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PERBEDAAN KESADARAN BUDAYA, PENGALAMAN BUDAYA, DAN PERILAKU |PENGAJARAN TRANSKULTURAL ANTARA DOSEN KEPERAWATAN PTN DAN PTS DI PROVINSI JAWA TENGAH, INDONESIA Yektiningtyastuti Yektiningtyastuti
PROSIDING SEMINAR NASIONAL LPPM UMP PROSIDING SEMINAR NASIONAL LPPM UMP 2021
Publisher : Lembaga Publikasi Ilmiah dan Penerbitan (LPIP)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (337.853 KB)

Abstract

Keanekaragaman budaya pasien merupakan tantangan bagi perawat dalam memberikan pelayanan keperawatan. Dosen keperawatan bertanggung jawab untuk menyiapkan lulusan keperawatan agar mampu menerapkan asuhan keperawatan peka budaya. Diperlukan kompetensi keperawatan transkultural bagi dosen keperawatan. Penelitian ini bertujuan untuk mendapatkan gambaran tentang perbedaan kompetensi transkultural dosen keperawatan yang meliputi kesadaran budaya, pengalaman budaya, dan perilaku pengajaran transkultural dosen keperawatan dari PTN dan PTS. Penelitian ini menggunakan metode penelitian deskriptif komparatif. Responden penelitian adalah 84 dosen keperawatan dari PTS dan 50 dosen keperawatan dari PTN di Provinsi Jawa Tengah. Data dasar penelitian berasal dari jawaban responden terhadap paket kuesioner tentang kompetensi keperawatan transkultural adaptasi dari CDQNE-R (41 item) dari Sealey (2003). Analisa data menggunakan independent t test. Hasil penelitian menunjukkan bahwa ada perbedaan yang signifikan pada pengalaman budaya (t hitung = 3.602) antara dosen keperawatan PTS dan PTN, serta tidak ada perbedaan yang signifikan dalam hal kesadaran budaya (t hitung = 0,739), dan perilaku pengajaran Transkultural (t hitung = 1.918). Kesimpulan: dosen keperawatan perlu meningkatkan kompetensi keperawatan transkultural melalui pendidikan dan pelatihan berkelanjutan agar dapat melaksanakan pengajaran keperawatan transkultural secara optimal.
An Analysis on Factors Associated with Low Birth Weight (LBW) Incidence in Tentara Wijayakusuma Hospital, Purwokerto Pety Valeri Amalia; Yektiningtyastuti Yektiningtyastuti
Proceedings Series on Health & Medical Sciences Vol. 5 (2024): Proceedings of the 4th International Nursing and Health Sciences Universitas Muhammad
Publisher : UM Purwokerto Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/pshms.v5i.954

Abstract

Background: LBW is defined as a baby born with a weight of less than 2,500 grams. LBW is the leading cause of neonatal mortality in Indonesia in 2021 and can lead to growth failure, cognitive development disorders, and chronic illnesses in infants. Objective : To identify the factors associated with LBW incidence in Tentara Wijayakusuma Hospital, Purwokerto, in 2022. Method: This study employed an analytic survey design with a case-control approach and a retrospective view. The study population consisted of all medical records of mothers who gave birth in Tentara Wijayakusuma Hospital in 2022, with a total sample size of 64, including 32 cases and 32 controls. The sampling technique used was total sampling and simple random sampling. Data collection was done using data collection sheets and checklists. The data were analyzed using the Chi-Square test and multiple logistic regression analysis. Results: The study found significant associations between occupation (p=0.043), gestational age (p=0.010), interpregnancy interval (p=0.034), anemia (p=0.001), hypertension (p=0.025), and pregnancy-induced hypertension (p=0.008) with LBW incidence. The multivariate analysis indicated that the most dominant factor was anemia (p=0.000). Conclusion: There are correlations between occupation, maternal age, interpregnancy interval, anemia, hypertension, and pregnancy-induced hypertension with LBW incidence. Anemia is the most dominant factor associated with LBW incidence in Tentara Wijayakusuma Hospital, Purwokerto, in 2022.
Factors Related to Pregnant Women’s Satisfaction with Antenatal Care Services at Puskesmas Purwokerto Utara II Adisty Nur As Syfa; Yektiningtyastuti Yektiningtyastuti
Proceedings Series on Health & Medical Sciences Vol. 5 (2024): Proceedings of the 4th International Nursing and Health Sciences Universitas Muhammad
Publisher : UM Purwokerto Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/pshms.v5i.982

