scholarly journals Analisa Persepsi Verifikator Terhadap Kode Tindakan Medis Di RS Umum Citra Bunda Medical Center Padang

2021 ◽  
Vol 6 (2) ◽  
pp. 195-204
Author(s):  
Dewi Mardiawati ◽  
Linda Handayuni
Keyword(s):  
Medical Center ◽  
Medical Support ◽  
Severity Level ◽  
Support Person ◽  
Initial Survey ◽  
Voice Recorder ◽  
Action Code ◽  
Depth Interviews

Based on the initial survey conducted by researchers, it was found that there were differences in perceptions between code verifiers and BPJS verifiers about medical action codes. In February, there were 15 disease codes with different perceptions, because the hospital had to follow the code based on the BPJS. The research objective was to analyze the perception of medical action codes by verifiers at Bunda Medical Center Hospital.This type of research is qualitative with a phenomonological approach. Research is conducted by in-depth interviews with 1 medical support person, 1 medical committee person, 1 code verifier, and 1 BPJS verifier, using a voice recorder and using interview guidelines. Data were analyzed using the Collaizzi method.The results showed that what hampered the implementation of the verification of medical action codes was that the doctor's writing was difficult to read by the verifier. There are differences in the perceptions of the verifier about the medical action code, where the verification of the medical action code is based on the number of resources used in the service, while the BPJS verifier thinks the medical action code is based on the level of severity or severity level. The conclusion in this study is that the educational qualifications between the BPJS verifier and the verification of medical action codes are not yet appropriate, then the BPJS verifier verifies the code based on the severity level it should be based on the most spent resources.

scholarly journals Challenges for Global Learners: A Qualitative Study of the Concerns and Difficulties of International Students

2016 ◽  
Vol 6 (2) ◽  
pp. 501-526
Author(s):  
Chetanath Gautam ◽  
Charles L. Lowery ◽  
Chance Mays ◽  
Dayan Durant
Keyword(s):  
United States ◽  
Data Analysis ◽  
International Students ◽  
Qualitative Study ◽  
Small Town ◽  
The United States ◽  
Initial Survey ◽  
Educational Journeys ◽  
Depth Interviews ◽  
Purposive Sample

The authors in this study seek to inform academia about international students’ experiences and challenges while attending universities in Small Town USA. Despite their eagerness to study in the United States (U.S.), international students are faced with setbacks that many universities fail to recognize or realize. The researchers conducted in-depth interviews with a purposive sample of students using questions based on information from the literature and an initial survey. The themes that emerged from the data analysis were language, jobs/finances, transportation, assimilation, religious interactions, and identity. Findings emphasize the imperative to understand the challenges these students face as they continue their educational journeys in the United States.

scholarly journals Analysis of the implementation of patient safety management at the PKU Muhammadiyah Pekajangan Islamic Hospital

2020 ◽  
Vol 1 ◽  
pp. 132-136
Author(s):  
Irnawati Irnawati ◽  
Benny Arief Sulistyanto
Keyword(s):  
Qualitative Research ◽  
Patient Safety ◽  
Research Design ◽  
Safety Management ◽  
Hospital Patient ◽  
Medical Support ◽  
Ministry Of Health ◽  
Planning Stage ◽  
Qualitative Research Design ◽  
Depth Interviews

The Hospital applies patient safety management through seven steps toward hospital patient safety. Muhammadiyah Pekajangan Islamic Hospital already has special management that handles patient safety. The patient safety management has gone through the planning stage to evaluation. In its development, until now, there has not been an analysis of the application of patient safety management. Analysis of the application of patient safety management is important to determine whether the application of patient safety management is already running according to the established Ministry of Health standards. This study aims to analyze the application of patient safety management at the PKU Muhammadiyah Pekajangan Islamic Hospital. This study was used as a qualitative research design. The subjects in this study who conducted in-depth interviews were the PKU Muhammadiyah Pekajangan Islamic Hospital patient safety team, which consists of the head of the KPRS, who had the authority to carried outpatient safety activities, members of nursing, and members of medical support. The results showed that the application of patient safety management is performing admirably. Includes seven-step implementation of patient safety management has been actualized. The process application of patient safety management shows that the indicators were in line with the standards. It is recommended for policymakers at the PKU Muhammadiyah Pekajangan Islamic Hospital to increase efforts to implement patient safety by facilitating training for the patient safety team regarding patient safety.

scholarly journals Perceived Health Problems of Young Single-Person Households in Housing Poverty Living in Seoul, South Korea: A Qualitative Study

