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All Journal Jurnal Kesehatan Masyarakat Journal for Quality in Public Health

Eka Yunila Fatmasari

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Author-ID : 4077979

Health Professions Public Health

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ANALISIS PENERAPAN STANDARD PRECAUTIONS DALAM PENCEGAHAN DAN PENGENDALIAN HAIs (HEALTHCARE ASSOCIATED INFECTIONS) DI RSUD RAA SOEWONDO PATI Astri Budhi Satiti; Putri Asmita Wigati; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 1 (2017): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

The incidence of Health Care Associated Infections (HAIs) is Surgical Site Infection (SSI) in RAA Soewondo Hospitals, Pati Regency on September 2015 is 3,09%, October 2015 is 3,44%, and December 2015 is 7,79%. Therefore, it is very important to apply Standard Precautions facilities because it proved to prevent transmission of infections associated with health care. This research is qualitative descriptive research aimed to analyze the application of standard precautions in the prevention and HAIs (Healthcare Associated Infections) control at RAA Soewondo Hospitals, Pati Regency. Data were collected by in-depth interview and observation non participatory method. The key informants of this research are IPCN. The triangulation informants are IPCLN and head of nursing units. The research results show that the standard precautions been socialized and applied in RAA Soewondo Hospitals, Pati Regency, but the level of several compliance still below standard. In planning, there are still undetermined performance indicators of components standard precautions. In organizing, there has been no a division of individual duties for all of the PPI committee members and still have constraints. There are barriers or obstacles in implementation, such as human behavior less adherent and less infrastructure. Monitoring and evaluation of standard precautions that the schedule only carried out when the audit is every quarter in a year and some components of standard precautions have not been audited. Suggestions in this research are to make more detailed regulations, according to the situation of the hospital; determine the distribution of individual duties to all members of the PPI committee in detail; improve monitoring or audit; make the system of reward, and increase the inadequate facilities.

FAKTOR YANG BERHUBUNGAN DENGAN KEPUASAN KERJA DOKTER SPESIALIS RUMAH SAKIT ISLAM SULTAN AGUNG SEMARANG PASCA IMPLEMENTASI JAMINAN KESEHATAN NASIONAL Amalia Choirun Nafi'ah; Criswardani Suryawati; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 1 (2016): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

ABSTRAK: The National Health Insurance (JKN) characterized the operation of the Badan Penyelenggara Jaminan Sosial Kesehatan on 1st January 2014. The medical specialist plays an important role related to health care in hospital. Preliminary study of the specialist, obtained complaints less comfortably with INACBG's (Indonesian Case Base Groups) and medical services. The purpose of this study was to analyze factors related to job satisfaction specialist in Islamic Hospital Sultan Agung (RSISA) post-JKN. This type of research using quantitative and qualitative methods with cross sectional design. Most tetap respondents (56.5%) perceive less satisfied and as much as 69.2% of mitra respondents perceive satisfied. Most tetap respondents (56.5%) perceive poor medical services, 52.2% good working conditions, 69.6% administrative discretion good organization, poor leadership 52.2%, 69.6% good interpersonal relationships, and 52.2% less good promotion opportunities. Most mitra respondents (53.8%) perceive a good medical services, 61.5% good working conditions, 61.5% administrative discretion poor organization, 53.8% good leadership, 61.5% good interpersonal relationships, and 61.5% good chance of promotion.There relationship between the perception of medical services (p = 0.007), there is a correlation between the perception of working conditions (p = 0.003), there was no correlation between the perception of the organization's policy administration (p = 0.194), there the relationship between the perception of leadership (p = 0.019), there was no correlation between the perception of interpersonal relationships (p = 0.345) and there is a correlation between the perception of promotion opportunities (p = 0.047) and job satisfaction specialist. Several factors related to job satisfaction RSISA is a specialist in medical services, working conditions, leadership, and promotion opportunities. Management can improve job satisfaction evaluation specialists to conduct an ongoing job satisfaction, optimizing gathering, seeking disclosure of the calculation of medical services, and to seek equal opportunities training.

