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GAMBARAN PELAKSANAAN KEGIATAN KEBERSIHAN TANGAN OLEH PETUGAS KESEHATAN DI RUMAH SAKIT DUSTIRA CIMAHI Ningsih, Shely Silfia Ratna; Noprianty, Richa; Somantri, Irman
JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Vol 3, No 1 (2017): Vol 3, No. 1 (2017)
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v3i1.7486

Abstract

ABSTRAKKeselamatan pasien merupakan variabel untuk mengukur dan mengevaluasi kualitas pelayanan keperawatan. Salah satu upaya yang dilakukan adalah mencegah infeksi rumah sakit dengan menjaga kebersihan tangan dengan teknik enam langkah dan lima momen di rawat inap. Penelitian ini bertujuan untuk mengetahui gambaran pelaksanaan kebersihan tangan oleh petugas kesehatan di Ruang Rawat Inap Penyakit Dalam Pria Rumah Sakit Dustira Cimahi. Jenis penelitian ini adalah deskriptif eksploratif dengan metode observasional. Sampel penelitian ini berjumlah 288 kali pengamatan kegiatan oleh petugas kesehatan (dokter, perawat dan mahasiswa praktek) yang terbagi pada shift pagi dan shift sore dengan 84 pengamatan, dan shift malam berjumlah 120 kali pengamatan. Instrumen penelitian menggunakan lembar observasi dengan menggunakan work sampling. Hasil menggambarkan bahwa : 1) sebelum kontak dengan pasien sebagian besar hand hygiene tidak dilakukan oleh mahasiswa yaitu sebesar 89,8 % pada shift malam, 2) sebelum tindakan terhadap pasien sebagian besar hand hygiene tidak dilakukan oleh mahasiswa sebanyak 89,8% pada shift malam, 3) sesudah kontak dengan pasien sebagian besar kegiatan hand hygiene dilakukan tidak sempurna oleh dokter sebanyak 75% pada shift sore, 4) sesudah kontak dengan cairan tubuh pasien sebagian besar hand hygiene dilakukan tidak sempurna oleh mahasiswa sebanyak 82,4% pada shift pagi, dan 5) sesudah kontak dengan lingkungan pasien sebagian besar hand hygiene dilakukan tidak sempurna oleh dokter sebanyak 75% pada shift sore. Berdasarkan hasil observasi, ketidak patuhan pelaksanaan kegiatan kebersihan tangan disebabkan karena media yang digunakan kurang memadai seperti campuran air pada sabun yang terlalu banyak, tisu yang jarang tersedia, antiseptik berbasis alkohol murni sehingga menimbulkan bau yang menyengat dan terasa panas ditangan serta lengket. Disarankan bagi pihak rumah sakit untuk memperhatikan kembali sarana dan prasarana untuk menunjang kebersihan tangan dan bagi petugas kesehatan disarankan untuk membaca kembali standar operasional prosedur (SOP) dari setiap tindakan yang akan dilakukan, karena setiap tindakan yang dilakukan ada SOP untuk mencuci tangan. ABSTRACTPatient safety is a variable for measuring and evaluating the quality of nursing services. One of the effort that should be done is to prevent hospital infections with hand hygiene using six-step hand hygiene technique and five moments at the hospitalization rooms. This study aims to describe the implementation of hand hygiene practice by healthcare provider in patient safety activities atmale medical ward on Dustira Cimahi Hospital. The study was a descriptive exploratory with the observational method. The research sample numbering 288 times observation activities from health workers (doctors, nurses, and students college) that divided on the morning shift totaling 84 observation activities, totaling 84 observations afternoon shift and night shift activities amounted to 120 times the observation activities. The instrument of this study using observation tool which contains a table check list on the implementation of hand hygiene by using work sampling.The overall results describe that: 1) not doing hand hygiene activities before making contact with the patient, were 89,8% for college students at the night shift, 2) before taking action at the patient most of the hand hygiene activities were not done 89,8% for college students in night shift, 3) after making contact with the patient, most of the hand hygiene activities were not perfect carried out, 75% for doctors in the afternoon shift, 4) after making contact with patients body fluids most of the hand hygiene activities were not done 82,4% for the college students in the morning shift, and 5) after making contact with the patient's environment most of the hand hygiene activities were not perfect carried out, 75% for doctors in the afternoon shift. Based on the observation, disobedience on implementation of hand hygiene due to insufficient media used liketoo much water in the mixture of water and soap, tissue is rarely available, pure alcohol-based hand rub is causing bad smell, hot at the skin and sticky hands. It is advised for the hospital to pay attention at infrastructure that support hand hygiene, and for health workers is advised to re-read the standard operating procedures (SOP) on any action to be performed, for every action there is SOP towash the hand. 
ANALYSIS OF NURSES STAFF NEEDS USING WORKLOAD INDICATE STAFF NEED IN PEDIATRIC WARD WITH TIME MOTION STUDY Noprianty, Richa; Febianti, Syafitri Anisa; Fikri, Jahidul
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 9, No 1 (2020): APRIL
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.91112

