scholarly journals EFFECT OF SEPARATION OF INITIAL ASSESSMENT DOCUMENTS ON THE LENGTH OF STAY IN EMERGENCY INSTALLATION IN KENDARI CITY GENERAL HOSPITAL

Author(s):  
Tono Sumanto ◽  
Sunarsih Sunarsih ◽  
Timbul Supodo

Background: A preliminary survey of prospective researchers in  the Kendari City General Hospital especially in the Emergency Installation (ER), the number of emergency room visits has decreased in the last 3 years, in 2017 the total number of patients treated in the ER was 10.869 patients, then in 2018 the number of visits decreased to 10.768 patients, and in 2019 the number of visits fell to 9.747 patients. Meanwhile, based on the data in the last few months in 2020 there was a very large spike in decline in the last month, in January 2020 the number of patient who visited,  were  849 people, then in February 2020 the number of the patient were  1202 patients, March 2020 the number of visits was 1216 patients and finally in April 2020 it fell to 451 people. The purpose of this study is to analyse the effect of separation of the initial assessment documents on Length of Stay in Emergency Installation in Kendari City General Hospital. Methods: The research design was experimental with design pretest post-test one group design. The research location was in the Emergency Room of the Kendari City Regional General Hospital which was carried out during February 2021. The population of all patients who were hospitalized was> 17 years old while the sample was 18 people with the sampling technique of separated random sampling. Result: This study found separation of the initial assessment documents affected significantly to  Length of Stay patients in Emergency room in Kendari City General Hospital (p- value =  0.045 < 0.05). Conclusion: Separation technique of the initial assessment documents on Length of Stay was effective to reduce the Length of Stay patients in Emergency room in Kendari City Hospital.

2019 ◽  
Vol 11 (1) ◽  
pp. 9-18
Author(s):  
Abdul Wakhid ◽  
Ana Puji Astuti ◽  
Maya Kurnia Dewi

Logoterapi merupakan terapi untuk menemukan makna positif dibalik sebuah kejadian yang tidak diharapkan. Logoterapi dilaksanakan secara individu maupun berkelompok dalam bentuk konseling dan berorientasi pada pencarian makna hidup individu. Tujuan logoterapi meningkatkan makna pengalaman hidup individu yang diarahkan kepada pengambilan keputusan yang bertanggung jawab. Penelitian ini dilakukan dengan menggunakan rancangan pre-experiment dengan metode pre and post test group, artinya pengumpulan data dilakukan terhadap responden untuk membandingkan kualitas hidup sebelum dan sesudah dilakukan intervensi. Teknik pengambilan sampel dilakukan dengan metode total sampling yaitu pengambilan seluruh sampel dengan tetap memperhatikan kriteria yang telah ditetapkan. Jumlah pasien yang menjalani hemodialisis di RSUD Ungaran sebanyak 21 orang dan di RSUD Ambarawa sebanyak 25 pasien. Analisis data dilakukan dengan menggunakan uji t test dependent. Hasil penelitian didapatkan bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 60.22 dengan skor terrendah 55 dan skor tertinggi 69. Bahwa dari 46 responden didapatkan rata-rata skor kualitas hidup pasien yang mejalani hemodialisis sebesar 88.72 dengan skor terrendah 79 dan skor tertinggi 103. Hasil uji statistik dengan uji t test dependent diketahui ada pengaruh logoterapi terhadap kemampuan memaknai hidup pada klien yang menjalani hemodialisis di RSUD Kabupaten Semarang (p value: 0,0001). Saran perlunya peningkatan kemampuan perawat dalam memberikan layanan kesehatan termasuk pemberian atau pemanduan penemuan makna hidup bagi pasien hemodialysis, agar selain dengan hemodialysis, ada faktor internal dari pasien yang dapat dijadikan sebagai motivasi untuk sembuh dari penyakit.   Kata Kunci: Logoterapi, kualitas hidup   IMPROVE THE QUALITY OF LIFE OF PATIENTS WITH RENAL FAILURE WHO UNDERWENT HEMODIALYSIS   ABSTRACT Logotherapy is a therapy to discover the positive meaning behind an unexpected event. Logotherapy is carried out individually or in groups in the form of counseling and oriented to the search for the meaning of individual life. This study aims to improve the quality of life of patients with renal failure who underwent hemodialysis. This research was conducted by using pre-experiment with pre-post test study. The sampling technique was done by the convenience sampling. The number of patients undergoing hemodialysis as many as 46 respondents. Data analysis was done by using test t test dependent. The result showed that from 46 respondents got the mean of quality of life of patients who had hemodialysis 60.22 with lowest score 55 and highest score 69. Whereas from 46 respondents got the mean score of life quality of patients who had hemodialysis 88.72 with score the lowest score 79 and the highest score 103. The result of statistical test with t test dependent is known there is influence of logoterapi to the ability of meaningful life on client who undergo hemodialysis at Semarang Regency hospitals (p value: 0.0001). Advice on the need to improve the nurse's ability to provide health services, including the provision or guidance of the discovery of the meaning of life for hemodialysis patients, in addition to hemodialysis, there are internal factors of the patient that can be used as a motivation to recover from illness.   Keywords: Logotherapy, quality of life, kidney failure.  


