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All Journal Manuju : Malahayati Nursing Journal JARSI
Buranda, Lucky Sarjono
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Computer Science & IT Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Nursing Public Health

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STRATEGY FOR THE IMPLEMENTING THE PATIENT AND FAMILY CENTERED CARE IN HEALTHCARE SETTING Buranda, Lucky Sarjono
Jurnal Administrasi Rumah Sakit Indonesia Vol 4 No 2 (2025): Jurnal Administrasi Rumah Sakit Indonesia
Publisher : STIKES RS Baptis Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32660/jarsi.v4i2.955

Abstract

Patient and Family Centered Care (PFCC) is an import part of patient’s autonomy which is the basic human rights of decision-making on what the best they think for their own body. The approach of PFCC is involving not only the patient, but also the family members in providing the decision for their loved one. This article is a narrative literature review with aim to combine several literatures into a strategy for implementing the PFCC in a hospital. An article revealed 7 domains for implementing the PFCC. They are leadership, patient and family engagement, staff engagement, focus on innovations, alignment of staff roles and priorities, organizational structures and processes, and the environment of care. It started with rigorous discussion on the current situation of the organization, the mission and value that aligned with PFCC implementation initiatives. All policies and guidelines must accommodate the FPCC initiatives within the evidence-based medical practice. Piloting the system is the best way to start the implementation of FPCC before it is generally adopt by the entire hospital system. PDSA is one of the best tools to evaluate the pilot. There are two types of PDSA: Model For Improvement – PDSA and FOCUS PDCA. Both essentially offer similar PDSA system, but different in the process and setting.
Pengaruh Stigma Sosial dan Efektivitas Model Edukasi Fast dalam Meningkatkan Kepatuhan Pengobatan Pasien Tuberkulosis di Layanan Kesehatan Primer Wahyuningsih, Aries; Fitria, Indraningrum; Buranda, Lucky Sarjono
Malahayati Nursing Journal Vol 7, No 12 (2025): Volume 7 Nomor 12 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i12.23477

Abstract

ABSTRACT Stigma remains a critical barrier to successful tuberculosis (TB) treatment adherence, particularly in primary health care settings. This study aimed to examine the influence of social stigma on TB treatment adherence and to evaluate the effectiveness of the FAST educational model (Familiné Andum Semangat Tumandhang) in reducing stigma and improving adherence. A quasi-experimental one-group pretest–posttest design was conducted among 40 pulmonary TB patients and their primary family supporters in community health centers in Kediri City, using purposive sampling. Data were collected using the Tuberculosis Stigma Scale and the Morisky Medication Adherence Scale (MMAS-8). Results indicated a significant reduction in stigma scores from 94.60 to 74.78 (t = 4.372; p < 0.001) and a significant improvement in adherence scores from 2.05 to 1.13 (t = 9.505; p < 0.001). The findings confirm that social stigma significantly influences treatment adherence. The FAST model effectively reduces stigma and enhances adherence through culturally and family-centered education. Integrating this model into routine TB care is recommended to support national TB control goals. Keywords: Tuberculosis, FAST Educational Model, Treatment Adherence, Stigma, Family-Based Intervention, Primary Health Care  ABSTRAK Stigma masih menjadi penghalang utama dalam keberhasilan kepatuhan pengobatan tuberkulosis, khususnya di layanan kesehatan primer. Penelitian ini bertujuan untuk menganalisis pengaruh stigma sosial terhadap kepatuhan pengobatan tuberkulosis serta mengevaluasi efektivitas model edukasi FAST (Familiné Andum Semangat Tumandhang) dalam menurunkan stigma dan meningkatkan kepatuhan. Desain penelitian yang digunakan adalah kuasi-eksperimen dengan pendekatan one-group pretest–posttest, melibatkan 40 pasien tuberkulosis paru yang menjalani terapi di puskesmas wilayah Kota Kediri, masing-masing didampingi oleh satu anggota keluarga sebagai pendukung utama. Teknik pengambilan sampel menggunakan purposive sampling. Pengumpulan data dilakukan dengan kuesioner Tuberculosis Stigma Scale dan Morisky Medication Adherence Scale (MMAS-8). Hasil penelitian menunjukkan adanya penurunan signifikan pada skor stigma dari 94,60 menjadi 74,78 (t = 4,372; p < 0,001) serta peningkatan signifikan pada skor kepatuhan dari 1,13 menjadi 2,05 (t = 9,505; p < 0,001). Sebagian besar peserta awalnya mengalami tingkat stigma sedang (50%) dan kepatuhan rendah (37,5%), yang keduanya meningkat setelah intervensi. Temuan ini menegaskan bahwa stigma sosial berperan penting sebagai determinan kepatuhan pengobatan. Model edukasi FAST terbukti efektif dalam menurunkan stigma dan meningkatkan kepatuhan melalui pendekatan edukasi berbasis keluarga dan budaya. Integrasi model FAST dalam program rutin perawatan TB direkomendasikan untuk mempercepat pencapaian target eliminasi TB nasional. Kata Kunci: Tuberkulosis, Model Edukasi FAST, Kepatuhan Terapi, Stigma Sosial, Intervensi Keluarga, Layanan Kesehatan Primer.
Co-Authors Aries Wahyuningsih Fitria, Indraningrum