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Health belief model and the understanding of rational use of medicines Putu Eka Arimbawa; I Putu Gede Adi Purwa Hita; Zainal Firdaus Wardhana
International Journal of Public Health Science (IJPHS) Vol 10, No 2: June 2021
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v10i2.20737

Community perception is an experience that causes a different understanding of treatment. Differences in people's perceptions of drug safety will affect their attitudes towards rational use of medicines (RUM). Therefore, it is necessary to do an in-depth measurement of public perceptions. The purpose of this study was to determine the relationship between community perceptions through the health belief model (HBM) with the understanding of (RUM). This study used a cross-sectional design with 97 samples in Denpasar City, Bali, Indonesia. Data collection was conducted from November 2019 to January 2020 using a questionnaire and analyzed using binary logistic tests. The results showed that perceptions based on perceived susceptibility perceived severity, health motivation, perceived benefits, and self-efficacy did not provide a significant relationship with the understanding of RUM (p>0.05). Perceived barriers provide significant results on the understanding of RUM (p<0.05). Health perceptions in allergy reporting and awareness of drug use based on clinical conditions and selection of alternatives increase understanding of rational drug use. The drug-taking procedure needs to be done quickly and according to the provisions to appropriately use the medication. Therefore, health workers' role is essential in providing complete services and information about drugs in health care, especially in symptomatic drugs.

Correlation of Knowledge about Covid-19 Post-Immunization Adverse Events (PIAE) with Motivation To Carry Out Vaccinations Theresia Anita Pramesti; Zainal Firdaus Wardhana
Indonesian Journal of Global Health Research Vol 4 No 1 (2022): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

The COVID-19 pandemic has lasted more than a year and is still not under control, marked by the high number of confirmed COVID-19 cases and the number of deaths. The handling of the pandemic is more focused on efforts to control transmission, one of which is by building herd immunity through the COVID-19 vaccination program. Along with the start of the vaccination program, problems arose regarding the number of hoaxes, especially regarding the Post-Immunization Adverse Events (PIAE) which raised doubts and public anxiety about being vaccinated. This study aims to determine the relationship between level of knowledge and motivation to carry out COVID-19 vaccination. This research is a descriptive correlational research with a sample of 81 people taken using purposive sampling technique. The results showed that the level of knowledge of the respondents was mostly in the adequate category, namely 43 respondents (53.1%), while the motivation of respondents in carrying out COVID-19 vaccination was mostly in the adequate category, namely 67 respondents (82.7%). Based on the results of the Spearman Rank test (α = 5%) obtained a p value of 0.001 with a correlation coefficient of 0.356, so it can be interpreted that there is a correlation between the respondent's level of knowledge about COVID-19 Post-Immunization Adverse Events (PIAE) with motivation to vaccinate against COVID-19 with a moderate correlation strength. A good level of knowledge can increase the positive and enthusiastic perception of the community so that it can also increase motivation in carrying out COVID-19 vaccinations.

FACTORS THAT INFLUENCE THE INTEREST OF PATIENT REVISITS IN DHARMA YADNYA GENERAL HOSPITAL DENPASAR: FAKTOR-FAKTOR YANG BERPENGARUH TERHADAP MINAT KUNJUNGAN ULANG PASIEN DI RUMAH SAKIT UMUM DHARMA YADNYA DENPASAR Kadek Primadewi Primadewi; Zainal Firdaus Wardana
MIDWINERSLION : Jurnal Kesehatan STIKes Buleleng Vol. 6 No. 2 (2021): Midwinerslion Jurnal Kesehatan STIKes Buleleng
Publisher : STIKes Buleleng

This study analyzes the interest in revisits at the Dharma Yadnya General Hospital Denpasar with the aim of this study being to determine the factors that influence. This study uses the method of measure sampling adequacy (MSA). The results obtained were 62.056% of patients revisited Dharma Yadnya Hospital which was significantly influenced by 22 indicators with the highest loading factor being the cost variable

Correlation of Knowledge about Covid-19 Post-Immunization Adverse Events (PIAE) with Motivation To Carry Out Vaccinations Theresia Anita Pramesti; Zainal Firdaus Wardhana
Indonesian Journal of Global Health Research Vol 4 No 1 (2022): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

