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PENGEMBANGAN MODEL KEPERAWATAN BERBASIS BUDAYA (ETNONURSING) PADA KELUARGA ETNIS MADURA DENGAN MASALAH BALITA GIZI KURANG DI KABUPETAN SUMENEP A.Azis Alimul Hidayat; Dede Nasrullah; Pipit Festy
PROSIDING SEMINAR NASIONAL & INTERNASIONAL 2013: PROSIDING KONFERENSI NASIONAL PPNI JAWA TENGAH
Publisher : Universitas Muhammadiyah Semarang

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Tingginya angka kejadian gizi kurang dan buruk di Indonesia berdasarkan hasil riset kesehatan dasar tahun 2010 menurut indikator berat badan per umur (BB/U) sebesar 18,4%, dan di Jawa Timur gizi buruk sebesar 4,8%, gizi kurang sebesar 12,3 %, tersebut menunjukkan pelayanan kesehatan pada bayi dan anak balita khususnya masalah gizi perlu mendapatkan perhatian. Hal tersebut terjadi pula pada kabupaten Sumenep pada etnis Madura, yakni 8,6 % kejadian gizi buruk dan 20,9 % gizi kurang,. Tujuan dari penelitian ini adalah 1) mengidentifikasi budaya penatalaksanaan kesehatan keluarga dalam merawat anak dengan gizi kurang di kabupaten Sumenep, 2) menganalisis asuhan keperawatan berbasis budaya yang diberikan pada keluarga dengan anak gizi kurang di kabupaten Sumenep, dan 3) Menghasilkan model asuhan keperawatan berbasis budaya yang diberikan pada keluarga dengan anak gizi kurang di kabupaten Sumenep Penelitian ini dilakukan dengan menggunakan metode penelitian survey, dengan subyek penelitian 230 responden keluarga ibu balita dengan anak gizi kurang dan 45 perawat yang bekerja di Puskesmas, dengan teknik pengambilan sample simple random sampling. Hasil sementara penelitian tahun pertama ini adalah Budaya perawatan anak dengan gizi kurang yang dilakukan pada keluarga di kabupaten Sumenep, yang meliputi1) pemanfaatan teknologi kesehatan dalam perawatan didapatkan 50% responden menyataan kaang-kadang sampai tidak pernah untuk memanfaatkan teknologi kesehatan, 90% kurang memahami cara pengobatan, 60 % memiliki persepsi yang negatf, 20% memiliki kebiasaan mendahulukan makan orang tua, 90% masih mempertahankan budaya dan 60% kadang-kadang sampai tidak pernah merubah budaya yang ada karena bertentangan dengan kesehatan. Sedangkan hasil analisis tentang pelaksanaan asuhan keperawatan padakeluarga. Dalam pengkajian berbasis budaya, sebagian besar perawat masih belum banyak yang mengkaji tentang pemanfaatan teknologi kesehatan, masalah agama dan filosofi yang berhubungan dengan perawatan anak, dan masih ada 40% perawat yang jarang bahkan tidak pernah mengkaji masalah nilai-nilai budaya dan gaya hidup. Pada implementasi keperawatan berbasis budaya sebagain (44,4%) perawat jarang bahkan tidak pernah masih mempertahankan budaya yang ada apabila tidak bertentangan dengan kesehatan, selain itu hampir77,7% perawat kadang-kadang bahkan tidak pernah membantu klien untuk beradaptasi dengan budaya tertentu yang lebih menguntungkan kesehatan, dan 66.6% perawat kadang-kadang bahkan tidak pernah melakukan restrukturisasi budaya karena bertentangan dengan kesehatan dan tidak berupaya memahami budaya klien baikpersamaan maupun perbedaan. Pada tahap evaluasi keperawatan berbasis budaya hampir 60% kadang-kadang bahkan tidak pernah melakukan evaluasi keberhasilan klien dalam mempertahankan budaya yang ada apabila tidak bertentangan dengan kesehatan, hampir 70% perawat juga kadang-kadang bahkan tidak pernah melakukanevaluasi terhadap kemampuan klien untuk beradaptasi dengan budaya tertentu yang lebih menguntungkan kesehatan, dan kemampuan merestrukturisasi budaya klien karena bertentangan dengan budaya kesehatan. Kesimpulan dari penelitian ini adalah telah teridentifikasinya budaya dan perilaku perawatan oleh keluarga dengan anak gizi kurang dan pelaksanaan asuhan keperawatan keluarga oleh perawat yang bekerja di Puskesmas kabupaten Sumenep. Sudah dihasilkan draf awal dari penelitian dengan model keperawatan berbasis budaya, namun belum dilakukan Fokus group discusion untuk menyusunan draf II atau uji coba dari perangkat model salah satu adalah perangkat pengkajian keperawatan berupa form/lembar pengkajian keperawatanberbasis budaya, lembar analisis diagnosis berbasis budaya, materi intervensi keperawatan berbasis budaya, lembar observasi (catatan perawatan/perkembangan). Kata Kunci : Model keperawatan, budaya, gizi kurang

