Publications of the Indonesian Scholars' Alliance
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Caesalpinia sappan L: REVIEW ARTICLE
Get PDFBackground: Caesalpinia sappan L, synonym Biancaea sappan L., is a medicinal plant used in Asia, especially India, China, and Southeast Asia. In Indonesia, Sappanwood (Secang) is traditionally consumed as herbal drink to boost immune system, kill bacteria, treat diarrhea, and tumor. Caesalpinia sappan L. contains homoisoflavonoids and phenols such as brazilin, brazilein, and other active ingredients.
Aim: The aim of this study is to report phytochemical contents and benefits of Caesalpinia sappan L for medicinal use.
Methods: The method used in finding articles was a literature review, using the keywords. Search was conducted electronically using several databases, including Science Direct and Google Scholar.
Results: Medicinal benefits from Caesalpinia sappan L have been proved by several studies. These medicinal effects are caused by the presence of Caesalpinia sappan's active ingredients such as brazilin, brazilein, 3-deoxysappanchalcone, sappanchalcone, Caesalsappanins A, G, H, and I.
Conclusion: Caesalpinia sappan L has medicinal benefits and could be applied to treat several diseases.
Keywords: Caesalpinia sappan L, traditional use, medicinal us
EFFECTS OF HEGU POINT SUPPRESSOR (LI 4) AND BIRTH BALL TECHNIQUE ON LABOR PAIN: A REVIEW
Get PDFBackground: Pain in labor is the cause of fear, anxiety and childbirth trauma among pregnant women so that it affects the health condition of the mother and the fetus. Non-pharmacological methods such as pressing the hegu point (LI 4) and birth ball technique are believed in reducing the intensity of labor pain without side effects. This study aims to analyze the effect of pressing hegu point (LI 4) and technique birth ball on labor pain.
Methods: This was a literature review using PRISMA-P (Preferred Reporting Items for Systemic Review and Meta-Analysis Protocols) to identify all published articles with ‘point hegu (L1 4)', ‘birth ball', and ‘labor pain' as the keywords. Electronic databases such as Google Scholar and Science Direct were used in searching the articles that were published between 2011 and 2019. Other criteria were articles that used experimental research design and written in English and Indonesian language.
Results: There were 18,072 articles recorded, of which 10 articles were included in the systematic review. By pressing hegu points (LI 4) for 20 minutes to 240 minutes, it helped mothers to reduce labor pain. Sitting on a birth ball by wiggling the pelvis relieved the labor pain, improved the self-control, as well as felt satisfied with birth experiences.
Conclusion: Methods of pressing hegu points (LI 4) and birth ball techniques can effectively reduce the intensity of labor pain. Further study can be conducted using other keywords and methods.
Keywords: Hegu point (LI 4), birth ball, labor pai
COMPLEMENTARY THERAPIES FOR LABOR INDUCTION AND THEIR LEGALITY IN INDONESIA: A LITERATURE REVIEW
Get PDFBackground: Labor induction is performed using two methods of pharmaceuticals and complementary therapies. The complementary therapies for labor induction in particular, have to be reviewed comprehensively as to come up with the most relevant therapies allowed to be performed by midwives in Indonesia in accordance with the applicable law. This study aimed to identify the effectiveness and safety of complementary therapies for labor induction that can be performed and also allowed by the applicable law.
Method: This was a literature review based on the PRISMA protocol guidelines. The full-text articles were obtained from several databases, such as Elsevier, Cochrane, PubMed, and local journals. These chosen articles were then reviewed to figure out the most effective interventions for labor induction. They were then further reviewed for compatibility with applicable midwifery law.
Results: Out of 1153 studies obtained, 44 studies were included in this review. The most effective complementary therapies for labor induction are acupuncture and acupressure. The current law does not allow midwives to perform acupuncture, but it states that acupressure can be administered. Acupressure has proven to be a successful intervention when it is coupled with aromatherapy or hypnobirthing.
