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Jurnal Administrasi Kesehatan Indonesia
Published by Universitas Airlangga
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107
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Pengaruh Kualitas Kehidupan Kerja terhadap Kepuasan Kerja Karyawan Rumah Sakit Ibu dan Anak X Surabaya

Bekti, Rinanti Rahayuning

Jurnal Administrasi Kesehatan Indonesia Vol 6, No 2 (2018)
Publisher : Universitas Airlangga

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Abstract

Background: The turnover rate in RSIA X Surabaya increased during the last two months from January to February 2018. Turnover rate in January 2018 was 1.56% and in February 2018 was 2.38%. The increased turn over rate in RSIA X Surabaya was probably due to poor quality of work life that can be influenced to performance satisfaction and causing employee resign from their job.Aim: This research aimed to analyze the influence of quality of work life toward employee job satisfaction in RSIA X Surabaya.Method: It was an analytical study by cross sectional design. The samples were 57 respondents chosen by simple random sampling.Results: The result of this research showed that quality of work life had an influence toward employee job satisfaction in RSIA X Surabaya with significance value equal to 0.024 or <α = 0.05. It showed that employee job satisfaction increases along with the better quality of work life.Conclusion: In conclusion, there was an influence of quality of work life towards employee satisfaction. The hospital should take more attention to the quality of work life for employees in the future so that employees still continue working in the organization.Keywords: employee, job satisfaction, quality of work life

Dukungan Strategis dan Operasional Pemerintah dalam Pemenuhan Hak Kesehatan Anak Tunagrahita di Kota Surabaya

Fitria, Ana Riskhatul

Jurnal Administrasi Kesehatan Indonesia Vol 6, No 2 (2018)
Publisher : Universitas Airlangga

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Background: Social justice is a condition of fulfilling material, spiritual and social needs of citizens to live properly and to develop themselves in carrying out the social functions. The social welfare rate in Indonesia was still low amounted to 62.8 in 2016. Children with mental illness problems experience social welfare. The government has provided support both strategic support and operational support for their lives.Aim: The objective of the research is to analyze the governments support for fulfilling childâ??s health rights for those who suffer from mental illness.Method: This research was descriptive. The data were collected by using policy review and observation. Policy review was used to discover the strategic support given by government to fulfill health needs of mentally illed children. Meanwhile, the observation was to find out governmentâ??s operational support for Kalijudan Surabaya Technical Implementation Unit (UPT) in Basic Social Services.Results: The results show that there is a good strategic support for the children with mental illness. The operational support has been implemented, but not in accordance with the existing regulations. However, Kalijudan Surabaya Technical Implementation Unit (UPT) in Basic Social Services has provided the right of health by cooperating with related parties.Conclusion: It can be concluded that the strategic support given includes Law Number 8 Year 2016 about disabled people, Health Ministry Law Number 25 Year 2014 about childâ??s health support, and Surabaya Mayorâ??s Law Number 2 Year 2013 about organization of Kalijudan Surabaya Technical Implementation Unit (UPT) at Basic Social Service Department. The Kalijudan Surabaya Technical Implementation Unit (UPT) in Basic Social Services had also given operational supports for mentally illed chidrenâ??s health needs.Keywords: children with mental illness, health right, regulation

Pendekatan PDSA Untuk Perbaikan Proses pada Indikator Sasaran Keselamatan Pasien di Rumah Sakit

Zahroti, Elly Numa

Jurnal Administrasi Kesehatan Indonesia Vol 6, No 2 (2018)
Publisher : Universitas Airlangga

