scholarly journals Implementasi Clinical Pathway Tahun 2018 dalam Upaya Meningkatkan Mutu Pelayanan di Rumah Sakit Umum Daerah Koja

2019 ◽  
Vol 6 (1) ◽  
Author(s):  
Arroyan Wardhana ◽  
Sri Rahayu ◽  
Ahdun Triguno
Keyword(s):  
Clinical Pathway ◽  
Monitoring And Evaluation ◽  
Hospital Accreditation ◽  
Monitoring Process ◽  
Standard Operating ◽  
Hospital Director ◽  
Document Review ◽  
Depth Interviews ◽  
Selection Of

Improving the quality of patient services in hospitals is an important program implemented in hospitals. One indicator of improving hospital quality is the application of Clinical Pathway (CP) as an evaluation of hospital accreditation. Benefits of CP as a means of quality control and costs in improving hospital services. The general objective of this research is the preparation of a Clinical Pathway implementation plan in improving the quality of hospital services.This research method is qualitative with data collection techniques conducting in-depth interviews, observation and document review. The selection of informants in qualitative research, based on suitability and adequacy as many as 17 people. Analysis of CP implementation consists of inputs; which constitute human resources, processes; implementation of monitoring and evaluation, output; service quality after CP. The results of the study are based on inputs, processes and outputs that indicate implementation has been implemented in accordance with hospital accreditation, but needs optimization. Input factors analyzed will support the implementation of CP but need to uniformize the Clinical Pathway format, the evaluation monitoring process has not run optimally while the quality of service output is in accordance with the Clinical Pathway. Suggestions for Hospital Director to carry out Clinical Pathway understanding by holding workshops for all related parties and increasing the guidance and supervision of the implementation of Clinical Pathway, all units involved to coordinate with each other and implement Standard Operating Procedures (SPO) of CP for patient safety.

Analisis Pengalaman Keluarga Merawat Pasien Skizofrenia dengan Masalah Halusinasi Pendengaran Pasca Hospitalisasi

2019 ◽  
Vol 4 (2) ◽  
pp. 282
Author(s):  
Isti Harkomah
Keyword(s):  
Health Services ◽  
Family Support ◽  
Depth Information ◽  
Continuous Family ◽  
Family Experience ◽  
Schizophrenic Patients ◽  
Heavy Burden ◽  
Document Review ◽  
Depth Interviews

<p><em>Clients with hallucinations really need continuous family support both internal and external families. Reduced external family support will cause a heavy burden on the internal family in caring for hallucinatory clients. The reason families bring to the hospital is the inability to treat patient hallucinations at home after hospitalization because hallucinations pose a burden on the family. The purpose of this study was to find out in-depth information about family experience in treating schizophrenic patients who experience auditory hallucinations after hospitalization. This research is qualitative research, the phenomenology approach uses the method of collecting data by in-depth interviews and document review. Data were obtained by in-depth interviews with six participants. The results of the study are two main themes, namely family understanding of recognizing hallucinatory problems after hospitalization and family experience in treating schizophrenic patients with hallucinatory problems.It is hoped that health services will further improve the quality of health services in providing health education to families about how to properly care for hallucinatory patients and families are expected to be able to treat hallucinogenic patients well.</em></p><p><em><br /></em></p><p><em><em>Klien dengan halusinasi sangat membutuhkan dukungan dari keluarga secara terus menerus baik keluarga internal maupun eksternal. Berkurangnya dukungan keluarga eksternal akan menimbulkan beban yang berat bagi keluarga internal dalam merawat klien halusinasi. Alasan keluarga membawa ke RSJ adalah ketidakmampuan merawat halusinasi pasien dirumah pasca rawat inap karena halusinasi menimbulkan beban bagi keluarga. Tujuan penelitian ini adalah untuk mengetahui informasi mendalam tentang pengalaman keluarga dalam merawat pasien skizofrenia yang mengalami masalah halusinasi pendengaran pasca hospitalisasi. Penelitian ini merupahkan penelitian kualitatif, pendekatan fenomenologi menggunakan metode pengumpulan data dengan wawancara mendalam dan telaah dokumen. Data didapatkan dengan wawancara mendalam terhadap enam partisipan. Hasil wawancara dianalisis dengan menggunakan metode Collaizi. Hasil penelitian yaitu terdapat 2 utama tema yaitu pemahaman keluarga tentang mengenal masalah halusinasi pasca hospitalisasi dan pengalaman keluarga dalam merawat pasien skizofrenia dengan masalah halusinasi.Diharapkan bagi pelayanan kesehatan agar lebih meningkatkan mutu pelayanan kesehatan dalam memberikan pendidikan kesehatan kepada keluarga tentang cara merawat pasien halusinasi yang benar dan keluarga diharapkan dapat merawat pasien halusinasi dengan baik.</em></em></p>

scholarly journals Reinforcement of human resources in implementing healthy indonesian program with family approach

