scholarly journals Pengembangan program pelatihan edukator tuberkulosis paru

2021 ◽  
Vol 14 (4) ◽  
pp. 545-555
Author(s):  
R Totong Iskandar ◽  
Enie Novieastari ◽  
Satinah Satinah
Keyword(s):  
Health Promotion ◽  
Structured Interview ◽  
Training And Development ◽  
Fish Bone ◽  
Training Material ◽  
Nursing Educators ◽  
Educator Training ◽  
Curriculum Structure ◽  
Nursing Manager

The training and development of nursing educators in management of pulmonary tuberculosis Background: The quality of education in patients is a key element in the quality of health promotion in hospitals. The phenomenon that occurs in the pulmonary clinic is the provision of very minimal education and there is no TB educator team.Purpose: To increase the competence of nurses as educators in the pulmonary clinic by carrying out TB educator training.Method: The action research, identification of problems with structured interview techniques, observation, and filling out questionnaires to the district head and 2 persons. Analysis of the problem is done with the fish bone method, solving the problem using the planing of action method.Results: As a condition of completeness of training instruments, curriculum structure and activity descriptions and modules containing training material have been made. From the results of this training a TB educator team will be formed at RS X.Conclusion: The manifestation of the responsibility of the nursing manager in improving the quality of nursing human resources in order to increase the competence of nurses as tb educators in health promotion and prevention of increasing numbers of patients with pulmonary TB in the hospital by compiling the curriculum structure and basic tb educator training modules.Keywords: The training; Development; Nursing educators; Management; Pulmonary tuberculosisPendahuluan: Kualitas edukasi pada pasien menjadi elemen kunci mutu promosi kesehatan di rumah sakit. Fenomena yang terjadi di poliklinik paru ialah pemberian edukasi yang sangat minim dan belum ada tim edukator TB.Tujuan: Untuk meningkatkan kompetensi perawat sebagai edukator di poliklinik paru dengan melaksanakan pelatihan edukator TB.Metode: Metode yang digunakan dengan penelitian tindakan, identifikasi masalah dengan teknik wawancara terstruktur, observasi, dan pengisian kuesioner kepada kabidyankep dan 2 orang kasie. Analisis masalah dilakukan dengan metode fish bone, pemecahan masalah menggunakan metode planing of action.Hasil: Sebagai syarat kelengkapan instrumen pelatihan telah dibuat struktur kurikulum dan deskripsi kegiatan serta modul yang berisi materi pelatihan. Dari hasil pelatihan ini akan dibentuk tim edukator TB RS X.Simpulan: Wujud tanggung jawab manajer keperawatan dalam peningkatan kualitas SDM keperawatan guna meningkatkan kompetensi perawat sebagai edukator TB dalam promosi kesehatan dan pencegahan peningkatan angka penderita TB Paru di rumah sakit yakni dengan menyusun struktur kurikulum dan modul pelatihan edukator TB dasar.

scholarly journals Optimalisasi Pengelolaan Asuhan Keperawatan di Instalasi Rawat Jalan Rumah Sakit X

2018 ◽  
Vol 2 (2) ◽  
pp. 85
Author(s):  
Meylona Verawaty Zendrato ◽  
Rr. Tutik Sri Hariyati
Keyword(s):  
Nursing Care ◽  
Outpatient Care ◽  
Care Management ◽  
Structured Interview ◽  
Fish Bone ◽  
Service Systems ◽  
Interview Technique ◽  
Provision Of Care ◽  
Quality Of Nursing

