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Ernest Eugene Lie Gultom; Pembimbing: Besral; Penguji: Wahyu Sulistiadi, Robiana Modjo, Herutami Kusmowardani, Wilson SM Manurung
Abstrak:
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Pelayanan kesehatan dianggap sebagai ruang yang aman, karena dimaksudkan untuk menyembuhkan dan mendukung pemulihan. Komitmen Indonesia terhadap Keselamatan Pasien dinyatakan dengan mengesahkan berbagai macam regulasi yang mewajibkan semua fasilitas pelayanan kesehatan untuk menyelenggarakan menjalankan program keselamatan pasien di semua fasilitas pelayanan kesehatan. Salah satu daru 7 (tujuh) Sasaran Keselamatan Pasien dalam Peraturan Menteri Kesehatan No. 11/2017 yaitu meningkatkan keamanan obatobatan yang harus diwaspadai. Jenis penelitian ini adalah penelitiankualitatif, menggunakan desain studi kasus yaitu penelitian yang menghasilkan data deskriptif berupa kata-kata tertulis atau lisan dari orangorang dan perilaku yang di amati yang bertujuan untuk mengeskplorasi suatu peristiwa yang memungkinkan peneliti untuk mengumpulkan informasi yang kaya dan mendalam yang bertujuan untuk melakukan eksplorasi menyeluruh kepada informan untuk memahami faktorfaktor keberhasilan, serta hambatan yang dialami sehingga menyebabkan kegagalan dalam melaksanakan keselamatan pasien dalam kegiatan kefarmasian. Melalui penelitian ini, diharapkan dapat memberikan informasi secara mendalam terkait kebijakan yang mempengaruhi keamanan pelaksanaan pelayanan kefarmasian, serta hal-hal apa saja yang mendorong dan menghambat dalam pelaksanaannya. Hasil penelitian menunjukkan bahwa RS X Jakarta Selatan sudah mengupayakan pelaksanaan pelayanan kefarmasian mengacu kepada sasaran keselamatan pasien. Kegiatan kefarmasian meliputi prescribing, transcribing, dispensing dan administration. Dari hasil wawancara mendalam kepada para informan, didapatkan bahwa masalah terbanyak didapatkan pada faktor method. Dimana petugas yang terkait dengan pelayanan kefarmasian dan penggunaan obat belum sepenuhnya mengetahui mengenai panduan dan prosedur operasional yang berlaku. Sesuai dengan hasil observasi dokumen ditemukan kebanyakan insiden medication error terjadi pada proses peresepan. Tidak adanya SPO mengenai eprescription menyebabkan tidak adanya aturan yang memayungi prosedur peresepan tersebut. Hampir tidak adanya sosialisasi SPO kepada dokter umum membuat dokter umum bekerja tanpa mengetahui regulasi prosedur yang menunjang tupoksinya. Fungsi monitoring dari KKPRS hanya sebatas melakukan pengumpulan data tetapi belum sampai kepada monitoring dan evaluasi kenyataan di lapangan.Penerapan metodemetode perbaikan yang telah dilakukan juga tidak dilakukan monitoring dan evaluasi secara rutin. Peneliti menyarankan agar adanya pengembangan kebijakan dalam bentuk Panduan medication safety yang akan menjadi payung kebijakan dari pemberlakuan SPO dan program yang menunjang penjaminan keselamatan pasien dari medication error
Healthcare is considered a safe space, because it is intended to heal and support recovery. Indonesia commited to patient safety is expressed by passing various regulations that oblige all health care facilities to carry out patient safety programs in all health care facilities. One of the 7 (seven) Patient Safety Targets in the Minister of Health Regulation No. 11/2017 stated to increase the alertness of medication safety that. This type of research is qualitative research, using a case study design, namely research that produces descriptive data in the form of written or spoken words from people and observed behavior which aims to explore an event that allows researchers to collect rich and in-depth information aimed at to carry out a thorough exploration of the informants to understand the success factors, as well as the obstacles they have experienced that cause failure in implementing patient safety in pharmaceutical activities. Through this research, it is hoped that it can provide