Jurnal Online Universitas Muhammadiyah Surabaya
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Overview of Nurses' Knowledge of Hand Hygiene in Implementing Patient Safety in Intensive Care Units
Get PDFHand hygiene is a simple step that is effective in reducing infection rates, but is often overlooked by health workers. Low hand hygiene in health workers is partly influenced by health workers' ignorance of how hands can be contaminated and ignorance of the importance of hand hygiene in reducing the spread of infection. This study aims to explore nurses' knowledge of hand hygiene in intensive care units. Methods: This study used a qualitative study design with a phenomenological approach. This study involved 15 clinical nurse supervisors who were interviewed in-depth using semi-structured interview guidelines with inclusion criteria: aged 25-45 years, being a clinical supervisor in the room, work experience> 8 years. Data from in-depth interviews were transcribed and data were analyzed using the Van Mannen analysis method. Results: Knowledge of hand hygiene nurses is based on: understanding of germ transmission, so that nurses are able to prevent transmission and accompanied by regulations on the implementation of hand hygiene which are guidelines for its implementation. Conclusion: Clinical nurse supervisors in hand hygiene are based on knowledge, social support and behavior in implementing hand hygiene. The implications of the results of this study are information in efforts to improve the fulfillment of hand hygiene so that in meeting health needs, they not only meet patient needs but also pay attention to the risk of germ transmission
The Relationship Between Maternal Anxiety and Basic Immunization in Toddlers
Get PDFThere is still a lot of anxiety experienced by mothers in giving immunizations to. So, it is common to give incomplete immunizations to children. Factors that often influence maternal anxiety in giving immunizations are behavioral views, interpersonal views, age, gender, educational status, and occupation. This research is conducted to analyze the correlation between maternal anxiety and giving basic immunization to toddlers in Sedayulawas Village, Brondong District. This research uses correlation analytic research methodology with cross sectional approach. The population is 57 mothers in Sedayulawas Village, Brondong District and the sample is 50 respondents selected by consecutive sampling technique. The independent variable is anxiety and the dependent variable is basic immunization. The research data are collected within 3 weeks using the HARS questionnaire and the MCH handbook. The data are analyzed using Spearman Rank Test correlation test with p˂0.05. The results of this research indicate that the no anxiety level shows percentage of 38.0% or 19 respondents. Basic immunization is mostly complete with a percentage of 52.0% or 26 respondents. The results of the analysis show that there is a correlation between maternal anxiety and giving basic immunization in Sedayulawas Village, Brondong District (p = 0,000 ˂ α 0,05 with the correlation value of 0.780). It means that there is a strong correlation between maternal anxiety and basic immunization for toddlers in Sedayulawas Village, Brondong District. Conclusion of the research: There is a strong correlation between maternal anxiety and giving basic immunization to children under five-year-old in Sedayulawas Village, Brondong District. Therefore, mothers who have toddlers need to participate in health education regarding complete basic immunization and ask a lot of questions before giving immunizations
Strategi Optimalisasi Aspek Operasional Dalam Bisnis Modern di Era Perkembangan Digital
Get PDFThe objective of this research is to identify and analyze strategies to optimize operational aspects in modern businesses in the era of digital development. The primary objective of this research is to assess the methods by which companies can enhance efficiency, productivity, and competitiveness by integrating operational management approaches and digital technology. The research method employed is a qualitative approach, incorporating literature study techniques to facilitate an in-depth understanding of the dynamics of business operations in the digital era. This method also enables the identification of trends and best practices based on credible academic and industry sources. The novelty of this research lies in the comprehensive approach used to combine classic operational management strategies, such as Just-In-Time and supply chain agility, with modern digital technologies such as the Internet of Things (IoT), Artificial Intelligence (AI), and blockchain. This research establishes an integrative framework that can be adaptively applied in the Indonesian business context by combining the concepts of operational efficiency and digitalization. The results of this study are expected to serve as a strategic reference for businesses in implementing digital innovations effectively and sustainably in their business processes..
