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All Journal IJNP (Indonesian Journal of Nursing Practices) Journal Of Nursing Practice Jurnal Kreativitas PKM Contagion: Scientific Periodical Journal of Public Health and Coastal Health Bali Medika Jurnal Jurnal Riset Kesehatan Nasional Indonesian Journal of Global Health research Babali Nursing Research Jurnal Kesehatan Pasak Bumi Kalimantan Jurnal Gema Keperawatan Ahmar Metakarya: Jurnal Pengabdian Masyarakat JRKN Asian Journal of Health Research Jurnal Keperawatan BSI Jurnal Ilmu Kesehatan MAKIA Jurnal Keperawatan Sumba (JKS) JIS Siwirabuda (Jurnal Ilmiah Sains Sosial, Kewirausahaan dan Kebudayaan)
Ni Luh Putu Dina Susanti
Unknown Affiliation
Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Library & Information Science Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Program Edukasi Integrasi Perawatan Paliatif dan Perawatan Jangka Panjang dalam Meningkatkan Pengetahuan Pasien Gagal Ginjal Kronik Stadium Akhir Agustini, Ni Luh Putu Inca Buntari; I Putu Gede Darmayasa; I Nengah Agus Mega Aryawan; Ida Ayu Ketut Adi Setiawati; Ni Kadek Leni; Ni Made Wirantini; Ni Luh Tutik Hermi Wahyuni; Susanti, Ni Luh Putu Dina; Israfil, Israfil; I Gede Putu Darma Suyasa; Ni Luh Dwi Indrayani
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2026): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i2.765

Abstract

Gagal ginjal kronik (GGK) stadium akhir merupakan kondisi kronis progresif yang memerlukan terapi pengganti ginjal jangka panjang dan menimbulkan beban multidimensional bagi pasien serta keluarga. Selain keluhan fisik, pasien sering mengalami tekanan psikologis, keterbatasan sosial, dan penurunan kualitas hidup. Namun, edukasi terstruktur mengenai perawatan paliatif dan perawatan jangka panjang masih terbatas, sementara pelayanan kesehatan cenderung berfokus pada aspek teknis dan kuratif hemodialisis. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan pasien dan keluarga mengenai GGK stadium akhir, perawatan paliatif, perawatan jangka panjang, serta strategi pengelolaan kecemasan melalui program edukasi terintegrasi. Kegiatan diikuti oleh 30 peserta yang terdiri dari pasien GGK stadium akhir dan anggota keluarga pendamping dengan latar belakang sosial dan pendidikan yang beragam. Sebagian besar peserta belum pernah memperoleh edukasi terstruktur mengenai asuhan holistik sebelumnya. Intervensi dilakukan melalui penyuluhan kesehatan, diskusi interaktif, serta pemberian media edukasi berupa leaflet dan materi presentasi. Pelaksanaan program menggunakan pendekatan manajemen POAC (Planning, Organizing, Actuating, dan Controlling). Evaluasi dilakukan menggunakan kuesioner pretest dan posttest yang mencakup empat aspek pengetahuan. Terjadi peningkatan pada seluruh aspek yang dinilai. Pemahaman tentang GGK stadium akhir meningkat dari 80% menjadi 92%. Pemahaman perawatan paliatif meningkat dari 82% menjadi 94%, perawatan jangka panjang dari 84% menjadi 93%, dan strategi pengelolaan kecemasan dari 85% menjadi 95%. Rata-rata skor keseluruhan meningkat dari 83% pada pretest menjadi 93% pada posttest. Program edukasi integrasi perawatan paliatif dan perawatan jangka panjang efektif dalam meningkatkan pengetahuan pasien dan keluarga mengenai asuhan holistik GGK stadium akhir. Program ini berpotensi memperkuat kesiapan pasien dan keluarga dalam menghadapi kondisi kronis secara berkelanjutan.
Analysis of Factors Related to The Implementation of Case Management Care at The Badung Regency Hospital, Bali Ni Luh Putu Dina Susanti; Luh Gde Nita Sri Wahyuningsih
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.24612

Abstract

Case management is a collaborative process involving the planning, coordination, monitoring, and evaluation of services provided to patients to meet their optimal health needs. This study aims to examine the factors associated with the implementation of case management care. This analytical cross-sectional study was conducted at Badung Regency Hospital, Bali. A total of 248 healthcare professionals-including doctors, nurses, and midwives who met the inclusion criteria participated in the study. Data were collected using a structured questionnaire and analysed through univariate, bivariate (Chi-square), and multivariate (binary logistic regression) methods. Chi-square analysis revealed that case manager knowledge, hospital management support, institutional policies, and multidisciplinary team collaboration were significantly associated with the implementation of case management (p < 0.05). The most influential factors were case manager knowledge (AOR = 21.16; 95% CI: 1.66-56.07) and multidisciplinary team collaboration (AOR = 13.2; 95% CI: 1.72-100.93). The findings suggest that enhancing case managers' knowledge and fostering stronger interprofessional collaboration may significantly improve the implementation of case management care in hospital settings Keywords: Case management, Case manager knowledge, Collaboration, Hospital care
Determinants of Health Workers Compliance in Implementing EMR in Regional Hospitals in Bali Luh Gde Nita Sri Wahyuningsih; Ni Luh Putu Dina Susanti
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.24532

