scholarly journals PENGALAMAN PENANGUNG JAWAB RUANGAN DALAM MENGELOLA RUANG KEPERAWATAN DI PUSKESMAS TEMBELANG JOMBANG

2021 ◽  
Vol 7 (2) ◽  
pp. 134-143
Author(s):  
Solakhudin Ridlon ◽  
Erna Tsalatul Fitriya ◽  
Aditya Nuraminudin Aziz ◽  
Faisol Roni

ABSTRAKPendahuluan : manejemen keperawatan adalah proses pengelolahan fungsi manajemen untuk memberikan asuhan keperawatan, ketidak efektifan peran kepala ruangan dalam menjalankan fungsi manajemen dengan baik akan berpengaruh terhadap kinerja perawat dalam menjalankan tanggung jawabnya termasuk proses pelayanan keperawatan. Peneliti menemukan ada masalah yang terjadi pada tenaga perawat diantaranya, ada tenaga perawat datang dinas terlambat, ada yang mengeluh tentang alat-alat kesehatan kurang berfungsi dengan baik, dan ada yang sulit untuk diajak menjadi sukarelawan. Tujuan dari penelitian ini adalah untuk mengetahui pengalaman penanggung jawab ruangan dalam menerapkan fungsi manajemen di Puskesmas Tembelang Jombang. Metodiologi : metode yang digunakan dalam penelitian ini yaitu penelitian kualitatif dengan pendekatan fenomenologi. Pengumpulan data dilakukan dengan metode wawancara mendalam. Sampel yang diambil dengan cara purposive sampling meliputi 5 informan. Hasil : penelitian ini memperoleh delapan tema, antara lain : 1) kegiatan yang mengatur dan mengawasi, 2) penyusunan rencana kegiatan diruangan 3) belum adanya visi misi yang spesifik 4) pengelompokkan tugas di ruangan 5) kegiatan pengorganisasian pasien dan perawat 6) motivasi kinerja 7) penerapan komunikasi keperawatan di ruangan 8) kegiatan pengawasan di ruangan. Berdasarkan hasil penelitian ini menunjukkan bahwa penangung jawab ruangan mengelola ruang keperawatan dengan makna-makna yang mereka pahami.Kata kunci : Pengalaman, Manajemen keperawatan, Penangung Jawab Ruangan Nursing management is an effort to provide nursing care as good as possible because the ineffective role of the head of the public health in carrying out management functions properly will affect the performance of nurses to do their responsibilities. Researchers found that there are some problems that occurred, such as; still some nurses come late, some nurses complained about the health equipment which is not functioning properly, and some of the nurses were difficult to be invited to volunteer. The purpose of this study was to determine the experience of the person in charge of the room in implementing management functions at Tembelang Public Health Centre, Jombang. The methodology that is used in this research is qualitative research with a phenomenological approach. Data collection using an in-depth interview method. Samples were taken using purposive sampling with 5 informants. The result shows; there are eight themes, they are: 1) managing and supervising activities, 2) preparation of work plan in the room, 3) there is no specific vision and mission, 4) develop the task groups in the room, 5) organizing activities for patients and nurses 6) performance motivation, 7) implementing nursing communication in the room, 8) monitoring activities in the room. Based on the results of this study, it shows that the person in charge of the room manages the medical ward with the meanings they understand. Keywords: The experience, Nursing management, head of the public health centre

