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Exploring Clinical Pathway for Incomplete Abortion and Strategic Improvement Efforts: An Action Research Study Faisal, Yusuf Nur; Kusbaryanto, Kusbaryanto
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 2 (2025): August 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i2.562

Abstract

Clinical pathways (CP) are an evidence-based guideline designed for quality control and cost control of patient care. Clinical pathway compliance at one of the type C private hospitals in Indonesia (TCPH) was recorded at 0% during the first five months of 2023. This study aims to explore the factors influencing the application of the Clinical pathway for incomplete abortion and identify potential strategies to improve its utilization through an action research approach. This qualitative study employed two intervention cycles, including evaluation, identification of barriers, and socialization and education. Data were collected through Focus Group Discussions and were analyzed thematically. The study explored various aspects of CP implementation and evaluation for incomplete abortion, focusing on compliance assessment. The primary barriers identified were inadequate socialization, limited understanding, and restricted access to CP documents. Improvement strategies included providing medication packages, enhancing socialization efforts, and standardizing procedures across service units. Socialization was crucial in ensuring healthcare providers understood and adhered to CP, ultimately enhancing service effectiveness. The implementation of the incomplete abortion CP remains suboptimal due to the lack of audits, compliance monitoring, and socialization, leading to inconsistencies in care and reduced service effectiveness. A formal audit, strengthened monitoring, and improved socialization are necessary to ensure treatment uniformity and enhance service quality.
Implementation Of Sharia Law On Patient Medical Services In Certified Sharia Hospitals: A Literature Review Indah Khairunnisa; Kusbaryanto Kusbaryanto
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 2: June 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (766.171 KB) | DOI: 10.30604/jika.v8i2.2049

Abstract

This Research uses literature review method, and the aim of this research is to find out how the Implementation of Sharia Law on  patients services in Sharia Hospitals. The articles that used in the research are articles published between 2011-2021. Article searches were conducted in four databases including; Pubmed, Mendeley, Google Scholar and scienceDirect. This study used the PRISMA protocol. The review covers articles that discuss about the concept of sharia law and how it is implemented in patient care in certified Sharia Hospitals. From the articles reviewed, it was found that the implementation of sharia law in hospitals is related to the application of Maqashid Sharia which consists of five main points; Hifdz Ad-Din, Hifdz An-Nafs, Hifdz Al-Aql, Hifdz An-Nasl, and Hifdz Al-Mal. The implementation of sharia law in hospitals is also related to increasing patient satisfaction.
Post Occupancy Evaluation of The COVID – 19 Isolation Room Aria Dewanggana; Maria Ulfa; Kusbaryanto Kusbaryanto
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6 (2021): Special Issue GINC
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (797.467 KB) | DOI: 10.30604/jika.v6iS1.794

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The Indonesian government has declared the COVID-19 outbreak a national disaster, and so far it has not been declared over. Hospitals in making special isolation rooms for COVID-19 have requirements that must be met, this is to anticipate transmission both between patients and to officers. The purpose of the study was to evaluate the post-occupancy of the Covid-19 isolation room at the As-Suyuthiyyah Hospital in Pati. This type of research uses mixed methods research with descriptive quantitative and case studies. Data were obtained from observations of the physical condition of the room, followed by environmental tests (temperature, lighting, noise, humidity, and microbiological quality), as well as questionnaire data filled out by internal and external users with descriptive presentation. The research was carried out in stages from March to November 2021. The results showed that most of the isolation rooms had met the special isolation room standards issued by the government, and most of the internal and external users felt safe and comfortable while in or using the room Pemerintah Indonesia telah menetapkan wabah COVID – 19 sebagai bencana nasional, dan hingga saat ini belum dinyatakan berakhir. Rumah Sakit dalam membuat ruang isolasi khusus COVID – 19 terdapat persyaratan yang harus dipenuhi, hal ini untuk mengantisipasi adanya penularan baik antar pasien maupun kepada petugas. Tujuan penelitian adalah untuk melakukan evaluasi pasca huni ruang isolasi covid – 19 di Rumah Sakit As-Suyuthiyyah Pati. Jenis penelitian menggunakan penelitian mixed methods dengan kuantitatif deskriptif dan studi kasus. Data diperoleh dari observasi kondisi fisik ruangan, dilanjutkan uji lingkungan (suhu, pencahayaan, kebisingan, kelembaban, dan kualitas mikrobiologis), serta data kuesioner yang diisi oleh pengguna internal dan eksternal dengan penyajian secara deskriptif. Penelitian dilakukan bertahap selama Maret sampai November 2021. Hasil penelitian didapatkan yakni ruang isolasi tersebut sebagian besar sudah memenuhi standar ruang isolasi khusus yang dikeluarkan oleh pemerintah, dan sebagian besar pengguna internal maupun eksternal merasa aman dan nyaman selama berada atau menggunakan ruangan tersebut)
Implementasi Program Kontak Tracing Covid-19 di Yogyakarta Rosadi, Moch Zuhrul Balad; Kusbaryanto, Kusbaryanto; Kusumo, Mahendro Prasetyo
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 1: March, 2022
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (692.555 KB) | DOI: 10.30604/jika.v7i1.1317