2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Siti Maghfiroh ◽  
Ratna Puji Priyanti ◽  
Alik Septian Mubarrok

Introduction: Waiting time and length of stay ( LOS ) is one of indicators the quality of service in emergency room (ER ) that affects satisfaction patients, where speed and the accuracy is the essence service in ER. Research aims to understand the relations of waiting time and LOS with satisfaction patients in of emergency room Jombang general hospital. Method: This research using correlational design with cross sectional approached. The technique sampling is accidental sampling. The population were 1.204 people. And the sample size 60 people. Data collection used a questionnaire for measuring satisfaction patients and observation stopwatch a use for measuring waiting time and LOS. Data analyzed by statistical tests the spearman rank. Result: The results of the study obtained 31 people ( 51.7 % ) of respondents with waiting time slow, 24 people ( 40,0 % ) of respondents with los slow, while for the satisfaction of patients 31 people ( 51.7 % ) of a patient is satisfied with service. Statistical tests the spearman rank showsed that waiting time with satisfaction obtained  r value = 0,666, p value = 0,000. To LOS with satisfaction the r value = 0,350, p value = 0,006. There is a significant relation exists between waiting time and LOS with satisfaction patients. Discussion: Waiting time and LOS significant correlated with satisfaction patients in ER Jombang general hospital. The ER in Jombang general hospital is expected to have strong commitment, to give priority to the quality of service and interests of patients. Health workers is expected to give rapid service, right and respond to the problem of patients. And advanced research required about satisfaction patients in ER and the supporting factors.


2018 ◽  
Vol 2 (1) ◽  
pp. 13
Author(s):  
Afrida Afrida

Introduction: Stroke is a loss of brain function caused by the cessation of blood supply to the brain. One of the most common clinical disorders of stroke is ingesting or dysphagia. This study aims to identify the effect of ingesting exercise to stroke patients with dysphagia in the General Hospital of Haji General Hospital of Makassar City. Method: The design of this study was pre experimental with One Group Pre-Post Test Design. Samples in this study were all stroke patients with dysphagia with Convenience Sampling technique, obtained 20 respondents. Rehabilitation of ingesting exercise is done three times a day at breakfast, lunch, and dinner for seven days in a row. Evaluation of respondents' ingesting status was done on the first day before exercise and last day after practicing exercise. Result: Bivariate results showed that there was an influence between stroke patients with dysphagia and ingesting exercises (p <0.001). Conclusion: It is further recommended that nurses perform structured ingesting exercises as self-care nursing intervention in dealing with stroke patients who have dysphagia.


2020 ◽  
Vol 2 (2) ◽  
pp. 178-185
Author(s):  
Peny Ariani ◽  
Mastary .

World Health Organization (WHO) for almost 30 years the rate of births with caesarea section became 10% to 15% of the delivery process exist in developing countries. In Indonesia, the results of basic health research in 2013 showed births with a caesarean section of 15.3% of the sample of 20,591 surveyed from 33 provinces. Based on statistical data that researchers obtained from the Medical Record Room of the Sembiring General Hospital, the number of patients with sectio caesarea from January to September in 2019 totaled 1,600 patients. Nursing problems that often arise in post sectio caesarea cases are painful sensory and emotional experiences that arise due to actual tissue damage. The nurse's independent action to control the pain felt by the patient is to do pain management with non-pharmacological techniques, namely progressive relaxation. The purpose of this study was to determine the effectiveness of progressive relaxation on decreasing pain intensity in post sectio caesarea patients. This study used a quasi-experimental design method with a non equivalent control group design. The sampling technique was 32 respondents, 16 intervention groups and 16 control groups. This study used a T-Test. The results of this study indicate the P-value (0.839) > α (0.05). The conclusion of this study is that there is no effectiveness of progressive relaxation on the decrease in pain intensity in post sectio caesarea patients in the hybrid room of Sembiring General Hospital. For further researchers to be able to have the same research the same but with different variables in order to get more varied and better results.


Author(s):  
Sagaya Arockiya Mary. A ◽  
Susai Mari.A ◽  
Wincy. C ◽  
Thirumurugan. M ◽  
Verginia Dsouza ◽  
...  

