VISIKES: Jurnal Kesehatan Masyarakat
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EVALUASI PELAKSANAAN SISTEM SURVEILANS HEALTHCARE ACQUIRED INFECTIONS (HAIS) DI RSU HAJI SURABAYA TAHUN 2020
Healthcare Acquired Infections (HAIs) or nosocomial infections are infections that occur in patients during hospitalization. HAIs are classified into 4 namely Catheter-Associated Urinary Tract Infection, Surgical Site Infection, Ventilator-Associated Pneumonia, and Blood Stream Infection. The purpose of this study is to evaluate the implementation of the HAIs surveillance sistem. The research method used is a descriptive evaluation study with an observational research design. The data sources used are the Reports and dissemination of HAIs Surveillance at RSU Haji Surabaya in 2019-2020. The results showed that HAIs cases at RSU Haji Surabaya in 2020 were 0.03%. The problems in the implementation of HAIs surveillance are the accuracy and completeness of data reports, implementation support facilities, and employee participation in training has not been running optimally, application bundle items are under repair, and job rotation for employees. Conclusion : the implementation of HAIs surveillance activities is in accordance the Regulation of the Peraturan Menteri Kesehatan Republik Indonesia Number 27 of 2017 Tentang Pedoman Pencegahan Dan Pengendalian Infeksi di Fasilitas Pelayanan Kesehatan, but the implementation still running unoptimally, researchers recommend the implementation of reward and punishment activities for surveillance officers as a solution to improve the sistem surveillance
UJI KLINIS FAKTOR FISIKA, KIMIA, BIOLOGI LIMBAH KONDESAT AC SEBAGAI AIR MINUM DI UNIVERSITAS ISLAM LAMONGAN
Peningkatan polusi udara menyebabkan suhu udara lingkungan makin naik. Banyak orang yang membutuhkan alat untuk meurunkan suhu ruangan. Banyak AC yang dibeli serta limbah buangan air AC dibuang begitu saja. Jumlah yang banyak tersebut menghasilkan kondensat air AC yang sangat banyak. Banyaknya air kondensat tersebut akan sia-sia jika dibuang tanpa diolah dan tanpa dimanfaatkan.Tujuan dari penelitian ini adalah untuk menguji parameter fisika, kimia, serta mikrobiologi. Tujuan tersebut digunakan untuk menentukan kelayakan kondensat air AC sebagai air minum. Penelitian ini adalah penelitian deskriptif kuantitatif, dengan pengambilan sampel secara sampling. Hasil penelitian yang diperoleh yakni parameter fisika, parameter kimia serta parameter mikrobiologi memiliki nilai yang sangat kecil dan dibawah batas ambang yang telah ditentukan. Karena itu kondensat air AC direkomendasikan sebagai air minum. Keywords: Kondensat air AC, air minum, parameter uj
Persepsi Mahasiswa Keperawatan Tentang Eskalasi Tenaga Perawat
According to the Ministry of Health the number of nurse graduates per year is 46,865 people, the annual national need is 24,825, and the excess production of nurses is 11,067-22,060 per year. The increase in educational institutions has an impact on increasing graduates, nursing students are the generation of nurses, so this situation is very worrying to the nursing profession. The purpose of this study was to study the perceptions of Diploma 3 Nursing students at Bethesda Yakkum Yogyakarta Nursing School about the influence of nurses' workforce escalation. This study uses a Qualitative Design with a Phenomenology approach. The instruments used were human instruments with interview guidelines. The population was 61 Diploma 3 Nursing students in semester VI, samples were taken by purposive sampling of 5 participants. The analysis used is content analysis, and the triangulation technique used is source triangulation. This study shows students know the current condition of nurses, an increase in nurses makes students disappointed with the lecture process that has been undertaken, educational institutions increase so that graduates increase, but absorption is not optimal. This situation will result in unemployed nurses and nurses not working according to the profession. The hope of government students is to open up employment opportunities so nurses can contribute to the country in health development. Although students know about the escalation of nurses, but students are optimistic, confident in their abilities, will be entrepreneurial in health, and knowledge can be beneficial to the surrounding. Keywords: Nursing Students, Nurse Personnel, Nurse Escalatio
Analysis of Implementation of Tuberculosis Control and Prevention Program in Purwoyoso Primary Healthcare Center, Semarang City
