E-Journal Unismuh Palu - Universitas Muhammadiyah Palu
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The Role of Stakeholders in the Provision of Minimum Service Health Care in Wonosobo Regency
No full textIntroduction: Wonosobo regency is one of the districts with the lowest achievement of minimum service standards in the health sector in Central Java. In 2022, Wonosobo District could only achieve 16.67%. The implementation of a policy requires the cooperation of all stakeholders. The low achievement of Wonosobo District shows the lack of commitment of the local government and other stakeholders in efforts to provide health services according to minimum service standards.
Objective: This study aims to identify the stakeholders involved and how their roles in the fulfilment of health services according to minimum service standards in Wonosobo district so that it can be an evaluation material for stakeholders in optimising efforts to fulfil minimum service standards.
Method: This research uses a descriptive method with a qualitative approach. The research informants were identified using a purposive mechanism based on stakeholder involvement. Primary data collection in this research was conducted through in-depth interviews using tools such as interview guidelines, recording and note-taking equipment. Secondary data was obtained through legislative documents and derivative products issued by the Wonosobo District Government and its subordinate organisations, as well as literature reviews.
Result: The results of the stakeholder identification show that there are 9 stakeholders involved, representing policy-making groups (Wonosobo District Parliament, Wonosobo District Secretariat, Wonosobo District Development Planning Agency, Wonosobo District Health Office), policy-implementing groups (District Health Office, PHC and health cadres) and support groups outside the system (sub-district government, village government and PKK cadres).
Conclusion: Based on the mapping conducted, there are two categories of stakeholders in this study, namely key players and subjects. Wonosobo District Parliament, Wonosobo District Secretariat, Wonosobo District Development Planning Agency, Wonosobo District Health Office, and PHC are in the key player position. Health cadres, sub-district governments, village governments and PKK cadres are in the subject position
Nursing Intervention to Reduce Anxiety of Acute Coronary Syndrome Patients Undergoing Cardiac Catheterization: Literature Review
No full textBackground : Cardiac catheterization is the procedure of inserting a catheter into the heart through an artery or vein. Before undergoing a cardiac catheterization procedure, patients may experience anxiety, which can impact the heart's physiological response and heart health, as well as increase the risk of cardiovascular disease.
Objective: Determine how effective Benson's relaxation techniques and educational videos are in reducing anxiety in patients undergoing cardiac catheterization.
Method: The PICO structure was used as a guide to search the literature on anxiety reduction. The population under considered is individuals who experience anxiety. The interventions studied were Benson's use of video education and relaxation techniques. The searches were conducted between 2019 and 2023, through databases such as ProQuest, PubMed, Scholar, and Sciencedirect.
Results: Of the 5,045 articles found, only 12 met the criteria and were assessed. The results of the study showed that the use of educational videos was successful in reducing anxiety levels in patients before undergoing cardiac catheterization procedures. In addition, Benson's relaxation technique has also been shown to help reduce anxiety in patients undergoing the same procedure.
Conclusion: The Benson relaxation method was successful in increasing patient comfort and reducing anxiety, but educational videos can be a useful alternative
Occupational Health & Safety Cost Analysis in Civil Construction Projects
No full textIntroduction: Occupational Health and Safety (OHS) costs are crucial for implementing safety management systems in the construction sector, particularly in Indonesia. Previous studies emphasize the potential benefits of effective OHS cost planning in reducing workplace accidents and associated costs.
Objective: This study aims to analyze the allocation of OHS costs and its correlation with workplace accidents across various construction projects in Indonesia.
Method: A descriptive analysis approach was employed to examine OHS cost allocation and incident rates in ten construction projects conducted by a state-owned company across multiple regions in Indonesia. Data analysis utilized Microsoft Excel and SPSS, with Pearson correlation tests conducted to assess relationships between variables.
Result: The study found significant variation in OHS cost allocation, ranging from 0.20% to 1.23% of project value across different projects. Larger projects tended to allocate a lower percentage of their budget to OHS compared to smaller ones.
Conclusion: Effective planning of OHS costs is essential not only in terms of percentage allocation but also considering project size, duration, workforce size, and technological aspects. The study underscores the importance of comprehensive cost-benefit analyses to further understand the impact of OHS provision on accident prevention in construction projects
Effect of Exclusive Breastfeeding on the Risk of ARI in Under-Five Children: Literature Review
No full textIntroduction: Acute Respiratory Infection (ARI) is a major health problem in under-five children which can cause death. Exclusive breastfeeding can prevent infections, one of which is ARI.
