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Analisis Fungsi Manajemen Kepala Ruangan dalam Pendelegasian kepada Ketua Tim di Unit Rawat Jalan Rumah Sakit Militer Jakarta: Fishbone Diagram Aris Teguh Hidayat; Rr. Tutik Sri Hariyati; Titiek Muhaeriwati
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 10, No 2 (2019): April 2019
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (206.934 KB) | DOI: 10.33846/sf10205

Abstract

Often the head of the room in managing nursing service management requires a lot of time, so it is difficult to do it without the help of others, therefore the absolute effort that needs to be done by the head of the room is to delegate the task to the team leader. Poor implementation of delegation can reduce the quality of nursing services. This study is a case study of situation analysis using a fishbone diagram approach with a grouping of five management tools, namely man, money, method, machine and material (5M). Data is obtained through interviews, observations, and secondary data collection in hospitals. The results obtained are the workload of the head of the room outside the description of the task, the function of directing the head of the room in delegation is not going well, so the delegation from the head of the room to the nursing team leader is not optimal. To overcome this problem, the head of the room must be able to carry out management functions optimally in delegating to the team leader and implementing nurse. The recommendations given are to provide the competencies needed by the head of the room in delegating to the team leader and implementing nurses through delegation training; by facilitating the delegation process through the proposed need for policies, procedures, and guidelines so that the head of the room has the maximum ability about delegation. Keywords: nursing delegation, planning function, head of room, team leader, outpatient unit ABSTRAK Sering kepala ruangan dalam mengelola manajemen pelayanan keperawatan membutuhkan banyak waktu, sehingga sulit melakukannya tanpa bantuan orang lain, oleh karena itu upaya mutlak yang perlu dilakukan oleh kepala ruangan adalah dengan mendelegasikan tugas kepada ketua tim. Pelaksanaan pendelegasian yang kurang baik dapat menurunkan kualitas pemberian pelayanan keperawatan. Studi ini merupakan studi kasus analisis situasi dengan pendekatan diagram fishbone dengan pengelompokan lima tools manajemen yaitu man, money, method, machine dan material (5M). Data didapatkan melalui wawancara, observasi, dan pengambilan data sekunder di rumah sakit. Hasil yang didapatkan yaitu adanya beban kerja kepala ruangan di luar uraian tugas, fungsi pengarahan kepala ruangan dalam pendelegasian tidak berjalan dengan baik, sehingga pendelegasian dari kepala ruangan kepada ketua tim keperawatan belum optimal. Untuk mengatasi masalah tersebut, kepala ruangan harus dapat menjalankan fungsi manajemen secara optimal dalam memberikan pendelegasian kepada ketua tim dan perawat pelaksana. Rekomendasi yang diberikan yaitu memberikan kompetensi yang dibutuhkan oleh kepala ruangan dalam pendelegasian kepada ketua tim dan perawat pelaksana melalui pelatihan pendelegasian; dengan memfasilitasi proses pendelegasian melalui usul perlunya kebijakan, prosedur, dan panduan agar kepala ruangan mempunyai kemampuan maksimal tentang delegasi. Kata kunci: delegasi keperawatan, fungsi perencanaan, kepala ruangan, ketua tim, unit rawat jalan
Applicability of Lewin’s Change Management Model for Optimization Management Function in Nursing Delegation between Head Nurse and Team Leader: A Mini Project in Jakarta Military Hospital Aris Teguh Hidayat; Rr. Tutik Sri Hariyati Sri Hariyati; Titiek Muhaeriwati Muhaeriwati
International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 4 (2020): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v3i4.68

