scholarly journals ANALISIS PENGAMBILAN KEPUTUSAN UNTUK TINDAKAN SECTIO CAESAREA PADA IBU HAMIL DI RUMAH SAKIT SYAFIRA PEKANBARU

2021 ◽  
Vol 1 (2) ◽  
pp. 516-524
Author(s):  
Puji Astuti ◽  
Aldiga Rienarti Abidin ◽  
Ahmad Satria Efendi

Setiap orang atau pasien dalam pengambilan keputusan untuk melakukan tindakan Sectio Caesarea tentu berdeda-beda, banyak alasan yang melatar belakangi keputusan tersebut dimulai dari indikasi media maupun tanpa indikasi medis sekalipun. Secara umum pengambilan keputusan merupakan pendekatan yang digunakan dalam proses pengambilan keputusan atau proses memilih tindakan sebagai cara pemecahan masalah. Agar individu mecapai hasil yang maksimal maka proses pengambilan keputusan harus rasional. Adapun jumlah ibu hamil yang memutuskan untuk melakukan tindakan sectio Caesarea Di Rumah Sakit Syafira tahun 2017 sebanyak 560, tahun 2018 sebanyak 1415, dan tahun 2019 sebanyak 1694. Penelitian ini bertujuan untuk mengetahui peran Pengetahuan, Sosial Ekonomi, Estetika dan Keluarga. Jenis penelitian ini adalah penelitian deskriptif dengan pendekatan kualitatif. Lokasi dan waktu penelitian adalah di Rumah Sakit Syafira Pekanbaru pada Bulan Januari sampai Juli 2020. Subjek penelitian ini adalah Ibu Hamil dan Dokter Spesialis Obgyn yang berjumlah 6 Informan. Metode pengambilan data diperoleh dari hasil wawancara mendalam. Berdasarkan penelitian ini diperoleh kesimpulan bahwa Ibu Hamil yang memutuskan untuk melakukan tindakan Sectio Caesarea memiliki pengetahuan yang sangat baik, Memiliki status Sosial Ekonomi yang cukup tinggi, Estetika menjadi salah satu aspek yang dipertimbangkan ibu hamil terhadap pengambilan keputusan tindakan Sectio Caesarea, dan persetujuan keluarga merupakan aspek yang paling penting terhadap pengambilan keputusan Tindakan Sectio Caesarea   Every person or patient in deciding to perform the Sectio Caesarea certainly varies, many reasons behind the decision begin with media indication or even without medical indication. In general, decision-making is an approach used in the decision-making process or the process of choosing as a way of problem-solving. For an individual to achieve maximum results, the decision-making process must be rational.  As for the pregnant women who decided to perform Caesarean sectio measures at Syafira Hospital in 2017 was 560, in 2018 as many as 1415, and 1694 in 2019. This study aimed to determine the role of Knowledge, Socioeconomic Economics, Aesthetics, and Family. This type of research is a descriptive study with a qualitative approach.  The location and time of the study were at Pekanbaru Syafira Hospital from January to July 2020. The subjects of this study were Pregnant Women and Obgyn Specialists, totaling 6 Informants. The data collection method was obtained from in-depth interviews.  Based on this study, it was concluded that pregnant women who decide to take action on Caesarean Sectio have very good knowledge and high socioeconomic status. Aesthetics is one of the aspects considered by pregnant women for decision making on Caesarean Sectio action, and family approval is the most important aspect in the decision making of the Caesarean Sectio Action

2014 ◽  
Vol 2014 ◽  
pp. 1-6
Author(s):  
Vezumuzi Ndlovu

Objective. The role of health professionals in the decision making process of patients is usually heard or seen from the perspective of the patients. This paper gives the usually silent and invisible health professionals voice and visibility. It describes their views and attitudes towards reproduction by couples who are HIV positive and attempts to understand their perspectives. Methods. In-depth interviews were conducted with twelve health professionals at an opportunistic infections clinic. Transcribed interviews were analysed using the grounded approach to identify patterns and themes concerning views and attitudes of health professionals towards reproduction by HIV positive people. Results. The study found that most health professionals generally had a negative attitude towards childbearing by HIV positive couples. Their views and approaches on the issue were based mainly on biomedical considerations. The main discourses on childbearing that emerged from the study were the conditional choice, the antichildbearing, and the prorights. Conclusion. Most of the health professionals interviewed tend to take a generally negative stance towards reproduction by people with HIV/AIDS. There is a need for a clear set of guidelines for health professionals (HPs) on how to deal with HIV positive people who may desire to reproduce.


