring dapat meningkatkan performance mahasiswa keperawatan.
Validity and Reliability of Research Instruments on the Effect of Motivation on Nurse Performance in Moderation with Nurse Credentials
Rio Dimas Sugiarta;
Fitri Arofiati;
Elsye Maria Rosa
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 1 (2023): April 2023
Publisher : Universitas Muhammadiyah Yogyakarta
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DOI: 10.18196/jmmr.v12i1.6
Instruments with indicators must match the variables to be observed and declared valid and reliable before being used for research. Work motivation variables and credential variables affect nurse performance. Credentials can moderate the effect of work motivation on nurse performance. The research objectives were then analyzed using internal validity and reliability conducted by experts and external reliability validity using a questionnaire filled out by research respondents about the effect of motivation on nurse performance in moderation with nurse credentials. This research used quantitative methods with a cross-sectional design. The research population consisted of 58 nurses and the chairman of the nursing committee served as the validator. The sampling technique was total sampling with 56 registered nurses as permanent employees and receiving credentials. The research instrument used a questionnaire. Analysis of the validity and reliability of the data used the SPSS application and Structural Equation Modeling (SEM) analysis with the PLS application. The research instrument influenced motivation on nurse performance moderately, with credentials declared valid and reliable.
Bundle Care and Multidisciplinary Team Approach to Reduce Surgical Site Infections Risk: A Scoping Review
Yunita Dewi Indriani;
Elsye Maria Rosa
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 1 (2023): April 2023
Publisher : Universitas Muhammadiyah Yogyakarta
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DOI: 10.18196/jmmr.v12i1.9
This scooping review aims to analyze a combination of bundle care and a multidisciplinary team approach to reduce Surgical Site Infection (SSI) in high-risk patients. The authors identified literature published between 2012 and 2021. The databases used to search for related journals included PubMed, Scopus, and EBSCO. PRISMA protocol will be used in this study. The review will include published papers discussing bundle care use and the multidisciplinary team approach which impacts SSI, especially in high-risk patients. Several studies showed a decrease in SSI rate in the intervention group that applied bundle care and a multidisciplinary team approach. Reducing SSI in patients with higher ASA (The American Society of Anesthesiologists) levels was even more significant.
Bibliometric Analysis of Healthcare Failure Mode and Effect Analysis Research
Ariadne Aulia;
Elsye Maria Rosa
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 1 (2023): April 2023
Publisher : Universitas Muhammadiyah Yogyakarta
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DOI: 10.18196/jmmr.v12i1.12
Healthcare Failure Mode and Effect Analysis (HFMEA) has been widely used as a proactive risk assessment for healthcare processes since its development in 2001. This study performs a bibliometric analysis of published papers on HFMEA to map its utilization and evolutionary nuances. The dataset was obtained from the Scopus database for English-language papers published between 2002 and 2022 using “HFMEA” or “Healthcare Failure Mode and Effect Analysis” in the article title, abstract, or keywords. Microsoft Excel and VOSviewer were used to perform the analysis. The authors found 230 relevant publications during the study period. The year 2020 has the most publications, with 34 papers. Articles written by DeRosier et al. received the most citations (470). The United States had the highest number of published papers (84), while the United Kingdom had the most international collaboration. Co-occurrence analysis of author keywords showed that patient safety, risk assessment, and risk management were high-rank words. This study emphasizes scholarly collaboration trends and identifies relevant authors, topics, and journals on HFMEA research. It may assist health practitioners and healthcare facility managers in understanding the focus of HFMEA research. Nonetheless, the number of HFMEA publications is still sparse. Further studies on HFMEA in underrepresented medical specialties should be explored.
Pengembangan Learning Card untuk meningkatkan kerja sama tim dan pengetahuan mahasiswa: A Literature Review
Nastain Abubakar Pattimura;
Elsye Maria Rosa
Citra Delima Scientific journal of Citra Internasional Institute Vol. 4 No. 2 (2021): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional
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DOI: 10.33862/citradelima.v4i2.118
The use of pictorial Learning Cards aims to make it easier for students to provide associations with concepts and materials so that the images that students get can generate creative ideas. The pictorial kick card is expected to improve students' spatial and visual abilities. The purpose of this Literature Review is to review articles that examine Learning Card Development towards Improving Student Teamwork and Knowledge. The data used comes from journals that contain the concepts under study. The data collection process was carried out by filtering from 17,071 literary sources to 7 literatures based on the criteria determined by the author of each journal taken. The criteria referred to include the year the literature sources were taken from 2016 to 2019, the suitability of writing keywords, the relationship between the results of writing and discussion. Strategies in collecting journals for various literatures using accredited journal sites such as Google Scholar, Science Direct and BMC Medical Education. An effective way of writing for journal settings is by entering keywords according to the writing title such as "Learning Card AND Teamwork AND Knowledge. On the Learning card is a card that contains keywords in learning that are used by students in preparing solutions, concepts and problem solving both sequentially and systematically.
