scholarly journals DEVELOPMENT OF TRANSACTIONAL COMMUNICATION MODEL FOR MIDWIFE AND POSTPARTUM MOTHER ON EXCLUSIVE BREASTFEEDING

Jurnal NERS ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. 49
Author(s):  
Rekawati Susilaningrum ◽  
Sri Utami ◽  
Susilorini Susilorini

Introduction. Exclusive breastfeeding has become a major issue in Surabaya because the number of exclusive breastfeeding coverage are less than 80% which is below the national target. The purpose of this study was to develop a transactional communication model based on management between midwife and postpartum mother on exclusive breastfeeding. Method. The design used in this study was cross-sectional with 175 postpartum mothers in public health center Surabaya as the samples that recruited by purposive sampling. Questionnaires were used as instrument and data were analyzed by using descriptive statistical test and Partial Least Square (PLS). Result. The result showed that predisposing factors and enabling factors were able to improve the practice of exclusive breastfeeding directly or indirectly by transactional communication with t-table (>1.96). However, reinforcing factors could not directly improve the practice of exclusive breastfeeding. This study indicates that practice of exclusive breastfeeding could be improved with transactional communication based on human interaction theory. Discussion and conclusion. The implementation of transactional communication between midwife and mother would be able to optimize the predisposing factors, enabling factors, and reinforcing factors on the practice of exclusive breastfeeding.

2021 ◽  
Vol 7 (1) ◽  
pp. 125
Author(s):  
Yullytia Franika Maryati ◽  
Nur Hidayah

Pengisian rekam medis harus akurat agar tercapai informasi yang baik untuk budaya keselamatan pasien. Kekurangan pengisian pada rekam medis menjadi masalah karena rekam medis berisi data yang memberikan informasi tentang  pasien dengan tujuan peningkatan mutu pelayanan di rumah sakit. Tujuan penelitian ini adalah untuk mengetahui kepatuhan tenaga kesehatan terhadap Standar Prosedur Operasional rekam medis dalam membangun budaya keselamatan pasien di Rumah Sakit Umum Daerah Gambiran Kota Kediri. Desain penelitian menggunakan mix methode yaitu metode kuantitatif  dengan pendekatan cross sectional dan metode kualitatif dengan depth interview. Teknik pengambilan sampel dalam penelitian ini menggunakan teknik simple random sampling yang berjumlah 80 orang terdiri atas dokter,perawat dan bidan dan 10 informan. Teknik analisis data menggunakan analisis Structural Equation Modeling dengan menggunakan alat analisis data Partial Least Square. Hasil penelitian menunjukkan bahwa predisposing factors berpengaruh terhadap perilaku tenaga kesehatan, predisposing factors tidak berpengaruh terhadap budaya keselamatan pasien, enabling factors tidak berpengaruh terhadap perilaku kepatuhan tenaga kesehatan, enabling factors tidak berpengaruh terhadap budaya keselamatan pasien, reinforcing factors tidak berpengaruh terhadap perilaku kepatuhan tenaga kesehatan, reinforcing factors berpengaruh terhadap budaya keselamatan pasien, perilaku kepatuhan tenaga kesehatan berpengaruh terhadap budaya keselamatan pasien, predisposing factors berpengaruh terhadap budaya keselamatan pasien yang dimediasi perilaku kepatuhan,enabling factors tidak berpengaruh terhadap budaya keselamatan pasien yang dimediasi perilaku kepatuhan, reinforcing factors tidak berpengaruh terhadap budaya keselamatan pasien yang dimediasi perilaku kepatuhan.Kata kunci : Kepatuhan, budaya keselamatan pasien, rekam medis.


2019 ◽  
Vol 1 (2) ◽  
pp. 12-22
Author(s):  
Vitrilina Hutabarat ◽  
Stefani Anastasia Sitepu ◽  
Novita Br Ginting Munthe

