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Kepatuhan Perawat dalam Melaksanakan Standar Prosedur Operasional Pemasangan Infus di Rumah Sakit PKU Muhammadiyah Gombong Jeli, Mutiana Muspita; Ulfa, Maria
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 14, No 1 (2014)
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Pemasangan infus merupakan prosedur invasif dan merupakan tindakan yang sering dilakukan di rumah sakit (RS), namun hal ini berisiko tinggi terjadinya Hospital Acquired Infection (HAIs). Tindakan pemasangan infus akan berkualitas apabila dalam pelaksanaannya selalu patuh pada Standar Prosedur Operasional (SPO) yang telah ditetapkan demi terciptanya pelayanan kesehatan yang bermutu. Penelitian ini bertujuan untuk mengetahui bagaimana kepatuhan perawat dalam melaksanakan SPO pemasangan infus di RS PKU Muhammadiyah Gombong. Penelitian ini merupakan penelitian kualitatif dengan rancangan studi kasus yang hasilnya disajikan secara deskriptif. Populasi yakni seluruh perawat RS PKU Muhammadiyah Gombong dengan jumlah sampel 42 responden. Data dikumpulkan dengan cara observasi lembar check list SPO Pemasangan Infus RS PKU Muhammadiyah Yogyakarta dan wawancara mendalam. Hasil observasi menunjukkan bahwa seluruh perawat tidak patuh (100%) dalam melaksanakan SPO pemasangan infus. Hasil wawancara mendalam menunjukkan bahwa komitmen, hubungan sosial, kelangkaan, resiprositas, validasi sosial dan otoritas terkait kepatuhan perawat belum terwujud dengan baik dalam hal pelaksanaan SPO pemasangan infus. Hal ini dapat disebabkan karena kurangnya sosialisasi dan evaluasi SPO pemasangan infus. Disimpulkan bahwa seluruh perawat tidak patuh dalam melaksanakan SPO pemasangan infus di RS PKU Muhammadiyah Gombong.Peripheral venous catheter insertion is an invasive procedure and frequently used in hospitalized patients but it could increase the risk of Hospital Acquired Infection (HAIs). Peripheral venous catheter insertion would be in best practice if the implementation is based on Standard Operating Procedure (SOP) in order to get the best quality of medical services. This research aims to know the compliance of nurse in implementing SOP of peripheral venous catheter insertion in RS PKU Muhammadiyah Gombong. This research is a qualitative case study design that the results are presented descriptively. Population consisted of all nurses in RS PKU Muhammadiyah Gombong with the number of samples were 42 respondents. Data was collected by observating the check list of SOP of Peripheral Venous Catheter Insertion and in-depth interviews. The result of observation showed that all of nurses do not comply (100%) the SOP of Peripheral Venous Catheter Insertion. The result of in-depth interviewsshowed that commitment, liking, scarcity, reciprocity, social proof and authority relating compliance in implementing SOP of Peripheral Venous Catheter Insertion have not been done well in RS PKU Muhammadiyah Gombong. Perhaps it is because the lack of socialization and evaluation of SOP of Peripheral Venous Catheter Insertion. It was concluded that all of nurses do not comply the SOP of Peripheral Venous Catheter Insertionin RS PKU Muhammadiyah Gombong.

Analisis Pengaruh Pemasangan Kateter Urin terhadap Insidensi Infeksi Saluran Kemih di Rumah Sakit Asbone, Asbone; Rosa, Elsye Maria; Ulfa, Maria
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 2 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Urinary tract infection (UTI) -related catheters are one of the four most common HAIs types in hospitals worldwide in addition to IDO, Pneumonia, and Primary Blood Flow Infection (IADP). UTI-related catheters are a significant cause of morbidity and mortality. The absence of data on the incidence of UTI related catheters in hospitals as an indicator is still low implementation of patient safety in hospitals. The purpose of this study to determine the incidence of urinary tract infections and germs that cause UTI. Method: This research was an analytical descriptive research using cross sectional observational quantitative design. Population and Sample of the study were catheter-attached patients as the subjects of the study through total sampling. Observation sheet urinary tract infections using this instrument are obtained from Centers for Disease Control and Prevention (CDC). Results: Of the 57 patients treated in the ward during the 209 days, seven patients with UTI were exposed, the incidence of symptomatic UTI in RS PKU Muhammadiyah Bantul was 33.49 â° from one culture of urine samples found Escherichia Coli and Candida Non Albicans. Conclusion: The incidence rate of symptomatic UTI in RS PKU Muhammadiyah Bantul is 33,49 â° and germs that cause urinary tract infection are Escherichia Coli and Candida Non Albicans.