Keywords: Operational Management, Digitalization, Just-In-Time, Supply Chain Agility
Penelitian ini bertujuan untuk mengidentifikasi dan menganalisis strategi untuk mengoptimalkan aspek operasional dalam bisnis modern di era perkembangan digital. Fokus utama dari penelitian ini adalah untuk mengevaluasi bagaimana Perusahaan dapat meningkatkan efisiensi, produktivitas, dan daya saing dengan mengintegrasikan pendekatan manajemen operasional dan teknologi digital secara bersamaan. Metode yang digunakan dalam penelitian ini adalah pendekatan kualitatif dengan teknik studi literatur memberikan pemahaman yang mendalam mengenai dinamika operasional bisnis di era digital, serta mengungkap tren dan praktik terbaik berdasarkan sumber-sumber akademis dan industri yang kredibel. Kebaruan dari penelitian ini terletak pada pendekatan komprehensif yang digunakan untuk menggabungkan strategi manajemen operasional klasik, seperti Just-In-Time dan kelincahan rantai pasokan, dengan teknologi digital modern seperti Internet of Things (IoT), Artificial Intelligence (AI), dan blockchain. penelitian ini membangun sebuah kerangka kerja integratif yang dapat diaplikasikan secara adaptif dalam konteks bisnis di Indonesia dengan menggabungkan konsep efisiensi operasional dan digitalisasi, hasil studi ini diharapkan dapat menjadi acuan strategis bagi pelaku bisnis dalam mengimplementasikan inovasi digital secara efektif dan berkelanjutan dalam proses bisnisnya..
Kata Kunci: Manajemen Operasional, Digitalisasi, Just in time, Kemampuan Rantai Paso
Analysis of the implementation of additional selection of village head candidates in bangkalan regency from a human rights perspective
Get PDFThis research aims to analyze the implementation of additional selection of village head candidates in Bangkalan Regency based on Bangkalan Regent Regulation No. 89/2020 from a human rights perspective. The main focus of this research is to discuss the restrictions on village head candidates stipulated in the policy, as well as its implications for the right to be elected and participate in governance at the village level. In the context of local democracy, these restrictions raise questions about the compatibility of the selection rules with human rights principles, particularly the rights to equality and non-discrimination. This research uses a normative legal research method with a statute approach, examining various relevant regulations and assessing the extent to which this policy is in line with human rights provisions at both the national and international levels. The results show that this additional selection has the potential to limit individual political rights and needs to be reconsidered within a human rights framework.Penelitian ini bertujuan untuk menganalisis pelaksanaan seleksi tambahan terhadap bakal calon kepala desa di Kabupaten Bangkalan berdasarkan Peraturan Bupati Bangkalan Nomor 89 Tahun 2020 dari perspektif hak asasi manusia. Fokus utama penelitian ini adalah membahas adanya pembatasan calon kepala desa yang diatur dalam kebijakan tersebut, serta implikasinya terhadap hak untuk dipilih dan berpartisipasi dalam pemerintahan di tingkat desa. Dalam konteks demokrasi lokal, pembatasan ini memunculkan pertanyaan tentang kesesuaian aturan seleksi dengan prinsip-prinsip hak asasi manusia, khususnya hak atas kesetaraan dan non-diskriminasi. Penelitian ini menggunakan metode penelitian hukum normatif dengan pendekatan perundang-undangan (statute approach), mengkaji berbagai regulasi yang relevan dan menilai sejauh mana kebijakan ini selaras dengan ketentuan hak asasi manusia baik di tingkat nasional maupun internasional. Hasil penelitian menunjukkan bahwa seleksi tambahan ini berpotensi membatasi hak politik individu dan perlu dipertimbangkan ulang dalam kerangka hak asasi manusia.Keywords: Seleksi tambahan, calon kepala desa, hak asasi manusia, Peraturan Bupati Bangkalan, pemilihan kepala desa
Penerapan Model Pembelajaran Project Based Learning (PjBL) Berbantuan Media Komik untuk Meningkatkan Hasil Belajar pada Materi Gaya Gravitasi Siswa Kelas 4 SDN Kauman 1 Malang
Get PDFAbstract: This classroom action research aims to improve student learning outcomes on the topic of gravitational force through the implementation of the Project Based Learning (PjBL) model assisted by comic media in class IV SDN Kauman 1 Malang. The study was conducted in two cycles, each consisting of planning, action, observation, and reflection stages. Data were collected through tests, observations, and field notes. The findings showed that students' learning outcomes improved significantly in each cycle. In the pre-cycle, only 42.8% of students reached the minimum completeness criteria (KKM), increasing to 71.4% in cycle I and 89.3% in cycle II. The use of comic media made abstract concepts more concrete and enhanced students’ engagement. The study concludes that PjBL with comic media is effective in improving student learning outcomes in science subjects.
