scholarly journals Pengalaman Masyarakat Yang Menerima Pelayanan Perawat Puskesmas Sering Kecamatan Medan Tembung Sumatera Utara: Studi Fenomenologi

2018 ◽  
Vol 1 (1) ◽  
pp. 94-98
Author(s):  
Resi Ayu Harianti Harahap ◽  
Setiawan Setiawan
Keyword(s):  
Content Analysis ◽  
Nursing Care ◽  
Community Health Center ◽  
Sampling Technique ◽  
Healthcare Services ◽  
Public Healthcare ◽  
Healthcare Facilities ◽  
Purposive Sampling ◽  
Rehabilitative Services ◽  
Phenomenological Design

Puskesmas adalah salah satu fasilitas pelayanan kesehatan yang menyelenggarakan upaya kesehatan masyarakat tingkat pertama diwilayah kerjanya. Keperawatan merupakan salah satu bagian integral penting dari pelayanan kesehatan yang ada di puskesmas, diharapkan mampu memberikan pelayanan kesehatan yang meliputi aspek promotif dan preventif secara berkesinambungan tanpa mengabaikan pelayanan kuratif dan rehabilitaif secara menyeluruh dan terpadu kepada individu, keluarga, kelompok dan masyarakat. Penelitian ini bertujuan untuk mengeksplorasi pengalaman masyarakat tentang pelayanan perawat diPuskesmas Sering Kecamatan Medan Tembung. Penelitian ini menggunakan desain fenomenologi. Teknik pengambilan sampel yang digunakan adalah purposive sampling dengan jumlah partisipan sebanyak sepuluh orang. Data dianalisis menggunakan Content Analysis. Hasil penelitian didapatkan empat tema terkait pengalaman masyarakat yang menerima pelayanan perawat puskesmas Sering di Medan yaitu (1) menerima pelayanan kesehatan dari perawat puskesmas (2) menerima perilaku caring dan non-caring dari setiap pelayanan yang diberikan (3) mendapat penjelasan dan dimintai persetujuan sebelum tindakan diberikan (4) berpartisipasi dalam kegiatan pokok puskesmas. Penelitian ini merekomendasikan kepada puskesmas untuk mengevaluasi dan meningkatkan pelayanan kesehatan/keperawatan dengan mengetahui kelebihan dan kelemahan dalam pelayanan yang diberikan kepada masyarakat. Puskesmas (Community Health Center) is one of the healthcare facilities that organizes first-level of public healthcare service in its working area. Nursing is one of the important integral parts of healthcare services in puskesmas, which is expected to be able to provide healthcare services including sustainablity of promotive and preventive aspects without neglecting curative and rehabilitative services to individuals, families, groups and communities comprehensively and integratedly. This study aimed to explore the experiences of community who received  nursing care at SeringPuskesmas in Medan Tembung sub-district. This study used phenomenological design. The sampling technique used was purposive sampling. The participant composed of ten people. Data were analyzed using content analysis. The results showed that there were 4 themes related to the experiences of the community who received nursing care at SeringPuskesmas in Medan, i.e.(1) receiving healthcare services from nurses at puskesmas (2) receiving caring and non-caring behavior from each service provided (3) getting explanation and being asked for approval before having an action (4) participating in the main program of the puskesmas. It is recommended that puskesmas evaluate itself to identify strengths and weaknesses in the services provided to community and improve health or nursing care.

THE CARING BEHAVIOR OF VOLUNTARY NURSES TO THE CLIENT IN PADANGSIDIMPUAN GENERAL HOSPITAL

2017 ◽  
Vol 1 (2) ◽  
pp. 122
Author(s):  
Hotma Royani Siregar ◽  
Adi Antoni
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
General Hospital ◽  
Nursing Care ◽  
Sampling Technique ◽  
Holistic Nursing ◽  
Caring Behavior ◽  
Phenomenological Design ◽  
Depth Interviews ◽  
Provide Health Care

