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Abstrak: Peran yang dimiliki oleh Puskesmas sebagai ujung tombak pelayanan kesehatan masyarakat di wilayah kerjanya, kini menjadi lebih penting lagi karena harus ikut andil dalam penanggulangan Covid-19. Di mana, Puskesmas turut turut berkecimpung dalam prevensi, deteksi, serta respon, dengan tidak melupakan penyelenggaraan UKM dan UKP dalam rangka pemenuhan Standar Pelayanan Minimal (SPM). Penambahan tanggung jawab ini dapat berimbas pada kepuasan kerja perawat. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kepuasan kerja perawat Puskesmas di Kota Bekasi pada masa Pandemi Covid-19 tahun 2022. Penelitian menggunakan desain potong lintang, pengumpulan data melalui pengisian kuesioner daring pada 86 perawat Puskesmas Kota Bekasi. Hasil penelitian menunjukkan 54,7% perawat Puskesmas di Kota Bekasi memiliki kepuasan kerja yang rendah pada masa Pandemi Covid-19. Uji bivariat menggunakan Chi-square menunjukkan bahwa pengakuan, prestasi, kemungkinan pengembangan diri, tanggung jawab, dan pekerjaan itu sendiri berhubungan secara signifikan dengan kepuasan kerja perawat Puskesmas. Namun pada uji regresi logistik ganda, hanya variabel tanggung jawab yang menunjukkan hubungan yang signifikan. Persepsi tanggung jawab merupakan faktor yang paling dominan berhubungan dengan kepuasan kerja perawat Puskesmas di Kota Bekasi pada masa Pandemi Covid-19 tahun 2022.

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The role that Primary Health Center (PHC) has as the spearhead of public health services in its working area has now become even more critical because it has to take part in the prevention of Covid-19. Where, PHC is also involved in prevention, detection, and response, by not forgetting the implementation of Community Health Efforts and Individual Health Efforts in the context of fulfilling Minimum Service Standards (MSS). This additional responsibility can have an impact on nurse job satisfaction. This study aims to determine the factors related to the job satisfaction of PHC?s nurses in the City of Bekasi during the Covid-19 Pandemic in 2022. The study used a cross-sectional design, collecting data by filling out online questionnaires on 86 PHC?s nurses in Bekasi City. The results showed that 54.7% of PHC?s nurses in Bekasi City had low job satisfaction during the Covid-19 pandemic. The bivariate test using Chi-square showed that recognition, achievement, the possibility of self-development, responsibility, and the work itself were significantly related to the job satisfaction of PHC?s nurses. However, in the multiple logistic regression test, only the responsibility variable showed a significant relationship. Perception of responsibility is the most dominant factor related to job satisfaction of PHC?s nurses in Bekasi City during the Covid-19 Pandemic in 2022.

Abstrak: Peningkatan insiden kasus penyakit Covid-19 di rumah sakit menyebabkan peningkatan beban kerja level unit pada perawat yang bertugas di Ruang Isolasi. Beban kerja yang tinggi dapat menyebabkan kepuasan kerja yang rendah dan tingginya tingkat turn over. Tujuan dari penelitian ini adalah ingin melihat hubungan antara beban kerja level unit dengan kepuasan kerja. Penelitian dilakukan dengan desain potong lintang menggunakan instrumen berupa kuesioner daring kepada perawat yang pernah bertugas di Ruang Isolasi RSAU dr. Esnawan Antariksa pada pandemi Covid-19. Analisis persepsi beban kerja menunjukkan 91,9% dari responden merasakan beban kerja berat, sedangkan dari kepuasan kerja 87,1% dari responden merasakan kepuasan kerja yang tinggi tanpa adanya hubungan yang signifikan di antara keduanya (p value=0,0591). Hubungan antara beban kerja dan kepuasan kerja yang tidak terbukti pada penelitian ini menampilkan temuan terbaru yang menunjukkan variabel usia dan pengalaman bekerja memiliki hubungan yang signifikan terhadap beban kerja dan kepuasan kerja. Faktor yang menjadi determinan terjadinya temuan ini diantaranya adalah gairah dalam bekerja, self-reported bias, dan keterbatasan penelitian. Kebijakan yang dapat diterapkan terkait temuan ini diantaranya menetapkan kriteria kelayakan untuk perawat yang akan bertugas di Ruang Isolasi dan melakukan penilaian berkala beban kerja dan kepuasan kerja kepada perawat yang bertugas di Ruang Isolasi.