Objective: This study aims to examine the relationship between exclusive breastfeeding and the risk of ARI in under-five children.
Method: This research uses a literature review approach which measures the relationship between exclusive breastfeeding and the risk of ARI in under-five children. The data source uses secondary data in the form of articles obtained through two databases, namely Scopus and Springer Link.
Result: There are 5 articles that meet the requirements for research. Four out of five articles prove that exclusive breastfeeding reduces the risk of children under five getting ARI. The finding of a higher risk of ARI in the group of children under five who are not exclusively breastfed can be caused by a decrease in the immunity of children under five, seeing that breast milk is proven to fight infection. The content of sIgA and lactoferrin in breast milk and immunization can increase the immune system in children under five who suffer from ARI.
Conclusion: Breast milk has nutrients in it which are useful for preventing infectious diseases, such as ARI and pneumonia in children under five. Given the influence on the health of children under five, the findings of this study demonstrate the need for improvements in breastfeeding programs, with a particular emphasis on exclusive breastfeeding and ARI management. There is a need for widely accessible health workers, information, and services connected to care for moms
Analysis Stakeholders: Role in the Implementation of Stunting-Spesific Interventions for Breastfeeding Mothers in Karanganyar Regency
No full textIntroduction: Karanganyar Regency has a high prevalence of stunting in 2022, reaching 22.3%. One of the most crucial target groups in stunting-specific intervention efforts is breastfeeding mothers. The implementation of specific interventions requires the role of various stakeholders to ensure the success of the program.
Objective: To determine the role of stakeholders involved and how their interests and authority in the implementation of specific interventions to accelerate stunting reduction in the target group of breastfeeding mothers in Karanganyar Regency.
Method: This research uses a qualitative descriptive method and selecting subjects using the snowball sampling method. Primary data collection in this research was carried out by in-depth interviews and observations, using tools such as interview guidelines, recording devices and notes. Secondary data used in this research came from legislative documents and derivative products derived by the Karanganyar Regency Government.
Result: The stakeholder role analysis show that there were 16 stakeholders who had roles based on their interests and authority to accelerate stunting reduction in the target group of breastfeeding mothers. Stakeholders with the role of Key Players are District Health Office, Baperlitbang, and DP3APPKB, who had the greatest influence on successful implementation. Stakeholders with the role of subjects are Primary Health Centre (Puskesmas) who had a high interest in implementation, and stakeholders with the role of crowd are Health Cadres who support the success of implementation.
Conclusion: The part that have the most dominant role in implementing stunting-specific interventions for breastfeeding mothers are District Health Office, Baperlitbang, and DP3APPKB. Primary Health Centre (Puskesmas) had influence and power in implementing the intervention only within the scope of the Puskesmas itself. Meanwhile, cadres play a supporting role that can be utilized in stunting interventions
The Effect of Workload and Stress on Work Productivity in Nurses at Sabah Al Ahmad Urology Center Kuwait
No full textBackground: Nursing is a profession that receives a lot of pressure and has an extreme workload that can cause stress and reduce work productivity due to the heavy tasks that nurses have to perform, which in turn can result in considerable work-related tension. This is especially relevant during the current period of uncertainty that has emerged as a result of the COVID-19 pandemic
Objective : Toevaluate the effect of workload and stress on the work productivity of nurses. In a complex healthcare environment, nurses often face high workload demands and significant stress levels, which can affect their productivity.
Methods: This research method uses a quantitative approach with a Cross Sectional research design. Data was collected through a questionnaire given to a sample of nurses working in hospitals. This questionnaire includes a measurement scale to measure the nurse's workload level, stress level, and work productivity level. Data analysis was carried out using SEM PLS.
Results: The results of the analysis showed that there was no significant relationship between workload and nurse work productivity (p value 0.194 >0.05) and there was a significant relationship between work stress and nurse work productivity (p value 0.0000 <0.05). The higher the level of workload experienced by nurses, the higher the level of stress they experience, and the lower their work productivity. The implication of this study is the importance of effective workload management and stress management in an effort to increase the work productivity of nurses.