Voluntary nurses is the nurses who provide health care voluntarily without expecting any fee. Caring behavior of voluntary nurses is the skill of voluntary nurses giving attention, empaty,and helping clients to fullfil their daily needs as long as voluntary nurses giving nursing care in hospital. The objective of the research was to explore deeply caring behavior of voluntary nurses to the client in Padangsidimpuan General Hospital. The research used phenomenological design. The data were gathered by conducting in-depth interviews. Purposive sampling technique was used to select the participants who had met the criteria. They consisted of 6 voluntary nursesin Padangsidimpuan General Hospital. The result of the interviews was recorded and analyzed by using content analysis. The result of the research showed that there were 4 themes which reflected the research phenomena. They were Voluntary Nurses care to the clients, Voluntary nurses doing holistic nursing care, Voluntary nurses respect clients, and The effects of caring behavior of voluntary nurses. It is recommended that the Voluntary nerses alwaysapply caring behavior to the client even though without recieve any fee. Keywords: Behavior, Caring, Voluntary Nurses, Client

scholarly journals A comparison of the levels of satisfaction with the medical services provided by primary healthcare centers in selected communes in Lubelskie Voivodeship

2016 ◽  
Vol 126 (1) ◽  
pp. 8-12
Author(s):  
Daria Przybylska ◽  
Piotr Przybylski ◽  
Bartłomiej Drop ◽  
Krzysztof Czarnocki ◽  
Wojciech Przybylski ◽  
...  
Keyword(s):  
Family Medicine ◽  
Primary Healthcare ◽  
The Elderly ◽  
Healthcare Services ◽  
Medical Services ◽  
Public Healthcare ◽  
Healthcare Facilities ◽  
Primary Type ◽  
Primary Healthcare Centers

Abstract Introduction. Family medicine remains the primary type of medical services in Poland and it is supposed to treat both individual patients and the society as a whole. Due to the growing commercialization of the health service, most primary healthcare centers have transformed into non-public healthcare facilities. The public ones (called SPZOZ in Polish) account only for a small fraction of the whole number of primary healthcare facilities. The quality of medical services provided by such facilities, as patients see it, remains one of the key elements determining the development of family medicine centers. Aim. The aim of this paper was to assess patient satisfaction levels regarding the healthcare services they received in two primary healthcare institutions, both of the NZOZ and SPZOZ type, in a small town located close to Lublin. Material and methods. An anonymous survey was filled out by 30 patients of both a public and non-public healthcare center located in Niemce (Niemce Commune, Lublin District). The quality of services was assessed using an original questionnaire in the form of a poll. Results. The results obtained indicate a clear relationship between one’s trust to the physician, diagnosis accuracy and visiting the particular center again, in order to continue the treatment. For older subjects, it was nurses’ kindness and politeness that was the most important. The elderly appreciated the kindness and politeness of the nurses in particular. No significant differences were found between the institutions in respect of the overall perception of satisfaction with services. In terms of infrastructure assessment, the majority of positive feedback was provided for NZOZ. Conclusions. The findings above suggest that it is essential to conduct surveys on a regular basis, in order to check patients’ assessment of the service quality in various institutons.

Managers do it their way: How managers act in a decentralised healthcare services provider organisation – a mixed methods study

2021 ◽  
pp. 095148482110654
Author(s):  
Mikael Ohrling ◽  
Sara Tolf ◽  
Karin Solberg-Carlsson ◽  
Mats Brommels
Keyword(s):  
Content Analysis ◽  
Service Delivery ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Management Model ◽  
Public Healthcare ◽  
Healthcare Organisation ◽  
Programme Theory ◽  
Local Conditions ◽  
Community Healthcare

Purpose: Decentralisation is considered a way to get managers more committed and more prone to respond to local needs. This study analyses how managers perceive a decentralised management model within a large public healthcare delivery organisation in Sweden. Design/methodology/approach: A programme theory evaluation was performed applying direct content analysis to in-depth interviews with healthcare managers. Balance score card data were used in a blinded comparative content analysis to explore relations between performance and how the delegated authority was perceived and used by the managers. Findings: Managers’ perceptions of the decentralised management model supported its intentions to enable the front-line to make decisions to better meet customer needs and flexibly adapt to local conditions. The managers appreciated and used their delegated authority. Central policies and control on human resources and investments were accepted as those are to the benefit of the whole organisation. Leadership development and organisation-wide improvement programmes were of support. Units showing high organisational performance had proactive managers, although differences in manager perceptions across units were small. Originality: This, one of the first of its kind, study of a decentralisation in service delivery organisation shows a congruence between the rationale of a management model, the managers’ perceptions of the authority and accountability as well as management practises. These observations stemming from a large public primary and community healthcare organisation has not, to our knowledge, been reported and provide research-informed guidance on decentralisation as one strategy for resolving challenges in healthcare service delivery organisations.

