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Literature Review: Aspek Hukum Pelepasan Informasi Medis Kepada Pihak Asuransi di Rumah Sakit
Get PDFOne function of medical records is used in the process of health financing. The health cost control mechanism that is recommended to be implemented by the government is health insurance. In the process of implementing health insurance, it is necessary to have medical information contained in medical record documents. The release of medical information that must be provided by the hospital in its implementation must comply with applicable legal regulations. In health services, especially in hospitals, the problem that often arises in releasing medical information is the use of written permission and the procedure for releasing it is not in accordance with applicable legal regulations. The purpose of this study was to identify the requirements for releasing medical information as well as procedures for releasing medical information and parties involved in the process of releasing medical information to insurers at the hospital. This research is a literature review research. The results of the SPO review for the release of medical record information to insurers at the hospital still do not guarantee the confidentiality of patient medical information as well as the parties involved are still at risk. The conclusion from this study is that 70% of the articles have used the patient's written consent/authorization optimally. As many as 90% of the articles already have SPOs regarding the release of medical information which are applied in each hospital. As many as 100% of articles involve parties that must be present, namely the applicant consisting of patients or insurers, doctors, and medical record officers.
Keywords: Legal Aspect, Insurance, Release of InformationSalah satu fungsi rekam medis adalah digunakan dalam proses pembiayaan kesehatan. Mekanisme pengendalian biaya kesehatan yang dianjurkan untuk diterapkan oleh pemerintah adalah asuransi kesehatan. Dalam proses pelaksanaan asuransi kesehatan diperlukan informasi medis yang terdapat dalam dokumen rekam medis. Pelepasan informasi medis yang harus diberikan oleh rumah sakit dalam pelaksanaannya harus sesuai dengan peraturan hukum yang berlaku. Dalam pelayanan kesehatan khususnya di rumah sakit masalah yang sering muncul dalam pelepasan informasi medis yaitu penggunaan izin tertulis dan prosedur pelepasannya tidak sesuai dengan peraturan hukum yang berlaku. Tujuan Penelitian ini untuk mengidentifikasi persyaratan dalam pelepasan informasi medis serta prosedur pelepasan informasi medis dan pihak yang terlibat dalam proses pelepasan informasi medis kepada pihak asuransi di rumah sakit. Penelitian ini adalah penelitian literature review. Hasil review SPO pelepasan informasi rekam medis kepada pihak asuransi di rumah sakit masih ada yang belum menjamin kerahasiaan informasi medis pasien begitupun pihak-pihak yang terlibat masih
berisiko. Kesimpulan dari penelitian ini sebanyak 70% artikel sudah menggunakan ijin tertulis/ surat kuasa pasien secara optimal. Sebanyak 90% artikel sudah ada SPO tentang pelepasan informasi medis yang diterapkan di masing-masing rumah sakit. Sebanyak 100% artikel sudah melibatkan pihak yang wajib ada yaitu pihak pemohon yang terdiri dari pasien atau pihak asuransi, dokter, dan petugas rekam medis.
Kata kunci: Aspek Hukum, Asuransi, Pelepasan Informasi.
 
ANALISIS PENGGUNAAN ALAT PELINDUNG DIRI SEBAGAI ANTISIPASI KECELAKAAN KERJA PADA KARYAWAN BAGIAN PRODUKSI DI SENTRA INDUSTRI MEBEL DESA SERENAN
Get PDFBackground: The use of Personal Protective Equipment (PPE) at the Serenan Village Furniture Industry Center is still low, although it is important to prevent work accidents. Based on data from BPJS Employment 2023 and Permenaker No. 8 in 2010, many accidents were caused by negligence in the use of PPE. Early observations show that only 30% of workers use it. Method: This research uses qualitative methods with interviews, observation, and documentation techniques for 12 production and finishing workers. The results show a low management commitment to work safety, limited availability of PPE, and weak socialization and supervision. The main obstacles include uncomfortable PPE, a lack of habits, and the absence of strict sanctions. Conclusion, the use of PPE has not been optimal. It is necessary to increase management commitment, adequate provision of PPE, as well as continuous socialization and supervision.
