scholarly journals Hubungan Tingkat Pengetahuan dan Perilaku Perawat terhadap Risiko Kegiatan Pembuangan Limbah Medis Padat Di Ruang Syifa Dan UGD RS Haji Jakarta Tahun 2015

2020 ◽  
Vol 3 (1) ◽  
pp. 16-21
Author(s):  
Desi Aryani

Hospital is one of the health care facilities that have complex characteristics especially concerning the interaction between the various processes, scientific devices and various types of health workers who are related to each other. In addition to a positive impact, the Hospital had negative impacts that generate waste during its activities; one of waste is solid medical waste. Solid medical waste is one of the sources of pollution, so it is necessary to conduct an integrated management starting from segregation to the disposal of solid medical waste. Researcher raised this issue because there were incident afflicting health workers and cleaning services at Haji Hospital Jakarta, they were punctured used needles. In a period of 2 years from 2014 to 2015, there had been 5 cases of used needles should not happen. This research use quantitative and qualitative methods. Quantitative research conducted by distributing a questionnaire to measure the level of knowledge (age, length of work, education, training), facilities and behavior of nurses and cleaning services to the risk of solid medical waste disposal activities. The qualitative research conducted with in-depth interviews. Result of the relation between nurse knowledge against the risk of solid medical waste disposal based on the result of the t-test 1.661 < t-table 2000. Result of the relation between nurse behavior with the risk of medical waste disposal activities based on the result of the t-test 1.975 < t-table 2000. Result of the relation between of the level nurse knowledge and nurse behavior with the risk of solid medical waste disposal based on the result f-count 3.036 < f-table 3.35. So there is no relation between nurse knowledge and nurse behavior with the risk of medical waste disposal activities at Haji Hospital Jakarta.

2021 ◽  
Vol 6 (4) ◽  
pp. 802-808
Author(s):  
Eti Samadder ◽  
Ashees Kumar Shaha ◽  
Irtiza Ahmed Chowdhury ◽  
Sajeda Khatun ◽  
China Rani Mittra ◽  
...  

Sharp medical waste is infectious and hazardous because of their high potential diseases transmission and injury. It poses serious threats to environmental health. A cross sectional study was done to assess the level of knowledge and practices of health workers on safe disposal of sharp medical wastes. This study was done in Pirojpur Sadar Hospital, Nazirpur Upazilla Health Complex and Zia Nagar Upazilla Health Complex. Sample size was 200 Health Workers. A Semi-structured interviewer administered questionnaire was used for data collection. The collected data were processed and analyzed with the help of SPSS (Version 20) software on the basis of different variables. The period of study was from January to December 2016. The study result shows that among 200 respondent mean age was 44.05 (±7.01) years. The designation varieties were nurses (70.0%), doctor (10.0%), Aya/ward boy (15.0%). This study found that, majority of the respondents had knowledge about the concept of medical waste and sharp medical waste. Among the respondents (90.0%) respondents knew the correct color bin to segregate sharp medical waste. Multiple responses of the respondents (80%) mentioned that they got information from Course curriculum. Knowledge of the respondents on sharp medical waste disposal (64.5%) had Good knowledge, (23%) had Fair Knowledge and (12.5%) had Poor Knowledge. Most of the respondents (47.5%) had Good practices, (33%) had Fair and (20%) had Poor practices regarding safe disposal of sharp medical waste disposal. Adequate supply of equipment’s and strict monitoring system should be established to improvement the practice of the health care providers regarding safe disposal of sharp medical waste. Training on sharp medical waste disposal will help the participants to improve their knowledge and practices. Asian J. Med. Biol. Res. December 2020, 6(4): 802-808


2020 ◽  
Vol 8 (2) ◽  
pp. 152
Author(s):  
Casnuri Casnuri ◽  
Puspito Panggih Rahayu

