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JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Published by Universitas Muhammadiyah Yogyakarta
ISSN : 20882831     EISSN : 25416715     DOI : https://doi.org/10.18196/jmmr
Core Subject : Economy, Health,
Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Public Health
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) focuses on the research and research review related to hospital management that is relevant to the development of the theory and practice of hospital management in Indonesia and Southeast Asia. Focus on hospital management (but not limited) to hospital services such as primary health care, laboratory, pharmacy, and radiology. JMMR covered various research approaches, namely: quantitative, qualitative, and mixed-method. JMMR focuses on various themes, topics, and aspects of accounting and investment, including (but not limited) to the following topics: Hospital Management, Hospital Accounting, Health Services Management, Health Insurance, Health Policy, Community Health Center, Medicine, Nursing, Pharmacy, Information Technology Health Services, Health Law and Ethics.
Arjuna Subject : Umum - Umum
Articles 332 Documents
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URINARY CATHETER IN URINARY TRACT INFECTIONS WITH THE INFECTION CONTROL RISK ASSESSMENT METHOD ON ASPECTS OF ACTION IN THE HOSPITAL Kusbaryanto Kusbaryanto; Alika Anisa Nishihara
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 11 No. 1 (2022): April 2022
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v11i1.14483

Abstract

Background: Catheter-associated Urinary Tract Infection (CAUTI) accounts for nearly 40% of all nosocomial infections. This reflects the poor quality of health services. This study aims to analyze the use of urinary catheters for CAUTI with the Infection Control Risk Assessment (ICRA) method in Indonesian hospitals Method: The design of this research is descriptive and quantitative. The population in the study were all nurses who worked in the hospital. The sample used in this study to determine the aspects of action on nurses related to urinary catheter placement were all nurses who worked in the Internal Medicine, Surgery, Geriatrics, and Emergency Units at Panembahan Senopati Hospital Bantul, totaling 61 respondents. The sampling technique used is random sampling. Inclusion criteria are nurse working period 1 year, minimum education D3. The exclusion criteria were respondents who did not fill out the questionnaire completely. Informants in this study were IPCN, IPCLN, internal medicine specialists, emergency room nurse coordinators, and nurses in the inpatient ward.Results: Results: The majority of the procedures from all stages were according to the SOP, at the pre-interaction stage of placing a urinary catheter in male patients, the majority did not wash their hands with running water. At the working stage of installing a male patient's urinary catheter and the installation stage of a female patient's urinary catheter between actions that are in accordance with the SOP and those that are not in accordance with the balanced SOP. Conclusion: The majority of actions from all stages according to SOP and at the pre-interaction stage, a male urinary catheter was inserted, and the majority did not wash their hands with running water.
The Effect of Emotional Freedom Technique Therapy on Nurse Burnout Ni Made Nopita Wati; Ni Wayan Mirayanti; I Gede Juanamasta
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 8 No. 3 (2019): December 2019
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.83104

Abstract

Burnout can develop as a result of long work stress and cause a change in attitudes and behaviors withdrawing psychologically. The most visible impact of burnout is the decline in performance and quality of service. As a result, they were unable to fulfill the work demands and finally decided not to attend, increasing rates of sick leave, reduced work effectiveness or even leaving their jobs. This study aims to determine the effect of Emotional Freedom Technique (EFT) therapy on burnout in implementing nurses. The design of this study uses quasi-experimental design with control group. The sample in the study were 38 nurses, divided into 2 groups, each group consisting of 19 people selected through purposive sampling. This study used the Wilxocon Signed Rank Test to determine the differences in one pre-post group and the Mann Whitney Test to analyze changes after two different post-post groups. The results showed the value of p value in the treatment group = 0,000 which means that there was an effect of therapy (EFT) on burnout in the implementing nurses, whereas in the control group there was no difference with the p value = 0.925, the p value was influenced by EFT therapy (Emotional Freedom Technique ) towards burnout of nurse nurses before and after in groups of 0,000. It is expected that the Hospital can overcome burnout by passing EFT therapy.
Development Framework of Emergency Call Application in Pregnant Women Antono Suryoputro; Rani Tiyas Budiyanti
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 8 No. 3 (2019): December 2019
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.83105