in-depth information related to policies that affect the security of the implementation of pharmaceutical services, as well as what things encourage and hinder their implementation. The results showed that X Hospital South Jakarta has made efforts to implement pharmaceutical services referring to patient safety goals. Pharmaceutical activities include prescribing, transcribing, dispensing and administration. From the results of in-depth interviews with informants, it was found that most problems were found in the method factor. Where the officers associated with pharmaceutical services and drug use do not yet fully know about the applicable operational guidelines and procedures. In accordance with the results of document observation, it was found that most incidents of medication errors occurred in the prescribing process. The absence of SPOs regarding e-prescription results in no overarching rules for the prescribing procedure. There were almost no socialization of SPO to general practitioners which made general practitioners work without knowing the procedural regulations that support their main duties. Researcher suggest that there be policy development in the form of medication safety guidelines that will become the policy umbrella for implementing SPO and programs that support patient safety assurance from medication errors
T-6077
Depok : FKM-UI, 2020
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Sayyidatul Munawaroh; Pembimbing: Dumilah Ayuningtyas; Penguji: Puput Oktamianti, Adang Bachtiar, Fajar Arianti, Amila Megraini
Abstrak:
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erjadinya konflik diberbagai negara sehingga sebagian warga negaranya memutuskan untuk meninggalkan negaranya dan mengungsi, pada tahun 2019 sebesar 13.657 pengungsi yang ada Indonesia. Sehingga keadaan mereka tidak beruntung ini dengan berbagai kesulitan namun pengungsi tetap memiliki hak untuk mendapatkan pelayanan kesehatan yang terstandar sebagai bagian dari hak asasi manusia. Penelitian ini menggunakan metode campuran (mix methods) dengan mengambil data metode kuantitatif terlebih dahulu setelah itu memperkuat dengan melakukan metode kualitatif kepada stakeholder yang langsung memberikan pelayanan kesehatan.Hasil analisis univariat, menunjukkan bahwa dimensi pengungsi yang merasa puas 36% dan tidak puas 35%, sedangkan dimensi emphaty sebesar 51% tidak puas dan dimensi assurance 52%. Berbeda dengan hasil kualitatif kepada stakeholder dapat disimpulkan bahwa seluruh dimensi sudah terpenuhi sesuai dengan harapan para pengungsi. Secara stimultan provider dapat meninjau efektif dan efisien pelayanan kesehatan sesuai dengan kebutuhan para pengungsi sehingga mampu melaksanakan pelayanan yang prima.
Conflicts in some countries cause their citizens to leave the country to seek asylum. In 2019, the number of overseas refugees in Indonesia was 13,657 people. In conditions that are full of disadvantages and difficulties, refugees still have the right to fulfil their basic needs, including access to health cares. This study used a mixed method, consisting of quantitative and qualitative methods. The qualitative method was used to confirm the results of quantitative analysis, which was done by interviewing the health service providers. The results of the analysis showed that 36% of refugees were satisfied with health services in the X health center (Puskesmas), while 35% were not satisfied. On the other hand, the percentage of refugees who were not satisfied with health services based on the dimension of empathy and assurance was 51% and 52%, respectively. However, the results of qualitative approach demonstrated otherwise, where the health care providers stated that all dimensions of service quality have met the standard and were in accordance with the expectations of refugees. The Puskesmas are advised to evaluate and improve the effectiveness and efficiency of the health services by considering the needs of refugees.