Abstract

Hospital ?X? has implemented the WISN calculation method in determining the need for nurses in the Inpatient Room, but this calculation is applied to all inpatients room with the method work sampling while calculating the need for nurses based on the WISN Method can also use the time and motion study method. The purpose of this study was to determine the analysis of the needs of nurses based on the WISN method. The method was descriptive observational with the One-Shot method. The number of samples was 9 nurses when taking action directly, indirectly and personally both of so obtaining 27 times of observations, with a total 12,960 minutes. Observations were done using time and motion study with 5 steps. The results showed that the morning shift was obtained the results of direct activities were 609.35, indirect activities were 1783.13, and personally were 386.23, while evening shift was obtained the results of direct activities were 1119.26, indirect activities were 1413.46 and personally were 466.18, and the night was obtained the results of direct activities were 700.1, indirect activities were 1541.7, and personally were 2126.22, with total workload standards 422773.6674 hours/years. The final results obtained the need for nurses is 28 people, while which are available is 24 nurses, with the WISN Ratio result, it is found that 0.8 is less than 1. The results of this study can be taken into consideration in reducing the number of nursing staff in the morning shift and added the afternoon shift.
Jenjang Karir Perawat dan Kepuasan Pasien terhadap Kualitas Pelayanan Keperawatan Noprianty, Richa
JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Vol 5, No 2 (2019): Vol 5, No 2 (2019)
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v5i2.17404

Abstract

ABSTRAKKesenjangan antara kualitas pelayanan perawat ideal dengan perawat aktual merupakan masalah serius di rumah sakit. Hal ini disebabkan karena tuntutan pasien tinggi, atau disebabkan lemahnya kemampuan perawat, pengetahuan dan keterampilan perawat dalam melayani pasien. Oleh karena itu, rumah sakit sudah mengembangkan jenjang karir sesuai dengan keahliannya, serta menyediakan kesempatan yang lebih baik sesuai dengan kemampuan dan potensi perawat. Penelitian ini bertujuan menghubungkan antara jenjang karir perawat dengan kepuasan pasien terhadap kualitas pelayanan keperawatan. Jenis penelitian kuantitatif dengan rancangan desain analitik korelasi dengan pendekatan cross sectional. Instrumen menggunakan kuesioner Patient Satisfaction With Nursing Care Quality Questionnaire. Populasi menggunakan proportionate stratified random sampling dengan jumlah sampel 68 pasien. Analisa data bivariate dengan menggunakan uji Kendall Tau-C. Hasil penelitian menunjukkan bahwa jenjang karir terbanyak adalah PK I (36.8%), PK II (29.4), dan PK III (33.8), sedangkan untuk kepuasan pasien sebagian besar baik (72.1%). Pemerataan jenjang karir perawat di ruang rawat inap belum merata. Hal ini mengakibatkan ketidak sesuaian kewenangan klinik yang dilaksanakan oleh PK I, PK II dan PK III. Disisi lain dari pasien justru mengungkapkan bahwa mereka tidak mempermasalahkan perawat junior atau senior yang penting perawat tersebut terampil, ramah dan memberikan informasi yang tepat kepada pasien dan keluarga. Kesimpulan penelitian ini adalah tidak ada hubungan antara jenjang karir dengan kepuasan pasien terhadap kualitas pelayanan perawat dengan nilai p value 0.276. Disarankan untuk pihak Manajemen Rumah Sakit, terutama Kepala Bidang Keperawatan dan jajaran agar memperhatikan pemerataan perawat berdasarkan jenjang karir. Hal ini tentu harus dipertimbangkan dari beberapa sisi, antara lain adalah karakteristik ruangan, tingkat ketergantungan pasien di ruangan, dan jumlah perawat yang ada.  ABSTRACT The service quality gap between ideal nurses and actual nurses is a serious problem in hospitals. This is due to the high demands of patients, or due to the weakness of nurses' abilities, knowledge, and skills of nurses in serving patients. Therefore, hospitals have developed career paths according to their expertise, and provide better opportunities according to the abilities and potential of nurses. This study aims to correlation the career paths of nurses with patient satisfaction with nursing care quality. This research is quantitative research with analytical correlation design and a cross-sectional approach. The research instrument uses the Patient Satisfaction With Nursing Care Quality Questionnaire. The population used a proportionate stratified random sampling with a sample size of 68 patients. Bivariate data analysis using the Kendall Tau-C test. The results of the study showed that the distribution of nurses' career paths in the inpatient room was not evenly distributed. This resulted in incompatibility of clinical authorities carried out by PK I, PK II and PK III. On the other hand, the patient revealed that they did not question the important junior or senior nurses as long as the nurses were skilled, friendly and provided appropriate information to patients and families. The conclusion of this study is that there is no relationship between career paths and patient satisfaction with nurse service quality with a p-value of 0.276. It is recommended for Hospital Management, especially the Head of Nursing and ranks to pay attention  the equal distribution of nurses based on career paths. This certainly must be considered from several sides, including the characteristics of the room, the level of dependence of patients in the room, and the number of nurses available. 
Analysis of Nurses Staff Needs Using Workload Indicate Staff Need in Pediatric Ward With Time Motion Study Richa Noprianty; Syafitri Anisa Febianti; Jahidul Fikri
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 9, No 1 (2020): APRIL
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.91112

