scholarly journals Optimalisasi fungsi manajemen kepala ruangan dalam supervisi klinik menggunakan alat bantu Google form di rumah sakit di Jakarta

2020 ◽  
Vol 14 (2) ◽  
pp. 264-270
Author(s):  
Neni Triana ◽  
Enie Novieastari ◽  
Satinah Satinah
Keyword(s):  
Problem Solving ◽  
Literature Review ◽  
Clinical Supervision ◽  
Nurse Managers ◽  
Digital Technologies ◽  
Nursing Services ◽  
Fishbone Diagram ◽  
Analysis Of Results ◽  
Management Functions

Utilization of digital technologies as a strategy to optimizing management functions in nursingBackground: Nursing services need a good management of Nurse Managers to achieve a standardized service quality. Clinical supervision nursing has generally been implemented in hospitals, but its application has not been implemented optimally causing quality improvement not to run continuously.Purpose: To identify issues of implementation clinical supervision nursing and to develop problem-solving solutions.Method: The mini project, analysis of results and implementation gap with discussion based on literature review. Problems were analyzed using a fishbone diagram. Problem solving using Plan Do Study Action (PDSA) tools starts from Plan of Action (POA), implementation, evaluation, and follow up. The sample was taken from 5 the inpatient wards.Results: The problem identification found not optimal the quality  of nursing in the planning, monitoring and follow-up phase. Implementation of problem solving by workshop and socialization of guidance, procedure, dictionary and instrument of monitoring clinical supervision nursing with digital tecnology google form. The evaluation result shows that 100 % said the clinical form supervision of digital technology based on google form was very effective and efficientKeywords: Utilization; Digital technologies; Strategy; Optimizing; Management functions; NursingPendahuluan: Pelayanan keperawatan memerlukan pengelolaan yang baik dari Manajer Perawat untuk mencapai kualitas pelayanan keperawatan yang sesuai standar. Supervisi klinik keperawatan pada umumnya telah dilaksanakan oleh manajer keperawatan, namun penerapannya belum dilaksanakan secara optimal yang menyebabkan supervisi klinik keperawatan tidak berjalan secara berjenjang.Tujuan: Mengidentifikasi masalah pelaksanaan supervisi klinik keperawatan di ruang rawat serta mengembangkan solusi pemecahan masalah.Metode: Berupa mini project serta analisis hasil dan gap implementasi dengan pembahasan berdasarkan literature review. Masalah dianalisis menggunakan diagram fishbone. Penyelesaian masalah menggunakan tools Plan Do Study Action (PDSA) dimulai dari Plan of Action (POA), implementasi, evaluasi, dan tindak lanjut. Sampel diambil dari ruang rawat inap yang terdiri dari 5 Kepala Ruangan.Hasil: Ditemukan tidak optimalnya supervisi klinik keperawatan pada tahap perencanaan, pemantauan dan tindak lanjut. Implementasi pemecahan masalah berupa sosialisasi dan workshop supervisi klinik keperawatan berbasis teknologi digital google form. Hasil evaluasi menunjukkan bahwa  100 % mengatakan supervisi klinik keperawatan berbasis teknologi digital google form sangat efektif dan efesien. 

scholarly journals Principal’s Strategies in Realizing Adiwiyata School: A Literature Review

2021 ◽  
Vol 1 (9) ◽  
pp. 841-849
Author(s):  
Andina Wijayanti ◽  
Hasan Hariri ◽  
Dedy Hermanto Karwan ◽  
Sowiyah Sowiyah
Keyword(s):  
Problem Solving ◽  
Literature Review ◽  
Research Method ◽  
Theoretical Foundation ◽  
Educational Institution ◽  
Human Being ◽  
Mutual Awareness ◽  
The World ◽  
Green School ◽  
Management Functions

