scholarly journals THE EFFECTIVENESS OF BEDSIDE TEACHING LEARNING METHODS TOWARDS THE SELF-EFFIFACY OF THERAPEUTIC COMMUNICATION IN MIDWIFERY STUDENTS IN CLINICAL PRACTICE

Author(s):  
Dwi Rahma Wati ◽  
Ova Emilia ◽  
Yekti Satriandari ◽  
Yoyo Suhoyo

Background: One of the competencies that must be mastered by health workers is therapeutic communication. Effective communication can increase patient satisfaction but on the contrary communication failure can cause poor information exchange, misdiagnosis, decreased participation and stressors in patients, and even death. Poor communication can be caused by low self efficacy. Bedside teaching learning through preseptor modeling can affect self efficacy in communication. The study aimed to determine the effectiveness of bedside teaching learning method towards the self-efficacy of therapeutic communication in midwifery students in clinical practice.Method: This research is a quantitative descriptive study. The research sample was all midwifery students in the fifth semester who had clinical practice at PKU Muhammadiyah Hospital of Gamping, and Queen Latifa Hospital as many as 20 students. The sampling technique used saturated features. The research instrument used SE-12 and the preceptor’sassessment in bedside teaching. The bivariate analysis used paired t-test and independent t-test.Results: The results showed that the self-efficacy analysis of prior and after bedside teaching therapeutic communication in the certified group obtained mean different of 19.50 and those in the non-certified group obtained mean different of 5.13. There were differences, but not statistically significant with p-value of 0.153.Conclusion: Bedside teaching effectively increased the self-efficacy of midwifery student communication taught by certified preceptors compared to non-certified preceptors. The stages of bedside teaching in the certified group had a betterlevel of preceptor competence than the group that had not been certified. Clinical advisors are suggested to follow preceptorscertification to increase knowledge.

2020 ◽  
Vol 8 (1) ◽  
pp. 34-42
Author(s):  
Devi Listiana

Hemodialysis is a process of cleansing the blood by accumulation of waste. Hemodialysis is used for patients with end-stage renal failure or patients with acute illness who need dialysis for a short time. This study aims to study the relationship of therapeutic communication with anxiety levels in hemodialysis patients in hospitals. Dr. M. Yunus Bengkulu City. This research is a quantitative study with cross sectional research design. Sampling in this study used an accidental sampling technique of 38 respondents. Data obtained directly by providing questionnaires and interviews. Data analysis using univariate and bivariate analysis. The results obtained: (1) Of the 38 respondents who did therapeutic communication as many as 27 people (71.1%), and who did not do therapeutic communication as many as 11 (28.9%). (2) From 38 respondents there were 20 people (52.6%) severe anxiety, 4 people (10.5%) moderate anxiety, 10 people (26.3%) mild anxiety, and 4 people (10.5%) did not there is anxiety. (3) There is a relationship between therapeutic communication and anxiety level in hemodialysis patients in the Hemodialysis Room of RSUD. Dr. M. Yunus Bengkulu, with p-value = 0.003 0.005. It is expected that health workers, especially nurses, use therapeutic communication techniques prior to hemodialysis to reduce the anxiety of patients who will undergo hemodialysis by providing more accurate information regarding actions to be taken to foster a relationship of trust between clients and nurses. Keywords: Therapeutic Communication, Anxiety Level, Hemodialysis


2020 ◽  
Author(s):  
Kristin Natal Riang Gea

AbstrakKeselamatan pasien merupakan dasar dari pelayanan kesehatan yang baik. Pengetahuan tenaga kesehatan dalam sasaran keselamatan pasien terdiri dari ketepatan identifikasi pasien, peningkatan komunikasi yang efektif, peningkatan keamanan obat yang perlu diwaspadai, kepastian tepat lokasi, prosedur, dan tepat pasien operasi, pengurangan risiko infeksi, pengurangan risiko pasien jatuh. Tujuan penelitian untuk mengetahui hubungan antara pengetahuan dengan penerapan keselamatan pasien pada petugas kesehatan di Puskesmas Kedaung Wetan Kota Tangerang. Metode Penelitian menggunakan deskriptif korelasi menggunakan pendekatan cross sectional. Populasi sebanyak 50 responden. Teknik pengambilan sampel menggunakan total sampling. Instrumen yang digunakan berupa lembar kuesioner. Teknik analisa diatas menggunakan analisa Univariat dan Bivariat. Hasil Penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien pada Petugas Kesehatan, dengan hasil, p value sebesar 0,013 < 0,05 maka dapat disimpulkan bahwa ada Hubungan Pengetahuan dengan Penerapa Keselamatan Pasien pada Petugas Kesehatan. Kesimpulan penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien.. AbstrackPatient safety is the basis of good health services. Knowledge of health personnel in patient safety targets consists of accurate patient identification, increased effective communication, increased safety of the drug that needs to be watched, certainty in the right location, procedure, and precise patient surgery, reduction in risk of infection, reduction in risk of falling patients. The purpose of this study was to determine the relationship between knowledge and the application of patient safety to health workers in the Kedaung Wetan Health Center, Tangerang City. The research method uses descriptive correlation using cross sectional approach. The population is 50 respondents. The sampling technique uses total sampling. The instrument used was a questionnaire sheet. The analysis technique above uses Univariate and Bivariate analysis. The results of the study there is a Relationship of Knowledge with the Implementation of Patient Safety in Health Officers, with the result, p value of 0.013 <0.05, it can be concluded that there is a Relationship between Knowledge and Patient Safety Implementation in Health Officers. The conclusion of the study is the Relationship between Knowledge and the Implementation of Patient Safety.Keywords Knowledge, Patient safety, Health workers


