E-Journal Universitas Muhammadiyah Semarang
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Evaluating User Satisfaction with Hospital Management Information Systems: A PIECES Framework Analysis at Wates General Hospital
Get PDFThis study examines the impact of the PIECES framework—Performance, Information, Economics, Control, Efficiency, and Service—on user satisfaction with the Hospital Management Information System (SIMRS) at Wates General Hospital. Despite the hospital's adoption of SIMRS for managing inpatient daily census, issues with data accuracy persist, leading to concerns about system effectiveness and efficiency. Using a cross-sectional design, we collected data from 72 respondents through structured questionnaires and observations. The study employed univariate, bivariate, and multivariate analyses to assess the relationships between the PIECES aspects and user satisfaction. The findings reveal that each PIECES aspect significantly influences user satisfaction, with control and security emerging as dominant factors. Logistic regression analysis indicates that robust control and security measures drastically increase user satisfaction, followed by system performance. Based on these results, we recommend targeted improvements to SIMRS security protocols and system performance to enhance overall user satisfaction. This research contributes to the theoretical understanding of hospital information system evaluation and offers practical recommendations for improving implementation of SIMRS in healthcare settings
Penerapan terapi musik untuk mengurangi halusinasi pendengaran pada pasien dengan skizofrenia
Get PDFHalusinasi merupakan salah satu gejala dari gangguan persepsi sensori yang dapat dialami oleh penderita gangguan jiwa. Perubahan perilaku yang dapat muncul pada penderita halusinasi seperti tidak mampu membedakan keadaan nyata dan tidak nyataketakutan, khawatir, gelisah, bingung, perasaan tidak nyaman, kurang diperhatikan orang dan tidak mampu mengambil keputusan. Gangguan halusinasi dapat di atasi dengan terapi non farmakologi salah astunya yaitu terapi musik karen tidak dapat menimbulkan efek samping seperti obat-obatan, salah satu terapi non farmakologi yang lebih efektif adalah mendengarkan musik, terapi musik ini dilakukan selama 5 hari berturut-turut. Tujuan dari aplikasi ini adalah memberikan rasa tenang, membantu mengendalikan emosi serta menyembuhkan gangguan psikologi. Metode yang digunakan pada study kasus ini adalah dengan pendekatan asuhan keperawatan berupa pengkajian, merumuskan masalah, perencanaan, melakukan tindakan, dan evaluasi. Pendekatan pengukuran yang dipergunakan pre dan post menggunakan AHRS (Audiotory Hallucinations Rating Scale). Proses ini dilakukan selama 5 hari berturut-turut selama pagi dan sore hari selama 10-15 menit yang dilakukan pada 2 responden. Hasil evaluasi terjadi pasien mengalami penurunan dan gejala setelah dilakukan terapi musik yang diterapkan oleh penulis. Penerapan terapi musik mampu terbukti menurunkan tanda gejala halusinasi pendengaran pasien
Penerapan mobilisasi dini terhadap penurunan skala nyeri pasien pasca operasi bedah laminectomy
Get PDFTindakan pembedahan khususnya kasus dengan Laminectomy memiliki angka kejadian yang signifikan. Pasien yang menjalani pembedahan akan merasakan beberapa keluhan seperti nyeri pada luka operasi, kemudian berkembang menjadi ketakutan untuk melakukan pergerakan atau mobilisasi dini sehingga dapat menghambat dalam akitivas keseharian pasien. Tujuan dari studi kasus ini untuk mendeskripsikan penerapan mobilisasi dini terhadap penurunan skala nyeri pasien pasca operasi bedah laminectomy. Metode studi yang digunakan adalah studi kasus dengan pendekatan asuhan keperawatan berbasis pembuktian berdasarkan artikel yang telah di publikasi. Subyek dalam studi ini adalah pasien 24 jam pasca operasi laminectomy dan dalam keadaan sadar penuh serta mampu berkomunikasi secara verbal. Subyek berjumlah 3 pasien diberikan intervensi mobilisasi dini kemudian diobservasi tingkat nyeri dan hemodinamik sebelum dan setelah dilakukan mobilisasi dini dengan instrument numeric rating scale. Hasil studi kasus menunjukkan penerapan mobilisasi dini menurunkan tingkat nyeri dari nyeri sedang ke nyeri ringan, perubahan hemodinamik serta status fungsional pasien pasca bedah laminectomy. Diharapkan perawat dapat optimal dalam melakukan intervensi terhadap respon nyeri yang dirasakan pasien pasca bedah laminectomy salah satunya dengan mobilisasi dini
Penerapan terapi brandt daroff untuk menurunankan resiko jatuh pada pasien benign paroxysmal positional vertigo (BPPV)