Implementasi Sistem Manajemen Mutu Pelayanan Keperawatan Melalui Kepemimpinan Mutu Kepala Ruangan Aziz Alimul Hidayat; Ana Pratiwi; Ratna Agustin
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga

Introduction: The quality management system is an order that ensures the achievement of goals and quality objectives which are planned in nursing care. One of the factors that may affect the implementation of quality management systems in the inpatient units is the quality leadership of head nurse. This study aims to determine the effect of the quality leadership of the head nurse to the implementation of quality management systems of nursing cares in hospital.Methods: The research method uses analytical research with cross-sectional approach. The sample of this study consists of eight wards; They are Multazam pavillion, Arofah, Sakinah, Shofa Marwah, Annisa, Mina, Ismail, and ICU which meet with the inclusion and exclusion criteria. The data was taken by using simple random sampling. The data collection by using questionnaires, interviews and observation. Data analysis used a simple statistical linear regression tests with a significance the value of α ≤ 0.05.Results: The results showed that the quality of leadership of the head of wards is mostly good (50%) and the implementation of quality management system of nursing care is mostly good (62.5%). Results of analysis of the simple linear regression test on the influence of leadership quality of the head nurse through the implementation of the quality management system of inpatient units (ρ = 0.024).Conclusion: The results of this study expect the nurses to increase the commitment and responsibility in implementing the quality management system of nursing cares in the inpatient units so as to achieve the excellent quality of nursing cares and can boost confidence, satisfaction of patients, families, and communities on nursing care.

Model of Quality Management System Using Malcolm Baldrige Criteria in Nursing Education in Surabaya A. Aziz Alimul Hidayat; Stefanus Supriyanto; Nursalam Nursalam
Jurnal Ners Vol. 10 No. 1 (2015): April 2015
Publisher : Universitas Airlangga

Introduction: Most of the quality of Nursing Education in Surabaya is still at the low level. It is due to the fact that the process and job performances which have not been integrated yet, systematic and fl exible which are in line with the capacity of the organization and the needs of graduates. This study aims to develop a model of quality management systems of Nursing bachelor’s degree program based on the Malcolm Baldrige Criteria For Performance Excellence.Methods: The method used is a cross sectional survey design. This research was conducted with a sample of eight institutions and twenty four of respondents. The data was collected by means of interviews, questionnaires and documentation. Analysis of the data used Partial Least Square (PLS).Results: The results showed that 1) leadership affects the study program as well as the profi le that affects job performances; 2) Leadership affects the strategic planning as well as the strategic planning that affects focus of Human Resources. In addition, the focus of human resources affects the focus process and fi nally affects job performances as well; 3) customer focus affects leadership as well as leadership affects strategic planning. As the impact, strategic planning affects focus of human resources and it affects similarly on the focus process and fi nally affects job performances; 4) All variables are affected by measurements, analysis and knowledge management, except in strategic planning.Conclusion: Based on the above results, the model of quality management system can be developed by using the Malcolm Baldrige criteria for the purpose of increasing the quality of Nursing Study Program. On the other hands, this model can be used as a reference of the organization at the level of Nursing Study Program (Strategic Business Unit) to restructure the performance of the college in global competition.