2021 ◽  
Vol 5 (1) ◽  
pp. 263-270
Author(s):  
Pandu Sandika ◽  
Nur Afrinis ◽  
Emdas Yahya

Complementary feeding of breastmilk to infants aged less than 6 months can cause health problems such as constipation, diarrhea and allergies. It will have an impact on the nutritional status of the infant. The purpose of this study was to determine the relationship between motivation and mother occupation with complementary feeding of breastmilk to infants under the age of 6 months in Naga Beralih village the work area of Community Health centre Kampar Utara in 2020. This type of research was analytic with cross sectional design. The population of this research was mothers who have infants aged 0-6 months in Naga Beralih village, the working area of Community Health centre Kampar Utara, totaling 41 people. Data collection tools in this study used a questionnaire. Data analysis in this study used univariate and bivariate analysis with chi square. The results showed that most of the respondents have high motivation in giving complementary breastfeeding, most of the respondents work, most of the respondents give complementary foods to infant under the age of 6 months. There was a relationship of motivation with complementary feeding with p value of 0.001. There was a work relationship with the provision of complementary feeding under the age of 6 months in Naga Beralih village the work area of Community Health centre Kampar Utara in 2020 with a p value of 0.002. For health workers, in order to increase education about the importance of complementary breastfeeding by forming classes for infants and toddlers to provide information and demonstrations, especially regarding the amount of complementary breastfeeding, types of food and timing of complementary feeding.


2019 ◽  
Vol 4 (1) ◽  
pp. 28-32
Author(s):  
Muhammad Saddad Tanrewali

Metabolic Syndrome (SM) on a person if found three of five components consisting of blood pressure ≥ 130/85 mmHg or on antihypertensive medication, HDL cholesterol levels <40 mg / dL in men and <50 mg / dL in women, hypertriglyceridemia ≥150 mg / dL, fasting serum glucose levels are high ≥100 mg / dL and random blood glucose ≥200 mg / dL and central obesity (abdominal circumference ≥90 cm in men and women ≥80 cm). The purpose of this study to analyze factors associated with the incidence of metabolic syndrome in adult age at UPT Lambu health center working area Lambu subdistrict Bima regency. This type of research is observational analytic with cross sectional study. The samples studied are mostly drawn from the population of young adults (18-40 years) and middle age (41-60 years), which amounted to 145 people. Bivariate analysis using chi-square test. The results showed that there was a relationship with the incidence of metabolic syndrome physical activity with p-value = 0.006, p <α of 0.05 means that there is a relationship between lifestyles with the incidence of metabolic syndrome. The need for the role of health workers to always educate the public about the importance of health and prevention of disease especially need to do a degenerative disease in order to improve public health adequately. The need for community empowerment in improving early warning against non-communicable disease risk factors, either against themselves, family and community environment. For example, by forming Posbindu PTM (Pos Integrated Development of Non-Communicable Diseases).