Conclusion: There is a significant relationship between work stress and nurse work productivity in SAUC. This means that the work stress felt by nurses at SAUC affects the work productivity of nurses at SAUC, when the level of stress experienced by nurses at SAUC is getting higher, it will cause a decrease in the work productivity of nurses at SAUC
Implementasi Pencegahan Infeksi dengan Masalah Risiko Infeksi pada Pasien Post Operasi Apendisitis di RSUD Undata Sulawesi Tengah: Implementation of Infection Prevention with the Problem of Infection Risk in Post-Operating Appendicitis Patients at Undata Hospital, Central Sulawesi
No full textAppendiks adalah ujung seperti jari yang kecil panjangngya kira kira 10 cm 94 inci, melekat pada sekum tepat dibawah katup ileosekal. Appendiks berisi makanan dan mengosongkan diri secara teratur ke dalam sekum. Karena pengosongannya tidak efektif dan lumennya kecil, appendiks cenderung menjadi tersumbat dan rentan terhadap infeksi.Desain studi kasus yang di gunakan merupakan studi kasus deskriptif, studi kasus deskritif adalah jenis studi yang memberikan deskritif suatu kasus tertentu, dan membutuhkan peneliti untuk memulai penelitian untuk menggunakan teori deskritif untuk menjelaskan desain penelitian secara terperinci.Hasil pengkajian yang didapatkan pada pasien bernama Tn. A mengatakan luka post op terasa panas dan terasa nyeri berskala 3, data obyektif didapatkan luka post op tampak kemerahan, bengkak, dan Tn. A tampak sulit bergerak, TTV, TD 110/70 mmhg, SpO2 98%, Nadi 84 x permenit, RR 22 x permenit, Suhu 36 ,5 ?, Tn. A mengatakan tidak ada keluarga yeng mengidap penyakit yang sama dengan Tn. A. Diagnosa keperawatan yang didapatkan pada pasien Tn.A yaitu risiko infeksi berhubungan dengan efek prosedur invasive. Setelah diterapkannya tindakan keperawatan pencegahan infeksi pada implementasi H-1 di dapatkan luka tampak kemerahan dan bengkak dan pada implementasi H-2 di dapatkan luka tampak kemerahan dan bengkak dan pada implementasi H-3 menunjukkan hasil luka membaik dan bengkak menurun. Kesimpulan dari pengkajian yang dilakukan kepada Tn. A didapatkan implementasi selama 3 hari menunjukkan hasil luka membaik dan bengkak menurun.
 
Asuhan Keperawatan pada Ny.S Kasus Gastritis terhadap Penurunan Skala Nyeri dengan Teknik Relaksasi Nafas dalam di Ruangan IGD RSUD Undata Provinsi Sulawesi Tengah: Nursing Care for Mrs. S Gastritis Case to Reduce Pain Scale with Deep Breathing Relaxation Techniques in the Emergency Room of Undata Hospital, Central Sulawesi Province
No full text Gastritis termasuk proses inflamasi atau gangguan kesehatan yang disebabkan oleh faktor iritasi dan infeksi pada mukosa dan submukosa lambung. Salah satu manifestasi klinis yang terjadi pada pasien gastritis adalah nyeri. Nyeri akan berkurang dengan dilakukannya tindakan nonfarmakologis yaitu teknik relaksasi nafas dalam. Desain penelitian ini adalah desain studi kasus deskriptif, populasi dalam penelitian ini adalah pasien dengan diagnosa gastritis yang berada di Instalasi Gawat Darurat RSUD Undata Provinsi Sulawesi Tengah. Hasil penelitian dari pengkajian yang dilakukan kepada Ny.S ditemukan data subjektif, Ny.S mengatakan nyeri ulu hati tembus kebelakang, nyeri dirasakan sejak pagi hari, terasa mual, BAB cair lebih dari 4 kali serta merasa badannya lemas. P : nyeri memburuk jika ditekan, Q : seperti ditusuk-tusuk, R : nyeri perut bagian atas, S : skala nyeri 7 (nyeri berat), T : nyeri hilang timbul pasien tampak meringis, tampak gelisah TD :169/90 mmHg, Nadi : 64x/menit, Suhu : 36.5ºc, R : 24x/menit, SPO2 : 100%. Diagnosa yang ditemukan pada Ny. S yaitu Gastritis. Setelah dilakukan teknik relaksasi nafas dalam terjadi penurunan skala nyeri yaitu pada implementasi pertama hasilnya :keluhan nyeri pasien belum menurun yaitu tetap di angka 7, dan pada implementasi kedua nyeri menurun ke angka 5 Kesimpulan dari penelitian ini adalah dilakukan implementasi pertama nyeri belum menurun, dan setelah dilakukan implementasi yang kedua keluhan nyeri pasien menurun dari skala 7 menjadi skala
