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Nursing Documentation in Accredited Hospital Retno Purwandari; Dicky Endrian Kurniawan; Siti Kusnul Kotimah
Jurnal Keperawatan Indonesia Vol 25, No 1 (2022): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v25i1.1139

Abstract

Nursing documentation is assessed in hospital accreditation because it includes the actions taken and the quality of provided care. Hospital accreditation undergoes three phases consist of preparation, implementation, and post-accreditation. In the post-accreditation phase, there is reduced compliance of workers and nurses. This study determines the quality of nursing documentation at the fully accredited hospital by using descriptive and quantitative research with a retrospective approach. A simple random sampling method is used to attain 292 documents. Data are collected using the Evaluation of Nursing Care Instrument by the Ministry of Health Republic of Indonesia. Results show that nursing documentation has poor quality with an average achievement of 80.81%. In terms of components, the implementation is the most complete whereas the intervention and nursing care parts are the least filled out. Most of the factual indicators have good quality but other records have poor completion or compliance. Observation indicators for documentation quality need review to determine the factors that influence the decline in quality. Hospitals need to review and improve nursing documentation to prevent quality deterioration in the post-accreditation survey. Using information technology for documentation can help nurses because the standardized language and linked systems facilitate documentation of the entire care process, and thus enhance its completeness.Abstrak Dokumentasi Asuhan Keperawatan pada Rumah Sakit Terakreditasi. Dokumentasi asuhan keperawatan dinilai dalam akreditasi rumah sakit karena berisi seluruh tindakan keperawatan dan mencerminkan kualitas asuhan keperawatan yang diberikan. Akreditasi rumah sakit terdiri atas tiga fase yaitu fase persiapan, implementasi, dan pasca akreditasi. Pada tahap pasca akreditasi, biasanya terjadi penurunan kualitas pelayanan. Penelitian ini menelusuri kualitas dokumentasi asuhan keperawatan di Rumah Sakit X yang terakreditasi paripurna dengan menggunakan desain deskriptif kuantitatif melalui pendekatan retrospektif. Sebanyak 292 sampel dokumen diperoleh dengan teknik simple random sampling. Data dikumpulkan dengan menggunakan Instrumen Evaluasi Asuhan Keperawatan oleh Departemen Kesehatan Republik Indonesia. Hasil penelitian menunjukkan kualitas dokumentasi keperawatan tidak baik, dengan pencapaian rata-rata 80,81%. Komponen implementasi merupakan yang paling banyak terisi, sedangkan intervensi dan catatan asuhan keperawatan paling sedikit terisi. Sebagian besar indikator faktual memiliki kualitas yang baik, tetapi catatan lain memiliki kelengkapan yang buruk. Indikator observasi kualitas dokumentasi perlu dikaji ulang untuk mengetahui faktor-faktor yang memengaruhi penurunan kualitas dokumentasi keperawatan. Rumah sakit perlu meninjau dan meningkatkan dokumentasi keperawatan untuk mencegah penurunan kualitas dalam survei pasca akreditasi. Penggunaan teknologi informasi untuk dokumentasi dapat membantu perawat karena adanya standarisasi bahasa dan sistem yang saling terkait memfasilitasi dokumentasi seluruh proses perawatan, dan dengan demikian meningkatkan kelengkapannya. Kata Kunci: akreditasi, asuhan keperawatan, dokumentasi keperawatan, rumah sakit
PENGARUH PENDIDIKAN KESEHATAN METODE STRATAGEM DENGAN MEDIA AUDIOVISUAL TERHADAP PENGETAHUAN KESEHATAN REPRODUKSI REMAJA Reza Riyady Pragita; Retno Purwandari; Lantin Sulistyorini
The Indonesian Journal of Health Science 2018: Edisi Khusus, September: The Indonesian Journal Of Health Science
Publisher : Universitas Muhammadiyah Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32528/ijhs.v0i0.1521