ANALISIS BUDAYA KESELAMATAN PASIEN DENGAN PENDEKATAN INSTITUTE FOR HEALTHCARE IMPROVEMENT DITINJAU DARI ASPEK ORGANISASI DI RUMAH SAKIT JIWA DAERAH DR AMINO GONDOHUTOMO SEMARANG TAHUN 2016 Helena Napitupulu; Sudiro Sudiro; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 1 (2017): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Division of works TKPRS still not detailed, coordination is still not running well. there are some events that happen again, less commitment in studying the incident, training is not given to all of the staff. The approach of Institute For Healthcare Improvement needs to be done to build a culture of patient safety. The research methods using qualitative methods. Data obtained from a document review and in-depth interviews. Informant as many as ten people consist of TKPRS members, chairman of the quality committee, deputy director of medical services, head space UPIP dan nurses. Data is presented in narrative form and matrix interview. The results showed hospital had designed a patient safety team but the Division of works TKPRS still not detailed. there is no delegation of authority and coordination have not been going well. The hospital has not formed an adverse event response team. In creating a reporting system, TKPRS has had a divisions of work , but delegation of authority and coordination has not gone well. In building the patient safety culture, focus studied the error system, not given punishment and reward for the reporter, follow-up and analysis of patient safety incident reports but still not optimal. TKPRS expected to provide simulation and patient safety training to all staff, provide rewards for the reporter, held a meeting one time in a week, monitoring the implementation of the tasks and activities, held a briefing staf and sharing experience.

ANALISIS PERBEDAAN PERSEPSI PASIEN UMUM DAN BPJS TERHADAP TINGKAT RESPONSIVENESS PELAYANAN RAWAT JALAN DI RUMAH SAKIT UMUM DAERAH TUGUREJO SEMARANG Rizka Nur Fitriana; Chriswardani Suryawati; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 5 (2018): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Responsiveness is a non-medical dimension that relates with how to treat someone and how the person's environmental conditions are treated that become one of the purposes of the Health System. The purpose of this study is to know the differences in the perceptions between general and BPJS patients towards the responsiveness level of outpatient services at Tugurejo Regional General Hospital. This study uses descriptive analytic method with cross sectional approach. The samples of this study are 160 respondents. Data analysis included univariate analysis by presenting the tables of frequency distribution and crosstab also bivariate analysis using Mann-Whitney difference test. Univariate results showed that the responsiveness level of outpatient services in terms from seven dimensions of responsiveness between general patients is more responsive than BPJS patients. Crosstab results show that female respondents and highly educated tend to assess the lack of responsiveness of the services provided. The results of bivariate analysis showed that there are significant differences between general patient responsiveness and BPJS patients responsiveness. The dimensions of responsiveness that have the differences between general and BPJS patients are the dimensions of staff friendliness, patient involvement, clarity of information and choice towards service providers. Dimensions that are considered not good are the waiting time dimension and dimensions that are both considered good are the dimensions of patient comfort and patient confidentiality. Tugurejo Regional General Hospital is expected to strive to improve health services to be more responsive services so it can fill society’s expectations and improve the patient satisfaction.

ANALISIS PELAKSANAAN PROGRAM KESELAMATAN PASIEN DI UNIT RAWAT INAP RS WAVA HUSADA KABUPATEN MALANG Anggia Nuaristia Dewi; Septo Pawelas Arso; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 7, No 1 (2019): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

The issue about patient safety is one of important issues in health service. Wava Husada Hospital is a type B provides service.The incidence of patient safety that occurs at Wava Husada Hospital increases from 2017 to 2018. In 2018 there were 48 incidents from January to July. The purpose of this study is to analyze the implementation of patient safety goals in the Hospitalization Unit at Wava Husada Hospital. This is a qualitative research with description approach. The main informants are six nurses executive in the hospitalization unit at Wava Husada Hospital. The result showed the implementation of appropriate certainty-location, right-procedure, right surgery is in compliance with service operational standards owned while the execution patient identification, the implementation of effective communication, the implementation of security enhancement drugs need to be aware, the implementation of the reduction of the risk of infection and the implementation of risk reduction in patients fell not in accordance with the service operational standards owned. Some infrastructure facilities that were not immediately repaired or replaced and the lack of awareness and commitment of nurses to provide appropriate services became a major problem in the services provided by Wava Husada Hospital.The suggestion for Wava Husada Hospital is to increase the commitment of leaders through the provision of periodic training and selecting champion units in accordance with predetermined terms and criteria. And provide media reminders in each unit.

