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Literature Review: Penggunaan Obat Off-label pada Pasien Pediatri Chintia Dwi Tanasa; Nurma Suri; Citra Yuliyanda Pardilawati; Asep Sukohar
Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF) Vol. 3 No. 3 (2025): Juli : Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF)
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/jrikuf.v3i3.682

Abstract

 Off-label drug use is still widely found, especially among vulnerable patients. Pediatrics is one of the vulnerable patient groups who still often get off-label drug therapy. This study was conducted with the aim of looking at the description of the use of off-label drugs given to pediatric patients. This research is a type of research with the literature review method, with data obtained from several articles, the search for articles was carried out through the Google Scholar database. The results of this study from 10 articles used as research data, found the use of off-label drugs in pediatric patients with the most results in the off-label dosage category and followed by off-label dosage category, off-label age category, and off-label route of administration category, while the off-label contraindication category was not found. Based on the results obtained, it is concluded that the use of off-label drugs in pediatric patients is quite high, so it is necessary to monitor the use of off-label drugs to reduce the incidence of unwanted side effects  
Perbedaan Antara Tingkat Kepuasan Pasien Layanan Kefarmasian di Puskesmas Induk Natar dan Puskesmas Rajabasa Indah Lani Hartanti; Rasmi Zakiah Oktarlina; Zulpakor Oktoba; Asep Sukohar
Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF) Vol. 3 No. 3 (2025): Juli : Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF)
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/jrikuf.v3i3.787

Abstract

Background: Pharmaceutical services at primary health centers (puskesmas) play a vital role in supporting the quality of primary healthcare services. However, patient satisfaction with these services varies, influenced by factors such as service quality and demographic characteristics of the patients. In Lampung Province, the Induk Natar and Rajabasa Indah primary health care centers have different regional characteristics, which may influence patients perceptions and satisfaction with pharmaceutical services. Methods: This study employed an analytical observational method with a cross-sectional design. Samples were selected using systematic accidental sampling, with 100 respondents from each primary health care centers. Quantitative data were collected using the Servqual questionnaire and patient sociodemographic characteristics. Data were analyzed using the Mann-Whitney test and the Chi-Square test. Result: The reliability dimension showed the highest satisfaction level in both Induk Natar primary health care centers (90.10%) and Rajabasa Indah primary health care centers (94.05%). Conversely, the tangible dimension had the lowest satisfaction levels, with 88.60% in Induk Natar primary health care centers and 92.08% in Rajabasa Indah primary health care centers. A significant difference in patient satisfaction levels was found between the two health centers. However, no significant correlation was found between patient characteristics (age, gender, education, and occupation) and satisfaction levels (p-value > 0.05). Conclusion: Rajabasa Indah primary health care centers demonstrated a higher level of patient satisfaction compared to Induk Natar primary health care centers. A significant difference in satisfaction levels between the two centers was confirmed by the Mann-Whitney test.
Faktor Risiko Jatuh pada Pasien Rawat Inap di Rumah Sakit: Studi Kualitatif dari Perspektif Tenaga Kesehatan Bayu Anggileo Pramesona; Asep Sukohar; Diana Helen Cantika; Liestya Risnawati
Jurnal Penelitian Perawat Profesional Vol. 8 No. 2 (2026): April 2026, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v8i2.2160

Abstract

Insiden pasien jatuh lebih sering terjadi di rumah sakit pemerintah daripada di rumah sakit swasta, sehingga menjadi salah satu masalah keselamatan pasien. Meskipun beberapa penelitian kuantitatif telah dilakukan untuk mengetahui faktor-faktor yang berkontribusi terhadap pasien jatuh, namun penelitian kualitatif yang secara komprehensif difokuskan pada faktor risiko jatuh pada pasien yang dirawat di rumah sakit di Indonesia masih perlu ditingkatkan. Penelitian ini bertujuan untuk mengeksplorasi faktor risiko jatuh pada pasien rawat inap di rumah sakit pemerintah dari perspektif tenaga kesehatan. Sebuah penelitian kualitatif yang menggunakan studi kasus dilakukan di sebuah rumah sakit pemerintah di Kabupaten Lampung Selatan, provinsi Lampung, Indonesia, dari April hingga September 2024. Penelitian ini merekrut 20 informan, termasuk dokter, kepala bidang keperawatan, tim komite keselamatan pasien rumah sakit, kepala bangsal, dan perawat pelaksana di setiap bangsal. Informan dipilih menggunakan purposive sampling, pengumpulan data melibatkan pelaksanaan wawancara mendalam dan focus group discussion (FGD) menggunakan semi-structured interview guideline. Analisis data menggunakan pendekatan tematik. Tujuh tema muncul dari temuan studi: 1) kondisi internal pasien, 2) fasilitas, 3) rasio penyedia layanan kesehatan terhadap pasien, 4) pemahaman tentang penyedia layanan kesehatan, 5) dukungan pimpinan, 6) pelatihan, dan 7) sistem pelaporan insiden. Faktor risiko jatuh pada pasien rawat inap tidak hanya berasal dari kondisi internal, namun dapat berasal dari faktor eksternal.
Bentuk-Bentuk Ketidakpatuhan Aturan Akademik oleh Mahasiswa Kedokteran dan Implikasinya terhadap Profesionalisme: Sebuah Tinjauan Literatur Aprilly Adlina Chalida; Vira Kamalia Niswah; Asep Sukohar; Septia Eva Lusina
Medula Vol 16 No 4 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i4.1789