Abstract

Electronic Medical Records (EMRs) refer to the digitization of medical documentation and associated processes, aimed at enhancing data completeness and accuracy. This study examined the compliance of health workers with EMR system implementation. The research was conducted at Klungkung Regency Hospital in Bali, involving 520 participants, including general practitioners, specialists, nurses, midwives, medical record officers, health analysts, pharmacists, nutritionists, and radiographers. Data were collected using a structured questionnaire distributed via Google Forms, employing a total sampling technique. The findings revealed that several factors, namely competence in information technology, system knowledge, perceived benefits and ease of use, as well as organizational support and training, were significantly associated with EMR implementation. Among these, system knowledge exerted the strongest influence, with an Adjusted Odds Ratio (AOR) of 3.549. This suggests that respondents with a high level of system knowledge were over three times more likely to implement EMRs effectively compared to those with limited understanding. Knowledge plays a pivotal role in preparing health workers for technological adaptation. Those with sufficient knowledge are better equipped to navigate system features and apply them in accordance with established standard operating procedures. Health workers who possess a strong understanding of EMRs tend to be more receptive to adopting the system, underscoring the importance of comprehensive training and education. Enhancing knowledge through targeted training, socialization, and continuous professional development is essential to ensure the successful implementation and optimal utilization of EMRs in healthcare settings Keywords: Electronic Medical Record, Health Worker Compliance
Co-Authors Agustini, Ni Komang Tri Anak Agung Istri Wulan Krisnandari D Anggaraeni, Komang Rossa Tri Aries Susanti, Ni Putu Aryasa, Jiyestha Aji Dharma Astawa, I Gede Satria Asthadi Mahendra Bhandesa, Asthadi Mahendra Darmayanti, Ni Nengah Intan Diyu, Ida Ayu Ningrat Pangruating Ekabudiningsih, Vinda Gusti Ayu Dian Aryanjani Gusti Ayu Dwina Mastryagung I GEDE PUTU DARMA SUYASA I Kadek Nuryanto I KetutSwarjana, I KetutSwarjana I Nengah Agus Mega Aryawan I Putu Gede Darmayasa Ida Ayu Ary Widnyani, Ida Ayu Ary Ida Ayu Gede Tina KomalaDewi Ida Ayu Ketut Adi Setiawati Ida Ayu Putri Wulandari Idah Ayu Wulandari Israfil, Israfil J Sastamidhyani Jiyestha Aji Dharma Aryasa KomalaDewi, Ida Ayu Gede Tina Komang Ayu Purnama Dewi Komang Ayu Purnama Dewi Krisnandari D, Anak Agung Istri Wulan Kusuma Negara, I Gusti Ngurah Made Kusuma, I Gusti Agung Ari Lewar, Emanuel Iileatan Luh Gde Nita Sri Wahyuningsih Luh Gde Nita Sri Wahyuningsih Made Rismawan Ni Kadek Leni Ni Kadek Sutini Ni Komang Desiani Ni Komang Surya Ariani Ni Luh Dwi Indrayani Ni Luh Putu Inca Buntari Agustini Ni Luh Tutik Hermi Wahyuni Ni Made Cempaka Ningrum Ni Made Ratih Comala Dewi Ni Made Sri Rahyanti Ni Made Wida Prastini Ni Made Wirantini Ni Made Yeshika Armiandeni Ni Nyoman Nuartini Ni Putu Kamaryati Ni Putu Lilik Wahyuningsih Ni Putu Sri Haryati Ni Wayan Manik Parwati Ni Wayan Manik Parwati Nita S Nita S Nita Sri Wahyuni Nova Dwigita Andini, Dewa Ayu Made Parwati, Putu Atika Ratih Comala Dewi, Ni Made Rittiruang, Amonwan Sastamidhyani, J Susilayasa, I Komang Alit Tekayana, I Wayan Pasek valentina wulansari Wahyu, I Made Yudi Wahyuni, Nita Sri Wahyunigsih, Luh Gde Nita Sri Wahyuningsih, Luh Gde Nita Sri wulansari, valentina Yudi Wahyu, I Made