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Persepsi Dokter tentang Strategi Antimicrobial Stewardship Program di Sebuah Rumah Sakit Umum di Surabaya
Get PDFAntimicrobial Stewardship Programs (ASP) is designed to optimise antibiotic by implementing policies, strategies
and guidelines. This study aimed to investigate physicians’ perceptions towards ASP, and to identify their preferences of ASP strategies. A qualitative study using a semi-structured interview with physicians, in a public hospital in Surabaya was conducted to explore: 1) perception towards ASP implementation, and 2) preferences of ASP strategies. Thematic analysis was used to
analyse the interview data. A number of 27 physicians participated. In general, physicians reported positive responses regarding ASP implementation. Three issues on implementing ASP identified were: 1) to implement ASP is a consequence of being part of professional communities in the hospital; 2) to implement ASP is relevant to the improvement of hospital quality, and 3) to implement ASP if certain resources were made available. Most physicians selected ‘development of the therapeutic guideline and
clinical pathway’ as the ASP strategy of choice. The rationale of selecting specific strategy included: 1) agreement within hospital communities; 2) practicability and feasibility; and 3) use of research evidence. This present study provided insights into Indonesian
physicians’ perceptions towards ASP implementation. The findings can be used as a basis in developing appropriate ASP strategies within the Indonesian hospital contex
Memahami Tanda-tanda Kehancuran Kerajaan Majapahit dalam Novel Sabda Palon Pudarnya Surya Majapahit:Tragedi Cinta Selir Cina
No full textPenelitian ini membahas lima penanda penting dalam novel Sabda Palon Pudarnya Surya Majapahit yang berkorelasi dengan keruntuhan kerajaan setelah dipimpin oleh Bhre Kertabhumi. Kelima penanda tersebut adalah: bulan berwarna merah semangka; sekumpulan bintang mengitari bulan berwarna merah; bayangan kebakaran Kedathon Majapahit dalam semedhi Bhre Kertabhumi; bulan termakan bayangan hitam dalam penglihatan Arya Bangah dan Arya Gajah Para; dan keruntuhan gapura istana Kerajaan Keling ketika menyambut saudagar Tiongkok. Metode yang digunakan adalah metode semiotik dengan penyajian hasil berupa paparan deskriptif analitis. Hasil penelitian menunjukkan bahwa novel ini menyingkap peristiwa yang tidak terpublikasikan selama ini, khususnya terkait masalah asmara Raja Bhre Kertabhumi dengan selir dari Cina yang bernama Siu Ban Ci. Kelima penanda tersebut berkorelasi dengan masalah asmara yang secara perlahan, tetapi pasti menjadi faktor yang memperlemah kejayaan Majapahit. Penelitian ini menyimpulkan bahwa kelima penanda tersebut mengandung makna petaka besar untuk kerajaan