Conclusion: Considering the effectiveness and safety of complementary therapies for labor induction, acupressure along with aromatherapy or hypnobirthing can be used after being administered in accordance with the applicable law. There is a need for further studies focusing on either the holistic therapy alternatives or the legal side of holistic therapy.
Keywords: Complementary therapies, labor induction, midwifery la
ACUPRESSURE AND YOGA COMBINATION CAN REDUCE ANXIETY DURING PREGNANCY: A SYSTEMATIC REVIEW
Get PDFBackground: Untreated anxiety during pregnancy causes the health problems among mothers and the fetus. Complementary and Alternative Medicine (CAM) such as acupressure and yoga is seen as the alternatives to deal with this anxiety. This study aims to determine if the combination of acupressure and yoga is effective to reduce anxiety during pregnancy.
Method: This study was a systematic review using the guidelines of the PRISMA. Articles were obtained from electronic databases Scopus, Science Direct, and PubMed by identifying published articles from January 2013 to March 2019. Articles were identified using keywords ‘acupressure', ‘prenatal yoga', and ‘anxiety in pregnancy'. All articles included in this study were only those who used intervention research design in the form of an RCT and pilot study.
Results: Ten of 1186 articles met the intended criteria in this study. The results showed that acupressure and yoga have significant benefits in reducing anxiety among pregnant women. It was also found that this combination potentially prevented the postpartum depression.
Conclusion: Acupressure and yoga interventions can be combined as non-pharmacological therapy to reduce anxiety during pregnancy. Further research with more specific interventions is needed to provide evidence of reducing anxiety during pregnancy.
Keywords: acupressure, prenatal yoga, anxiety during pregnanc
PATIENT SAFETY CULTURE IMPROVEMENT TO ENHANCE THE QUALITY OF HEALTHCARE IN HARAPAN BUNDA HOSPITAL JAKARTA
No full textBackground: One of the achievements in running health care service institutions (hospitals) is providing strategic health care services to improve health status. Harapan Bunda Hospital is a private hospital located in East Jakarta. Whose vision is to become the preferred hospital by providing the best quality service. One of the implemented programs was reporting incidents in the unit to the QPS Committee. However, the incident that occurred in Harapan Bunda Hospital is still not widely reported regularly by officers in the unit. In addition, there are many discrepancies in service delivery in the form of safety. Therefore, it is necessary to measure the Safety Culture at Harapan Bunda Hospital.
Methods: This research used quantitative method with design cross sectional and used descriptive analysis to seek whole picture of all patient safety variable that had been done by Harapan Bunda Hospital. The population in this research is all staff of Harapan Bunda Hospital which around 708 staff member. Researcher used systematic random sampling with Slovin calculation formula and get 256 minimum sample needed. Instrument used is Patient Safety Culture survey refer to Agency for Healthcare Research and Quality (AHRQ).
Results: The result of mean measurement patient safety culture in Harapan Bunda Hospital is 72%, it means Harapan Bunda Hospital was moderate Patient Safety Culture. There are dimensions being focused to improving patient safety culture; the overall perception of patient safety, feedback and communication about errors, communication openness, frequency of incident reporting, staffing and non-punitive responses to errors.
Conclusion: Meanwhile, the other 6 dimensions of safety culture have been included in the good category of safety culture. Thus, Harapan Bunda Hospital is expected to always carry out routine monitoring and evaluation of the measurement of safety culture.
Keywords: Patient Safety Culture, Hospital, Quality of Healthcar
EFFECTIVENESS OF CAESAREAN SECTION CLINICAL PATHWAY TOWARDS HOSPITAL LENGTH OF STAY: A SYSTEMATIC REVIEW
Get PDFBackground: Improving quality and efficiency in hospital services can be done by using Clinical Pathway (CP). CP can decrease the hospital length of stay and cost. In indonsia, the increasing number of Caesarean Section (SC) affects to the Length of Stay (LOS) in hospital. This study aims to examine the effectiveness of clinical pathway in caesaren section to length of stay in the hospital.