Breast milk is the liquid produced by the secretion of the mother's breast gland, which is given to babies from birth for 6 months, without adding or replacing with other foods or drinks. The Indonesian government targets exclusive breastfeeding coverage of 80%. The results of the 2010 Riskesdas in North Sumatra only reached 20.2%. From year to year, it declined, especially in Medan.This study aims to determine the factors associated with breastfeeding in postpartum mothers at the RSUD. Dr. Pirngadi Medan in 2015.The study design used was cross sectional in the primary data consisting of 48 respondents. The study was conducted on March 28-April 28, 2015 using a questionnaire filled out by the respondents themselves. Analysis of the data used is chi square. The results showed that most of the middle age were 56.3%, secondary education was 64.6%, working IRT as much as 100%, delivery by sectio caesarea as much as 70.8%, knowledgeable as much as 79.2%, sources of information from officers health as much as 62.5%, and those who received support as much as 83.3%. Proportion of breastfeeding to postpartum mothers at Dr. Pirngadi Medan is 83.3%, has more fulfilled the national target (80%). Factors related to breastfeeding in this study were knowledge (predisposing factors), sources of information (enabling factors) and husband / family support (reinforcing factors). From the results of this study it can be concluded that good knowledge (predisposing factors), sources of information from health workers (enabling factors) and husband / family support (reinforcing factors) can influence breastfeeding in postpartum mothers.


Jurnal NERS ◽  
2015 ◽  
Vol 10 (2) ◽  
pp. 343
Author(s):  
Tukatman Tukatman ◽  
Sulistiawati Sulistiawati ◽  
Purwaningsih Purwaningsih ◽  
Nursalam Nursalam

Introduction: Occupational health and safety are a system designed to ensure a good safety and health in the workplace. Nurses have a higher risk of accidents and occupational diseases due to managing patients The goal of analyze the relationship or the influence of predisposing, enabling and reinforcing factors, and the concept of core and care in nurses’ safety and occupational health issue nurs in managing patient. Methods: Type of study is explanatory research using cross sectional design. Proportional random was chosen by consecutive sampling technique amounted to 100 respondents based on criteria. The variables measured were predisposing factors (knowledge, attitudes, beliefs and values), reinforcing factor (officers who became a role model), enabling factors (facilities, rules/regulation), core-care (interpersonal, concern), as well as safety and occupational health. Data were analyzed using Partial Least Square (PLS). Result and Analysis: Predisposing factors affecting safety and occupational health, value by t-count of 2.82 > t-table of 1.96. Reinforcing factors do not significantly affect occupational health and safety by t-count of 1.098 < t-table of 1.96. Enabling factors affecting occupational health and safety by t-count of 2.39 > t-table of 1. Factors of core and care factors affecting nurses’ safety and occupational health in managing patients in Benyamin Guluh Hospital, Kolaka Regency have t-count of 1.963 > t-table of 1.96. Discussion and Conclusion: Development of behavioral and nursing theories to nurses’ occupational health and safety showed R-square value of 39.5%. The new model structure are: predisposing factors (knowledge, attitudes, beliefs and values), enabling factors (facilities, rules / regulation), core (interpersonal relationships) and care (concern).Keywords: occupational health, behavior, nursing