The COVID-19 pandemic has lasted more than a year and is still not under control, marked by the high number of confirmed COVID-19 cases and the number of deaths. The handling of the pandemic is more focused on efforts to control transmission, one of which is by building herd immunity through the COVID-19 vaccination program. Along with the start of the vaccination program, problems arose regarding the number of hoaxes, especially regarding the Post-Immunization Adverse Events (PIAE) which raised doubts and public anxiety about being vaccinated. This study aims to determine the relationship between level of knowledge and motivation to carry out COVID-19 vaccination. This research is a descriptive correlational research with a sample of 81 people taken using purposive sampling technique. The results showed that the level of knowledge of the respondents was mostly in the adequate category, namely 43 respondents (53.1%), while the motivation of respondents in carrying out COVID-19 vaccination was mostly in the adequate category, namely 67 respondents (82.7%). Based on the results of the Spearman Rank test (α = 5%) obtained a p value of 0.001 with a correlation coefficient of 0.356, so it can be interpreted that there is a correlation between the respondent's level of knowledge about COVID-19 Post-Immunization Adverse Events (PIAE) with motivation to vaccinate against COVID-19 with a moderate correlation strength. A good level of knowledge can increase the positive and enthusiastic perception of the community so that it can also increase motivation in carrying out COVID-19 vaccinations.

OPTIMALISASI AKTIVITAS ANTIBAKTERI EKSTRAK ETANOL 70% DAUN BINAHONG TERHADAP BAKTERI Staphylococcus aureus I Putu Gede Adi Purwa Hita; I Putu Riska Ardinata; Zainal Firdaus Wardhana
MEDFARM: Jurnal Farmasi dan Kesehatan Vol 12 No 1 (2023): MEDFARM: Jurnal Farmasi dan Kesehatan
Publisher : LPPM Akafarma Sunan Giri Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.48191/medfarm.v12i1.174

Binahong leaf (Anredera cordifolia (Ten.) Steenis) contains flavonoids, alkaloids, tannins and saponins that function as antibacterial. Although antibacterial activity test of binahong leaves was done before, but not yet obtained optimum results using ethanol 70% as an extraction solvent. This study aims to determine the optimum antibacterial activity and the effect of increasing the concentration of 70% ethanolic extract of binahong leaves on Staphylococcus aureus bacteria. Binahong leaves were extracted by maceration method using ethanol 70% as solvent. The antibacterial activity was measured using the disc diffusion method and the inhibition zone obtained was also analyzed using statistical analysis. The results showed that the extract had good extract characteristics and contained a class of flavonoids, alkaloids, saponins, and tannins. The antibacterial activity of the binahong leaf extract showed a significant p-velue <0.05 from the Kruskal Wallis test with an inhibition zone in the moderate to strong group. Based on the results of this study it was concluded that the extract had good extract characteristics and contained several classes of phytochemical compounds. For antibacterial activity, the optimum concentration of antibacterial activity of 70% ethanolic extract of binahong leaves was obtained at an extract concentration of 80% with an inhibition zone was 12.85 mm and it also performed that the higher the concentration of the extract, the higher the antibacterial activity obtained. Keywords: Phytochemical Screening, Antibacterial Activity, Staphylococcus Aureus, Anredera cordifolia (Ten.) Steenis.

Pengaruh Supervisi dan Disiplin Kerja Terhadap Kinerja Perawat Rawat Inap di Rumah Sakit Umum “X” Suasnawa, I Gede; Nurhaeni, Anik; Wardhana, Zainal Firdaus
JUDICIOUS Vol 4 No 2 (2023): Judicious
Publisher : Neolectura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37010/jdc.v4i2.1478

Kinerja karyawan sangat penting bagi organisasi khususnnya rumah sakit, tanpa kinerja yang baik maka organisasi tidak akan bisa mencapai tujuannya. Program supervisi dan disiplin kerja yang ditanamkan organisasi kepada karyawan akan sangat mempengaruhi kesungguhan karyawan dalam bekerja, karena itu pemimpin organisasi atau rumah sakit harus melaksanakan supervisi yang dapat mendorong karyawan untuk meningkatkan motivasi kerja dan disiplin karyawan. Penelitian ini bertujuan untuk mengetahui bagaimana pengaruh supervisi dan disiplin kerja terhadap kinerja perawat rawat inap di Rumah Sakit Umum “X”. Sampel yang diambil dalam penelitian ini berjumlah 61 orang perawat. Instrument penelitian ini menggunakan kuesioner. Teknik analisis data yang dipergunakan untuk memecahkan masalah dalam penelitian ini adalah teknik regresi linier berganda. Hasil penelitian dalam penelitian ini adalah supervisi dan disiplin kerja berpengaruh positif dan signifikan terhadap kinerja perawat, dengan t hitung supervisi sebesar 4,796 dan disiplin kerja sebesar 6,544 serta nilai determinasi sebesar 0,683 atau 68,3% dan nilai signifikansi sebesar 0,000. Saran kepada pihak Rumah Sakit agar mengawasi perawat pelaksana, memberi pengarahan secara regular konsisten, menerapkan sanksi kepada perawat pelaksana dan diharapkan melaksanakan tugas sesuai dengan waktu yang telah ditetapkan dengan menerapkan skala prioritas.