Keywords: Compliance, Furniture Industry, Occupational Safety, Personal Protective Equipment, Risk managementPenggunaan Alat Pelindung Diri (APD) di Sentra Industri Mebel Desa Serenan masih rendah, meskipun penting untuk mencegah kecelakaan kerja. Berdasarkan data BPJS Ketenagakerjaan 2023 dan Permenaker No. 8 Tahun 2010, banyak kecelakaan disebabkan kelalaian penggunaan APD. Observasi awal menunjukkan hanya 30% pekerja yang menggunakannya. Penelitian ini menggunakan metode kualitatif dengan teknik wawancara, observasi, dan dokumentasi terhadap 12 pekerja bagian produksi dan finishing. Hasil menunjukkan rendahnya komitmen manajemen terhadap keselamatan kerja, terbatasnya ketersediaan APD, serta lemahnya sosialisasi dan pengawasan. Kendala utama meliputi APD yang tidak nyaman, kurangnya kebiasaan, dan tidak adanya sanksi tegas. Kesimpulannya, penggunaan APD belum optimal. Saran diperlukan peningkatan komitmen manajemen, penyediaan APD yang memadai, serta sosialisasi danpengawasan yang berkelanjutan.
 
THE EFFECT OF BROILER CHICKEN MEAT MARINATION USING CUCUMBER SOLUTION (CUCUMIS SATIVUS L) ON MEAT QUALITY
No full textMost of the causes of meat spoilage are due to poor handling, which provides opportunities for contamination or growth of spoilage-causing microbes that can affect the quality and shelf life of the carcass. Marination becomes a strategic step in maintaining the quality of meat and extending its shelf life. To maintain the quality of the carcass during storage, the addition of cucumbers containing antibacterial compounds is necessary to inhibit the growth of spoilage-causing microorganisms. The purpose of this study is to determine the effect of soaking chicken meat in cucumber solution on the quality of chicken meat during the storage process. The method used in this study is a Completely Randomized Design (CRD) with four treatments and four replications, differing in storage duration at room temperature (0, 3, 6, and 9 hours). The data obtained were analyzed using the Analysis of Variance (ANOVA) test. If a significant treatment effect is found, it is followed by a comparison test using Duncan’s Multiple Range Test (DMRT) at a 5% significance level. Based on the statistical test, the chemical quality of pH and moisture content, as well as the physical quality of cooking loss, still show values within the standard feasibility range. The results of the ANOVA test show a significant difference in pH and cooking loss values, but no significant effect on moisture content values.
Keywords: Chicken meat, Cucumber, pH, Moisture content, Cooking los
COMPARATIVE EFFECT OF PLANTING MEDIA ON THE GROWTH OF ROBUSTA COFFEE SEEDLINGS (Coffea canephora L)
No full textThe selection of an appropriate growing medium significantly affects the growth and quality of robusta coffee seedlings, which ultimately influences the success of cultivation and coffee plant productivity. This study aimed to investigate the effects of different ratios of growing media composed of soil, rice husk charcoal, and compost on the development of robusta coffee seedlings (Coffea canephora L.). A completely randomized design with five treatment combinations of growing media—M1 (1:1:2), M2 (1:2:2), M3 (1:2:3), M4 (1:3:2), and M5 (1:2:1)—was applied, each replicated six times. The measured parameters included plant height, number of leaves, stem diameter, root number, root length, as well as fresh and dry weight of the seedlings, observed between 30 and 96 days after planting. Analysis of variance was used to assess the treatment effects on seedling growth. Results revealed that treatment M3 significantly produced the greatest plant height (13.65 cm) and stem diameter (5.57 mm), while M5 excelled in root number (21.67) and root length (21.42 cm). Statistically, the growing media had significant effects on plant height, stem diameter, and root characteristics, but no significant impact on fresh and dry weights. Specific media combinations created optimal physical and chemical conditions by enhancing aeration, water retention, and the availability of macronutrients such as nitrogen, phosphorus, and potassium. In conclusion, the growing medium with a soil:rice husk charcoal:compost ratio of 1:2:3 was the most effective for promoting vegetative growth of robusta coffee seedlings.