2020 ◽  
Vol 4 (2) ◽  
pp. 11-17
Author(s):  
Madinatul Munawaroh

ABSTRAK ASI merupakan makanan pertama, utama dan terbaik bagi bayi, yang bersifat alamiah. Rendahnya angka bayi yang disusui dapat dipengaruhi oleh berbagai faktor, baik faktor pemudah (predisposing factors, faktor pendukung (enabling factors) dan  faktor pendorong (reinforcing factors). Data yang didapat dari Profil Kesehatan Jawa Barat tahun 2014, bahwa hanya 20,67% bayi usia 0-6 bulan yang mendapatkan ASI Eksklusif dari jumlah total bayi usia 0-6 bulan yaitu 12.508. Cakupan pemberian ASI eksklusif bagi bayi 0-6 bulan di Indonesia pada tahun 2013 mencapai 61,1%, namun mengalami penurunan pada tahun 2014 menjadi 33,6%. Metode penelitian ini menggunakan desain deskritif. Populasi penelitian adalah ibu yang memiliki bayi berusia lebih dari 6 bulan sebanyak 63 orang yang tidak memberikan ASI Eksklusif. Sampel yang digunakan yaitu total sampling. Tekhnik pengumpulan data menggunakan questioner dan analisa data yang digunakan univariat.. Hasil penelitian dari 63 responden ibu dengan tingkat pendidikan terakhir ibu sebanyak 44.4% berpendidikan SMP-SMA, 42.9% SD, 7.9% tidk pernah sekolah dan 4.8% akademi tinggi/PT. Frekuensi pengetahuan ibu terhadap ASI Eksklusif sebesar 65.1% berpengetahuan kurang, 31.7% berpengetahuan cukup dan 3.2% berpengetahuan baik. Budaya yang mempengaruhi pemberian ASI Eksklsusif sebanyak 63.5% terdapat tradisi tertentu dan 36.5% tidak terdapat tradisi tertentu. Penelitian ini merekomendasikan agar petugas kesehatan dapat meningkatkan dukungan melalui edukasi, dan meningkatkan pengetahuan masyarakat mengenai pentingnya ASI eksklusif melalui penyuluhan oleh bidan dan para kader khususnya penyuluhan yang terfokus kepada ibu hamil dan ibu menyusui. Breastfeeding constitute the food of first , main and best for baby , that is natural .An infant who is being suckled this matters can be influenced by various factors , good factors pemudah ( predisposing factors , by factors in support of ( enabling options factors ) and motivation factor ( reinforcing factors ) .The data obtained from health profile west java 2014 , that only 20.67 % of children aged 6-0 months are breastfed of the total number of children aged 6-0 months namely 12.508 . The scope of the provision for the exclusive breastfeeding 0-6 months in indonesia in 2013 % 61,1 reached , but fell in 2014 to 33,6 % .The methodology applied deskritif design .The population study areas is that women have babies aged over 6 months as much as 63 people who do not give exclusive breastfeeding .The sampling method used the total sample .Using questioner tekhnik data collection and analysis of the data used univariat .. The results of the study of 63 respondents mother with education levels last mother 44.4, smp-sma % have as many as 42.9, primary percent percent had 7.9 tidk 4.8 percent high school and academy /. ptThe frequency of the breastfeeding exclusive knowledge of as much as percent less, 65.1 knowledge knowledgeable 31.7 percent moderate and percent. 3.2 knowledge eitherThe culture that affects as many as breastfeeding eksklsusif 63.5 % tradition 36.5 percent certain there is no particular tradition. his study recommended that health workers to increase support through education, and increased community knowledge about the importance of breastfeeding exclusively through extension activities by the midwife and kaders especially extension that focus to pregnant women and nursing mother.  


1997 ◽  
Vol 11 (5) ◽  
pp. 331-336 ◽  
Author(s):  
Wei Yue Sun ◽  
Tan Ling

Purpose. The study was designed to investigate differences in predisposing factors, enabling factors, reinforcing factors, and smoking behavior among middle school students living in the city, suburbs, and rural areas of Shanghai. Design. A one-time cross-sectional survey design was applied in this study. Setting. The study was conducted in 11 schools in three areas. Subjects. A total number of 1116 students from these three areas participated in this study. The response rates were 92, 88, and 84% for city, suburbs, and rural areas, respectively. Measure. A PRECEDE instrument including predisposing, enabling, and reinforcing factors was employed to collect data. A Multivariate Analysis of Variance (MANOVA) and Multiple Regression Analysis were used to analyze the data. Results. Smoking was reported by 39.8% of boys and 5.14% of girls. Students in the city of Shanghai had the best (against smoking) predisposing factors, but students in rural areas had the best (against smoking) enabling and reinforcing factors and consumed the fewest cigarettes. Conclusion. Results indicated that smoking behavior in students was affected strongly by enabling factors and reinforcing factors that were related to socioeconomic, cultural, and environmental influences in China.


Jurnal NERS ◽  
2017 ◽  
Vol 12 (2) ◽  
pp. 171
Author(s):  
Eliza Zihni Zatihulwani ◽  
Tintin Sukartini ◽  
Ilya Krisnana

Introduction: Acute Respiratory Infection (ARI) is the leading cause of morbidity and mortality in children. A cough and cold diseases such as rhinitis, pharyngitis, tonsillitis and other upper respiratory diseases are classified as non-pneumonia. ARIs that are not appropriately handled will affect the lung tissue and cause severity and even death. The purpose of this study is to develop a model of self-efficacy (SE) among mother to prevent recurrent (PR) non pneumonia (NP)-ARI on toddlers based on the integration of Precede-Proceed Model and Health Belief Model. Method: This study used cross-sectional design. The population were a mother with a toddler in Tanggalrejo Village of Mojoagung Jombang.  A hundred toddler’s mothers were recruited as samples by cluster sampling. Variables in this study were predisposing-enabling-reinforcing factors, main constructs of perceived (MCP), perceived threat, SE and PRNP-ARI. Data were collected using questionnaire, and Focus Group Discussion then analyzed using Partial Least Square (PLS). Results: The SE improvement model for the PRNP-ARI was formed from predisposing-enabling-reinforcing factors, MCP, perceived threat, and maternal SE. The greatest effect was on MCP against a perceived threat with T statistic value = 11.07. Conclusion and recommendation: Increasing SE of toddler's mother can be done by educating mother about ARI concept, conventional ARI treatment, environmental modification, benefits of mask use, clean and healthy life behavior, proper hand washing, nutrition feeding, exclusive breastfeeding, stress management; create peer support group for toddlers mother; and optimizing the role of health officers and family support.


