Ramli Muhammad
Poltekkes Kemenkes Ternate, Indonesia

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The urgency of nurse-based peritoneal dialysis unit in remote areas a case study Ramli Muhammad
Science Midwifery Vol 11 No 2 (2023): June: Midwifery and Health Sciences
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v11i2.1273

Abstract

The trend of prevalence rate increase of Chronic Kidney Disease (CKD) with dialysis therapy which is not matched by the availability of adequate peritoneal dialysis units in the community will risk increasing patient morbidity and mortality. Meanwhile, the number of trained dialysis nurses is very limited. The objective is to obtain an overview of nurses' opinions regarding the concept of establishing a nursing-based CAPD unit. This research used a case study method with a descriptive design. Data were obtained through in-depth interviews conducted with 4 nurses from Papua, North Sulawesi, South Sulawesi, and East Java. The instrument was an in-depth interview guide. The dependent variable of the study was the CAPD unit and the independent variables were PD nurses and rural areas. Data were analyzed using the Rapid Assessment Procedures (RAP) model. The results of this study showed that the four informants agreed on four problems related to the urgency of establishing a CAPD unit under nurse management, namely the understanding of the term CAPD with limited socialization, the absence of training for general nurses, the role of general nurses was not yet arranged in a standard operating procedure (SOPs), and the requirements for establishing a CAPD unit by nurses were not yet available. The study recommended the importance of establishing CAPD units under the management of trained nurses, the supervision of certified CAPD nurses, and CAPD consultants, in addition to fulfilling other administrative and technical requirements.
RANCANGAN KEBUTUHAN PERTOLONGAN PERTAMA PADA KESIAPAN PENANGANAN KECELAKAAN SEHARI-HARI ANAK SEKOLAH DASAR Ramli Muhammad; Wasis Nugroho
Jurnal Kesehatan Vol. 12 No. 2 (2019): Jurnal Kesehatan
Publisher : UPPM Poltekkes Kemenkes Ternate

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32763/cxd8tg02

Abstract

Masalah kesehatan dan kecelakaan sehari-hari dapat terjadi di sekolah, diperlukan kebutuhan penanganannya, karena proses pertolongan pertama sangat penting. Kejadian kecelakaan sehari-hari di sekolah sering terjadi pada anak-anak dipengaruhi oleh karakter kepribadian, cuaca dan tempat, kurangnya pengawasan serta kelambanan yang disebabkan karena buruknya koordinasi otot anak. Pertolongan pertama di sekolah adalah upaya pertolongan dan perawatan pertama pada anak di sekolah dengan persediaan kelengkapan pertolongan pertama. Tujuan umum adalah mengetahui efektifitas dari rancangan kebutuhan pertolongan pertama pada kesiapan penanganan kecelakaan sehari-hari Anak Sekolah Dasar. Metode penelitian ini menggunakan penelitian pengembangan (Research & Development) sederhana dan untuk merancang kebutuhan pertolongan pertama. Lokasi pelaksanaan penelitian ini di 3 tempat Sekolah Dasar di Kota Ternate. Instrumen pengumpulan data menggunakan kuesioner, pedoman wawancara dan check list observasi. Untuk membuktikan signifikansi perbedaan sistem kerja lama dan baru tersebut, perlu diuji secara statistik dengan Uji t-test. Hasil yang diperoleh, adanya perbedaan antara sistem kerja lama dengan yang baru dengan nilai signifikan >0.005. Rancangan model kelengkapan pertolongan pertama yang baru dapat digunakan dalam kesiapan penanganan masalah kesehatan dan kecelakaan sehari-hari anak sekolah dasar di kota Ternate. Sistem penanganan pertama masalah kesehatan dan kecelakaan di sekolah dasar perlu di kembangkan menjadi Tas P3K guna menyesuaikan aktivitas. Perlunya pelatihan bagi sekolah sehingga penggunaan dan pemanfaatan sistem baru dapat berguna.