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All Journal Malahayati International Journal of Nursing and Health Science
Saimi Saimi
Program Studi Magister Administrasi Kesehatan Universitas Qamarul Huda Badaruddin Bagu
Health Professions Nursing Public Health

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Evaluation of the implementation of the safewards model within inpatient mental health services in West Nusa Tenggara, Indonesia Nita Sudiarsini; Saimi Saimi
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 4 (2025): Volume 8 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i4.723

Abstract

Background: The safewards model of psychiatric care  is an approach developed to improve the safety and quality of care in psychiatric wards. this approach aims to reduce incidents of violence, improve therapeutic relationships between patients and healthcare workers, and create a safer inpatient environment and support patient recovery. Purpose: To analyze the evaluation of the implementation of the safewards inpatient model in mental hospitals. Method: Qualitative research with explorative descriptive design. Data and information sources come from 15 informants consisting of: hospital management (A-1), head of nursing (A-2), head of education and training (A-3), head of medical services (A-4), head of nursing (A-5), head of facilities (A-6), head of finance (A-7), implementing doctors (B-8, B-9), implementing nurses (C-10, C-11, C-12, C-13, C-14, C-15). To obtain complete information, in-depth interviews and focus group discussions (FGD) were conducted with informants. Furthermore, thematic, narrative, inductive, and explanatory data analysis were carried out, then reduction and triangulation were carried out. Results: The implementation of the safewards model with 10 intervention strategies has been proven effective in mental health services. In addition, the implementation of this intervention has been proven effective in reducing conflict, improving therapeutic communication, and accelerating the patient's recovery process. With the right strategy, this model can be increasingly integrated into the mental health service system that is oriented towards patient recovery and well-being. Conclusion: The implementation of the safewards model is effective in mental health services. Although there are still various challenges, such as limited professional human resources and other supporting facilities and infrastructure, the high commitment of health workers and management is a key factor in ensuring the sustainability of this program.
Analysis in the Directly Observed Treatment Short-course (DOTS) Strategy implementation in children with pulmonary tuberculosis in Mataram-Indonesia: A qualitative study Saimi Saimi; Ayu Deny Ariyanti; Muhammad Karjono; Lalu Abdul Khalik
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 12 (2025): Volume 7 Number 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i12.718

Abstract

Background: Tuberculosis is a global health problem, especially in children. Handling child TB cases in Mataram City, in 2022 there will be 184 TB cases in children and in 2023 there will be an increase of 310 cases. Reporting records experienced treatment failure of 43.7%, this condition indicates the phenomenon of implementing the DOTS program in the treatment of TB patients in children. Purpose: To analyse the implementation of the Directly Observed Treatment Shortcourse (DOTS) programme in the treatment of children with pulmonary tuberculosis. Method: Qualitative research with an exploratory descriptive design conducted on children with pulmonary tuberculosis in Mataram City. The sources of data and information were 13 informants consisting of: Persons in charge of the TB program at the Health Service, Hospitals, namely pediatricians, Community Health Center TB program holders, Medicine Drinking Supervisors and families of TB sufferers. In-depth interview methods and data analysis through reduction and triangulation, as well as document searches to record and report the implementation of DOTS program activities, including identification and diagnosis, classification and staging of TB, treatment of pediatric TB, treatment, monitoring and evaluation, prevention and education, handling side effects, and drug-resistant TB (TB-RO). Results: The implementation of the DOTS program in handling TB in children is still not in accordance with the SOP. Active screening of new case detection rates is still low, the readiness of professionals in identification and diagnosis, classification and staging of pediatric TB have not run optimally, the implementation process is carried out with a tiered referral system, the logistics of tools and drugs often occur out of stock, TB-RO and drug allergies are found to not be handled properly. Public compliance in treatment is still low and stigmatization is high in society. The government's commitment to handling pulmonary TB patients in children has not been implemented properly. Conclusion: The implementation of the Directly Observed Treatment Short-course (DOTS) program has not been optimal. The government's commitment to handling TB cases in children has many obstacles and challenges, limited professional human resources, running out of medicines, high absenteeism of TB patients, and high stigmatization of TB disease in society.
Co-Authors Ayu Deny Ariyanti Lalu Abdul Khalik Muhammad Karjono Nita Sudiarsini