Keyword: Classroom action research, comic media, gravitational force, project based learningAbstrak: Penelitian tindakan kelas ini bertujuan untuk meningkatkan hasil belajar siswa pada materi gaya gravitasi melalui penerapan model Project Based Learning (PjBL) berbantuan media komik di kelas IV SDN Kauman 1 Malang. Penelitian dilakukan dalam dua siklus yang masing-masing terdiri dari tahapan perencanaan, pelaksanaan, observasi, dan refleksi. Teknik pengumpulan data dilakukan melalui tes, observasi, dan catatan lapangan. Hasil penelitian menunjukkan bahwa hasil belajar siswa mengalami peningkatan signifikan pada setiap siklus. Pada prasiklus, hanya 42,8% siswa yang mencapai Kriteria Ketuntasan Minimal (KKM), meningkat menjadi 71,4% pada siklus I, dan 89,3% pada siklus II. Penggunaan media komik membantu memvisualisasikan konsep abstrak serta meningkatkan keterlibatan siswa dalam proses belajar. Dengan demikian, model PjBL berbantuan media komik efektif untuk meningkatkan hasil belajar IPA siswa.
Katakunci: Gaya gravitasi, media komik, penelitian tindakan kelas, project based learning
Hubungan Tingkat Pengetahuan Remaja dengan Ketepatan Pemilihan Produk Kosmetik Pemutih Kulit pada Siswi SMK di Kediri
Get PDFLatar Belakang: Di Indonesia saat ini tidak sedikit masyarakat beranggapan bahwa
perempuan cantik itu mereka yang berkulit putih seperti orang Korea. Obsesi berkulit
putih membuat kalangan remaja putri menempuh berbagai macam cara agar kulitnya
lebih putih daripada sebelumnya. Kepercayaan yang timbul bahwa orang yang berkulit
putih itu cantik dan berkuasa mulai ada sejak penjajahan bangsa Eropa di Asia Selatan
dan Asia Tenggara, karena suatu alasan yaitu ras kulit putih merupakan penguasa dan
ras pribumi setempat merupakan jajahan. Tujuan: Mengetahui hubungan tingkat
pengetahuan remaja dengan ketepatan pemilihan produk kosmetik pemutih kulit pada
siswi SMK di Kediri. Metode: Penelitian ini menggunakan metode cross sectional
dengan teknik pengambilan sampel Simple Random Sampling pada siswi SMK di
Kediri. Hasil: Dari uji analisis menggunakan uji chi square menunjukkan bahwa
adanya hubungan antara tingkat pengetahuan dengan ketepatan pemilihan produk
dengan jumlah responden 62 orang, p value yang didapatkan adalah 0,00 taraf
signifikansi (p<0,05) artinya terdapat hubungan antara variabel independent dan
dependent. Kesimpulan: Terdapat hubungan yang signifikan antara tingkat
pengetahuan siswi dengan ketepatan pemilihan produk kosmetik pemutih kulit pada
siswi SMK di Kediri.
Kata Kunci : Tingkat Pengetahuan, Ketepatan Pemilihan, Kosmetik Pemutih Kuli
HUBUNGAN DURASI DIABETES MELITUS TIPE 2 DAN KADAR HBA1C DENGAN TIPE RETINOPATI DIABETIK
Get PDFLatar Belakang: Pada tahun 2021 sebanyak 73,7 % pengidap Diabetes melitus (DM)
atau sekitar 14,34 juta jiwa orang Indonesia hidup dengan penyakit diabetes melitus
tidak terdiagnosis. Salah satu komplikasi diabetes adalah retinopati diabetik yang
tergolong dalam komplikasi mikrovaskular yang diakibatkan hiperglikemi yang
berkepanjangan atau kondisi lainnya yang berkaitan dengan DM. Retinopati diabetik
memengaruhi 80% pasien diabetes. Tujuan: Penelitian yang dilakukan ini memiliki
tujuan agar dapat mengetahui hubungan durasi diabetes melitus tipe 2 dan kadar HbA1c
dengan tipe RD. Metode: Penelitian termasuk dalam analitik observational yang
menggunakan studi jenis Cross sectional. Hasil: Analisis data kelompok usia
didominasi rentang usia 55-59 tahun dan 60-64 tahun (35,3%). Analisis kadar HbA1c
didominasi rentang usia 55-59 tahun dan 60-64 tahun dengan durasi DM tipe 2 > 5
tahun (52,9 %). Tipe retinopati diabetik yang mendominasi NPDR (54,9 %).
Kesimpulan: Penelitian menunjukkan tidak terdapat hubungan yang signifikan antara
DM tipe 2 dengan RD. Akan tetapi, terdapat hubungan yang signifikan antara kadar
HbA1c dengan tipe RD.