Abstract

Background: The maternal mortality rate is increasing along with the increasing number of pregnant women who experience health problems or even die during pregnancy. One of the causes of these health problems is the irregularity of pregnant women in antenatal care examination visits because pregnant women have unfulfilled expectations regarding satisfaction with the services they receive. Objective: to determine the correlation between satisfaction factors, which include empathy, assurance, responsiveness, facilities, reliability, and responsibility, with the satisfaction of pregnant women, and to determine the most dominant factor related to the satisfaction of pregnant women. Method: This quantitative research with a cross-sectional approach had 33 respondents. The sampling technique used consecutive sampling. The research instrument used a questionnaire, the bivariate analysis used the Spearman Rhos test, and the multivariate analysis used multiple logistic regression tests. Results: it is known that the empathy factor (p-value 0.029), the responsiveness factor (p-value 0.001), the facility factor (p-value 0.011), and the responsibility factor (p-value 0.009) have a significant correlation with the satisfaction of pregnant women, while the assurance factor (p-value 0.095) and the reliability factor (p-value 0.370), have no significant correlation with the satisfaction of pregnant women. The most dominant factor related to the satisfaction of pregnant women is the responsibility factor (p-value 0.024). Conclusion: factors significantly related to the satisfaction of pregnant women are empathy, responsiveness, facilities, and responsibility. The most dominant factor related to the satisfaction of pregnant women is the responsibility factor of health workers.
PERSEPSI TENTANG MITOS DAN PANTANGAN MAKANAN SELAMA KEHAMILAN DALAM PERSPEKTIF BUDAYA JAWA Fifi Nur Fathonah; Yektiningtyastuti Yektiningtyastuti
Jurnal Kesehatan dan Pembangunan Vol 16 No 1 (2026): Jurnal Kesehatan dan Pembangunan
Publisher : LPPM STIKes Mitra Adiguna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52047/jkp.v16i1.462

Abstract

Pregnancy is a complex physiological process that requires special attention to ensure it proceeds normally without complications. One of the key concerns during pregnancy is maintaining adequate nutrition to support fetal growth. Many pregnant women still experience Chronic Energy Deficiency (CED) due to dietary patterns influenced by myths and food taboos in Javanese culture. This study examines pregnant women's perceptions of myths and food taboos during pregnancy from a Javanese cultural perspective. This study is a quantitative descriptive study with a sample of 34 pregnant women. The research instrument used a questionnaire to measure pregnant women's perceptions of myths and food taboos, which were valid (r = 0.507 - 0.822) and reliable (?-Cronbach = 0.926). Univariate analysis of the study results showed that 55.9% of pregnant women had positive perceptions, and 44.1% had negative perceptions. The results of this study indicate that 44.1% of pregnant women in Lesmana Village, Banyumas Regency, have negative perceptions of myths and food taboos. This can increase the risk of CED in pregnant women in Lesmana Village. Health education or counseling is needed to dispel myths and taboos.
INDIKASI MEDIS DAN PENYEMBUHAN LUKA PASIEN POST HISTEREKTOMI DI RSUD PROF. DR. MARGONO SOEKARJO PURWOKERTO Yektiningtyastuti Yektiningtyastuti; Nilasari Kusuma
Jurnal Kesehatan dan Pembangunan Vol 16 No 1 (2026): Jurnal Kesehatan dan Pembangunan
Publisher : LPPM STIKes Mitra Adiguna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52047/jkp.v16i1.464