Background: The one virus stumbled the whole universe is the novel corona virus and impacted physical, emotional and social health status of almost every individual in the world irrespectively. Since the existence of Covid-19 till now it is been noticed that student nurses also affected by this fatal viral infection during their clinical practice. Objectives: The study focused on evaluating the effectiveness of webinar on knowledge regarding the strategies to prevent Covid -19 among student nurses of SIIHS, Honavar, Uttara Kannada. The study aimed at enhancing the knowledge level and influences others through effective health teaching at clinical areas and even in community settings. Methodology: An evaluative approach with pre- experimental, non-randomized, one group pre and post-test research design was adapted. The sample size was 294, purposive sampling technique was adapted. Data collected through testmoz web page and webinar was conducted by google meet app for one week. Data analysed by descriptive and statistical methods (chi-square and z-test) and interpreted by graphs. Results: The findings show that in pre-test 10(3.41%) had poor, 127(43.19%) had average, 157(53.40%) Good and 00% excellent knowledge level whereas in post-test 00% had Poor, 59(20.06%) Average, 176(59.86%) Good and 59 (20.06%) had excellent knowledge level. The pre-test mean score was 23.1 (46.2 %.) and of post-test was 35.6 (71.2%). The computed z’-test value showing significant difference in the pre (x?1=23.1) and post-test (x?2=35.6) knowledge score (p=1.18357, < z= -5.1679, critical z score=-1.6449 ? =0.05 level of significance). Hence the p value is greater than the z value (p(x?Z) = 1.18357e-7), it indicates the webinar was effective and the null hypothesis (H0) is rejected. Conclusion: The study was concluded as the webinar was highly effective and influenced the participant to gain sufficient information on prevention and the spread of Covid 19. Hopefully this enables them to apply


2018 ◽  
Vol 1 (3) ◽  
Author(s):  
Ernawaty Siagian ◽  
Vera Manalu

Febrile seizure rate on toddler was quite high and tended to increase every year. This was because as toddler experiencing febrile seizures they were not properly handled by the parents. Febrile seizure in toddler if not treated quickly can affect the increasing in seizure frequency and can cause death. The capability of mother in handling febrile seizure must be based on the right knowledge of febrile seizure. The purpose of this study was to determine the level of knowledge of the mother before and after health education based on 10 steps in handling febrile seizure on toddler in Bandar Lampung Adventist Hospital. Experimental research method with one group pretest-posttest designed with random sampling technique approach involving 80 mothers with 0 to 5 year old who had fever being hospitalized. The researchers prepared 10 images of steps in handling febrile seizures randomly and asked the respondents to arrange the pictures according to their knowledge. The results were observed to determine their knowledge rearranging as pretest data. Afterward, health education was given about 10 correct steps. Thereafter, reobserved was made and the knowledge in arranging 10 images was obtained as post test data. The knowledge score before health education was 20.75% and after was 83.75%. While the analytical test used paired t test. The results showed a significant relationship between knowledge before and after health education. p value = 0.00 < 0.05. The results showed that the value of tcount (14.26) > t table (2.26). Increased knowledge in mothers reduced the risk of recurrence of febrile seizures in toddler and the nurse who had not tought these steps needed to run regularly to the mothers whose child was being hospitalized.


2021 ◽  
Vol 3 (1) ◽  
pp. 18
Author(s):  
Elisa Elisa ◽  
Latifah Lely Septiariani ◽  
Kurniati Puji Lestari

Health profile of Semarang in 2018, the exclusive feeding of the exclusive breast milk in the age of 0-6 months of 65.57%. It’s still far from Central Java target of 80%. This problem of breastfeeding influenced by reduced stimulation of oxytocin hormones, while physical and psychological changes can affect the lactation process. One of the efforts to increase the breast milk production with SPEOS (Suggestive Endorphin Oxytocin Massage Stimulation). The SPEOS method can help nifas mother to facilitate the expenditure of breast milk. To know the effect of the SPEOS method (Suggestive Endorfin Oxytocin Massage Stimulation) on Breast Milk Production in Nifas Mothers. The research design used quasy experiment with one group pre-post test. Sample in this study was nifas mother with spontaneous childbirth amounted to 27 people. The sampling technique used consecutive sampling. Breastfeeding production before mothers performed SPEOS method on average was 3.70 ml with standard deviation of 5,113. Breast milk production after mother performed SPEOS method on average was 129,63 ml with standard deviation 11,001. There was an influence of SPEOS method to breast milk production on nifas mother at Maternity Hospital of Mardi Rahayu Semarang (p-value = 0,000). Stimulation Massage Endorphin Oxytocin SuggestifBreastmilk Production,Nifas Mother


2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Yulianti Wulandari ◽  
Siska Afri Nofita