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The increase in the incidence of Covid-19 disease cases in hospitals has led to the increase in the unit-level workload for nurses in the Isolation Ward. A high workload can lead to low job satisfaction and high turnover rates. The purpose of this study is to study the relationship between unit-level workload and job satisfaction. The study was conducted with a cross-sectional design using an instrument in the form of an online questionnaire to nurses who had served in the Isolation Room of RSAU dr. Esnawan Antariksa during the Covid-19 pandemic. Analysis of workload perceptions showed that 91.9% of respondents felt a heavy workload, while the 87.1% of respondents felt high job satisfaction without a significant relationship between the two variables (p value = 0.0591). The relationship between workload and job satisfaction which is not proven in this study shows the latest findings which show that age and work experience variables have a significant relationship to workload and job satisfaction. Factors that determine the occurrence of these findings include harmonious passion, self-reported bias, and research limitations. Policies that can be applied related to these findings include establishing eligibility criteria for nurses who will serve in the Isolation Ward and conducting periodic assessments of workload and job satisfaction for nurses serving in the Isolation Ward.

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Abstrak: Jakarta Timur tahun 2021 ditemukan 10,46% PUS yang melakukan unmet need KB. Beberapa faktor yang mempengaruhinya yaitu usia, pendidikan, jumlah anak, pengetahuan, sikap, pan-dangan, riwayat kontrasepsi, pemberian pelayanan KB, dukungan suami, dan peran tenaga kesehatan. Penelitian ini bertujuan untuk mengetahui determinan kejadian unmet need KB pada PUS menikah saat masa pandemi COVID-19 di Wilayah Kecamatan Makasar Jakarta Timur Ta-hun 2022. Penelitian ini menggunakan metode kuantitatif dengan desain cross sectional. Sampel dalam penelitian ini adalah PUS di wilayah Kecamatan Makasar Jakarta Timur berjumlah 150 re-sponden dengan teknik multistage random sampling. pengolahan sampel menggunakan analisis univariat, bivariat dan multivariat dengan uji regresi logistik. Pengumpulan data melalui pengisian kuesioner yang telah diuji validitas dan reliabilitas pada 30 PUS yang berdomisili di Kecamatan Makasar Jakarta Timur. Hasil penelitian menunjukkan kejadian unmet need KB pada masa pan-demic COVID-19 sebesar 40% mengalami peningkatan dibandingkan sebelum pandemic COVID-19. Ada hubungan faktor predisposisi (umur, pendidikan, pengetahuan, sikap, persepsi, riwayat KB), faktor pemungkin (aksebilitas informasi pada manajemen pelayanan alat kon-trasepsi) dan faktor penguat (dukungan suami dan peran petugas kesehatan) dengan p-value <0.05. Faktor yang paling dominan mempengaruhi kejadian Unmet Need KB pada PUS menikah saat masa pandemic COVID-19 adalah Riwayat KB. Maka diharapkan BKKBN melakukan pen-ingkatan pembinaan dan koordinasi terhadap pemegang program KB dalam penyuksesan pro-gram KB yang ingin dicapai oleh BKKBN serta PKB lebih meningkatkan preventif dalam hal promosi KB kepada masyarakat dengan mematuhi protocol pencegahan virus COVID-19 dan melakukan intervensi berkala 3 bulan sekali agar masyarakat yang unmet need KB menjadi akseptor KB.

