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Journal : Indonesian Journal of Global Health research

The Framework in Risk Management Process: Lesson Learned from Hospital During Pandemic Fery Agusman Motuho Mendrofa; Rusmini Rusmini; Umi Hani; Sutrisno Sutrisno
Indonesian Journal of Global Health Research Vol 4 No 3 (2022): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (256.881 KB) | DOI: 10.37287/ijghr.v4i3.1220

Abstract

The pandemic situation poses great challenges for health care facilities such as rapidly changing hospitals in meeting the demands of infrastructure and operations. In addition to the need for adaptation related to the services provided, hospitals must be able to reduce the number of Covid-19 deaths as a top priority for health authorities. Uncertain conditions lead to the emergence of risks that cause losses so it is important to have risk management in hospitals This study was conducted to review risk management in hospitals in Semarang City that already have a framework for dealing with the COVID-19 pandemic and assess the impact of implementing the framework to the risk management process. This study is a cross-sectional study to see the relationship between the application of a risk management framework to the implementation of the Covid-19 risk management process in hospitals. The population in this study is all regulatory documents and reports on the implementation of the COVID-19 risk management process in hospitals in Semarang City in the period January 2020 to December 2021. Data is collected from documents and recording data in hospital related to regulations and risk management assessment instrument. Data were analyzed using Partial Least Square (PLS) software with SmartPLS 3.0 to test the hypothesis by looking at the probability value and its t-statistics. The study shows that the framework has a positive effect on the implementation of the risk management process in hospitals (T-Statistic > 1.96, p value < 0.05). The stronger the implementation of the COVID-19 risk management framework, the more positive the implementation of the COVID-19 risk management process will be.
Risk of Dementia and Community-Based Patient Safety Regarding Health in the Elderly Women Umi Hani; Indah Wulaningsih; Shindi Hapsari; Fery Agusman Motuho Mendrofa; Tri Ismu Pujiyanto
Indonesian Journal of Global Health Research Vol 4 No 4 (2022): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (243.691 KB) | DOI: 10.37287/ijghr.v4i4.1365

Abstract

Multimorbidity is a challenge in elderly women's health. The increased risk of adverse health outcomes associated with frailty is related to patient safety issues, which is need broad community involvement to improve patient safety. This study aimed to describe the cognitive function of menopause women and describe the community empowerment regarding the community-based patient safety. This study was descriptive cross-sectional survey used MMSE, MOCA, and WHO-QOL brief questionnaire. The study participants were conveniently collected from 98 elderly women in nursing home and community in Semarang. A mixed methods analysis of patient safety incidents in the community related to older adults including the basic descriptive statistics and the differences of cognitive function and quality of life after giving the intervention. 87% of women are at risk for mild dementia, with a moderate quality of life for 60%. 73.5% (MMSE) and 71.4% (MOCA-INA) respondents were at mild to moderate level of memory impairment. Community-based doodle art therapy was significantly effective to improve memory index and quality of life. Patient safety that is often reported in female patients is associated with decreased cognitive function. Patient and community involvement can positively influence health outcomes.
Implementation of Betty Neuman's Systems Theory in Hospital Nursing Practice: A Systematic Review Laila, Umi; Mendrofa, Fery Agusman Motuho; Pujianto, Tri Ismu
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6777

Abstract

Betty Neuman's system theory offers a holistic nursing approach that focuses on strengthening the patient's line of defense through the identification and management of stressors at the primary, secondary, and tertiary levels. Although this model has been widely applied in clinical practice, the consistency and effectiveness of its implementation in hospitals still require thorough evaluation. This study aims to systematically review empirical evidence on the application of Betty Neuman's theory in the field of nursing in hospitals. The method used in writing this article is a literature study with a systematic review method. The articles reviewed were obtained through searches on Google Scholar, Sematic Scholar, Proquest, and ScienceDirect in the period 2015-2025 with the search keywords implementation, nursing, hospital, betty neuman system Using PRISMA, from 946 articles found, 10 journal articles were obtained for review. A total of 10 articles were synthesized based on the findings of the effectiveness of implementing Betty Neuman's theory in nursing practice in hospitals, including Environmental Factors, Client System, Stressors, Lines of Defense and Resistance, Three Levels of Prevention, and Recovery. The results of the study indicate that the implementation of this theory is effective in strengthening the patient's defense system, reducing anxiety levels, and accelerating recovery in various conditions such as stroke, cancer, heart failure, and pre-operative anxiety. This model facilitates a multidimensional approach that includes the physiological, psychological, social, and spiritual aspects of the patient, while emphasizing the role of nurses as stressor managers and holistic recovery facilitators. However, practice in the field is still often limited to physical interventions only, so that the full potential of the theory has not been optimally utilized.
Transcultural Nursing Approach in Designing the Multisensory Room for Older Adults: Sensory Utilities and Activity Exploration Hani, Umi; Widyastuti, Rita Hadi; Mendrofa, Fery Agusman Motuho
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.5090

Abstract

Multisensory space applies sensory stimulation that helps train cognitive and motor functions through elements that stimulate the senses in the elderly. This concept is identified for people with moderate to severe cognitive decline and neurodegenerative pathologies. Aim: This study aimed to identify sensory utilities and activities in designing a multisensory space with a transcultural nursing approach. Methods: Researchers collected data qualitatively using the Focus Group Discussion (FGD) technique to explore elements related to the function of the multisensory space. The FGD also identified transcultural nursing aspects that could be applied to the room concept. The FGD involved five participants selected according to the research objectives to explore the needs and activities of multisensory stimulation for the elderly. The FGD was conducted for two hours. Participants were the health service officer, geriatric nurses, one Alzheimer's dementia activist, one architect, and one cultural figures. The results of the FGD were analyzed using the Colaizzi method approach by transcribing data from the FGD results, reading the FGD transcripts several times, and analyzing themes using Atlas.ti. Transcripts and meaningful statements were returned to participants to form categories, subthemes, and themes. Results: The themes analyzed were related to elements in the multisensory room which included both equipment and activities that supported sensory stimulation. Discussion: The identification of spatial elements and research partners in the development of multisensory space design supports the fulfillment of the needs of applicable and innovative elderly health services, especially in applying the concept of transcultural nursing for multisensory rooms for the elderly Conclusion: Cultural considerations play a significant role in the effectiveness of sensory elements, as sensory experiences that resonate with an individual’s cultural background can evoke positive emotions and memories.