T-5886
Depok : FKM-UI, 2020
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Arifah Alfiyyah; Pembimbing: Robiana Modjo; Penguji: Adang Bachtiar, Evi Martha, Alexander K Ginting S. , Novita Dwi Istanti
Abstrak:
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Penelitian ini menganalisis pengendalian mutu infeksi TB pada petugas di Rumah Sakit “X” Daerah Depok Jawa Barat, yang jarang dilakukan karena fokus pada pasien. Berdasarkan teori Donabedian (structure, process dan outcome) dan teori Van Meter dan Van Horn, penelitian ini mengidentifikasi standar pengendalian TB, kebijakan, SDM, sarana, dan anggaran sebagai bagian dari struktur; komunikasi dan manajemen risiko sebagai proses; serta deteksi TB/ILTB dan pengobatan sebagai hasil. Metode penelitian menggunakan analisis deskriptif kualitatif dengan triangulasi sumber melalui wawancara mendalam, observasi, dan telaah dokumen dengan 13 informan. Hasil menunjukkan bahwa standar pengendalian TB mengikuti aturan nasional, kebijakan khusus TB sedang diproses, dan perlindungan airborne disease diterapkan. Kesadaran individu dan unit terkait bertanggung jawab atas pemantauan dan evaluasi kebijakan perlindungan. Sarana dan prasarana TB RO belum memenuhi standar, namun anggaran sudah mendukung perlindungan melalui BPJS dan dana hibah. Proses komunikasi dilakukan antar unit dan personal melalui digitalisasi dan nota dinas, serta manajemen risiko infeksi TB memenuhi 5 level hirarki pengendalian. Data outcome menunjukkan 49% petugas ILTB tahun 2023 dengan 2 petugas hasil x-ray tidak normal, namun pemantauan pengobatan belum optimal. Secara keseluruhan, perlindungan petugas terhadap infeksi TB berjalan meski kebijakan khusus TB belum ditetapkan. Perlindungan petugas terhadap infeksi TB dengan melihat structure, process dan outcome dapat melindungi petugas dari penyebaran TB dan meningkatkan mutu rumah sakit.
This study analyzes TB infection control among healthcare workers at hospital “X” Depok West Java, which is often overlooked due to patient-focused efforts. Using Donabedian’s framework (structure, process, outcome) and Van Meter and Van Horn's theory, the study examines TB control standards, policies, human resources, facilities, and budget (structure); communication and risk management (process); and TB/LTBI detection and treatment (outcome). Qualitative descriptive methods, including interviews, observations, and document reviews with 13 informants, reveal adherence to national TB control standards, ongoing policy development, and airborne disease protection. Despite some infrastructural shortcomings, budget support through national universal health coverage called BPJS Kesehatan and grants is noted. Communication is maintained digitally and formally, with risk management aligning with the hierarchy of controls. Outcomes indicate 49% LTBI detection in 2023, though treatment monitoring is insufficient. Overall, TB protection for staff is in place, yet specific TB policies are pending. Improved MDR-TB (Multidrug-Resistant Tuberculosis) facilities and policy optimization could enhance hospital quality.
T-6921
Depok : FKM-UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Apriati Kartini; Pembimbing: Dian Ayubi, Sutanto Priyo Hastono; Penguji: Kusdinar Ahmad, Adhy Nugroho, Luana Lidwina
Abstrak:
ABSTRAK Saat ini mutu pelayanan rumah sakit di Indonesia masih rendah. Salah satu outcome dari layanan kesehatan selain kesembuhan pasien adalah kepuasan pasien. Salah satu cara atau metode yang dianggap cukup objektif dalam mengukur kepuasan pasien adalah Metode Servqual (Service Quality), dimana dibuat penilaian untuk mengukur kepuasan pasien terhadap mutu pelayanan dengan lima dimensi mutu yaitu tangible, reliability, responsiveness, assurance, dan empathy. Penelitian dilakukan untuk meningkatkan kepuasan pasien terhadap pelayanan rawat inap di RS PON. Penelitian menggunakan desain kuantitatif dan kualitatif. Sampel penelitian menggunakan quota sampling 92 orang dan 1 orang informan. Pengumpulan data dilakukan melalui kuesioner dan wawancara mendalam. Hasil penelitian yaitu nilai rata-rata kepuasan pasien adalah 76,88. Karakteristik pasien yang berhubungan dengan kepuasan pasien rawat inap yaitu pendidikan (p value 0,001) dan karakteristik yang tidak berhubungan dengan kepuasan pasien adalah pekerjaan (p value 0,814) dan cara pembayaran (p value 1,00). Reputasi berhubungan kepuasan pasien (p value 0,001) dan pengalaman tidak berhubungan dengan kepuasan pasien (p value 0,005). Variabel