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In East Jakarta in 2021, 10.46% of PUS were found to have unmet need FP. Factors influence it, age, education, number of children, knowledge, attitudes, views, history of contraception, provi-sion of FP services, husband's support, and the role of health workers. This study aims to deter-minants of the incidence unmet need FP in fertile couple during COVID-19 pandemic in the Ma-kasar District, East Jakarta, in 2022. This study used a quantitative method with a cross-sectional design. The sample study is 150 WUS using a multistage random sampling technique. Sample processing with univariate, bivariate and multivariate analysis logistic regression. Data collection by filling out a questionnaire has been tested validity and reliability on 30 fertile age couples live in Makassar District, East Jakarta. The results showed that the incidence of unmet need for fami-ly planning during the COVID-19 increased by 40% compared to before the COVID-19 pan-demic. There is a relationship between predisposing factors (age, education, knowledge, atti-tudes, perceptions, history of family planning), enabling factors (accessibility of information on contraceptive service management) and reinforcing factors (husband's support and the role of health workers) with p-value <0.05. The most dominant factor influencing the incidence of Un-met Need FP in married fertile age couples during the COVID-19 pandemic was FP History. It?s hoped that the BKKBN will increase guidance and coordination of FP program holders on suc-cess of the family planning program and PKB want to achieve more preventively in terms of FP promotion to the community by adhering to the COVID-19 virus prevention protocol and con-ducting periodic interventions for 3 months so that people unmet need FP become FP acceptors.

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Abstrak: Dunia sedang dilanda pandemi virus COVID-19. Pemerintah di berbagai negara menetapkan protokol pembatasan untuk menghambat penyebaran virus COVID-19. Protokol tersebut membatasi akses ke pelayanan kesehatan, sistem pelayanan tatap muka di minimalisir. Hal tersebut memberikan dampak pada anak dengan autisme. Menurut Kaplan, pada anak dengan autisme gejala inti tidak bisa diobati dengan obat medis, akan tetapi dengan edukasi dan intervensi perilaku. Akan tetapi, sebelum pandemi, edukasi dan intervensi umumnya dilaksanakan dengan sistem tatap muka. Solusi dari masalah tersebut adalah penggunaan layanan kesehatan jarak jauh atau telehealth. Penelitian ini adalah penelitian yang membahas bagaimana penggunaan telehealth-telemedicine untuk intervensi pada kasus anak dengan autisme di masa pandemi COVID-19. Penelitian ini menggunakan metode literature review dengan menggunakan database Pubmed, Proquest, Sage Journal, dan Portal Garuda yang menghasilkan 9 artikel terinklusi. Penelitian terinklusi dilaksanakan pada rentang waktu dinyatakannya COVID-19 sebagai pandemi, yaitu tanggal 11 Maret 2020 hingga 1 Mei 2022. Hasil penelitian menunjukkan bahwa intervensi menghasilkan dampak pada anak dengan autisme berupa pengurangan perilaku yang ditargetkan, dan meningkatnya keterampilan. Selain itu pada cargeiver dijumpai peningkatan kepuasan dan persepsi mengenai pelayanan telehealth. Bagi penyedia layanan telehealth, dijumpai artikel yang menjelaskan tentang persepsi mengenai layanan telehealth tersebut. Berdasarkan temuan yang didapat, pelayanan telehealth di rekomendasikan bagi anak dengan autisme, para caregiver baik orang tua ataupun bukan, penyedia jasa layanan juga di rekomendasikan jika ingin menyelenggarakan layanan telehealth berdasarkan temuan berupa tingkat kepuasan dan perkembangan yang muncul setelah intervensi. Sedangkan bagi pemerintah diharapkan mengembangkan kebijakan dan program terkait dengan telehealth terutama di masa pandemi, sehingga masyarakat yang membutuhkan tetap mendapat pelayanan yang dibutuhkan.

