CORRELATION BETWEEN ORGANIZATIONAL FACTORS AND PERSONAL CHARACTERISTICS WITH OCCUPATIONAL STRESS AMONG ADMINISTRATION EMPLOYEES OF X HOSPITAL

Occupational stress occurs to anyone, including hospital workers who are at high risk of depression, commit suicide, and experience excessive anxiety. The stress was one of the long-standing problems that occur among them. This study aimed to determine the risk of occupational stress among administration employees at X Hospital. This research used a quantitative with cross-sectional approach. The sample for this research was all 58 of the office employees in X Hospital. The method used in this research was the total sampling method. This research was undertaken from March to June 2020. The research instrument was a questionnaire that includes personal characteristics (age, sex, and working period), occupational stress, and organizational factors (mental workload, working hours, and income). The result showed that 77.6% of employees deal with heavy occupational stress. The statistical analysis result showed that working mental workload (p-value= 0.009) had a significant correlation with occupational stress. Meanwhile, age (p-value = 0.404), sex (p-value = 0.094), working period (p-value = 0.480), working hours (p-value = 0.073), and income (p-value = 0.862) did not have significant correlation with occupational stress. Therefore, the hospital should pay more attention to employees, their mental health, and their occupational stress.Keywords: mental workload, income, age

BOJONEGORO CORRELATION BETWEEN RAISING LIVESTOCK AND ARI‘S INCIDENT IN CHILDREN UNDER TWO TLATAH VILLAGE BOJONEGORO DISTRICT

Latar Belakang: Infeksi Saluran Pernafasan Akut (ISPA) merupakan penyakit saluran pernapasan atas atau bawah yang biasanya bersifat menular dan dapat mengakibatkan berbagai spektrum penyakit. ISPA masih menjadi masalah kesehatan yang serius di negara berkembang seperti Indonesia. Tak hanya menyerang orang dewasa saja, ISPA juga menjadi penyebab utama kematian pada balita. Prevalensi ISPA di Indonesia pada tahun 2018 mencapai 9,3%, sedangkan prevalensi kasus ISPA pada balita di Bojonegoro mencapai 17,75% (Kemenkes, 2018). Berdasarkan data yang diperoleh peneliti dari posyandu Desa tercatat kasus ISPA pada tahun 2019 mencapai 253 kasus. Sebanyak 28 kasus ISPA terjadi pada balita usia 0-2 tahun. Tujuan: Menganalisis hubungan antara pemeliharaan hewan ternak di dalam rumah dengan kejadian ISPA pada balita usia 0-2 tahun di Desa Tlatah Kecamatan Purwosari Kabupaten Bojonegoro. Metode: Penelitian ini bersifat observasional dengan pendekatan cross sectional. Populasi dan sampel dalam penelitian ini adalah semua balita berusia 0 – 2 tahun di Desa Tlatah Kabupaten Bojonegoro yang berjumlah 40 orang sehingga teknik pengambilan sampel menggunakan total sampling. Data dikumpulkan menggunakan teknik wawancara dan observasi. Kemudian data dianalisis menggunakan uji chi-square. Hasil: Penelitian tidak menunjukkan adanya hubungan pemeliharaan hewan ternak dengan kejadian ISPA pada balita karena p = 0,364 > α = 0,05. Kesimpulan: Tidak terdapat hubungan antara pemeliharaan hewan ternak dengan kejadian ISPA pada balita di Desa Tlatah Kabupaten Bojonegoro. Kata kunci: ISPA, balita, hewan ternak