Abstract

Pendidikan kesehatan reproduksi melalui cooperative learning tipe group cooperative game stratagem media audiovisual merupakan inovasi dalam pemberian pesan-pesan kesehatan dalam upaya peningkatan derajat kesehatan. Tujuan dari penelitian ini adalah untuk menganalisis pengaruh pemberian pendidikan kesehatan melalui metode stratagem media audiovisual terhadap tingkat pengetahuan kesehatan reproduksi pada remaja dan enganalisis perbedaan pengaruh dari peberian pendidikan kesehatan etode stratage . Variabel penelitian disini adalah pendidikan kesehatan dengan metode stratagem media audiovisual dan pendidikan kesehatan metode ceramah sebagai variabel independent. Variabel dependent dalam penelitian ini adalah tingkat pengetahuan kesehatan reproduksi remaja. Penelitian ini melibatkan 15 orang sebagai kelompok eksperiment, dan 15 orang sebagai kelompok kontrol dengan menggunakan proporsional stratified random sampling. Uji statistik yang digunakan adalah Wilcoxon dan Mann Whitney. Hasil data yang p nilai 0,014 dan 0,016 (α 0,05). Hasil penelitian ini menyatakan bahwa ada pengaruh yang signifikan antara pendidikan kesehatan melalui metode stratagem media audiovisual pada pengetahuan remaja mengenai kesehatan reproduksi dan terdapat perbedaan pengaruh dalam pendidikan kesehatan melalui metode stratagem media audiovisual dan metode konvensional ceramah. Kesimpulan dari penelitian ini bahwa metode straragem mampu meingkatka pengetahuan remaja tentang kesehatan reproduksi. Rekomendasi dari penelitian ini menunjukkan bahwa dalam memberikan pendidikan kesehatan terutama kesehatan reprodksi pada remaja diperlukannya inovasi yang mampu mengajak remaja berperan aktif dalam pendidikan kesehatan salah satunya dengan menggunakan metode kooperatif seperti stratagem dan media audiovisual. Kata kunci : Remaja, Pendidikan Kesehatan, Kesehatan Reproduksi.
The Difference in Knowledge Levels of Academic Students and Proffesional Student in Prevention of Healthcare Associated Infection) Khansa Salsabila Wahyu Widyan Utami; Wantiyah Wantiyah; Purwandari Retno
Jurnal Berita Ilmu Keperawatan Vol 15, No 2 (2022): July 2022
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v15i2.17377

Abstract

Among healthcare workers, nurses are the ones most exposed to patients since they are in contact 24h a day. Nurses lack of knowledge factors can lead to HAIs. Therefore, it’s important especially for nurses and nursing students to understand how to prevent HAIs. The aim of this study was to analyze the difference in knowledge levels of academic nursing students and professional nursing students in prevention. This study used descriptive design with comparative analysis. Total participant is 298 nursing students consisted of 196 academic nursing students and 102 professional nursing students were gathered with total sampling technique and statistic test used Mann Whitney. The results showed there aren’t a difference in knowledge level of the academic nursing students and professional nursing students, on the indicator of knowledge about HAIs (p= 0,619), on the indicator of knowledge about standard precautiom (p= 0,459), and there is a difference on the indicator of knowledge about hand hygiene (p= 0.001). Almost all respondents have good knowledge about HAIs. Knowledge of HAIs is very important to learn, with the aim that nursing students can avoid exposure to HAIs, and can apply HAIs prevention and control when practicing in healthcare settings
Description of Musculoskeletal Disorders and Work Position in Citrus Farmers at Sukoreno Village, Umbulsari District, Jember Dian Indah Lestari; Retno Purwandari; Alfid Tri Afandi
Journal of Nursing Science Update (JNSU) Vol. 9 No. 1 (2021)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (276.571 KB) | DOI: 10.21776/ub.jik.2021.009.01.3

Abstract

Musculoskeletal disorder has related to ergonomics. Musculoskeletal disorders are caused by the habit of working position of farmers in carrying out their activities such as lifting or carrying heavy loads, doing repetitive movements and habits of wrong positions at work. The study purposed to identify the percentage of musculoskkeletal disorders and work position on citrus farmers in Sukoreno village, Umbulsari district, Jember. This study used a quantitative approach with 116 farmers using simple random sampling method. The questionnaire used in this study was the Nordic body map to determine musculoskeletal disorders and the Upper Extermity Work Demand Scale Revision (UEWD-R) to determine the habits of farmer's work position. The results showed that 60 farmers (51.7%) had high levels of musculoskeletal disorders and work position when harvesting citrus fruits had the highest average of 70.95% with a maximum value of 24. musculoskeletal disorders felt by Citrus farmers were caused by the work done manually with a long duration of time and requires excessive physical ability so that the impact of muscles that contract during work will caused pain in some of limbs.
Clinical Learning Environment in Hospitals: Assessment of Nursing Students Fajar Nur Aufar; Retno Purwandari; Dicky Endrian Kurniawan
Journal of Nursing Science Update (JNSU) Vol. 9 No. 1 (2021)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (320.012 KB) | DOI: 10.21776/ub.jik.2021.009.01.6

