scholarly journals Budaya Kehamilan Dan Persalinan Pada Masyarakat Baduy, Di Kabupaten Lebak, Tahun 2018

2019 ◽  
Vol 22 (3) ◽  
Author(s):  
Vita Kartika ◽  
Asep Kusnali ◽  
Rozana Ika Agustiya
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Action Research ◽  
Focus Group ◽  
Group Discussion ◽  
Health Centre ◽  
Mortality Rates ◽  
Care Staff ◽  
Health Care Staff ◽  
Pregnancy And Childbirth

Maternal and infant mortality rates in Lebak District are still high. Pregnancy and maternity culture that rooted in Baduy community be one of those catalytic factors that increase mortality rates. Intervention research based on Baduy culture itself was intended to reduce the maternal and neonatal mortality rates. The purpose of the research was to get more information about pregnancy and childbirth behaviors in the Baduy community combined with the concept of modern health services. Participation Action Research (PAR) was used as the method in this research. Data were collected by in-depth interview and Focus Group Discussion (FGD). Informants were chosen purposively consisting of Health Care Centres in Baduy, elders (kokolot), and infl uencers in Baduy Tribe. The method of data analysis uses content analysis. This research indicated that Baduy Tribes were very obedient in their norms including the process of pregnancy and maternity. They often delivered a baby without any help from the health centre or midwife. They still asked shaman for help because they believed that shaman had power to heal people. This delivery behaviour triggered a limitation for a mother to get proper health treatment. We should not also neglect the fact that geographically, Baduy Tribes live in the uphill areas. Both factors were the main reasons why women in Baduy did not get proper delivery treatment and ended up dying because of complications. Effective communications are required between health care staff and the Baduy community to decrease the mortality rate both for mothers and infants in Baduy. Abstrak Tingkat kematian ibu dan bayi di Kabupaten Lebak, Provinsi Banten masih cukup tinggi. Salah satu faktor yang menyebabkan tingginya tingkat kematian tersebut adalah budaya pada masa kehamilan dan persalinan pada masyarakat Baduy, sehingga diperlukan upaya penurunan angka kematian ibu dan bayi melalui intervensi kesehatan berbasis budaya. Tujuan penelitian adalah menggali lebih dalam perilaku kehamilan dan persalinan pada masyarakat Baduy yang dipadukan dengan konsep pelayanan kesehatan modern. Penelitian ini menggunakan pendekatan Participatory Action Research (PAR). Pengumpulan data melalui wawancara mendalam dan diskusi kelompok terarah (focus group discussions/FGD). Informan dipilih secara purposive terdiri dari Dinas Kesehatan Kabupaten Lebak, Puskesmas, para ketua adat, tokoh masyarakat, dan kokolot serta informan penting lainnya yang berpengaruh di masyarakat Baduy. Metode analisis data menggunakan analisis isi (content analysis). Hasil penelitian menunjukkan bahwa masyarakat Baduy sangat patuh dalam melaksanakan norma-norma dalam masa kehamilan dan persalinan di kehidupannya. Hal ini tergambar dari masih banyaknya persalinan yang dilakukan sendiri tanpa penolong, baik oleh dukun paraji maupun tenaga medis, kecuali terdapat penyulit dalam persalinan meminta bantuan tenaga medis. Kedudukan dukun paraji dalam masyarakat Baduy sangat dihormati dan berpengaruh karena dianggap memiliki kemampuan yang bisa memberikan pertolongan pengobatan ketika sakit. Kepatuhan dan ketaatan pada budaya serta faktor geografi s menyebabkan terbatasnya kesempatan ibu hamil pada masyarakat Baduy untuk mendapat pertolongan secara medis di fasilitas kesehatan terutama pada saat mengalami penyulit dalam proses persalinan. Diperlukan pendekatan dengan komunikasi efektif dan kerjasama yang sinergis antar tenaga kesehatan dengan para lintas program dan lintas sektor pada masyarakat Baduy untuk meningkatkan derajat kesehatan ibu dan bayi.

