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All Journal Archive of Community Health Buletin Udayana Mengabdi COPING (Community of Publishing in Nursing) Jurnal Kesehatan Masyarakat Jurnal Berkala Epidemiologi Jurnal Delima Harapan PREPOTIF : Jurnal Kesehatan Masyarakat Udayana Journal of Social Sciences and Humanities (UJoSSH) MAHESA : Malahayati Health Student Journal Bali Dental Journal JRKN Public Health and Preventive Medicine Archive The Journal of Nursing and Midwifery Sciences Journal of Mandalika Literature Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Ketut Suarjana
Public Health Postgraduate Program Udayana University, School Of Public Health Faculty Of Medicine Udayana University
Humanities Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences

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Gambaran kejadian pulpitis di wilayah kerja Puskesmas Dawan I Klungkung I Gede Krisna Merta Yoga; Putu Ratna Kusumadewi Giri; Ketut Suarjana
Bali Dental Journal Vol. 2 No. 2 (2018): June 2018
Publisher : School of Dentistry Faculty of Medicine Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/bdj.v2i2.115

Abstract

Background: Dental caries is a multifactorial disease in hard tissue that can occur when there are factors interrelated to one another. Untreated dental caries will reach the pulp and cause pulp inflammation or pulpitis. Factors that cause pulpitis are internal factors and external factors. Aim: The purpose of this study is to know the prevalence of pulpitis in the region of Dawan I primary health center.Methods: Descriptive study used with cross sectional study approach was used in this study. Sample of 107 people was obtained by simple random sampling. Results: The result showed that prevalence of pulpitis in the region of Dawan I primary health center is high (25.2%). Meanwhile, the prevalence of respondents who have bad habit amounted to 66.7%. Respondents who have bad healthy behavior amounted 85.2%. Association between pulpitis and habit are significant in statistics (p=<0.001). The prevalence of pulpitis more occur in bad nutrition intake amounted 100%. Association between pulpitis and nutrition are significant in statistics (p=<0.001). Conclusions: It is concluded that the prevalence of pulpitis in the region of Dawan I primary health center is high. Community in the region of Dawan I primary health center which mostly pulpitis have a bad habit, bad healthy behavior and bad nutrition intake. Primary health center is expected to provide information by using media such as film, slide or print media to change habits, behavior and nutrition community.
Gambaran kejadian karies gigi molar pertama permanen dan tingkat pengetahuan tentang kesehatan gigi pada anak usia 9-12 tahun di SD Negeri 4 Sanur Denpasar I Wayan Gita Pratama; Mia Ayustina Prasetya; Ketut Suarjana
Bali Dental Journal Vol. 3 No. 1 (2019): January 2019
Publisher : School of Dentistry Faculty of Medicine Udayana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/bdj.v3i1.126

Abstract

Introduction: Dental caries is a disease caused by multifactorial, one of which is a factor in behavior or attitude of oral hygiene. This is caused by to lack of knowledge about maintain oral hygiene. The purpose of this study is to describe the incidence of dental caries of permanent first molar basis of age, gender, behavior and knowledge levels in children aged 9-12 years in SD Negeri 4 Sanur Denpasar. Method: Descriptive study used with cross sectional study with 107 student in SD Negeri 4 Sanur as the sample, the samples was obtained by systematic random sampling. Result: This study shows the prevalence of caries in SD 4 Sanur Denpasar amounted to 52.3%. The prevalence of dental caries in respondents who had a poor behavior of 77.6%. There is a significant associated between the prevalence of caries by the behavior of maintain oral health (p=0.000). While the prevalence of caries based knowledge tends to occur in respondents who have less knowledge both in the amount of 100% and there is a significant associated between dental caries based knowledge to maintain oral health (p=0.003). Conclusion: Based on these results the incidence of caries in SD 4 Sanur Denpasar relatively high. Student in SD 4 Sanur Denpasar mostly caries have poor healthy behavior and have less knowledge. Public health center expected to provide counseling and common practices on how to maintain healthy teeth and mouth regularly.
Electronic prescribing reduces prescription errors in Sanglah General Hospital Denpasar Ni Luh Putu Nurhaeni; I Ketut Suarjana; I Made Ady Wirawan
Public Health and Preventive Medicine Archive Vol. 5 No. 2 (2017)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2017.v5.i2.p03