DIGITAL VERIFICATION CLAIM SYSTEM (VEDIKA) BPJS KESEHATAN SIDOARJO REGIONAL PUBLIC HOSPITAL IN 2019

Background: The Claim Digital Verification System (VEDIKA) is a system developed by BPJS Healthcare to reduce claim of pending, accelerate the process of verifying claims, and reduce the operational burden of BPJS healthcare. This is as a follow-up to the emergence of hospital complaints regarding the implementation of INA CBG'S claim payment, The complaint has an impact on hospital satisfaction rate against BPJS healthcare decline. Purpose: This study aimed to described the VEDIKA BPJS Healthcare at the Regional Public Hospital of Sidoarjoin 2019. Methods: This descriptive research was condented by researcher at the regional public hospital of Sidoarjo during August – February 2020. The unit analysis in this research is the installation of the regional public hospital of Sidoarjo and the ample are installation head, inpatient Coordinator, outpatient Coordinator, 2 entry V-claim officer, 8 claim file Sender officers, control officers And antifraud officers. All colected data presented in descriptive or narative form. Analytical techniques using univariate analysis. Result: The results showed that the submission of claims at the Regional Public Hospital of Sidoarjowas adjusted to the VEDIKA system, the number of hospital staff supported the implementation of the VEDIKA system so that the implementation of the VEDIKA system at the Regional Public Hospital of Sidoarjo could be carried out properly. Conclusion: submiting claims at the Regional Public Hospital of Sidoarjo has adjusted to the VEDIKA BPJS Healthcare system but in the implementation of the VEDIKA system it is still not optimal in minimizing file returns, the use of the Vclaim application which often experience server downtime and maintenance class rights that do not appear in the system output and often occur differences perceptions between hospitals and BPJS healthcare are due to the regulation of service episodes and the accuracy of claim documents. Suggestion: the need for BPJS Healthcare to develop the Vclaim output, the need for hospitals to conduct coding for the accuracy of claim documents and conduct marking.ABSTRAKLatarbelakang : Sistem Verifikasi Digital Klaim (VEDIKA) merupakan sistem yang dikembangkan oleh BPJS kesehatan untuk mengurangi klaim yang tertunda, mempercepat proses verifikasi klaim, dan mengurangi beban operasional BPJS kesehatan. Adanya sistem VEDIKA berawal dari munculnya keluhan rumah sakit terkait penerapan pembayaran klaim INA CBG’s sehingga menurunkan kepuasan rumah sakit terhadap kinerja BPJS kesehatan. Tujuan : tujuan penelitian adalah menggambarkan sistem VEDIKA BPJS Kesehatan di RSUD Kabupaten Sidoarjo tahun 2019. Metode : Jenis penelitian yang digunakan dalam penelitian ini adalah Deskriptif dilakukan di instalasi Pejaminan RSUD Kabupaten Sidoarjo pada bulan Agustus – February 2020. Penelitian ini menggunakan unit analisis dengan mewawancarai semua petugas di instalasi penjaminan diantaranya kepala Instalasi, koordinator monev rawat inap, koordinator rawat jalan, 2 petugas entry Vclaim, 8 petugas pengirim berkas, tim kendali JKN dan tim antifraud. Teknik penyajian data dalam penelitian ini adalah bentuk uraian narasi. Teknik analisis menggunakan analisis univariat. Hasil: Hasil penelitian menunjukkan bahwa pengajuan klaim di RSUD Kabupaten Sidoarjo sudah menyesuaikan dengan sistem VEDIKA, jumlah petugas rumah sakit menunjang dalam pelaksanaan sistem VEDIKA sehingga implementasi sistem VEDIKA di RSUD kabupaten Sidoarjo dapat dilaksanakan dengan baik. Kesimpulan : Pengajuan klaim di RSUD Kabupaten Sidoarjo sudah menyesuaikan dengan sistem VEDIKA BPJS Kesehatan namun pada pelaksanaan sistem VEDIKA masih belum optimal dalam meminimalisir pengembalian berkas, penggunaan aplikasi Vclaim yang sering mengalami server down dan hak kelas perawatan yang tidak muncul pada output sistem serta sering terjadi perbedaan persepsi antara rumah sakit dan BPJS kesehatan diakibatkan tentang regulasi episode pelayanan dan keakuratan dokumen klaim. Saran : perlunya BPJS kesehatan untuk mengembangkan output Vclaim, perlunya rumah sakit untuk melakukan pelatihan pengkodingan untuk keakuratan dokumen klaim dan mengadakan bencmarking.

