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HEALTHCARE UTILIZATION FOR ACUTE RESPIRATORY INFECTIONS DURING THE COVID-19 PANDEMIC AND ASSOCIATED FACTORS: A CROSS- SECTIONAL STUDY IN SOUTH DENPASAR, INDONESIA Luh Putu Kartiningsih; I Ketut Swarjana; AAA Yuliati Darmini; Made Dian Shanti Kusuma
Nurse and Health: Jurnal Keperawatan Vol 12 No 2 (2023): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v12i2.380

Abstract

Background: Acute respiratory infections (ARIs) are the leading cause of morbidity and mortality among children globally, and require early diagnosis and intervention. During the COVID-19 pandemic, ARI healthcare utilization has been a challenge. Objectives: This study aimed to determine healthcare utilization for ARI during the COVID-19 pandemic, and the associated factors among children aged under five years. Methods: A cross-sectional study was conducted in South Denpasar District, Indonesia. It involved 221 mothers of children aged under five years with ARIs, selected using probability proportional to size. Data were collected through a questionnaire and analyzed using descriptive statistics to measure frequency and proportion, along with multiple logistic regression to determine the factors associated with healthcare utilization of ARI. Results: Among 221 respondents, the majority (65.6%) utilized ARI healthcare in the health centers. Mother’s age (OR: 0.21; p=0.041), number of children (OR: 4.79; p=0.001), occupation (OR: 0.38; p=0.002), and distance traveled (OR: 2.37; p=0.008) were associated with utilization of ARI healthcare. Conclusion: The healthcare utilization for ARI during the COVID-19 pandemic was low. Therefore, improved utilization is needed by using local health centers, mobile services, and home visits.
THE RELATIONSHIP BETWEEN THE WORK ENVIRONMENT AND JOB SATISFACTION OF NURSE ANESTHETISTS IN HOSPITALS, CENTRAL JAVA-BALI Ni Nyoman Ari Kundari Dewi; I Ketut Swarjana; IGNM Kusuma Negara; Yustina Ni Putu Yusniawati
Nurse and Health: Jurnal Keperawatan Vol 12 No 2 (2023): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v12i2.398

Abstract

Background: Nurse anesthetists as medical personnel have an important role in the continuity of work in the operating room. Although they have considerable responsibility and role, no research has focused on the job satisfaction of nurse anesthetists. In addition, no literature review has shown low job satisfaction among nurse anesthetists. Objectives: This research aimed to determine the relationship between the work environment and job satisfaction of nurse anesthetists in hospitals. Methods: This research used a quantitative method with a cross-sectional design through an online survey. The population of this research covered all nurse anesthetists working in hospitals in Central Java and Bali, of which 108 respondents were selected as the sample using a simple random sampling. The data were collected using questionnaires and analyzed using inferential statistics, namely chi-square, to determine the relationship between the work environment and job satisfaction of nurse anesthetists. Results: This research showed that a total of 60 respondents (55.6%) had a high category of job satisfaction. In addition, the work environment factor (p=<0.001) significantly affected the job satisfaction of nurse anesthetists. Conclusion: Hospital management must strengthen the commitment related to the sense of belonging to employees by considering the work environment factor that can affect the job satisfaction of nurse anesthetists in hospitals.
Tingkat Pengetahuan, Dukungan Keluarga dan Persepsi Masyarakat Tentang Vaksinasi Dosis Penguatan Terhadap Varian COVID-19 Dharmapatni , Ni Wayan Kesari; Swarjana, I Ketut; Harditya, Kadek Buja
Jurnal Kesehatan Vol 12 No 1 (2023): Jurnal Kesehatan
Publisher : STIKES Ngesti Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46815/jk.v12i1.135

Abstract

The World Health Organization (WHO) has made various efforts to reduce the number of COVID-19 victims globally. Many researchers are trying to develop a vaccine from this virus, but the vaccines that have been made are still considered not fully able to stop this pandemic. The efforts of the Government of the Republic of Indonesia have been made to accelerate the recovery of pandemic conditions into an endemic, by distributing the COVID-19 vaccine as the implementation of booster vaccinations. However, with the circulation of various negative news related to the COVID-19 vaccine and the development of viruses that continue to mutate, these affects the acceptance and willingness of the community in the implementation of covid-19 vaccination. The purpose of this study was to determine the level of knowledge, family support and community perceptions about booster dose vaccination against COVID-19 variants. The research design used was quantitative research with descriptive method. The sampling method used was snowball sampling, with a total of 317 respondents. After analyzing the data, the results showed that the community had a good level of knowledge (78.5%), a good level of family support (94%) in vaccinating and had a positive perception (99.7%) of the booster dose vaccination COVID-19. This study is expected to provide an overview for health workers to achieve success and follow-up strategies to restore conditions towards a better condition.
Faktor-faktor yang Berhubungan dengan Kecemasan Menghadapi Stigma Masyarakat pada Pasien Covid-19 Agustini, Ni Rai Sintya; Swarjana, I Ketut; Negara, IGNM Kusuma; Rahyanti, Ni Made Sri
Jurnal Kesehatan Vol 13 No 3 (2022): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v13i3.2842