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The world is being hit by the COVID-19 pandemic. Governments in various countries set protocols for the spread of the COVID-19 virus. The protocol limits access to health services, the face-to-face service system is minimized. This has an impact on children with autism. According to Kaplan, children with autism symptoms cannot be treated with medical drugs, but with education and behavioral interventions. However, before the pandemic, education and intervention were generally carried out face-to-face. The solution to this problem is the use of remote health services or telehealth. This study is a study that discusses how telehealth is used for intervention in cases of children with autism during the COVID-19 pandemic. This study uses a literature review method using the Pubmed, Proquest, Sage Journal, and Garuda Portal databases which produces 9 included articles. Inclusive research was carried out during the time period that COVID-19 was declared a pandemic, namely March 11, 2020 to May 1, 2022. The results showed that the intervention had an impact on children with autism in the form of a reduction in targeted behavior and skills. In addition to the carrier, increased satisfaction and perception of telehealth services. For telehealth service providers, article explain the perception of the telehealth service. Based on the findings obtained, telehealth services are recommended for children with autism, caregivers, whether parents or not. Service providers are also recommended if they want to provide telehealth services based on the findings about the level of satisfaction and development that appears after the intervention. Meanwhile, the government is expected to develop policies and programs related to telehealth, especially during the pandemic, so that people in need can still receive the services they need.

Abstrak: Abstrak

Kegiatan posyandu bertujuan memantau pertumbuhan balita dengan indikator pencapaian adalah cakupan penimbangan balita (D/S). Pencapaian D/S tahun 2011 di Kota Padang terendah pada Puskesmas Nanggalo 42,7% dan tertinggi pada Puskesmas Ambacang 96,7%. Tujuan penelitian untuk mengetahui hubungan faktor kader dan sarana posyandu dengan cakupan penimbangan di posyandu dua puskesmas Kota Padang tahun 2012. Desain penelitian adalah cross sectional.

Hasil penelitian rata ? rata D/S tahun 2012 puskesmas 66,01 % dengan proporsi cakupan tinggi 52,4 %. Pendidikan, lama kerja, pengetahuan, pelatihan, persepsi, jumlah kader dan sarana posyandu berhubungan bermakna dengan cakupan penimbangan balita. Perlu pelatihan kader, penambahan jumlah kader dan sarana posyandu.

Posyandu activities aimed at monitoring the growth of underfive children with indicators of achievement is the scope of child's weight (D/ S). Achievement of D / S of Padang in 2011, Nanggalo 42.7% and Ambacang 96.7%. Research purposes to determine the correlation between the cadres and the facilities posyandu to coverage of weighing in posyandu Padang City in 2012. The study design was cross-sectional.

The results the average D/ S in 2012 66,01% and propostion hight coverage of weighing 52,4 %. Education, Length of work, knowledge, training, perception, number of cadres and facilities posyandu significantly associated with coverage of weighting underfive children. Need training of cadres and increasing the number of cadres and facility.