Quality Improvement Model of Nursing Education in Muhammadiyah Universities Toward Competitive Advantage Abdul Aziz Alimul Hidayat; Musrifatul Uliyah; Sukadiono Sukadiono
Jurnal Ners Vol. 12 No. 1 (2017): April 2017
Publisher : Universitas Airlangga

Introduction: Most of (90,6%) nursing education quality in East Java was still low (BAN-PT, 2012). It was because the quality improvement process in nursing education generally was conducted partially (random performance improvement). The solution which might be done was through identifying proper quality improvement model in Nursing Education toward competitive advantage.Method: This research used survey to gain the data. The research sample was 16 Muhammadiyah Universities chosen using simple random sampling. The data were collected with questionnaires of 174 questions and documentation study. Data analysis used was Partial Least Square (PLS) analysis technique.Result: Nursing education department profile in Muhammadiyah Universities in Indonesia showed of 10 years establishment, accredited B and the competition level in one city/regency was averagely more than three Universities becoming the competitors. Based on the quality improvement model analysis of nursing education toward competitive advantage on Muhammadiyah Universities, it was directly affected by the focus of learning and operasional process through human resources management improvement, on the other hand information system also directly affected on quality improvement, also affected quality process components; leadership, human resources, focus of learning and operational process. In improving human resources would be directly influenced with proper strategic planning. Strategic planning was directly influenced with leadership. Thus, in improving quality of nursing education, the leadership role of department, proper information system, and thehuman resources management improvement must be implemented.Conclusion: Quality improvement model in nursing education was directly determined with learning and operational process through human resources management along with information system, strategic planning factors, and leadership. The research finding could be developed in quality analysis application program.

Nursing Intervention Through Family Pathnership Increases Behavior in Practice of Feeding Pattern on Infant of Age 6–24 Months For Nuclear and Extended Family A. Aziz Alimul Hidayat
Jurnal Ners Vol. 5 No. 2 (2010): Oktober 2010
Publisher : Universitas Airlangga

Introduction: Nursing intervention is nursing action with a supportive and educative approach done by nurses cooperating with families in overcoming the problems of nursing family. The aim of the research was to explain the effect of nursing intervention through family pathnership toward behavior in practice of feeding pattern on infant of age 6–24 months for nuclear and extended family, including the breastfeeding (ASI), PASI, soft food, family food, snacks, and way of feeding.Method: The design of the research was experimental. The sample of the research was ninety six (96) samples, which was chosen with simple random sampling.The sample was then divided into two parts of family in Kenjeran District and Bulak Surabaya, namely nuclear family and extended family. The variables measured were breastfeeding, PASI, soft food, family food, and a way of feeding through interviewing and observation. The data analysis used was Mann Whitney U.Result: Result showed that effect of nursing interventions on the style of feeding containing of giving PASI (p = 0.003), soft food (p = 0.005), family food (p = 0.00), snacks (p = 0.034), and way of feeding (p = 0.00). Those effects can be shown with the increasing of frequency and way of feeding before and after intervention.Discussion: The conclusion is nursing intervention through the supportive and educative approach as the form of actions on families with problems on the pattern of feeding has the influence on the practice of feeding pattern. The increasing of feeding frequency shows the cognitive and behavioral change on the practice of feeding pattern which can possibly improve the status of infants nutrient.