Keywords: Compost, Coffea canephora, Growing media, Rice husk charcoal, Robusta coffee, Seedling growt
Policy Paper: Optimalisasi Kecepatan Pelayanan Melalui Penerapan Sistem Informasi Manajemen Rumah Sakit (SIMRS) Terintegrasi
Get PDFDalam menyusun policy paper ini penulis mengambil tema : Optimalisasi Kecepatan Pelayanan Melalui Penerapan SIMRS (Sistem Informasi Manajemen Rumah Sakit) Terintegrasi . Rumah Sakit Umum Daerah Waled sebagai rumah sakit type B pendidikan yang memiliki berbagai pelayanan kesehatan di tuntut untuk memberikan pelayanan yang baik dan dapat memberikan kepuasan kepada masyarakat. Meskipun demikian ada beberapa masalah yang dapat di telaah sebagai isu strategis yang mana tingkat capaian BOR, LOS dan TOI belum sesuai standar yang di tetapkan oleh kementerian kesehatan.
BOR, LOS dan TOI belum sesuai standar ini di sebabkan oleh beberapa masalah lainnya meliputi : Kecepatan Pelayanan Rendah (Sumber Laporan Survey Kepuasan Pasien Tahun 2024), Sarana Prasarana dan alat kesehatan belum terpenuhi sesuai Standar (Sumber Aplikasi Sarana Prasarana dan Alat Kesehatan diakses Juni 2025) dan Standar Pelayanan Minimal Belum Optimal (Sumber Laporan SPM 2024), sehingga perlu adanya alternatif kebjakan yang tepat untuk mengatasi masalah tersebut.
Untuk meningkatkan ketercapaian BOR, LOS dan TOI belum sesuai standar, peningkatan kecepatan pelayanan dan keterbatasan sarana dan prasarana, dengan mengingat Undang-Undang Nomor 17 Tahun 2023 Tentang Kesehatan, Peraturan Menteri Kesehatan Nomor 82 Tahun 2013 Tentang Sistem Informasi Manajemen Rumah Sakit, Peraturan Menteri Kesehatan No. 24 Tahun 2022 Tentang Rekam Medis Elektronik dan Peraturan Menteri Kesehatan Nomor 18 Tahun 2022 Tentang Penyelenggaraan Satu Data Bidang Kesehatan Melalui Sistem Informasi Kesehatan, RSUD Waled akan menerapkan SIMRS (Sistem Informasi Manajemen Rumah Sakit) terintegrasi sebagai upaya menyelesaikan masalah-masalah di atas, kebijakan penerapan SIMRS (Sistem Informasi Manajemen Rumah Sakit) terintegrasi, menyangkut kepada Direktur sebagai penentu kebijakan, SDM Tekhnologi Informasi yang akan terlibat dalam pembuatan aplikasi pendukung, para professional pemberi asuhan (dokter, perawat, bidan, petugas farmasi dan petugas Gizi) sebagai pengguna, dan para kepala Bagian/Bidang yang akan melakukan monitoring dan evaluasi keberlangsungan system yang akan di gunakan.