2020 ◽  
pp. 104-115
Author(s):  
Greiny Arisani ◽  
Wahidah Sukriani

Air Susu Ibu Eksklusif adalah Air susu ibu yang diberikan kepada bayi sejak dilahirkan selama 6 bulan tanpa menambahkan atau mengganti dengan makanan atau minuman lain. ASI eksklusif berperan sebagai imunisasi pertama, perlindungan dari infeksi pernapasan, diare dan penyakit yang berpotensi mengancam jiwa lainnya. Salah satu faktor yang berkontribusi terhadap rendahnya tingkat keberhasilan ASI eksklusif secara global adalah faktor sosial budaya yang berkaitan dengan perilaku menyusui. Tujuan penelitian ini untuk menganalisis determinan perilaku menyusui (predisposing factors, enabling factors dan reinforcing factors) dengan keberhasilan ASI eksklusif. Metode penelitian analitik observasional dengan rancangan cross sectional. Hasil penelitian sebesar 61% tidak ASI eksklusif. Kemudian hasil uji chi square pada predisposing factors meliputi pekerjaan, sikap dan pengetahuan berhubungan signifikan dengan keberhasilan ASI Eksklusif. Enabling factors meliputi penolong persalinan, tempat persalinan dan riwayat inisiasi menyusu dini (IMD) memiliki hubungan yang signifikan dengan keberhasilan ASI eksklusif dan reinforcing factors pada variabel dukungan keluarga berhubungan secara signifikan dengan keberhasilan ASI eksklusif. Hasil uji regresi logistik disimpulkan variabel riwayat inisiasi menyusu dini (IMD) (p=0,001;OR=16,625) variabel dominan dengan keberhasilan ASI eksklusif bersama variabel dukungan keluarga (p=0,013;OR=6,791), pekerjaan (p=0,014;OR=3,689), pengetahuan (p=0,027;OR=6,892) dan penolong persalinan (p=0,047;OR=6,604).


2018 ◽  
Vol 3 (1) ◽  
pp. 66
Author(s):  
Bima Indragani Purnomo ◽  
Roesdiyanto Roesdiyanto ◽  
Rara Warih Gayatri

Abstract: According to the WHO, Indonesia is the country with the highest rates of adolescent smokers in the world. About 80% of teen smokers start the habit before the age of 19 years. Based on preliminary research, eight of the fifteen students of SMKN 2 Kota Probolinggo are smokers. According Simarmata (2012: 80), predisposing factors, enabling factors, and reinforcing factors have a relationship to adolescent smoking behavior. This study aims to determine the relationship of predisposing factors, enabling factors, and reinforcing factors with smoking behavior in SMKN 2 Probolinggo students in 2017. This research uses descriptive correlative and regression design, cross sectional approach, and sample of 291 students using proportional stratified random sampling in taking samples. Based on descriptive analysis it is known that there are 171 students who are non-smokers and 120 students as smokers. Based on correlative analysis it can be seen that gender variables, knowledge, attitudes, pocket money, and smoking status of family members have a significant relationship to smoking behavior of learners. In the regression analysis it can be seen that gender, attitude, allowance, and family members' smoking status are the most influential variables on smoking behavior of students. Based on the result of the research, it can be concluded that the behavior of SMKN 2 Kota Probolinggo student smoking is influenced by many factors: gender, knowledge about cigarette, attitude toward cigarette, amount of allowance, and member's smoking status.Keywords: smoking behavior, predisposing factors, enabling factors, reinforcing factorsAbstrak: Menurut WHO, Indonesia merupakan negara dengan angka perokok remaja tertinggi di dunia. Sekitar 80% perokok remaja memulai kebiasaan tersebut sebelum berumur 19 tahun. Berdasarkan penelitian pendahuluan diketahui delapan dari lima belas pelajar di SMKN 2 Kota Probolinggo adalah perokok. Menurut Simarmata (2012:80), faktor predisposisi, faktor pemungkin, dan faktor penguat memiliki hubungan terhadap perilaku merokok remaja. Penelitian ini betujuan untuk mengetahui hubungan faktor predisposisi, faktor pemungkin, dan faktor penguat dengan perilaku merokok pelajar di SMKN 2 Kota Probolinggo tahun 2017. Penelitian ini menggunakan desain deskriptif korelatif dan regresi, pendekatan cross sectional, dan sampel sebanyak 291 pelajar dengan menggunakan proportional stratified random sampling dalam mengambil sampel. Berdasarkan analisis deskriptif diketahui bahwa terdapat sebanyak 171 pelajar yang berstatus bukan perokok dan 120 pelajar berstatus sebagai perokok. Berdasarkan analisi korelatif dapat diketahui bahwa variabel jenis kelamin, pengetahuan, sikap, uang saku, dan status merokok anggota keluarga memiliki hubungan yang signifikan terhadap perilaku merokok pelajar. Pada analisis regresi dapat diketahui bahwa jenis kelamin, sikap, uang saku, dan status merokok anggota keluarga merupakan variabel yang paling berpengaruh terhadap perilaku merokok pelajar. Berdasarkan hasil penelitian dapat disimpulkan bahwa perilaku merokok pelajar SMKN 2 Kota Probolinggo di pengaruhi oleh banyak faktor yaitu jenis kelamin, pengetahuan tentang rokok, sikap terhadap rokok, besaran uang saku, dan status merokok anggota keluaraga. Kata Kunci: perilaku merokok, faktor predisposisi, faktor pemungkin, faktor penguat