Abstract

Covid-19 has been declared a global pandemic Anxiety is a problem that often arises in patients treated at healthcare centers or hospitals. The purpose of this study was to determine the factors related to anxiety in facing societal stigma in Covid-19 patients in the Covid-19 Isolation Room of RSD Mangusada. This research method is a quantitative study with a cross-sectional design conducted in the Covid-19 Isolation Room of RSD Mangusada in March-May 2021. The sampling technique was determined using consecutive sampling with a sample of 256 respondents. The Ordinary Logistic Regression test was used to determine the relationship between the dependent variable and the independent variable and to determine the most influential variable. The results showed that the age variable was the most influential on anxiety with a p-value of 0.049, OR=2.25, which means respondents aged 17-25 years can increase the risk of anxiety by 2.25 times compared to respondents who are adults and the elderly. Age, comorbid status, coping responses, disease-related information, and family support are factors related to patient anxiety in dealing with community stigma in Covid-19 patients at Mangusada Hospital. The involvement of all parties is absolutely necessary for dealing with the Covid-19 pandemic.
Persepsi Manajer Perawat tentang Keselamatan Pasien Wiranata, I Nyoman; Swarjana, I Ketut; Negara, I Gusti Ngurah Made Kusuma; Nuartini, Ni Nyoman
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.7620

Abstract

This study aims to review the scope of the role of nurse managers in managing patient safety in hospitals. The method used was a literature review. There were 12 articles analyzed obtained from online databases on Pubmed, Science Direct, and other sources. The results of this study indicate that nurse managers have a high perception and positive attitude toward patient safety culture, and the leadership climate in the hospital creates a patient safety culture. In conclusion, nurse managers have a high perception of patient safety, and nurse managers' leadership styles and strategies play a role in increasing nursing staff's perception of patient safety and patient safety culture. Keywords: Patient Safety, Nurse Manager, Hospital
Determinan Kepuasan Pasien di Rumah Sakit Pemerintah dan Rumah Sakit Swasta: Literature Review Christiani, Ayu Meidita; Swarjana, I Ketut; Wahyuningsih, Luh Gde Nita Sri; Sriasih, Ni Kadek
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 14 No 2 (2024): Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal: April 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v14i2.1772

Abstract

Kurangnya informasi spesifik tentang temuan utama dan perbedaan signifikan antara determinan kepuasan pasien di rumah sakit pemerintah dan swasta. Tujuan: untuk menyediakan gambaran yang komprehensif mengenai determinan kepuasan pasien di rumah sakit pemerintah dan rumah sakit swasta. Metode: penelitian ini adalah literature review menggunakan PubMed, dan Science Direct. Kata kunci yang digunakan adalah "kepuasan pasien”. Hasil: Terdapat beberapa determinan kepuasan pasien di rumah sakit pemerintah dan swasta. Faktor-faktor tersebut meliputi karakteristik pasien (seperti usia, status sosial ekonomi, jenis kelamin, tingkat pendidikan, dan pekerjaan), keberadaan asuransi kesehatan, kualitas penyedia layanan (terutama kualitas dokter), fasilitas penunjang (seperti laboratorium, radiologi, dan farmasi), serta fasilitas fisik (seperti kebersihan ruang perawatan, kamar penginapan, dan layanan diet). Kesimpulan: faktor-faktor yang mempengaruhi kepuasan pasien di rumah sakit pemerintah dan swasta meliputi karakteristik pasien (usia, status sosial ekonomi, jenis kelamin, tingkat pendidikan, pekerjaan), keberadaan asuransi kesehatan, kualitas penyedia layanan (kualitas dokter), fasilitas penunjang (laboratorium, radiologi, farmasi), serta fasilitas fisik (kebersihan ruang perawatan, kamar penginapan, layanan diet.
Implementation of Surgical Safety Checklist : Literature Review Sudarsana, Sudarsana; Swarjana, I Ketut; Darmini, Yuliati; Dharmapatni, Ni Wayan Kesari
Jurnal Kesehatan Pasak Bumi Kalimantan Vol 6, No 2 (2023): JKPBK Desember 2023
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/j.kes.pasmi.kal.v6i2.12919