ABSTRAKKualitas asuhan keperawatan menjadi elemen kunci mutu pelayanan di rumah sakit. Fenomena yang terjadi di instalasi rawat jalan ialah pemberian asuhan keperawatan yang sangat minim. Tujuan penelitian: mengoptimalkan pengelolaan asuhan keperawatan di instalasi rawat jalan. Metode: Metode yang digunakan studi pilot, identifikasi masalah dengan teknik wawancara terstruktur, observasi, dan pengisian kuesioner kepada 28 perawat. Analisis masalah dilakukan dengan metode fish bone, pemecahan masalah menggunakan metode plan, do, check, action. Hasil: Terjadi peningkatan pengetahuan perawat terhadap proses asuhan keperawatan sebelum (17,80%), sesudah implementasi (82,3%), dan didapati empat faktor yang memengaruhi pemberian asuhan di instalasi rawat jalan, yaitu sumber daya manusia, sistem kerja yang jelas antarbagian, dokumentasi manual di luar keperawatan, dan fasilitas dan sarana yang kurang memadai. Diskusi: pengelolaan asuhan keperawatan membutuhkan dukungan manajemen. Kesimpulan: sebaiknya manajer melakukan perencanaan untuk peningkatan kualitas asuhan keperawatan melalui pengarahan pelayanan kepada visi rumah sakit, peningkatan pendidikan, peningkatan motivasi, dan berkoordinasi dalam pengadaan fasilitas dan sistem layanan guna optimalisasi pengelolaan asuhan keperawatan.Kata kunci: asuhan keperawatan, pengelolaan, rawat jalan.OPTIMIZATION OF NURSING CARE MANAGEMENT AT OUTPATIENT INSTALLATION OF X HOSPITALAbstractThe quality of nursing care is a key element of hospital service quality. A phenomenon that occurs in outpatient care is providing nursing care at the minimum. Objective: To optimize the nursing care management t outpatient installation. Methods: This study employed pilot study, identifying problem using structured interview technique, observation, and filling out questionnaires to 28 nurses. Problems were analyzed using fish bone and solved using plan, do, check, action method. Results: There was an increase in nurses’ knowledge about the process of nursing care before (17.80%) and after the implementation (82.3%), and there were 4 factors that affected the provision of care in outpatient installation, namely human resources, a clear job system between departments, manual documentation beyond nursing, and inadequate facilities and infrastructure. Discussion: Nursing care management requires support from the management. Conclusion: Managers should plan on increasing the quality ofnursing care by directing services to the vision of the hospital, improving education, increasing motivation, and coordinating in the procurement of facilities and service systems in order to optimize the nursing care management.Keywords: nursing care, management, outpatient

A Study of the Relationships between Nursing Students’ Meanings of Life, Positive Beliefs, and Well-Being

2018 ◽  
Vol 3 (01) ◽  
Author(s):  
Fu-Ju Tsai ◽  
Cheng-Yu Chen ◽  
Gwo-Liang Yeh ◽  
Yih-Jin Hu ◽  
Chie-Chien Tseng ◽  
...  
Keyword(s):  
Health Promotion ◽  
Nursing Students ◽  
Analysis Of Variance ◽  
Rank Correlation ◽  
Meaning Of Life ◽  
Well Being ◽  
Social Health ◽  
Cross Sectional ◽  
Nursing Educators ◽  
Spearman’S Rank Correlation

Background: Nursing educators should train nursing students to pursue physical, psychological, spiritual, and social health promotion. The purpose of this study was to explore relationships between nursing students’ meaning of life, positive beliefs, and well-being. Methods: A cross-sectional correlational study with a quantitative approach was adopted. Purposive sampling was used. A total of 170 nursing students voluntarily participated in this study. A 56-item questionnaire was used to examine nursing students’ meaning of life (1-25 items), positive beliefs (1-11 items), and well-being (1-20 items). The content validity index (CVI) of the study questionnaire was established as 0.95 by seven expert scholars. The reliability values for the three parts of the measure were as follows: meaning of life, Cronbach’s α 0.96; positive beliefs, Cronbach’s α 0.93; and well-being, Cronbach’s α 0.95. Percentages, frequencies, means, SDs, Kruskal-Wallis one-way analysis of variance by rank, Spearman’s rank correlation, one-way analysis of variance, Spearman’s rho correlation, and regression analysis were used for the data analysis. Results: Nursing students had the following mean scores: meaning of life with 4.02 (SD 0.56); positive beliefs with 3.92 (SD 0.62); and well-being with 3.95 (SD 0.57). The results indicate that for all nursing students, meaning of life was positively correlated with positive beliefs, r=0.83 (P<.01); similarly, all nursing students had positive beliefs that were positively correlated with meaning of life, r=0.83 (P<.01). In the results of the study, the nursing students’ background, meaning of life and positive beliefs explained 63% of the variance in well-being (Adjusted R2 squared =0.63, F=33.41, P<.001). Conclusions: Nursing students’ sense of meaning of life and positive beliefs may impact their well-being. Therefore, nursing educators can promote meaning of life and positive beliefs to nursing students as a way to increase their well-being for physical, psychological, spiritual, and social health promotion.