2021 ◽  
Vol 7 (01) ◽  
pp. 56-66
Author(s):  
I Kadek Artawan

Background: Diabetes Mellitus is a significant cause of morbidity and mortality today. The risk of death on diabetes mellitus patients due to its complication is steadily increasing. A low level of knowledge about diabetes mellitus complications influences the behavior and prevention of further complications. A routine blood glucose control is an important prevention of diabetes mellitus complication, especially on patients with insulin therapy. Purpose:This descriptive study aimed to describe the knowledge about signs and symptoms of hypoglycemia among diabetes mellitus patients in the Public Health Centre of I East Denpasar. Methods: This was a descriptive study conducted in the Public Health Centre of I East Denpasar. There were 72 diabetes mellitus patients chosen by the purposive sampling technique that participated in this study. The Knowledge Attitude Practice (KAP) questionnaire employed to collect the participant's knowledge about hypoglycemia. Results: Statistical analysis showed that 69.4%, 25%, and 5.5% of participants were having a moderate, good, and poor level of knowledge, respectively. Conclusion: The majority of diabetes mellitus patients in the Public Health Center of I East Center Denpasar was having a moderate level of knowledge about the signs and symptoms of hypoglycemia (64.9%). ABSTRAK Latar Belakang :. Diabetes Mellitus merupakan salah satu masalah kesehatan utama yang menyebabkan kecacatan dan kematian. Peningkatan angka kematian pada diabetes mellitus disebabkan pasien mengalami komplikasi karena pengetahuan pasien tentang Penyakit DM berdampak pada perilaku dan pola pencegahan komplikasi lanjutan, salah satu upaya penanganan yang dilakukan pasien DM adalah dengan pengendalian kadar glukosa darah secara rutin dan komplikasi Diabetes Mellitus yang menjalani terapi obat khususnya terapi insulin. Tujuan: Untuk mengetahui Gambaran Pengetahuan Pasien DM Tentang Tanda dan Gejala Hipoglikemi di Puskesmas I Denpasar Timur. Metode : Penelitian ini menggunakan metode penelitian deskritif. Tempat penelitian dilaksanakan di Puskesmas 1 Denpasar Timur. Cara pengambilan sampel secara purposive sampling dengan jumlah sampel 72 orang dan cara pengumpulan data dengan pengisian kuesioner KAP (Knowledge Attitude Practice). Hasil : Hasil penelitian ini didapatkan bahwa sebagian besar memiliki tingkat pengetahuan cukup sebesar (69.4%), Baik (25%), Kurang (5.5%). Simpulan : Berdasarkan hasil dari gambaran pengetahuan pasien DM tentang tanda dan gejala hipoglikemi Puskesmas 1 Denpasar Timur memiliki tingkat pengetahuan Cukup sebesar (69.4%)


2019 ◽  
Vol 1 (2) ◽  
pp. 57
Author(s):  
Riauni Syaputri ◽  
Yecy Anggreny ◽  
Sekani Niriyah

The period of growth and development in preschoolers is strongly influenced by the provision of nutrition and food intake, but mothers can not always to fulfil these needs, especially in fulfilling the consumption of vegetables and fruit. This study aims to determine the description of maternal efforts in fulfilling the consumption of vegetables and fruit in preschool children. This research was a quantitative study with a descriptive research design. The study population was all mothers who have preschool children in Public Health Centre “Payung Sekaki Pekanbaru”. Total sample 192 people, taken by Proportional Random Sampling technique. The process of collecting data using an instrument in the form of a questionnaire. Data were analyzed by the Chi-square test. The results showed that of the 192 respondents most of which are 169 people (88.0%) have adequate eating habits, parenting eating most obtained good parenting patterns that are 191 people (99.5%), feeding practices of most respondents were correct namely 97 people (50.5%), the majority of respondents provide good food namely 190 people (99.0%), and the method of food processing shows that the majority of respondents have processed food properly, namely 145 people (75.5%). Mother's efforts in fulfilling the consumption of vegetables and fruit in preschool children in the work area of Payung Sekaki Health Center are good. It is expected that the public health centre will always provide counselling to the public on the importance of balanced food consumption, one of which is to consume spinach and spinach as well as papaya and bananas which have many benefits for children's growth and development, as well as educating parents to more routinely provide vegetable and fruit intake in children every meal hour.


2021 ◽  
Vol 4 (2) ◽  
pp. 163-169
Author(s):  
Leili Setiawan Rosyid ◽  
Yuly Peristiowati ◽  
Agusta D. Ellina

The increase in the number of elderly indicates an increase in life expectancy. The increasing elderly population reflects an increase in health services. The application of caring by nurses in the community has not been explained. Caring is the basis for nurses to be able to analyse nursing actions that are carried out properly and appropriately for clients who are a reference in follow-up care. The literature search in this study was carried out by identifying all types of national and international articles regarding Caring for Community Nurses and the readiness of families to receive further therapy information. The electronic database used is PubMed, Springer, and Google Scholar with a search strategy using the PICO (patient, intervention, comparison and outcome) method. Participants revealed that caring is an attitude of empathy, caring for the patient's needs, providing nursing care not only when the patient comes to the public health centre, but also when the nurse does home care. Participants expressed caring behaviours such as empathy, being friendly to patients who came to the treatment centre, caring about patient needs, making patient home visits, paying attention to the health that needs by patients. Caring for community nurses as an effort to improve the performance of community nurses in providing nursing services to the elderly so as to create integrated and comprehensive care for the elderly. The increasing relationship between patients and nurses that are established in a professional manner, helped participants get to know the many patients who came for treatment at the Public health centre.