Methods: This study was a systematic review used PRISMA guidelines. Data obtained from Electronic journal databases Pubmed and ProQuest that published between 2014 until 2019 and used English language. By using keywords such as clinical pathway, childbirth labor, and length of stay to find the relevant journal.
Results: The search found out 4,937, studies from 2 journal databases. The articles that not suitable with the criteria inclusion must be exclude. Totally, 6 studies were analyzed in this study. 1 study explained the affect of increasing length of stay in the National Health Insurance, 2 studies mentioned that CP was not affected to the length of stay in hospital and 3 studies mentioned that CP was reduced the length of stay in hospital.
Conclusion: Clinical pathway in Caesarean section can reduced the length of stay in hospital. The hospital should implement the clinical pathway in caesarean section to increase the quality of hospital service and reduce the cost.
Keywords: Clinical Pathway, Childbirth Labor, Length of Stay, Casearean Sectio
HOSPITAL EMPLOYEES' PERCEPTION OF MARKETING STRATEGY AT H. ABDUL MANAP GENERAL HOSPITAL IN JAMBI CITY
Get PDFBackground: A hospital is required to be capable of maintaining its existence by developing effective marketing strategies to encounter the globalization challenges. The marketing strategy in the hospital is influential for its activities to provide appropriate services to the patient's needs. This study aims to determine the hospital employees' perception towards priority marketing strategy at H. Abdul Manap Regional Hospital.
Methods: This study was used the quantitative method with the descriptive analytic research. This research conducted in 602 people while the samples were 240 people, selected by accidental sampling technique. The primary data collection was conducted by employing a questionnaire as the survey method. The data analysis carried out was univariate analysis to obtain a percentage value description for each marketing strategy.
Results: The results identified that price was the top priority marketing strategy voted by 171 respondents (71.3%). On the second rank, Product was voted as the top marketing strategy by 141 people (58.8%). In the third position, Professionalism was voted by 132 people (55.0%) as the top priority for marketing strategy.
Conclusions: The research concludes that the hospital employees perceived that H. Abdul Manap General Hospital needed to prioritize price, product, and professionalism in developing its marketing strategies. It is advised that H. Abdul Manap General Hospital revise its price, develop new products based on patient needs, and provide professional human resources with good communication skills.
Keywords: Marketing Strategy, Perception, Hospital Employee
THE IMPACT OF CLINICAL PATHWAY TO EFFECTIVENESS OF PATIENT CARE IN CURRENT MEDICAL PRACTICE IN HOSPITAL: A LITERATURE REVIEW
Get PDFBackground: Clinical pathway is an effective way to maximize patient outcomes by organize and standardize care processes. Clinical pathway bring impact to the patient treatment and the quality of care in hospital. This study aims to examine the impact of clinical pathway in effectiveness of patient treatment in hospital.
Methods: This study was a literature review used PRISMA guidelines. Data obtained from electronic journal database ProQuest that published from January to December 2018 and used English or Indonesia language. The keywords of clinical pathway, care pathway, length of stay and mortality had been used to find relevant journal.
Results: The search of electronic journal database found 1,937 articles. Articles that were not suitable with inclusion criteria must be excluded. Totally, 6 articles were relevant for this study. The 6 articles were conducted in USA, Belgium, Australia, India, and China. The analyzed from these articles showed that clinical pathway gave positive impact to the length of stay and patient outcome in the hospital if the resources of the hospital were ready to implement clinical pathway.
Conclusion: Clinical pathway reduced the length of stay, improved the patient outcome, and reduced the mortality rate in hospital. To get the maximum benefit for implementing clinical pathway, the hospital must be prepared the environment and resources first before implementing clinical pathway.