Key Word :
BOR, LOS dan TOI, Kecepatan pelayanan, Sarana dan Prasarana yang memadai dan SIMRS (Sistem Informasi Manajemen Rumah Sakit) terintegrasi
Evaluasi Beban Kerja Perawat terhadap Kinerja dan Kualitas Pelayanan: Literatur Review
Get PDFNurse workload is a critical issue in healthcare because it can impact service quality, performance, job satisfaction, and the physical and mental health of healthcare workers. Maintaining service quality requires a balance between the number of healthcare workers, job demands, and a supportive work environment. This literature review aims to review various studies that examine the effect of workload on nurse performance, job satisfaction, and service quality. Furthermore, it also identifies the role of other factors such as emotional intelligence, work motivation, work fatigue, and work environment conditions that can strengthen or weaken these effects. This review analyzed 15 articles from various healthcare institutions in Indonesia and abroad (South Korea, Turkey, Lebanon, Iran, and the United States). The selected articles focused on the topic of workload and its impact on nurse performance and service quality, with publications spanning 2020–2025. The research methods used varied, ranging from quantitative surveys and correlational studies to cross-sectional studies and structural modeling. Data were typically collected using questionnaires and analyzed using regression, path analysis, SEM, and other statistical techniques. Several studies have found that excessive workload can increase stress, fatigue, and burnout, thereby reducing performance and service quality. However, a well-managed workload tailored to capabilities can actually improve job satisfaction and service quality, especially when supported by strong emotional intelligence and motivation. Factors such as limitations in care delivery, job satisfaction, emotional exhaustion, and positive psychological capital also influence how workload impacts service outcomes. A supportive work environment and organizational support also play a crucial role in improving nurse performance. Staff shortages and an unbalanced nurse-to-patient ratio increase the workload and reduce service quality.
ABSTRAK
Beban kerja perawat menjadi isu penting dalam pelayanan kesehatan karena dapat memengaruhi kualitas layanan, kinerja, kepuasan kerja, serta kesehatan fisik dan mental tenaga kesehatan. Agar mutu pelayanan tetap terjaga, perlu keseimbangan antara jumlah tenaga kesehatan, tuntutan pekerjaan, dan dukungan lingkungan kerja. Literatur ini bertujuan untuk mengulas berbagai studi yang membahas pengaruh beban kerja terhadap kinerja, kepuasan kerja, dan kualitas pelayanan perawat. Selain itu, juga mengidentifikasi peran faktor-faktor lain seperti kecerdasan emosional, motivasi kerja, kelelahan kerja dan kondisi lingkungan kerja yang dapat memperkuat atau melemahkan pengaruh tersebut. Review ini menganalisis 15 artikel dari berbagai institusi layanan kesehatan di Indonesia dan luar negeri (Korea Selatan, Turki, Lebanon, Iran, Amerika Serikat). Artikel yang dipilih berfokus pada topik beban kerja dan dampaknya pada kinerja serta kualitas pelayanan perawat, dengan rentang publikasi 2020-2025. Metode penelitian yang digunakan bervariasi, mulai dari survei kuantitatif, studi korelasional, cross-sectional, hingga pemodelan struktural. Data biasanya dikumpulkan dengan kuesioner dan dianalisis menggunakan regresi, analisis jalur, SEM, dan teknik statistik lainnya. Beberapa penelitian menemukan bahwa beban kerja yang terlalu tinggi dapat meningkatkan stres, kelelahan, dan burnout, sehingga menurunkan kinerja dan kualitas pelayanan. Namun, beban kerja yang diatur dengan baik dan sesuai kemampuan justru dapat meningkatkan kepuasan kerja dan mutu pelayanan, apalagi bila didukung oleh kecerdasan emosional dan motivasi yang baik. Faktor seperti pembatasan dalam pemberian asuhan, kepuasan kerja, kelelahan emosional, dan modal psikologis positif turut memengaruhi bagaimana beban kerja berdampak pada hasil pelayanan. Lingkungan kerja yang mendukung dan adanya dukungan organisasi juga berperan penting dalam meningkatkan kinerja perawat. Kekurangan tenaga dan rasio perawat-pasien yang tidak seimbang menambah beban kerja dan menurunkan mutu layanan