Author(s):  
Maria Yeny Eskawati ◽  

ABSTRACT Background: The availability of resources is important in running a program. The implementation of the Non-Specialist Referral Policy has experienced many obstacles due to the lack of resource availability. This study aims to determine the availability of resources for the implementation of the Non-Specialist Outpatient Referral Policy in the National Health Insurance Era at the Public health center in Ngawi Regency, East Java. Subjects and Method: This study was a descriptive qualitative study conducted at Public Health Center in 2017, A total of 31 sources was selected by mapping and purposive sampling. The data were collected by means of triangulation of sources and in-depth interviews, observation, secondary document study. The data were analyzed by reduction, presentation and verification. Result: Obstacles stems from the absence of a recruitment decree from the regent and no funding from Public health center to recruit under the BLUD scheme. Health equipment available is only 43% to 60% of the need. The main obstacle is the regent approves the high price of equipment and not all budget estimates. Good medicine, if certain conditions are less spent than capitation funds. Finance is sufficient because the sources of funds vary, from capitation, DAK, DAU, BK, BOK, etc. Conclusion: The availability of medicine and finance is sufficient, but human resources and equipment are still lacking. It requires commitment and policies from Ngawi District Government, public health center policies and public health center commitments to realize the BLUD scheme to overcome resource shortages. Keywords: Resources, Non-Specialistic Referral, JKN, Public health center Correspondence: Maria Yeny Eskawati. Institute of Science and Health Technology Insan Cendekia Medika, Jombang, Jawa Timur. Email: [email protected]. Mobile: +6289796348186 DOI: https://doi.org/10.26911/the7thicph.04.16


2019 ◽  
Vol 29 (4) ◽  
Author(s):  
Prastuti Soewondo ◽  
Meliyanni Johar ◽  
Retno Pujisubekti ◽  
Halimah Halimah ◽  
Dwi Oktiana Irawati

Abstract  The condition of public health in disadvantaged areas has become a public highlight lately such as the high prevalence of child malnutrition and infectious diseases. This can be related to the lack of utilization of health services and the health behavior of the community itself. This study aims to provide a more comprehensive picture of clean and healthy living behaviors, health conditions, and the use of health services in disadvantages areas. Inference is made based on primary data collected at the household-level and public primary health centre in areas  classified as disadvantaged, border and outer islands (DTPK) based on Presidential Decree Number 131 year 2015, and areas with the need for health workers, some of which are locations for the Nusantara Sehat (NS) program placement This study uses quantitative methods and analysis used in the form of descriptive analysis. The results show that most households have adopted some of the clean healthy behaviors that were implemented by the Ministry of Health. Almost all households know the location of the public health centre for treatment, but 47% of patients did not find a doctor when visiting the public health centre.It was also found that 36% of households choose to seek selt-medication when sick. For maternal and child health, it is known that already 66% of deliveries are assisted by midwives, and most of children under five years have received basic immunisation. What still needs to be improved is the knowledge of health and housing infrastucture that supports clean and healthy living. Suggestion for  policymakers to equalize the distribution of health workers and to innovate health promotion programs in advantaged areas. Abstrak Kondisi kesehatan masyarakat di daerah tertinggal menjadi soroton publik belakangan ini seperti tingginya prevalensi gizi buruk pada balita maupun penyakit infeksi. Hal tersebut bisa dikaitkan dengan kurangnya pemanfaatan pelayanan kesehatan maupun perilaku kesehatan masyarakat itu sendiri. Kajian ini bertujuan untuk memberikan gambaran yang lebih komprehensif tentang perilaku hidup bersih dan sehat, kondisi kesehatan, serta penggunaan pelayanan kesehatan di daerah tertinggal. Inferensi dibuat berdasarkan data primer yang dikoleksi di tingkat rumah tangga dan puskesmas di daerah yang tergolong daerah tertinggal, perbatasan, dan kepulauan terluar (DTPK) berdasarkan Peraturan Presiden (Perpres) No. 131 tahun 2015 dan daerah berkebutuhan tenaga kesehatan yang beberapa diantaranya menjadi lokasi penempatan program Nusantara Sehat. Metode penelitian ini menggunakan metode kuantitatif dan analisis yang digunakan berupa analisis deskriptif. Hasil kajian menunjukkan bahwa sebagian besar rumah tangga telah mengadopsi sebagian perilaku hidup bersih dan sehat seperti yang dicanangkan Kementrian Kesehatan RI. Hampir semua rumah tangga mengetahui lokasi Puskesmas untuk berobat, tetapi 47% pasien tidak menemukan dokter saat berkunjung ke puskesmas. Ditemukan juga bahwa 36% rumah tangga memilih untuk berobat sendiri ketika sakit. Untuk kesehatan ibu dan anak, diketahui bahwa sudah 66% persalinan dibantu oleh bidan dan sebagian besar balita telah menerima imunisasi dasar. Hal yang masih perlu ditingkatkan adalah pengetahuan tentang kesehatan dan prasarana rumah yang menunjang perilaku hidup bersih sehat. Saran bagi pembuat kebijakan untuk melakukan pemerataan distribusi tenaga kesehatan maupun menginovasikan program promotif kesehatan di daerah tertinggal.