Evaluasi Penerapan Pencegahan Pasien Berisiko Jatuh di Rumah Sakit Ulfa, Maria; Sanjaya, Puguh Danu; Rosa, Elsye Maria
Kes Mas: Jurnal Fakultas Kesehatan Masyarakat Vol 11, No 2 (2017): Kes Mas: Jurnal Fakultas Kesehatan Masyarakat
Publisher : Universitas Ahmad Dahlan

Background: Patient safety in hospitals is a service of a hospital system that provides care to enable patients to be more secure. Patient safety goals are to promote specific improvements in patient safety. The reduction in risk of patients falling aimed hospitals need to evaluate the risk of patient falls and take action to reduce the risk of injury when the fall is one of the goals of patient safety. This study reveals the evaluation of the application of preventive risk patient falls in Pupuk Kaltim hospital. Method: This study was a case study, in the inpatient room, the emergency room (ER) at the Pupuk Kaltim hospital. Results: This study resulted that the initial assessment in the emergency department (ED) has not been carried out, assessments of monitoring is not maximized, still found the beds are not safe as many as 26 pieces, grade three patients did not receive anti-slippery footwear. Policies and Standart Operational Procedure (SOP) has existed since 2013. Conclusion: The initial assessment of patients the risk of falling in the ER has not been carried out, assessments have not been up monitoring of risk patients, 26 beds are not safe, three unsafe gurney, patient grade three can not be footwear. Pupuk Kaltim hospital dissemination, evaluation and monitoring of the patients fall risk assessment, infrastructure and facilities.

The use of PPE Against the Incidence of COVID-19 Infection on Indonesian Healthcare Workers Maria Ulfa; Momoyo Azuma; Dayu Laras Wening; Ahmad Veda Yudanto
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.v10i3.13310

As the front-liner in handling the spread of COVID-19, healthcare workers are a susceptible group toward the exposure of SARS-CoV-2. This study aims to examine the compliance of PPE use by health workers, FFRs reuse, the participation of healthcare workers in infection and prevention training, and the relationship between mentioned variables and COVID-19 infection among healthcare workers. This research was conducted with a quantitative approach through a retrospective cohort design. Respondents in this study were the healthcare workers throughout Indonesia who worked actively during the pandemic in healthcare facilities. This study found that the level of compliance of PPE use among healthcare workers was high. The groups who reuse masks are mostly doctors and nurses and the most widely used method of disinfection is UVC radiation. Some of the respondents were recorded for being attended the infection and prevention training. However, there is no correlation between adherence to wearing PPE, reuse of masks, and infection prevention training with COVID-19 infection in health workers in Indonesia (r=0.02; p=0.5).

In House Training Pencegahan dan Pengendalian Infeksi (PPI) Pada Tenaga Kesehatan di RS AMC Yogyakarta Maria Ulfa; Rizky Firdaus; Novada Indra Roesdiana; Nurhidayati; Niken Andriani; Purwanto
JCOMENT (Journal of Community Empowerment) Vol. 3 No. 3 (2022): Community Empowerment
Publisher : The Journal Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55314/jcoment.v3i3.282

The hospital as a health facility that provides health services to the community has a very important role in improving the health status of the community. For the implementation of infection in hospitals and other health care facilities, it is necessary to implement Infection Prevention and Control (PPI), activities that include planning, coaching, education, and training, as well as monitoring and evaluation. from this service activity, PPI training participants understand and practice Infection Prevention and Control at AMC Hospital Yogyakarta. Community service activities at AMC Hospital Yogyakarta are planned to use the action research method. Overall there was an increase in participants' knowledge which could be seen from the correct explanation before and before the training was held. Results Based on the service activities that have been carried out, it is necessary to follow up on improving infection prevention and control at home by conducting training that include all hospital employees

EVALUASI SARANA DAN PRASARANA RUMAH SAKIT DALAM MENGHADAPI BENCANA KEBAKARAN (Studi Kasus di RS PKU Muhammadiyah Yogyakarta Unit II) Mirza Sanjaya; Maria Ulfa
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 4 No. 2 (2015): July 2015
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v4i2.209