ANALISIS KEPEMIMPINAN KEPALA RUANGAN DALAM PENERAPAN BUDAYA KESELAMATAN PASIEN DI RUMAH SAKIT JIWA DAERAH Dr. AMINO GONDOHUTOMO SEMARANG Nurul Ayu Ningsih; Sudiro Sudiro; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 1 (2017): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

The head room UPIP in Dr. Amino Gondohutomo Semarang Local Psychiatric Hospital lacks in evocative process, make others do, in becoming a role model, and in giving leadership encouragement related to WalkRounds, safety champion, and briefing staff. There are 10 steps taken to support the patient safety culture with the approach of the Institute for Healthcare Improvement. The objective of this study is to analyze the head of service’s leadership in the implementation of patient safety. The method used in this study is qualitative method. The informants were eight people consisting of main and triangulation informant, the deputy director, the head of medical committee, the head of room service, secretary KPRS, and the four nurses. The result can be concluded based on the facts such as has not yet formed a champion safety in every units, does not give a routine encouragement to the staff, does not give enough examples of patient safety to the staff during briefing time, and lack of building a reporting culture, and learning culture. Suggestion from the research to the hospital is to provide information regarding the number of occurrences in space UPIP for all hospital employees and socialization to nurse the importance of reporting the incident, form a safety champion in each unit as a driver and a conduit of information issues of patient safety, encourage a routine from every month to every day to the staff, provides examples of behavior-related directives safety is supported by a team KPRS periodically/regularly, socialization to all nurses to not be afraid to report, and pay attention to the cases of patients in the room UPIP as learning such as overseeing special patients who often flee and patients often fall.

ANALISIS KESIAPAN RUMAH SAKIT DALAM PENGELOLAAN INVENTARISASI BARANG DENGAN SISTEM BARCODE DI RSUD dr. LOEKMONO HADI KUDUS Aufir Amalia; Antono Suryoputro; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Demand for of goods in the dr. Loekmono Hadi Kudus Hospital with ahigh, abundance quantity and type of goods as well as fast mobility was needed. Ultimately, the planning and procurementof goods as well as the goods inventory in the hospital are not optimal yet. The purpose of this study was to determine the readiness of input, process and output in the hospital dealing with the management of goods inventory with a barcode system in dr. Loekmono Hadi Hospital Kudus. This was a qualitative research using intensive interviews and observation with the main informants of Goods Management Staff, Goods Storage Coordinator, Goods Storage Staff and triangulation informants of Household subsection Head and IPSRS Head. The results showed that dealing with input, the human resources are lacking in competence. Furthermore,regarding to infrastructure, therewas the unavailability of label printers and barcode scanners, the information system is not good enough, the absence job descriptionsof officers duties and function, and the lack of SOP. Dealing with the process, the planning aspect included the socialization that had been conducted, the organizing aspect covered the duties and function and SOP that had not been organized, the implementation of education and training that had not been conducted specifically by the hospital but had been given by the programmer, and the accountability report assessment of barcode system preparation. Regarding to the output, the readiness of hospitals was not well prepared due to the lack of human resources, the infrastructure was not complete, and the information system, the duties and function officers and SOP was unavailable. The suggestions in this research are to increase the understanding and competences of officers, develop the descriptions of duties and function and SOP as well as conduct specific training by the hospital regarding to the goods inventory management with barcode system.

ANALISIS MOTIVASI KERJA PERAWAT DI RSUD AMBARAWA KABUPATEN SEMARANG TAHUN 2017 Ismal Wahyu; Septo Pawelas Arso; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 1 (2018): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Work motivation is an influental condition for generating, directing and treating behavior related to work environment. Generally, motivation appear because of material, but in expectancy theory motivation is generated by hopes, value and result. Observational results showed that the nurse’s delay level was 10% with 30 minutes – 1 hour delay time, lack of appreciation, has not been awarded and the collected results was not as expected. Therefore, a comprehensive research was needed to describe the nurse work motivation level in Ambarawa Regional Public Hospital. This research used survey method with cross sectional approach. The samples were 69 nurses practitioners who met the inclusion criteria. The results showed that the mean nurse’s age was 31-40 years old for 34,8%, females for 82,6%, Diploma degree for 56,5%, government employees status for 66,7%, and work period of 1-10 years for 58%. The hope perception was low for 58%, value perception was low for 53,6%, result perception was low for 59,4%. Moreover, nurse motivation level in Ambarawa Regional Public Hospital was classified as low for 87,0% (60 people) with mean score of motivation of 2,69. Motivation score was obtained using total calculation of f(V1, x I) the result then V2 x E. Motivational factors were measured to get the rank of the total multiplication (V1 x I)/69. So obtained the level of motivational factors by the existence of health insurance, gain services, comfortness of the workplace, increased salary, and a fair treatment from the boss to the nurse during the work.

