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Ahmad Ashifuddin Aqham
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ahmad.ashifuddin@gmail.com
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POLITEKNIK PRATAMA PURWOKERTO Alamat : Komplek Purwokerto City Walk (PCW) Jl. H.R. Bunyamin Blok A 11-12 Purwokerto 53121 email : admisi@politeknikpratama.ac.id, website : www.politeknikpratama.ac.id
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Jawa tengah
INDONESIA
Jurnal Rumpun Ilmu Kesehatan
ISSN : 28279247     EISSN : 28279220     DOI : 10.55606
Core Subject : Health,
naskah publikasi dari hasil penelitian yang belum pernah dipublikasikan di tempat lain dalam bentuk cetakan maupun digital (e-journal). Jurnal Rumpun Ilmu Kesehatan mencakup artikel di bidang ilmu kesehatan
Articles 258 Documents
Leveraging Technology Untuk Meningkatan Kualitas Kinerja Tenaga Kesehatan: Tinjauan Literature Teori Alma Marinda; Vip Paramarta; Diki Tri Bagus Dermawan; Riyan Putri Kumorowani; Cepi Hidayatuloh
Jurnal Rumpun Ilmu Kesehatan Vol. 3 No. 2 (2023): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v3i2.1793

Abstract

In various countries the use of information technology in fields that present aspects of goodness in everyday life. This is to improve the quality of the performance of health workers to streamline their time, skills and abilities. In addition, technology can also be accessed via computers or other modern tools that support health services. Leverage technology as the ability to create increased value with a stable or shrinking amount of resources, while at the same time enhancing the ability to grow more rapidly. The purpose of this theoretical literature review is to find out how leveraging technology can improve the quality of the performance of health workers. The research method used by the author, namely theoretical review, is a theoretical approach used by researchers to explain research problems. This method is to review or review various literature that has been published by academics or other researchers. The results of this theoretical literature review are leveraging technology to improve the quality of performance of health workers, namely by increasing understanding, using technology effectiveness and increasing targets. It can be concluded that the more a person can develop and improve their abilities in the field of technology, the more technologies are created which will have an impact on the quality of performance that a person gets. So, nothing is impossible to present and use the advanced information technology of the future. For health workers the use of technology as a system based on smart technology. It is hoped that health workers will always hone their skills, learn new things, and have the ability to apply modern technology. This can make the performance assessment of health workers to improve the reputation of the institution.
Analisis Implementasi Lean Six Sigma Terhadap Length Of Stay (LOS) di Rumah Sakit: Literatur Review Shifa Aulia Maghfiroh; Khoirunnisa Ghefira Yusrani; Nurul Aini; Acim Heri Iswanto
Jurnal Rumpun Ilmu Kesehatan Vol. 3 No. 2 (2023): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v3i2.1809

Abstract

Lean is a concept and technique for systems that optimizes patient benefit by decreasing waste and waiting time. The literature review approach is used in this study to acquire research data, with internet searches serving as a supplementary tool while looking for relevant papers. According to the study findings, mean hospital length of stay (LOS) fell by 24% throughout the intervention period in 259 patients with PMV (131 pre-intervention; 128 post-intervention) (29 vs. 22 days, p 0.001). This demonstrates that clinical redesign based on Lean Six Sigma decreases LOS in intensive care units. Other studies show that utilizing Lean Six Sigma has resulted in a 57% reduction in length of stay and an 88% reduction in the identification of non-value added tasks. Lean management in hospitals is a step toward greater service efficiency that has been shown to outperform Total Quality Management (TQM) and Plan, Do, Check, Action (PDCA) improvements. Customers and their families gain from shorter wait times, as do healthcare employees (medical, emergency, and non-medical) and hospital administration. The use of the lean six sigma approach in conjunction with the DMAIC cycle effects LOS reduction, indicating that lean six sigma can reduce LOS in hospitals.
Analisis Praktik Klinik Keperawatan pada Pasien Stroke Hemoragik dengan Terapi Inovasi Mobilisasi (Rom Pasif) dan Rangsangan Taktil Terhadap Pemulihan Anggota Gerak Atas di Ruang Hcu Rsud Prof. Dr. H. Aloei Saboe Kota Gorontalo Fadli Syamsuddin; Meyske Y. Yasin
Jurnal Rumpun Ilmu Kesehatan Vol. 3 No. 2 (2023): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v3i2.1837