2019 ◽  
Vol 1 (2) ◽  
pp. 1-8
Author(s):  
Harry Sundoro

Deviant sexual behavior among unmarried adolescents in terms of reproductive health tends to increase. Premarital sexual behavior in adolescents in high school. The phenomenon of sexual behavior among adolescents according to The Board of Coordinator for National Family Planning in the field as much as 52% had premarital sex.The objective of the research was to find out the correlation of predisposing factors, Enabling and Reinforcing the Pre-Marital Sexual Behavior in Adolescents XY high school in the city of Medan. The research used explanatory method and cross sectional study design. The data were gathered by conducting interviews and questionnaires and analyzed by using multiple logistic regression analysis at α = 0.05.The result of this study showed pre-marital sexual behavior 52.4% of high-risk category. Predisposing factors, 64.5% category is not good knowledge, the attitude of 57.3% in the negative category, socioeconomic 54.0% in the low category. Enabling factors; 54.8% of media access information on exposure category, 58.1% availability of the facilities available in the category. Reinforcing factors; 58.1% of parents have role category, 53.2% of peers have no role category. The result of statistic test showed that predisposing factors (knowledge, attitudes, social and economic) and enabling factors (media access to information and the availability of facilities) as well as reinforcing factors (the role of parents and the role of peers) were correlated (p < 0.05) with the pre sexual behavior marriage. The variable of knowledge had the most dominant correlation with the pre sexual behavior marriage.


2019 ◽  
Vol 1 (2) ◽  
pp. 1-8
Author(s):  
Harry Sundoro

Deviant sexual behavior among unmarried adolescents in terms of reproductive health tends to increase. Premarital sexual behavior in adolescents in high school. The phenomenon of sexual behavior among adolescents according to The Board of Coordinator for National Family Planning in the field as much as 52% had premarital sex. The objective of the research was to find out the correlation of predisposing factors, Enabling and Reinforcing the Pre-Marital Sexual Behavior in Adolescents XY high school in the city of Medan. The research used explanatory method and cross sectional study design. The data were gathered by conducting interviews and questionnaires and analyzed by using multiple logistic regression analysis at α = 0.05. The result of this study showed pre-marital sexual behavior 52.4% of high-risk category. Predisposing factors, 64.5% category is not good knowledge, the attitude of 57.3% in the negative category, socioeconomic 54.0% in the low category. Enabling factors; 54.8% of media access information on exposure category, 58.1% availability of the facilities available in the category. Reinforcing factors; 58.1% of parents have role category, 53.2% of peers have no role category. The result of statistic test showed that predisposing factors (knowledge, attitudes, social and economic) and enabling factors (media access to information and the availability of facilities) as well as reinforcing factors (the role of parents and the role of peers) were correlated (p < 0.05) with the pre sexual behavior marriage. The variable of knowledge had the most dominant correlation with the pre sexual behavior marriage.


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