<p>Integrated Management of Sick Toddler (MTBS) is an integrated approach whose governance is carried out on sick toddlers with outpatient facilities. MTBS is used as a service standard for sick infants and toddlers as well as a guideline for nursing staff (midwives and nurses) especially in primary health care facilities. In 2006 the MTBS program socialization and training for puskesmas staff were conducted, where each puskesmas was represented by 1 medical staff and 2 paramedics. MTBS aims to reduce morbidity and mortality due to diarrhea, pneumonia, DHF and infections. IMR in Sleman Regency is better than the national target. In 2015 there were 14,134 live births and 51 (3.61%) stillbirths. This tends to decrease from 2014 when the number of live births was 14,406 with 67 infant deaths (4.65%). The death was caused by diarrhea, pneumonia, DHF and infections. This shows that there is still a need to increase the role of cross-program and cross-sectoral efforts to reduce infant mortality, which is to evaluate the implementation of IMCI or MTBM in the Sleman D.I Yogyakarta Public Health Center.</p><p><strong>Research Purpose </strong>investigate the factors in the implementation of IMCI at the Sleman D.I Yogyakarta Public Health Center.</p><p><strong>Research Methods </strong>is descriptive qualitative. The main Informantts were 25 MTBS officers, 25 Puskesmas heads, and 1 Kasie Kesga District Health Office, Sleman D.I Yogyakarta with in-depth interviews.</p><p><strong>Research result: </strong>All puskesmas in Sleman Regency have implemented MTBS services according to service procedures with different achievements in each puskesmas. This is due to the disorderly officers in conducting data recapitulation. The achievement of the MTBS program in Sleman Regency was 65.39%.<strong></strong></p><p><strong>Conclusion</strong>: The MTBS program at the Sleman district health center has been implemented well due to several factors, namely Human Resources, both the number of trained health workers and the quality of the competencies of health workers, leadership support in the form of facilities and infrastructure, as well as funding support in increasing competence.</p><p> </p><p> </p>


2019 ◽  
Author(s):  
Sabere Anselme Traoré ◽  
Serge M.A. Somda ◽  
Joël Arthur Kiendrébéogo ◽  
Jean-Louis Kouldiati ◽  
Paul Jacob Robyn ◽  
...  

AbstractObjectiveTo assess the adherence to Integrated Management of Childhood Illness (IMCI) guidelines in primary health care facilities in Burkina Faso and to determine the factors associated.Materials and MethodsWe used data from a large survey on health facilities, held from October 2013 to April 2014. Primary health facilities were evaluated, health workers interviewed and consultations observed. The standard guideline for an under five year’s old child consultation was the Integrated Management of Childhood Illness (IMCI).Results1,571 consultations were observed, carried out by 522 different practitioners. The danger signs were usually not checked (13.9% only checking for at least three general danger signs). The adherence for cough (74.8%), diarrhoea (64.9%), fever (83.8%) and anaemia (70.3%) was higher. The principal factors found to be associated with poorer adherence to guidelines of consultation were female sex (Rate Ratio (RR) = 0.91; 95% CI 0.86 – 0.95), non-nurse practitioner (RR=0.93; 95% CI 0.88 – 0.97), IMCI training (RR=1.06; 95% CI 1.01 – 1.11), non-satisfaction of the salary (RR=0.95 95% CI 0.91 – 0.99).ConclusionThis study highlights a poor adherence to the IMCI guidelines and by then, revealing a poor quality of under-five care. Indeed, many characteristics of health workers including gender, type of profession, training satisfaction with salary were found to be associated with this adherence. Therefore, more initiatives aiming at improving the quality of care should be developed and implemented for improving the child health care.


2019 ◽  
Vol 19 (1) ◽  
pp. 71
Author(s):  
Evi Kristina ◽  
Iskandar Syarif ◽  
Yuniar Lestari

The role of a mother in maintaining a child's health is very important. Knowledge, attitude, motivation, availability of health care facilities, behavior of health workers influence the formation of health behaviors. This study aims to analyze the factors that are related and the most dominant towards exclusive breastfeeding for mothers working in Government Agencies in Bungo Regency. This study uses a combination of quantitative and qualitative research methods. Quantitative research uses cross sectional design. The sample in the quantitative study was 50 mothers who had babies> 6-12 months, while in qualitative research there were 6 in-depth interviews with the heads of the Bungo District Government Agencies. The results of the study obtained the proportion of exclusive breastfeeding as much as 34%. Factors related to breastfeeding are birth attendants and caregiver / family support and the most dominant in exclusive breastfeeding for working mothers is the support of caregivers / family. The scope of exclusive breastfeeding has not reached the target of 80% of the targets set by the Government due to lack of support from Government Agencies, health workers and from caregivers / families. Various efforts are needed to improve the achievement of coverage of exclusive breastfeeding, especially through supporting facilities to support exclusive breastfeeding and the optimization of the role of the Health Office. 