The importance of the principal's strategies in realizing adiwiyata school (also called green school) drawn the author's interest in conducting a literature review. Environmental thoughtfulness is a mutual awareness and responsibility for every human being. Efforts are required for human to realize environmentally-thoughtful behavior. In the world of education, environmentally thoughtful behavior is applied at the adiwiyata school which is an environmental-based educational institution. As the school's highest leader, the principal is expected to have a plan in place to carry out a program. The research method used is literature review. The goal of this literature review is to obtain a theoretical foundation that can be used to support problem solving in relation to the principal's strategies in realizing adiwiyata schools. The result of the study on the principal's strategies indicate that the principal's strategies have an impact on the program's succession. The principal is in charge of carrying out management functions such as planning, organizing, implementing, and controlling the program.

scholarly journals Pengembangan Dokumentasi Keperawatan Berbasis Elektronik Di RS X Kota Depok Dengan Menggunakan Teori Perubahan Lewins

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Dyah Fitri Wulandari ◽  
Hanny Handiyani
Keyword(s):  
Literature Review ◽  
Theory Of Change ◽  
Evidence Based ◽  
Electronic Documentation ◽  
Nursing Documentation ◽  
Operational Procedure ◽  
Management Functions ◽  
Three Phases

Background: Nursing documentation in Indonesia is still much in the form of paper based documentation. Many weaknesses in this documentation model, so it needs to be innovated by using electronic-based nursing documentation. Problems that occur in RS X in the development of electronic-based nursing documentation are the factors of leadership, factors of means and factors of follow-up development of electronic nursing documentation. Method: In solving this problem, it is recommended to use Lewin's theory of change which consists of three phases: unfreezing, moving, and refreezing. Result: Stages of unfreezing: conducting evidence-based and literature review studies on the importance of electronic documentation, and brainstorming with the nurse actors change Phase Moving implementing the stages of implementation of electronic documentation development using the principles of 5 management functions namely planning, organizing, staffing, leading and controlling. Refreezing stages: provide supervisors, make Decree of Director and Standard of Operational Procedure about implementation of electronic-based nursing documentationin  X Hospital  Depok. Conclusion: In solving this problem, Lewin's theory of change consists of three pairs, namely unfreezing, moving, and refreezing.

Pneumomediastinum: A Rare Presentation of Inflicted Injuries in Infants

2020 ◽  
Author(s):  
Adam Lee ◽  
Adam Bajinting ◽  
Abby Lunneen ◽  
Colleen M. Fitzpatrick ◽  
Gustavo A. Villalona
Keyword(s):  
Literature Review ◽  
Retrospective Review ◽  
Review Of The Literature ◽  
Rare Presentation ◽  
Spontaneous Pneumomediastinum ◽  
Nonaccidental Trauma ◽  
Comprehensive Literature Review ◽  
Healthy Infants ◽  
History Of

AbstractReports of incidental pneumomediastinum in infants secondary to inflicted trauma are limited. A retrospective review of infants with pneumomediastinum and history of inflicted trauma was performed. A comprehensive literature review was performed. Three infants presented with pneumomediastinum associated with inflicted trauma. Mean age was 4.6 weeks. All patients underwent diagnostic studies, as well as a standardized evaluation for nonaccidental trauma. All patients with pneumomediastinum were resolved at follow-up. Review of the literature identified other cases with similar presentations with related oropharyngeal injuries. Spontaneous pneumomediastinum in previously healthy infants may be associated with inflicted injuries. Clinicians should be aware of the possibility of an oropharyngeal perforation related to this presentation.

scholarly journals SuperWASP variable stars: classifying light curves using citizen science

2021 ◽  
Vol 502 (1) ◽  
pp. 1299-1311
Author(s):  
Heidi B Thiemann ◽  
Andrew J Norton ◽  
Hugh J Dickinson ◽  
Adam McMaster ◽  
Ulrich C Kolb
Keyword(s):  
Variable Stars ◽  
Eclipsing Binaries ◽  
Light Curves ◽  
Data Set ◽  
Resultant Data ◽  
Sky Survey ◽  
Short Period ◽  
Contact Binaries ◽  
Analysis Of Results