Latar Belakang: RS PKU Muhammadiyah Yogyakarta Unit II memiliki enam blok bangunan gedung. Masing-masing blok gedung terdiri dari empat lantai. Kondisi bangunan dan kerentanan di dalamnya membuat RS ini memiliki risiko tinggi akan terjadinya bencana kebakaran, sehingga diperlukan kesiapan sarana dan prasarana penanggulangan bencana kebakaran. Metode: jenis penelitian kualitatif dengan rancangan studi kasus. Subjek penelitian adalah pihak manajemen dan petugas rumah sakit. Objek penelitian yaitu kondisi kesiapan sarana dan prasarana penanggulangan bencana kebakaran. Pengumpulan data dilakukan dengan teknik wawancara dan observasi. Analisis data dilakukan secara deskriptif kualitatif. Hasil dan Pembahasan: RS PKU Muhammadiyah Yogyakarta Unit II memiliki kelengkapan sarana dan prarasana penanggulangan bencana yang sebagian besar telah sesuai dengan standar. Terdapat beberapa unsur yang perlu ditingkatkan, seperti penambahan detektor asap dan APAR, pemerataan sprinkler, jalur evakuasi untuk lantai atas, perbaikan jalur keluar darurat dan papan nama di titik berkumpul. Faktor pendukung yang terdapat di RS ini adalah ketersediaan sarana dan prasarana maupun antusiasme SDM untuk memiliki kemampuan penanggulangan bencana kebakaran. Faktor penghambatnya yaitu anggaran yang lebih diarahkan untuk meningkatkan pelayanan kesehatan. Kesimpulan: RS PKU Muhammadiyah Yogyakarta Unit II telah memiliki kesiapan sarana dan prasarana penanggulangan bencana kebakaran, namun masih terdapat beberapa unsur yang harus ditingkatkan agar sesuai standar.

PENGARUH FAKTOR INTERNAL DAN EKSTERNAL TERHADAP KEPATUHAN PERAWAT DALAM MELAKSANAKAN STANDAR PROSEDUR OPERASIONAL PEMASANGAN KATETER DI RUMAH SAKIT PKU MUHAMMADIYAH YOGYAKARTA UNIT II Maria Ulfa; Tantri Sarzuli
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 5 No. 1 (2016): January 2016
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.5106

Background: Patient safety is one of quality indicator of hospital service. Hospitals always improve the quality of care and patient safety, such as implementing Standard Operating Procedures (SOP) in any action of nurses to prevent Hospital Acquired Infection (HAIs). A nurse has certain factors that can influence the SOP implementation in their every action. This study is required to determine factors that influence nurses obedience in implementing SOP of catheter installation at PKU Muhammadiyah Yogyakarta Unit II Hospital. Method: This study using the cross-sectional approach which results are presented in analytical descritive. Research subjects are 30 observed nurses, taken from Emergency room, Naim room, Wardah room, Firdaus room and Zaitun room, by proportionate purposive sampling technique; and 97 nurses for questionnaire. Results and Discussion: Nurses who are obedient to implement catheter installation SOP are 73.33% and 26.67% do not comply. Internal factors (gender, age, years of service, level of education, knowledge, attitude) and external factors (work environment, the characteristics of the group and workload) has no effect on nurses compliance (sig. > 0.05). Conclusion: Internal and external factors have no significant effect on the nurses compliance in implementing SOP of catheter installation at PKU Muhammadiyah Yogyakarta Unit II Hospital. Nurses perform catheter properly and accordant to the SOP are 73.33%.

The use of PPE Against the Incidence of COVID-19 Infection on Indonesian Healthcare Workers Maria Ulfa; Momoyo Azuma; Dayu Laras Wening; Ahmad Veda Yudanto
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 10 No. 3 (2021): December 2021
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v10i3.13310

As the front-liner in handling the spread of COVID-19, healthcare workers are a susceptible group toward the exposure of SARS-CoV-2. This study aims to examine the compliance of PPE use by health workers, FFRs reuse, the participation of healthcare workers in infection and prevention training, and the relationship between mentioned variables and COVID-19 infection among healthcare workers. This research was conducted with a quantitative approach through a retrospective cohort design. Respondents in this study were the healthcare workers throughout Indonesia who worked actively during the pandemic in healthcare facilities. This study found that the level of compliance of PPE use among healthcare workers was high. The groups who reuse masks are mostly doctors and nurses and the most widely used method of disinfection is UVC radiation. Some of the respondents were recorded for being attended the infection and prevention training. However, there is no correlation between adherence to wearing PPE, reuse of masks, and infection prevention training with COVID-19 infection in health workers in Indonesia (r=0.02; p=0.5).

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