Implementasi Pemberian Relaksasi Benson untuk Mengurangi Nyeri pada Pasien Post Operasi Fraktur di RSUD Undata Provinsi Sulawesi Tengah: Implementation of Benson Relaxation to Reduce Pain in Post-Operational Fracture Patients at Undata Hospital, Central Sulawesi Province
No full textFraktur merupakan penyebab kematian ketiga di Indonesia setelah penyakit jantung koroner dan tuberculosis. Fraktur disebabkan oleh kecelakaan kerja maupun kecelakaan lalu lintas (Noorisa et al., 2017, patah tulang merupakan ancaman potensial atau nyata bagi seseorang, maka mereka mengalami gangguan fisiologis dan psikologis yang dapat menimbulkan reaksi berupa nyeri. Tujuan umum dari penulisan studi kasus ini adalah melakukan implementasi pemberian relaksasi Benson untuk mengurangi nyeri pada pasien post operasi fraktur di RSUD Undata Provinsi Sulawesi Tengah. Metode studi ini menggunakan metode deskriptif yaitu suatu penelitian yangdilakukan dengan tujuan utama untuk mendeskripsikan (memaparkan)peristiwa-peristiwa penting yang terjadi pada masa kini. Setelah diberikan intervensi relaksasi Benson pada pasien post operasi fraktur untuk mengurangi nyeri dilakukan 2 kali dalam 2 hari diwaktu pagi dan sore hari dengan durasi kurang lebih 15 menit secara rutin, nyeri berat dengan skala nyeri6. Hasilnya nyeri ringan (skala nyeri 2 ). Kesimpulan setelah dilakukan relaksasi benson pada pasien post operasi fraktur dengan masalah keperawatan nyeri akut didapatkan bahwa skala nyeri 2 nyeri ringan. 
Badan Pertanahan Nasional sebagai Mediator dalam Penyelesaian Sengketa Tanah di Tinjau Dari Peraturan Kepala BPN Nomor 11 Tahun 2016 : National Land Agency as a Mediator in the Resolution of Land Disputes Reviewend from the Regulation of the Head of BPN Number 11 Of 2016
No full text Mediasi merupakan proses negosiasi pemecahan masalah, dimana pihak luar yang tidak memihak (impartial) bekerjasama dengan pihak yang bersengketa untuk mencari kesepakatan bersama. Dalam mediasi, penyelesaian perselisihan atau sengketa lebih banyak muncul dari keinginan dan inisiatif para pihak, sehingga mediator berperan membantu mereka mencapai kesepakatan. Dengan menggunakan jasa mediator orang tidak perlu beramai-ramai ke Pengadilan atau sendiri-sendiri dalam menyelesaikan sengketa yang bersengketa. Lebih jelasnya, jenis perkara yang dimediasikan yaitu; kecuali perkara yang diselesaikan melalui prosedur Pengadilan Niaga, Pengadilan Hubungan Industrial, keberatan atas putusan badan penyelesaian sengketa konsumen, dan keberatan atas putusan Komisi Pengawas Persaingan Usaha, semua sengketa perdata yang diajukan ke Pengadilan tingkat pertama wajib lebih dahulu diupayakan melalui perdamaian dengan bantuan mediator. Tujuan penyelesaian sengketa oleh BPN berdasarkan Perkaban tersebut adalah untuk memberikan kepastian hukum dan keadilan mengenai penguasaan, pemilikan, penggunaan dan pemanfaatan tanah, BPN dalam Perkaban No.11 Tahun 2016 mengatur penyelesaian sengketa pertanahan melalui mediasi, yaitu penyelesaian sengketa berdasarkan prinsip musyawarah untuk mufakat bagi kebaikan semua piha