Abstract

Background and purpose: Medication error is any preventable event that may lead to inappropriate medication use or patient harm. Prescription error, one component of medication error, at Sanglah General Hospital Denpasar is high. An electronic prescribing has been piloted at Angsoka Ward, Sanglah General Hospital Denpasar to reduce prescription errors. However, the evaluation of such implementation is never been conducted. This study aims to evaluate the effect of electronic prescribing on prescription errors at Sanglah General Hospital Denpasar. Methods: An evaluation study was conducted by adopting pre and post control design at Sanglah General Hospital Denpasar. Prescription errors at Angsoka Ward where the electronic prescribing is implemented, were compared to Kamboja Ward that uses manual prescribing. Heterogeneity of patients in these two wards was comparable. Prescription samples were selected using a simple random sampling. Prescription samples prior to implementation of electronic prescribing were taken from June and July 2016, while samples after implementation were taken from March and April 2017. Prescription samples from the control group were also taken from the same periods. A total of 96 prescriptions were taken from each arm – leading to 384 prescription samples in total. Prescription error was evaluated using three requirements namely: administrative (9 components), pharmacy (5 components) and clinical (3 components). Results: Our study found that there was a significant difference of prescription errors between pre and post implementation of electronic prescribing at Angsoka Ward (p<0.05). The median values [IQR] for prescription error based on administrative requirements between pre and post intervention were 2 [3] vs. 0 [0] (p<0.001); based on pharmacy requirements were 1 [2] vs. 0 [0] (p<0.001); based on clinical requirements were 1 [2] vs 0 [0] (p<0,001). In contrast, prescription error based on administrative and pharmacy requirements in Kamboja Ward was insignificantly reduced. The median values [IQR] for prescription error based on administrative requirements between pre and post intervention were 2 [2] vs. 2 [2] (p=0.505) and based on pharmacy requirements were 1 [2] vs. 1 [1] (p=0.295). There was a significant difference of prescription errors (p<0.05) based on clinical requirements with median values [IQR] of 1 [1] vs. 1 [1]. Implementation of electronic prescribing reduced the proportion of prescription errors by 67.8%. After implementation of electronic prescribing, some errors were still apparent related to drug administration and order duplication. Conclusions: Implementation of electronic prescribing reduces prescription errors. Scaling-up of electronic prescribing followed by training on standardised prescribing practices are warranted.
The provision of promotive and preventative healthcare services by private primary care physicians in the era of the national health insurance program Ketut Ary Diana Artha; I Ketut Suarjana; Pande Putu Januraga
Public Health and Preventive Medicine Archive Vol. 5 No. 2 (2017)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2017.v5.i2.p13

Abstract

Background and purpose: In addition to their duties in addressing the curative and rehabilitative needs of the community, private primary care physicians (PCP) play an important role in providing promotive and preventative healthcare services. This study aims to determine the behaviours, enabling and inhibiting factors involved with the provision of promotive and preventative services by PCP in the era of national health insurance (JKN) implementation. Methods: This research is a mix method study using a combination of quantitative and qualitative approaches. Quantitative surveys were conducted with all PCPs already in working collaboration with the Social Security Administering Agency (BPJS) in the Denpasar City area (61 people). Data analysis techniques used descriptive techniques in order to explore the kinds of promotion and preventative services provided by PCPs. Qualitative research was conducted through in-depth interviews of 8 informants selected by purposive sampling and analyzed thematically to discover the enabling and inhibiting factors of the provision of promotive and preventative services by PCPs. Results: The results showed that 91.8% of PCPs did perform promotive and preventative services in their practice site. PCPs who did not carry out promotive and preventative services demonstrate perceptions, beliefs and motivations categorized as low and weak as well as attitudes that do not support the implementation of such services. Enabling factors of promotion and preventative services by PCPs, include among others, quality of facilities and infrastructure, the receipt of awards from BPJS and capitation systems that benefit physicians financially. Inhibiting factors include a low willingness of the patient to carry out doctor's advice, limitations in the PCPs work time and limited funds to perform preventative/promotive services. Conclusions: Promotive and preventative services are not being optimally carried out by PCPs in Denpasar. This is due to the low willingness of the patients, the limited time of the doctor, and the limited allocated funds for promotive and preventative services and low capitation.
The role of communication contact in capitation implementation at public health centres in Denpasar Ni Putu Purlimaningsih; I Ketut Suarjana; Pande Putu Januraga
Public Health and Preventive Medicine Archive Vol. 5 No. 2 (2017)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2017.v5.i2.p15