2017 ◽  
Vol 2 (2) ◽  
pp. 153-170
Author(s):  
Muhamad Luthfi Nazmudin ◽  
Uwoh Saepulloh ◽  
Dewi Sadiah

Penelitian ini bertujuan untuk mengetahui proses pengambilan keputusan dan kebijakan yang diterapkan pimpinan dalam pengelolaan Pondok Pesantren Al-Muhajirin Purwakarta. Metode penelitian ini menggunakan metode dengan pendekatan kualitatif. Hasil penelitian menunjukan bahwa peranan pimpinan dalam pengelolaan pondok pesantren tidak hanya berperan sebagai pemimpin saja, akan tetapi beliau juga berperan sebagai educator, manajerial, innovator, administrator, bahkan supervisor terhadap segala sesuatu yang telah ditetapkan secara efektif dan efisien dalam rangka pencapaian tujuan. Sedangkan tipe kepemimpinan beliau lebih condok pada tipe kepemimpinan demokratis dan kharismatis. Hal tersebut dapat terlihat dari cara beliau dalam mengambil keputusan yang selalu menggunakan kebersamaan dalam musyawarah untuk mencapai kata mufakat. Kemudian dalam proses penyusunan kebijakan program beliau selalu mempertimbangkan beberapa hal, diantaranya adalah tujuan utama dan fungsi keberadaan pesantren, kebutuhan santri, kondisi santri serta kondisi sarana dan prasarana yang ada di pesantren.   This study aims to determine the decision-making process and policies applied by the leadership in the management of the Al-Muhajirin Islamic Boarding School in Purwakarta. This research method uses a method with a qualitative approach. The results showed that the role of leadership in the management of boarding schools not only acted as a leader, but he also acted as educator, managerial, innovator, administrator, and even supervisor of everything that has been determined effectively and efficiently in order to achieve goals. While his type of leadership is more focused on the type of democratic and charismatic leadership. This can be seen from the way he makes decisions that always use togetherness in deliberation to reach the word consensus. Then in the program policy formulation process he always considered several things, including the main purpose and function of the existence of the pesantren, the needs of the santri, the condition of the students and the condition of the facilities and infrastructure in the pesantren.


2021 ◽  
Vol 10 (6) ◽  
pp. 224
Author(s):  
Novita Puspasari ◽  
Eliada Herwiyanti

This study aims to explore and gain an in-depth understanding of the views of bank credit analysts on SME’s accounting information in credit decision making. This study used the ZMET (Zaltman Metaphor Elicitation Technique) method to dig information from nine credit analysts as research participants with a qualitative approach. With ZMET's projective techniques through image metaphors, the study has identified 16 important constructs that describe bank credit analysts' mental models when facing the vagueness of SME’s accounting information in their credit decision-making process. The connection between constructs is described in the consensus map, which explains the four main themes of the study's findings; SME accounting information blur, the use of alternative information, the dual role of credit analysts, and information needs in credit decision-making.   Received: 3 July 2021 / Accepted: 23 August 2021 / Published: 5 November 2021


2017 ◽  
Vol 7 (1) ◽  
pp. 19-31
Author(s):  
Syahril Syahril ◽  
Dedy Arfiyanto

Accountants have a very big role to encourage companies to get involved in activities that show concern for environmental issues Social or Corporate Social ResponsibilityThe purpose of this study is to determine the role of accountants, especially internal accountants in the implementation of Corporate Social Responsibility Hospital in the District Sumenep. This research is descriptive research with qualitative approach. By using this qualitative Descriptive research, writer use to describe, interpret and describe data that writer get from observation, interview and documentation. The analysis uses an interactive model with three procedures: Data Reduction, Presentation of Data and Drawing Conclusions.The role of internal accountants in the implementation of social activities is needed for corporate social responsibility (Hospital in Sumenep District). Because the involvement of internal accountants is very big influence on the decision-making process related to social problems or Corporate Social Responsibility (Corporate Social Responsibility) Keywords : Internal Accountant, Corporate Social Responsibility, Hospital


Tourism ◽  
2021 ◽  
Vol 69 (4) ◽  
pp. 494-504
Author(s):  
Belem Barbosa ◽  
Claudia Santos ◽  
Marcia Santos

Despite the current importance of international retirement migration for both academics and practitioners, the extant literature on the topic is still scarce and mostly focused on short-period migration flows from wealthy and northern countries to cheaper and warm-weather destinations. This article aims at shedding light on the role of tourism in prospective migrants’ decision-making process, considering the framework provided by the push-pull model, which is often used to explain both migration and tourism. A qualitative study was conducted, comprising ten in-depth interviews with 45+ year-old Brazilian citizens who intend to move to Europe after retirement. Results show that tourism is important for prospective migrants to evaluate possible migration destinations, as some of the most relevant migration pull factors (e.g., safety) are easily assessed during tourism experiences. Participants in this study also carefully plan tourism activities prior to their decision to migrate in order to get a more realistic notion of what the destination is like for residents. Overall, this study demonstrates that tourism is particularly important for several stages of migrants’ decision-making process.