yang paling dominan yaitu pendidikan. Kepuasan pasien khususnya rawat inap belum sesuai dengan indikator mutu rawat inap berdasarkan Kementerian Kesehatan dan RS PON yaitu kepuasan pasien sebesar ≥ 90. Saran yaitu hendaknya melakukan edukasi dan penjelasan informasi menyesuaikan dengan tingkat pendidikan pasien, melakukan pengukuran tingkat kepuasan pasien yang mencakup penampilan fisik rumah sakit dan kebersihan, melakukan pelatihan bagi petugas tentang cara menanggapi keluhan pasien yang baik. Kata kunci: kepuasan, rawat inap, rumah sakit Nowadays the service quality of hospital in Indonesia is still low. One of the health service outcomes beside patient recovery is patient satisfaction. One of the methods which is considered quite objective in measuring patient satisfaction in Servqual method (Service Quality), which is made the assessment to measure patient satisfaction towards service quality with fifth quality dimensions such as tangible, reliability, responsiveness, assurance, and emphaty. This research is conducted to increase patient satisfaction towards inpatient service in National Brain Hospital. This research use quantitative and qualitative designs. The sample use the quota sampling for 92 respondens and one informan. The data collection were taken by questionnaire and indepth interview. The research result is showed that the mean value of patient satisfaction is 76,88. The patient characteristics which are associated with patient satisfaction is the education (p value 0,001). The patient characteristic which are not associated with patient satisfaction are occupation (p value 0,814) and payment (p value 1,000). The reputation is associated with patient satisfaction (p value 0,001) and patient experience is associated with patient satisfaction (p value 0,005). The dominant variable is education. Patient satisfaction especially inpatient ward has not matched with the inpatient quality indicators based on Ministry of Health that patient satisfaction is ≥ 90. The recommendation is to conduct the education and information explanation based on education level, measure patient satisfaction level include physical environment of hospital and cleanliness, do training for health workers the way to respond the patient complaints. Key words: satisfaction, inpatient, hospital
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T-5319
Depok : FKM-UI, 2018
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Henry Diatmo; Pembimbing: Robiana Modjo; Penguji: Adang Bachtiar, Puput Oktamianti, Emma Rachmawati, Endang Lukitosari
Abstrak:
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Rendahnya angka pasien TBC resistan obat yang memulai pengobatan serta tingginya angka putus pengobatan menjadi tantangan besar untuk meningkatkan kualitas dari pelayanan TBC RO, khususnya di puskesmas sebagai satelit TBC RO. Hal ini mungkin berkaitan dengan tingkat kepuasan pasien TBC resistan obat sebagai konsumen dari layanan kesehatan, yang mengakibatkan keengganan pasien untuk mengakses pengobatan atau tidak melanjutkan pengobatan. Provinsi DKI Jakarta merupakan salah satu provinsi yang berkontribusi paling tinggi dalam penemuan kasus TBC RO, juga paling tinggi dalam angka pasien yang tidak memulai pengobatan dan putus pengobatan TBC RO. Tujuan penelitian adalah untuk menganalisis kepuasan pasien TBC RO terhadap pelayanan di puskesmas yang merupakan satelit pengobatan TBC RO di DKI Jakarta tahun 2020 berdasarkan 5 dimensi Servqual dengan desain metode kombinasi secara cross sectional. Populasi dan sampel penelitian untuk kuantitatif adalah pasien TBC RO yang sedang menjalani pengobatan di puskesmas satelit TBC RO di DKI Jakarta dengan jumlah 70 orang, sedangkan kualitatif adalah pasien suporter yang mendampingi pengobatan pasien sebanyak 6 orang. Hasil analisis diperoleh 50% dari responden tidak puas akan pelayanan puskesmas satelit TBC RO di DKI Jakarta, berdasarkan 5 dimensi servqual diperoleh kesenjangan dimana nilai kenyataan lebih rendah dari harapan antara lain tangible (-0,39), reliable (-0,31), responsiveness (-0,31), assurance (-0,32) dan empathy (-0,23). Jika tidak dilakukan upaya peningkatan kualitas dari puskesmas satelit TBC RO akan menurunkan keteraturan berobat yang mengakibatkan putus pengobatan. Kualitas pelayanan fasyankes satelit TBC RO penting untuk ditingkatkan mempersiapkan ketersediaan fasilitas, sarana, SDM, sistem pelayanan yang berpihak kepada kebutuhan pasien, serta memastikan pelayanan dijalankan sesuai prosedur.