Abstract

Hysterectomy is the most common surgical procedure for women with gynecological tumors or cancer. In the U.S., over 600,000 hysterectomies are performed annually, while Indonesia reports a prevalence of 13% to 37%. Proper wound management is crucial to preventing infection and promoting healing after surgery. This study investigates the relationship between medical indications and wound healing in post-hysterectomy patients at Prof. Dr. Margono Soekarjo General Hospital. Using a quantitative approach with a descriptive correlational design, 41 patients were selected through consecutive sampling. Bivariate analysis was conducted using the Spearman Rank Test, revealing no significant relationship between medical indications and wound healing in Stage I (days 2–3 post-surgery, p-value: 0.775) or Stage II (days 7–10 post-surgery, p-value: 0.656). These results suggest that medical indications do not significantly affect wound healing, suggesting that other factors, such as age and nutritional status, may be influential.
Interpersonal Support And Motivation Of Woman Of Childbearing Age In VIA Examination: A Cross-Sectional Study Hani Muhayah; Happy Dwi Aprilina; Yektiningtyastuti yektiningtyastuti; Reni Purwo Aniarti
Media Keperawatan Indonesia Vol 9, No 1 (2026)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.9.1.2026.39-51

Abstract

Cervical cancer is one of the leading causes of death among women in Indonesia. The VIA examination is important for early detection, but the participation of women of childbearing age is still low, partly due to the lack of interpersonal support from husbands, family, health workers, and friends. To determine the relationship between interpersonal support (husband, family, health workers, and friends) and motivation of WUS members of PCA Aisyiyah Gumelar to undergo VIA examination. This quantitative research uses a correlation study design with a cross-sectional approach. A sample of 82 women of childbearing age (WUS) was taken using total sampling techniques. Data was collected through an interpersonal support questionnaire including husband, family, health workers, friends, and motivation, with a research time frame of May 31, 2025, and analyzed using the Spearman rank test (α = 0.05) and logistic regression. The results show a significant relationship between interpersonal support and the motivation of WUS. Support from husbands (p = 0.000; r = 0.533), support from family (p = 0.000; r = 0.614), support from health workers (p = 0.000; r = 0.485), and support from friends (p = 0.000; r = 0.491). Interpersonal support from husbands, family members, healthcare workers, and peers is significantly associated with motivation to undergo VIA screening. These findings indicate statistical associations rather than causal relationships.
Mini Book and Audiovisual Interventions Significantly Improve Knowledge in Primigravida Women Isna Maulida Muits; Happy Dwi Aprilina; Yektiningtyastuti Yektiningtyastuti; Jumiati Riskiyani Dwi Nandia
Indonesian Journal of Global Health Research Vol. 7 No. 6 (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.v7i6.428

Abstract

Low rates of exclusive breastfeeding are generally due to limited knowledge about the benefits of breast milk, which is rooted in a lack of access to adequate information. This suggests that comprehensive education is essential to increase primigravida mothers' knowledge about exclusive breastfeeding. For health education to be more effective, communication media that is engaging and easily understood by mothers are needed. Objective to determine the effect of education using mini books and audiovisual media on the knowledge of third-trimester primigravida women regarding exclusive breastfeeding. A quasi-experimental study with a two-group pre-test–post-test design was conducted. A total of 60 third-trimester primigravida women participated: 30 received a mini book intervention (Purwokerto Timur 1 Health Center, total sampling), and 30 received an audiovisual intervention (Sumbang II Health Center, simple random sampling). Instruments included a video, mini book, and questionnaire with validity test results ranging from 0.502 to 0.986, and a reliability value of 0.768. Data were analyzed using Wilcoxon and Mann-Whitney tests. Both groups showed significant improvements in knowledge (mini book: p = 0.001; audiovisual: p = 0.000). However, no significant difference was found between the two groups in pre-test (p = 0.511) or post-test (p = 0.277) scores. Mini book and audiovisual media are equally effective in increasing knowledge about exclusive breastfeeding among third-trimester primigravida women.
Perbedaan Pengaruh Kompres Bawang Merah dan Daun Kubis terhadap Breast Engorgement Pada Ibu Nifas di Wilayah Kerja Puskesmas Purwokerto Selatan Alin Sabrina Arsyada; Yektiningtyastuti Yektiningtyastuti; Happy Dwi Aprilina; Reni Purwo Aniarti
MAHESA : Malahayati Health Student Journal Vol 6, No 1 (2026): Volume 6 Nomor 1 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i1.23606