2020 ◽  
Author(s):  
Retno Widiarini ◽  
Djazuly Chalidyanto ◽  
Eva Rusdianah
Keyword(s):  
Human Resources ◽  
Continuous Training ◽  
Group Discussions ◽  
Center Staff ◽  
Family Approach ◽  
Design And Methods ◽  
Document Review ◽  
Feeling Overwhelmed ◽  
Depth Interviews

Background: The Healthy Indonesia Program is a government program implemented with the Family Approach (HIP-FA) through a survey on healthy families. However, the quality of the program depend on the performance of the Human Resources (HR). This study aims to examine various aspects of HR in implementing the program at health centers. Design and methods: Data were collected through in-depth interviews, Focus Group Discussions, and document review on eight informants at the Health Office center. Results: Four themes revealed from the study: being burdened, feeling overwhelmed, feeling incompetent, and confused managing technology. The results showed that the implementation of the HIP-FA survey is an additional burden for health center staff. Conclusions: It is necessary to strengthen the implementation of all programs through continuous training and education, positive affirmation, recalculating employee workload and remunerations.

scholarly journals Monitoring system of student performance using data warehouse (Case study: INSTITUT TEKNOLOGI SUMATERA)

2018 ◽  
Vol 4 ◽  
Author(s):  
Ahmad Luky Ramdani ◽  
Raidah Hanifah ◽  
Okta Pilopa
Keyword(s):  
Student Performance ◽  
Data Warehouse ◽  
Monitoring And Evaluation ◽  
Test Results ◽  
Test Scenario ◽  
Monitoring Process ◽  
Using Data ◽  
Academic Year

Improving the quality of learning is one of the things that must be achieved in the college academic process. To achieve this, monitoring and evaluation of the results of the learning process is needed, namely by looking at student performance. Based on this, the research aims to develop a university data warehouse with student performance objects that will be used by the board application for the monitoring process. The application was successfully developed with several main features, namely: a) displaying the number of students based on year, region and the entrance to college, b) displaying a comparison of the number of students in each academic year based on student status , d) display student performance every academic year and e) KPI values based on needs analysis. These features have been tested using the blackbox approach and the test results show that the features work properly and produce outputs in corresponding to the test scenario.

scholarly journals PEMANFAATAN PELAYANAN JAMINAN PERSALINAN (JAMPERSAL) OLEH IBU BERSALIN DI PUSKESMAS X TAHUN 2013

2020 ◽  
Vol 3 (1) ◽  
pp. 25-36
Author(s):  
Renny Listiawaty
Keyword(s):  
Quantitative Research ◽  
Health Workers ◽  
Sampling Technique ◽  
Qualitative Approach ◽  
Cross Sectional ◽  
Factors Associated ◽  
Document Review ◽  
Depth Interviews

One of the government's policy to reduce the maternal mortality rate (MMR) is to launch Jampersal Program. This study purpose to describe the factors associated with utilization Maternity Insurance service (Jampersal) by maternal in Public Health Center X, Muaro Jambi Regency in 2013. The research method used a cross sectional sampling technique with proportional random sampling, after that followed by a qualitative approach through in-depth interviews and document review 9 informants. Quantitative research results showed that 31.1% Jampersal utilize. There is a significant relationship between the variables of age, education, knowledge, attitudes, beliefs, income, accessibility, the role of health workers and the need to use Jampersal. The most dominant variable is income after controlled by education, knowledge, income and accessibility. This study recommended   midwives to give more intensive information, clear and complete to the community and always working to improve the quality of service Jampersal.

scholarly journals Policy Implementation Performance Related to the Procurement of PRB Drugs in the Subdistrict Primary Healthcare Center Pharmacy and PRB Pharmacy in Central Jakarta Quarter I, II, and III of 2019

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Sari Ulfa Nardia ◽  
Amal Chalik Sjaaf
Keyword(s):  
Health Center ◽  
District Health ◽  
Healthcare Center ◽  
Descriptive Approach ◽  
Policy Institute ◽  
Catastrophic Disease ◽  
Document Review ◽  
Depth Interviews ◽  
Primary Healthcare Center

