scholarly journals SURVEI IMPLEMENTASI PELAYANAN KEBIDANAN KOMPLEMENTER DALAM MENGURANGI INTERVENSI MEDIS

2021 ◽  
Vol 9 (1) ◽  
pp. 15
Author(s):  
SIfa Altika ◽  
Uswatun Kasanah

The existing complementary therapy of the community's medical options, especially for pregnant and childbirth women. In various health care providers, many clients ask questions about complementary or alternative therapies to health workers such as midwives. This happens because the client wants to get the service according to his choice, so that if the wish is fulfilled it will have an impact on client satisfaction. This can be an opportunity for midwives to play a role in providing complementary therapies. The research method used is a survey. where the research was carried out without intervening on the research subjects. Collecting data by survey at the work unit providing complementary midwifery services. The population in this study were all midwives who provide complementary midwifery services independently and / or who work in complementary midwifery service units. With the sample used in total sampling taken using consecutive sampling technique based on a predetermined time. The use of complementary therapies by midwives mostly carried out by midwives is massage / massage therapy, which is as many as 43 midwives (61.4%), among which massages performed by midwives include: baby massage, postpartum massage, oxytocin massage, breast massage and massage. perenium. Other complementary therapies run by midwives are hypnotherapy (15.8%), acupressure (12.8%), then yoga services (5.7%) and herbal medicine (4.3%).

2020 ◽  
Vol 6 (1) ◽  
pp. 45-49
Author(s):  
Dirayati Sharfina ◽  
Indria L. Gamayanti ◽  
Fitri Haryanti ◽  
Yulis Hati

Adolescent with cancer have a complex problem. Adolescents with cancer at risk for developmental phase delay caused limitations in carrying out its role as adolescents, because of the side effects of medication and intensive relationships with health care providers. Nurses are health workers who have a frequency of more interaction to the teenagers who suffer from cancer. Form of nursing care provided by nurse will shape perceptions of teenagers. Adolescent perception of cancer patients with the care received does not match the hope will establish a nursing care desired by adolescents. This study to explore perception and hope of adolescents toward quality of nursing care in Adam Malik Hospital Medan. Qualitative research methods through a phenomenological approach. Adolescent with cancer as research subjects, aged 13-19 years who had been diagnosed with cancer and was undergoing treatment protocol. The sampling technique used the maximum variance. Data were collected through semi-structured interviews with tools interview, observation, field notes, and tools as well as the record will be analyzed by the method Colaizzi The themes that reflect the perceptions and hope of adolescents to nursing care include 1) an overview of nurses’ profile, 2) the ability and skills of nurses, 3) nurses’ attitude, 4) preparedness nurses, 5) the provision of social support. Adolescents also hope hospital’s management add room facilities in order to easy to access the health service especially service care for adolescents. Adolescents with cancer have a different impression at the beginning of the meeting and after getting care by nurses. Further researcher can choose suitable location to interview and research about hope of adolescent’s cancer and nurse’s role in adolescent’s cancer.


2020 ◽  
Vol 10 (1) ◽  
pp. 25-34
Author(s):  
Achmad Rif'at ◽  
Elly Nurachmah ◽  
Yustan Azidin