Abstrak: Tujuan: Mengetahui faktor-faktor yang berhubungan dengan mutu rekam medis pasien rawat inap di RSMTP Jakarta Selatan. Metode: Penelitian ini menggunakan studi deskriptif observasional dengan pendekatan kualitatif dan kuantitatif yang menggunakan analisis sistem input-process-output. Subjek penelitian ini adalah kasubid penunjang medis, kepala unit RM, kepala ruang rawat inap, petugas RM, dokter, perawat pelaksana, dan petugas admisi, sedangkan objek penelitian adalah berkas RM rawat inap pada Bulan Mei 2022 sebanyak 103 sampel.
Hasil: Komponen output berupa persentase RM rawat inap bermutu baik sebesar 33% yang terdiri dari kelengkapan isi sebesar 34%, ketepatan waktu pengembalian sebesar 100%, dan pemenuhan persyaratan hukum sebesar 69,9%. Kendala pada komponen input antara lain ketersediaan petugas RM yang sesuai kompetensi masih belum mencukupi, belum tersedianya pelatihan pengisian RM, sosialisasi kebijakan kepada profesional pemberi asuhan (PPA) yang masih bersifat segmented, perakitan formulir yang belum konsisten, dan belum tersedianya SOP pengisian RM sebelumnya yang dibutuhkan sebagai acuan PPA dalam melakukan pengisian RM, kebijakan reward dan punishment belum resmi diberlakukan, anggaran dana untuk pelatihan PPA terkait pengisian RM masih belum tersedia, tidak tersedianya insentif untuk PPA dan petugas RM, dan beberapa sarana prasarana di URM kurang memadai. Selain itu, dari segi process terdapat beberapa kendala dari proses pendaftaran yang mengakibatkan pengisian identitas pasien menjadi tidak lengkap. Pelaksanaan pengisian RM yang kurang baik dikarenakan SOP yang masih belum tersedia dan peran PPA dalam mengisi dokumen RM yang belum baik. Proses pengembalian RM sudah dilakukan secara cukup disiplin dalam waktu 1x24 jam. Kegiatan analisis isi dan pemanfaatannya belum dilaksanakan secara berkala, serta pemantauan dan evaluasi pengisian RM yang belum berjalan dengan baik. Belum terbentuknya komite rekam medis sehingga peran audit rekam medis belum berjalan dengan baik. Kesimpulan: Masih rendahnya mutu RM rawat inap di RSMTP berhubungan dengan beberapa faktor yang masih belum terpenuhi dari faktor SDM sendiri maupun faktor-faktor lainnya yang masih mengalami beberapa kendala, serta beberapa proses terkait mutu rekam medis belum berjalan dengan baik. Saran: Perlu adanya pembuatan beberapa kebijakan seperti pengadaan insentif dan kebijakan reward dan punishment. Selain itu, beberapa aspek lain perlu diperhatikan yaitu anggaran untuk pelatihan, pembentukan panitia RM, sosialisasi SOP secara menyeluruh, pemanfaatan analisis isi sebagai acuan evaluasi mutu RM dan kinerja PPA, serta peran PPA dalam memberikan fokus kepada beberapa item rekam medis sehingga seluruh indikator mutu dapat tercapai.

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Background: Medical record (MR) service, especially for inpatients, is one aspect of quality assessment which is reflected in the quality of MR documents carried out by RM filling officers and their management in the medical record unit (MRU). Based on minimum service standards in hospitals, there are four indicators of MR quality targets, namely completeness of contents, accuracy of contents, timeliness of returns, and compliance with legal requirements. The results of the monthly MRU evaluation of the Muhammadiyah Taman Puring Hospital (RSMTP), show the percentage of completeness medical resumes on November 2021 which is still low (32.10%). In addition, the implementation of data recapitulation and analysis of the contents of the MR has just been carried out so that there is no comprehensive evaluation process for the completeness of the MR. Objective: To determine the factors related to the quality of medical records of inpatients at RSMTP South Jakarta. Methods: This study uses a descriptive observational study with a qualitative and quantitative approach that requires an input-process-output system analysis. The subjects of this study were the sub-division of medical support, the head of the MR unit, the head of the inpatient room, the MR officer, doctors, nurses, and admissions officers, while the object of the study was the inpatient MR files in May 2022 as many as 103 samples. Results: The output component in the form of the percentage of good quality inpatient MR is 33% consisting of completeness of contents (34%), timeliness of return (100%), and compliance with legal requirements (69.9%). Constraints on the input component include the availability of competent MR officers who are still not sufficient, the unavailability of MR filling training, policy socialization to professional care providers (PCP) which is still segmented, inconsistent form assembly, and the unavailability of the previous RM filling SOP that needed as a reference for PCP in filling out MRs, reward and punishment policies have not been officially implemented, budget funds for PCP training related to filling MRs are still not available, incentives are not available for PCP and MR officers, and some infrastructure facilities at MRU are inadequate. In addition, in terms of the process, there were several obstacles in the registration process which resulted in incomplete filling of the patient's identity. The implementation of filling out the MR is below standard because the SOP is still not available and the role of the PCP in filling out the MR document still not showing their best effort. The MR refund process has been carried out in a fairly disciplined manner within 1x24 hours. Content analysis and utilization activities have not been carried out on a regular basis, as well as monitoring and evaluation of MR filling that has not been going well. The medical record committee has not yet been formed so that the role of the medical record audit has not gone well. Conclusion: The low quality of inpatient MR at RSMTP is related to several factors that have not been fulfilled, from the human resources factor itself and other factors who are still experiencing some problems, as well as several processes related to the quality of medical records that have not gone well. Suggestion: It is necessary to make several policies such as the provision of incentives and reward and punishment policies. In addition, several other aspects need to be considered, such as the budget for training, the formation of an MR committee, comprehensive socialization of SOPs, the use of content analysis as a reference for evaluating MR quality and PCP performance, and the role of PCP in providing focus to several medical record items so that all quality indicators can be achieved.