Assessment of Healthcare Service Quality

2020 ◽  
pp. 271-291
Author(s):  
Segufta Dilshad ◽  
Afsana Akhtar ◽  
S. S. M. Sadrul Huda ◽  
Nandeeta Samad
Keyword(s):  
Service Quality ◽  
Quality Measurement ◽  
Healthcare Services ◽  
Public Hospitals ◽  
Public Healthcare ◽  
Research Approach ◽  
Healthcare Facilities ◽  
Level Of Satisfaction ◽  
Related Quality ◽  
Private And Public

The service quality measurement of healthcare services is always a big concern for the hospitals, patient rights activists, regulators, and general patients. This study deals with quality assessment of healthcare facilities concerning the private and public health facilities of Dhaka, Bangladesh. This study follows the survey research approach. Using the purposive sampling method, the individuals have been selected from households who have received healthcare services from public or private hospitals of Dhaka city in last year. The study collected data among 410 respondents. Standard statistical software (i.e., SPSS and STATA) have been used to analyze the data. This study confirms existing evidence that Bangladeshi patients have a growing concern with lower level of satisfaction in public healthcare services. The respondents faced multi-dimensional problems, characterized by a low level of overall service quality, interpersonal service quality, and technical or treatment-related quality at public hospitals. Further research is recommended to analyze the issues further.

Management of public healthcare facilities in the Philippines: issues and concerns

2019 ◽  
Vol 25 (10) ◽  
pp. 1-17 ◽  
Author(s):  
Ramiro Z Dela Cruz ◽  
Ruth A Ortega-Dela Cruz
Keyword(s):  
Healthcare Delivery ◽  
Healthcare Services ◽  
The Philippines ◽  
Public Hospitals ◽  
Public Health Care ◽  
Public Healthcare ◽  
Healthcare Facilities ◽  
Descriptive Research ◽  
Primary Means ◽  
Insufficient Knowledge

Background/Aims Public hospitals are the primary means of healthcare delivery in developing countries. Given the pressing need for efficient health services, it is imperative to know the extent to which a country's public healthcare institutions meet an ever increasing public demand. This study aimed to assess the state of hospital facilities among public health care institutions in a developing country. Methods Descriptive research methods were used, including needs analysis along with management and client satisfaction surveys, in order to analyse information on issues that related to the management of hospital facilities in the Philippines. Various members of the hospital community were selected to assess different aspects of hospital management. Results The results of this study show that most concerns stemmed from the lack of financial resources, materials, equipment and technological innovations; insufficient knowledge, skills and human resources; and problems that related to processes and methodologies. Conclusions Public hospitals are in dire need of facility upkeep to maintain their operations. This has become a more pressing concern because of the very limited resources at the disposal of public hospitals. This study also highlighted the crucial role played by the national government in finding effective and efficient ways to address these issues and concerns to ensure successful delivery of healthcare services in the country.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN PENGGUNAAN ANTIBIOTIKA UNTUK TERAPI PNEUMONIA

2020 ◽  
Vol 7 (1) ◽  
pp. 16
Author(s):  
Nita Pujianti ◽  
Lia Anggraini
Keyword(s):  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Sampling Technique ◽  
Dominant Factor ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Under Five