Abstract

care is the contact between the provider and the recipient (communication contact). Targets set regarding communication contacts are often not achieved which in turn results in consequent cuts in the capitation rates received by the public health centres (PHCs). The purpose of this research is to understand the implementation, inhibiting and enabling factors of supporting communication contact in the era of National Health Insurance (Jaminan Kesehatan Nasional/JKN). Methods: This study used a qualitative explorative design through in-depth interviews and focus group discussion (FGD) with 22 informants consisting of heads of PHCs, PHCs staff, Head of Denpasar Health Office, Head of Social Security Administering Agency (BPJS) Denpasar Branch and JKN members. This research was conducted at 11 PHCs in Denpasar City from April to July 2017. The informants were chosen purposively and the data were analysed thematically to explore aspects of implementation, the inhibiting and enabling factors of communication contact. Results: Communication contacts can be assessed both inside and outside the PHCs buildings. The inhibiting factor of communication contact implementation related to difference in understanding of the concept of PHCs working area, the absence of a standard operational procedure (SOP) for communication contact, heavy workload of PHCs service providers, lack of optimal means of supporting application of pcare convoluted and confusing information from BPJS, and lack of understanding from JKN enrolees on the particulars of the administration and desire for speedy service. Supporting factors are the availability of media, training and orientation for the implementing staff and the feedback from BPJS to PHCs staff. Driving factors are the effective authority of the PHCs head, commitment and motivation from government agencies and cross-sectoral support. Conclusions: Implementation of communication contact is influenced by both inhibiting and enabling factors, from the BPJS stakeholders and the members of the BPJS. Achieving the target of communication contact requires synergy of central government policy and BPJS managers.
Perception of nursing staff towards the application of Professional Nursing Care Model and job satisfaction at Sanjiwani Hospital, Gianyar Gusti Ayu Krisma Yuntari; Pande Putu Januraga; I Ketut Suarjana
Public Health and Preventive Medicine Archive Vol. 6 No. 1 (2018)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v6.i1.p12

Abstract

Background and purpose: Several hospitals in Indonesia have developed a model of nursing care known as MAKP (Professional Nursing Care Model) to improve the quality of nursing services. Sanjiwani Hospital, Gianyar has applied this model. The aim of this study is to explore the perception of nurses towards this approach and assess its association with job satisfaction. Methods: A cross-sectional survey was conducted with 92 nurses working at the inpatient ward at Sanjiwani Hospital, Gianyar. Data were collected from July-August 2017 by interview using questionnaires. Data collected included the characteristics of respondents (age, gender, education, and employment status), nurses’ perception towards the application of MAKP, and nurses’ job satisfaction. Results: Nursing staff demonstrated perception score of ≥15 on leadership elements (68.5%), communication (72.2%), coordination (84.8%), delegation (80.4%), and supervision (66, 3%). Nursing staff with a score of ≥15 in coordination perception (AOR=4.48; 95%CI: 1.14-17.54), delegation (AOR=4.00; 95%CI: 1.21-13.23) and supervision (AOR=3.35; 95%CI: 1.25-8.88) expressed higher job satisfaction. While aspects of leadership (AOR=0.98; 95%CI: 0.29-3.79) and communication (AOR=0.76; 95%CI: 0.19-3.05) were not significantly associated with job satisfaction. Conclusions: The majority of nurses have a positive perception towards the MAKP approach. The better perception on coordination, supervision and delegation are found to increase job satisfaction. The results imply that coordination, supervision and delegation should be considered in order to increase job satisfaction in other hospitals.
GAMBARAN PENGETAHUAN, SIKAP, MOTIVASI, DAN SUPERVISI PADA PERAWAT DALAM PELAKSANAAN KESELAMATAN PASIEN (PATIENT SAFETY) DI INSTALASI RAWAT INAP RSUD SANJIWANI GIANYAR Ni Putu Amanda Ayuning Krissita; I Ketut Suarjana
ARCHIVE OF COMMUNITY HEALTH Vol 9 No 3 (2022): Desember 2022
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2022.v09.i03.p06