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Abstract

Background: Patient safety is an indicator of hospital service quality. A hospital in Surabaya identified six indicators of patient safety goals. There are two indicators which can not achieve the standard, namely effective communication and infection risk reduction.Aims: This study aims to identify the process improvement that can be done to increase indicator performance by using PDSA cycle.Method: A descriptive observational design was used in this study with a case study and participatory approach. There were 5 subjects selected by purposive sampling. Interview and observation were used to collect data that then were analyzed descriptively. The validity of data was done by triangulation of method, source, and theory.Results: The PDSA results indicated that the cause of the poor indicators performance of both patient safety goals is the poor compliance of the health staffs in carrying out read-back procedure and hand hygiene as written in SOP. It was caused by the lack of knowledge and motivation of the health staffs in implementing the SOP.Conclusion: In conclusion, process improvement can be done by socializing read-back SOP and hand hygiene as well as supervision conducted periodically by managers. Plan stage is one step which should be improved. Commitment in implementing the improvement planning is necessary. In addition, further research on factors that influence compliance should be conducted.Keywords: patient safety, PDSA method, process improvement, quality of hospital

Pengukuran Indeks Kepuasan Masyarakat (IKM) Pelayanan Kesehatan di Puskesmas Kabupaten Hulu Sungai Utara

Fahamsyah, Dedie

Jurnal Administrasi Kesehatan Indonesia Vol 6, No 2 (2018)
Publisher : Universitas Airlangga

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Background: To know peoples judgment of the services provided by Hulu Sungai Utara public health center (puskesmas) to the public, there should be a measure of the level of peopleâ??s satisfaction with health services.Aims: The purpose of this study was to measure the peoplesâ??s satisfaction based on Permenpan RB number 16 in 2014 and measure peoplesâ??s satisfaction based on the Customer Satisfaction Index (CSIndex).Method: This study was observational. There were 13 health centers in Hulu Sungai Utara analyzed. The sample was 450 people who used health services in Hulu Sungai Utara public health centers.Results: The first analysis used the data by Permenpan RB No. 16 of 2014, and the second used the Customer Satisfaction Index (CSIndex). The results of this research based Permenpan number 16 of 2014 found all public health centers in Hulu Sungai Utara had a value of community satisfaction index in either category. By usingCSIndex, it was found that the entire public health centers had a high satisfaction.Conclusions: It can be concluded that the value of Community Satisfaction Index in all public health centres was rather satisfied. Some reconstruction for supporting facilities, such as clean toilet, comfortable and clean waiting room, service information, service flow, management improvement, and product marketing should be done.Keywords: CSIndeks, Community Satisfaction Index, Permenpan, Health Center

Kualitas Fungsional dan Kepuasan Pasien terhadap Perawat dan Dokter Gigi di Rumah Sakit

Chabibah, Afifa Nur

Jurnal Administrasi Kesehatan Indonesia Vol 6, No 2 (2018)
Publisher : Universitas Airlangga

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Background: The quality of healthcare is an important aspect to be implemented by hospitals as a healthcare facility. Doctors and nurses are human resources that directly provide services to patients. Interpersonal communication between physicians and nurses with patients may influence patientsâ?? satisfaction as an output of service quality.Aim: This study aimed to identify the functional quality of nurses and dentists on patientsâ?? satisfaction at Dental Polyclinic of Dr. R. Sosodoro Djatikoesoemo Bojonegoro Hospital.Method: This research was a quantitative descriptive and observational research. The data were gathered from 68 respondents. Primary data were collected through a questionnaire disseminated for patients at Dental Polyclinic from 14th to 26th of May 2018. The data were processed and analyzed by using 2x2 position matrix.Results: The results show that the functional quality of nurses is in quadrant IV (3.18; 3.21), and functional quality of doctors is in quadrant II (3.48; 3.46).Conclusion: This study concludes the nursesâ?? functional quality still must be improved and promoted to the patients regarding to their competence, assurance (3S application and nurses hospitality), and empathy (nursesâ?? tranquility) while overall dentistsâ?? functional quality (competence, assurance, and empahty) is maximized.Keywords: dentists, functional quality, hospital, nurses, satisfaction

Literasi Informasi Kesehatan Nifas Ibu Hamil Berstatus Sosial Menengah ke Bawah

Yustiawan, Tito, Nandini, Nurhasmadiar

Jurnal Administrasi Kesehatan Indonesia Vol 6, No 2 (2018)
Publisher : Universitas Airlangga