2021 ◽  
Vol 18 (3) ◽  
pp. 1067
Author(s):  
Jisun Kim ◽  
Seunghyun Yoo
Keyword(s):  
Young People ◽  
South Korea ◽  
Comparison Method ◽  
Poverty Rate ◽  
Support Person ◽  
Single Person ◽  
Public Resources ◽  
Health Concepts ◽  
Healthy Housing ◽  
Depth Interviews

There is an increased prevalence of housing poverty among urban young adults; however, research on housing poverty and health is lacking. This study examined the effects of housing poverty on the health concepts of young people living alone. In-depth interviews were conducted with 20 single-person households, with individuals aged 19–39 years, living in Seoul, the demographic group with the highest housing poverty rate in South Korea. Data were analyzed using the constant comparison method. Based on the health concepts of the respondents, housing poverty negatively affected health in terms of “the occurrence and continuation of anxiety,” “the increase and continuation of lethargy,” “the difficulty in managing daily life and taking care of health,” “the lack of a dependable support person,” and “the difficulty in preventing and treating disease.” The majority of young people experienced difficulties responding to their situations, and their housing poverty was hard to overcome. This study suggests the need to expand healthy housing policies, strengthen housing safety nets, and enhance access to public resources needed for a healthy living.

scholarly journals "WHAT WE CANNOT SPEAK ABOUT WE MUST TWEET": TRUST AMONG ISRAELI TWITTER USERS WITH DEPRESSION

2019 ◽  
Vol 2019 ◽  
Author(s):  
Sofia Haytin ◽  
Oren Livio
Keyword(s):  
Support Groups ◽  
Mutual Trust ◽  
Medical Support ◽  
Discursive Space ◽  
Supportive Role ◽  
Echo Chamber ◽  
Positive Experiences ◽  
Marginal Status ◽  
Twitter Users ◽  
Depth Interviews

Research on self-revealing online environments in general and on internet-based medical support groups in particular has demonstrated that participants in such environments customarily assume others to be worthy of intimacy that is indeed reciprocated, resulting in a generalized climate of mutual trust that nevertheless meets significant challenges in actual online practice. While most previous studies have examined this phenomenon in the context of blogs, forums, and social media groups explicitly devoted to specific _physical_ illnesses, in this study we focus on a "naturally" developing, unstructured, a-hierarchical "community"-of-sorts that is based on a shared _mental_ disorder – Israeli Twitter users with depression. In-depth interviews with these users demonstrate how the unique affordances of Twitter in Israel – and especially its lack of popularity and its construction as the "anti-Facebook" – have enabled it to become a discursive space in which non-hegemonic voices are more prominent. While Twitter users with depression were cautious in developing trust, once trust was inferred it became a central facet of their perception of Twitter and its supportive role. Users conceived of Twitter as a sanctuary and echo chamber in which people with depression can present their authentic selves to an empathetic, non-judgmental community of similar outcasts. At the same time, the community's expectations for profound authenticity paradoxically led some users to avoid tweeting about positive experiences. In addition, Twitter's marginal status allowed users to link their sense of _psychological_ reclusiveness to their sense of _political_ isolation in a climate in which leftist views are increasingly ostracized.  

scholarly journals Persepsi Ibu Bayi atau Ibu Balita terhadap Posyandu (Studi Kualitatif Pendekatan Fenomenologi)

2021 ◽  
Vol 10 (2) ◽  
pp. 369
Author(s):  
Norfai Norfai ◽  
Eddy Rahman ◽  
Abdullah Abdullah
Keyword(s):  
Qualitative Research ◽  
Data Processing ◽  
Phenomenological Approach ◽  
Purposive Sampling ◽  
Data Source ◽  
Voice Recorder ◽  
Depth Interviews ◽  
Selection Of

This research is a qualitative research with a phenomenological approach. Determining the number of informants used in qualitative research consists of two considerations, namely suitability and adequacy. The suitability in this case is that the researcher uses purposive sampling, where the researcher determines the informant according to the criteria, which means that the informant is able to provide information in accordance with the research objectives. Adequacy refers to the number of informants consisting of 5 to 8 participants, with a note that there are no more significant variations in answers from one source to another data source or saturation, if it does not reach saturation, then the selection of informants will continue. The data was collected by means of in-depth interviews using interview guidelines consisting of open-ended questions and a voice recorder as a tool to record all information that has been conveyed by the informants. Data processing and analysis were carried out by transcription, finding keywords, creating categories, grouping categories into sub-themes, formulating themes and continued by integrating the results of the analysis into descriptive form. Still not fully understanding about the posyandu program, it is necessary to strengthen the role of posyandu cadres by conducting intensive coaching and there needs to be adequate incentives for cadres in an effort to increase the cadres' motivation

scholarly journals Gender Differences in the Attitudes of Parents Living with Adult Children with Schizophrenia

Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 836
Author(s):  
Tzu-Pei Yeh ◽  
Ying-Wen Lin ◽  
Hsing-Yu Liu ◽  
Tzu-Ching Yang ◽  
Wen-Jiuan Yen ◽  
...  
Keyword(s):  
Gender Differences ◽  
Adult Children ◽  
Chinese Culture ◽  
Medical Center ◽  
Adult Daughters ◽  
Qualitative Research Design ◽  
The Family ◽  
Central Taiwan ◽  
Depth Interviews ◽  
Taking Care

Background: This paper explored the gender differences in the attitudes of parents toward taking care of their adult daughters or sons with schizophrenia, and focused on how parents define and think about the roles of their children, and how they cope with fulfilling the expected roles. Methods: Qualitative research design and purpose sampling were used to enroll parents who had adult patients with schizophrenia at a medical center in central Taiwan. Semi-structured in-depth interviews were conducted and content analysis was used to analyze the data. Results: Seven main themes emerged from the data provided by ten parents living with adult children with schizophrenia. Three themes that focused on gender difference are listed: parents continue to expect their sons with schizophrenia to carry on the family name; society as a whole expects males to be the “head of the family”; male family members are supposed to assume the responsibility of caring for siblings with schizophrenia. Conclusions: The results of the study could help clinical professionals to understand and have greater empathy with regard to the difficulties for families and the concerns of parents taking care of their children with schizophrenia in the specific context of Chinese culture, and to provide more efficient and responsive assistance.

Approaches to Craniofacial-Specific Quality of Life Assessment in Adolescents

2005 ◽  
Vol 42 (1) ◽  
pp. 19-24 ◽  
Author(s):  
Todd C. Edwards ◽  
Donald L. Patrick ◽  
Tari D. Topolski ◽  
Cassandra L. Aspinall ◽  
Wendy E. Mouradian ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Young Adult ◽  
Focus Group ◽  
Qualitative Methodology ◽  
Medical Center ◽  
Life Assessment ◽  
Psychometric Validation ◽  
Life Instrument ◽  
Depth Interviews

Objective To ascertain the domains that adolescents aged 11 to 18 years with congenital and acquired craniofacial differences (CFDs) consider important to their quality of life (QoL) to create a craniofacial-specific module. Design Interviews and inductive qualitative methods were used to guide the development of a conceptual and measurement model of QoL among adolescents with CFDs. Setting The Craniofacial Center at Children's Hospital and Regional Medical Center in Seattle, Washington. Patients, Participants Thirty-three in-depth interviews with adolescents (aged 11 to 18 years), one young adult interview (age 19 years), 14 in-depth interviews with parents, one young adult focus group, one parent focus group, and one panel of researchers and clinical professionals working in the field. Results Using the qualitative methodology, grounded theory, seven domains that adolescents with CFDs perceive are important to having a good QoL were found. Six of the domains (coping, stigma and isolation, intimacy and trust, positive consequences, self-image, and negative emotions) comprised the Youth Quality of Life Instrument–Facial Differences module. One other domain, surgery, was a salient issue for many of the youth, but not all, so it was made into a separate module, the Youth Quality of Life Instrument– Craniofacial Surgery module. This module relates to the experience of surgery, outcomes of surgery, and preferences for future surgery. Conclusions Using an established qualitative methodology, two QoL modules specific to adolescents with CFDs were developed and are ready for psychometric validation. Potential uses of the instruments are discussed.

scholarly journals MAIN CAREGIVER’S EXPERIENCE IN MEETING SELF-CARE NEEDS AMONG ADOLESCENTS WITH ASD IN PONTIANAK MUNICIPALITY, WEST BORNEO, INDONESIA: A QUALITATIVE STUDY

2017 ◽  
Vol 3 (4) ◽  
pp. 316-328
Author(s):  
Lilis Lestari ◽  
Elisabeth Siti Herini ◽  
Indria Laksmi Gamayanti
Keyword(s):  
Developmental Disorders ◽  
Self Care ◽  
Autism Spectrum ◽  
Care Needs ◽  
Complex Disorder ◽  
Field Notes ◽  
Individual Self ◽  
Voice Recorder ◽  
Depth Interviews ◽  
Adolescents With Asd