CORRELATION OF PARENTING STYLE AND INFECTIOUS DESEASE TOWARDS TODDLERS NUTRITIONAL STATUS IN SCAVENGER FAMILIES

ABSTRACT The period of toodler (below five years old children) is very important; it is also a critical period which determines their future. Today, there are many children who have no adequate nutrients in their growth and development. The data in 2013 revealed that 17% or 98 million children in the developing countries underwent nutrition deficiency. The objective of the research was to find out the correlation of care pattern and infectious diseases with nutrition status of scavengers’ children at the Terjun Landfill, Medan Marelan Sub-district. The research used a survey method with cross sectional design. The samples were 84 toodlers at Lingkungan I, Kelurahan Paya Pasir. The variables were care pattern and infectious diseases. The data were analyzed by using chi square test. The result of the research showed that 45 children had good nutritional status, based on BB/U (Weight/Age), TB/U (Height/Age), and BB/TB (Weight/Height). Care pattern was assessed from three sub-variables: feeding pattern, health practice, and sanitation practice. All in all, the majority of the women had care pattern well, and there were two infectious diseases: diarrhea and ISPA (Acute Respiratory Tract Infection). The result of chi square test showed that there was no correlation between care pattern and toodler’s nutritional status, but there was the correlation between infectious diseases and their nutritional status (p=0.002). It is recommended that women not take their children to a landfill since children are vulnerable to infection. Hygiene and environmental sanitation should be promoted so that the respondent will be prevented from infectious diseases.Keywords: Balita, Care Pattern, Infectious Disease, Nutritional Status, Scavengers

MATERNAL CHARACTERISTICS AND COMPLEMENTARY FEEDING FOR CHILDREN UNDER 2 YEARS OLD: A CORRELATION STUDY IN TLATAH VILLAGE, PURWOSARI, BOJONEGORO

Background: Complementary feeding (MPASI) is substitute meals for 6 months old child to meet nutritional needs that are no longer sufficient by exclusive breastfeeding. There are several factors that can affect the delivery of MPASI by maternal namely, maternal age, level of education dan maternal occupation. Purpose: The purpose of this study is to find out the relationship between maternal age, education and occupation towards the provision of MPASI in children aged 0-2 years. Method: This research is a quantitative research with d analytics using cross sectional design. Variable characteristics of the maternal include; age, level of education and occupation. The population are all maternal who has children aged 0-2 years in Tlatah Village, Purwosari, Bojonegoro as many as 42 people and samples from simple random sampling techniques into 38 people. This research has passed the ethics review from Faculty of nursing Universitas Airlangga Number : 1769-KEPK. Result: based on statistical review using chi square test with α = 0,05, there is a relationship (p value = 0,000) between level of education to provision of MPASI and there are no relationship between maternal age (p value = 0,560) and maternal occupation (p value = 0,527) to MPASI. Conclusion: There is a relationship between level of education to the provision of MPASI and There is no relationship between maternal age and maternal occupation to the provision of MPASI.

ANALYSIS OF DIFFERENCES IN THE PROVINCE OF BREASTFEADING BASED ON SOCIODEMOGRAPHIC CHARACTERISTICS IN EAST NUSA TENGGARA PROVINCE, 2017