Abstract

ABSTRACT Breast engorgement is a common problem among postpartum mothers that can cause pain, discomfort, and hinder the breastfeeding process. Non-pharmacological interventions such as shallot and cabbage leaf compresses are widely used, but comparative studies are still limited. This study aimed to analyze the difference in effectiveness between shallot compresses and cabbage leaf compresses in reducing breast engorgement among postpartum mothers. This quasi-experimental study used a pretest-posttest design with 45 postpartum mothers, divided into two intervention groups. Data were analyzed using the Wilcoxon and Mann-Whitney U tests. The results showed that onion compresses significantly reduced breast engorgement, with 95.45% of respondents in the mild category after the intervention (p=0.001). Cabbage leaf compresses demonstrated more consistent results, with 100% of respondents in the mild category after the intervention (p=0.000). A comparative analysis between groups revealed no significant difference in reducing breast engorgement (p=0.823). Non-pharmacological therapy using onion and cabbage leaf compresses is effective in alleviating breast engorgement in postpartum women. Compresses with cabbage leaves showed more consistent outcomes. Keywords: Breast Engorgement, Cabbage Leaf Compress, Postpartum, Shallot Compress.   ABSTRAK Breast engorgement merupakan masalah umum pada ibu nifas yang dapat menimbulkan nyeri, ketidaknyamanan, dan menghambat proses menyusui. Intervensi non-farmakologis seperti kompres bawang merah dan daun kubis banyak digunakan, namun penelitian komparatif masih terbatas. Penelitian ini bertujuan untuk menganalisis perbedaan efektivitas kompres bawang merah dan daun kubis dalam menurunkan breast engorgement pada ibu nifas. Desain penelitian menggunakan desain quasi eksperimen dengan rancangan pretest-posttest pada 45 ibu nifas yang dibagi dalam dua kelompok intervensi. Analisis data menggunakan uji Wilcoxon dan Mann Whitney-U. Hasil penelitian menunjukkan bahwa kompres bawang merah signifikan menurunkan breast engorgement, dengan 95,45% responden berada pada kategori ringan setelah intervensi (p=0,001). Kompres daun kubis menunjukkan hasil yang lebih konsisten, dengan 100% responden berada pada kategori ringan setelah intervensi (p=0,000). Analisis komparatif antar kelompok menunjukkan tidak ada perbedaan yang signifikan dalam menurunkan breast engorgement (p=0,823). Terapi non farmakologis menggunakan kompres bawang merah dan daun kubis terbukti efektif menurunkan breast engorgement pada ibu nifas. Kompres dengan daun kubis menunjukkan hasil yang lebih konsisten. Kata Kunci: Breast Engorgement, Kompres Bawang Merah, Kompres Daun Kubis, dan Ibu Nifas.
Perbandingan Penerapan Electronic Medical Record Ditinjau dari Regulasi, Integrasi Sistem, Sistem Casemix, Fokus Pengolahan Emr dan Sop di RSUD Cilacap dan Hospital Sultan Abdul Aziz Shah Malaysia Shofiatul Ummah; Yektiningtyastuti Yektiningtyastuti; Danu Tirta Nadi; Zahrasita Nur Indira; Norizanne Binti Abd Rahim; Riskrisna Adi Pratama
MAHESA : Malahayati Health Student Journal Vol 6, No 5 (2026): Volume 6 Nomor 5 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i5.24819