Abstract

Referral problems in high-risk pregnancy can increase pregnant woman mortality. Beside of referral's delay in an emergency case, delay in knowing the danger sign also be the problem. In the development of technology, many information systems can be applied to recognize the danger signs of pregnancy and request immediate help in an emergency case. One of them is using the application on the smartphone. This study aims to develop a framework of emergency call application in pregnant women. This study was literature review research from the journal year 2009-2019, book, proceeding that related to danger signs of pregnancy and emergency call apss in pregnant women. Time research was done in July until Agustus 2019. The Result is a development framework of emergency call application in pregnant woman consists of personal information, danger sign information, calculator prediction of risk pregnancy, emergency button, chat feature, and examination history. It needs to identify health professionals, health care, and family that can be contacted immediately. The Conclusion is To implement an emergency system application for pregnant women, good technology literacy and joint commitments are needed.
Analysis of Development Strategy Management of the Indonesian Navy Hospital dr. R. Oetojo Satrio Sugiharto Machfudi; Wahyu Wijaya; Heri Iswanto
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 8 No. 3 (2019): December 2019
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.83106

Abstract

This study aims to analyze the strategic management of the Sorong Naval Hospital dr. R. Oetojo, Indonesian Navy development in an effort to provide personnel health services in the Sorong XIV Main Naval Base working area. The scope of the study includes the analysis of external environmental factors that become opportunities and threats, and analysis of internal environmental factors that become strengths and weaknesses, redefining the vision and mission, setting long-term goals until 2023, determining alternative strategies and determining the chosen strategy appropriate. The research method is operational with a combination of research data from interviews and questionnaires. Implementation performance and quality of health services consisting of dimensions of tangible, reliability, responsiveness, assurance, and empathy with an average index of 4.00 or 80.15% have good results. The strategy was chosen by using the SWOT matrix and IE matrix to obtain the organization's position. Health services Naval Hospital dr. R. Oetojo, Indonesian Navy based on the SWOT matrix analysis is in quadrant I, which is an aggressive strategy which replaces with that has a very profitable position or strategy, maximizes opportunities and strengths, and supports aggressive growth policies. The results of the IE matrix obtained the total value of the EFAS matrix 3.159 and IFAS matrix 3.203, so that the hospital position is in the cell I or is described as Grow and Build with alternative strategies including market penetration, market development, and product development.
The Implementation of Lean Management in Accelerating Health Insurance Claim Process at Hospitals Elisabeth Lia Friskasari; Chriswardani Suryawati; Henry Setyawan
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 8 No. 3 (2019): December 2019
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.83107

Abstract

Due to the changing payment system of healthcare services in the era of National Health Insurance from fee for service to be INACBGs (Indonesian Case Base Groups), health care financing system has changed from fee for service to INACBGs (Indonesian Case Base Groups) package system. In this case, hospitals especially the private ones, must have a stable financial capacity to be able to survive and operate. One of efforts to overcome this issue is to improve efficiency in all aspects and to make the claim submission on time. A continous improvement effort is needed to identify waste and improve the efficiency of a process, one of which is application of Lean Management. This study aimed to identify waste which can delays the process of claim submission. This study was conducted at a private hospital in Central Java. The research is a qualitative research with descriptive analytic methods. The result showed that the waste in the outpatient claim process was 52,4% and the waste in the inpatient claim process was 52,2 % of all activities. The implementation of lean management for the process of health insurance claims was estimated to reduce the time cycle of outpatient claim process from 97.018 seconds to 181 seconds and the time cycle of inpatient claim process from 109.897 seconds to 406 seconds.
Optimizing the Flow of Inpatient Acceptance at the Internal Medicine Clinic of Stone Baptist Hospital Lidia Emilinda; Dolly Irbantoro; Tita Hariyanti
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 8 No. 3 (2019): December 2019
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.83108