ANALISIS KEGIATAN PENDATAAN KELUARGA PROGRAM INDONESIA SEHAT DENGAN PENDEKATAN KELUARGA DI PUSKESMAS KOTA SEMARANG (Studi Kasus pada Puskesmas Mijen) Eri Virdasari; Septo Pawelas Arso; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 5 (2018): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Death in Indonesia is dominated by Non-Communicable Diseases and Communicable Diseases.Program Indonesia Sehat dengan Pendekatan Keluarga is one of the Puskesmas's efforts to improve health services.The initial step of PIS-PK is family data collection. Semarang is one of the regions that has collected data on PIS-PK families with 6 special location. Puskesmas Mijen is one of the Puskesmas with the lowest data coverage. This study aims to analyze the implementation of family data collection activities seen from input, process, and output.This research is a qualitative research method with in-depth interviews with 17 informants, as well as observing the aspects of input, process, and output. The results of the research on the input variables indicate that the availability of personnel is sufficient, but constrained in the competence and workload of officers, funds, infrastructure, and the use of policies.The process variable shows that the implementation is not in accordance with the guidelines or plans, because the socialization is not evenly distributed, the distribution of tasks is not appropriate, and unscheduled supervise.In the output variable, the implementation is not in accordance with the predetermined schedule and target. Family data collection activities are still 69% of the 100% target.However, these results have been good enough because the Puskesmas has carried out activities with limited resources. Suggestions for the Semarang City Health Office are scheduled monitoring and evaluation.Puskesmas could immediately utilizes PIS-PK data as material for program planning, conducting cross-sector socialization and coordination, and procuring supporting infrastructure for family data collection activities.

ANALISIS PERBEDAAN RESPONSIVENESS PELAYANAN RAWAT JALAN PADA PASIEN UMUM DAN PASIEN BPJS DI BALAI KESEHATAN INDERA MASYARAKAT (BKIM) PROVINSI JAWA TENGAH Hanifah Iskhia Dilla; Septo Pawelas Arso; Eka Yunila Fatmasari
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 4 (2017): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Responsiveness is an important aspect for all classes and types of patients in improving health status which is one of the goals of the National Health System. BKIM which is a Technical Implementation Unit of Central Java Provincial Health Office which has responsibility in improving the health status of community senses must provide health services that are neat, targeted, targeted and responsive for all classes or types of patients. From the observation by the researcher that there are still unresponsiveness responsiveness aspects such as officer friendliness, patient comfort, and patient's confidentiality that turns out in the responsiveness aspect aspect that is given there is difference of perception felt between general patient and BPJS patient. So it is necessary to do comprehensive research to know the difference of responsiveness of general patient and BPJS patient in BKIM Prov. Central Java. The method used is quantitative method with cross-sectional approach. The sample was 82 general patients and 83 BPJS patients who fulfilled the inclusion criteria. From the results of the study that there is a significant difference between responsiveness of general patients and responsiveness of BPJS patients. The most responsiveness aspects that differ between general patients and BPJS patients are aspects of staff friendliness, waiting time aspect, patient confidentiality aspect, and the aspect of patient's freedom in choosing health services. And the aspect that has less value than the general patient and BPJS patient is the comfort aspect of the patient. BKIM Prov. Jateng is expected to always improve health service to be more responsive service so that always can fulfill society expectation and improve patient satisfaction and pay attention to aspect of hospitality, waiting time, patient comfort, patient confidentiality and patient's freedom in choosing health service.

Co-Authors Ade Selvia Septiani Adelia Anggraini Ajeng Retno Yunita Alessandra Lourdess Sutrisnoputri Amalia Choirun Nafi'ah Anggia Nuaristia Dewi Antono Suryoputro Asri Pratiwi Astri Budhi Satiti Aufir Amalia Ayun Sriatmi Criswardani Suryawati Dara Lutfiana Desi Purwiyanti Diah Eka Novitasari Dianita Pertiwi Elsa Febrie Alvianitasari Eri Virdasari Fidyanti Shabrina Junjungsari Fila Mulia Citra Permata Abadi Hanifah Iskhia Dilla Helena Napitupulu Hendra Teguh Setiawan Ismal Wahyu Jessica Masta Hothasian Lilis Setiyaningrum Linda Ismawati Listia Ayuni Nur Afifah Loveloi Putri Sihanari Lutfy Laksita Pranandari Manja Mania Melodi Damai Soleiman Nimas Ariyani Damayanti Noor Fadhilah Dyah Anggraini Nurfrida Pratomo Putri Nurlita Putri Apriliani Nurul Ayu Ningsih Nurul Balqis Shofiana Putri Asmita Wigati Risa Tri Anggraeni Rizka Nur Fitriana Sarah Nurulita Fathanah Sukma Septo Pawelas Arso Sri Gama Apriani Sudiro Sudiro Sutopo Patria Jati Syifa Nur Fadhilah Winda Asriyani Wulan Kusumastuti Yohana Novitasari Sutrisno

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