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Background: Post-partum health information is hardly accessible to pregnant women. In fact, post-partum health literacy for pregnant mothers in relation to socio-economic factors allows the decline of post-partum morbidities.Aim: This research aimed to analyse the post-partum health information literacy of pregnant women with middlelow social status.Method: This was a quantitative study by using a direct survey technique to assess respondentsâ?? information literacy about post-partum health. There were 79 pregnant women to take part in this study. They only completed their high school degree as their highest educational level, and their family income was less than Rp 2,000,000($180) per month. This indicated that these participants are coming from middle-low social status. A selfdeveloped questionnaire was used in this study to be filled by respondents.Results: Results showed that nearly half of respondents (44.1%) found post-partum health information for their self-hygiene well-being after baby delivery process finished. Information accessed by pregnant women were elaborated from other people (66.1%) like as parents, relatives, colleagues, or health officers. Most of the participants agreed to trust captured information (78%), but there were only little use the information (11.9%).Conclusion: To summarize, the health information literacy of pregnant mothers with middle-low status was tenuously elaborated from other people, and most of them believed it. It is possible that information obtained from other people is incorrect, so pregnant mothers might use wrong information.Keywords: health, information literacy, post-partum, pregnant women

Pengaruh Informasi Pelayanan Prolanis dan Kesesuaian Waktu terhadap Pemanfaatan Prolanis di Pusat Layanan Kesehatan Unair

Arifa, Auliya Firdha Chusna

Jurnal Administrasi Kesehatan Indonesia Vol 6, No 2 (2018)
Publisher : Universitas Airlangga

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Background: The Chronic Disease Management Program (Prolanis) was a promotive and preventive program developed by BPJS Kesehatan in collaboration with Primary Health Care (FKTP). Target ratio of prolanis patient visit (RPPB) to FKTP in safe zone was at least 50% every month. Average range of RPPB at UnairHealth Service Center (PLK Unair) from January to July of 2017 was 15% out of 62 registered participants, still below the target of the safety zone determined by BPJS Kesehatan.Aims: This study aimed to analyze the influence of enabling factors and need factor for the utilization ofProlanis at PLK Unair.Method: This research was a correlational-analytic research by using cross sectional research design.Results: The result of this study showed that there was a significant influence between prolanis information (p=0,020) and time conformity (p=0,008) towards the utilization of prolanis in PLK Unair. Meanwhile, BPJS class, distance, travel time, availability of transportation, type of transportation, social relations, health workers,health facilities, waiting time, and need has no significant effect.Conclusion: The conclusion of this research is the utilization of prolanis in PLK Unair influenced by prolanis information and time conformity of the patients. PLK Unair needs to recollect the information of their patients, redesign the socialization media and conduct home visit as well as discuss the schedule of prolanis activitieswith the patients.Keywords: enabling factor, need factor, prolanis, utilization of health services

Kesiapan Unit Rekam Medis Klinik dalam Menghadapi Akreditasi

Sholihah, Karina Amalia

Jurnal Administrasi Kesehatan Indonesia Vol 6, No 2 (2018)
Publisher : Universitas Airlangga

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Background: First Level Clinic is a health facility that provides first-layer clinical services to the community. Efforts that can be made to improve the quality and safety of clinical services at the Pratama clinic are through accreditation. The medical record unit is part of the Pratama clinic support service unit included in the Pratama clinical accreditation assessment section. The readiness of medical record units needs to be assessed to see what documents and implementations do not yet exist and are done. Identification of readiness of Clinic X medicalrecord unit accreditation was carried out two years earlier in 2015.Aims: The purpose of this study was to determine the continuity of readiness of medical record unit accreditationin 2018.Method: This study was an observational descriptive study using a cross-sectional design. Data collection was carried out through observation and interviews with medical record officers., Analysis was done by comparing the prediction of Clinic X medical record unit accreditation readiness scores between 2015 and 2018.Results: The result showed that the prediction score increased from 41.7% in 2015 to 65.8% in 2018. The comparison of readiness for accreditation can be used as an evaluation to complement the needs of documents that do not yet exist and procedures that have not been implemented.Conclusion: The clinic has not been accredited because most of the elements being evaluated were the incomplete supporting documents. The clinic can make a framework, determine the method, and analyze the instruments based on the suitable method.Keywords: accreditation, medical record, primary clinic