Background: Autism spectrum disorder (ASD) is a complex developmental disorder, increasing in number, faster than that of other developmental disorders in the world. This complex disorder affects a child’s self-autonomy, which is important for individual self-care.Objective : This study is to explore main caregivers’ experience to meet self-care needs among adolescents with ASD in Pontianak, West Borneo, Indonesia.Methods: Qualitative semi-structured in-depth interviews were done with 7 main caregivers that have lived together and taken care of the adolescents with ASD in Pontianak Municipality, West Borneo Province. Sampling was taken with purposive sampling (maximum variation). Source (interviews) and method (observations of self-care activities and documents like photos, learning reports and field notes) triangulations were taken on 1 participant and 7 autistic adolescents. Participants’ statements were recorded by using a voice recorder, and then transcribed, coded, interpreted, and categorized in order that sub-topics and main topics could be formed.Results: The study identified five main topics: i.e., 1) Autonomy in self-care; 2) Care effort; 3) Feelings, support, and expectations. Three findings of the study emphasize the potentials of children with autism to be autonomous in daily self-care.Conclusions: Adolescents with ASD can potentially meet the needs of their daily care independently.

scholarly journals Emergency nurses’ experience of coping with moral distress

2020 ◽  
Vol 26 (2) ◽  
pp. 176-184
Author(s):  
Na Kyoung Lee ◽  
Jee-In Hwang
Keyword(s):  
Ethical Decision ◽  
Moral Distress ◽  
Ethical Decision Making ◽  
Medical Center ◽  
Main Theme ◽  
Emergency Nurses ◽  
Organizational Hierarchy ◽  
Qualitative Research Design ◽  
The Individual ◽  
Depth Interviews

Purpose: We explored emergency nurses’ experiences of coping with moral distress.Methods: A qualitative research design was used. We conducted in-depth interviews with 11 nurses working at a regional emergency medical center in South Korea. Data were analyzed using conventional content analysis.Results: The main theme of nurses’ coping with moral distress was “a passive emotion-based response.” We also extracted three categories of coping strategies: “uncritical adaptation to anguished situation,” “self-justification for not acting,” and “flight from ethical decision making.”Conclusion: Nurses coped with moral distress in a passive and emotional way, possibly because of perceived incompetence and compliance to an organizational hierarchy. The findings imply that effective approaches to addressing moral distress in emergency nurses are needed at the individual and organizational levels.

scholarly journals Antibiotic Dispensing Practice by Medicine Sellers in Dhaka City-A Cross-Sectional Study

2021 ◽  
Vol 9 (1) ◽  
pp. 11-18
Author(s):  
Sayeda Nazrina ◽  
Md Sayedur Rahman ◽  
Rubiat Naznin
Keyword(s):  
Antibiotic Use ◽  
Cross Sectional Study ◽  
Actual Practice ◽  
Dhaka City ◽  
Upper Respiratory Tract ◽  
Cross Sectional ◽  
Inappropriate Use ◽  
Duration Of Disease ◽  
Voice Recorder ◽  
Depth Interviews

Dispensing antibiotics without prescription is a potential source of inappropriate use. Improvement of antibiotic use is very important in developing countries like Bangladesh. This cross-sectional observational study was conducted in Dhaka city, Bangladesh among 100 purposively selected medicine shops to observe antibiotic dispensing practices of medicine sellers on request for the treatment of nonspecific Upper Respiratory Tract Infection (URTI). Actual practice was assessed with simulated client visit (SCV) with 2 encounters in each medicine shops (a total of 200 encounters). Later self-stated practice was assessed through in-depth interviews with medicine sellers using a digital voice recorder. A total of 42 medicine sellers (42%) interviewed that they would have recommended antibiotics in response to a presentation of nonspecific URTI. In actual practice, antibiotics were dispensed in 108(54%) simulated visits. Total 5 drugs (tab ciprofloxacin, tab azithromycin, cap amoxicillin, cap cephradine, tab levofloxacin) was suggested by medicine sellers. Tab ciprofloxacin is the most preferable dispensed drug by medicine sellers in both actual and stated practices which were 73.15% (79/108 SCV) and 40.48 %( 17/42 medicine sellers) respectively. The most frequent question was "duration of disease" which was asked by medicine sellers in 76 %( 152/200) SCV. None of the medicine sellers asked about allergic history. Antibiotics were dispensed by medicine sellers in Dhaka city without prescriptions and appropriate indications. CBMJ 2020 January: Vol. 09 No. 01 P: 11-18

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