Abstract

Background: Stroke is one of the main health problems for the community because stroke can cause damage to the brain that appears suddenly, progressively, and quickly due to non-traumatic brain blood circulation disorders. Purpose: To conduct an analysis of managed cases with a medical diagnosis of hemorrhagic stroke with innovative mobilization therapy (Passive ROM) and tactile stimulation for upper limb recovery in the HCU Room of Prof. Dr. H. Aloei Saboe City of Gorontalo Methods: This research is a quasi-experimental design with pre and post test. To determine the effect of providing innovative mobilization therapy (Passive ROM) and tactile stimulation to hemorrhagic stroke patients in the HCU Room of Prof. Dr. H. Aloei Saboe City of Gorontalo. The sample used in this study were 5 patients with the sample criteria being patients who had hemorrhagic strokes who were treated in the HCU Room at Prof. Hospital. Dr. H. Aloei Saboe Gorontalo City, patients who experience hemiparesa, patients have awareness of compos mentis. Results: Implementation of innovation in Mrs.FK On the first day the Ara test score was 0 until the third day there was no increase in the Ara test value which was still 0. Mr. RA on the first day the Ara test value was 1, on the third day the Ara test value increased enough to be 2. On Mr. UT on the first day the Ara test value was 0, on the third day the Ara Test value was 1. Mr. AH on the first day the Ara test value was 0, on the third day the Ara Test value was still 0. Mr. MH on the first day the Ara test value was 1, on the third day the Ara Test value increased to 2. Conclusion: Based on the research conducted, it was found that 5 respondents from the results of the study had the same complaint, namely experiencing weakness/hemiparesis of the upper extremities. The client's upper extremity muscle strength is 1/5, 3/4, 2/4, 4/2, 4/5, when the motor function test is carried out by holding the researcher's hand the client is unable to grip,
Perbedaan Efektivitas Massage Rubbing Punggung Menggunakan Power Massager Dan Massage Rubbing Punggung Menggunakan Tangan Terhadap Penurunan Nyeri Pada Pasien Primigravida Inpartu Kala I Fase Aktif Maria Magdalena Theofila Duka
Jurnal Rumpun Ilmu Kesehatan Vol. 3 No. 2 (2023): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v3i2.1841

Abstract

Childbirth is a series of events when a baby is released from the mother's womb, followed by the release of the placenta and fetal membranes from the mother's body (Fitriana and Nurwiyandani, 2018). Experimental research method with a design that is Control group pre test-Post test. The population in this study were all primigravid postpartum patients without complications during the first active phase in the working area of ​​the Halilulik Health Center, Naitimu Village, West Tasifeto District, East Nusa Tenggara, Using a purposive sampling technique, a sample of 16 people was obtained with a distribution of 8 people for the back rubbing massage treatment using the Power Massager (group 1) and 8 people for the back rubbing massage treatment using the hands (group 2). The results showed that the back rubbing massage treatment using a power massager obtained an average decrease in pain of 2.375, while the treatment of back rubbing massage using hands obtained an average decrease in pain of 1.250, obtained P count of 0.0013 P <0.05, So it can be concluded that back rubbing massage using a power massager is more effective than using hands in reducing pain in primigravida in parturient patients in the active phase 1. In conclusion, back rubbing massage using a power massager is more effective in reducing pain in primigravid patients in labor in the first active phase.
Faktor-Faktor yang Mempengaruhi Perilaku Hand Hygiene Perawat di Puskesmas Telaga Sabirin B.Syukur; Fadli Syamsuddin; Desriyanti Djumuli
Jurnal Rumpun Ilmu Kesehatan Vol. 3 No. 2 (2023): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v3i2.1842

Abstract

Some factors that affect hand hygiene behavior are internal factors and external factors. The purpose of this study is to determine the relationship between hand hygiene behavior and internal factors such as attitudes and knowledge while external factors such as facility availability. The design of this study uses quantitative methods, namely research related to data and figures. Data analysis using chi-square. Sampling using total sampling. The results of the study found that the relationship between attitudes and good behavior (70.0%) and less attitudes (77.8%), The relationship between knowledge and behavior obtained was high (33.3%) and moderate (40.0%) while the relationship between facility availability was obtained which was good (56.3%) and less (43.8%). The results of the statistical analysis obtained the relationship between attitudes and hand hygiene behavior p = 0.037, the relationship between knowledge and hand hygiene behavior p = 0.245 and the relationship between the availability of facilities with hand hygiene p = 0.073, it can be concluded that there is a significant relationship between hand hygiene behavior and attitudes, knowledge and availability of facilities.
Analisis Praktik Klinik Keperawatan Pada Pasien Stroke Non Hemoragik dengan Pemberian Latihan Pemasangan Puzzle Jigsaw Terhadap Peningkatan Kekuatan Otot Ekstermitas Atas Rsud Prof. Dr. H. Aloei Saboe Kota Gorontalo Fadli Syamsuddin; Riyana Nur Ridwan Adam
Jurnal Rumpun Ilmu Kesehatan Vol. 3 No. 2 (2023): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v3i2.1844