Latar Belakang: Rumah Sakit sebagai pemberi layanan kesehatan bertanggung-jawab untuk memberikan pelayanan yang bermutu dan aman. Permasalahan yang kompleks pada Bayi Berat Lahir Rendah (BBLR) menjadi alasan untuk diteliti. Bayi BBLR berisiko mengalami ketidaksempurnaan fungsi organ, sistem imun bayi atau pertahanan tubuh yang belum sempurna sehingga berisiko infeksi, tumbuh kembang bayi yang mungkin terlambat pasca perawatan. Perawat sebagai salah satu profesional pemberi asuhan bertanggung-jawab memberikan asuhan yang bermutu dan aman.  Oleh karena itu kemampuan perawat dalam memberikan asuhan, pengetahuan yang di miliki, pengalaman selama merawat, hubungan dengan petugas kesehatan lain, kesiapan orang tua untuk merawat  di rumah pasca perawatan menjadi sangat penting untuk di teliti.Tujuan: Penelitian  ini mengeksplorasi  pengalaman penerapan kemampuan berpikir kritis perawat saat memberikan asuhan keperawatan  pada bayi berat lahir rendah.Metode: Penelitian  ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Pengumpulan data di lakukan dengan wawancara mendalam pada tujuh partisipan yang diambil dengan teknik purposive sampling. Partisipan adalah perawat yang bekerja di Ruang Mutiara Lantai 2  RSUD dr. H. Moch. Ansari Saleh Banjarmasin. Hasil: Hasil analisis didapatkan empat tema : kemampuan perawat mengenali BBLR, kemampuan perawat memberikan asuhan BBLR, kebutuhan dokumentasi pada BBLR, dan keterlibatan keluarga, petugas kesehatan dan unit kerja dalam asuhan BBLR. Rekomendasi hasil penelitian ini adalah pendidikan. Pendidikan berkelanjutan dapat meningkatkan pengetahuan dan kompetensi perawat. Pengetahuan dan kompetensi  memberikan dampak pada sikap perawat untuk berpikir kritis pada asuhan yang diberikan. Abstract Background:Hospitals as health care providers are responsible for providing quality and safe services. Complex problems in Low Birth Weight (LBW) clients are reasons to be investigated. Low Birth Weight babies are at risk of developing imperfections in organ function, the baby's immune system or body defenses, so they are at risk of infection, delay growth and development post hospitalization. Nurses as one of the professionals care providers are responsible for providing  a quality and safe care.. Therefore the ability of nurses to provide care, possessed knowledge, experience during caring, relationships with other health workers, and the readiness of parents to care for their babies at home after hospitalization are very important to be examined. Aim: The aim of the study was to explore the perceived experience of nurses' critical thinking skills when providing nursing care to low-birth- baby clients. Method: This study used a qualitative method with a phenomenological approach. Data collection was conducted through in-depth interviews with seven participants taken by a purposive sampling technique. Participants were nurses who worked and care for neonatal babies in Mutiara Room 2nd floor of RSUD dr. H. Moch. Ansari Saleh Banjarmasin. Result: The results of the analysis found four themes: the ability of nurses to recognize LBW, the ability of nurses to provide care to LBW, requirements of documentation on LBW, and the involvement of families, health workers and work units in providing care. The recommendation of this research is education. Continuing education can improve nurses' knowledge and competence. Knowledge and competence have an impact on nurses' attitudes to think critically on care providing Keywords: critical thinking, Low Birth Weight 


2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Sri Hendrawati ◽  
Ikeu Nurhidayah ◽  
Henny Suzana Mediani ◽  
Ai Mardhiyah

Currently, cancer is the top ten cause of child mortality in Indonesia. Chemotherapy is an effective intervention to treat cancer children, however, has side effects, including mucositis. The prevalence of mucositis in cancer children is estimated to reach 45−80%, which has implications for the children’s’ quality of life. The purpose of this study was to identify the occurrence of mucositis in cancer children who received chemotherapy treatment. The study was conducted at Dr. RSUP Hasan Sadikin Bandung. This research method was descriptive quantitative. The consecutive sampling technique was used to determine the respondent as the study sample so that 60 respondents were obtained. The process of collecting data used the Oral Assessment Guide (OAG) study instrument in the form of a checklist sheet. Data were analyzed using frequency distribution and percentage. The results showed that almost all cancer children with chemotherapy treatment experienced mucositis which is 53 people (88.3%) and a small proportion of 7 people (11.7%) did not experience mucositis. Almost all cancer children who get chemotherapy treatment experience mucositis. Nurses as health workers who are most often with patients should be able to improve nursing care for cancer children who receive chemotherapy treatment in minimizing the occurrence of mucositis by conducting routine mucositis assessment and oral care to improve the quality of life in cancer children


2017 ◽  
Vol 4 (3) ◽  
pp. 218-223
Author(s):  
Sunarti Sunarti ◽  
Wahyu Setianingsih

The use of contact lenses an alternative to eyeglasses. Lensa tools contacts could be supporting the appeal and appearance of a person to be more stylish and different. In the opinion of one ophthalmologist in dr Soetomo there are 50% of patients with eye disorders contact lens contaminated by amoebas and 1% of patients experienced a severe disorder that causes permanent blindness. The use of contact lenses require secure the right under the guidelines. The aim of research to study the behavior of adolescent users of contact lenses (soft contact lens) in the eye health care in SMK N 3 of Blitar. The study population were students of class XI and the sample studied class XI students who wear contact lenses, using purposive sampling technique. The collection of data by means of a checklist and interview. The results showed as much as 37.1% to behave according to the SOP by 45.7% in the use of contact lenses, but 62.9% showed no behavior according to SOP in the cleaning of contact lenses. This is due to adolescents do not get used to the consultation eye health workers. Recommendations of this study are expected to educational institutions in collaboration with health care providers in improving the UKS program for health promotion in particular about the behavior in the use and cleaning of contact lenses in accordance with the SOP.


Author(s):  
Onyeka Chukwudalu Ekwebene ◽  
Valentine Chidi Obidile ◽  
Precious Chidozie Azubuike ◽  
Chioma Phyllis Nnamani ◽  
Nehemiah Emono Dankano ◽  
...  