Get PDFPasien Benign Paroxysmal Positional Vertigo (BPPV) banyak dijumpai di IGD RSUD KRMT Wongsonegoro dengan keluhan pusing berputar-putar. Tiga bulan terakhir ini angka kejadian BPPV di IGD RSUD KRMT Wongsonegoro sebanyak 25 kasus. Gangguan yang sering muncul pada BPPV adalah gangguan keseimbangan yang berisiko tinggi untuk mengalami jatuh. Salah satu terapi fisik non farmakologi yang dapat diterapkan untuk mengurangi atau menghilangkan gejala BPPV ialah menggunakan terapi Brandt Daroff. Studi kasus ini bertujuan untuk menggambarkan asuhan keperawatan pada pasien BPPV dengan memberikan intervensi salah satunya terapi brandt daroff. Desain studi kasus ini menggunakan deskriptif dengan pendekatan proses asuhan keperawatan. Subjek berjumlah dua orang, pengambilan kasus dilakukan di IGD RSUD KRMT Wongsonegoro. Terapi brandt daroff dilakukan maksimal 1 x 6 jam dengan dengan frekuensi pemberian terapi 1 set terdiri dari 5 kali gerakan dan dilakukan tiap 20 menit sekali. Pengukuran skala vertigo dan penilaian resiko jatuh dilakukan sebelum dan sesudah melakukan terapi brandt daroff. Alat ukur skala vertigo dan penilaian resiko jatuh menggunakan VSS SF dan MFS. Studi kasus ini menunjukan setelah dilakukan terapi brandt daroff pada kedua subjek studi kasus didapatkan hasil adanya penurunan skala VSS SF, sedangkan skala MFS belum mengalami penurunan setelah di berikan terapi brandt daroff karena latihan ini perlu dilakukan secara rutin dan waktu latihan yang lebih lama. Intervensi ini berpengaruh dalam mengurangi gangguan keseimbangan pada pasien BPPV
Strategi Nafkah Rumah Tangga Petani Padi Lahan Kering di Desa Kragan, Kecamatan Gondangrejo, Karanganyar
Get PDFThis research was conducted with the aim of uncovering daily life, the livelihood strategies implemented, and the sustainability of livelihood strategies for the lives of dry land rice farmer households in Kragan Village. This research was conducted using descriptive qualitative methods with a case study approach. The research location was determined purposively in Kragan Village, Gondangrejo District, Karanganyar Regency. Determination of informants was carried out using purposive sampling and snowball sampling. Data validity uses triangulation of sources and techniques. The research results reveal that (1) On-farm households predominantly utilize financial capital in the form of personal capital. On-farm and non-farm households predominantly utilize human capital. On-farm, off-farm and non-farm households predominantly utilize financial capital in the form of loan capital. (2) Based on the livelihood strategy implemented, dry land rice farming households in Kragan Village are classified into 3, namely on-farm farming households, on-farm and non-farm farming households and on-farm, off-farm and non-farm farming households. (3) The livelihood strategies of on-farm farming households include consolidation, while the livelihood strategies of on-farm and non-farm farming households, and on-farm, off-farm and non-farm farming households include survival
EFL students' Perspectives on Learning Grammar through English Conversation
Get PDFThis research aims to find out the EFL students' point of view on the importance of using grammar in a conversation. The research method used is descriptive qualitative. The data collection technique uses semi-structured interviews to explore EFL students' points of view. The subjects of this research were thirty students who are enrolled in the second-year English department class at Muhammadiyah University Semarang. Based on the interviews that have been conducted, the known results are that the majority of EFL students have the perspective that the use of grammar in speaking English is very important. EFL students recognize the importance of using useful grammar to understand meaning when speaking English. For them, being able to speak with perfect grammar is proof of someone's success in learning English.Keywords: EFL students, perspective, gramma
Analysis of Students' Motivation in Learning Chemistry: Descriptive and Comparative Studies
Get PDFThe aim of this research is to analyze the motivation of high school students in learning chemistry, investigating its determinants and inter-school differences. Using a quantitative descriptive and comparative approach, data were collected from 207 students across two high schools via a motivation questionnaire, with 156 valid responses retained for analysis. Results revealed a moderate overall level of motivation, with self-efficacy, active learning strategies, and achievement goals emerging as significant factors. Comparative analyses indicated differences in self-efficacy and performance goals between the two schools. The findings underscore the importance of understanding students' motivation in chemistry learning and its implications for educational practice. Future research could explore contextual and longitudinal influences on motivation, informing evidence-based interventions to enhance students' learning experiences and outcomes. This study contributes to the literature on student motivation in science education and provides insights for educators, policymakers, and researchers seeking to promote student engagement and achievement in chemistry