Health care staff's opinions about existential issues among patients with cancer

2010 ◽  
Vol 8 (1) ◽  
pp. 59-68 ◽  
Author(s):  
Maria Browall ◽  
Christina Melin-Johansson ◽  
Susann Strang ◽  
Ella Danielson ◽  
Ingela Henoch
Keyword(s):  
Health Care ◽  
Focus Group ◽  
Home Health Care ◽  
Qualitative Content Analysis ◽  
Care Staff ◽  
Health Care Staff ◽  
Focus Group Interviews ◽  
Patients With Cancer ◽  
Group Interviews ◽  
Existential Issues

AbstractObjective:The objective of this study was to explore health care staff's opinions about what existential issues are important to patients with cancer and staff's responsibility when existential issues are raised by patients.Method:Four focus group interviews were conducted with health care staff (N = 23) at an in-patient hospice, on an oncology ward, on a surgical ward, and with a palliative home health care team. The focus group interviews focused on two questions, first, about health care staff's opinions about patients' important existential questions and, second, about health care staff's responsibility when existential issues are raised by the patient. The interviews were taperecorded, transcribed verbatim, and analyzed by qualitative content analysis into subcategories and categories.Results:Four categories and 11 subcategories emerged from the first question. The first category, “life and death,” was based on joy of living and thoughts of dying. The second category “meaning,” consisted of acceptance, reevaluation, hope, and faith. The third category, “freedom of choice,” consisted of responsibility and integrity, and the fourth and last category, “relationships and solitude,” consisted of alleviation, dependency, and loss. One category emerged from the second question about the health care staff's responsibility, “to achieve an encounter,” which was based on the subcategories time and space, attitudes, and invitation and confirmation.Significance of results:One strength of this study was that the findings were fairly congruent in different settings and in different geographical areas. Health care staff were aware of the importance of existential issues to patients. The existential issues, mentioned by health care staff, are similar to findings from studies conducted among patients, which is another strength of the present study. Health care staff are also confident about how to act when these issues are raised by the patients. The challenge for the future is to implement the findings from this study among health care staff in different settings.

scholarly journals Quality hypertension care: Barriers and drivers for implementation among primary health care staff

2021 ◽  
Vol 9 (2) ◽  
pp. 018-026
Author(s):  
Saratu Omagbemi Ajike ◽  
Mfonobong Ubong Obot
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Centre ◽  
Healthcare Services ◽  
Care Staff ◽  
Health Care Staff ◽  
Service Improvement ◽  
Quality Healthcare ◽  
Primary Health ◽  
Service Staff

Offering quality hypertension care remains a challenge in many Sub-Saharan regions including Nigeria where rates of hypertension continue to increase. Understanding factors affecting care can provide mechanisms for service improvement to promote better quality of care for hypertensives. Exploratory study using qualitative method of data collection was conducted among 17 clinical service staff in 15 Primary Health Care centres with at least 5 years of experience. Participants were selected through purposive and convenience sampling. Data collected was coded and analysed using thematic analysis and SPSS version 22 to compute frequency distribution of sociodemographic characteristics. Most (64.7%) were female and 41.2% had up to 10 years of working experience and were Nurses (49%). This study revealed that participants are still faced with barriers that hinder them from delivering quality healthcare services which affects the implementation of quality hypertension care required in the primary health centre. However, participants identified strategies that can be used to address the barriers towards implementation of quality hypertension care. Despite the worrying prevalence of cases, offering quality hypertension care remains a challenge. There is need for increased attention at the grassroots for improved resources to aid positive service output.

scholarly journals Mobile Health (mHealth) Services and Online Health Educators

2016 ◽  
Vol 8 ◽  
pp. BII.S35388 ◽  
Author(s):  
Muhammad Anshari ◽  
Mohammad Nabil Almunawar
Keyword(s):  
Health Care ◽  
Mobile Health ◽  
Health Care Services ◽  
Business Processes ◽  
Personal Information ◽  
Group Discussion ◽  
Care Staff ◽  
Health Care Staff ◽  
Care Services ◽  
Care Processes

Mobile technology enables health-care organizations to extend health-care services by providing a suitable environment to achieve mobile health (mHealth) goals, making some health-care services accessible anywhere and anytime. Introducing mHealth could change the business processes in delivering services to patients. mHealth could empower patients as it becomes necessary for them to become involved in the health-care processes related to them. This includes the ability for patients to manage their personal information and interact with health-care staff as well as among patients themselves. The study proposes a new position to supervise mHealth services: the online health educator (OHE). The OHE should be occupied by special health-care staffs who are trained in managing online services. A survey was conducted in Brunei and Indonesia to discover the roles of OHE in managing mHealth services, followed by a focus group discussion with participants who interacted with OHE in a real online health scenario. Data analysis showed that OHE could improve patients’ confidence and satisfaction in health-care services.

scholarly journals Focused group discussion with health care staff improves breastfeeding rates in hospitalized infants