Needs Analysis for Designing Dynamic Game-Based Learning Media on Motion and Force in Junior High School Science
Get PDFUnderstanding Motion and Force remains challenging for junior high school students, particularly due to the abstract and multi-representational nature of the concepts. This study aimed to systematically identify learning difficulties, learner characteristics, media usage patterns, and digital habits through the Define stage of the 4-D development model as the foundation for designing game-based learning media. A mixed-methods needs analysis was conducted using classroom observations, a teacher interview, and a questionnaire administered to 93 seventh-grade students. Triangulated findings reveal persistent conceptual difficulties, especially in interpreting motion graphs, distinguishing types of motion, and understanding Newton’s Second Law. Classroom instruction was dominated by teacher-centered practices and static media, which constrained visualization and increased cognitive load. Despite frequent daily smartphone use, students had limited exposure to digital or interactive tools. Nevertheless, 98.9% expressed strong interest in educational games, indicating high readiness for game-based learning environments. The synthesis of front-end, learner, and task analyses highlights critical representational needs, including dynamic visualizations, interactive manipulation of variables, scaffolded conceptual tasks, real-time feedback, and mobile-friendly accessibility. These results provide explicit design specifications that will guide the next stage of media development, ensuring that the resulting game-based learning tool aligns with students’ cognitive, pedagogical, and technological needs
Diskursus Spiritualitas dalam Serat Kalatidha Karya Raden Ngabehi Ranggawarsita: Analisis Wacana Kritik Norman Fairclough
Get PDFThis study explores the discourse of spirituality in Serat Kalatidha by Raden Ngabehi Ranggawarsita through the lens of Norman Fairclough’s critical discourse analysis. The analysis focuses on the pupuh sinom, which reflects the poet’s spiritual response to moral decay in the zaman edan (age of madness). Using a descriptive qualitative method and literature study technique, the research reveals that Ranggawarsita responds to a corrupted social condition by choosing a spiritual path—distancing himself from worldliness and surrendering fully to God. The spiritual values constructed in the text encompass budidaya (inner and outer effort), eling (self-awareness), waspada (moral vigilance), and ndedonga (devotion through prayer). These four pillars serve as spiritual guidance—an “antidote” for navigating an era filled with uncertainty. Through the discourse analysis framework, Serat Kalatidha is revealed as a depiction of Ranggawarsita’s spiritual journey, born from his inner anxiety over a chaotic and unjust world.Penelitian ini membahas diskursus spiritualitas dalam Serat Kalatidha karya Raden Ngabehi Ranggawarsita. Teori diskursus Norman Fairclough diterapkan dalam penelitian ini. Fokus analisis terletak pada pupuh sinom, yang merefleksikan respons spiritual penyair terhadap kekacauan moral di zaman edan. Penelitian ini menggunakan metode deskriptif kualitatif dengan teknik studi pustaka. Hasil kajian menunjukkan bahwa Raden Ngabehi Ranggawarsita merespons situasi sosial yang rusak dengan memilih jalan spiritual yaitu menjauh dari keduniawian dan berserah kepada Tuhan. Nilai-nilai spiritual yang dikonstruksi dalam teks meliputi budidaya (usaha lahir dan batin), eling (kesadaran diri), waspada (kewaspadaan moral), dan berdoa (penyandaran sepenuhnya kepada Tuhan). Keempat pilar tersebut menjadi pedoman batin yang relevan sebagai “obat” spiritual sebagai cara untuk menghadapi zaman yang sarat ketidakpastian. Melalui teori diskursus, dapat diungkap bahwa Serat Kalatidha merupakan gambaran proses spiritual yang berangkat dari keresahan batin Raden Ngabehi Ranggawarsita terhadap kondisi dunia yang kacau dan penuh ketidakadilan
Pengaruh Mastery Experience Dan Verbal Persuasion Terhadap Self Efficacy Peserta Didik Di MTsN 10 Agam