THE RELATIONSHIP BETWEEN FAMILY EMPOWERMENT AND FAMILY INDEPENDENT IN CARING PATIENTS WITH LUNG TUBERCULOSIS IN BANJAR REGENCY, INDONESIA M Noor Ifansyah; Tintin Sukartini; A Aziz Alimul Hidayat
International Journal of Nursing and Health Services (IJNHS) Vol. 2 No. 4 (2019): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Tuberculosis is a direct contagious disease caused by pulmonary tuberculosis germs (Mycobacterium Tuberculosis), which is one of the top 10 conditions that cause death in the world. This study aims to identify the relationship between family empowerment and family independence in caring for patients with lung tuberculosis in Banjar Regency. The cross-sectional study design was applied in this study. We recruited 120 families with pulmonary tuberculosis patients using a simple random sampling. The results showed that there is a correlation between family empowerment and family independent in caring for patients with lung tuberculosis with p-value: 0.001 < 0.05. Empowerment of the family can help the family in carrying out its role in caring for clients of pulmonary tuberculosis independently. Keywords: Empowerment, Independence, Family, pulmonary tuberculosis

Faktor Prediktor Kepatuhan Clinical Pathways COVID-19 di Rumah Sakit Musrifatul Uliyah; Abdul Aziz Alimul Hidayat
Jurnal Keperawatan Muhammadiyah Vol 6, No 4 (2021): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v6i4.11828

Objective: Clinical pathways for covid-19 are the best efforts made by nurses in handling cases of covid-19. However, there are still nurses who have not been optimal in implementing COVID-19 clinical pathways. For this reason, this study aims to analyze predictor factors for compliance with Covid-19 clinical pathways in hospitals, Surabaya, Indonesia during the COVID-19 pandemic.Methods: This study used a cross sectional study, with a sample size of 126 nurses selected from a private hospital in Surabaya. Data was collected using the Covid-19 clinical pathways measurement scale instrument and sociodemographic questionnaire, used to obtain information about the characteristics of respondents.Results: The results of statistical analysis with regression test showed p = 0.000, that the predictor factor of clinical pathways adherence was the role of nurses, with a value (OR 379,479, 95% CI 41,391, 3479,165), this shows the role of nurses with good categories will have an impact on high compliance in clinical pathways covid-19, while the factors of age, gender, educational background, and length of work are not predictor factors in the compliance of clinical pathways covid-19 in hospitalsConclusion: Nurses in carrying out their roles well have an impact on Covid-19 clinical pathways compliance, and it is proven that nurses' roles are strong predictors in determining clinical pathways compliance in hospitals. Therefore, the capacity building program and the development of nurse resources are important to be given in order to continue to apply the covid-19 clinical pathways.

Pengaruh Kepemimpinan Efektif Kepala Ruangan terhadap Kinerja Perawat Pelaksana Tri Diani Agustuti Agustuti; Tri Kurniati; Aziz Alimul Hidayat; Farida Murtiani
Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat Vol 17, No 2 (2022)
Publisher : STIKes Surya Global Yogyakarta

Background of Study : Improving the quality of nurses in providing quality nursing care to clients requires a leadership role in influencing and moving the nurse. The purpose of this study is to see the effect of effective leadership of the head of the room on the performance of the implementing nurses in RSPI Prof. Dr. Sulianti Saroso. Methods : This study was descriptive analytic research with cross sectional design. The sample of this study were 131 nurses at RSPI Prof. Dr. Sulianti Saroso. The data were taken by using purposive sampling technique. Collecting data using a questionnaire. Univariate analysis using frequency distribution, bivariate analysis using chi square.Results : There was a relationship between effective leadership and performance (P value = 0.000). The analysis of the independent sub-variables on the performance of all variables stated that there was a relationship because of sig 0.05 including knowledge (0.000), self-awareness (0.002), self-awareness (0.009), communication (0.019), energy use (0.000), goal setting (0.012), taking action (0.000).Conclusion : The variables that have significant relationship with the nurse's performance are effective leadership. It is expected that the hospital will seek to make policy and planning of nursing resources through the provision of continuous education, training / skills related courses, and seminars related to leadership in nursingKeywords : Leadership, Performance, Effective Leadership, Direction Functions