Abstract

ABSTRAKKeselamatan pasien adalah dasar pelayanan kesehatan dan merupakan kewajiban yang harus diberikan. Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan, sikap, motivasi, dan supervisi pada perawat dalam pelaksanaan patient safety di Instalasi Rawat Inap RSUD Sanjiwani Gianyar. Penelitian ini merupakan penelitian observasional deskriptif dengan rancangan cross-sectional. Informan pada penelitian ini terdiri dari 127 perawat dengan menggunakan teknik total sampling. Instrumen pengumpulan data menggunakan kuesioner. Analisis data dilakukan secara univariat dan bivariat. Hasil penelitian ini menunjukkan gambaran pengetahuan baik (63,78%) sikap positif (51,97%), motivasi baik (53,54%) supervisi baik (66,14%) dan pelaksanaan keselamatan pasien baik (3,54%). Pengetahuan, motivasi, dan supervisi memiliki hubungan signifikan dalam pelaksanaan keselamatan pasien, Namun, variabel sikap tidak memiliki hubungan signifikan. Maka dari itu perlu dilakukannya berdasarkan hasil penelitian ini adalah melakuka pelatihan pedoman pelapran insiden keselamatan pasien kepada perawat dan memberikan sistem reward kepada perawat sesuai dengan kinerjanya dalam menerapkan keselamatan pasien.Kata Kunci: Keselamatan Pasien, Motivasi, Pengetahuan, Sikap, dan Supervisi.
The Difference of Patient Satisfaction Between ISO and Non ISO Health Centers in Denpasar A.A.A.A. Candrawati; I Ketut Suarjana; Dewa Nyoman Wirawan
Public Health and Preventive Medicine Archive Vol. 3 No. 1 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i1.p06

Abstract

Background and purpose: ISO has been implemented to improve quality of care and patient satisfaction in four health centers in Denpasar. An assessment of the quality of services has been conducted, but there has been no assessment of patient satisfaction. This study determined differences of patient satisfaction between ISO and non- ISO centers and related factors. Methods: The study design was cross-sectional sample survey of 298 respondents; 149 attending ISO clinics and 149 non-ISO clinics. Data were collected using self-administered questionnaires and analyzed with chi square test and logistic regression methods as well as quadrant analysis. Results: Satisfaction was significantly higher (p=0.001) among ISO health centers (98.66%) compared to non-ISO (87.25%). Satisfaction levels were significantly higher (p=0.001) among ISO health centers specifically for sub item reliability (97.99% vs 81.21%), responsiveness (97.32% vs 82.52%), assurance (98.66% vs 84.56%), empathy (97.32% vs 77.18%) and physical appearance (97.32% vs 83.8%). Multivariate analysis indicated that factors associated with patients satisfaction were ISO status (adjusted OR=16.56; 95%CI: 3.87-70.95) and health insurance membership (adjusted OR=3.76; 95%CI: 1.38-10.23). Quadrant analysis indicated that sub item politeness, carelessness and untidiness were priority area for improvement among ISO health centers. Conclusion: Patient satisfaction was significantly higher among ISO health centers. Study findings indicated that sub-items politeness, apparent carelessness and untidiness still to be improved among ISO health centers.
The Relationship between Inpatient Expectations of Staff Responsiveness and Empathy with Inpatient Satisfaction at Wangaya District Hospital Denpasar Dwidyaniti Wira; I Ketut Suarjana; I Putu Ganda Wijaya
Public Health and Preventive Medicine Archive Vol. 2 No. 2 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v2.i2.p04