Abstract

The role of nurses in healthcare systems is diverse, including being a health care provider to clients, client advocates, educators for clients and families, and nursing service managers. This study's goal was to assess Kurt Lewin's change management method to analyze the management function in nursing delegation between the head nurse and team leader. This project was conducted at Jakarta Military Hospital using a fishbone diagram approach, and solving problems using Plan-Do-Check-Action (PDCA) tools starting with Plan Of Action (POA), implementation, evaluation, and follow-up. The study results showed that the head nurse performed nonoptimal delegation in terms of delay to complete the nursing documentation, non-uniformity of delegation format, and lack of control from superiors. Guidelines are used as a reference in delegating nursing to the head of the hospital room. The documentation of nursing delegates is done because representatives work better when the reporting structure is clear. In conclusion, the application fishbone diagram, Lewin's change management model, and PDCA cycle can optimize management function in nursing delegation between head nurse and team leader in Jakarta Military Hospital. Recommendations are given to the nursing department, head of the room, team leader, and executive nurses to increase self-awareness, knowledge, and ability in delegating nursing.
Health education for nurses on the risks of social stigma and injury in the elderly Anung Ahadi Pradana; Lindesi Yanti; Alfunnafi' Fahrul Rizzal; Ni Luh Putu Dian Yunita Sari; Aris Teguh Hidayat; Sri Ayu Rahayu S. Paneo
Community Empowerment Vol 7 No 4 (2022)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (415.665 KB) | DOI: 10.31603/ce.6237

Abstract

The rise in the elderly population in recent years may increase the risk of societal stigma associated with aging. In addition to causing frailty in the elderly, the negative stigma of aging that has emerged in society has the potential to cause material and non-material losses. It is possible to prevent this by providing proper health education to health care workers. The purpose of implementing this community service program is to improve nurses' understanding of the risks of negative stigma associated with aging and injury in the elderly. 313 nurses from nine provinces participated in this community service activity, which was conducted entirely online. After the team educated the participants on ten main topics, it was discovered that providing health education about the risks of negative stigma about aging and the risk of injury to the elderly had positive benefits for nurses.
Application of Head Elevation on Intracarnial Pressure in Stroke Patients Kiswanto, Logi; Yamin, M.; Hidayat, Aris Teguh
JOSING: Journal of Nursing and Health Vol 3 No 1 (2022): JOSING: Journal of Nursing and Health
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/josing.v3i1.4092

Abstract

This study aims to determine the effectiveness of applying head elevation to intracranial pressure in stroke patients. This research method uses one data, namely a literature study. The results showed that head elevations of 0°, 15°, 30°, and 45° affected intracranial pressure in stroke patients. In conclusion, it shows that 30° more head elevation can improve the intracranial pressure problem, although the difference's value is not significant. Keywords: Head Elevation, Intracranial Pressure, Stroke
Peningkatan Pengetahuan Kader dan Masyarakat Kesehatan dalam Pencegahan Diabetic Foot Ulcer di Desa Burai Sari, Fermata; Arafah, Masniati; Yanti, Lindesi; Hidayat, Aris Teguh; Paizer, Dindi; Syahfitri, Ria Dila
Jurnal Peduli Masyarakat Vol 5 No 2 (2023): Jurnal Peduli Masyarakat: Juni 2023
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v5i2.1780

Abstract

Peningkatan penyakit Diabetes Mellitus (DM), akan menyebabkan meningkat pula komplikasi dari DM salah satunya Diabetic Foot Ulcer di masyarakat. Peningkatan pengetahuan kader merupakan salah satu upaya mengurangi terjadinya Diabetic Foot Ulcer dimasyarakat, karena kader merupakan jembatan dari petugas kesehatan. Metode Kegiatan pengabdian kepada masyarakat ini adalah deskripsi operasional dengan pendekatan cross sectional.Sampel pengabdian kepada masyarakat sebanyak 30 kader dan masyarakat di desa Burai , Kabupaten Ogan Ilir. Tehnik pengambilan data melalui kuisioner Persepsi Kader Tentang Pemeriksaan Kaki Perawatan Kaki Dalam Pencegahan Diabetic Foot Ulcer yang dilakukan pada 10 Februari 2022. Pemberian edukasi dilakukan dengan metode ceramah dan tanya jawab pada kader dan masyarakat dengan media poster dan setelah dilakukan edukasi diberikan leaflet,dan dilakukan kegiatan evaluasi dengan kuisioner Persepsi Kader Tentang Pemeriksaan Kaki Perawatan Kaki Dalam Pencegahan Diabetic Foot Ulcer.Hasil menunjukkan nilai rata rata pengetahuan kader dan masyarakat tentang pencegahan Diabetic Foot Ulcer pada pasien DM sebelum diberikan edukasi 7,17 dan setelah diberikan edukasi 14,03 standar deviasi sebelum dilakukan edukasi 1.02 dan setelah dilakukan intervensi 1,42. Kesimpulan pemberian edukasi dalam Pencegahan Diabetic Foot Ulcer Di Desa Burai dapai meningkatkan pengetahuan kader dan masyarakat.
Peningkatan Pengetahuan Ibu tentang Gizi Seimbang pada Balita dalam Upaya Mencegah Stunting Yanti, Lindesi; Sari, Fermata; Hidayat, Aris Teguh; Arafah, Masniati
Jurnal Peduli Masyarakat Vol 7 No 1 (2025): Jurnal Peduli Masyarakat: Januari 2025
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v7i1.5599