2017 ◽  
Vol 57 (4) ◽  
pp. 187
Author(s):  
Agnes Yunie Purwita Sari ◽  
Rosalina Dewi Roeslani ◽  
Rinawati Rohsiswatmo
Keyword(s):  
Health Care ◽  
Group Discussion ◽  
Fish Bone ◽  
Care Staff ◽  
Health Care Staff ◽  
Breastfeeding Initiation ◽  
Before And After ◽  
Care Health ◽  
Breastfeeding Rates ◽  
Breastfeeding Problems

Background Improving breastfeeding in sick infants is essential. During the neonatal care, health care staff play an important role in promoting breastfeeding. Therefore, it is important to study in depth how healthcare staff can improve breastfeeding practice in sick neonates.Objective To compare breastfeeding rates in sick infants before and after a focused group discussion (FGD) of health care staff on how to improve breastfeeding.Methods This study was an operational study using FGD and in-depth interviews as an intervention. A fish bone diagram was used to assess problems that may prevent mothers from breastfeeding their sick infants. Breastfeeding achievement was compared before and after the FGD.Results Of 257 sick infants, 177 subjects were in the before FGD group and 80 subjects were in the after FGD group. Significantly more after FGD subjects were breastfed during hospitalization than before FGD subjects [97.5% vs. 82.9%, respectively; (x2 =9.43; P=0.002)]. Breastfeeding initiation within 0-4 hours of birth was also significantly higher in the after FGD group [10 (12.5%) vs. 6 (3.5%), respectively; (x2 = 52.5; P<0.001)]. The solutions for breastfeeding problems were: 1) support of hospital management, 2) support of healthcare workers for breastfeeding mothers, 3) support of husbands and families for breastfeeding mothers, 4) financial support, 5) other factors such as level of care and consistent FGD events, and 6) a prospective cohort study.Conclusion The FGD with health care staff significantly increases breastfeeding achievement during infant hospitalization, and accelerated breastfeeding initiation. A fish bone diagram is used to effectively assess the problems with breastfeeding programs for sick babies.

scholarly journals Involving Users in the Development of Effective Critical Care Discharge Information: A Focus Group Study

2011 ◽  
Vol 20 (6) ◽  
pp. 443-452 ◽  
Author(s):  
Suzanne D. Bench ◽  
Tina Day ◽  
Peter Griffiths
Keyword(s):  
Health Care ◽  
Critical Care ◽  
Focus Group ◽  
Computer Software ◽  
Care Staff ◽  
Current Evidence ◽  
Health Care Staff ◽  
Focus Group Study ◽  
Information Giving ◽  
Effective Discharge

Background Discharge from critical care to a general care unit is a difficult period, and more effective information is needed to support patients and their families at this time. Objectives This study sought the views of patients, relatives and health care staff on (1) the most effective methods of delivering critical care discharge information, (2) the required information content of any proposed strategies, (3) the benefits and limitations of any existing strategies, and (4) potential resource implications. Methods In this qualitative focus group study, 11 adult patients, 8 family members, and 23 health care staff in Eng-land took part in 8 focus group interviews at 2 hospitals. The computer software program NVIVO7 was used for thematic analysis of the data. Results Three key themes were identified from the data: (1) considerations related to effective discharge information, (2) goals of critical care discharge information, and (3) resource implications. Conclusions This focus group study provides unique user insight into what influences successful and unsuccessful information giving. Based on real experiences, it adds to the limited international body of current evidence. Findings will be of value in designing future critical care discharge information and identifying the related resource implications.

scholarly journals Focused group discussion with health care staff improves breastfeeding rates in hospitalized infants

2017 ◽  
Vol 57 (4) ◽  
pp. 187
Author(s):  
Agnes Yunie Purwita Sari ◽  
Rosalina Dewi Roeslani ◽  
Rinawati Rohsiswatmo
Keyword(s):  
Health Care ◽  
Group Discussion ◽  
Fish Bone ◽  
Care Staff ◽  
Health Care Staff ◽  
Breastfeeding Initiation ◽  
Before And After ◽  
Care Health ◽  
Breastfeeding Rates ◽  
Breastfeeding Problems