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This study aims to analyze and offer tracing models for cases of the COVID-19 pandemic. Since COVID-19 first occurred in Indonesia in March 2020, the number of COVID-19 patients has been increasing. The most additions to the Delta and Omicron variants are in mid-2021. The increasing number of patients makes it difficult for the tracing process carried out by the government. This type of research is qualitative with data search methods using observations, interviews, and FGDs. The objects of this research are the Godean Health Center, the Godean Covid Task Force, the Health Service, and Covid-19 patients. This study uses the PROCEDE-PROCEED approach to analyze the government's tracing policy in the Godean region. The PROCEDE-PROCEED analysis shows that the implementation of the tracing policy is by the applicable procedures. The Health Service and Puskesmas have formed a Covid Task Force team at the village level. The assignment of the COVID-19 Task Force is not only tasked with tracing but also helping residents who need assistance. In addition, this study found weaknesses in the tracing process, so it could not run optimally. The reason is that residents do not get good knowledge about covid, so residents feel afraid and anxious when being traced. This research suggests the need to form a village-level Covid task force to help Pak Dukuh and RT/RW, as well as form a community empowerment team that is aware of COVID-19 by the health department. Abstrak: Penelitian ini bertujuan untuk menganalisis serta memberikan tawaran model tracing pada kasus pandemi covid-19. Sejak covid-19 pertama kali terjadi di Indonesia pada bulan Maret 2020, jumlah pasien covid-19 semakin bertambah. Penambahan yang paling banyak pada varian Delta maupun Omicron pada pertengahan tahun 2021. Peningkatan jumlah pasien menyulitkan proses tracing yang dilakukan oleh pemerintah. Jenis penelitian ini adalah kualitatif dengan metode pencarian data menggunakan observasi, wawancara, dan FGD. Adapun objek penelitian ini adalah Puskesmas Godean, Satgas Covid Godean, Dinas Kesehatan, dan pasien covid-19. Penelitian ini menggunakan pendekatan PROCEDE-PROCEED untuk menganalisis kebijakan tracing yang dilakukan oleh pemerintah di wilayah Godean. Berdasarkan analisis PROCEDE-PROCEED menunjukkan bahwa implementasi kebijakan tracing sudah sesuai dengan prosedur yang berlaku. Dari pihak Dinas Kesehatan dan Puskesmas telah membentuk tim Satgas Covid di tingkat kelurahan. Penugasan Satgas covid selain bertugas untuk mentracing juga membantu warga yang membutuhkan bantuan. Selain itu, penelitian ini menemukan kelemahan proses tracing sehingga tidak bisa berjalan secara maksimal. Penyebabnya ada di warga yang kurang mendapat pengetahuan tentang covid secara baik, sehingga warga merasa takut dan cemas ketika ditracing. Penelitian ini menawarakan perlunya membentuk satgas covid tingkat padukuhan membantu pak Dukuh dan RT/RW, serta membentuk tim pemberdayaan masyarakat sadar covid-19 oleh dinas kesehatan.
Prevalence and Risk Factors of Urinary Tract Infections in Hospitals in Yogyakarta Kusbaryanto, Kusbaryanto; Gobel, Fatmah Afrianty; Listiowati, Ekorini; Rosyida, Aisyah
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 11, No 1 (2024): April 2024
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v11i1.8972