ABSTRACT We present the first analysis of results from the SuperWASP variable stars Zooniverse project, which is aiming to classify 1.6 million phase-folded light curves of candidate stellar variables observed by the SuperWASP all sky survey with periods detected in the SuperWASP periodicity catalogue. The resultant data set currently contains >1 million classifications corresponding to >500 000 object–period combinations, provided by citizen–scientist volunteers. Volunteer-classified light curves have ∼89 per cent accuracy for detached and semidetached eclipsing binaries, but only ∼9 per cent accuracy for rotationally modulated variables, based on known objects. We demonstrate that this Zooniverse project will be valuable for both population studies of individual variable types and the identification of stellar variables for follow-up. We present preliminary findings on various unique and extreme variables in this analysis, including long-period contact binaries and binaries near the short-period cut-off, and we identify 301 previously unknown binaries and pulsators. We are now in the process of developing a web portal to enable other researchers to access the outputs of the SuperWASP variable stars project.

scholarly journals Small intestine duplication cyst with recurrent hematochezia: a case report and literature review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhicheng Zhang ◽  
Xiaowei Huang ◽  
Qian Chen ◽  
Demin Li ◽  
Qi Zhou ◽  
...  
Keyword(s):  
Small Intestine ◽  
Case Report ◽  
Literature Review ◽  
Ct Scan ◽  
Duplication Cyst ◽  
Abdominal Ct ◽  
Case Presentation ◽  
Abdominal Ct Scan ◽  
Capsule Endoscopes

Abstract Background Small intestine duplication cysts (SIDCs) are rare congenital anatomical abnormalities of the digestive tract and a rare cause of hematochezia. Case presentation We describe an adult female presented with recurrent hematochezia. The routine gastric endoscope and colonic endoscope showed no positive findings. Abdominal CT scan indicated intussusception due to the "doughnut" sign, but the patient had no typical symptoms. Two subsequent capsule endoscopes revealed a protruding lesion with bleeding in the distal ileum. Surgical resection was performed and revealed a case of SIDC measuring 6 * 2 cm located inside the ileum cavity. The patient remained symptom-free throughout a 7-year follow-up period. Conclusion SIDCs located inside the enteric cavity can easily be misdiagnosed as intussusception by routine radiologic examinations.

scholarly journals Literature review on business prototypes for digital platform

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Shrutika Mishra ◽  
A. R. Tripathi
Keyword(s):  
Literature Review ◽  
Business Model ◽  
Business Models ◽  
Digital Technologies ◽  
Digital Platform ◽  
New Business ◽  
Start Ups ◽  
The Way

Abstract In today’s world, many digitally enabled start-ups are budding all over the globe because of the fast enhancement in digital technologies. For the establishment of new business, it is necessary to adopt a proper business model which needs to define the way in which the company will provide values and the ways in which the customers can pay for their services. This paper aims to study the various business models being used in today’s marketplace and to provide a better understanding for these business models by having an insight on the attributes.

scholarly journals Mortality in Patients with Brainstem Cavernous Malformations

2021 ◽  
pp. 1-7
Author(s):  
Julia Velz ◽  
Marian Christoph Neidert ◽  
Yang Yang ◽  
Kevin Akeret ◽  
Peter Nakaji ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Postoperative Mortality ◽  
Mortality Rates ◽  
Cavernous Malformations ◽  
Patient Cohort ◽  
Actual Risk ◽  
Single Center Study

<b><i>Objective:</i></b> Brainstem cavernous malformations (BSCM)-associated mortality has been reported up to 20% in patients managed conservatively, whereas postoperative mortality rates range from 0 to 1.9%. Our aim was to analyze the actual risk and causes of BSCM-associated mortality in patients managed conservatively and surgically based on our own patient cohort and a systematic literature review. <b><i>Methods:</i></b> Observational, retrospective single-center study encompassing all patients with BSCM that presented to our institution between 2006 and 2018. In addition, a systematic review was performed on all studies encompassing patients with BSCM managed conservatively and surgically. <b><i>Results:</i></b> Of 118 patients, 54 were treated conservatively (961.0 person years follow-up in total). No BSCM-associated mortality was observed in our conservatively as well as surgically managed patient cohort. Our systematic literature review and analysis revealed an overall BSCM-associated mortality rate of 2.3% (95% CI: 1.6–3.3) in 22 studies comprising 1,251 patients managed conservatively and of 1.3% (95% CI: 0.9–1.7) in 99 studies comprising 3,275 patients with BSCM treated surgically. <b><i>Conclusion:</i></b> The BSCM-associated mortality rate in patients managed conservatively is almost as low as in patients treated surgically and much lower than in frequently cited reports, most probably due to the good selection nowadays in regard to surgery.