Background: The Covid-19 pandemic has posed enormous challenges and has become a burden of morbidity and mortality while severely disrupting economic activities around the world. Vaccines for the disease has been discovered; however, there exists misconceptions and mistrusts among health workers which may constitute barriers to Covid-19 uptake. Aim: The study aimed to determine the knowledge and acceptability of the Covid-19 vaccine among health care provider and to determine the association between the socio-demographic variables and Covid-19 acceptability. Study Design: A snowball sampling technique was relied upon in the distribution of the questionnaires. Place and Duration: Online questionnaires sent in the form of a link through social media outlets such as Whatsapp, Facebook and emails within four weeks interval. Methodology: Health care providers in Nigeria aged 18 years and above participated in this study.The analysis was performed using the Statistical Software Package SPSS version 22.0.Four hundred and forty-five respondents filled the questionnaire from the six geopolitical zones of the country. Results: There was a good knowledge of the Covid-19 vaccination as 411(92.4%) knew about the vaccine. However, only 53.5% of respondents were willing to get vaccinated against the disease. The most identified perceived barrier to covid-19 vaccine acceptance was fear of side effects 309 (69.4%) and there was no association between socio-demographic characteristics and covid-19 vaccine acceptability. Conclusion: Healthcare providers recommendation and confidence in a vaccine plays an influential role in their patients’ vaccination behaviour. They serve as an important source of information for the general populace and their consultation can also be a key factor in patients’ decision to get vaccinated or not.


2020 ◽  
Vol 6 ◽  
pp. 237796082098178
Author(s):  
Sumana Lama ◽  
Jintana Damkliang ◽  
Luppana Kitrungrote

Introduction Community integration is an essential component for rehabilitation among traumatic brain injury (TBI) survivors, which yields positive outcomes in terms of social activities, community participation, and productive work. A factor that usually facilitates community integration among TBI survivors is social support, whereas physical environment and fatigue are most often found as barriers. Objectives This study aimed to (1) describe the level of community integration, fatigue, physical environment, and social support of persons after TBI, and (2) examine the relationship between community integration and these three factors. Methods This is a descriptive correlational study. One hundred and twenty TBI survivors living in the communities of Province Number Three, Nepal were enrolled using the stratified sampling technique. The data were collected using the Community Integration Questionnaire, Modified Fatigue Impact Scale, Craig Hospital Inventory of Environmental Factors, and the Multidimensional Scale of Perceived Social Support. Descriptive statistics and Pearson’s correlation were used to analyze the data. Results Community integration, fatigue, and physical environment showed a moderate level, while social support revealed a high level. Fatigue was significantly correlated with overall community integration, whereas physical environment was found to correlate with two subscales of community integration, home integration and productive activities. Conclusion To enhance the level of community integration among TBI survivors, health care providers, in particular rehabilitation nurses and community nurses, should plan and implement strategies such as follow-up appointments or continued rehabilitation at home.


Author(s):  
Rogério Meireles Pinto ◽  
Rahbel Rahman ◽  
Margareth Santos Zanchetta ◽  
W. Galhego-Garcia

Abstract Background Narrative medicine (NM) encourages health care providers to draw on their personal experiences to establish therapeutic alliances with patients of prevention and care services. NM medicine practiced by nurses and physicians has been well documented, yet there is little understanding of how community health workers (CHWs) apply NM concepts in their day-to-day practices from patient perspectives. Objective To document how CHWs apply specific NM concepts in Brazil’s Family Health Strategy (FHS), the key component of Brazil’s Unified Health System. Design We used a semi-structured interview, grounded in Charon’s (2001) framework, including four types of NM relationships: provider–patient, provider–colleague, provider–society, and provider–self. A hybrid approach of thematic analysis was used to analyze data from 27 patients. Key Results Sample: 18 females; 13 White, 12 “Pardo” (mixed races), 12 Black. We found: (1) provider–patient relationship—CHWs offered health education through compassion, empathy, trustworthiness, patience, attentiveness, jargon-free communication, and altruism; (2) provider–colleague relationship—CHWs lacked credibility as perceived by physicians, impacting their effectiveness negatively; (3) provider–society relationship—CHWs mobilized patients civically and politically to advocate for and address emerging health care and prevention needs; (4) provider–self relationship—patients identified possible low self-esteem among CHWs and a need to engage in self-care practices to abate exhaustion from intense labor and lack of resources. Conclusion This study adds to patient perspectives on how CHWs apply NM concepts to build and sustain four types of relationships. Findings suggest the need to improve provider–colleague relationships by ongoing training to foster cooperation among FHS team members. More generous organizational supports (wellness initiatives and supervision) may facilitate the provider–self relationship. Public education on CHWs’ roles is needed to enhance the professional and societal credibility of their roles and responsibilities. Future research should investigate how CHWs’ personality traits may influence their ability to apply NM.