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Urinary tract infection is an infectious disease that is common in society and brings many disadvantages, including longer treatment and more expensive treatment costs. This study aimed to analyze the prevalence and risk factors for Urinary Tract Infections (UTI) at Hospital, Yogyakarta. The research design is an analytical observational study using a cross-sectional design. The samples in this study were patients diagnosed with Urinary Tract Infection at the hospital. Sample selection method Sampling was carried out by consecutive sampling. Retrieval of data from patient data stored in medical records. Ethics permit from PKU Muhammadiyah Gamping Hospital with number: 053/KEP-PKU/III/2023. The prevalence of UTI during the 2 years of data collection was 65 people, with details of 16 men and 49 women. There is a relationship between length of stay and the incidence of UTI with p = 0.019 and OR = 2.56, there is a relationship between age and UTI with p = 0.001 and OR = 7.113 and there is a relationship between gender and UTI with p = 0.001 and OR = 4,136. The effect of length of treatment, age, and gender on the incidence of UTI was 31.4%. The incidence of UTI was 65 cases. Factors that influence the incidence of UTI are length of stay, age, and gender with a p-value of 31.4%. The study concluded that length of stay, age, and gender significantly influence the incidence of Urinary Tract Infections at Hospital, Yogyakarta, with these factors accounting for 31.4% of the variance in UTI cases.
STRATEGIC PLAN ANALYSIS USING THE BALANCED SCORECARD FRAMEWORK AT YOGYAKARTA ISLAMIC HOSPITAL PDHI Prihatmoko, Cahyo; Kusbaryanto, Kusbaryanto; Hidayah, Nur
Interdisciplinary Social Studies Vol. 2 No. 1 (2022): Regular Issue
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/iss.v2i1.312

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Background: Personal protection equipment (PPE) is becoming more and more difficult to come by, which makes service management less and less effective. The expectation is that hospitals will be able to navigate this epidemic phase by converting all obstacles into assets and all chances into strengths. Thus, despite the current crisis and condition, the hospital can endure and possibly expand. Aim: The purpose of this study is to analyze the strategic plan using the BSC framework. Method: This research is qualitative research with a case study approach conducted at RSIY PDHI. This research design uses an approach to explore and understand the organization by presenting a comprehensive picture and reporting a detailed description of the source of information and setting it up without any intervention from the researcher. Findings: From a financial perspective, three strategic targets are set, namely revenue growth, cost reduction, and profitability improvement. From the customer's perspective, four strategic targets are set, namely, increasing the quality and quality of service, increasing customer satisfaction, increasing the quality of customer relationships, and improving the image of the hospital. From the perspective of internal business processes, three strategic targets are set, namely the integration of internal service processes, the improvement of the quality of the service process to customers, and the increasing speed of the service innovation process. From the growth and learning perspective, three strategic targets are set, namely increasing employee capabilities, increasing employee satisfaction, and increasing the use of integrated information systems.
PENGARUH DUKUNGAN KELUARGA TERHADAP KEPATUHAN MINUM OBAT PADA PASIEN TUBERCULOSIS: LITERATURE REVIEW Murwanti, Murwanti; Kusbaryanto, Kusbaryanto
Jurnal Penelitian Keperawatan Vol 5 No 2 (2019): Jurnal Penelitian Keperawatan
Publisher : STIKES RS Baptis Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32660/jpk.v5i2.405

Abstract

Strategi stop TB mencanangkan secara global kejadian TB 1 per 100.000 penduduk pada tahun 2050. Tetapi tuberculosis sampai saat ini masih menjadi isu utama kesehatan dunia karena tetap menjadi pembunuh utama pada tahun 2016. Tujuan Strategi Stop TB pada tahun 2015 sesuai dengan MDGs dirancang diantaranya untuk mencapai tujuan mengurangi penderitaan dan sosioekonomi beban yang terkait dengan TB. Meskipun berbagai upaya pemberantasan tuberculosis sudah dilakukan tetapi hasilnya kurang maksimal. Salah satu penyebab kegagalan pengobatan tuberculosis adalah ketidakpatuhan pasien dalam pengobatan. Berdasarkan hal ini maka salah satu cara yang bisa kita gunakan adalah melibatkan keluarga secara langsung sabagai dukungan dalam menangani pasien tuberculosis. Tujuan Penelitian Menganalisis pengaruh dukungan keluarga terhadap kepatuhan minum obat pada pasien tuberculosis. Metode dalam penelitian ini melakukan Pencarian artikel dimulai dari bulan November 2017, literature review dengan melakukan penelusuran artikel publikasi pada EBSCO, PubMed, Sciencedirect.com, dan Proquest dengan menggunakan kata kunci family support and tuberculosis+medication adherence, family support and tuberculosis+treatment adherence, kemudian dilakukan pemilihan berdasarkan kriteria inklusi dan dilakukan critical appraisal sehingga artikel yang relevant berjumlah 10 artikel, kemudian data diekstraksi dari artikel lalu dikelompokkan untuk dibahas dan disimpulkan. Kesimpulan penelitian ini adalah Mayoritas hasil riset menunjukkan bahwa terdapat pengaruh terhadap kepatuhan minum obat tuberculosis dan semakin baik dukungan keluarga semakin meningkatkan kepatuhan minum obat pada pasien tuberculosis.
THE INFLUENCE OF BURNOUT SYNDROME AND JOB SATISFACTION ON THE QUALITY OF SERVICE FOR NURSES IN HOSPITALS Rosita, Meli; Kusbaryanto, Kusbaryanto
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 4 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i4.2993