1970 ◽  
Vol 2 (3) ◽  
pp. 93-106
Author(s):  
Muriyati ◽  
Safruddin ◽  
Andi Nurwahyuni Asmur

One form of mobilization that can be given is by doing ROM exercises. Muscle strength in stroke patients can be done immediately through ROM exercises after a stroke has passed. The impact of ROM exercises that are not immediately performed in stroke patients as early as possible is the occurrence of muscle cell atrophy, joint stiffness, decreased muscle contraction, pain during movement and as a whole will result in the inability to move or activity. The purpose of this study is to investigate the effect of Range Of Exercise Motion (ROM) Against the Level of Mobility of Stroke Patients in the Seruni and Flamboyant Treatment Room of H. Andi Sulthan Hospital, Daeng Radja Bulukumba. This type of research is quantitative research, this type of research uses pre-experimental research, with one group research design pre and posttest design. The sample of this study were 30 respondents taken by purposive sampling method. Data analysis in this study used a statistical test dependent test (paired-sample t-test). The results of the analysis used a paired sample t-test with a level of confidence (α = 0.05). Based on the results of this test, the p-value is 0.007, thus p <α (0.007 <0.05), then Ha is accepted. This study concludes that there is the effect of Range of Motion (ROM) Exercise on the Mobility Level of Stroke Patients in the Seruni and Flamboyant Treatment Room of H. Andi Sulthan Daeng Radja Bulukumba Hospital. Suggestion: It is expected to be able to add information and input for health workers to improve the quality of health services provided and is expected to also provide benefits to the public in terms of information about the importance of the range of motion (ROM) training on the level of mobility of stroke patients


2019 ◽  
Vol 2019 ◽  
pp. 1-17 ◽  
Author(s):  
Ayele Mamo Abebe ◽  
Mesfin Wudu Kassaw ◽  
Fikir Alebachew Mengistu

Background. Every year some 12 million children in developing countries die before they reach their fifth birthday. Seven in ten of these deaths are due to acute respiratory infections (mostly pneumonia), diarrhea, measles, malaria or malnutrition. The WHO Department of Child and Adolescent Health and Development (CAH), in collaboration with eleven other WHO programmes and UNICEF, has responded to this challenge by developing the Integrated Management of Childhood Illness (IMCI) strategy. Research that examines assessment of factors influencing the implementing the integrated management of neonatal and childhood illnesses (IMCI) strategy in Ethiopia is limited. Objective. To assess factors influencing the implementation of the IMNCI strategy by health professionals in public health institutions of Yifat cluster in North Shewa zone, Ethiopia, 2018. Method. An institutional based cross-sectional study will be conducted from March to May. A total of 201 health professionals will be selected using proportionally allocated to population size and interviewed using structured and pretested questionnaires. Data will be coded, entered and cleaned using SPSS version 20 for analysis. Univariate (frequency), Bivariate, Multiple logistic regression analysis will be employed. P-value and 95% confidence interval (CI) for OR will be used in judging the significance of the associations. P-value less than 0.05 will be taken as significant association. Results. Data were obtained from 201 health care professionals, yielding a response rate of 100%. The overall IMNCI implementation was 58% as high level implementation and 42% as low level implementation. In multivariate analysis the implementation of IMNCI was higher among IMNCI trained health care professionals ([AOR=2.7, 95% CI: (1.1.278, 4.562)]) and among those whose always referring chart booklet [AOR=2.76, 95% CI: (1.753, 5.975)]. Conclusion. IMNCI strategy can be better implemented through provision of training for the health workers. However, a variety of factor found to be a barrier to IMNCI implementation in a consistent way. Recommendations have been made related to provision of the training to the nurses and Health Care system strengthening among others.