Abstract

Background: Health services provided to patients must not only be of high quality but also appropriate and prioritize patient safety, including patients undergoing surgery in hospitals. WHO in 2007 has provided recommendations for using a surgical safety checklist    (SSC) to improve patient outcomes. However, its application in the operating room is influenced by many factors and is still a challenge for surgeons, anesthesiologists and for nurses in filling out the SSC. Therefore, it is very important to conduct a literature  study to be able to find and describe previous studies that have been published, so that the results of this literature review can contribute to the implementation of SSC filling for the better. Methods:  This literature  study used 2 databases and from other sources. The search results found that there were 123 articles from Pubmed data based, 94 articles from Science Direct and there were 15 articles from other sources. However, only 12 articles were eligible for further review (included). Results: the literature  study found that the compliance of SSC filling was around 67% to almost 100%. Some of the barriers in implementing SSC filling are: lack of initiative, lack of support from senior surgeons and weak teamwork. Conclusion: educational intervention is very effective in improving SSC completion compliance.Keywords: Surgical safety checklist  , Hospital
Optimalisasi Peran Keluarga Melalui Edukasi dan Simulasi Terapi Relaksasi Autogenik sebagai Upaya Suportif Adaptif Pasien Stroke di Masyarakat Israfil, Israfil; Wulandari, Sarah Kartika; Swarjana, I Ketut; Suyasa, I Gede Putu Darma; Agustini, Ni Luh Putu Inca Buntari; Pangruating Diyu, Ida Ayu Ningrat; Putra, Komang Ardidhana Nugraha; Indrayani, Ni Luh Dwi
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 4 No. 1 (2024): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v4i1.268

Abstract

Pasien stroke mengalami perubahan respons yang sangat kompleks pada aspek fisik, psikologis dan sosial yang membutuhkan adaptasi. Terapi relaksasi autogenik merupakan salah satu intervensi terapi yang mampu meningkatkan adaptasi, mobilisasi, dan kualitas hidup pasien stroke dimasyarakat dengan dukungan keluarga sebagai support sistem paling utama. Tujuan kegiatan pengabdian kepada masyarakat ini adalah mengedukasi dan mensimulasikan kepada keluarga tentang terapi relaksasi autogenik sebagai upaya suportif adaptif pasien stroke dimasyarakat. Kegiatan dilaksanakan pada bulan Mei 2024 kepada keluarga pasien stroke dan masyarakat Desa Basangalas. Kegiatan dilaksanakan dengan metode edukasi dan simulasi dengan tahapan menggunakan pendekatan PARE (Preparation, Action, Reflection dan Evaluation). Sebanyak 100% peserta yang terlibat tidak mengetahui tentang terapi relaksasi autogenik. Setelah mendapatkan edukasi dan simulasi semua peserta memiliki pengetahuan yang baik dan mampu mempraktikkan terapi relaksasi autogenik sebagaimana yang diedukasi dan disimulasikan. Metode edukasi dan simulasi berhasil meningkatkan pengetahuan dan keterampilan keluarga dan masyarakat tentang terapi relaksasi autogenik. Terapi relaksasi autogenik diharapkan dapat menjadi bekal keluarga dan masyarakat dalam memberikan dukungan perawatan dan adaptasi kepada pasien stroke dimasyarakat. Kami menyarankan terapi relaksasi autogenik menjadi salah satu pilihan rencana intervensi keperawatan komunitas dan keluarga dalam upaya meningkatkan adaptasi  pasien stroke di masyarakat.
Factors influence self-care behavior and diabetic management in patients with diabetes mellitus Sekardiani, Ni Luh Putu; Swarjana, I Ketut; Satriani, Ni Luh Adi; Megayanti, Sri Dewi
MEDISAINS Vol 21, No 2 (2023)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v21i2.18663

Abstract

Background: Self-care behavior and diabetic management in patients with diabetes mellitus (DM) tends to be low, especially during the COVID-19 pandemic. Various studies have found the influence of knowledge with self-care behavior diabetic management, as well as attitudes, motivation, family support and self-efficacy, but research analyzing the most dominant factors that play a role in influencing diabetic patients in self-care behavior and diabetic management is still limited.Purposes: Analyzing the factors that influence self-care behavior and diabetic management in diabetic patients. This study also analyzes the factor that play the most dominant role to influence self-care behavior and diabetic management in diabetic patients.Methods: This type of research is observational analytic with cross-sectional design. Patients of type 2 diabetes were the population in this study, with a sample size of 312 selected by convenience sampling. Factors of knowledge, attitude, motivation, family support and self-efficacy were observed in the study which were thought to be factors affecting self-care behavior diabetic management. The data were analyzed by chi square test and logistic regression.Results: The factors of knowledge, family support, and motivation significantly influence self-care behavior and diabetic management (p<0.05). The motivation factor is the most dominant factor affecting it (AOR 2.760; p<0.001).Conclusion: Good knowledge about diabetes management plus optimal family support and high motivation will improve self-care behavior and diabetic management in diabetic patients.
Factors Associated with Anxiety Among Nurses During The Omicron Variant COVID-19 Outbreak Wijaya, I Made Agus Budi; Swarjana, I Ketut; Rahayuni, I Gusti Ayu Rai; Mahaputra, I Nyoman Arya
Babali Nursing Research Vol. 6 No. 1 (2025): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.61469