In health service, nurses are at the forefront of providing health care, if the nurses don’t provide the care and not accompanied by EPEEP implementation (Explain, Pain, Elimination, Environment and Plan Of Return) it will have an impact on decreasing client satisfaction. From the results of the preliminary survey the nurses have not done EPEEP implementation method (Explain, Pain, Elimination, Environment and Plan Of Return) properly. And the achievement of patient satisfaction in the pandoria room of Awal Bros Batam Hospital from the results of satisfaction survey in September 2018, very satisfied category was 46%, satisfied category was 54% and less satisfied category was 2%. Therefore , it is necessary to implement EPEEP (Explain, Pain, Elimination, Environment and Plan Of Return) in providing services to clients. This study aimed to determine the Relation between EPEEP Implementation Methods (Explain, Pain, Elimination, Environment and Plan Of Return) With Patient Satisfaction at Pandoria Inpatient Awa Bros Batam in 2019. This type of research was descriptive correlation with cross sectional approach, 129 respondents selected using purposive sampling technique. Data were obtained by observation sheets on nurses about EPEEP implementation (Explain, Pain, Elimination, Environment and Plan Of Return) and provide satisfaction questionnaires to clients. The study was conducted in February until March 2019 in the Pandoria room. Analysis of the data used Chi square. There was a relationship between EPEEP implementation method (Explain, Pain, Elimination, Environment and Plan Of Return) with patient satisfaction and with nurses inpatient at Pandoria Awal Bros Batam Hospital, and the p-value was 0.00 (p <0.05). It can be concluded that the implementation of EPEEP (Explain, Pain, Elimination, Environment and Plan Of Return) can affect client satisfaction. Suggestions for future researchers can conduct research related to how long the nurse responds if there are patients who call or press the bell (Patient Calls) and for the Home Pain as an input to perform research related to nurse daily activity, because Pandoria Room compared to other inpatient rooms was the room with the highest number of patients and the highest mobile patients.


2020 ◽  
Vol 9 (2) ◽  
pp. 177-183
Author(s):  
Ida Rahmawati ◽  
Dwi Putri Sulistiya Ningsih

ABSTRACTBackground: Cardiac arrest is a health problem that is increasing to be the leading cause of death in the world. The main action to save cardiac arrest aims to maintain optimal myocardial and cerebral oxygenation so that death does not occur. Providing Basic Life Support (BLS) is an effort to save and restore this function. Knowledge about cardiac arrest among health students is still a neglected problem due to a lack of awareness in seeking basic knowledge.Objective: This study aimed to determine the effect of basic life support-based simulation training on knowledge of nursing students in the city of Bengkulu.Methods: This study used a pre-experimental design with a pre-test post-test approach. The population in this study were all 61 students of the fourth semester of STIKES Tri Mandiri Sakti Bengkulu nursing students. Samples were taken using total sampling technique. Data were collected using a knowledge questionnaire containing 10 question items which were adopted from the questionnaire Yunanto et al., (2017). Data were analyzed using paired sample t-test.Result: Based on the results of the study, it was found that there was a significant effect of BLS training based on manikin simulation on nursing student knowledge with a value of t test = -15.169, p = value = 0.000 <α = 0.05.Conclusion: Nursing students need to provide knowledge about BLS from the start so that they are more confident and able to apply it in case of cardiac arrest outside the hospital. Higher education institutions should provide health education about BLS from the beginning of the academic year, so that in the following semester students are better able to improve the quality of the skills they have formed.Keywords: Basic Life Support, Knowledge, Simulation.  


2019 ◽  
Vol 8 (1) ◽  
pp. 23-33
Author(s):  
Yeni Ristya Wardani ◽  
Mundilarto Mundilarto ◽  
Jumadi Jumadi ◽  
Insih Wilujeng ◽  
Heru Kuswanto ◽  
...  

The main purpose of this study is to find out the influence of practicum-based outdoor inquiry model on science process skills. Quasi-experiment design was employed as the research method by Matching Only Post-test Control Group. The research sample was taken using a cluster sampling technique. The samples consisted of experimental class (XI MIA 1) in a total of 25 students treated with practicum-based outdoor inquiry model. The control class (XI MIA 3) consisted of 29 students treated with direct instruction model. In collecting the data, essay test was used in the form of worksheets containing the aspect of science process skills of formulating hypotheses, designing experiment, interpreting data into tables, and drawing a conclusion (inferring). The study results demonstrate that practicum-based outdoor inquiry model was effective in improving the science process skills. It was shown in p-value (significant) of 0.00. The implication of this study is the need to design a practicum-based outdoor inquiry model by noticing what skills are going to improve by means of more varied outdoor activities


Sign in / Sign up

Export Citation Format

Share Document