scholarly journals The mirroring hypothesis: theory, evidence, and exceptions

2016 ◽  
Vol 25 (5) ◽  
pp. 709-738 ◽  
Author(s):  
Lyra J Colfer ◽  
Carliss Y Baldwin
Keyword(s):  
Problem Solving ◽  
Empirical Studies ◽  
Technical Problem ◽  
Digital Technologies ◽  
Organizational Form ◽  
Cognitive Resources ◽  
Relational Contracts ◽  
Industry Studies ◽  
Hypothesis Theory ◽  
Organizational Ties

Abstract The mirroring hypothesis predicts that organizational ties within a project, firm, or group of firms (e.g., communication, collocation, employment) will correspond to the technical dependencies in the work being performed. This article presents a unified picture of mirroring in terms of theory, evidence, and exceptions. First, we formally define mirroring and argue that it is an approach to technical problem-solving that conserves scarce cognitive resources. We then review 142 empirical studies, divided by organizational form into (i) industry studies, (ii) firm studies, and (iii) studies of open collaborative projects. The industry and firm studies indicate that mirroring is a prevalent pattern but not universal. However, in technologically dynamic industries, partial mirroring, where knowledge boundaries are drawn more broadly than operational boundaries, is likely to be a superior strategy. Firms can also strategically ‘break the mirror’ by implementing modular partitions within their boundaries, or by building relational contracts across their boundaries. Finally, studies of open collaborative projects, most of which focused on software, were not supportive of the hypothesis. We argue that digital technologies make possible new modes of coordination that enable groups to deviate from classical mirroring as seen in firms.

scholarly journals Developing a Professionalism Manual for Nurse Managers to Improve Their Perception Regarding Professionalism and Professional Identity

2021 ◽  
Vol 7 ◽  
pp. 237796082110261
Author(s):  
Marwa H. Ageiz ◽  
Hayam A. Elshrief ◽  
Huda M. Bakeer
Keyword(s):  
Professional Identity ◽  
Nurse Managers ◽  
Test Phase ◽  
University Hospital ◽  
Performance Review ◽  
Post Test ◽  
Quasi Experimental ◽  
Different Levels ◽  
Assessment Questionnaire

Background Developing a professional identity is rooted in the dimensions of professionalism and professional development. Moreover, the need for teaching professionalism has a mutual relationship with the formation of a desirable professional identity. Aim The current study aimed at developing a professionalism manual for the nurse managers to improve their perception regarding professionalism and professional identity. Design Quasi-experimental research design with pre-test, post-test, and follow-up was used. Setting The study was conducted at two different hospitals; Menoufia University hospital and Al-helal Insurance hospital, Menoufia Governorate, Egypt. Subjects The participants included all nurse managers at different levels from the two different hospitals ( n =100). Tools: tool 1: Professionalism Questionnaire and tool 2: Professional Identity Assessment Questionnaire were used to collect data. Results there was a statistically significant improvement in professionalism perception and professional identity level immediately after administering the professionalism manual and after three months in the follow-up phase than the pre-test phase. Additionally, there was a statistically significant positive correlation between two variables of the study at the post and follow-up phases, but not significant at the pre-test phase. Conclusion the professionalism manual was effective in improving nurse managers’ perceptions regarding professionalism and professional identity. Recommendations: Incorporate the attributes of professionalism that were included in the professionalism manual as a guide for the performance review processes of nurses.

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