Back-Referral Program (PRB) is one way to improve the quality of the health services for BPJS participants in conducting quality control and cost control. The unavailability of pharmacies and drugs for PRB causes the PRB program not to run optimally, thus increasing the catastrophic disease sufferers and absorbing big claims in JKN. This study is qualitative research with a descriptive approach using the method of in-depth interviews and document review. The research informants' criteria were: the elements of the leadership and policy management officers in the DKI Jakarta Provincial Health Office, Central Jakarta Health Office, Central Jakarta BPJS Health Center, Central Jakarta District Health Center, and Central Jakarta PRB Pharmacy. The results showed that the implementation performance was not optimal, which was influenced by policy standards and objectives, resources, communication between organizations, the implementers' attitude, the implementing organization's characteristics, and the economic, social, and politics. Coordination, commitment, and evaluation of activities from the Ministry of Health, BPJS Health, Government Service Goods Procurement Policy Institute, and DKI Jakarta Provincial Health Office are needed in terms of the availability of this PRB drug.

Retraining in Social Work for Arab Academic Women: Motivation and Integration into the Field

Affilia ◽  
2021 ◽  
pp. 088610992110575
Author(s):  
Tal Meler ◽  
Ibrahim Mahajne
Keyword(s):  
Social Work ◽  
Coping Mechanism ◽  
Arab Women ◽  
Extrinsic Factors ◽  
High Prevalence ◽  
Employment Trends ◽  
Academic Women ◽  
Depth Interviews ◽  
Selection Of

In recent decades, there has been an increased rate of higher education among Arab women in Israel that has been accompanied by an increase in their integration into various forms of employment. However, the employability options of academic Arab women graduates are limited due to the under-development of employment zones in Arab localities in the periphery of Israel. This policy has led to persistent deterioration in the quality of jobs and a high prevalence of underemployment. To examine how these women cope with underemployment, the present study focused on Arab academic women retraining in social work. This qualitative study is based on in-depth interviews with 27 graduate Arab women who have not found employment suitable for their original training. The article examined their motives to retrain in social work (intrinsic-extrinsic factors), learning process and integration into the field, their social-family context, and the way it determines their coping mechanism. The findings reveal their path of retraining in social work in their attempt to overcome barriers and factors such as culture, family, and employment opportunities that contribute to the selection of this coping mechanism that resulted in new employment trends among them and obtaining quality jobs.

Management Analysis of Pharmacy Supplies at Bhayangkara Hospital Third Class Pekanbaru Pharmacy Installation in Riau Regional Police 2018

2020 ◽  
Vol 6 (2) ◽  
pp. 159-163
Author(s):  
Vatri Wahyuni
Keyword(s):  
Human Resources ◽  
Qualitative Method ◽  
Raw Materials ◽  
Descriptive Study ◽  
Drug Management ◽  
Storage Distribution ◽  
Document Review ◽  
Depth Interviews ◽  
Method Approach ◽  
Selection Of

Supplies are a number of materials or goods provided by the Hospital, both in the form of finished goods, raw materials, or all related items for the smooth running of the Hospital to meet patient requests. The aim of the study was to analyze the process of managing pharmaceutical supplies in the Pharmacy Installation of Bhayangkara TK III Pekanbaru Polda Riau Hospital. This type of research is a descriptive study with a qualitative method approach, carried out at Bhayangkara Hospital, Riau Regional Police with a total of 7 informants. This research was conducted by conducting in-depth interviews and field observations and document review, and data processing was done by data triangulation. From the results of the study it was found that the selection, planning, procurement, receipt, storage, distribution, control, deletion and administration of drug supplies in general has not gone well, but some obstacles experienced were in the selection of drugs determined by doctors, drugs often used by doctors drugs that are not available in the hospital or outside the formulary due to lack of human resources, preparation of drugs not in accordance with alphabet, found there is an error in distributing drugs to rooms, PJ Room that does not want to return drugs that are not used so that there is a buildup of drugs that expire in the room and not returned to the drug warehouse, there was no special team for drug management so that when the drug stock was lacking, the pharmacists bought it at a nearby pharmacy located near the hospital. For this reason, the management of pharmaceutical supplies is given more attention, especially in the field of pharmacy, in accordance with alphabets, drugs are always available and used by doctors, expired drugs are reduced every year and stock cards are filled every day

scholarly journals Analisis Pelaksanaan Tindak Lanjut Hasil Pemeriksaan BPK RI atas Laporan Keuangan Pemerintah Daerah di Kabupaten Kepulauan Talaud