Abstract

Evaluation of the clinical learning environment is essential because it can improve the success of students undergoing clinical practice in hospitals. With this evaluation, the clinical learning environment will be better and have an impact on nursing institutions that can prepare good quality graduate students. This study aimed to evaluate the clinical learning environment of nursing profession students in hospitals. The research design used descriptive and involved 229 professional nursing students consisting of 23 and 24 batches of Nursing at the University of Jember, which were collected by using total sampling. The results of the evaluation of the clinical learning environment of professional nurses in hospitals showed an average score of 132.7 from the maximum score 170. Every indicator has an average value and the percentage of achievement starting from the highest to the lowest; the relationship of supervision (clinical supervisor or clinical instructor) with an average of 31.10 (77.75%), leadership style of the inpatient ward manajer with an average of 15, 41 (77.05%), the role of nurse lecturers (academic lecturers) with an average of 34.02 (75.60%), nursing service places with an average of 15.05 (75.25%) and an atmosphere of learning strategies with an average of 33.25 (73.25) and overall student satisfaction obtained an average value of 3.92 (78.40%). The results of the study show that nursing students is still not fully satisfied toward clinical learning environment. It must be improved to provide a suitable clinical learning environment so that students feel satisfied and clinical competence can be achieved.
The Relationship between Burnout Syndrome and Nurse Organizational Commitment at Hospital Retno Purwandari; Alfid Tri Afandi; Dyah Ayu Riski Imani
NurseLine Journal Vol 7 No 2 (2022): November 2022
Publisher : Faculty of Nursing, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v7i2.31034

Abstract

Burnout syndrome relates to mental fatigue, loss of commitment, and motivation to decline sequentially. One of the ways that can be done to increase organizational commitment to nurses is to reduce the workload, which can cause work burnout problems for nurses. If burnout can be reduced, organizational commitment to nurses will increase. To analyze how the relationship between burnout syndrome and the organizational commitment of nurses in the inpatient hospital. This research method is non-experimental, which uses a correlational research design to explain the correlative relationship between variables. The population of this study was all nurses in the inpatient room of the Tk. III Baladhika Husada Jember and all the nurses in the inpatient room of Bhayangkara Bondowoso Hospital with 117 nurses. The sampling technique used by researchers in this study was total sampling. The data collection technique used was a questionnaire. The achievement of burnout syndrome nurses in inpatient hospitals (29% of the total score of 217). Achievement of nurses' organizational commitment in the inpatient hospital (66% of the total score of 104). This study concludes that it has a strong relationship with the direction of the negative relationship between burnout and organizational commitment to nurses in the hospital inpatient room. Therefore, to increase the organizational commitment of nurses, it must minimize burnout syndrome.
Nursing Documentation in Accredited Hospital Retno Purwandari; Dicky Endrian Kurniawan; Siti Kusnul Kotimah
Jurnal Keperawatan Indonesia Vol 25 No 1 (2022): March
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v25i1.1139