Abstract

Background and purpose: The evaluation of quality of service within inpatient and outpatient services is very critical to be done. This research aims to explore the relationship between inpatient expectations of the quality of nursing service and inpatient satisfaction, in the third-class ward Wangaya District General Hospital, Denpasar. Methods: This research was a quantitative study using cross-sectional design. A sample of 111 were selected by simple random sampling. The data was analysed by using univariate, bivariate, and multivariate analysis with logistic regression. Results: The analysis indicated that the level of actual satisfaction compared to inpatient expectations was as low as 45%. Perception of responsiveness with OR=2.404 (95%CI: 1.076–5.373) and perception of empathy with OR=2.594 (95%CI: 1.165-5.779) had a significant relationship with inpatient satisfaction. Conclusion: The study concluded that the patient satisfaction rate is moderate and found to have significant correlation with perceptions of responsiveness and empathy.
The Relationship between Pharmaceutical Services and Satisfaction of Customers Accessing Pharmacy Services in Denpasar Eka Arimbawa; Ketut Suarjana; I Putu Ganda Wijaya
Public Health and Preventive Medicine Archive Vol. 2 No. 2 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v2.i2.p11

Abstract

Background and purpose: Pharmaceutical care has been shifted from product or drug oriented paradigm into patient oriented to ensure that every customer will be able get the most effective medication. This research aims to explore the relationship between pharmaceutical services and satisfaction of customers accessing the pharmacy services in Denpasar. Methods: This research was analytic study using cross sectional design. The samples consisted of 116 customers taken from 20 pharmacies at Denpasar. Data was collected using self-administered questionnaires. Data was analyzed using logistic regression. Results: The analysis indicated that the level of customer satisfaction was 46.55%. There was a significant relationship between aspects of pharmaceutical services like pharmacy appearance (OR=12.819, 95%CI: 2.791-58.870), drug information services (OR=16.157, 95%CI: 3.279-79.620), the availability of drugs (OR=6.811, 95%CI: 1.571-29.460), and speed of service (OR=43.432, 95%CI: 7.197-262.095) with satisfaction levels of customers accessing the pharmacyservices. Conclusion: It is recommended that there is an upgrade of facilities in order to enhance customer satisfaction including an increase in staff numbers attending to customers that are able to provide adequate information so as to optimize service provision.
Co-Authors A.A.A.A. Candrawati A.A.A.A. Candrawati, A.A.A.A. Agus Ariana, I Komang Artha, Ketut Ary Diana Artini, Komang Budiawan, I Nengah Citra Mutiarahati, Ni Luh Cokorda Bagus Jaya Lesmana Cokorda Bagus Jaya Lesmana, Cokorda Bagus Jaya Dewa Nyoman Wirawan Dewa Nyoman Wirawan, Dewa Nyoman Dwidyaniti Wira Dwidyaniti Wira, Dwidyaniti Eka Arimbawa Eka Arimbawa, Eka Emyastuti, Ni Luh Wayan Gusti Ayu Krisma Yuntari HARI MULYAWAN I Gede Diki Sudarsana I Gede Kayika Pradnya Utama I Gede Krisna Merta Yoga I Gusti Putu Ayun Widanianti I Komang Widarma Atmaja I Made Ady Wirawan I Made Kerta Duana I Nengah Budiawan I Nyoman Sutarsa I Putu Ganda Wijaya I Putu Ganda Wijaya I Putu Ganda Wijaya I Putu Ganda Wijaya I Putu Ganda Wijaya I Wayan Gita Pratama Karismayani, Gusti Ayu Mutiara Ketut Ary Diana Artha Komang Artini Komang Menik Sri Krisnawati Luh Seri Ani Mahaguna Putra, Made Manuaba, I.B.G. Fajar Marleni, Devy Mia Ayustina Prasetya Ni Ketut Sutiari Ni Luh Putu Handayani Ni Luh Putu Nurhaeni Ni Made Kurniati Ni Made Sri Nopiyani Ni Putu Amanda Ayuning Krissita Ni Putu Kusumayuni Ni Putu Purlimaningsih Ni Putu Widarini Ni Wayan Arya Utami, Ni Wayan Arya Nurhaeni, Ni Luh Putu P. Muliawan P. Muliawan Pande Putu Januraga Purlimaningsih, Ni Putu Putu Ayu Indrayathi Putu Lestari Sudirman Putu Ratna Kusumadewi Giri Rina Listyowati Rina Listyowati Rina Listyowati, Rina Rosi Arista Dewi, Kadek Sakti, KM. Bima Sudiharto Sudiharto, Sudiharto Swetawijaya, Putu Arya WIDARSA WIDARSA Wijaya, I Putu Ganda Windu, I Kadek Yuntari, Gusti Ayu Krisma