Model Blended Learning Pendekatan Contextual Teaching Learning (BLCTL) Pada Mata Kuliah Keperawatan Dasar Bagi Mahasiswa Keperawatan Musrifatul Uliyah; Abdul Aziz Alimul Hidayat
Jurnal Keperawatan Muhammadiyah Vol 8 No 4 (2023): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

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Objective: The competencies of nursing education graduates that are of concern are basic nursing knowledge, collaboration skills, and adaptive thinking. The efforts to overcome these competencies are through learning that can construct knowledge, encouraging collaboration and adaptive abilities. The process of constructing knowledge, collaboration and adaptive skills can be got from two learning models, namely face-to-face and e-leaning, with emphasis on contextual aspects, collaborative and adaptive elements. This research aims to analyze the feasibility of a blended learning model with a contextual teaching learning (BLCTL) approach in learning basic nursing courses for nursing students. Methods: research and development was used in this study, using the Dick and Carey Model, with a sample size of 104 selected using simple random sampling from students in the Nursing Program at Muhammadiyah University, Surabaya. Data was collected at the model needs analysis stage using for and observations, the development stage using questionnaires, the implementation stage using tests and observations. Results: The research results show that the BLCTL model is a learning model that is suitable for the learning process with a learning syntax comprising 5 phases, namely constructivism, questioning and inquiry, learning community, modeling, and authentic assessment and reflection. With the results of the model feasibility test on the learning model aspect 97.1%, RPS learning device aspect 97.9%, media device (e-learning) 96.6%, textbook device 95.8%, knowledge assessment and collaboration device 100%. Conclusion: The BLCTL model involves students in the learning process, which identifies previous knowledge and learning experiences for the learning activity process. By emphasizing actual conditions and existing characteristics, this model is very relevant to learning in nursing education and the development of information technology to create an adaptive learning system.

Predictors of Pulmonary Tuberculosis Prevention in Surabaya, Indonesia Abdul Aziz Alimul Hidayat; Ratna Agustin; Siwi Sabdasih
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 1: JANUARY 2025 - Media Publikasi Promosi Kesehatan Indonesia
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i1.6515

Background: Pulmonary tuberculosis (TB) continues to pose a critical public health challenge in Indonesia, characterized by high transmission rates, particularly within household settings. Despite extensive efforts to mitigate the spread of TB, persistent barriers such as low adherence to prevention and treatment protocols hinder progress. Identifying the factors that influence adherence is essential to optimizing the efficacy of intervention strategies. This study aims to investigate the key predictors influencing adherence to preventive measures for pulmonary TB transmission in Surabaya City. Methods: A quantitative research design employing a cross-sectional approach was utilized. Data were collected from 225 pulmonary TB patients attending community health centers in Surabaya City between September and December 2023. The variables examined included demographic characteristics, perceived benefits, barriers, susceptibility, severity, and self-efficacy. Statistical analysis was conducted using multiple logistic regression, with significance set at p<0.05. Results: Significant predictors of adherence included age (p=0.048; OR=0.413), gender (p=0.009; OR=0.328), socioeconomic status (p=0.033; OR=3.052), perceived benefits (p=0.009; OR=10.086), barriers (p=0.007; OR=0.704), and self-efficacy (p=0.005; OR=29.335). Patients aged above 45 years, those reporting higher perceived benefits, and those with greater self-efficacy demonstrated higher adherence to TB prevention measures. These findings underscore the importance of self-efficacy, perceived benefits, and socioeconomic factors as significant determinants of adherence. The study's contribution lies in its exploration of adherence predictors within a high-risk population, offering valuable insights to inform targeted public health interventions. Conclusion: Age, perceived benefits, barriers, and self-efficacy emerged as critical predictors of adherence to pulmonary TB prevention strategies in Surabaya City. Interventions aimed at strengthening self-efficacy and providing targeted educational programs for younger populations are recommended to enhance TB control efforts. Additionally, integrating these findings into broader public health frameworks, such as national TB control strategies, can amplify their impact and contribute to improved health outcomes.

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