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All Journal JURNAL GIZI INDONESIA Nurse Media Journal of Nursing Asuhan Kesehatan Jurnal Ilmiah Ilmu Kebidanan dan Keperawatan Journal of Health Policy and Management Journal of Health Promotion and Behavior
SUDALHAR SUDALHAR
AKADEMI KESEHATAN RAJEKWESI BOJONEGORO
Decision Sciences, Operations Research & Management Health Professions Medicine & Pharmacology Nursing Public Health

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KNOWLEDGE, BARRIERS, AND MOTIVATION RELATED TO BREAST AND CERVICAL CANCER SCREENING AMONG WOMEN IN BOJONEGORO, EAST JAVA: A QUALITATIVE STUDY Umami, Afriza; Sudalhar, Sudalhar; Pratama, Tegar Wahyu Yudha; Fitri, Istiqlal; Firmansyah, Andan
Journal of Health Promotion and Behavior Vol 5, No 1 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Breast and cervical cancer remain a major cause of morbidity and mortality for wo­men in Indonesia. Although this cancer can be de­tected early, women are still less active in self-detecting breast and cervical cancer, so both cancers are found at an advanced stage. This study aimed to explore how women's knowledge, barriers, and motivations are related to early detection of breast and cervical cancer.Subjects and Method: This was a qualitative study, with focus group discussions (FGDs) and interviews with key informants. Discussions and in­terviews were conducted in the community within Ledok Kulon village, Bojonegoro Regency, East Java, Indonesia. Participants: FGD partici­pants involved 20 women, 10 women underwent FDG about cervical cancer and 10 other women conducted FGD about breast cancer. Three key informants interviewed with health worker and administrator that allow triangulation of res­pon­ses thereby increasing the validity of the findings. Participants were aged 20 to ?60 years, with no history of symptoms or previous diagnosis of breast or cervical cancer. The women were inter­viewed in October-November 2019. The trans­cri­bed data were analyzed using content analysis.Results: Participants' knowledge about under­stan­ding, risk factors, signs and symptoms of breast and cervical cancer was still lacking. Par­ticipants attributed the cause of cervical cancer to the vaginal wound resulting in cervical cancer and signs of symptoms such as heartburn. Whe­reas for breast cancer participants were not know the signs and symptoms, they only said there was a lump in the breast. Barriers to screening were ashamed to be examined by health workers, afraid of testing procedures, feeling healthy and there were no signs of cancer. Screening motiva­tion were experiencing signs and symptoms of can­cer, family history of the disease and aware­ness of the disease/screening service.Conclusion: The study participants' knowledge of breast and cervical cancer was still lacking. To improve breast and cervical cancer screening, efforts must focus on reducing identified barriers and increasing motivation.Keywords: knowledge, barriers, motivation, breast and cervical cancer screeningCorrespondence: Afriza Umami. Diploma III of Medical Records, School of Health Sciences Muhammadiyah Bojone­go­ro, Jl. A.Yani No.14, Bojonegoro, Indonesia. Email: afrizaumami20@gmail.com. Mobile: +62­8­225­4348041.Journal of Health Promotion and Behavior (2020), 5(1): 1-10 https://doi.org/10.26911/thejhpb.2020.05.01.01  
THE INFLUENCE OF ISLAMIC NURSING IN NURSE’S JOB SATISFACTION Sudalhar, Sudalhar
Asuhan Kesehatan : Jurnal Ilmiah Ilmu Kebidanan dan Keperawatan Vol 8, No 1 (2017): ASUHAN KESEHATAN JURNAL ILMIAH ILMU KEBIDANAN DAN KEPERAWATAN
Publisher : AKADEMI KESEHATAN RAJEKWESI BOJONEGORO

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Job satisfaction in nurses who apply Islamic nursing cannot be explained. This could caused nursing services based on positivism and pragmatism, which keeeping nurses away from universal ethical values, so that nursing care will not deliver asense of love and compassion to the other creatures created by Allah because the only motivation is only for short-term purpose, such as just for fulfilling obligation and for salary. This study aimed to prove the influence of Islamic nursing on job satisfaction in nurses of Bojonegoro Aisiyah Hospital.            This research was conducted in 34 respondents who were permanent nurses in Bojonegoro Aisiyah Hospital, with one group pre-post test design. It done in April 7th to June 7th 2011. The population was all permanent nurses in Bojonegoro Aisiyah Hospital whom deal directly to the clients. The Independent variable was Islamic nursing aplication, and dependent variable was nurse job satisfaction. In this study, measurement nurse?s job satisfaction using 19 questions to identify nurse?s job satisfaction before and after apply Islamic nursing, then data were analyzed with wilcoxon test in significan level ? 0,05.The Result showed ? = 0,014<0,05, indicating there was influence of the implementation of Islamic nursing on nurses?s job satisfaction, in the aspects of job content, remuneration, promotion, working condition, coworkers, and supervision at the Bojonegoro Aisiyah Hospital  so research hipotesis accepted.The nurses in Bojonegoro Aisiyah Hospital should to improve implementation religious correctly to raise spirituality among the nurse themselves, and increase the application of Islamic nursing, with the following indicators: professionals, friendly, istiqomah, trustworthy and sincere in nursing services in order to achievethe vision of Bojonegor Aisiyah Hospital tobecome professional, hospital of choice, and Islamic in 2015. The next research about client satisfaction in Islamic nursing is needed too
Factors Associated with Genital Hygiene Behaviors in Cervical Cancer Patients in Surakarta, Indonesia Umami, Afriza; Sudalhar, Sudalhar; Lufianti, Anita; Paulik, Edit; Molnár, Regina
Nurse Media Journal of Nursing Vol 11, No 1 (2021): (April 2021)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v11i1.35829