Abstract

Nursing documentation is assessed in hospital accreditation because it includes the actions taken and the quality of provided care. Hospital accreditation undergoes three phases consist of preparation, implementation, and post-accreditation. In the post-accreditation phase, there is reduced compliance of workers and nurses. This study determines the quality of nursing documentation at the fully accredited hospital by using descriptive and quantitative research with a retrospective approach. A simple random sampling method is used to attain 292 documents. Data are collected using the Evaluation of Nursing Care Instrument by the Ministry of Health Republic of Indonesia. Results show that nursing documentation has poor quality with an average achievement of 80.81%. In terms of components, the implementation is the most complete whereas the intervention and nursing care parts are the least filled out. Most of the factual indicators have good quality but other records have poor completion or compliance. Observation indicators for documentation quality need review to determine the factors that influence the decline in quality. Hospitals need to review and improve nursing documentation to prevent quality deterioration in the post-accreditation survey. Using information technology for documentation can help nurses because the standardized language and linked systems facilitate documentation of the entire care process, and thus enhance its completeness.   Abstrak Dokumentasi Asuhan Keperawatan pada Rumah Sakit Terakreditasi. Dokumentasi asuhan keperawatan dinilai dalam akreditasi rumah sakit karena berisi seluruh tindakan keperawatan dan mencerminkan kualitas asuhan keperawatan yang diberikan. Akreditasi rumah sakit terdiri atas tiga fase yaitu fase persiapan, implementasi, dan pasca akreditasi. Pada tahap pasca akreditasi, biasanya terjadi penurunan kualitas pelayanan. Penelitian ini menelusuri kualitas dokumentasi asuhan keperawatan di Rumah Sakit X yang terakreditasi paripurna dengan menggunakan desain deskriptif kuantitatif melalui pendekatan retrospektif. Sebanyak 292 sampel dokumen diperoleh dengan teknik simple random sampling. Data dikumpulkan dengan menggunakan Instrumen Evaluasi Asuhan Keperawatan oleh Departemen Kesehatan Republik Indonesia. Hasil penelitian menunjukkan kualitas dokumentasi keperawatan tidak baik, dengan pencapaian rata-rata 80,81%. Komponen implementasi merupakan yang paling banyak terisi, sedangkan intervensi dan catatan asuhan keperawatan paling sedikit terisi. Sebagian besar indikator faktual memiliki kualitas yang baik, tetapi catatan lain memiliki kelengkapan yang buruk. Indikator observasi kualitas dokumentasi perlu dikaji ulang untuk mengetahui faktor-faktor yang memengaruhi penurunan kualitas dokumentasi keperawatan. Rumah sakit perlu meninjau dan meningkatkan dokumentasi keperawatan untuk mencegah penurunan kualitas dalam survei pasca akreditasi. Penggunaan teknologi informasi untuk dokumentasi dapat membantu perawat karena adanya standarisasi bahasa dan sistem yang saling terkait memfasilitasi dokumentasi seluruh proses perawatan, dan dengan demikian meningkatkan kelengkapannya. Kata Kunci: akreditasi, asuhan keperawatan, dokumentasi keperawatan, rumah sakit
Risk of HIV Transmission Through Sexual Activities: A Survey among Hiv-Positive Gay Men in Jember, Indonesia Dicky Endrian Kurniawan; Lantin Sulistyorini; Kholid Rosyidi Muhammad Nur; Muhammad Nur Khamid; Alfid Tri Afandi; Retno Purwandari; Anisah Ardiana
Nursing and Health Sciences Journal (NHSJ) Vol. 1 No. 1 (2021): June 2021
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhs.v1i1.14

Abstract

Introduction: Prevention of HIV transmission can be done through safe sexual activities. It can occur if HIV-positive gay men or men who sex men (MSM) did not have sex with men or use a condom. Objective: This study aimed to identify the preventive behavior of HIV transmission through sexual activities among HIV-positive gay men. Methods: This study used a quantitative design with a descriptive exploratory approach. One hundred and one HIV-positive gay men were collected by using purposive sampling following this study. Data were collected by a questionnaire of preventive behavior of HIV transmission through sexual behavior and analyzed with an exploratory, descriptive approach. Results: Almost all MSM still have sex (96%) after they have been diagnosed HIV-positive, and most do not always use a condom (74.3%). Conclusions: Sexual prevention behavior in MSM is still low and it can increase new HIV cases. Efforts are needed against HIV transmission among the gay men population by adequate information to enhance condom use awareness and commitment when they have the same sexual activities.
Characteristics of Work Accident to Tobacco Farmers in Indonesia Ledya Anggriani Hariyanto; Retno Purwandari; Alfid Tri Afandi
Nursing and Health Sciences Journal (NHSJ) Vol. 1 No. 3 (2021): December 2021
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhs.v1i3.61

Abstract

Tobacco farmers are individuals who are members of farming groups engaged in the cultivation of the agricultural sector in the form of tobacco. When carrying out tobacco cultivation activities, farmers are vulnerable to work accidents. The purpose of this research was to describe the characteristics of work accidents on tobacco farmers in Kalisat District, Jember Regency. The research design used descriptive quantitative. This research employed a purposive sampling technique, with a total of 97 tobacco farmers as respondents. The research data were collected through a demographic questionnaire and a work accident accident questionnaire. In the type indicator, it was found that 43.3% farmers often experienced incidents of being hit by immovable objects. In the object indicator, 36.1% farmers often experience accidents due to work equipment. In the indicator of the nature of the wound 26.8% farmers often experienced minor injuries and 9.3% stated that they always experienced these incidents. In the indicator of the location of the wound, farmers often experienced injuries on the hands, namely 36.1%. In the cause indicator, 66.0% farmers stated that they rarely use Personal Protective Equipment (PPE). According to the results of this study, work accidents among tobacco farmers in Kalisat District are still highly prevalent. This research will be utilized as a preventative and assessment tool for public health center in the application of UKK and for PPL to develop outreach activities in order to reduce the number of work accidents. Keywords: agricultural; tobacco farmer; work accidents; descriptive
PENGUATAN KADER PENDAMPING SOSIAL DALAM MENURUNKAN KEJADIAN LOSS TO FOLLOW-UP TERAPI ANTIRETROVIRAL PADA ORANG DENGAN HIV AIDS Dicky Endrian Kurniawan; Retno Purwandari; Baiq Lily Handayani
Jurnal Pengabdian Masyarakat Multidisiplin Vol 6 No 2 (2023): Februari
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jpm.v6i2.2993