Gambaran Figur Otoritas terhadap Kepatuhan Perawat dalam Implementasi Standar Prosedur Operasional Kebersihan Tangan

Putri, Amira Maulida

Jurnal Administrasi Kesehatan Indonesia Vol 6, No 2 (2018)
Publisher : Universitas Airlangga

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Background: Nursesâ?? obedience in the implementation of Standard Operational Procedures of hand hygiene is an effort in preventing phlebitis in the hospital. Report on surveillance data by Infection Prevention and Control or Pencegahan dan Pengendalian Infeksi (PPI) RSUD Dr. R. Sosodoro Djatikoesoemo Bojonegoro 2017 mentioned the incidence of phlebitis in the Inpatient Installation reached 2.73%. One cause of high rates of phlebitis is incorrect nurseâ??s hand-washing technique according to the procedures.Aims: This study aimed to analyze the relationship between status of location from RSUD Dr. R. Sosodoro Djatikoesoemo Bojonegoro, personal responsibility, legitimacy, status, and proximity of authority figures and nursesâ?? obedience to Standards Operational Procedures of hand hygiene before and after intravenous installation.Method: This study was an analytical study with a cross-sectional framework. This study was conducted in April 2018 at in-patient installation of RSUD Dr. R. Sosodoro Djatikoesoemo Bojonegoro by inviting 52 nurses chosen with stratified random sampling.Results: It was found that there was a significant correlation between personal responsibility (p = 0.020), status (0.015) and proximity of authority figure (p = 0.000) and nursesâ?? obedience to the implementation of Standard Operational Procedures of hand hygiene before and after intravenous installation in in-patient installation of RSUD Dr. R. Sosodoro Djatikoesoemo Bojonegoro.Conclusion: It can be concluded that the majority of the nurses did not follow hand hygiene stages well. The hospital needs to improve nursesâ?? personal responsibility, authority figure status, and rapport of authority figure.Keywords: hand hygiene, nurse obedience, Standard Operational Procedures

Hubungan Faktor Individu dan Organisasi terhadap Kepatuhan Bidan Menerapkan Standar Prosedur Operasional Cuci Tangan

Harlinisari, Ririk

Jurnal Administrasi Kesehatan Indonesia Vol 6, No 2 (2018)
Publisher : Universitas Airlangga

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Background: Infection cases are the major cause of the high rate of morbidity and mortality in the world. Nosocomial infections cause 1.4 million deaths every day in the world. Even the number of nosocomial infections in Indonesia also increases. Therefore, prevention is very necessary to be done. One effective prevention is hand-washing. However, health staffs including midwives still had under 50% compliance to apply Standard Operating Procedure of hand-washing.Aims: The aim of this research was to analyze the influence of individual factors (motivation, knowledge, and attitude) and organizational factors (training, availability of facilities, supervision) on midwives compliance in applying Standard Operating Procedure of hand-washing.Method: The research was conducted at RSU Bakti Mulia, Banyuwangi. This was an observational research with an analytical and cross-sectional design. The population of the research was 40 midwives in the midwifery unit. The sample size was thirty-three midwives in the midwifery unit determined by Lemeshow formula withm simple random sampling. Data were collected by observation and questionnaire.Results: The results showed that all variables had p values (0,001) < α (0.05). Individual and organizational factors have a significant and positive effect on midwives compliance in the Standard Operating Procedure of hand-washing.Conclusion: It can be concluded that the higher individual factors (motivation, knowledge, attitude) and the better organizational factors (training, availability of facilities, supervision) are, the higher midwives compliance in Standard Operating Procedure of hand washing is. However, these factors were still low at RSU Bakti Mulia.Keywords: compliance, hand-washing, individual factor, organizational factor, Standard Operating Procedure