2020 ◽  
Vol 7 (3) ◽  
pp. 439-442
Author(s):  
Suprajitno Suprajitno ◽  
Sri Mugianti

Patient with tuberculosis who already experience 6 months of treatment may felt body alteration. The study aimed to illustrate the body alteration of Tuberculosis patients who got medication at the Public Health Centre. The design of the study used cross sectional. The sample was 141 tuberculosis patients who got medication at the Public Health Centre in Blitar which was selected by simple random sampling. The variables were height, weight, urine color, feeling of bored related to the medication and willingness to stop taking the medication routinely. The data was collected at the patient's home on August - November 2018. The data was collected by instruments of height gauge, weights, and interview form. The data was analyzed descriptively. The results showed that most of the changes were in the physical such as the weight loss, the red urine, and nausea. The patient’s nausea caused a decrease in intake and had an impact on the patient's weight that went down. It is important for nurses in Public Health Centre to provide medical services and information through health education before the first medication.


Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1975
Author(s):  
Ice Yolanda Puri ◽  
Barakatun-Nisak Mohd Yusof ◽  
Zalina Abu Zaid ◽  
Amin Ismail ◽  
Hasnah Haron ◽  
...  

(1) Background: The interest in nutrition practices and education is slowly gaining traction among Indonesian nutritionists. However, there is a lack of local studies that evaluate nutritional practices, especially in the management of type 2 diabetes (T2DM). This cross-sectional study aimed to determine the nutritional practices among nutritionists and the adequacy of the current practices in the management of Type 2 Diabetes Mellitus (T2DM) patients at the Public Health Clinic in Padang (PHC), Indonesia. (2) Methods: An online survey form was distributed to all the nutritionists (n = 50) involved in the management of T2DM patients in their daily practices at the PHC. Socio-demographic characteristics, the current practice of T2DM, the need for DM nutrition education, and an evaluation questionnaire on the Indonesian Non-Communicable Diseases guideline and the Public Health Centre guideline were captured in the survey. (3) Result: A total of 48 completed survey forms were received, providing a response rate of 96% from the recruited nutritionists. One-third (37.5%) of the respondents counselled between one and ten patients per day. Nearly half (41.7%) conducted a monthly follow-up session for the patients at their respective PHC in the previous three months. Each nutritionist educated five to ten T2DM patients. The most common nutrition education topics delivered included appropriate menus (89.6%) as well as the etiology and symptoms of T2DM (85.5%). Almost all the nutritionists (93.8%) used leaflets and about 35.4% used poster education. Around 70.8% of counseling sessions lasted 30 min and two-thirds (66.7%) of the sessions included nutrition education. Based on the results, about half (52.1%) of them claimed that T2DM patients were reluctant to attend individual nutrition education. One-fifth of them (20.8%) claimed that it was because the T2DM patients were not interested in the tool kits and materials used. (4) Conclusions: T2DM patients are reluctant to attend individual nutrition education due to uninteresting tool kits and materials.


2020 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Alvita Wibowo ◽  
Rima Arsyilviasari ◽  
Tiara Meilena ◽  
Ayu Setyowati ◽  
Retta Gabriella ◽  
...  

Background: Dental and oral health problems occur in all age groups, including the elderly. Dental caries is one of thedental and oral health problems. An epidemiological study reported that 83.5% out of 91 elderly respondents did nothave a routine dental check-up. The data concluded that those who routinely have dental check-up had a lower cariesrisk than the others. The public health centre did not have data about the total of elderly visitors in the dental poly unit.The BULAN KESGILUT book aimed to help to monitor dental and oral health status in the elderly. Purpose: To helpthe dental poly and elderly visitors to have medical records related to dental and oral health using BULAN KESGILUTbook. Methods: The program adopted an indirect health education method involving cadres and dentists from the publichealth centre. The counselling was done by group. The lecture consisted of dental and oral health material printed inthe BULAN KESGILUT book. We have then informed the dentists on how to record the dental and oral health statusin the BULAN KESGILUT book and educate the cadres on how to read those records. Results: The mean of cadres’understanding of BULAN KESGILUT book was 97.92%, and the mean of cadres’ information dissemination relatedto BULAN KESGILUT book was 55.81%. Conclusion: The program results showed that BULAN KESGILUT was aneffective media in monitoring dental and oral health status in the elderly. However, a continuous promotion by the cadresand the public health center is necessary


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