The low number of drug-resistant TB patients starting treatment and the high dropout rates are a major challenge to improve the quality of DR TB services, especially in puskesmas as DR TB satellites. This may be related to the level of satisfaction of drug-resistant tuberculosis patients as consumers of health services, which results in the patient's reluctance to access treatment or discontinue treatment. DKI Jakarta is one of the provinces that has the highest contribution in cases finding of DR TB, also the highest in the number of patients who do not start treatment and drop out of DR TB treatment. The purpose of this study was to analyze the satisfaction of DR TB patients with services at the puskesmas which is the treatment of DR TB in DKI Jakarta in 2020 based on 5 dimensions of Servqual with a cross sectional combination method design. The population and research sample for quantitative are DR TB patients who are undergoing treatment at DR TB satellite health centers in DKI Jakarta with a total of 70 people, while qualitative are 6 patient supporters who accompany the treatment of patients. The results of the analysis obtained 50% of respondents were dissatisfied with the service of DR TB satellite health centers in DKI Jakarta, based on 5 dimensions of servqual obtained a gap where the reality value was lower than expectations, among others tangible (-0.39), reliable (-0.31), responsiveness (-0.31), assurance (-0.32) and empathy (-0.23). If no effort is made to improve the quality of the DR TB satellite health centers will reduce the regularity of treatment which results in treatment interruption. The quality of service of the DR TB satellite health centers is important to be improved in preparing the availability of facilities, human resources, service systems that are in line with the needs of patients, as well as ensuring services are carried out according to procedures.
T-5870
Depok : FKM-UI, 2020
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Rizka Amelia; Pembimbing; Ratu Ayu Dewi Sartika; Penguji: Robiana Modjo, Wachyu Sulistiadi, Doni Arianto, , Mayarni
T-3504
Depok : FKM-UI, 2012
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Indiarta Solihin; Pembimbing: Robiana Modjo; Penguji: Wachyu Sulistiadi, Besral, Hermawanto, Parulian Sandy Noveria
Abstrak:
One of the risks to the nurses' safety and health in the hospital is the needle stick and sharp injuries (NSSI) that can cause injury, disease and even death from blood-borne infections or other body fluids. The incident and reporting of NSSI in RSKO on the nurse has not been properly recorded. This research is quantitative and qualitative research with cross sectional design, researching factors related to NSSI. In quantitative research, data collection was done on 76 respondents in Emergency Installation, Installation Bidadari / HCU, Outpatient Installation and Rehabilitation / Detok. The results showed in the last 1 year, as many as 40 people (52.6 percent) experienced NSSI, the most common cause NSSI fraction vial / ampoule 32.5 percent and 32.5 percent experienced NSSI when break ampoules / vials. There was no significant association between predisposing factors and enabling factors with NSSI. There is significant relation between amplifier factor that is punishment factor with NSSI with p value 0.042. In qualitative research, it is known that Training is the most important predisposing factor / individual related to NSSI. The availability of PPE is the most important factor to be provided by RS to prevent NSSI. The existence of SOP is an important reinforcing factor for NSSI prevention. To prevent NSSI need to regular training and availability of PPE and socialization of SOP. Keywords: Needle stick and sharp injuries, nurses One of the risks to the nurses' safety and health in the hospital is the needle stick and sharp injuries (NSSI) that can cause injury, disease and even death from blood-borne infections or other body fluids. The incident and reporting of NSSI in RSKO on the nurse has not been properly recorded. This research is quantitative and qualitative research with cross sectional design, researching factors related to NSSI. In quantitative research, data collection was done on 76 respondents in Emergency Installation, Installation Bidadari / HCU, Outpatient