Abstract

Background: Maintaining genital cleanliness is essential for women since intimate organ problems can cause female tract infections. Poor genital hygiene can affect sexually transmitted infections, and therefore, it is prominent to investigate factors related to genital hygiene behaviors in women to reduce this type of infection.Purpose: This study aimed to find out the factors associated with genital hygiene behaviors in cervical cancer patients.Methods: A case-control study was conducted on cervical cancer patients in Surakarta, Indonesia, from December 2017 to February 2018. A structured questionnaire was used to collect data from 178 subjects using a fixed disease sampling technique that consisted of 56 cases of poor genital hygiene behaviors and 122 controls of good genital hygiene behaviors with a comparison of 1:2. The dependent variable was genital hygiene behaviors, while the independent variables were stress, exposure to social media regarding genital hygiene, environmental sanitation, husband’s education, and support. Logistic regression was employed for data analysis.Results: Genital hygiene behaviors increased with exposure to social media related to genital hygiene (OR=9.20; 95% CI=3.87 to 21.87, p<0.001), good environmental sanitation (OR=5.16; 95% CI=2.19 to 12.14, p<0.001), high husband’s education (OR=6.49; 95% CI=2.23 to 18.91, p=0.001) and support (OR=2.88; 95% CI=1.24 to 6.67, p=0.013). Women who experienced psychological problems such as stress showed decreased genital hygiene behaviors (OR=0.25; 95% CI=0.94 to 0.71, p=0.009).Conclusions: Genital hygiene behaviors in women increased with exposure to social media related to genital hygiene, adequate environmental sanitation, high husbands’ education, and support. In contrast, stress decreased women’s behaviors in practicing genital hygiene. These findings emphasize the need for women to improve genital hygiene behaviors as well as for nurses to explain how to increase women's genital hygiene behaviors.
Implementation of Hospital Internal Audit Policy Sudalhar, Sudalhar; Handoko, Rudy; Maduwinarti, Ayun
Journal of Health Policy and Management Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2023.08.03.06

Abstract

Background: Out of 7 people in the Internal Audit Unit (SPI) in a hospital, only 1 person is not concurrently serving as the Head of SPI. SPI is the main requirement in carrying out duties and can be a problem in the implementation of hospital internal audit policies by SPI and if this is left unchecked, the public services provided by the hospital can be of less quality. the purpose of this study is to know and analyze the implementation of internal audit policies, factors that support and hinder the implementation of internal audit, find models for implementing internal audit policies in Hospital A. Subjects and Method: qualitative research design. The research was conducted at Aisyiyah Bojonegoro Hospital. The target population consists of 1 director, 6 department heads and 4 SPI auditors. The technique and size of sampling is done by means of the population being the sample. the dependent and independent variables of interest are the implementation of the Hospital Internal Audit policy. Variable measurement methods or instruments by means of interviews and data analysis methods using data triangulation. Results: The implementation of internal audit policy from the communication aspect has been carried out well, the Resource aspect has not been implemented properly, the Disposition aspect has not been implemented properly, the Organizational Structure aspect is carried out properly. The appointment of SPI personnel needs to take into account the competence of the auditor or provide auditor competency training, exemption from concurrent duties and full-time positions, structuring systematic career paths and providing special incentives, maintaining consistency of communication and conducting audits in all work units Conclusion: This research can produce implications for model development in the implementation of hospital internal audit policies in accordance with Edward III's theory and then developed with the involvement of the Hospital Internal Auditors Association. Through this it is expected that the implementation of internal audit policies is more comprehensive in implementing aspects of organizational structure, resources, disposition and communication. Keywords: implementation, policy, internal audit, hospital Correspondence: Sudalhar. University of 17 August 1945 Surabaya, Semolowaru Street Number 45, Menur Pumpungan, Sukolilo District, Surabaya, East Java 60118. Email: dalharaljafar@gmail.com. Mobile: 08125928651
Relationship between the numbers of iron tablets received and of iron tablets consumed with the birth length at Aisyiyah Hospital, Bojonegoro Firdaus, Desiana; Sudalhar, Sudalhar; Ningtias, Rina Hidayatin
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 13, No 2 (2025): June
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.13.2.132-138

Abstract

Background: Birth length is one of the risk factors for stunting in toddlers in the future. Stunting is a condition where a child's height is not by their age, which is indicated by a z score <-2 SD. Stunting can occur since the baby is in the womb, or in the first 1000 days of life which is indicated by a birth length of <48 cm.Objective: The purpose of this study was to examine the relationship between iron supplementation and birth length at Aisyiyah Hospital, Bojonegoro.Materials and Methods: The study respondents were 81 mothers and babies who were in the postpartum room of Aisyiyah Hospital, Bojonegoroduring the period from March to April 2024. Data on the number of iron tablets received and consumed were obtained from interviews with respondents, and the baby's birth length was obtained from data on the patient's medical records.Results: The study’s results showed that the prevalence of short birth length (stunting) at Aisyiyah Hospital, Bojonegoro was 38.8%. Based on the results of the correlation test conducted with Spearman rho, it was found that there was a significant relationship between the number of iron tablets received and the number of iron tablets consumed with the length of the baby's birth, as indicated by the p-value and r value respectively (p = 0.013; r = 0.439) (p = 0.005; r = 0.496).Conclusion: This study shows a significant relationship between the number of iron tablets received and the number of iron tablets consumed with the length of the baby's birth.
Co-Authors Ayun Maduwinarti Desiana Firdaus Firmansyah, Andan Fitri, Istiqlal Lufianti, Anita Molnár, Regina Ningtias, Rina Hidayatin Paulik, Edit Pratama, Tegar Wahyu Yudha Rudy Handoko Umami, Afriza