2017 ◽  
Vol 8 (1) ◽  
Author(s):  
Sisilia Amelia Essing ◽  
David P E Saerang ◽  
Linda Lambey
Keyword(s):  
Human Resources ◽  
Operating Procedure ◽  
Secondary Data ◽  
Standard Operating Procedure ◽  
Primary Data ◽  
Standard Operating ◽  
State Audit ◽  
Depth Interviews

Abstract. Follow up audit results by State Audit Agency or Badan Pemeriksa Keuangan (BPK) are intended to fulfill its obligations as recommended in Audit Report. The completion of follow up audit results has been slightly increased. The percentage is higher than average. However, it is still below the minimal standard determined by BPK. Time completion is ineffectively conducted. This study is a qualitative research and a case study.This research was conducted in Local Government of Talaud Islands Regency. Data consists of primary and secondar data. Primary data were collected with in-depth interviews. On the other hard, secondary data were employed by document analysis. Interviews were transcribed into data transcriptions, analysed, coded, and categorized into themes. Content analysis was used to analyse the data. Resuls indicate that the quality of human resources in this team faces obstacles : (1) The lack of understanding in responding or following up the audit recommendations; (2) The insufficient number of staff involving in executing the follow up audit results; and (3) The follow up process is not fully being implemented. The process must be in accordance to Standard Operating Procedure (SOP) of follow up audit results by BPK. Moreover, this SOP is not yet publicized among the team. Keywords : Follow-up audit results, Human Resources, and Standard Operating Procedure. Abstrak. Tindak lanjut hasil pemeriksaan Badan Pemeriksa Keuangan adalah tindak lanjut yang dilakukan oleh pemerintah daerah untuk memenuhi kewajiban seperti yang dituangkan dalam rekomendasi Laporan Hasil Pemeriksaan Badan Pemeriksa Keuangan. Penyelesaian tindak lanjut mengalami peningkatan walaupun sangat kecil. Persentasi saat ini berada diatas rata-rata, namun belum mencapai standar minimal dari Badan Pemeriksa Keuangan. Waktu penyelesaian tindak lanjut tidak efektif dilaksanakan. Penelitian ini merupakan penelitian kualitatif dengan jenis penelitian studi kasus. Lokasi penelitian di Pemerintah Daerah Kabupaten Kepulauan Talaud. Sumber data yang digunakan dalam penelitian ini adalah data primer dan data sekunder. Data primer diperoleh dari wawancara mendalam terhadap responden individual. Data sekunder diperoleh dari studi dokumentasi. Hasil wawancara di-transcribe menjadi transkrip data, kemudian dianalisis, diberi kode, dan dikategorikan ke dalam tema. Analisis data menggunakan analisis isi. Hasil penelitian menunjukkan bahwa kualitas Sumber Daya Manusia dari tim teknis cukup memadai. Namun masih ada hambatan bagi tim teknis : (1) kurangnya pemahaman tentang cara menindaklanjuti rekomendasi hasil pemeriksaan; (2) jumlah personil yang dilibatkan dalam pelaksanaan tindak lanjut masih kurang; (3) proses tindak lanjut belum sepenuhnya dilakukan berdasarkan prosedur yang tertuang dalam Standar Operasional Prosedur Tindak Lanjut Hasil Pemeriksaan Badan Pemeriksa Keuangan Republik Indonesia. Selain itu Standar Operasional Prosedur yang telah dibuat belum dipublikasikan kepada tim . Kata kunci:  Tindak lanjut hasil pemeriksaan, Sumber Daya Manusia, dan Standar Operasional Prosedur.

Selection of a set of quality indicators (QIs) for oncological clinical pathway with patient associations and healthcare professionals.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e19221-e19221
Author(s):  
Mario Di Palma ◽  
Aude Fourcade ◽  
Marie Ferrua ◽  
Mariem Chirrane ◽  
Mikaël Daouphars ◽  
...  
Keyword(s):  
Clinical Pathway ◽  
Healthcare Professionals ◽  
Clinical Pathways ◽  
Symptom Assessment ◽  
Nominal Group ◽  
Treatment Access ◽  
Working Groups ◽  
Patients Experience ◽  
Selection Of