ABSTRACTTuberculosis (TB) is one of the ten main causes of the highest mortality rate worldwide. The number of TB cases in Purwoyoso Primary Healthcare Center increased by 61 cases or up to 93 cases in 2019. The success rate of treatment performed in the primary healthcare center reached 72%, still not achieving the national target rate. This study analyzed the implementation of TB prevention and control program in Purwoyoso Primary Healthcare Center for tracking patients with TB and achieving the success rate analyzed from inputs, processes, and outputs according to the national target rate. This study used a qualitative method and a case-study approach through observation and in-depth interviews. There were 7 informants selected using purposive sampling. This study performed data collection, reduction, and verification. The results show different inputs, such as health worker layoffs, and double work load in the fieldwork, abrupt training, and absence of an evaluation, budgeting that was not focused on case tracking and report, resulted in suboptimal processes, such as suboptimal health promotion efforts, case tracking and report, as well as control of risk factors. Hence, the number of cases being reported and the success rate of treatment as the outputs would not be optimal.Keywords: Program analysis, Tuberculosis, Primary Healthcare Cente
THE MANAGEMENT OF MEDICAL REPORT COMPLETENESS FOR THE LEGALITY OF MEDICAL RECORD DOCUMENTS AT RSUD KRMT WONGSONEGORO (RSWN) SEMARANG CITY
ABSTRACTBackground: Quality hospital services is reflected in the achieving of medical records. Improper medical record documentation would negatively affect the quality of service delivered to patients and it would disadvantage the hospital when medical disputes occur.Objective:Analyzing the management of medical record completeness at RSWN to guarantee the legality of medical record documents and its effect in supporting the completeness of medical record documents.Method:In this qualitative research, observation and interviews were conducted to 60 PJRM officers in the Arimbi ward, Banowati, Nakula I and Prabukresna. The obtained data were qualitatively and quantitatively analyzed based on several underlying theories.Results:The results showed that the completeness of some aspects includinghuman, money, method, material and machine elements was proper. The quantitative analysis showed 100%, while the qualitative analysis showed a percentage of 100% with the exception on the informed consent component with the potential for loss of 99%.Conclusions:The human element required periodic outreach to PPA. In the machine element, special computerswere needed for PJRM officers, and the importance of informed consent for patients undergoing hemodialysis to obtain medical records with strong legal force. Key Words :Management, Medical Record Completeness, Legality of Medical Records
Peran Suami Dan Petugas Kesehatan Dengan Deteksi Dini Kanker Serviks
Reproductive Health is a state of complete physical, mental and social well-being that is not solely free from diseases related to the reproductive system. Cervical cancer is cancer that grows from cervical cells, cervical cancer can originate from cells in the cervix but can also grow from cervical cells. This situation is usually accompanied by bleeding and abnormal vaginal discharge. The purpose of this study was to analyze the factors associated with early detection of cervical cancer in fertile age women at Puskesmas Benteng. The design of this study was an observational analytic study with a cross sectional approach. The sample in this study was WUS aged 15-49 years old who were in the Puskesmas Benteng area as many as 135 respondents. The results showed there was a relationship between knowledge (p = 0.004), first age of marriage (p = 0.014), husband's support (p = 0.005), and the role of health workers (p = 0.005) with early detection of cervical cancer in fertile age women at Puskesmas Benteng.DETERMINAN DETEKSI DINI KANKER SERVIKS PADA WANITA USIA SUBU
ANALISIS PELAKSANAAN PISPK DALAM CAPAIAN INDEKS KELUARGA SEHAT DI KABUPATEN BREBES
Kabupaten Brebes merupakan salah satu Kabupaten di Provinsi Jawa Tengah yang telah mengimplementasikan progam PISPK sejak tahun 2016, dalam beberapa tahun dilaksanakan program PISPK Kabupaten Brebes menempati urutan ke-6 dalam hal cakupan kunjungan keluarga. Puskesmas Kluwut merupakan salah satu Puskesmas yang sudah melaksanakn program PISPK sejak diterbitkan program tersebut, sampai dengan saat ini pendataan jumlah keluarga (KK) di Puskesmas Kluwut mencapai 90%. Tetapai untuk capaian jumlah Indeks Keluarga Sehat (IKS) belum sesuai dengan target. Tujuan penelitian ini adalah menganalisis pelaksanaan program indonesia sehat dengan pendekatan keluarga PISPK dengan melihat capaian Indeks Keluarga Sehat (IKS) di Puskesmas Kluwut Kabupaten Brebes tahun 2019 dengan menggunakan metode kualitatif dengan observasi dan wawancara mendalam (in-depth interviews). Informan utama adalah pemegang program PISPK, petugas pelaksanaan program PISPK di