Abstract

Hospital “X” has implemented the WISN calculation method in determining the need for nurses in the Inpatient Room, but this calculation is applied to all inpatients room with the method work sampling while calculating the need for nurses based on the WISN Method can also use the time and motion study method. The purpose of this study was to determine the analysis of the needs of nurses based on the WISN method. The method was descriptive observational with the One-Shot method. The number of samples was 9 nurses when taking action directly, indirectly and personally both of so obtaining 27 times of observations, with a total 12,960 minutes. Observations were done using time and motion study with 5 steps. The results showed that the morning shift was obtained the results of direct activities were 609.35, indirect activities were 1783.13, and personally were 386.23, while evening shift was obtained the results of direct activities were 1119.26, indirect activities were 1413.46 and personally were 466.18, and the night was obtained the results of direct activities were 700.1, indirect activities were 1541.7, and personally were 2126.22, with total workload standards 422773.6674 hours/years. The final results obtained the need for nurses is 28 people, while which are available is 24 nurses, with the WISN Ratio result, it is found that 0.8 is less than 1. The results of this study can be taken into consideration in reducing the number of nursing staff in the morning shift and added the afternoon shift.
Quality Of Work Life Of Nurse Anesthetist During Covid-19 In Indonesia Richa Noprianty; Fikri Mourly
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 10, No 3 (2021): December
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v10i3.12589

Abstract

Nurse anesthetist are health workers who are competent to carry out anesthetic administration care in hospitals. The quality of the anesthetic administration care provided reflects the quality of the hospital. Anesthesiologists in carrying out their competence are in a work setting with high stressors. Therefore, it is necessary to pay attention to the Quality of Work Life in the anesthesiologist. The purpose of this study was to photograph the Quality of Work Life of anesthesiologists in a hospital. This study uses a quantitative descriptive method. The study population was all anesthesiologists working in the hospital. The research sample used simple random sampling method with a total of 108 respondents. The instrument used is a questionnaire that is given online using four dimensions, namely the dimensions of life at work/home, the dimensions of work design, the dimensions of the work context and the dimensions of the world of work. The analysis used is univariate using a mean value of 105. Data collection using gform, The results obtained are the mean value of 124.28. For each dimension, the dimensions of life at work/home are 20.03, the work design dimension is 29.08, the context dimension is 61.70, and the world of work is 13.46. The conclusion is that the Quality of Work Life of the anesthesiologist in the hospital is in the good category. Suggested in this study is the development of human resources that lead to a high workload and a great risk of anesthesia
Women Assistance in Fertile Age Couples in the use of Contraception as an Effort to Suppress Baby Booms During the Covid-19 Pandemic Intan Yusita; Richa Noprianty; Ratna Dian Kurniawati; Linda Rofiasari; Antri Anriani
Jurnal Peduli Masyarakat Vol 2 No 4 (2020): Jurnal Peduli Masyarakat, Desember 2020
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v2i4.228