2021 ◽  
Vol 905 (1) ◽  
pp. 012124
Author(s):  
F F Al-Fikri ◽  
R A Nugroho ◽  
Sudarmo

Abstract This paper evaluates policy implementation that discusses the management of medical waste in health care facilities. The government establishes a waste management policy with the Decree of the Minister of Health concerning Guidelines for the Management of Medical Waste for Health Service Facilities and Waste from Isolation Activities or Independent Quarantine in the Community in Handling (Covid-19) to prevent transmission and controlling the spread of Covid-19 and protecting health workers, non-health workers, and the public from the impact of waste in handling Covid-19. Although regulations related to the management of Covid-19 waste have been set, there are still problems in some areas in their implementation. The literature study was conducted to evaluate the implementation of medical waste management policies in health care facilities. Evaluation is seen based on socialization, implementation, and policy results. Based on the results of the literature study, it was found that the socialization of the policy had done well, evidenced by the implementation of socialization about medical waste in health care facilities. The implementation encountered several obstacles, such as limited shelters, shortage of waste destruction equipment, and medical waste transportation and processing services that had not yet reached all areas in Indonesia.


2021 ◽  
Vol 15 (1) ◽  
pp. 133-139
Author(s):  
Yenni Fusfitasari ◽  
Dita Amita ◽  
Kurniawan Saprihadi

Therapeutic communication and cooperative behavior among early childhoodBackground: Cooperative behavior is an important level of developmental achievement, one factor influencing cooperative behavior with the application of therapeutic communication. The results of the initial survey conducted on 10 Kindergarten students, there were 8 students who were uncooperative with nurses or health workers.Purpose: Knowing the effect of the application of therapeutic communication and cooperative behavior in early childhoodMethod : A quantitative research was pre-experimental design with the One Group Pretest Posttest approach. The population with a total sample of 38 students conducted at kindergarten school, in Bengkulu. data collection using by observations. Data analysis was univariate (frequency distribution) and bivariate (Paired sample t-test).Results: The mean of early childhood in cooperative behavior before therapeutic communication was 4.03. The mean of after therapeutic communication was 7.08. The statistical test results got the value of ρ = 0,000 <α (0.05), so there is an effect of the therapeutic communication and cooperative behavior among early childhood.Conclusion: There is an effect of the therapeutic communication and cooperative behavior among early childhood, to be following continuously implement invitations and cooperation with nurses or health workers to implement of therapeutic communication, and developing positive a behavior.Keywords: Therapeutic communication; Cooperative behavior; Early childhood; Kindergarten schoolPendahuluan : Sikap kooperatif merupakan salah satu tingkat pencapaian perkembangan yang penting untuk dikembangkan, salah satu faktor mempengaruhi sikap koperaif dengan penerapan komunikasi teraupetik. Hasil survey awal yang dilakukan terhadap 10 siswa TK Witri I terdapat 8 orang yang tidak kooperatif terhadap perawat atau petugas kesehatan yang hadir dalam pelaksanaan pemeriksaan kesehatan untuk pengecekan tumbuh dan kembang anak di TW Witri I tersebut.Tujuan : diketuahui pengaruh penerapan komunikasi teraupetikterhadap sikap kooperatif anak usia diniMetode: Penelitian kuantitatif rancangan pra eksperimen dengan pendekatan one group pretest postest. Populasi seluruh perawata dengan pengambilan sampel secara total sampling yang berjumlah 38 siswa telah dilakukan di TK Witri I Kota Bengkulu. pengambilan data menggunakan kuesioner yang dibagikan ke responden. Analisis data secara univariat (distribusi frekuensi) dan bivariat (Uji paired sampel t-test).Hasil : Rata-rata sikap kooperatif anak usia dini sebelum dilakukan komunikasi teraupetikadalah 4,03. Rata-rata sikap kooperatif Anak Usia setelah dilakukan komunikasi teraupetikadalah 7,08. Hasil uji statistic didapatkan nilai ρ = 0,000 < α (0,05), maka ada pengaruh penerapan komunikasi teraupetikterhadap sikap kooperatif anak usia dini.Simpulan : Didapatkan Pengaruh pengaruh penerapan komunikasi teraupetikterhadap sikap kooperatif anak usia dini (p-value 0,0001 < α 0,05). Diharapkan penyelenggara pendidikan anak usia dini hendaknya secara terus menerus menerapkan mengundang dan kerjasama kepada perawat atau tenaga kesehatan untuk menerapkan komunikasi teraupetiksehingga sikap anak selalu kooperatif kepada tenaga kesehatan dan orang yang baru dikenal.