Abstract

ABSTRACT Medical records are an essential component of healthcare services as they function to document the entire process of patient care. The development of information technology has encouraged the transformation of medical record management from manual paper-based systems to Electronic Medical Records (EMR), which are considered capable of improving service efficiency, facilitating faster access to patient information, and supporting healthcare financing and reporting systems. However, the implementation of EMR still varies across hospitals and countries due to differences in regulatory frameworks, technological infrastructure readiness, and institutional policies. This study aims to identify and compare the implementation of Electronic Medical Records (EMR) at RSUD Cilacap, Indonesia, and Hospital Sultan Abdul Aziz Shah (HSAAS), Malaysia, in terms of regulation, system integration, casemix system, EMR data processing focus, and Standard Operating Procedures (SOP). This research employed a qualitative descriptive method with a cross-sectional and comparative design. Data were collected through observation and document review as the primary sources, supported by interviews. The results show that RSUD Cilacap implements EMR based on national regulations using a one integrated platform system, integrates EMR with the INA-CBG’s casemix system, and utilizes EMR for both internal and external reporting with SOP management under the medical records unit. In contrast, HSAAS Malaysia implements EMR based on internal hospital policies using multiple platform systems, applies the MY-DRG casemix system which is not integrated with EMR, focuses EMR processing on internal reporting, and manages SOPs under the information technology unit. In conclusion, the implementation of EMR in both hospitals differs in terms of regulation, system integration, casemix system, EMR data processing focus, and Standard Operating Procedures. Keywords: Casemix, Comparative Study, Electronic Medical Record, Integrated System, Regulation. ABSTRAK Rekam medis merupakan komponen penting dalam pelayanan kesehatan karena berfungsi sebagai sarana pendokumentasian seluruh proses pelayanan pasien. Perkembangan teknologi informasi mendorong transformasi pengelolaan rekam medis dari sistem manual berbasis kertas menuju Electronic Medical Record (EMR) yang mampu meningkatkan efisiensi pelayanan, mempercepat akses informasi pasien, serta mendukung sistem pembiayaan dan pelaporan kesehatan. Namun, implementasi EMR masih menunjukkan variasi antar rumah sakit dan antar negara akibat perbedaan regulasi, kesiapan infrastruktur teknologi, serta kebijakan institusional. Penelitian ini bertujuan untuk mengetahui dan membandingkan penerapan EMR di RSUD Cilacap, Indonesia dan Hospital Sultan Abdul Aziz Shah (HSAAS) Malaysia yang ditinjau dari aspek regulasi, integrasi sistem, sistem casemix, fokus pengolahan EMR, dan Standar Operasional Prosedur (SOP). Penelitian ini menggunakan metode deskriptif kualitatif dengan rancangan cross-sectional dan desain komparatif. Data dikumpulkan melalui observasi dan studi dokumentasi sebagai sumber utama serta wawancara sebagai data pendukung. Hasil penelitian menunjukkan bahwa RSUD Cilacap menerapkan EMR berdasarkan regulasi nasional dengan sistem one integrated platform, sistem casemix INA-CBG’s yang terintegrasi dengan EMR, serta pemanfaatan EMR untuk pelaporan internal dan eksternal dengan pengelolaan SOP oleh unit rekam medis. Sementara itu, HSAAS Malaysia menerapkan EMR berdasarkan kebijakan internal rumah sakit dengan sistem multiple platform, sistem casemix MY-DRG yang belum terintegrasi dengan EMR, fokus pengolahan EMR pada pelaporan internal, serta pengelolaan SOP oleh unit teknologi informasi. Kesimpulannya, penerapan EMR di kedua rumah sakit menunjukkan perbedaan pada aspek regulasi, integrasi sistem, sistem casemix, fokus pengolahan EMR, dan SOP. Kata Kunci: Casemix, Electronic Medical Record, Integrasi Sistem, Regulasi, Studi Komparatif.
Studi Komparatif : Perbandingan Pengelolaan Rekam Medis pada Rumah Sakit di Hospital Sultan Abdul Aziz Shah Malaysia dan RSUD Cilacap Nicky Putri Karla Dwi Amti; Yektiningtyastuti Yektiningtyastuti; Arum Astika Sari; Norizanne Binti Abd Rahim; Riskrisna Adi Pratama
MAHESA : Malahayati Health Student Journal Vol 6, No 5 (2026): Volume 6 Nomor 5 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i5.24822