Abstrak: Kasus terkonfirmasi positif COVID-19 di Lampung terus bertambah. Rumah Sakit Umum (RSU) Handayani merupakan salah satu rumah sakit swasta rujukan COVID-19 di Lampung. Terdapat penurunan kunjungan pasien rawat jalan di RSU Handayani selama Pandemi Covid-19.Penelitian ini membahas tentang stigma pasien pada tenaga kesehatan serta faktor lainnya terhadap perilaku kunjungan rawat jalan pada masa pandemi di RSU Handayani Lampung Utara. Metode penelitian ini adalah sequential explanatory yang merupakan kombinasi kuantitatif dan kualitatif. Penelitian kuantitatif dilakukan dengan menyebarkan kuesioner kepada pasien rawat jalan, sedangkan penelitian kualitatif dilakukan dengan wawancara mendalam. Hasil penelitian menunjukkan bahwa ada hubungan signifikan antara stigma pasien pada petugas kesehatan, pengetahuan dan sikap terhadap perilaku kunjungan pasien rawat jalan. Penyebab stigma diantaranya karena pasien beranggapan mobilisasi petugas kesehatan yang tinggi di rumah sakit sehingga berisiko menularkan Covid-19. Pasien kelompok rentan sebagian besar memiliki stigma. Penelitian juga mendapatkan beberapa responden tidak patuh berkunjung untuk berobat pada masa pandemi Covid-19. Perlu dilakukan berbagai upaya oleh pihak-pihak terkait untuk meningkatkan pelayanan kesehatan bagi masyarakat khususnya pada masa Pandemi Covid-19.

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Positive confirmed cases of COVID-19 in Lampung continue to increase. The Handayani General Hospital (RSU) is one of the private COVID-19 referral hospitals in Lampung. There was a decrease in outpatient visits at Handayani Hospital during the Covid-19 Pandemic. This study discusses the stigma of patients on health workers and other factors on the behavior of outpatient visits during the pandemic at Handayani Hospital, North Lampung. This research method is sequential explanatory which is a combination of quantitative and qualitative. Quantitative research was conducted by distributing questionnaires to outpatients, while qualitative research was conducted by in-depth interviews. The results showed that there was a significant relationship between patient stigma on health workers, knowledge and attitudes towards outpatient visiting behavior. The cause of the stigma, among others, is because patients think that the high mobilization of health workers in the hospital is at risk of spreading Covid-19. Most of the vulnerable patients have a stigma. The study also found that several respondents did not comply with visiting for treatment during the Covid-19 pandemic. It is necessary to make various efforts by related parties to improve health services for the community, especially during the Covid-19 Pandemic.