Analisis life table merupakan analisis terhadap suatu data waktu ketahanan sampai terjadinya suatu peristiwa. Salah satu bentuk aplikasi dari metode life table dapat diterapkan untuk mengetahui durasi pemberian treatment tertentu, salah satunya yaitu untuk analisis lama pemberian ASI pada bayi. Tujuan: Tujuan penelitian ini adalah menganalisis dan membandingkan median waktu lama pemberian ASI pada bayi antar kategori variabel berdasarkan data karakteristik sosiodemografi di wilayah Provinsi Nusa Tenggara Timur. Metode: Penelitian menggunakan data sekunder, sehingga jenis pengukuran dalam studi ini tidak membutuhkan adanya respon aktif dari responden. Penelitian ini mencakup analisis deskriptif dan analisis menggunakan metode life table. Populasi pada penelitian ini adalah data Wanita Usia Subur (WUS) yang ada di Provinsi Nusa Tenggara Timur berdasarkan data SDKI tahun 2017. Penelitian ini tidak melakukan pengambilan sampel, karena merupakan studi populasi.Hasil:Hasil penelitian berdasarkan factor demografi menunjukkan bahwa terdapat perbedaan lama pemberian ASI pada variabel pendidikan terakhir (p = 0,003), sedangkan variabel lain pada faktor sosiodemografi yaitu usia (p = 0,895) dan status pekerjaan (p = 0,866) tidak memiliki perbedaan yang signifikan. Variabel yang memiliki perbedaan signifikan dan median waktu yang lebih tinggi yaitu ibu dengan pendidikan terakhir SD (16,07 bulan). Kesimpulan: Hasil dapat dilakukan perbaikan dan pembuatan kebijakan untuk meningkatkan angka cakupan pemberian ASI sebagai salah satu upaya mengatasi permasalahan gizi di Provinsi Nusa Tenggara Timur.

EVALUATION OF TUBERCULOSIS PROGRAM SURVEILLANCE IN THE DEPARTMENT OF HEALTH IN BLITAR DISTRICT 2018

Latar Belakang: Tuberkulosis (TB) masih terus menjadi endemik di berbagai wilayah di dunia, termasuk di India, penilaian klinis, pengujian, pelacakan kontak, konfirmasi diagnosis dengan rejimen pengobatan yang diawas. Pemberantasan yang efektif menjadi salah satu penyakit yang penanggulangannya menjadi komitmen global dalam SDGs. Menunjang keberhasilan program penanggulangan TB diperlukan adanya data epidemiologi penyakit TB yang dapat diperoleh melalui kegiatan surveilans epidemiologi TB. Tujuan: mengetahui gambaran dan evaluasi komponen system dan atribut surveilans TB di Dinas Kesehatan Kabupaten Blitar tahun 2018. Metode: penelitian ini merupakan penelitian kualitatif dengan rancang studi evaluasi. Evaluasi sistem surveilans di Dinas Kesehatan Kabupaten Blitar di lakukan dari April – Juni 2018 dan data. Evaluasi system surveilans program TB dilakukan dengan wawancara untuk memperoleh informasi. Hasil: Berdasarkan komponen sistem surveilans diperoleh bahwa Pengumpulan data yang dilakukan petugas kesehatan dianggap mudah mulai dari alur pengumpulan data, pengisian formulir hingga alur pelaporan walaupun dalam pengiriman laporan masih ada Puskesmas yang terlambat dalam proses pengiriman ke aplikasi SITT. Proses analisis hanya dilakukan ditingkat Dinas Kesehatan, sedangkan ditingkat Puskesmas tidak dilakukan analisis. Pada komponen output, umpan balik yang dilakukan Dinas Kesehatan Kabupaten adalah dengan melakukan monitoring mengenai pengumpulan data serta pengiriman laporan melalui aplikasi Whatssapp dan melakukan miniloka setiap 3 bulan.Kesimpulan: Sistem surveilans TB di Kabupaten Blitar masih memerlukan perbaikan dalam pelaksanaannya dalam hal pengumpulan data, analisis data, ketersediaan pedoman surveilans TB hingga pengetahuan petugas terkait dengan surveilans TB.