Keywords: clinical pathway, care pathway, patient outcome, length of sta
PERCEPTION OF PICTORIAL HEALTH WARNING ON CIGARETTE PACKS, SMOKING BEHAVIOUR AND WANT TO QUIT SMOKING AMONG STUDENTS UNDERGRADUATE OF STATE ISLAMIC UNIVERSITY OF NORTH SUMATERA, INDONESIA
Get PDFBackground: Pictorial health warning on cigarette packs has been implemented since 2014, but smokers in Indonesia increase every years. Pictorial health warning on cigarette packs must be continuously evaluated regarding its effectiveness in reducing smoking behavior in Indonesia. Regulated about Regulations of pictorial health warning on cigarettes packs are expected to makesmokers to quit smoking and regulations that have been in effect since 2014 should have been evaluated to see pictorial health warning on cigarettes packs that can change the behavior of smokers or prospective smokers in adolescents. This study aims to describe perceptions of pictorial health warning on cigarette packs and smoking behavior and intention to quits smoking of undergraduate student of state Islamic University of North Sumatra.
Methodology: This research was conducted to students of the Islamic University of North Sumatra as many as 215 students. The study was conducted in March 2019 using a structured questionnaire that had been prepared. The data in this study will be presented in the form of frequency distributions and then the results are presented in the table.
Results: The results of this study indicate that the respondents felt not fear with pictorial health warning on cigarette packs as many as 165 people (76.7%). For the smoking behavior of students it was found that as many as 147 people (68.4%) stated that they had not smoking and respondents who stated smokers as many as 68 people (31.6%), wanted to stop smoking after seeing picture health warning on cigarette packaging as many as 28 people (41.2%). Respondents who said they would continue smokingeven though they had seen pictorial health warning on cigarette packs as many as 40 people (58.8%).
Conclusion: The majority of students undergraduates of the North Sumatra State Islamic University (UIN SU) were not afraid when they saw pictorial health warning on cigarette packs and students undergraduates have smoking behaviour. Those who smoke said they wanted to stop smoking after seeing pictorial health warning on cigarette packs especially when looking at ppictorial health warning on cigarette packs related to smoking resulting in lung cancer.
Keywords: Perception, Picture Health Warning, Smoking Behavior, Student
TURNAROUND TIME OF DIAGNOSTIC LABORATORY RESULTS AS A QUALITY IMPROVEMENT TO PATIENT SATISFACTION: A SYSTEMATIC LITERATURE REVIEW
Get PDFBackground: Laboratory information is increasingly recognized as a crucial factor to reduce diagnostic uncertainty and enhance quality care. Medical diagnoses and effective treatments depend on the accurate and timely reporting of laboratory test results, and the trend toward disease prevention and personalized care calls for more complex and effective tests and biomarkers. Today's clinical laboratory provides essential information for the diagnosis, monitoring, screening, prevention, early diagnosis, tailored treatment and more effective monitoring of human diseases. Response Time is an action that is carried out quickly and precisely to handle patients. While an ability for fast (responsive) service is the response time taken to the patient when the patient arrives to get a response. Response time is one indicator of service quality that affects patient satisfaction. The laboratory turnaround time is the starting point for the time of for receiving the sample, the time for registration, or the analytical sampling time and end point for analytical completion, the time for verification of results, the transfer of results to the time for medical record, and the time for report printing.
Methods: In this systematic review, we searched Pubmed, Science Direct, and Scopus database published from January 2010 to March 2019. The included studies were broadly classified as reporting from healthcare/hospital and international survey. There were 21 studies that met keywords searching criteria. Then we analysed based on the content of studies, matching to our objectives
Results: Out of 21 identified studies, we recognized 6 scholarly journals of turnaround time diagnostic laboratory results as quality improvement of medical care and medical diagnoses and that affects patient satisfaction. These studies concluded that turnaround time becomes a key element to patient safety that contributes to patient satisfaction.
Conclusion: Turnaround time as one of quality indicator in a laboratory setting. Improvement in this parameter could give benefit to the patient and deliver service excellence. Standardized reporting method is mandatory as it will not only allow the accreditation of clinical laboratories according to the International Standard but also to assure guidance for promoting improvement processes and guaranteeing quality care to patients and patient satisfaction