Abstract

Stroke is an acute neurological condition caused by decreased blood flow to the brain. Nervous system dysfunction occurs suddenly (within seconds) or rapidly (within hours) and the symptoms and signs correspond to the local area of ​​the brain affected. Objective: To conduct an analysis of managed cases with a medical diagnosis of non-hemorrhagic stroke with jigsaw puzzle pairing exercise therapy to increase upper extremity muscle strength Methods: This research is a quasi-experimental design with pre and post test. This type of research is a research design that is used to look for causal relationships with research involvement. The sample used in this study were 6 patients with a critical sample of patients who had non-hemorrhagic stroke who were treated at Prof. Hospital. Dr. Aloei Saboe Gorontalo City. Results: The results of the study showed that changes in muscle strength were only present in Mr. I.T obtained an increase on the evaluation of the third day of implementation where there was an increase in muscle strength to 5/4, which means there was an increase using the MMAS (Modified Muscle Assessment Scale) it was found that the client was only able to lift the top part of the puzzle and put it back. (The patient reaches forward at arm's length, lifts the top of the puzzle, releases it back to the part of the table that is closest to the patient's body). Conclusion: Based on the research conducted, it was found that 6 respondents from the results of the assessment had measuring results that had been carried out after the Jigsaw Puzzle installation exercise, it was found that there was a change in the range of motion of the client's fingers while for the client's muscle strength and fine motor movements there had been no change. Stroke attack can cause permanent physical disability.
Analisis Asuhan Keperawatan Bersihan Jalan Napas Tidak Efektif pada Anak Bronkopneumonia Dengan Tindakan Kolaborasi Pemberian Nebulizer di Ruang Picu Rsud Prof. Dr. H. Aloei Saboe Dewi Modjo; Andi Akifa Sudirman; Silvana Djafar Ibrahim
Jurnal Rumpun Ilmu Kesehatan Vol. 3 No. 2 (2023): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v3i2.1846

Abstract

Background: Because of the very high mortality in children and children under the age of five, bronchopneumonia is the leading cause of death in children under the age of five worldwide. When viruses, bacteria, microbes and fungi enter the lungs through the respiratory system, they infect the lung parenchyma and cause pneumonia. Objective: Analyzing ineffective airway clearance nursing care in children with bronchopneumonia by collaborative action of administering a nebulizer in the Picu Room of Prof. Hospital. Dr. H Aloei Saboe Methods: Participants in this study, which used a quasi-experimental design, received treatment or intervention before measuring and analyzing the impacts. The pre-post-test group design method served as the basis for the research design. In children with bronchopneumonia, this strategy is used to check the results before and after administration of the nebulizer. Two young people who fight against crime become samples. Results: The results of the study show the overall evaluation results after nursing actions, namely: Based on the results before being given a nebulizer to patients the problem was not resolved in 2 patients and after being given a nebulizer to patients the problem was resolved in 2 patients Conclusion: Based on the description above, inhalation therapy to reduce symptoms of shortness of breath in children with bronchopneumonia is effective where inhalation therapy or steam inhalation therapy using drugs can widen the bronchial airways resulting in complaints such as shortness of breath and disappearance of breath sounds.
Pengaruh Pemakaian Lidocaine Terhadap Tingkat Nyeri Pasien Retensi Urin Saat Pemasangan Kateter A'an Delia Acil; Nur Hamim; Roisah Roisah
Jurnal Rumpun Ilmu Kesehatan Vol. 3 No. 2 (2023): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v3i2.1906