Quality of training of paramedical staff - basis for health care development

2020 ◽  
pp. 5-9
Author(s):  
Sergey Dvoynikov
Keyword(s):  
Health Care ◽  
Postgraduate Education ◽  
Training And Development ◽  
Talent Pool ◽  
Paramedical Staff ◽  
Care Development

The article set priorities for the formation of the talent pool of paramedical staff, their training and development at the level of secondary vocational and postgraduate education.

La Formación Continua y el Desarrollo de Competencias en los Docentes en Ejercicio del Nivel Secundario

2017 ◽  
Vol 1 (2) ◽  
Author(s):  
Leonor Alexandra Rodríguez Álava
Keyword(s):  
Teaching Practice ◽  
Training And Development ◽  
Middle Level ◽  
Teaching Skills ◽  
Practicing Teachers ◽  
Active Subject ◽  
Continuous Preparation ◽  
Analysis And Synthesis ◽  
The Ideal

Este artículo está encaminado a caracterizar el proceso de formación continua del docente del nivel medio en ejercicio asociado a la formación y desarrollo de sus competencias docentes, para lo que fueron utilizados métodos como   el análisis y síntesis, inducción y deducción, abstracción y concreción, la entrevista, la encuesta y  el cuestionario, donde a partir de sus resultados se  llega a la consideración de que la formación continua es la vía idónea para la formación y desarrollo de competencias docentes en los profesores en ejercicio, donde se debe asumir un modelo que propicie la reflexión sobre la propia práctica del docente, un clima de colaboración   y el profesor como sujeto activo de ese proceso.   Palabras claves: calidad educativa,   competencias docentes,   educador, estudio, preparación continua,  ABSTRACT   This article aims to characterize the process of education for teachers of middle level associated with exercise training and development of their teaching skills, for which methods were used as analysis and synthesis, induction and deduction, abstraction and concreteness, interview and questionnaire survey, where from their results leads to the consideration that the training is the ideal way for the formation and development of teaching skills in practicing teachers, where they must assume a model that encourages reflection on own teaching practice, a climate of collaboration and the teacher as an active subject of that process Keywords: quality of education, teaching skills, teacher, study, continuous preparation

Supply Chain Integration: Establish the Appropriate Challenges in Improving Integrated SC in an Innovative Approach of IBS

2016 ◽  
Vol 1 (3) ◽  
Author(s):  
Ani Saifuza Abd Shukor ◽  
Muhammad Fadhil Muhammad ◽  
Shamsida Saidan Khaderi ◽  
Faridah Muhammad Halil
Keyword(s):  
Supply Chain ◽  
System Integration ◽  
Publishing House ◽  
Structured Interview ◽  
Poor Quality ◽  
Supply Chain Integration ◽  
Project Environment ◽  
The Poor ◽  
International Publishing