The Role of Firm Size in Moderating the Determinants of Financial Distress: Evidence from Indonesia’s Technology Sector
Get PDFThis study examines the effects of leverage, liquidity, operating cash flow, and audit committee characteristics on financial distress, with firm size as a moderating variable. The analysis covers 17 technology sector firms listed on the Indonesia Stock Exchange (IDX) during the period 2018–2023, selected through purposive sampling. Using multiple linear regression and processed with EViews 12, the results reveal that leverage has a significant positive effect on financial distress, indicating that firms with higher debt exposure face greater financial vulnerability. In contrast, liquidity, operating cash flow, and audit committee variables show no significant effects. Moreover, firm size does not moderate any of the relationships examined. These findings highlight the pivotal role of leverage in predicting financial instability, particularly in capital-intensive industries, and underscore the need for prudent debt management. The study contributes to the literature by integrating a moderating perspective and offers practical insights for enhancing early financial risk detection mechanisms in the technology sector
Systematic Review on Hospital Efforts to Maintain and Enhance Nurse Competence Worldwide
Get PDFNurses play a pivotal role in delivering high-quality healthcare globally. With the increasing complexity of healthcare systems, maintaining and enhancing nurse competence is essential to ensure patient safety, improve care outcomes, and adapt to technological advancements. This systematic review aims to synthesize recent evidence on hospital-based strategies and interventions implemented worldwide to sustain and improve nurse competence. A comprehensive literature search was conducted across multiple databases for peer-reviewed articles published between 2020 and 2025. Studies focusing on hospital initiatives for nurse competence development were included. Data extraction emphasized study design, intervention types, measured outcomes, and program effectiveness. The review identified several key approaches, including continuing professional development (CPD), simulation-based training, mentorship programs, competency assessment frameworks, digital learning platforms, and interprofessional collaboration initiatives. Evidence indicates that multifaceted strategies combining education, practical training, feedback mechanisms, and organizational support significantly enhance nurses’ clinical skills and confidence. Hospitals worldwide employ diverse yet complementary methods to maintain nursing competence amid evolving healthcare demands. Prioritizing structured CPD programs integrated with innovative teaching methods can optimize nurse performance. Future research should focus on the long-term impact of these interventions across varied cultural contexts
The Impact of Cervical Cancer on the Sexuality of Muslim Female Patients with Husbands: A Qualitative Phenomenological Study
Get PDFThe treatment period for the cancer cervix and its treatment can also cause various change physical and physiological, which can cause various problems one of which is the disturbance of sex. Cancer cervix in a manner directly affects the sexual organs, almost 50% of women with cancer cervix report dysfunction sexual. Dysfunction sexual This can be felt only by women just or women with a partner. Study This aim to see the aspect of sexuality specifically for patients with cancer cervix, based on a change in physical and psychological consequences of the disease and its treatment. This study used a phenomenological hermeneutic method, data collection was carried out using semi-structured interviews which were then transcribed. Data analysis using content analysis or content analysis. Research results obtained three themes namely: problem physical problems psychologically, the efforts made to overcome the problem with sex, and hope patience. Deep conclusions study this patient’s cancer cervix experience problem sexual dysfunction and need maintenance holistically