ABSTRAKPneumonia merupakan penyebab banyak kematian balita di dunia. Selama tahun 2016 terdapat 568.146 (65,27%) jumlah kasus pneumonia pada balita yang ada di Indonesia. Berdasarkan data Dinas Kesehatan Provinsi Kalimantan Selatan tercatat kasus pneumonia tahun 2017 sebesar 66,52%, data tertinggi pada Puskesmas Beruntung Raya dengan angka 105 kasus (10,80%) di tahun 2017. Tujuan penelitian ini adalah untuk menganalisis faktor-faktor yang berhubungan dengan kepatuhan penggunaan antibiotika pada orang tua pasien anak yang terdiagnosa pneumonia di wilayah kerja Puskesmas Beruntung Raya serta menganalisa faktor yang paling dominan mempengaruhi. Penelitian ini menggunakan rancangan observasional analitik melalui pendekatan cross sectional. Populasi dalam penelitian ini adalah semua orang tua yang memeriksakan anaknya dalam satu tahun terakhir di Puskesmas Beruntung Raya. Sampel dalam penelitian ini berjumlah 77 responden ditentukan dengan teknik purposive sampling dan berlangsung selama 3 (tiga) bulan. Analisa data menggunakan uji chi square dan regresi logistik biner dan kuisioner sebagai Instrumen penelitian. Hasil penelitian menunjukkan bahwa terdapat hubungan antara kedisiplinan (p-value= 0,001), sugesti sembuh (p-value= 0,012), dan komunikasi (p-value= 0,025). Variabel kedisiplinan merupakan yang paling berpengaruh dominan terhadap kepatuhan penggunaan antibiotika, sehingga pasien yang disiplin lakan lebih patuh dalam meminum obat antibiotika daripada pasien yang tidak disiplin.Kata-kata kunci: Kepatuhan, pneumonia, kedisiplinan, sugesti sembuh, komunikasiABSTRACTPneumonia is the cause of many under-five deaths in the world. During 2016 there were 568,146 (65.27%) of the number of pneumonia cases in children under five in Indonesia. From the data of the South Kalimantan Provincial Health Office recorded pneumonia cases in 2017 amounted to 66.52%, the highest data in Beruntung Jaya Community Health Center with a number of 105 cases (10.80%) in 2017. The purpose of this study was to analyze the factors related by adhering to the use of antibiotics in the parents of pediatric patients with diagnosed with pneumonia in the work area of Beruntung Jaya Community Health Center and analysis the most dominant factor influencing. This study uses an observational analytic design through a cross sectional approach. The population in this study were all parents who had their children examined in the past year at Beruntung Raya Health Center. The sample in this study amounted to 77 respondents determined by purposive sampling technique and lasted for 3 (three) months. Data analysis using chi square test and binary logistic regression and questionnaires as research instruments. The results showed that there was a relationship between discipline (p-value= 0.001), recovery suggestions (p-value= 0.012), and communication (p-value= 0.025). Disciplinary variable is the most dominant influence on adherence to the use of antibiotics, so that disciplined patients are more obedient in taking antibiotic drugs than patients who are not disciplined.Key words: Compliance, pneumonia, discipline, healing suggestion, communication

scholarly journals Healthcare Facilities and Services: Correlates to the Clinical Nursing Care for Patients with Psycho-Behavioral Pathologies in Lanao Del Sur

2018 ◽  
Vol 33 (1) ◽  
Author(s):  
Omira Abdulbasit ◽  
 Ms. Anieraida H. Hassim ◽  
Randy Ian F. Gallego
Keyword(s):  
Nursing Care ◽  
Clinical Care ◽  
Pearson Correlation ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Psychological Needs ◽  
Staff Nurses ◽  
Healthcare Facilities ◽  
Correlational Design ◽  
Clinical Nursing

Mental health, for some time has been a facet downplayed to be of lesser importance due to its very mystical nature causing it to be habitually ignored. Albeit the case, mental illness and its similar disturbances can become so significantly serious that it can encroach on and impair the day-to-day activities of its stricken victims. This study examined the extent of preliminary clinical care provided by nurses to clients with unique psychological needs. It used the descriptive-correlational design through a validated and reliability-tested instrument responded by 113 staff nurses from six hospitals around Lanao del Sur. It involved the statistical analysis of data using frequency, weighted mean, and Pearson correlation. In addition, a triangulation procedure was also employed to incorporate qualitative narrative comments of the respondents through follow-up informant interviews and journal writing.  The survey revealed that hospitals in the study locale do not have personnel with qualified specializations to attend to the needs of clients with psycho-behavioral manifestations. Moreover, the institutions did not have adequate physical facilities and equipment to aid in the appropriate diagnosis and management of mental conditions. It also showed that the availability of mental healthcare services, facilities, and personnel were significantly correlated to the extent of preliminary clinical nursing care. Hence, it can be regarded that these factors have a strong bearing and influence on the quality and extent of clinical care received by patients.

scholarly journals A Dynamic Analysis of the Demand for Health Care in Post-Apartheid South Africa

2021 ◽  
Vol 11 (2) ◽  
pp. 484-494
Author(s):  
David Mhlanga
Keyword(s):  
South Africa ◽  
Logit Model ◽  
Healthcare Services ◽  
Public Healthcare ◽  
Probability Models ◽  
Delivery Of Healthcare ◽  
Healthcare Facilities ◽  
The Government ◽  
Public Clinics ◽  
Demand For Health