Abstract

Terapi ARV menjadi standar perawatan minimal pada ODHA. Lamanya perawatan berdampak pada kepatuhan ODHA dalam konsumsi ARV. Ketidakpatuhan pengobatan ARV akan mengakibatkan loss to follow-up dan dapat memperburuk kondisinya. Kader sosial aktif untuk membantu pemerintah dalam mencapai tujuan mencegah loss to follow-up, namun kendala yang dihadapinya adalah kurang optimalnya monitoring konsumsi ARV dan kurangnya pengetahuan tentang terapi ARV. Kegiatan pengabdian kepada masyarakat ini bertujuan memperkuat dan optimalisasi peran kader pendamping ODHA. Kegiatan ini terdiri dari tiga tahapan, yaitu focus group discussion dengan kader pendamping ODHA perihal tantangan dan strategi penyelesaian masalah, penyusunan panduan monitoring konsumsi ARV bagi ODHA yang dapat digunakan oleh kader sosial, dan pelatihan bagi kader pendamping ODHA tentang penguasaan konsep ARV dan manajemen pencegahan loss to follow-up. Hasil kegiatan menunjukkan ada penyelesaian masalah yang dihadapi kader sosial berupa strategi monitoring konsumsi ARV dan adanya peningkatan pengetahuan ODHA tentang terapi ARV dan upaya mengurangi kejadian loss to follow-up. Harapannya kegiatan ini akan terus berlanjut untuk mengevaluasi keberhasilan dari strategi penyelesaian masalah ini dan kader sosial dapat berperan aktif dalam menurunkan kejadian loss to follow-up.
Co-Authors Afandi, Alfid Ahmat Robbi Tricahyono Alfid Tri Afandi Alvinda Apriliatul Jannah Amanda Putri Anugerah Angel, Birgita Angelina Paramitha Astuti Dos Santos Anisah Ardiana Anisah Ardiana Argiyanti, Ardelia Arifatunnahriyah, Octavia Azizah, Nuha Aliyah Nur Bagus Pria Utama Baiq Lily Handayani Dani Setiawan Dani Setiawan Dewa Ayu Dwi Chandra Yadnya Sari Dian Indah Lestari Dodi Wijaya Dwifarin, Septa Dyah Ayu Riski Imani Efendy, Mohamad Asa'ad Effy Afifah Emi Wuri Wuryaningsih Endrian Kurniawan, Dicky Erna Dwi Putri Cahyani Fajar Kharisma Fajar Nur Aufar Hanny Rasni Ilhami, Ridlo Cahya Indah, Agnes Rosalia Intan Ayu Nur Aini Isbandono Hariyanto Khansa Salsabila Wahyu Widyan Utami Krisna Yetti Malawat Lantin Sulistiyorini, Lantin Ledya Anggriani Hariyanto Leseni, Ni Ketut M. Nur Khamid Mariatul Rochmawati Nuris Wahyuni Moh Taufiqurrahman Muhammad Nur Khamid Muhammad Nur, Kholid Rosyidi Mulia Hakam Mulyana, Nonica Nabawi, Darodjadien Naofal Nafi', Ahmad Nafisatus Shofiyyah Ni Ketut Leseni Ningrum, Teysya Dwi Nugraha Yuwana Nuhita Siti Rohmin Nur Widayati Nurfika Asmaningrum Nurud Diniyah Nurul Izzah Regita Cahyani Pragita, Reza Riyady Puthro, Gede Darmawan Rakasiwi, Sabella Ratna Sari Hardiani Reza Riyady Pragita Reza Riyady Pragita Ridlo Cahya Ilhami Riska Umi Yatun Rodiyatul Fitriyah Rosyidi Muhammad Nur, Kholid Rr.Tutik Sri Hariyati Sasi, Nugroho Pamungkas Setyoningsih, Dies Rut Siti Kusnul Kotimah Siti Suhartini Sofyan Nurdiansyah Tantut Susanto Umi Latifah Utama, Bagus Pria Utami, Khansa Salsabila Wahyu Widyan Wahyuni, Mariatul Rochmawati Nuris Wahyuni, Mariatul Rochmawati Nuris Wantiyah Wantiyah Yulia Kurniawati Yunita Selly Santoso Yuwana, Nugraha Za'im, Putra Pramadita Fachruz