Author(s):  
Ariana Kong ◽  
Michelle Dickson ◽  
Lucie Ramjan ◽  
Mariana S. Sousa ◽  
Joanne Goulding ◽  
...  

The aim of this study was to explore whether oral health was an important consideration for Aboriginal and Torres Strait Islander women during pregnancy, whether oral health could be promoted by Aboriginal health staff, and strategies that would be appropriate to use in a new model of care. A qualitative descriptive methodology underpinned the study. All participants in this study identified as Aboriginal, with no Torres Strait Islander participants, and were from New South Wales, Australia. The interviews were analysed using inductive thematic analysis. From the data, two themes were constructed. The first theme identified that oral health was not always the first priority for participants as poor accessibility alongside other competing commitments were challenges to accessing oral health services. The second theme highlighted how relationships with personal networks and healthcare providers were essential and could be used to support maternal oral health during pregnancy. Effective strategies to promote oral health during pregnancy for Aboriginal and Torres Strait Islander women should involve key stakeholders and health care providers, like Aboriginal Health Workers, to facilitate culturally safe support and tailored oral health advice.


2013 ◽  
Vol 3 (2) ◽  
pp. 154-159
Author(s):  
Janet Perkins ◽  
Aminata Bargo ◽  
Cecilia Capello ◽  
Carlo Santarelli

Assuring the provision of person-centred care is critical in maternal and newborn health (MNH). As a component of the national strategy to improve MNH, Burkina Faso Ministry of Health, supported by Enfants du Monde, La Fondation pour le Développement Communautaire/Burkina Faso and UNFPA, is implementing the World Health Organization’s (WHO) framework for Working with Individuals, Families and Communities (IFC) to improve MNH. As a first step in district implementation, participatory community assessments were conducted. These assessments consistently revealed that poor interactions with healthcare providers posed one important barrier preventing women from seeking MNH services. In order to address this barrier, healthcare providers were trained to improve their interpersonal skills and in counselling women. During 2011-12 a total of 175 personnel were trained over a 5-day course developed using a WHO manual. The course was met with enthusiasm as providers expressed their need and desire for such training. Immediate post-test results revealed an impressive increase in knowledge and anecdotal evidence suggests that training has influenced provider’s behaviours in their interactions with women. In addition, health care providers are taking concrete action to build the capabilities of women to experience pregnancy and birth safely by engaging directly with communities.  While early findings are promising, an evaluation will be necessary to measure how the training has influenced practices, whether this translates into a shift of perceptions at community level and ultimately its contribution toward promoting person-centred care in Burkina Faso.


2015 ◽  
Vol 3 (2) ◽  
pp. 68-73 ◽  
Author(s):  
Shayela Farah ◽  
Mohoshina Karim ◽  
Nasreen Akther ◽  
Meherunnessa Begum ◽  
Nadia Begum

Background: : Slum dwellers are likely to be among the most deprived people in urban areas. Poor hygiene practices and inadequate sanitary conditions play major roles in the increased burden of communicable diseases within developing countries like ours.Objective: To assess the knowledge and practice about personal hygiene and environmental sanitation in selected slums of Dhaka city.Materials and method: This cross sectional study was conducted in purposively selected urban slum areas of Moghbazar slum, Bashabo slum and T&T slum of Dhaka city during February 2014 to April 2014. Convenient sampling technique was applied. Semi-structured pre-tested questionnaire was used and face to face interview was conducted. Total 475 subjects, irrespective of age and sex, were included in this study.Results: Out of 475 respondents, more than fifty percent slum dwellers resided in tin shaded room while 21.7% in ‘kacha’ houses. Sixty six percent of the respondents used to drink water from tube-well and 24% used supplied water provided by the city corporation. The study revealed that near 59% of the respondents used sanitary latrine. About 67% slum dwellers regularly practiced hand washing before taking meal and 59.2% respondents used soap after defecation. About fifty percent respondents brushed their teeth regularly with tooth paste. Regarding personal cleanliness, 81% subjects took bath regularly while 78% washed clothes irregularly. A statistically significant relation was found between washing of hands before meal (p=0.001), washing of hands after defecation (p=0.02), tooth brushing (p=0.001), bathing (p=0.009), washing of cloths (p=0.001), use of footwear (p=0.63) with knowledge of personal hygiene of the slum dwellers.Conclusion: Continuous community hygiene education along with adequate access to water supply and sanitation improves hygiene behaviour and policy makers and health care providers should have definite strategy and implementation.Delta Med Col J. Jul 2015; 3(2): 68-73


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