Abstract

Introduction: The COVID-19 pandemic, especially the Omicron variant, has had a broad impact on human life, especially on the economic and health aspects, including for nurses working on the front lines who are at risk of experiencing anxiety. This study aims to identify factors related to nurses' anxiety towards the Omicron variant of COVID-19. Methods: This study was conducted in Bangli Regency, Bali, Indonesia. The sampling technique used was snowball sampling with a sample size of 311 nurses. The instrument used was a questionnaire filled out by respondents via Google Forms. The analysis was univariate, bivariate (Chi-square test), and multivariate (multiple logistic regression). Results: The results of this study found that 25.7% of respondents experienced anxiety towards the Omicron variant of COVID-19. Perception and completeness of Personal Protective Equipment (PPE) were significantly related to nurses' anxiety towards the Omicron variant of COVID-19. On the contrary, the work environment and history of comorbidities did not affect anxiety. Conclusion: The factors that most influence the level of nurses' anxiety are perception and use of personal protective equipment (PPE).
Co-Authors AAA Yuliati Darmini Agustini, Ni Rai Sintya Anak Agung Istri Wulan Krisnandari Ansan, Yoseph Maurits Barata, Agus Buntari Agustini, Ni Luh Putu Inca Christiani, Ayu Meidita Darmini, A.A.A. Yuliati Darmini, Yuliati Desto Arisandi Dharmapatni , Ni Wayan Kesari Drs. I Wayan Darsana,M.Ed . Edi Sanjana, I Wayan Farindira Vesti Rahmasari Gst. Kade Adi Widyas Pranata Harditya, Kadek Buja I Dewa Ayu Mas Manik Astawastini I GEDE PUTU DARMA SUYASA I Gusti Agung Saraswati Jelantik I Gusti Agung Tresna Wicaksana I Gusti Ayu Rai Rahayuni I Gusti Ngurah Made Kusuma Negara I Kadek Nuryanto I Made Rismawan I Nengah Suarmayasa I Nengah Suarmayasa I Nengah Suarmayasa I Putu Gde Yudara Sandra Putra I Wayan Agus Maharyawan Ida Ayu Manik Damayanti Ida Ayu Ningrat Pangruating Diyu IGNM Kusuma Negara Indrayani, Ni Luh Dwi Israfil, Israfil Kartiningsih, Ni Luh Putu Luh Gde Nita Sri Wahyuningsih Made Dian Shanti Kusuma Made Rismawan Mahaputra, I Nyoman Arya Negara, I Gusti Ngurah Made Kusuma Ni Kadek Adityarini Ni Luh Adi Satriani Ni Luh Eka Purnamasari Ni Luh Meli Antari Ni Luh Putu Ary Swandani Ni Luh Putu Aryswandani Ni Luh Putu Eka Purnamasari Ni Luh Putu Inca Buntari Agustini Ni Luh Putu Lusiana Devi Ni Luh Tia Risna Dewi Ni Made Arie Dwijayanti Ni Made Arie Dwijayanti Ni Made Sri Rahyanti Ni Made Utari Dewi Ni Nyoman Ari Kundari Dewi Ni Nyoman Darmini Ni Nyoman Nuartini Ni Putu Ayu J Sastamidhyani Ni Putu Ayu Utami Dewantari Ni Wayan Ayu Eka Perantini Ni Wayan Kesari Dharmapatni Ni Wayan Niwi Raga Ni Wayan Niwi Raga Ni Wayan Niwiraga NLP Dina Susanti Nyoman Widiasih Pangruating Diyu, Ida Ayu Ningrat Putra, I Nyoman Arya Maha Putra, Komang Ardidhana Nugraha Putu Ayu Mita Indrayanthi Putu Ayu Utami Dewantari Rahayuni, IGA Rai Sarah Kartika Wulandari Satriani, Ni Luh Adi Sekardiani, Ni Luh Putu Setyonugroho, Winny Sri Dewi Megayanti Sriasih, Ni Kadek Suarmayasa, I Nengah Tanuparbrungson, Supawan Tri Wulandari Kesetyaningsih Vasquien, Sandra Veithzal Rivai Zainal Wahyuningsih, Luh Gde Nita Sri Wijaya, I Made Agus Budi Wiranata, I Nyoman Wulandari, Sarah Kartika Yustina Ni Putu Yusniawati