THE EFFECT OF HEALTH PROMOTION WITH BOOKLET AND VIDEO MEDIA ON KNOWLEDGE OF BALANCED NUTRITION IN ADOLESCENT AT SMKN 1 CIKULUR BANTEN

Nutritional health problems in adolescents are eating behaviors that do not conform to balanced nutritional guidelines, such as consuming less fruits and vegetables, consuming soft drinks, eating fast food, rarely breakfast, lack of physical activity, etc. This can happen due to the lack of knowledge that teenagers have about balanced nutrition. Therefore, health promotion is necessary to improve balanced nutritional knowledge in adolescents. This study aims to determine the effect of health promotion with booklet and video on knowledge of balanced nutrition in adolescents. This research method is a quasi-experimental design with a non-equivalent control group design. The study was conducted by health promotion using booklet and video. The sampling technique was purposive sampling with a sample of 106 people consisting of 53 experimental groups and 53 control groups. Wilcoxon statistical test results on balanced nutrition knowledge provided with booklet and video obtained a p-value of 0,000. The results of the Mann Whitney statistical test on the knowledge of balanced nutrition obtained a p-value of 0,000. There is a difference in knowledge of balanced nutrition before and after health promotion is given both using booklet and video and there is a difference in knowledge of balanced nutrition after being given health promotion between using booklet and video. It is recommended that teenagers can apply balanced nutritional knowledge in their daily lives.

The Correlation Between Safety Climate With Unsafe Act In Apartment Building Construction Workers Pt. Multikon 2020

Construction is one of the highest industries in contributing to work accident rates. Unsafe act is the cause of 73% of work accidents. One way to prevent unsafe act is through safe behavior implemented by management and workers themselves. This study aims to determine the correlation between the safety climate with unsafe act. This research uses quantitative analytic methods with cross sectional design study. Data was analyzed using chi-square with a sample of 88 people selected by purposive sampling method. The results showed that the proportion of respondents who frequently perform unsafe acts was 33%. In bivariate analysis showed there were a relevant relationship between the dimensions of management safety empowerment (OR 2.455; 95% CI 1.06-5.87), worker’s safety priority and risk non-acceptance (OR 2.679; 95% CI 1.05- 6,83) and the dimensions of safety communication, learning and trust in co-worker’s safety competence (OR 2,500; 95% CI 1.05-5.91) with unsafe act. Workers who have a good perception of a safety climate rarely take unsafe actions.

Risk Factors Associated With The Incidence Of Ari In Infants Ages 0-2 Years In One Of The Highest Contributing Areas For Ari, East Java

Latar Belakang: ISPA masih menjadi masalah utama penyebab kematian bayi dan balita di Indonesia. Ada beberapa faktor yang berhubungan dengan kejadian ISPA diantaranya: asap rokok, umur anak, berat badan lahir, status gizi kurang, tidak memberikan ASI, riwayat imunisasi yang tidak lengkap, dan pemberian vitamin A. ISPA masih menjadi masalah utama kunjungan balita pelayanan kesehatan di Desa Tlatah, Purwosari, Bojonegoro. Purpose: Menentukan Faktor Risiko yang Berhubungan dengan Kejadian ISPA Pada Bayi Usia 0-2 Tahun Di Desa Tlatah, Purwosari, Bojonegoro. Metode: Jenis Penelitian ini adalah deskriptif analitik dengan menggunakan rancangan Cross Sectional. Sampel penelitian berjumlah 34 responden dari 42 responden yang mempunyai bayi usia 0-2 tahun. Hasil: Hasil penelitian ini dengan uji chi square menunjukkan bahwa ada hubungan antara paparan asap rokok anggota keluarga dan status gizi anak dengan kejadian ISPA pada bayi usia 0-2 Tahun Di Desa Tlatah, Purwosari, Bojonegoro dengan nilai (p=0,001; RR=6.353; 95%CI=1.008-40.056) dan (p=0,000; RR=0.391; 95%CI=0.235-0.651). Kesimpulan: Oleh karena itu, diharapkan anggota keluarga memperhatikan kondisi anak dengan tidak melakukan perilaku yang tidak sehat sehingga keluarga dapat meningkatkan derajat kesehatan anak dan anggota keluarga lainnya.