Abstract

The waiting time for hospitalization in internal medicine clinics at Baptis Batu Hospital has not yet reached the minimum service standard indicator. Batu Baptis Hospital determines the standard inpatient waiting time <120 minutes starting from the patient being decided on hospitalization until the patient enters the care room and infusion installation by the nurse. Reducing the factors that affect the length of time waiting for hospitalization in internal medicine clinics. This study was qualitative with unstructured interviews, FGDs, and observations with 3 participants. Primary data were obtained from time motion study observations and secondary data were obtained from the minimum service standard report (SPM) of Baptis Hospital Batu. The main factor of the length of time waiting for inpatient in internal medicine clinics was the absence of special officers in the action room and the role of inter-unit officers did not communicate well to optimize inpatient waiting time. The flow process for inpatient admissions exceeds the standard causing a long waiting time for inpatients. Suggestion from this research is the addition of admission units in outpatient installations to reduce the waiting time.
Patient Safety Incident Differences Between Accredited and not Accredited Primary Health Center Arlina Dewi; Nevi Seftaviani; Erna Rochmawati
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 8 No. 3 (2019): December 2019
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.83109

Abstract

The study aims to identify the differences of patient safety incident (PSI) by health workers in accredited and non-accredited Primary health care (PHC) by its frequency and severity of harm. This research used analytic crossectional method. A well-structured questionairre of 15 patients’ safety indicators was administered to collect response of Nurse and midwife in 3 accredited PHC and 3 non-accredited PHC about patients’ safety incident in last month. In the result, overall the incident happened more frequent in non-accredited PHC than in acrredited PHC which is statistically significant (CI 95%, p=0.002). Specifically, what the nurses handle is about medication (CI 95% p=0.018) and therapeutic treatment (CI 95% p=0.036). Also, it is about the education (CI 95% p=0.025) and documentation (CI 95% p=0.013). Still, two indicators of midwife’s treatment while transferring and about the education involved minor harm.
Altruism as Perspective of Medical Students Wiwik Kusumawati; Yunita D Indriani
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 8 No. 3 (2019): December 2019
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.83110

Abstract

Altruism is an important attribute for medical doctors and other health professionals. The behavior of altruism must be understood and trained in the early stage of medical education. The aim of this study was to know the medical students’ perception of altruism. This was a qualitative study and the participants were 24 medical students who were chosen by purposive sampling with criterion reference. The data were collected using in-depth interviews and focus group discussions. The data then were transcribed into verbatim and analyzed using the constant comparative method. This study revealed 90 codes, 16 themes, and five final themes. The final theme consisted of 1) altruism and attribute of medical professions, 2) altruism and influential factors, 3) altruism of medical students, 4) medical profession from a student perspective, and 5) altruism and malpractice. Altruism and medical professionalism are important attributes of the medical profession. There are many factors that can influence medical student's altruism, it can be internal or external factors. Medical students have various levels of altruism and we can assess the degree of altruism of medical students through their understanding of the medical profession. A low degree of altruism of doctor may cause unexpected things such as malpractice.
Socio economic factors of child basic immunization: Case of West Java Province Patrisia Helena Saraswati; Ascobat Gani
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 9 No. 1 (2020): April 2020
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.91111

Abstract

Indonesia has committed to eradicating infectious diseases by launching an Expanded Program on Immunization (EPI) in 1977 with a focus on 6 diseases: tuberculosis, diphtheria, tetanus, pertussis, measles, and polio. According to the Basic Health Survey (RISKESDAS) 2018, the rate of basic immunization coverage for children in Indonesia was still below 60% and coverage between provinces varies. West Java was among the province with low child basic immunization coverage. The current study is designed to examine the socio-economic factors that influence child basic immunization using logistic regression. Socioeconomic data were extracted from the National Socioeconomic Survey (Susenas) 2017 and Village Potential (Podes) Survey 2018. The study finds that income, maternal education, location of residence, insurance ownership, availability of health facilities and health workers increase the likelihood of children getting immunized.
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 2020
Publisher : Universitas Muhammadiyah Yogyakarta

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.

Page 22 of 34 | Total Record : 332

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