Kata Kunci : Retinopati Diabetik, Diabetes Melitus Tipe 2, Kadar HbA1
Miopia Tinggi pada Kehamilan : Case Report
Get PDFBackground: High Myopia (HM), defined as a myopic refractive error of ≥6 diopters
(D) or an axial length (AL) greater than 26.5 mm, is associated with various typical
pathological changes, such as fundus tessellation, conus, macular lesions, as well as
peripheral retinal and choroidal lesions. The choroid and retina are thought to be
vulnerable to the effects of pregnancy. HM is associated with retinal changes, and
patients with HM have a high risk of experiencing retinal detachment. Objective : This
case report aims to describe high myopia in pregnancy. Case Presentation : A 23-year-
old woman, GIP00000, at 37 weeks of gestation, came to the emergency department of
Dr. Soegiri Lamongan General Hospital with complaints of intense abdominal tightness
and swollen, painful feet. Her vision appeared blurred. High blood pressure was noted
in the third trimester. An obstetric examination showed that the fetal head had not
entered the pelvic inlet. Clinical symptoms included blurred vision, with visual acuity
results of VOD -8.00 D and VOS -8.00 D. Conclusion : High myopia in pregnancy is
a rare case. Diagnosis is based on patient history, clinical symptoms, and supportive
examinations. High myopia is not a contraindication for normal delivery. However,
high myopia poses a significant risk during pregnancy, which was considered as a basis
for a cesarean section to reduce risks in our case.
Keywords : Myopia, pregnancy, High Myopia in Pregnancy, retinal detachment
Hubungan Neutrophil-to-Lymphocyte Ratio (NLR) dengan Luaran Pasien Ventilator Associated Pneumoniae (VAP) di Rumah Sakit Siti Khodijah Muhammadiyah Cabang Sepanjang
Get PDFLatar Belakang : Ventilator-Associated Pneumonia (VAP) merupakan pneumonia nosokomial dengan tingkat mortalitas tinggi. Kejadian mortalitas yang tinggi pada VAP dapat diminimalisir apabila proses inflamasi parenkim paru dapat diketahui dengan lebih cepat dan mudah. Salah satu biomarker proses inflamasi VAP adalah NLR. Beberapa penelitian menunjukkan NLR merupakan indikator yang sensitive untuk berbagai kondisi infeksi dan inflamasi. Namun, belum banyak penelitian yang relevan terkait NLR sebagai biomarker VAP secara khusus. Tujuan : Mengetahui hubungan NLR dengan luaran pasien VAP di Rumah Sakit Siti Khodijah Sepanjang. Metode : Penelitian ini merupakan penelitian observasional analitik dengan pendekatan cross-sectional. Teknik pengambilan sampel menggunakan teknik consecutive sampling dari tahun 2022-2024, didapatkan 14 sampel rekam medis pasien VAP. Uji statistika penelitian ini menggunakan uji korelasi Spearman rho. Hasil : Usia sampel pada penelitian ini sebagian besar berasal dari kelompok usia 60-69 tahun (50,0%). Terdapat kesamaan jumlah data dari sampel berjenis kelamin laki-laki dan perempuan. Nilai NLR sampel hampir seluruhnya tinggi, yaitu sebanyak 13 sampel (92,9%). Distribusi luaran sampel VAP didominasi sampel meninggal yaitu sebesar 8 sampel (57,1%). Tidak terdapat hubungan signifikan secara statistik antara NLR dengan luaran pasien VAP pada penelitian ini (p=0,264, CI 95% (-0,270 – 0,735)). Namun nilai koefisien korelasi penelitian ini menunjukkan arah positif atau searah (r=0,320). Kesimpulan : Tidak ada hubungan yang signifikan secara statistik antara NLR dengan luaran pasien VAP di Rumah Sakit Siti Khodijah Muhammadiyah Sepanjang
STRENGTHENING UNDERSTANDING OF NATIONAL ASSESSMENT QUESTION MATERIAL THROUGH REVIEW OF QUESTION MATERIAL AND INTRODUCTION TO COMPUTER DEVICES IN CLASS V STUDENTS OF KANDANGAN STATE PRIMARY SCHOOL
Get PDFThe researcher's aim in studying this phenomenon is based on the National Assessment replacing the PBB which is designed as an evaluation carried out by the government to assess the quality of educational services in educational units with the aim of improving and increasing the quality of student learning on an ongoing basis. This requires careful preparation from both educators and students. ANBK questions consist of reasoning questions which make students feel confused when working on them. Therefore, a strategy is needed by teachers to provide additional study hours for students to review and discuss the questions that will be tested during ANBK implementation. Apart from that, students are also trained to know and operate computers, which is the most important part of preparing students for ANBK