No full textThis study is motivated by the phenomenon of low self-efficacy among some students at MTsN 10 Agam. Several students demonstrated pessimism, hesitation, low confidence, and a tendency to avoid active participation in learning activities. Self-efficacy defined as the belief in one’s own ability to accomplish tasks is a crucial factor in academic success and is influenced by factors such as mastery experience and verbal persuasion. This research aims to determine the effect of these two variables on students’ self-efficacy. Using a quantitative approach with an associative research design, a sample of 165 students was selected from a population of 281. Data were collected using a Likert-scale questionnaire and analyzed using simple and multiple linear regression with SPSS 26. The results showed that mastery experience had a significant effect on self-efficacy, contributing 79.5%, while verbal persuasion contributed 29.9%. Simultaneously, both variables accounted for 80% of the variance in students’ self-efficacy. These findings highlight the importance of successful personal experiences and constructive verbal support in enhancing students' confidence in learning contexts.Penelitian ini dilatarbelakangi oleh ditemukannya fenomena rendahnya self efficacy pada sebagian peserta didik di MTsN 10 Agam. Beberapa peserta didik menunjukkan sikap pesimis, ragu-ragu, mudah menyerah, dan kurang percaya diri dalam menyelesaikan tugas, bahkan cenderung menghindari peran aktif dalam kegiatan pembelajaran. Self efficacy atau keyakinan terhadap kemampuan diri sendiri merupakan aspek penting dalam keberhasilan belajar, yang dipengaruhi oleh berbagai faktor, di antaranya mastery experience dan verbal persuasion. Penelitian ini bertujuan untuk mengetahui pengaruh dua faktor tersebut terhadap self efficacy peserta didik. Menggunakan pendekatan kuantitatif dengan jenis penelitian asosiatif, sampel sebanyak 165 orang dipilih dari populasi 281 peserta didik. Data dikumpulkan melalui angket skala Likert dan dianalisis dengan regresi linier sederhana dan berganda menggunakan SPSS 26. Hasil penelitian menunjukkan bahwa mastery experience berpengaruh signifikan terhadap self efficacy dengan kontribusi sebesar 79,5%, sedangkan verbal persuasion berpengaruh sebesar 29,9%. Secara simultan, kedua variabel memberikan kontribusi sebesar 80% terhadap peningkatan self efficacy peserta didik. Temuan ini menegaskan pentingnya pengalaman keberhasilan nyata dan dukungan verbal dalam memperkuat keyakinan diri peserta didik dalam proses pembelajaran
A Digital Literacy and Pedagogical Transformation: A Case Study of Teachers’ Training in Remote Areas
No full textWith a focus on SMA Negeri 16 Gowa and SMP Negeri 1 Parigi Gowa, this study investigates how digital literacy aids in pedagogical transformation in rural schools. In order to support pedagogical transformation in rural schools, the main goals were to investigate the digital literacy of teachers, the efficacy of training programs, the difficulties in implementing digital learning, and potential models and solutions. A purposive sample of twelve teachers was used in a qualitative case study design. Semi-structured interviews, document reviews, and classroom observations were used to gather data. Teachers' abilities, experiences, and reflections were recorded by the instruments, and thematic analysis was used to examine the data. The results showed that although teachers have rudimentary to intermediate digital skills, they still hardly ever use sophisticated tools for interactive instruction. Because programs were frequently short-term and not adapted to local needs, existing training increased awareness but did not result in meaningful changes. Teachers also mentioned issues like inadequate devices, poor internet access, inadequate infrastructure, and low student engagement. The results of document analysis and interviews suggested that context-sensitive, mentoring-based training models would work better than one-time workshops. Teachers also offered doable fixes, such as bettering the infrastructure, collaborating with the community, and focusing professional development more locally. By emphasizing the significance of contextualizing digital literacy in rural education, this study makes a theoretical contribution. In a practical sense, it provides direction for educators and legislators in creating efficient support and training programs. It demonstrates how improved digital proficiency can support more engaging and globally relevant English language instruction in rural Indonesian classrooms