GAMBARAN KONDISI KESEIMBANGAN PASIEN BENIGN PAROXYSMAL POSITIONAL VERTIGO (BPPV) DI RSUD dr. SOEDONO MADIUN
Puji Tri Hastuti;
Elsye Maria Rosa;
Moh Afandi
The Shine Cahaya Dunia Ners Vol 2, No 2 (2017): THE SHINE CAHAYA DUNIA NERS
Publisher : Universitas An Nuur
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DOI: 10.35720/tscners.v2i2.8
Latar Belakang; Benign Paroxysmal Positional Vertigo (BPPV) merupakan gagguan vestibuler yang paling sering dijumpai, memiliki gejala rasa pusing berputar diikuti mual dan muntah serta keringat dingin. BPPV mengakibatkan terjadi penurunan sistem vestibular sehingga menyebabkan terganggunya keseimbangan.Tujuan : Peneltian ini bertujuan untuk mengetahui gambaran kondisi keseimbangan pasien BPPV.Metode : Penelitian ini merupakan peneilitian deskriptif kuantitatif. Pemilihan responden menggunakan purposive sampling, sampel yang digunakan dalam penelitian ini berjumlah 34 orang.Hasil : Kondisi keseimbangan pasien BPPV didapatkan responden yang bisa bertahan 30 detik untuk berdiri di permukaan keras dengan mata tertutup mencapai 76.47% atau 26 orang responden penelitian dan dengan mata terbuka mencapai 52.94 % atau 18 orang responden. Sedangkan pada saat berdiri di permukaan lunak (diatas busa berukuran 40 x 40 cm, dengan tinggi 10 cm) tidak ada responden yang bisa bertahan berdiri selama 30 detik baik dengan mata terbuka ataupun dengan mata tertutup.Kesimpulan : Pasien vertigo mampu menjaga keseimbangan selama 30 detik dalam kondisi berdiri di permukaan keras, baik dalam kondisi mata tertutup maupun kondisi mata terbuka. Kata Kunci : Benign Paroxysmal Positional Vertigo (BPPV), Keseimbangan
EFEKTIVITAS PENERAPAN SUPERVISI KEPALA RUANG TERHADAP PELAKSANAAN PENDOKUMENTASIAN ASUHAN KEPERAWATAN DI RUANG RAWAT INAP RUMAH SAKIT PKU MUHAMMADIYAH BANTUL
Goziyan Goziyan;
Elsye Maria Rosa
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 1 No. 2 (2012): July 2012
Publisher : Universitas Muhammadiyah Yogyakarta
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DOI: 10.18196/jmmr.v1i2.161
Background: Activity of care documentation is a main element of responsibility for care profession performance. Therefore, treatment supervision is needed in order that effectiveness and efficiency of work are optimum. In approximately recent 4 months, the implementation of treatment supervision in the PKU Muhammadiyah Hospital of Bantul was vacuum, results of interview with the ward heads indicated that there was indication of dissatisfaction of ward head which was also appointed as supervisor in terms of incentive acceptance. Method: This study is quantitative research with quasi experiment pre and post-test design without control group. Respondents of this study were all inpatient ward heads using total sampling. Results and discussion: Results of this study indicated that average percentage of care documentation (standard operational procedure) implementation before treatment supervision training in the inpatient wards of PKU Muhammadiyah Hospital of Bantul was 42.6%, and after training, the percentage was 51.4%. Based on results of statistical test with paired t-test, it was found that p-value of effectiveness of ward head supervision application on implementation of care documentation in the inpatient ward s of PKU Muhammadiyah Hospital of Bantul was 0.002 (p<0.05). There was 8.8% increase in average percentage of care documentation implementation before and after ward head supervision training. Conclusion: The ward head supervision training was found effective on implementation of care documentation in the inpatient wards of PKU Muhammadiyah Hospital of Bantul.