Jurnal Ecopsy ◽  
2016 ◽  
Vol 2 (1) ◽  
Author(s):  
Sudjatmiko Setyobudihono ◽  
Ermina Istiqomah

Tujuan dari studi kualitatif ini adalah untuk memahami peran suami terhadap pembuatan keputusan seorang ibu hamil dalam mengkonsumsi tablet besi berdasarkan kearifan budaya lokal. Adanya bukti bahwa tingginya klaim pemberian tablet besi pada ibu hamil tidak diikuti dengan konsumsi tablet besi yang tinggi. Adanya bukti bahwa terdapat hubungan antara pembuatan keputusan seorang ibu hamil dipengaruhi oleh lingkungan di sekitarnya serta kearifan lokal. Dalam studi ini, atribut kunci dalam peran suami terhadap pembuatan keputusan di ekplorasi menggunakan metode verbal yang diikuti dengan wawancara mendalam. Wawancara dilakukan di Banjarmasin dengan sampel sejumlah 40 orang, masing-masing 20 orang menghabiskan seluruh tablet besi dan 20 orang tidak menghabiskan tablet besi. Ibu hamil dengan usia kehamilan diatas 25 minggu serta telah mengikuti program tablet besi minimal 90 hari. Peran suami berpengaruh terutama dalam memberi izin, patuh pada ajaran agama, kompromi keputusan, kedudukan istimewa suami merupakan atribut kunci yang diketahui berdasarkan analisis hasil wawancara. Studi ini menghasilkan pemahaman akan pentingnya peran suami dalam mempengaruhi keputusan yang diambil oleh seorang ibu hamil dalam menjalani program konsumsi suplemnatasi besi.    Kata kunci: ibu hamil, tablet besi, kearifan lokal, peran suami The purpose of this qualitative study was to understand the role of the husband of the decision-making of a pregnant woman to consume iron tablets based on local cultural wisdom. The high claims of giving iron tablets are not followed by a high consumption of iron tablets. There is a relationship between a pregnant woman's decision-making is influenced by the surrounding environment and local wisdom. In this study, the key attributes in the role of husband to decision making in exploration using verbal methods followed by in-depth interviews. Interviews were conducted in Banjarmasin with a sample of 40 people, each of 20 people spend all iron tablets and 20 people do not spend all iron tablets. Pregnant women with gestational age above 25 weeks and has attended programs iron tablets at least 90 days. Husband influential role especially in giving permission, obedient to the teachings of religion, a compromise decision, the special position of the husband is the key attribute that is known based on the analysis of the results of the interview. This study resulted in an understanding of the important role of the husband in influencing the decisions taken by a pregnant woman to undergo iron suplemnatasi consumption program. Keyword: pregnant women, iron tablets, local wisdom, the role of the husband 


2016 ◽  
Vol 28 (5) ◽  
pp. 1009-1025 ◽  
Author(s):  
Ruth M.W. Yeung ◽  
Maureen Brookes ◽  
Levent Altinay

Purpose The purpose of this study is to explore the hospitality franchise purchase decision-making process undertaken by franchisees in Macau as an emerging tourism destination and the role of national culture on purchasing a franchise brand and selecting a potential franchisor. Design/methodology/approach Semi-structured in-depth interviews with 18 franchisees in Macau, who purchased international and domestic hospitality franchise brands, were conducted to understand the feelings, attitudes and motivation of franchisees toward purchasing a hospitality franchise. Findings The study reveals that national culture can play an important role in franchisees’ decision-making process. Personal networks of friends and family (guanxi) are very influential in introducing and steering aspiring entrepreneurs toward franchising as an option to realize their ambitions, although there may be some limitations to franchisees with this approach. Guanxi was also found to be particularly relevant during negotiations and franchisees’ post-purchase reviews. Practical implications International franchisors should understand the importance of guanxi at different stages of the franchisees’ decision-making process. Franchisees should realize how a reliance on guanxi might negatively affect their efforts to undertake sufficient research to thoroughly evaluate the franchisor offer before contract signature. Originality/value A comprehensive hospitality franchisee decision-making purchase framework is developed, which includes the cultural context and cultural values. Guanxi, in particular, affects the franchisee decision-making process.


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