Abstract

Stunting merupakan gangguan pertumbuhan dan perkembangan anak yang disebabkan oleh kekurangan gizi kronis yang ditandai dengan tinggi badan anak yang lebih pendek dari rata-rata untuk usianya. Stunting dapat terjadi ketika anak tidak mendapatkan asupan gizi yang cukup dan seimbang dalam waktu yang lama. Pengabdian Masyarakat ini bertujuan memberikan pendidikan dan dukungan kepada ibu balita untuk meningkatkan pengetahuan mereka tentang gizi seimbang. Kegiatan pengabdian Masyarakat dilakukan pada tanggal 28 Februari 2024, di wilayah kerja Puskesmas Merdeka Palembang. Metode yang dilakukan adalah penyuluhan melalui ceramah, menggunakan media power point dan leaflet, serta dievaluasi melalui kuesioner sebelum dan sesudah edukasi. Materi yang disampaikan meliputi stunting, penyebab, dampak stunting, pencegahan dan gisi seimbang. Hasil analisis menunjukkan nilai mean pengetahuan sebelum diberikan edukasi 7.30 dan 9.55 setelah diberikan edukasi, dengan selisih yang didapatkan 2.25, nilai standar deviasi sebelum diberikan edukasi adalah 0.865 dan 0.510 sesudah diberikan edukasi, dengan p-value 0,000. Diharapkan keberlanjutan program ini untuk meningkatkan pengetahuan tentang stunting dan upaya pencegahan dengan makanan bergizi, selain itu penambahan keterampilan untuk berinovasi dalam membuat resep makanan untuk balita.
Identification of Risk Factors Causing Stunting in Children Under Five Years of Age Yanti, Lindesi; Sari, Fermata; Hidayat, Aris Teguh; Arafah, Masniati
Indonesian Journal of Global Health Research Vol 7 No 2 (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.v7i2.5416

Abstract

Stunting is a global health problem in children that has an impact on increasing morbidity and mortality, developmental disorders (cognitive, motor, language), and increasing the economic burden for the costs of child care and treatment.The aim is to identify risk factors for stunting in children under five years of age. The research method uses a descriptive observational design and a cross-sectional approach, with a sample size of 94 respondents use cluster sampling. Measuring instruments used Questionnaire which contains a history of exclusive breastfeeding, history of infectious diseases, immunization status and 10 knowledge questions about stunting that have been tested for validity. Correlation data analysis using chi-square, and multiple logistic regression prediction modeling. The results of the study showed a significant relationship between exclusive breastfeeding and the incidence of stunting in toddlers. Toddlers who do not receive exclusive breastfeeding have a 33.139 times greater chance of experiencing stunting compared to toddlers who receive exclusive breastfeeding with a wald value of 14.159. The conclusion is that the factor of exclusive breastfeeding is the factor that plays the most role in influencing the incidence of stunting in toddlers.An important role is needed for cadres, health promoters, and health services to support the government's program on providing exclusive breastfeeding, providing education and providing correct and accurate information regarding stunting and how to prevent it.
Relationship between Leadership Style and Characteristics of Room Head and Nurses' Performance Hidayat, Aris Teguh; Arafah, Masniati; Yanti, Lindesi; Sari, Fermata
Indonesian Journal of Global Health Research Vol 7 No 1 (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.v7i1.5520