Abstract

The use of contraceptives in Indonesia during the Covid-19 pandemic has decreased by 35% to 47%. This resulted in the pregnancy rate increasing by 67 pregnancies from the previous year. In West Java, the pregnancy rate jumps by 10%. One of the efforts to suppress the spike in baby births is through the Keluarga Berencana (KB) program for couples with childbearing age. The aim of this community service is to provide knowledge about contraceptive tools and methods in suppressing baby booms. This community service method is in the form of interactive education based on information technology and offline interactive education. The target is 30 women of childbearing age couples aged between 15-45 who used contraception and did not make repeat visits during the Covid-19 pandemic. The implementation technique is divided into three stages, namely the first stage is to assess the level of understanding respondent with a pre-test use to google form, the second stage is to carry out counseling, family planning counseling program and introduction to the KB Klik application with offline and the third stage is to evaluate the material with a post test use to google form. The results of the activity showed an increase in knowledge of both contraceptive tools and methods by 53.4%. With the increasing knowledge of mothers about family planning tools and methods, it is hoped that it can influence the attitudes of mothers in choosing and using the right contraceptives so that it is expected to limit the number of child births and reduce the impact of baby booms.
Assistance for Pregnant Women Class in Providing Antenatal Care Motivation as an Effort to Improve Maternal and Fetal Health in the Pandemic Covid-19 Linda Rofiasari; Richa Noprianty; Intan Yusita; Yanyan Mulyani; Agustina Suryanah
Jurnal Peduli Masyarakat Vol 2 No 4 (2020): Jurnal Peduli Masyarakat, Desember 2020
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v2i4.251

Abstract

The current health program in Indonesia is focused on improving the health status of vulnerable groups, one of which is pregnant women. This is indicated by the high rate of maternal and infant mortality. One of the government's efforts to overcome this problem is the concept of safe motherhood and antenatal care. During the Covid-19 pandemic, most pregnant women did not get medical check-up because they were worried about the corona virus. Therefore, online classes for pregnant women were conducted. This community service method is in the form of interactive education based on information technology online and offline. The targets are all pregnant women who carry out examinations at the Midwife Independent Practice of Yanyan Mulyani, while the targets for pregnancy exercise and prenatal yoga are 35 pregnant women with a gestational age of 28-39 weeks. The implementation technique is divided into three stages, namely the first stage is to assess the level of understanding of the respondent with a pre test, the second stage, namely the implementation of classes for pregnant women by providing online material and the implementation of offline pregnancy and prenatal yoga exercises, and the third stage, namely evaluating the material with post tests . The results of the activity showed an increase in knowledge to be good by 68.6%. Providing information to the class of pregnant women by the facilitator on a regular basis and carried out every week with different materials makes pregnant women make pregnancy visits and regularly attend classes for pregnant women to stay healthy.
Peningkatan Pengetahuan Siswa terhadap Vaksinasi Covid-19 melalui Edukasi di SMK Bhakti Kencana Tasikmalaya Richa Noprianty; Aiyi Asnawi; Jundiah Jundiah; Linda Widyastuti
Jurnal Peduli Masyarakat Vol 3 No 3 (2021): Jurnal Peduli Masyarakat, September 2021
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v3i3.594

Abstract

Program vaksinasi Covid-19 merupakan salah satu upaya pemerintah untuk mengendalikan penyebaran virus Covid-19 yang menjadi pandemic di Indonesia. Program vaksinasi ini masih menimbulkan keraguan dari masyarakat umum terkait dengan efikasi dan keamanannya sehingga dibutuhkan pemberian edukasi yang baik agar masyarakat memahami peran penting dari program vaksinasi. Salah satu yang sasaran yang dapat diberikan penyuluhan adalah remaja yang memiliki mobilitas dan pergerakan yang tinggi. Metode pelaksanaan yang dilakukan kepada siswa SMK Bhakti Kencana Tasikmalaya berupa pemberian edukasi melalui talkshow. Jumlah peserta yang mengikuti berjumlah 179 orang. Pelaksanaan dilakukan melalui online dengan platform zoom meeting. Metode yang digunakan adalah dengan pemberian edukasi berupa talkshow yang dilakukan secara online via aplikasi zoom. Peserta yang hadir berjumlah 179 orang. Pelaksanaan dimulai dengan pemberian pre test kepada siswa melalui platform google form. Kemudian menayangkan video dari tenaga kesehatan, dari masyarakat yang sudah dilakukan vaksin dan yang belum dilakukan vaksin. Setelah itu, dilakukan talkshow dan diskusi. Di akhir kegiatan, siswa diberikan post test untuk mengevaluasi pemahaman tentang vaksinasi. Hasil menunjukkan bahwa rata-rata pengetahuan sebelum dilakukan pemberian edukasi adalah 48.636 dan rata-rata setelah nya adalah 52.262. Hal ini menunjukkan terjadi peningkatan pengetahuan terhadap vaksinasi sebesar 3,626.
Upaya Peningkatan Kepatuhan Anak Sekolah Dasar terhadap Penerapan Protokol Kesehatan pada Masa Pandemi Covid-19 R. Nety Rustikayanti; Tri Nur Jayanti; Cucu Rokayah; Richa Noprianty; Inggrid Dirgahayu; Asep Aep Indarna
Jurnal Peduli Masyarakat Vol 4 No 1 (2022): Jurnal Peduli Masyarakat: Maret 2022
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v4i1.742