The study aimed to investigate the drivers of demand for healthcare in South Africa 26 years after democracy. The pattern healthcare demand by households in South Africa is that most households use public healthcare services particularly public clinics compared to private and traditional healthcare facilities. Using conditional probability models, the logit model to be more specific, the results revealed that households head who is unemployed, households who do not have a business, households who were not receiving pension money, had a greater probability of demand for public healthcare institutions. On the other hand, being male, being White, Indian and Coloured, being a property owner and being not a grant beneficiary, reduces the probability of demand for public healthcare facilities in South Africa. As a result, the study recommends more investment in public healthcare but more in public clinics in South Africa due to the high percentage of households using these services. Also, the government must consider investing more in the maintenance and improvement of the welfare of nurses in the country considering the huge role they play in the delivery of healthcare to the citizens.

scholarly journals ‘The world is not only for hearing people – It’s for all people’: The experiences of women who are deaf or hard of hearing in accessing healthcare services in Johannesburg, South Africa

2021 ◽  
Vol 10 ◽  
Author(s):  
Khetsiwe P. Masuku ◽  
Nomfundo Moroe ◽  
Danielle Van der Merwe
Keyword(s):  
South Africa ◽  
Hard Of Hearing ◽  
Healthcare Professionals ◽  
Healthcare Services ◽  
Communication Barriers ◽  
African Women ◽  
Public Healthcare ◽  
Structured Interviews ◽  
Healthcare Facilities ◽  
Experiences Of Women

Background: Despite legal and adopted frameworks purporting access to healthcare and rehabilitation services, which are both a human right and key to developmental issues, women who are deaf and/or hard of hearing (HoH) are still excluded and experience barriers when accessing healthcare services. Largely, this is attributed to communication barriers between healthcare professionals and women who are deaf and/or HoH. There have been limited research studies carried out on women with invisible disabilities, such as deafness, especially amongst African women.Objectives: This study sought to gain insights into the communication experiences of women who are deaf or HoH when accessing public healthcare services in hospitals in Johannesburg.Methods: A qualitative research study employing semi-structured interviews with 10 African women who are deaf and/or HoH residing in Johannesburg, South Africa and attending government healthcare facilities was conducted. Participants were purposively selected. Data were analysed using thematic analysis.Results: Data revealed the following themes: communication barriers resulting in compromised quality of care and infringement on participants’ right to confidentiality; accommodation that is not accommodative and negative attitudes of healthcare professionals.Conclusion: The findings of this study confirm the alienating, exclusion, marginalisation, discrimination, invisibility, lack of independence and autonomy of women who are deaf and/or HoH when accessing healthcare services. Therefore, this study argues for a need for the conscientisation of healthcare professionals on communication needs of persons who are deaf and/or HoH. This has implications for the implementation of training programmes that will address communication, reasonable accommodation and attitudes of healthcare professionals.

scholarly journals Access to Public Healthcare Services in Urban Areas in Nigeria: The Influence of Demographic and Socioeconomic Characteristics of the Urban Population

2021 ◽  
pp. 1-13
Author(s):  
Abubakar Abdullahi ◽  
Nalika Gunawardena
Keyword(s):  
Urban Areas ◽  
Urban Population ◽  
Economic Status ◽  
Composite Index ◽  
Healthcare Services ◽  
Access To Healthcare ◽  
Public Healthcare ◽  
Chi Square ◽  
Significance Level ◽  
Healthcare Facilities

Background: Ensuring access to healthcare facilities is a high priority need in developing countries. This research aimed to determine the influence of socio-demographic and economic characteristics of the urban population in Nigeria to access to public healthcare facilities. Methods: We conducted a community-based study in 400 households across the three urban areas of Gombe state, Nigeria. Access to healthcare facilities was quantified in a composite index which considers availability, accessibility and affordability. The head of families was interviewed for information related to access and for the socio-demographic and economic status of the residences. The influence of socio-demographic and economic characteristics was determined using a chi-square test with a significance level of <0.05. Results: Most of the population interviewed within the selected urban areas had good access (84%) to public healthcare facilities. Socio-demographic and economic characteristics of household representatives such as age (p = 0.02), religious status (p = 0.00), level of education (p =0 .00), employment (p = 0.00) and possession of healthcare insurance (p = 0.00) were found to significantly influence access to healthcare facilities in urban areas. Conclusion:  Access to public healthcare facilities within the urban areas was good and the study revealed some modifiable socio-demographic and economic factors that influence access. We recommend the intervention to address the factors to further improve access to public healthcare facilities and to achieve universal healthcare coverage.

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