Abstract

Nursing services have a close relationship with nurse performance, which is influenced by various factors, including leadership style and characteristics of the head of the room. A good leadership style can create positive work effectiveness, while ineffective leadership often triggers complaints about health services. This study aims to determine the relationship between leadership style and characteristics of the head of the room with nurse performance at the dr. AK Gani Military Hospital, Palembang. This study used a correlational design with the Cross-Sectional method. The study sample consisted of 131 nurses taken using a purposive sampling technique. Data were collected using a questionnaire and analyzed using the Chi-Square test. The results showed a significant relationship between leadership style and nurse performance (p = 0.003) and between the characteristics of the head of the room and nurse performance (p = 0.004). In conclusion, leadership style and characteristics of the head of the room have an important role in influencing nurse performance. This study is expected to provide benefits for the development of nursing management, especially in improving the quality of leadership of the head of the room to support optimal nurse performance.
Analysis of Factors Related to Increased Interdyalitic Weight Gain (IDWG) in Patients with Chronic Kidney Diseases (CKD) in Hemodialysis Unit Sari, Fermata; Yanti, Lindesi; Hidayat, Aris Teguh; Arafah, Masniati
Indonesian Journal of Global Health Research Vol 7 No 2 (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.v7i2.5523

Abstract

Weight gain between dialysis times (Intradialytic Weight Gain (IDWG)). IDWG values > 6% of dry body weight can cause various complications. Increased IDWG is influenced by various factors both internal and external. It is important to know the factors that influence IDWG in increasing patient compliance with fluid intake. Objective to determine the factors that influence the increase in IDWG of Chronic Kidney Disease Patients in the Hemodialysis Unit Method: The design of this study is descriptive correlation analysis with a Cross Sectional design. The sample of this study was CKD patients with hemodialysis at Dr. AK Gani Hospital, Palembang, the sample was determined through a total sampling technique, totaling 41 respondents. The research instruments consist of demographic data instruments, namely age, gender, education and marital status, fluid intake questionnaires, stress, thirst using standard questionnaires, family support questionnaires have been tested for validity with r results> r table (0.361), and reliable with r Alpha value of 0.749, self-efficacy questionnaires have been tested for validity with r results> r table (0.361), and declared reliable with r Alpha 0.822, and Body Weight is measured using ISO weight scalesAnalysis to determine the relationship between IDWG and fluid intake, thirst, self-efficacy, stress, family support with the Spearman Sign Rank Rho correlation test. There is a significant relationship between IDWG values and fluid intake (p = 0.001 r = 0.603), there is a relationship between IDWG values and thirst (p = 0.001 r = 0.484). There is no relationship between IDWG values and self-efficacy (p = 0.186 r = 0.244). The relationship between IDWG values and stress showed no relationship (p = 0.206 r = 0.202). The relationship between IDWG values and family support had no relationship with IDWG values (p = 0.976 r = 0.005). The increase in IDWG values is influenced by fluid intake and thirst in hemodialysis patients, the higher the fluid intake and thirst, the greater the increase in IDWG values.
Manajemen Cairan Pada Pasien Gagal Jantung Dalam Mengurangi Edema dan Kelebihan Cairan Hidayat, Aris Teguh; Sari, Fermata; Yamin, M; Sianturi, Leny Joice
Adi Husada Nursing Journal Vol 11 No 2 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i2.573

Abstract

When evaluating and treating individuals with heart failure, volume overload and fluid congestion are issues. One of the main causes of hospital admission, rehospitalization, and mortality in heart failure is fluid congestion. Reducing congestion and preserving euvolemia is crucial because patients with heart failure who are treated with fluid overload have a higher risk of readmission and/or mortality. Fluid management is one intervention that nurses can use to help patients with heart failure avoid oedema and fluid overload. This systematic study aims to reduce oedema and fluid overload in heart failure patients by identifying fluid management strategies. Data collection methods used online databases: PubMed, Google Scholar, Science Direct, Scopus, ClinicalKey, ClinicalKey Nursing, EBSCOhost, Springer Link, and Sage Journal using the keywords Heart Failure Patient, Fluid Management, Reduce Oedema, and Fluid Overload. Data were analyzed using PRISMA. Based on the review of 5 selected articles, it was found that fluid management was carried out to reduce oedema and fluid overload in patients with heart failure. The primary cause of hospitalization for patients with acute decompensated heart failure (ADHF), which mostly manifests as pulmonary and systemic congestion, is excessive water retention brought on by sodium ion imbalance. For patients with ADHF, relieving congestion is a crucial part of treatment.