Abstract

ABSTRACT Medical record management is a crucial component of hospital service systems because it ensures continuity of care, information security and the improvement of healthcare service quality. The advancement of digitalization has encouraged hospitals to transition from manual systems to electronic medical records. However, the implementation varies across institutions and countries. This study aims to compare medical record management at Hospital Sultan Abdul Aziz Shah Malaysia and RSUD Cilacap Indonesia, based on six aspects: unit structure, management system, quality standards, regulatory framework, borrowing and returning mechanisms and the level of digitalization. This study employed a qualitative methodology with a comparative descriptive design. Data were collected through direct observation, documentation review including standard operating procedures (SOP) and flowcharts, as well as literature and regulatory analysis. The data were analyzed using qualitative comparative analysis through data reduction, data presentation in narrative form and comparative tables, and source triangulation. The findings indicate differences across the six examined aspects. Hospital Sultan Abdul Aziz Shah Malaysia has a specialized medical record unit and refers to ISO 9001:2015 and internal policies, while RSUD Cilacap integrates medical record management with clinical services and insurance claims, referring to Permenkes No.24/2022 and LARS DHP 2022 accreditation standards. Both hospitals implement a hybrid system combining manual and electronic records, although the scope of digitalization and document control system differs. These differences indicate that regulatory frameworks, organizational structures, and digital readiness influence medical record management practices and their implications for hospital service quality. Keywords: Comparison, Digitization, Electronic Medical Record, Medical Record Management, Service Quality.  ABSTRAK Pengelolaan rekam medis merupakan komponen penting dalam sistem pelayanan rumah sakit karena berperan dalam menjamin kesinambungan pelayanan, keamanan informasi dan peningkatan mutu layanan kesehatan. Perkembangan digitalisasi mendorong rumah sakit beralih dari sistem manual menuju rekam medis elektronik, namun implementasinya menunjukkan variasi antar institusi dan negara.Penelitian ini bertujuan membandingkan pengelolaan rekam medis di Hospital Sultan Abdul Aziz Shah Malaysia dan RSUD Cilacap Indonesia berdasarkan enam aspek yaitu struktur unit, sistem pengelolaan, standar mutu, regulasi, mekanisme, peminjaman dan pengembalian, serta tingkat digitalisasi. Penelitian ini menggunakan metodologi kualitatif dengan desain deskripsi komparatif. Data dikumpulkan melalui observasi langsung, studi dokumentasi (SPO/Flowchart) serta telaah literatur dan regulasi, kemudian dianalisis melalui reduksi data, penyajian data dalam bentuk narasi dan tabel perbandingan, serta triangulasi sumber. Hasil Penelitian menunjukkan adanya perbedaan pada enam aspek yaitu Hospital Sultan Abdul Aziz Shah Malaysia memiliki unit rekam medis terspesialisasi dan mengacu pada ISO 9001:2015 serta kebijakan internal, sedangkan RSUD Cilacap terintegrasi dengan layanan dan klaim, beracuan Permenkes 24/2022 dan LARS DHP 2022. Keduanya menerapkan sistem hybrid, namun cakupan digitalisasi dan sistem kontrol berkas berbeda. Perbedaan tersebut menunjukkan bahwa konteks regulasi, organisasi dan kesiapan digital memengaruhi praktik pengelolaan rekam medis serta implikasinya terhadap mutu pelayanan rumah sakit. Kata Kunci: Digitalisasi, Mutu Pelayanan, Pengelolaan Rekam Medis, Perbandingan, Rekam Medis Elektronik.