Installation and Rehabilitation / Detok. The results showed in the last 1 year, as many as 40 people (52.6 percent) experienced NSSI, the most common cause NSSI fraction vial / ampoule 32.5 percent and 32.5 percent experienced NSSI when break ampoules / vials. There was no significant association between predisposing factors and enabling factors with NSSI. There is significant relation between amplifier factor that is punishment factor with NSSI with p value 0.042. In qualitative research, it is known that Training is the most important predisposing factor / individual related to NSSI. The availability of PPE is the most important factor to be provided by RS to prevent NSSI. The existence of SOP is an important reinforcing factor for NSSI prevention. To prevent NSSI need to regular training and availability of PPE and socialization of SOP. Keywords: Needle stick and sharp injuries, nurses
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T-5063
Depok : FKM-UI, 2017
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Gabe Gusmi Aprilla; Pembimbing: Rachmadi Purwana; Penguji: Dumilah Ayuningtyas, Dian Ayubi, Nur Indah, Aliyah Cendanasari
Abstrak:
Pada tahun 2017 dan 2018, Puskesmas Kecamatan Cakung telah melakukan orientasi asuhan mandiri pemanfaatan TOGA dan akupresur kepada 77 orang kader dari 5 kelurahan yaitu Penggilingan, Pulo Gebang, Jatinegara, Ujung Menteng dan Cakung Barat. Dalam kurun waktu 3-6 bulan selesai orientasi, diharapkan kader membentuk kelompok asuhan mandiri. Namun baru terbentuk satu kelompok asuhan mandiri yaitu di RW 01 Kelurahan Penggilingan, sehingga peneliti tertarik untuk menganalisa hubungan faktor demografi dan motivasi terhadap partisipasinya. Penelitian ini menggunakan data primer dengan mengisi kuisioner. Desain penelitian ini menggunakan pendekatan kuantitatif non eksperimen dengan desain cross sectional. Hasil penelitian diperoleh sebagian besar kader asuhan mandiri berstatus ibu rumah tangga, menikah, berusia > 46 tahun, berpendidikan menengah, pendapatan < UMP DKI tahun 2020 dan lama kerja < 5 tahun. Sebagian besar motivasi rendah 39 orang (60%) dan sisanya motivasi tinggi 26 orang (40%) dan partisipasi rendah 33 orang (50,8%) dan sisanya partisipasi tinggi 32 orang (49,2%). Faktor lama kerja kader asuhan mandiri > 5 tahun dapat meningkatkan 4 kali partisipasi, sedangkan penghargaan meningkatkan 0,1 kali.
Kesimpulan: lama kerja > 5 tahun dan penghargaan meningkatkan partisipasi kader asuhan mandiri.
Saran: perlu bantuan bibit tanaman obat tradisional, pelatihan berjenjang dan berkala, pembinaan berkala, studi banding, penilaian kelompok asuhan mandiri dan family gathering untuk meningkatkan motivasi kader asuhan mandiri
In 2017 and 2018, the Cakung Community Health Center has given self care orientation using the herbal garden and acupressure for 77 cadres from 5 subdistrict namely Penggilingan, Pulo Gebang, Jatinegara, Ujung Menteng and West Cakung. Within 3-6 months of orientation, community health worker are expected to form self care groups. However, only one self care group was formed, namely in the Penggilingan sub-district, so the researchers were interested in analyzing the relationship between demographic factors and motivation of self care community health worker and their participation. This study uses primary data by filling out questionnaires. The research design used a non-experimental quantitative approach with a cross sectional design. The results showed that most of them were housewives, married, > 46 years old, middle school education, income < minimum wage DKI and length of work < 5 years. Most of the low motivation 39 people (60%) and the remaining high motivation 26 people (40%) and low participation 33 people (50.8%) and the remaining high participation 32 people (49.2%). The length of work factor > 5 years increased participation 4 times, while the reward motivation increased 0.1 times.
Conclusions : length of work and rewards for increasing participation.
Suggestions : need for seed herbal plant, training, supervision, study tours, competitions the self care group and family gatherings to increase motivation for self care community health worker
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Kesimpulan: lama kerja > 5 tahun dan penghargaan meningkatkan partisipasi kader asuhan mandiri.