The Strategic Role of Human Resource Management in the Tourism Industry Wardhana, Zainal Firdaus; Sudiari, Made; Sengkey, Fenny
Jurnal Manajemen Pelayanan Hotel Vol 8 No 2 (2024): Jurnal Manajemen Pelayanan Hotel
Publisher : Akademi Komunitas MAPINDO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37484/jmph.080224

The tourism industry, as one of the most dynamic sectors globally, relies heavily on the effectiveness of human resource management (HRM) to maintain competitive advantage. This paper explores the strategic role of HRM in the tourism industry, emphasizing workforce planning, talent acquisition, training and development, and employee retention. By analyzing case studies and industry trends, the study highlights best practices and offers recommendations for optimizing HRM to enhance service quality and organizational performance. This research is qualitative descriptive, it utilized a comprehensive literature review to examine the current state of workforce planning and recruitment strategies in the tourism industry. To optimize HRM effectiveness, tourism organizations must adopt a data-driven, strategic approach to address key challenges, such as fluctuating demand, high employee turnover, and the need for continuous skills development. By implementing best practices in HRM, the tourism industry can unlock its full potential, providing exceptional experiences for travelers and contributing to the overall economic and cultural development of destinations worldwide.

Pengaruh Konflik dan Stres Kerja Terhadap Kinerja Tenaga Kesehatan di RSUD Wangaya Denpasar: The Effect of Conflict and Work Stress on The Performance of Health Workers in Wangaya General Hospital Wardhana, Zainal Firdaus; Pramesti, Theresia Anita; Maytadewi, Ni Luh Gede Aris; Savitri, Ni Putu Liana Indah
Bali Medika Jurnal Vol 8 No 1 (2021): Edisi Khusus Bali Medika Jurnal Vol 8 No 1 Maret 2021
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v8i1.163

Human resources are one of the factors that determine the success of an organization and become the main actor in every activity so that the organization's objectives to be achieved can be needed by the performance of its employees. The factors that affect the performance of health workers, one of which is conflict and work stress. This study aims to determine the effect of conflict and work stress on the performance of health workers in Wangaya General Hospital. This research is a quantitative study with an explanatory research. The measuring instrument in this study was a questionnaire. Conflict and Work Stress has a negative and significant effect on the Performance of Health Workers in Wangaya General Hospital that is equal to 47,5% with t test (4,521 and 5,101) > t table (2,000) with a moderate conflict level of 74,4%; moderate work stress level of 91,9% and moderate performance level of 55,8%. Conflict and Work Stress has a negative and significant effect on the Performance of Health Workers in Wangaya General Hospital.

Hubungan antara self efficacy dengan kepatuhan minum obat hipoglikemik oral pada penderita dm tipe ii : Relationship between self efficacy with medication adherence in patients with type ii dm Pramesti, Theresia Anita; Saraswati, Dewa Ayu Lilik; Wardhana, Zainal Firdaus
Bali Medika Jurnal Vol 8 No 3 (2021): Special Issue Bali Medika Jurnal Vol 8 No 3 Oktober 2021
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v8i3.165

The success of preventing the complications of diabetes mellitus can be achieved through medication adherence in the use of oral hypoglycemic drugs. The success of a treatment in DM patients depends on the ability and high confidence in the patient, or what is called Self efficacy. The aimed of this study to determined the relationship of Self efficacy with adherence to taking oral hypoglycemic drugs in patients with type II diabetes mellitus. The research design used descriptive correlational with cross sectional design. The sampling technique used consecutive sampling with a sample of 60 people with type II DM. The results showed 25 people (41.7%) had high Self efficacy and 31 people (51.7%) had oral hypoglycemic medication adherence in the high category. Spearman Rank test results with α = 0.05 obtained p value = 0,000 and correlation coefficient (r) = 0.936 which means there is a strong relationship between Self efficacy with adherence to taking oral hypoglycemic drugs with the strength of strong relationships and positive direction. Self efficacy will affect the ability to adjust, understand and recognize the problems faced and motivate patients to change behavior, one of which is medication adherence.