e19221 Background: Clinical pathways in oncology are increasingly complex and involve many healthcare professionals inside and outside the hospital. The available QIs focus on hospital care, few of them describe the entire clinical pathway. Our objective is to select a set of QIs for oncological clinical pathway by involving hospital professionnals, patient associations and non-hospital professionals (GPs, pharmacists and private nurses). The step described concerns the research conducted with hospital professionals and 11 patient associations. Methods: A review of available QIs assessing the clinical pathway was conducted from the gray literature and literature reviews. Selection criteria were applied to extract oncological clinical pathway indicators. The list of identified QIs was submitted to two working groups: hospital professionals (26 oncologists, pharmacists and SRNs of various hospitals in France) and patient associations. Two meetings in each group were necessary. The first one to select by consensus (nominal group) the QIs on the basis of their rating on relevance and feasibility. The second, to describe precisely the QIs selected. Results: 5731 QIs were identified in the initiatives, 131 QIs related to oncological clinical pathway were presented. 10 QIs were selected by hospital professionals: outcome (2), process (3) and structure (5). 10 QIs were retained by patient associations: process (4), structure (2) and outcome (4). Both groups selected QIs on symptom assessment, adherence to treatment, access to palliative care and management of patients receiving oral therapy. They also emphasized the need to gather information directly from patients by selecting PREMS on patients’ experience and PROMS on quality of life, emotional state, symptoms and toxicity. Conclusions: The QIs selected responds to a real need for oncological clinical pathway in France. The next step will be to carry out the same work with non hospital professionals to have a representative set of all actors. The QIs will then be collected from the hospitals experts in France and in Europe to validate their metrological qualities.

scholarly journals PARTISIPASI MASYARAKAT DALAM PERENCANAAN APBDES SASAKPANJANG KECAMATAN TAJURHALANG KABUPATEN BOGOR

2021 ◽  
Vol 6 (2) ◽  
pp. 173-194
Author(s):  
Heru Cahyono ◽  
Kurniasih Mufidayati
Keyword(s):  
Community Participation ◽  
Qualitative Approach ◽  
Community Characteristics ◽  
Government Institutions ◽  
Inhibiting Factors ◽  
Determining Factors ◽  
Village Government ◽  
Document Review ◽  
Depth Interviews

Community participation in the formulation of APBDes is one of the determining factors for villages in achieving the autonomy and prosperity since the law number 6 of 2014 concerning Villages was issued. How Sasakpanjang villagers participate in APBDes formulation is an issue that wants to be clarified through this research. Knowing this can be used to improving policy in the APBDes planning. This study uses the participation ladder from Arnstein. Combined with participatory budgeting theory by Wampler.Method of this study uses a qualitative approach with a descriptive carried out in Sasakpanjang Village, Bogor Regency. The informants in this study were selected purposively. The sample of data sources chosen purposively. Data collection is done through document review and in-depth interviews. Analysis and test of the validity of the data is done through, coding and categorization interview transcripts, interim conclusions, triangulation/crosscheck, and final conclusions. This study has resulted that quality of community participation in Sasakpanjang village at the damping level in the tokenism degree. Communities have begun to have an influence on the APBDes policy, but its nature is still artificial, and has not been able to control the APBDes policy. The inhibiting factors include, weak village government institutions, lack of leadership, and community characteristics. Therefore, village assistance needs to be reoriented. Abstrak Partisipasi masyarakat dalam perumusan kebijakan Anggaran Pendapatan dan Belanja Desa (APBDes) menjadi salah satu faktor yang menentukan bagi desa dalam mencapai kemandirian dan kesejahteraannya. Penelitian ini bertujuan mengetahui bagaimana masyarakat desa Sasakpanjang berpartisipasi dalam perumusan APBDes-nya. Faktor apa yang menghambat partisipasi masyarakat penting untuk diketahui.  Penelitian ini merujuk pada teori tangga partisipasi dari Arnstein dan teori penganggaran partisipatif Wempler. Metode penelitian yang digunakan kualitatif deskriptif. Data diperoleh dari telaah dokumen dan indepth interview. Kesimpulan penelitian ini, kualitas partisipasi masyarakat desa Sasakpanjang masih pada level peredaman dalam degree of tokenism. Masyarakat sudah mulai mempunyai pengaruh terhadap kebijakan APBDes, tetapi bersifat artifisial dan belum mampu mengontrol kebijakan APBDes.  Faktor-faktor yang menghambat antara lain, lemahnya institusi pemerintahan desa, ketiadaan leadership, budaya masyarakat dan  praktik pendampingan desa yang perlu reorientasi karena masih bersifat administratif. 

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