2020 ◽  
Vol 8 (4) ◽  
pp. 849-865
Author(s):  
Mihriay Musa ◽  

In this study, it was aimed to examine the reading habits levels and making the correct decision styles of basketball, handball, volleyball, and football coaches and referees in terms of some variables, the research was carried out with the general survey model, one of the quantitative research designs, the active coaches and referees of basketball, football, volleyball, and handball in İzmir, Denizli and Uşak provinces constituted the universe of the study, the sample of the study, on the other hand, consisted of 98 participants, 52 of whom were coaches and 46 were referees, determined by the simple random sampling method, one sample t-test at a 0.05 significance level was conducted to determine whether the sample represented the universe equally and homogeneously. Melbourne decision making scale I-II, and book reading habits scale were used to collect data in the study. Since the data are suitable for normal distribution, the t-test in comparing the pairwise means; parametric tests such as one-way ANOVA tests were used at 0.05 significance level in comparing the mean scores of more than two groups. In terms of education levels, it has been observed that female coaches and referees studying at faculties of sports sciences have higher levels of reading habit, love of reading, and being influenced by books. In addition, it was determined that individuals who trust and respect the decisions of their families have higher reading habits and correct decision-making styles and do not panic during the decision-making process.


2016 ◽  
Vol 2 (1) ◽  
Author(s):  
Maslichah Maslichah ◽  
Bayu Akbar Khayudin ◽  
Ikha Ardianti

ABSTRAK Pasien yang dirawat di ICU pada umumnya mengalami sakit kritis biasanya hal ini akan menimbulkan bebagai  respons psikososial  dari anggota keluarganya. Respons ini dapat berupa respons positif maupun respons negatif. Salah satu cara agar respons psikososial menjadi positif yaitu memberikan penyuluhan kepada keluarga pasien agar ada peningkatan kognisi dan emosi. Desain penelitian ini menggunakan metode “Pre-Experiment”, dengan rancangan “One group pra-post test design”. Dengan populasi semua keluarga yang anggota keluarganya dirawat di Ruang ICU RSUD.dr.Sosodoro Djatikoesumo. Sampel diambil dengan proses Total Sampling. Variabel independen  yaitupenyuluhan keluarga pasien ICU, dan variabel dependen adalah respon psikososial keluarga pasien. Pengumpulan data menggunakan kuesioner. hasil penelitian yang dilakukan dengan uji statistik paired sample t-test, pada tingkat signifikansi diperoleh nilai 0,027 0,05 maka Ho ditolak dan H1 diterimaPerawat sebagai tenaga kesehatan yang harus selalu mengembangkan profesionalisme, perlu mengupayakan agar respons psikososial keluarga yang negatif dapat ditekan. Salah satu upayanya yaitu adalah memberikan penyuluhan kepada keluarga. Dalam penyuluhan akan diberikan: komunikasi, informasi, edukasi dan support. Kata Kunci : Penyuluhan, Respon Psikososial Keluarga  ABSTRACT Patients admitted to the ICU in general suffer from a critical illness usually this will lead to the kinds of psychosocial responses of family members. This response can be either a positive response or a negative response. One way to be positive psychosocial responses that provide counseling to the patient's family that there was an increase in cognition and emotion.This study design using the "Pre-Experiment", the draft "One group pre-post test design". With a population of all the families who have family members admitted to the ICU RSUD.dr.Sosodoro Djatikoesumo. Samples were taken with total sampling process. Independent variables, family counseling ICU patients, and the dependent variable is the family of the patient's psychosocial response. Collecting data using questionnaires. results of research conducted by the statistical test paired sample t-test, at a significance level obtained value 0,027 0,05 hence Ho refused and H1 accepted.Nurses as health workers must always develop professionalism, needs to strive for psychosocial response can be suppressed negative family. One of the efforts that are giving counseling to the family. In the extension will be granted: communication, information, education and support. Keywords: Counseling, Family Psychosocial Response


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