Puskesmas Kluwut. Informan triangulasi adalah kepala Puskesmas Kluwut. Teknik pengolahan dan analisis data dilakukan dengan pengumpulan data, reduksi, dan verifikasi. Hasil penelitian menunjukan bahwa aspek input meliputi kurangnya SDM kesehatan, belum fokusnya alokasi penggunaan dana, pemanfaatan sistem apilkasi yang terbatas dapat berdampak pada aspek proses, yaitu kurang maksimalnya pelaksanaan penyuluhan kesehatan menyebabkan masih banyaknya masalah kesehatan yang ditemukan. Sehingga menyebabkan aspek output yaitu cakupan indeks keluarga sehat (IKS) di Puskesmas Kluwut belum tercapai sesuai dengan target nasional. Dukungan aktif lintas sektor juga dapat mempengaruhi dan mempermudah proses pelaksanaan program indonesia sehat dengan pendekatan keluarga. Rekomendasi kepada Puskesmas adalah agar dapat melakukan komunikasi dan koordinasi dengan lintas sektor serta menambah ketersediaan SDM kesehatan terutama untuk melakukan pendataan dilapangan.Keywords: Analisis, Indeks Keluarga Sehat, Puskesma
RISK FACTORS OF STUNTING EVENTS IN CHILDREN IN THE WORKING AREA OF PANDAN PUBLIC HEALTH CENTER, SINTANG REGENCY
Stunting is a nutritional problem seen from the inappropriate length or height according to age. Nutritional status was monitored through the TB / U index. From the data from the Puskesmas Pandanus, the prevalence of stunting is 31.71% in 2018 of the total 719 children under five. This research aims to determine the risk factors for stunting in the work area of the Pandan Community Health Center, Sintang District. This type of research is quantitative using a cross sectional approach with a population of mothers who have children under five as many as 719 and this sample is 257 mothers under five. The primary data collection tool used a questionnaire using a survey method for mothers of toddlers who were used as samples in this study to obtain primary data. The results of this study are based on statistical tests known that associated with the incidence of stunting in children under five is parenting (p = 0.011), tradition (p = 0.001), and access to information (p = 0.003). All parties related to the incidence of stunting in toddlers teach good parenting by reducing traditions that have an impact on the health of toddlers, and constantly convey the importance of toddler health for the future
DISIPLIN K3 MELALUI PEMAKAIAN ALAT PELINDUNG DIRI (APD) DI LABORATORIUM KIMIA PT SUCOFINDO
Chemical laboratories are environments where a wide variety of analytical activities are associated with hazardous chemicals that can have negative implications for occupational safety and health (OSH). The research objective is to analyze the level of discipline based on knowledge, attitudes and commitment to carry out OSH by PT Sucofindo employees in the chemical laboratory. The method used is crosstab analysis and multiple regression analysis. The results of the crosstab analysis showed that there was an influence between age and sex, but there was no effect of working time on the use of PPE. The multiple regression results show that there is a simultaneous influence on the four variables mentioned above with OSH behavior. As for partially, there is an influence between knowledge, PPE facilities and supervision on OSH behaviour there is no influence on supervision. It is recommended that a refresher and outreach should be done regarding the use of PPE, providing PPE equipment needed and supervising the use of PPE at least once time a month in a chemical laboratory
Analysis Of The Application Of Occupational Safety and Health (K3) Management To Radiation At The Radiology Installation Of Ernaldi Bahar Hospital, South Sumatra Province
Introduction: The radiation dose is not controlled then the dose value will be accumulated. Then the dose received will be higher so that it can cause a drastic reduction in the number of lymphocytes. The purpose of this study was to analyze the application of occupational safety and health (K3) management to radiation at the radiology installation of Ernaldi Bahar Hospital, South Sumatra Province. Methods: This study uses qualitative methods with observational approaches, interviews and document studies. Result: The application of radiation safety management requirements at the radiology installation of Ernaldi Bahar Hospital, South Sumatra Province has not been carried out optimally. The application of radiation protection requirements, application of technical requirements, application of safety verification and health monitoring of radiation workers have been carried out properly. Conclusion: The implementation of occupational health and safety management on radiation at the radiology installation of Ernaldi Bahar Hospital, South Sumatra Province, has been going well. Keywords: Radiation, Management to Radiation, X-ray