scholarly journals Optimalisasi program perkesmas dengan kunjungan rumah terhadap tingkat kemandirian keluarga serta peningkatan pengetahuan perawat dalam penulisan askep keluarga

Hayina ◽  
2021 ◽  
Vol 1 (1) ◽  
pp. 22-32
Author(s):  
Milya Novera ◽  
Meta Rikandi ◽  
Mandria Yundelfa ◽  
Rika Syafitri

Program Indonesia Sehat Pendekatan Keluarga (PISPK) is necessary to have continuous intervention and become a integrated program at the Public Health Center (Puskesmas). The aim purposes of this activities was to analyzed The desired objectives are to optimize home visits to increase the level of family independence and to optimize the competence of nurses in writing and documentation of family nursing care plan integrated with Nanda, Noc and Nic. The implementation phase includes home visits conducted 2-4 times and carrying out cross-program activities and the evaluation phase includes recompiling and analyzed data. There are 18 heads of households who are respondents. This activity showed that home visits through providing family nursing care and education in the family gave change the family independence level. In the future, it is expected that home visits will become priority of Public Health Center (Puskesmas) activities to improve community health status, In addition, the guidelines and modules are able to increase the knowledge, attitudes, skills, and activities of nurses in the implementation of community health services which increase the use of health facilities by families and as a complement to the community health services module in order to improve the performance of Nurse in Public Health center. 

Hayina ◽  
2021 ◽  
Vol 1 (1) ◽  
pp. 22-32
Author(s):  
Milya Novera ◽  
Meta Rikandi ◽  
Mandria Yundelfa ◽  
Rika Syafitri

Program Indonesia Sehat Pendekatan Keluarga (PISPK) is necessary to have continuous intervention and become a integrated program at the Public Health Center (Puskesmas). The aim purposes of this activities was to analyzed The desired objectives are to optimize home visits to increase the level of family independence and to optimize the competence of nurses in writing and documentation of family nursing care plan integrated with Nanda, Noc and Nic. The implementation phase includes home visits conducted 2-4 times and carrying out cross-program activities and the evaluation phase includes recompiling and analyzed data. There are 18 heads of households who are respondents. This activity showed that home visits through providing family nursing care and education in the family gave change the family independence level. In the future, it is expected that home visits will become priority of Public Health Center (Puskesmas) activities to improve community health status, In addition, the guidelines and modules are able to increase the knowledge, attitudes, skills, and activities of nurses in the implementation of community health services which increase the use of health facilities by families and as a complement to the community health services module in order to improve the performance of Nurse in Public Health center. 


2021 ◽  
Vol 10 (2) ◽  
pp. 428
Author(s):  
Suprapto Suprapto ◽  
Trimaya Cahya Mulat ◽  
Nur Syamsi Norma Lalla

Health development is a way of increasing awareness, willingness and ability to live healthy for everyone so that an optimal degree of public health can be achieved. The purpose of knowing how the relationship between nurse competence and community health care activities. This study employed quantitative approach and correlation analysis. The population was nurses who work at public health center in Makassar City, Indonesia, however there were 118 nurses who meet the criteria in their selection. There were relationships between attitudes, skills, and competencies with the level of implementation of community health services and that there is an interaction between competence and training. The results of the competency analysis obtained an OR value of 6.429, meaning that public health center nurses who have good competence have a chance of 6.429 times to carry out community health care activities optimally. Most dominant with the implementation of public health care is the interaction between competence and training. The competence of nurses need to be improved in order to optimize the implementation of community health services through training, coaching through assigned teams, and collaborating with peers and providing support in the form of policies for rewards and sanctions such as nurse career paths.


BISMA ◽  
2019 ◽  
Vol 13 (3) ◽  
pp. 181
Author(s):  
Rizkiy Shofiah ◽  
Dewi Prihatini ◽  
Sebastiana Viphindrartin

Public health centers are the spearhead in the implementation of health services in Indonesia. Public health centers are the first level facilities that seek promotive and preventive services to achieve health status. The provision of health services must be supported by adequate health personnel to support the functioning of the community health center. In accordance with its function, public health centers must have at least five promotive and preventive personnel, namely laboratory, pharmaceutical, nutrition, public health, and sanitation analysts. The availability of health human resources (HRH) for public health centers, especially laboratory analysts, nutrition, public health, and sanitation, is still not evenly distributed in the Jember district health centers. HRK planning in Jember Regency is still focused on medical personnel. This research is an exploratory research with a qualitative approach that aims to determine the HRH planning process, especially the promotive and preventive public health centers. The informants in this study were the head of the public health center administration as part of staffing and additional informants, namely analysts, nutrition, public health, and sanitation staff. Based on the results of the study, public health centers still need personnel such as analysts, nutrition, and sanitation. The results of interviews with informants indicated that the community health center did not have a special HRH planning team. In the planning process, the community health center only carried out an analysis of the HRH needs and then submitted them to the Health Office which had an important role in the planning process to meet the HRH needs of the community health center. As an executor, the community health center can only accept the applicable policies. Public health centers cannot do their own recruits because of budget constraints. This is one of the obstacles that hinders community health centers in HRH planning. Another obstacle in the planning process is waiting for a decision from the Health Office to meet HRH needs and the use of forecasting methods that are not yet clear. This causes, there is no common perception among policy makers. Keyword: Public health center, HRH planning, preventive and promotive.