2019 ◽  
Vol 8 (1) ◽  
pp. 58-67
Author(s):  
V.A Irmayanti Harahap

ABSTRACT Breast cancer is a malignancy in breast tissue that can originate from the ductal epithelium or lobule. Breast cancer is one of the most common types of cancer in Indonesia. Specific causes of breast cancer are still unknown, but there are many factors that are thought to have an influence on the occurrence of breast cancer including: reproductive factors, hormone use, obesity, fat consumption, radiation, family history and genetic factors, mutation factors This research is a cross sectional study to determine the relationship of genetic history and obesity with the incidence of breast cancer at Raden Mattaher Jambi Hospital in 2018. Collecting data from medical records. The population in this study were all women who were treated in Raden Mattaher Jambi Hospital as many as 240 people with a sample of 45 people. This research has been carried out on 04 to 19 July 2018 which was held at RSUD Raden Mattaher Jambi. The sampling technique in this study was simple random sampling with a checklist sheet. Data analysis in this study used univariate and bivariate analysis in the form of tables and frequencies. The results of this study indicate that the results obtained from the genetic history of 45 people there were 23 (51.1%) people, the picture of obesity there were 25 (55.6%) people with obesity. Based on the results of the study obtained an overview of the incidence of breast cancer, from 45 people there were 24 (53.3%) people with breast cancer and 21 (46.7%) did not have breast cancer. There was a correlation between genetic history and breast cancer incidence in Raden Mattaher Jambi Hospital in 2018 with a p value of 0,000. There is a relationship between obesity and the incidence of breast cancer in Raden Mattaher Jambi Hospital in 2018 with a p-value of 0.002.  It is expected that health workers can provide input and information to in formulating a program policy to prevent breast cancer in women Raden Mattaher Jambi Hospital.   Keywords      : Breast Cancer, genetic history, obesity Reading List : 21 (2005-2018)  


2021 ◽  
Vol 1 (2) ◽  
pp. 170-181
Author(s):  
Nurhafiza Fiza(Fiza) ◽  
Aldiga Rienarti Abidin ◽  
Arief Wahyudi

ABSTRAK Keberhasilan suatu rumah sakit dipengaruhi oleh tenaga kesehatan atau sumber daya manusia yang disiplin, yang mencerminkan kesadaran dan kesediaan mentaati semua peraturan perusahaan dan norma-norma sosial yang berlaku. Faktor-faktor yang mempengaruhi disiplin  kerja diantaranya ketepatan waktu, pemanfaatan sarana, balas jasa, tanggung jawab dan ketaatan terhadap aturan. Tujuan penelitian untuk mengetahui faktor-faktor yang berhubungan dengan disiplin kerja karyawan non medis di Rumah Sakit Pekanbaru Medical Center. Jenis penelitian kuantitatif dengan desain analitik Cross Sectional study.Populasi dalam penelitian ini adalah seluruh tenaga non medis di Rumah Sakit Pekanbaru Medical Center (PMC) yang berjumlah 70 orang . Teknik sampling yang digunakan adalah teknik total sampling. Analisis Univariat dilakukan untuk mendeskripsikan karakter masing-masing variabel yang diteliti, sedangkan analisis Bivariat dilakukan untuk mengetahui hubungan kedua variabel independen dan dependen. teladan pemipin P value 0.016, balas jasa P value 0.000, keadilan P value 0.000, pengawasan melekat P value 0.011, sanksi hukuman P value 0.008 dengan disiplin kerja. Ada hubungan antara teladan pemipin, balas jasa, keadilan, sanksi hukuman. Di sarankan agar Rumah Sakit Pekanbaru Medical Center (PMC) dapat meningkatkan penerapan prinsip keadilan dalam lingkungan kerjanya untuk dapat meningkatkan disiplin kerja karyawan ABSTRACT The success of a hospital is influenced by health workers or human resources who are disciplined, which reflects the awareness and willingness to obey all company regulations and applicable social norms. Factors affecting work discipline include timeliness, utilization of facilities, remuneration, responsibility and adherence to rules. The purpose of this study was to determine the factors related to the work discipline of non-medical employees at Pekanbaru Medical Center Hospital. This type of quantitative research is analytic cross sectional study design. The population in this study is all non-medical staff at Pekanbaru Medical Center Hospital, amounting to 70 people. The sampling technique used was total sampling technique. Univariate analysis was carried out to describe the character of each variable under study, while Bivariate analysis was carried out to see the relationship between the two independent and dependent variables. leadership models P value 0.016, reward P value 0.000, fairness P value 0.000, supervision attached P value 0,11, sanctions P value 0.008. There is a relationship between leadership models, reward, fairness, supervision attached, sanctions. it is recommended that Pekanbaru Medical Center Hospital to increase the implementation of fairness principle in the work environment in order to improve employee’s discipline Pekanbaru Medical Center Hospital  