Analisis Alur Pelayanan Pasien Rawat Jalan BPJS Kesehatan di Rumah Sakit Mata Bali Mandara Khotima, Fitriya Lailatul; Nugraha, I Nyoman Adikarya; Wardhana, Zainal Firdaus
Bali Medika Jurnal Vol 10 No 1 (2023): Bali Medika Jurnal Vol 10 No 1 Juli 2023
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v10i1.278

Capaian jumlah pelayanan kesehatan Rumah Sakit Mata Bali Mandara tahun 2020 melampaui target yang telah ditentukan. Adanya potensi pelanggan yang besar harus mampu dijawab melalui alur pelayanan pasien yang baik dan memuaskan. Tujuan penelitian untuk menganalisis alur pelayanan pasien rawat jalan BPJS Kesehatan di Rumah Sakit Mata Bali Mandara. Metode penelitian kualitatif dengan rancangan studi kasus dan pendekatan cross sectional. Partisipan diambil dengan teknik purposive sampling, dan pengumpulan data menggunakan teknik observasi, wawancara mendalam, dokumentasi. Tahapan analisis data: persiapan analisis data, menghayati data, interpretasi data, verifikasi data, representasi data. Hasil penelitian menunjukkan manajemen alur pelayanan pasien rawat jalan BPJS kesehatan RSMBM, antara lain: (1) Dalam proses perencanaan (planning) sudah dilakukan sosialisasi dan penerapan alur pelayanan rawat jalan; (2) Dalam proses pengorganisasian (organizing) terdapat faktor yang menjadi penghambat yaitu jumlah SDM yang tidak sesuai kebutuhan; (3) Dalam proses pelaksanaan (actuating) diketahui bahwa waktu tunggu di loket pendaftaran masih menjadi sebuah permasalahan yang harus diselesaikan. Berkas administrasi pasien kurang lengkap, aturan BPJS menggunakan fingerprint, mesin Kios K menjadi faktor penghambat; (4) Dalam proses pengawasan (controlling) meliputi pengawasan dari atasan, rapat rutin, dan survei kepuasan. Simpulan penelitian adalah Rumah Sakit Mata Bali Mandara telah memiliki alur pelayanan rawat jalan namun dalam penerapannya belum optimal. Hasil penelitian ini diharapkan dapat dijadikan referensi bagi penyelenggara kesehatan di Rumah Sakit untuk meningkatkan pelayanan dalam bidang alur pelayanan pasien poliklinik rawat jalan BPJS Kesehatan sebagai wujud pelayanan kesehatan kepada masyarakat dan dapat memberikan sumbangsih dalam pengembangan ilmu pengetahuan bila diadakan penelitian lebih lanjut terutama dalam bidang alur pelayanan pasien rawat jalan BPJS Kesehatan. The achievement of the number of health services at the Bali Mandara Eye Hospital in 2020 exceeded the set target. The existence of large potential customers must be answered through a good and satisfactory patient service flow. The purpose of this research was to analyze the flow of BPJS Health outpatient services at the Bali Mandara Eye Hospital. Qualitative research method with case study design and cross-sectional approach using purposive sampling. Data collection using observation techniques, in-depth interviews, and documentation. Data analysis technique with stages: data analysis preparation, observing data, interpreting data, verifying data, and representing data. The results of the study indicate that the management of the outpatient service flow of BPJS Health RSMBM includes: (1) In the planning process, socialization and implementation of the outpatient service flow has been carried out; (2) In the process of organizing there are inhibiting factor is the number of human resources that are not in accordance with the needs; (3) in the actuating process, it is known that waiting time at the registration counter is still a problem that must be resolved. Patient administration files are incomplete, BPJS rules use fingerprints, Kiosk K machines are inhibiting factors; (4) The control process includes supervision from superiors, regular meetings, and satisfaction surveys. The conclusion from the research of the Bali Mandara Eye Hospital already has an outpatient service flow but its implementation is not optimal. The results of this study are expected to be used as a reference for health providers in hospitals to improve services flow of BPJS Health outpatient, health services to the community and can contribute to the development of science if further research is carried out, especially in the field of BPJS Health outpatient service flow.

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