Author(s):  
Idasugiarti ◽  
Arief Tarmansyah Iman ◽  
Fadil Ahmad Junaedi

Management of medical records and health information is one of the elements in the assessment of Public Health Center accreditation. Medical records play an important role in collecting accurate and comprehensive data for targeted health policies. The most appropriate management of medical records at the Public Health Center is the regional storage system or often referred to as the family folder system. Community service activities at the Cibeureum Health Center are carried out using consultation, training, and mentoring methods. Compiled 10 quality documents and the implementation of the e-family folder in stages. Furthermore, continuous data migration was carried out assisted by RMIK students. Activities carried out well.


1997 ◽  
Vol 3 (1) ◽  
pp. 6 ◽  
Author(s):  
Hal Swerissen

This paper reviews the organisation of Victorian community health services in the context of the general direction of reform for the Australian and Victorian health systems. It notes that the emphasis has shifted to a greater focus on improving the efficiency of the relationship between needs, resources, services and outcomes. Within this context, in addition to public health measures, national reforms have advocated the creation of funding and organisational arrangements around three service functions: general care, acute care and co-ordinated care. It is argued that the organisation of community services should be driven by these functional relations, not vice versa. The efficiency of vertical and horizontal integration and the creation of community health networks is considered in relation to transaction costs, organisational scale, transition costs and distributional equity. It is concluded that community health networks offer the most efficient model for the delivery of community based public health and general, acute and co-ordinated care services.


2017 ◽  
Vol 2 (1) ◽  
pp. 1-8
Author(s):  
Aszrul AB ◽  
Andi Suswani

Family support is very important for stroke patients or those who experience a stroke. Family support is given to health care. Broadly speaking, health efforts are divided into three prevention, curative prevention and rehabilitation efforts (Maulana, 2014: 38). Successfully preventing stroke in patients with hypertension, the family must provide support for patients with hypertension so that lifestyle changes.The purpose of this study was to study the relationship between family support for efforts to prevent stroke in hypertensive patients in the Bontonyeleng Public Health Center Gantarang District, Bulukumba Regency.This study uses quantitative research design using descriptive design. The sample of this study amounted to 50 people taken by the total sampling method that is all participants who were used as the study sample. Data analysis in this study used the Chi Square test statistic test.Based on the results of the research obtained by the respondents, there were mostly in the good category as many as 29 respondents (58%), while the family efforts in minimizing stroke in hypertensive patients were mostly found in the non-done category as many as 33 respondents (66%). The results of the analysis using the Chi Square statistical test obtained a p value of 0,000, thus p <α (0,000 <0,05).The conclusion of this study is about the relationship between families with efforts to minimize stroke in hypertensive patients in the work area of ​​Bontonyeleng Public Health Center, Gantarang District, Bulukumba Regency.Suggestions from this study are to be able to add information and input for health workers to be able to increase assistance for hypertensive patients regarding family needs with family prevention in minimizing stroke in patients with hypertension.


2021 ◽  
Vol 9 ◽  
Author(s):  
Yanwei Lin ◽  
Tingxian Wang ◽  
Tingting Zhu

Background: The literature shows that migration characteristics are a potential pathway through which migration can influence basic healthcare service utilization. The goal of the study was to explore the effect of migration characteristics on the utilization of basic public health services for internal elderly migrants in China and to identify the pathways that might promote their utilization of basic public health services.Methods: We studied 1,544 internal elderly migrants. The utilization of basic public health services was determined through participation in free health checkups organized by community health service institutions in the past year. Migration characteristics were represented by years of residence and reasons for migration. Other variables included demographic characteristics and social factors, e.g., the number of local friends and exercise time per day were measured to represent social contacts. Multivariate binary logistic regression was employed to explore the association of the variables with the likelihood of using community health services.Results: A total of 55.6% of respondents were men, and the mean age was 66.34 years (SD 5.94). A low level of education was observed. A total of 59.9% of migrants had been residents for over 10 years, and the main reason for migrating was related to family. Of these migrants, 12.9% had no local friends. Furthermore, 5.2% did not exercise every day. Social contacts were complete mediators of the impact of migration characteristics on the utilization of primary healthcare.Conclusion: Our study highlighted the mediating role of social factors in the relationship between migration characteristics and the utilization of basic public health services among Chinese internal elderly migrants. The findings supported the need to increase the opportunities for social contacts between local elderly individuals and internal elderly migrants.


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