The shift to an integrated IBS construction approach requires enhanced supply chain integration to improve the productivity as well as the poor quality of human behavioual aspect in IBS project. This paper is to identify the challenges at each tier between players to facilitate supply chain integration among the IBS players. Findings adopted from semi-structured interview revealed the critical attitude issues of human factors, lack of interaction and sharing knowledge between interdisciplinary people. The findings of this study is useful to improve integration of supply chain and enhance innovation and sharing interaction between players in the IBS Malaysian construction project environment.© 2016. The Authors. Published for AMER ABRA by e-International Publishing House, Ltd., UK. Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.Keywords: Construction Environment; Industrialised Building System; Integration and Supply Chain 

scholarly journals Application of the Ottawa Charter Five Priority Areas of Action for Public Health to an Institution-Wide Diabetes Care Promotion

2021 ◽  
Vol 18 (4) ◽  
pp. 1543
Author(s):  
Min-Hua Lin ◽  
She-Yu Chiu ◽  
Wen-Chao Ho ◽  
Hui-Ying Huang
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Health Promotion ◽  
Diabetes Care ◽  
Hospital Staff ◽  
Health Promotion Program ◽  
Diabetic Patients ◽  
Health Promoting ◽  
Diabetes Patients

This study was the first institution-wide health promotion program in Taiwan to apply the five priority areas for taking action in public health highlighted in the Ottawa Charter for diabetes patients. We aimed to improve the quality of home care received by diabetic patients by training health care professionals in health promotion. This program consisted of developing personal skills, reorienting health services, strengthening community actions, creating supportive environments, and building healthy public policy. It was applied in the Yunlin Christian Hospital located in central Taiwan from August 2011 to November 2011. A health-promoting education course consisting of weight control, diabetes care, and quality management for diabetes was developed and applied to all 323 hospital staff. Then, hospital staff volunteers and diabetes patients were recruited to participate in the program. A total of 61 staff volunteers and 90 diabetes patients were involved in this study. Staff volunteers were trained to participate in communities to provide care and guidance to patients with diabetes. The World Health Organization Quality of Life(WHOQOL)-BREF-Taiwan Version questionnaires were investigated before and after implementation of this program for the patients. A health-promoting lifestyle profile questionnaire was filled by the staff. The investigation data were then analyzed by statistical methods. The diabetes patients experienced a significant increase in their satisfaction with health and health-related quality of life as well as significant improvements in health-promotion and self-management behaviors (p < 0.05). In addition, staff volunteers significantly consumes food from the five major groups than the other staff (p < 0.05). Various improvements in health-promoting behaviors were observed amongst the hospital staff and the diabetic patients. Our project could be a reference for other medical organizations to implement an institution-wide health-promotion program for diabetic patients.

scholarly journals Understanding factors relevant to poor sleep and coping methods in people with schizophrenia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yen-Ching Chang ◽  
Megan C. Chang ◽  
Yun-Jou Chang ◽  
Ming-De Chen
Keyword(s):  
Mental Health ◽  
Sleep Quality ◽  
Mental Health Professionals ◽  
Sleep Problems ◽  
Psychiatric Symptoms ◽  
Structured Interview ◽  
Community Dwelling ◽  
Poor Sleep ◽  
Coping Methods

Abstract Background Sleep disruption is pervasive in people with schizophrenia, but few studies have explored their sleep experiences. This study aims to identify factors relevant to sleep problems and explore coping methods used by community-dwelling people with schizophrenia. Methods Eighteen participants with schizophrenia were recruited from three mental health centers in Taiwan. They completed a semi-structured interview and the Pittsburgh Sleep Quality Index (PSQI) assessment. The Person-Environment-Occupation model offered a framework to assess factors related to sleep. Thematic analysis was used for the qualitative data analysis. Results Factors related to sleep were classified under person, environment, and occupation domains. The person domain included three subthemes: psychiatric symptoms, unpleasant emotions, and frustration about sleep. The environment domain included three subthemes: sensory intrusions from the environment, quality of bedding, and roommates. The occupation domain included sleep interruption and sleep preparation. There were notable discrepancies in sleep quality between the participants’ narratives and their PSQI global scores. Regarding coping methods for poor sleep, sleep medication was the primary strategy while some participants also used other strategies, such as modifying the environment, adjusting routines, or engaging in activities that improve sleep quality. Conclusions Psychiatric symptoms and nightmares were identified as unique sleep disruptions in people with schizophrenia, and poor economic status was also found to impact their sleep. The sleep quality of people with schizophrenia tends to be poor, as identified by the PSQI, even though they may have positive perceptions of their sleep quality. Our participants appeared to prefer to take hypnotics to address their sleep problems, which may be due to limited knowledge about alternatives. Mental health professionals are encouraged to receive training in the application of non-pharmacological approaches to support their clients’ issues related to sleep.