Background Improving breastfeeding in sick infants is essential. During the neonatal care, health care staff play an important role in promoting breastfeeding. Therefore, it is important to study in depth how healthcare staff can improve breastfeeding practice in sick neonates.Objective To compare breastfeeding rates in sick infants before and after a focused group discussion (FGD) of health care staff on how to improve breastfeeding.Methods This study was an operational study using FGD and in-depth interviews as an intervention. A fish bone diagram was used to assess problems that may prevent mothers from breastfeeding their sick infants. Breastfeeding achievement was compared before and after the FGD.Results Of 257 sick infants, 177 subjects were in the before FGD group and 80 subjects were in the after FGD group. Significantly more after FGD subjects were breastfed during hospitalization than before FGD subjects [97.5% vs. 82.9%, respectively; (x2 =9.43; P=0.002)]. Breastfeeding initiation within 0-4 hours of birth was also significantly higher in the after FGD group [10 (12.5%) vs. 6 (3.5%), respectively; (x2 = 52.5; P<0.001)]. The solutions for breastfeeding problems were: 1) support of hospital management, 2) support of healthcare workers for breastfeeding mothers, 3) support of husbands and families for breastfeeding mothers, 4) financial support, 5) other factors such as level of care and consistent FGD events, and 6) a prospective cohort study.Conclusion The FGD with health care staff significantly increases breastfeeding achievement during infant hospitalization, and accelerated breastfeeding initiation. A fish bone diagram is used to effectively assess the problems with breastfeeding programs for sick babies.

Revitalisasi MI Nahdlotusy Syubban dengan Pendekatan PSM (Peran Serta Masyarakat) untuk Meningkatkan Kemandirian Sekolah

2016 ◽  
Vol 16 (1) ◽  
pp. 103
Author(s):  
Edi Daenuri Anwar ◽  
Wahyudi Wahyudi ◽  
Joko Budi Purnomo
Keyword(s):  
Action Research ◽  
Focus Group ◽  
Participatory Action Research ◽  
Control Function ◽  
Group Discussion ◽  
School Facilities ◽  
Community Services ◽  
Participatory Action ◽  
Islamic School ◽  
Teaching Learning

<p>It has been succesfully done the community services activity by using Participatory Action Research (PAR) entitled “Revitalisasi MI Nahdlotusy Syubban dengan pendekatan peran serta masyarakat (PSM) untuk meningkatkan kemandirian sekolah”. The object of this community services is MI Nahdlotusy Syubban Sarimulyo Winong Pati. To explore the problems in this Islamic Boarding School, 3 correlated actions have been formulated. They are Training on School Based Management, PAIKEM Training, and Focus Group Discussions (FGD) addressed to all school management people. The discussions are mainly about the interconnection of the Islamic School (madrasah) with the society in the field of management, feed-back, and school facilities.</p><p>The results are that the teachers already applied PAIKEM in the teaching learning process and the society can directly involved not only in providing the school facilities but also in implementing the control function to the <em>madrasah.</em>As for knowingthe targetandthe quality of graduates, avision, missionand quality standardsarebeing developedin theschool curriculum.</p><p> </p><p>Telah dilakukan pengabdian dengan metode PAR / Participatory  Action Research dengan judul  “Revitalisasi MI Nahdlotusy Syubban dengan pendekatan peran serta masyarakat (PSM) yang bertujuan untuk meningkatkan kemandirian sekolah”. Objek  pengabdian ini adalah MI Nahdlotusy Syubban Sarimulyo Winong Pati.  Untuk mengurai masalah-masalah di madrasah ini di rumuskan 3 tindakan  kegiatan yang saling berkaitan. Pelatihan Manajemen berbasis sekolah (MBS), dan untuk memperjelas komponen MBS dalam proses pembelajaran  diadakan pelatihan  pembelajaran aktif, inovatif, kreatif, efektif dan  menyenangkan (PAIKEM ) sedangkan komponen keuangan, sarpras dan hubungan dengan masyarakat yang merupakan penjabaran dari MBS dirangkum dalam<em> Focus Group Discussion  </em>( FGD) yang di ikuti oleh pemangku kepentingan madrasah meliputi Guru, kepala Sekolah, Yayasan, Komite dan masyarakat secara umum. Dalam FGD ini membahas keterkaitan antara madrasah dengan masyarakat baik dalam bidang manajemen, umpan timbal balik, dan pengadaan sarana dan Prasarana</p><p>Hasilnya guru-guru mulai menerapkan PAIKEM dalam pembelajarannya, dan ternyata masyarakat langsung membuktikan peran sertanya dalam pengadaan dan pembuatan sarana dan prasarana madrasah serta melaksankan fungsi kontrol terhadap madrasah. Sedangkan untuk mengetahui target dan mutu lulusan di susunlah visi misi dan standar mutu lulusan yang mulai  dikembangkan dalam kurikulum pembelajaran sekolah.</p>

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