Abstract

Professionalism is a fundamental value in medical education, encompassing integrity, responsibility, and adherence to academic regulations. However, medical students often encounter ethical dilemmas when personal values, social pressures, or academic demands trigger non-compliance with these rules. Such misconduct reflects challenges in developing a professional identity grounded in ethical integrity. This article presents a literature review of national and international studies published between 2020 until 2025 examining the relationship between medical ethics education, professionalism, and academic rule violations. The aim is to analyze ethical dilemmas arising from academic misconduct among medical students and to identify how ethical reflection and professionalism learning can be strengthened. The review indicates that academic dishonesty remains prevalent in various forms, including exam cheating, plagiarism, data and documentation falsification, attendance manipulation, and dishonesty in clinical practice. Contributing factors include academic pressure, heavy workload, collectivistic cultural norms, peer influence, previous cheating experiences, stress, and low moral reasoning. Dishonesty, particularly in clinical settings, can disrupt learning processes and jeopardize patient safety. Such behaviors also reflect a failure to meet the first competency area of the 2019 National Standard of Indonesian Medical Doctor Education (SNPPDI) and contradict the foundational principles of the 2012 Indonesian Code of Medical Ethics (KODEKI). Recommended strategies to address these issues include continuous ethics education, positive role modeling, clear professionalism assessment systems, psychological support, and consistent enforcement of sanctions.
Co-Authors A.Yudi Eka Risano Aditya Ramadhon Islami Sakaganta Afriyana, Regi Afriyani Afriyani Aghesna Rahmatika Kesuma Ahmad Fitri, Ahmad Akbar, Muhammad Zakky Putra Ali, Nur Fitriana Muhammad Alifah, Ghina Nur Ambarwati, Endah Aminuyati Andi Nafisah Andi Nafisah, Andi Angelica Dwita Handayani Anisa Nuraisa Jausal Anita Febrina, Anita Aprilly Adlina Chalida Aqsha, Shabita Arianti, Tanti Arief B Witarto Ariyati, Retno Desy Arli Suryawinata Arli Suryawinata Arsyad Sobby Kesuma Aulia Ramdini, Dwi Aulian Mediansyah Baddarudin, Mohammad Bainah Sari Dewi Bayu Anggileo Pramesona Betta Kurniawan, Betta Chintia Dwi Tanasa Christine Wulandari Citra Yuliyanda Pardilawati Damayanti, Ervina Daulay, Suryani Agustina Dharmesti, Rizky Aleyda Diana Helen Cantika Dyah Indriana Kusumastuti Elisa, Syavira Endah Ambarwati Endah Setyaningrum, Endah Endro Prasetyo Wahono Fala, Arzety Rifda Febriyanti, Triana Fibra Nurainy Fitria Saftarina Fredison, Fredison Gerliandi, Egi Oktarian Hanna Mutiara, Hanna Hardito, Joni Hatimi, Fahmi Ilham Hendra Tarigan Sibero HENING HERAWATTI, HENING Herri S. Sastramihardja Ida Nurhaida Ihsanti Dwi Rahayu Indri Windarti Intan Kusumaningtyas Irza Sukmana, Irza Jausal, Anisa Nuraisa Josi Jeremia Manurung Junando, Mirza Karima, Nisa Kaskoyo, Hari Kurniawaty, Evi Kylalona, Gracylia L.P, Eka Ananda Lani Hartanti Liestya Risnawati LP, Eka Ananda Maherariyat, Maherariyat Mallarangeng, Andi Nafisah Tendri Adjeng Mediansyah, Aulian Morfi, Chicy Widya Muhammad Fitra Wardhana Sayoeti Muhammad Iqbal Muhammad Iqbal Ramadhan Muhartono Muhartono Muhartono Muhartono Muhartono Mukhlis Imanto Mutiara, Sephia Aruma Nisa, Sayyidatun Nisrina Zalfa Fatin Noverman Duadji Noviani, Erina Novita Carolia Novita Herdiana Novita Tresiana NUR AFRIYANI Oktafany, Oktafany Oktoba, Zulpakor Pardilawati, Citra Yuliyanda Permana, Km. Allan Wahyu Permana, M. Agung Yudistira Puteri, Vadiyani Fricillya Putri Idrus, Indrayati Putri, Asyifa Adinda Putri, Meilani Putri, Meilani Dwi Putri, Oka Mahila Gustia Ramadhan Triyandi Ramadhina, Farrasyifa Ramdini, Dwi Aulia Rani Himayani Rani Himayani Rasmi Zakiah Oktarlina Ratna Dewi Puspita Sari Ratna, Maya Ganda Rika Lisiswanti Rizqa Atina Safitri, Nara Said, Feriany Salam, Deby Mipa Samsu Udayana Nurdin Samsu Udayana Nurdin Samsul Bakri Samsul Rizal Santika, Mesi Sepriyadi Adhan S Septia Eva Lusina Setiawan, Gigih Shinta Mayasari Shinta Nareswari Siboro, Erwi Saulina Venezia Slamet Budi Yuwono Sofyan Musabiq Wijaya Sofyan Musyabiq Wijaya Subeki Sugiyanto - Suharmanto Suharyani Suharyani Suharyani Sumekar, Diyah Suri, Nurma Suryadi Islami Suryawinata, Arli Sutarto Sutarto Sutarto Sutarto Syazili Mustofa Thahir, Salsabila Anggraini Tri Umiana Soleha Trijayanthi, Winda Triyandi, Ramadhan Vira Kamalia Niswah Wahdah, Annisa Shohifatul Wardani, Farah Dwi Wardhana S, Muhammad Fitra Wardhana, M. Fitra Wijaya, Sofyan Wijaya, Sofyan Musabiq Winda Trijayanthi Utama, Winda Trijayanthi WS, Muhammad Fitra Yofita Sulfiana Sundari Zeta, Nathasya Karren