Abstract

Pengumuman boleh digelarnya Pertemuan Tatap Muka di sekolah telah diiringi dengan penyelenggaran PTM Terbatas oleh beberapa sekolah di wilayah tertentu. Namun, rendahnya kepatuhan penerapan protokol kesehatan menyebabkan adanya temuan kasus terkonfirmasi positif selama PTM berlangsung, sehingga PTM dihentikan di beberapa sekolah. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan kepatuhan anak terhadap penerapan protokol kesehatan saat PTM Terbatas pada masa pandemi Covid-19. Kegiatan dilakukan secara offline di SDN 216 Sondariah (22 siswa) dan SDN 086 Cimincrang (32 siswa) melalui 3 tahapan, yaitu sosialisasi, edukasi, dan simulasi. Materi edukasi meliputi aktivitas-aktivitas sebelum berangkat ke sekolah hingga setelah pulang ke rumah sesuai dengan protokol kesehatan yang dianjurkan. Pre-test dan post-test menggunakan kuesioner dan tanya jawab dalam Focus Group Discussion (FGD) dilakukan sebagai bentuk evaluasi kegiatan. Hasil pre-test, hasil tertinggi yaitu 80% terdapat pada pertanyaan tentang persiapan sebelum ke sekolah, aktivitas selama perjalanan ke sekolah, saat masuk ke gerbang sekolah, saat sedang dan setelah pembelajaran, sedangkan hasil terendah yaitu 30% terdapat pada pertanyaan aktivitas setelah pulang ke rumah dan cuci tangan. Hasil post-test, terdapat peningkatan menjadi 100% pada semua pertanyaan mengenai protokol kesehatan dari sebelum berangkat ke sekolah hingga setelah pulang ke rumah. Berdasarkan hasil tersebut, disimpulkan bahwa kegiatan ini efektif meningkatkan pengetahuan tentang protokol kesehatan.
Penguatan Teori Keperawatan Dan Kebidanan Dalam Melaksanakan Asuhan Kepada Pasien Di Masa Pandemic Covid-19 Richa Noprianty; Raden Nety Rustikayanti; Cucu Rokayah; Dewi Nurlaela; Desi Wijayanti Eko Dewi; Pujiati Setyaningsih
JCOMENT (Journal of Community Empowerment) Vol. 3 No. 1 (2021): DECEMBER - MARET 2022
Publisher : The Journal Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (232.197 KB) | DOI: 10.55314/jcoment.v3i1.214

Abstract

Health services during the covid-19 pandemic are required to provide comprehensive care to clients while maintaining strict health protocols. This condition presents challenges for health workers, especially nurses and midwives in implementing theoretical concepts that are integrated into patient care. The purpose of this community service is to refresh the existing theory so that the quality of service to patients is achieved. The activity method is done hybrid (online and offline). The provision of Nursing and Midwifery theory material is done online through zoom. Participants present were nurses and midwives with the category as Clinical Instructor (CI). The implementation technique is done in four stages, namely: the first stage examines the level of knowledge of nurses and midwives with pre test through google form, the second stage is done sharing and refreshing materials, the third stage is broadcasting video simulation of theory implementation into client care and provide post test, and the fourth stage is making a visit to the hospital to see the application of theory in caring for patients. The results of the activity showed an increase in understanding of the theory of… Result of this devotion to the community programs is a video simulation certified IPR, monograph book with ISBN and IPR, online mass media publications (tribun jabar) and journal publications.