Abstract

Kinerja perawat sangat memengaruhi kualitas pelayanan kesehatan, namun beban kerja yang tinggi dan tekanan emosional dapat menyebabkan Burnout Syndrome tinggi (31.188), yang ditandai dengan kelelahan emosional, depersonalisasi, dan penurunan pencapaian diri. Tujuan penelitian ini untuk menganalisis tingkat burnout syndrome dan job satisfaction terhadap kualitas pelayanan pada perawat di rumah sakit PKU Muhammadiyah Gamping Yogyakarta. Penelitian ini menggunakan metode kuantitatif dengan menggunakan kuesioner terdiri dari kelelahan emosional, depersonalisasi, dan capaian diri. Responden dalam penelitian ini adalah 100 perawat yang bekerja di rumah sakit PKU Muhammadiyah Gamping Yogyakarta. Analis data menggunakan software SEM-PLS dengan autocoding Partial least squares (PLS) Algorithm serta uji statistik Cronbach’s Alpha untuk mengonfirmasi validitas dan reliabilitas. Hasil penelitian menunjukkan bahwa nilai R Square untuk job satisfaction adalah 0,829%, sementara nilai R Square untuk service quality mencapai 0,823%. Hal ini menunjukkan hubungan antar variabel berada dalam kategori yang kuat. Hipotesis yang diterima menunjukkan bahwa Job Satisfaction berpengaruh signifikan terhadap service quality, dengan nilai T-statistics sebesar 6.480 dan p-value 0,000. Namun, hipotesis yang menyatakan bahwa burnout syndrome berpengaruh terhadap service quality tidak terbukti signifikan, dengan nilai T-statistics sebesar 0,121 dan p-value 0,904. Hal ini menunjukkan bahwa burnout syndrome tidak secara langsung memengaruhi kualitas pelayanan, tetapi dapat memengaruhi kepuasan kerja perawat. Oleh karena itu, intervensi yang berfokus pada peningkatan kepuasan kerja sangat diperlukan untuk menjaga dan meningkatkan kualitas pelayanan kesehatan di rumah sakit.
Co-Authors Abd. Rasyid Syamsuri Agustiningrum, Ratna Ainun Jariah Alfansyah, Donny Alika Anisa Nishihara Alika Anisa Nishihara Aria Dewanggana Arlina Dewi Ashidiqi, Aswin Imam Astuti, Inna Widya azizah khoiriyati Bintari, Astri Kurnia Budi Susatia Chyntia Vicky Alvionita Dixy Febrianita Titi Pratama Putri Dixy Febrianita Titi Pratama Putri, Dixy Febrianita Titi Pratama Ekorini Listiowati, Ekorini Fahrudiana, Fuadah Faisal, Yusuf Nur Falasifah Ani Yuniarti, Falasifah Ani Fathimah Kelrey Fatmah Afrianty Gobel Faturochman, Andrye Ferdiansyah Sirotujani Fitria Nurul Hidayah Galuh Shafira Savitri Gilang Indhira Mustika Herman Herman I Nyoman Roslesmana Ibnoris, Sutopo Ikhsan Masyhuri Imron Rosyadi Imron Rosyadi Indah Khairunnisa Khoiriyati, Azizah Kuntaman Kuntaman Kusumo, Mahendro Prasetyo Listiowati Listiowati Mahendro Prasetyo Mahendro Prasetyo Kusumo Maria Ulfa Maria Ulfa Masna Hasbi Masyhuri, Ikhsan Merita Arini Moch Zuhrul Balad Rosadi Muhammad Eko Atmojo, Muhammad Eko Murwanti, Murwanti Narulita, Richy Nishihara, Alika Anisa Nur Aini Abd. R Balafif Nur Aini Abd. R Balafif, Nur Aini Abd. R Nur Hidayah Ontivia Setiani Wahana Prabrowo, Novia Arumi Ashfa Prihatmoko, Cahyo Prima Widayani Purwanto Purwanto Puspita Ningrum Ramadina, Tazkia Ridlo, Hasan Muhammad Rosadi, Moch Zuhrul Balad rosita, meli Rosyida, Aisyah selvyana, Dita Ria Shafura, Nasywa Shariff, Shaharom Siti Maria Ulfah Sudarso Sudarso, Ns Sundari, Sri Tita Ratya Utari Tita Ratya Utari Titi Huriah Titih Huriah Titik Hidayati Titik Hidayati, Titik Tri Wulandari Kesetyaningsih WJ. Pudjirahardjo Yeni Isnaeni Yundari, Yundari Zamzami, Muhammad Farly