2021 ◽  
Vol 10 (1) ◽  
pp. 201
Author(s):  
Dwi Kartika Pebrianti

One of the causes of the high recurrence rate in mental illness patients is the lack of understanding of the patient and their family in caring for patients at home after returning from the mental hospital. This understanding is obtained through the educational process provided by health workers, one of which is a nurse. Health education for patients and their families is very necessary for patient independence after returning home, especially for patients with mental disorders. This study aims to determine the relationship between attitudes and motivation of nurses in implementing patient and family education in mental hospitals. This research used quantitative methods with cross sectional approach. The sample size is 117 nurses. The sampling technique used was proportional random sampling technique. Place of research in the inpatient room of the Jambi Province Mental Hospital. The bivariate analysis found that there was a nurse motivation (0.03) with the performance of nurses in providing health education to patients and their families. While the data analysis attitude variable has no relationship (p-value: 0.302). It is hoped that nurses as the spearhead of service at RSJD Jambi Province can improve their role and performance in providing health education which contributes to increasing the health status of patients reducing the risk of recurrence due to a lack of understanding of patients and families in caring for patients while at home


2019 ◽  
Vol 7 (1) ◽  
pp. 1-16
Author(s):  
Novita Verayanti Manalu

Introduction: Breastfeeding is the right of every mother even for mothers who work as a farmer, traders, civil engineering, or private employees. The implementation of breasfeeding can be done properly and correctly if there is complete information about the benefits of breast milk and breastfeeding also lactation management. Exclusive breastfeeding can be inhibited by a number of things such as low maternal and family knowledge about the benefits of breast milk, correct breastfeeding, lack of lactation counseling services, socio-cultural factors, incessant marketing of formula milk, lack of support from health workers and maternal working. This study aims to determine the relationship between maternal knowledge about lactation management and behavior in the provisionof breast milk in the working areas of the Health Center, Penengahan Raya Kedaton Village Bandar Lampung. Method: This study used a descriptive correlation design with a cross-sectional approach. The population of this study was all breastfeeding working mothers in the working area of Health Center Penengahan Raya Kedaton Village with a total sample of 40 respondents. The instrument consists of 10 knowledge questions and 10 behavioral questions with the Guttman Scale, which validated by 10 respondents. Result: The result of the bivariate analysis using the Kendall test know that p-value = 0,016 then p-value p < 0,05 with coefissien correlation is 0.76. Discussion: Based on the result of the research and analysis above, it can be concluded that there is a high correlation relationship between the level of knowledge about lactation management and maternal behavior in giving breast milk in the working areas of the Health Center, Penengahan Raya Kedaton Village Bandar Lampung.


2021 ◽  
Vol 4 (1) ◽  
pp. 92-100
Author(s):  
Rini Rahmayanti ◽  
Dedi Adha ◽  
Fitri Wahyuni S

The coverage of exclusive breastfeeding for infants aged 0-5 months in Indonesia in 2018 is only 37.3%. Self-efficacy is one of the main factors affecting the behavior of exclusive breastfeeding. During the Covid-19 pandemic, the self-efficacy of mothers for breastfeeding decreased, so increasing efforts are needed. Increasing knowledge can be done by providing online education based on family centered maternity care (FCMC). The purpose of this study was to determine the effect of FCMC-based online education on the self-efficacy of postpartum mothers in exclusive breastfeeding. This type of research is pre-experimental with one group pretest-posttest design with a total sample of 10 postpartum mothers. Data were analyzed using paired t-test. The results showed that the mean self-efficacy before being given online education was 41 with a standard deviation of 4.37, the mean self-efficacy after being given peer education was 59.8 with a standard deviation of 3.4. There is a difference in the mean value before and after the online education intervention was given with p-value = 0.000 (p <0.05). There is an effect of FCMC-based online education on the self-efficacy of postpartum mothers in breastfeeding. Health servicesare expected to facilitate FCMC-based online education programs to increase self-confidence in breastfeeding.      


2020 ◽  
Vol 11 (2) ◽  
pp. 136-149
Author(s):  
Lia Suryani ◽  
Amrina Rosyada

The coverage of exclusive breastfeeding in Indonesia in 2017 is 35%, far below the recommendations of WHO (World Health Organization) of 50%. This rate is getting lower in unwanted pregnancies. Every year there is13.3% incidence of unwanted pregnancy in women aged 15-44 years. It has an impact on the mental, psychological condition of the mother in the process of child care and nutrition from birth. This study aims to determine the prevalence and relationship of unwanted pregnancy among married women on the duration of breastfeeding in Indonesia. This research wa  a quantitative study using cross -sectional study design, a sample of 5,163 married women, and aged 15-49 years. Data were analyzed using univariate descriptive statistics on complex sample analysis, bivariate analysis using Chi-Square, and multivariate using logistic regression tests of risk factor models. This study showed that 1,267 mothers who breastfed <6 months and there was a relationship between the unwanted pregnancy with the duration of breastfeeding (p-value: 0.007 with PR: 1.349; 95% CI: 1.085-1.676) after been controlled by the use of contraception. The support of husband and health workers during pregnancy, childbirth until child care is needed to support breastfeeding  


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