Healthcare practitioner behaviours that influence unsafe use of hospital information systems

2019 ◽  
Vol 26 (1) ◽  
pp. 420-434 ◽  
Author(s):  
Lizawati Salahuddin ◽  
Zuraini Ismail ◽  
Ummi Rabaah Hashim ◽  
Nor Haslinda Ismail ◽  
Raja Rina Raja Ikram ◽  
...  
Keyword(s):  
Information Systems ◽  
Improve Patient Safety ◽  
Structured Interview ◽  
Hospital Information Systems ◽  
Healthcare Practitioner ◽  
Resultant Data ◽  
Quality Of Patient Care ◽  
Copy And Paste ◽  
Improve Patient

This study aims to investigate healthcare practitioner behaviour in adopting Health Information Systems which could affect patients’ safety and quality of health. A qualitative study was conducted based on a semi-structured interview protocol on 31 medical doctors in three Malaysian government hospitals implementing the Total Hospital Information Systems. The period of study was between March and May 2015. A thematic qualitative analysis was performed on the resultant data to categorize them into relevant themes. Four themes emerged as healthcare practitioners’ behaviours that influence the unsafe use of Hospital Information Systems. The themes include (1) carelessness, (2) workarounds, (3) noncompliance to procedure, and (4) copy and paste habit. By addressing these behaviours, the hospital management could further improve patient safety and the quality of patient care.

Schizophrenic Patients in Different Treatment Settings During the Era of Deinstitutionalization: Three-Year Follow-Up of Three Discharge Cohorts in Finland

2003 ◽  
Vol 37 (2) ◽  
pp. 160-168 ◽  
Author(s):  
Teija Honkonen ◽  
Hasse Karlsson ◽  
Anna-Maija Koivisto ◽  
Eija Stengård ◽  
Raimo K.R. Salokangas
Keyword(s):  
Psychosocial Functioning ◽  
Psychiatric Treatment ◽  
Structured Interview ◽  
Global Assessment Scale ◽  
Use Of Services ◽  
Schizophrenic Patients ◽  
Nationally Representative ◽  
Somatic State ◽  
Treatment Settings

Objective: We investigated differences in psychosocial and clinical characteristics, as well as the use of services, of schizophrenic patients in different treatment settings three years after their discharge from a psychiatric hospital. Furthermore, we examined secular changes in these phenomena during the era of rapid deinstitutionalization in Finland. Method: Three nationally representative samples comprised 3257 schizophrenic patients who had been discharged in 1986, 1990 and 1994. The patients were interviewed three years after discharge by each district's psychiatric professionals using a structured interview schedule specifically designed for the purposes of the present study. Psychosocial functioning was assessed on the Global Assessment Scale and on a modified version of the Medical Research Council Practices Profile. Results: In the 1990s, more patients with a poor clinical and psychosocial state were transferred from hospital to alternative outpatient facilities, such as sheltered workshops or supported residences. In successive cohorts, the proportion of patients who had dropped out of treatment decreased and the psychiatric and somatic state of the drop-outs improved. Conclusion: In general, the psychiatric treatment system has worked well for most deinstitutionalized patients. In the future, however, it is important that the quality of care and adequate resources in the alternative outpatient facilities are ensured.

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