Saran: perlu bantuan bibit tanaman obat tradisional, pelatihan berjenjang dan berkala, pembinaan berkala, studi banding, penilaian kelompok asuhan mandiri dan family gathering untuk meningkatkan motivasi kader asuhan mandiri
In 2017 and 2018, the Cakung Community Health Center has given self care orientation using the herbal garden and acupressure for 77 cadres from 5 subdistrict namely Penggilingan, Pulo Gebang, Jatinegara, Ujung Menteng and West Cakung. Within 3-6 months of orientation, community health worker are expected to form self care groups. However, only one self care group was formed, namely in the Penggilingan sub-district, so the researchers were interested in analyzing the relationship between demographic factors and motivation of self care community health worker and their participation. This study uses primary data by filling out questionnaires. The research design used a non-experimental quantitative approach with a cross sectional design. The results showed that most of them were housewives, married, > 46 years old, middle school education, income < minimum wage DKI and length of work < 5 years. Most of the low motivation 39 people (60%) and the remaining high motivation 26 people (40%) and low participation 33 people (50.8%) and the remaining high participation 32 people (49.2%). The length of work factor > 5 years increased participation 4 times, while the reward motivation increased 0.1 times.
Conclusions : length of work and rewards for increasing participation.
Suggestions : need for seed herbal plant, training, supervision, study tours, competitions the self care group and family gatherings to increase motivation for self care community health worker
T-6051
Depok : FKM-UI, 2021
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Savira Nurulita; Pembimbing: Wachyu Sulistiadi; Penguji: Evi Martha, Sutanto Priyo Hastono, Jusuf Kristianto, Nana Mulyana
Abstrak:
Tesis ini membahas implementasi pelayanan berorientasi pasien di Rumah Sakit Umum Tangerang Selatan dan hubungannya dengan persepsi tenaga kesehatan tentang dukungan organisasi yang dirasakan oleh tenaga kesehatan. Penelitian ini adalah penelitian kuantitatif dengan desain cross sectional. Hasil penelitian menyarankan bahwa manajemen Rumah Sakit Umum Tangerang Selatan untuk terus meningkatkan pelayanan berorientasi pasien khususnya pada dimensi preferensi pasien, dan keterlibatan keluarga dalam rencana perawatan pasien; membangun sistem reward bagi tenaga kesehatan yang transparan; menyediakan fasilitas platform penyampaian saran perbaikan baik online maupun offline; memfasilitasi tenaga kesehatan dengan pelatihan manajemen stress dan komunikasi efektif dan empatik dalam menunjang pelaksanaan pelayanan berorientasi pasien yang lebih baik.
This thesis discusses the implementation of patient-oriented care at Tangerang Selatan General Hospital and its relationship with the perceived organizational support by healthcare workers. This research is quantitative with a cross-sectional design. The results suggest that the management of Tangerang Selatan General Hospital should continuously improve patient-oriented care, especially in the dimensions of patient preferences and family involvement in patient care plans. Additionally, the hospital should establish a transparent reward system for healthcare workers, provide platforms for submitting improvement suggestions both online and offline, and facilitate healthcare workers with stress management training and effective, empathetic communication to support the implementation of better patient-oriented care
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This thesis discusses the implementation of patient-oriented care at Tangerang Selatan General Hospital and its relationship with the perceived organizational support by healthcare workers. This research is quantitative with a cross-sectional design. The results suggest that the management of Tangerang Selatan General Hospital should continuously improve patient-oriented care, especially in the dimensions of patient preferences and family involvement in patient care plans. Additionally, the hospital should establish a transparent reward system for healthcare workers, provide platforms for submitting improvement suggestions both online and offline, and facilitate healthcare workers with stress management training and effective, empathetic communication to support the implementation of better patient-oriented care
T-6941
Depok : FKM-UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Mustofa Kamal; Pembimbing: Ratu Ayu Dewi Sartika, Adang Bachtiar; Penguji: Kusdinar Achmad, Eulis Wulantari, Chusun
T-2132
Depok : FKM-UI, 2005
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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