Abstract

Pain is an uncomfortable and highly individualized feeling that others cannot feel. Lidocaine is a drug to relieve pain or has a numbing effect on the body. This study aims to determine the effect of lidocaine use on the pain level of urinary retention patients during catheter insertion in the emergency room of Dr Haryoto Lumajang Hospital. The research design used quasi-experiments with Two Group Post-test design. Accidental sampling was used to determine the number of samples and obtained 30 respondents, every 15 people in the intervention group and control group. The pain was measured using the NRS (Numeric Rating Scale) pain scale. The intervention group was given lidocaine 2% as much as one ampoule mixed with lubricant inserted into the urethra using a syringe. The control group only used lubricant. Statistical tests using the Mann-Whitney U Test. In the intervention group, 11 (73.3%) respondents experienced mild pain, and 4 (26.7%) respondents felt moderate pain. In the control group, 14 (93.3%) respondents experienced moderate pain and 1 (6.7%) respondent felt severe pain. Statistical test with a p-value of 0.000 means that lidocaine use has an effect on the pain level of patients with urine retention during catheter insertion. Taking into account the findings of this study, nursing can play a role in improving patient experience and providing better care during catheter insertion in patients with urine retention.
KRITERIA PERSONALIA TERKAIT KEBERLANGSUNGAN PELAYANAN PUSKESMAS Dewi Agustina; Ade Fitri Arianti; Bunga Elvyan Br. Damanik; Istikhoma Rambe; Rehana Nugraha B. Sitorus
Jurnal Rumpun Ilmu Kesehatan Vol. 3 No. 2 (2023): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v3i2.1910

Abstract

Sarana prasarana adalah segala sesuatu yang dapat dipakai sebagai alat dalam mencapai maksud dan tujuan. Sarana prasarana pelayanan kesehatan adalah sarana prasarana yang menyediakan bentuk pelayanan yang sifatnya lebih luas daripada bidang klinik, yaitu bersifat promotif, preventif dan rehabilitative. Ketersediaan fasilitas pelayanan kesehatan, personalia puskesmas atau sumber daya dapat mempengaruhi perilaku. Tujuan penelitian: Penelitian ini bertujuan untuk mengetahui ketersediaan tenaga kesehatan yang ada di puskesmas guna berlangsung baiknya suatu pelayanan kesehatan. Metode penelitian: Penulisan artikel ini menggunakan metode pencarian artikel menggunakan dua database, yaitu Google Scholar dan PubMed Kesehatan dengan kata kunci sumber daya manusia, personalia puskesmas dan peran kinerja. Hasil: Kepuasan pasien terhadap pelayanan kesehatan yang berkualitas dianggap masyarakat sebagai profesionalisme kerja oleh seorang tenaga kesehatan. Tuntutan masyarakat akan terpenuhi jika pemberi layanan memiliki propesionalisme yang tinggi dan mampu mempertahankan citra dan kinerja yang memenuhi standar pelayanan. Disiplin kerja juga mempunyai kontribusi terhadap kualitas pelayanan keperawatan yang pada akhirnya berdampak pada produktivitas kerjanya.Tanpa ada dukungan disiplin yang tinggi dari karyawan, perusahaan atau organisasi sulit untuk mewujudkan tujuan yang ingin dicapai. Kesimpulan: Produktivitas suatu organisasi dipengaruhi oleh banyak faktor antara lain disiplin dan karakteristik individu. Produktivitas layanan kesehatan puskesmas juga ditentukan oleh kualitas sumber daya manusia (SDM)/personalia yang dimiliki.
Penerapan Lean Six Sigma Dalam Meningkatkan Aliran Pasien Bahiizza Shadrina Zhafarin; Haikal Ghifary; Putri Andini Novianti; Acim Heri Iswanto
Jurnal Rumpun Ilmu Kesehatan Vol. 3 No. 2 (2023): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v3i2.1918

Abstract

Nowadays, in health care facilities, whether in hospitals, health centres, or clinics, there is often a large number of patient visits that can cause delays in operational activities. Delays are caused by a lot of waste in patient flow activities in health facilities. Therefore, the application of Lean six sigma in improving patient flow is needed to overcome this. This research uses the Literature Review method where data collection and processing by referring to previously existing research in the last 5 years, namely 2019-2023. The literature was obtained through Google Scholar and journal databases using the keywords Lean Six Sigma, patient flow, and health service facilities. The number of journals used as a reference for previous related research in compiling this research is 6 journals. The results obtained from the six articles state that the application of lean six sigma in healthcare facilities has proven effective in improving patient flow. And this way is very effective of course to do.