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Dentists are at risk of needle stick injury or other sharps object that potentially get infectious diseases. This study aimed to determine the risk factors of needle stick injury or other sharps. The study design was cross sectional study with semiquantitative approach. The sample was the entire population of dentists at Public Health Centers in South Tangerang. Results found most of the respondents (87.2%) were knowledgeable, most (89.7%) had a good attitude, but there were still nearly half (41.0%) with no good skills. While the dental clinic facility more than half (68.0%) was not good, and almost all (96.0%) had no Standard Operating of dental procedure, while according to the perception of most respondents (82.1%) there was no supervision. It was suggested to traine and to nurture about needle stick injury or sharps prevention techniques, as well as considering the ratio of dentists and the number of patients in order to reduce the pressure of the working time for dentists. Contributing factors such as facilities, SOP and supervision still needed to be improved.
Problems in the dental clinic of Gandoang health center are the large gap between the number of diagnoses and the number of dental health services provided, and also reduction in the number of patient visits in dental clinic, these can be caused by unuptimal communication. This study aims to determine the relationship between dentist communication quality variables and patient characteristics with dental patient satisfaction. Research with a mixed method design with a sequential explanatory approach, begins with quantitative research and then deepened through qualitative research. The population was dental clinic’s outpatients, with a sample size of 100, while the qualitative research informants consisted of 2 patients, 1 dentist, and 1 head of the Gandoang helat center, through in-depth interviews. Most respondents (52%) stated that the quality of dentist communication was good, the aspect of introduce (59%) and shows respect (78%) were good, while the aspects of explanation (53%) and listen carefully (55%) were poor criteria. Most of respondents (54%) showed dissatisfaction. Most respondents were disappointed with open-endedness (58%) and empathy dimensions (54%). Multivariate analysis showed that the most dominant variable related to patient satisfaction with dental dentists was ciommunication quality, p value = 0.001, OR = 4,8 (95% CI 1,984-11,752), that means poor communication quality of dentists would have an opportunity of 4,8 times causing dissatisfaction patients compared to the quality of good dentist communication.
Abstrak
Tesis ini membahas tentang komponen-komponen di dalam institusi pendidikan kedokteran gigi dan keterkaitannya dengan tingkat kelulusan Uji Kompetensi Dokter Gigi Indonesia (UKDGI). Penelitian ini menggunakan pendekatan kuantitatif-kualitatif dengan desain analitik deskriptif.Hasil penelitian memperlihatkan komponen-komponen sarana dental unit, ketersediaan dosen, kualifikasi dosen, serta letak wilayah memiliki keterkaitan dengan tingkat kelulusan UKDGI.Adapun saran peneliti adalah:1. Revisi standar pendidikan perlu segera dilakukan;2. Pengendalian mutu institusi baik internal maupun eksternal penting untuk diperbaiki mekanismenya sehingga dapat menjamin kualitas lulusannya;3. Standar UKDGI sebaiknya dikembangkan sesuai dengan standar minimum pelayanan kesehatan yang dibutuhkan dalam upaya pemenuhan tenaga dokter gigi.
This thesis discusses the components in the dental education institutions and its association with the completion rates of Indonesian Dentists Competency Test (UKDGI). This study uses a quantitative-qualitative approach with descriptive analytic design. The results show that the components of dental unit facilities, ratio of teachers and students, teacher?s qualifications, and location of the region are associated with the completion rates of UKDGI.The researcher suggest:1. Revised educational standards need to be done immediately;2. Refinement to the quality control mechanism both internal and external are essential to ensure the quality of its graduates;3. UKDGI standards should be developed in accordance with the minimum standards of health services needed.
Kebanyakan dokter gigi tidak menyadari pentingnya manfaat sistem ergonomi dengan posisi yang baik saat merawat pasien. Gangguan muskuloskeletal adalah salah satu yang jelas sebagai hazard. Saat melakukan pencabutan gigi, kadang-kadang dokter gigi membungkuk ke arah pasien, bergerak secara mendadak, memutar tubuh dari satu sisi ke sisi yang lain. Seluruh gerakan tersebut dilakukan berkali-kali dalam jangka waktu yang panjang sehingga sering mengalami rasa tidak nyaman dan sakit di daerah leher, bahu, tulang punggung serta pergelangan tangan. Penelitian ini meninjau faktor-faktor risiko ergonomi dokter gigi terhadap keluhan Musculoskeletal Disorders pada aktivitas pencabutan dengan jenis potong lintang melalui pendekatan observasional.Hasil penelitian 74,3% tindakan pencabutan gigi menimbulkan gangguan secara fisik, 61,4% melakukan gerakan berulang punggung membengkok ke depan, belakang atau ke samping , 35,7% melakukan gerakan berulang punggung membengkok dan memutar secara simultan dalam melakukan tindakan dan melalui Nordic Map Quesioner didapat frekuensi timbulnya keluhan pada daerah sekitar leher 38,6%. Intensitas keluhan rasa nyeri, sakit dan ketidaknyamanan akibat kerja yang cukup mengganggu aktifitas kerja dikemukakan pada bagian kaki kanan 61,4 %, bahu kanan atas sebanyak 48,6 %, pada bagian pergelangan tangan kanan 40% serta pada leher sebanyak 47,1%.Hasil akhir yang didapat melalui observasi dengan pengukuran metode OWAS (Ovako Working Posture Analysis System) di dapatkan kategori 2 dimana postur kerja memiliki beberapa efek yang berbahaya bagi system musculoskeletal serta diperlukan tindakan untuk perubahan posisi kerja pada perencanaan yang akan datang.
Most dentists do not realize the importance of the benefits ergonomics system with a good position when treating patients. Musculoskeletal disorders is an obvious one as a hazard. When performing tooth extraction, dentists sometimes leaned toward the patient, a sudden move, rotate the body from one side to the other. The whole movement is done many times in the long term so often experience discomfort and pain in the neck, shoulder, spine and wrist. This study reviewed the dentist ergonomic risk factors from Musculoskeletal Disorders in the type of extraction activity through cross-sectional observational approach.74.3% of research results to extract a tooth cause physical disorders, 61.4% perform repetitive motions backs bent forward, backward or sideways, 35.7% perform repetitive movements back bend and rotate simultaneously in action and through Nordic Map questioner obtained the frequency of complaints in the area around the neck of 38.6%. complaints of pain intensity, pain and discomfort caused by work is quite disturbing work activities presented in section 61.4% right foot, right shoulder up 48.6%, 40% on the right wrist and the neck 47.1%.The final result is obtained through observations with measurements of methods OWAS (Ovako Working Posture Analysis System) in which the working posture level 2 has some effects that are harmful to the musculoskeletal system and the necessary action to change the position of the work on the future planing.
Abstrak
Dalam Undang Undang Nomor 29 Tahun 2004 pasal 29 menyatakan bahwa setiap dokter dan dokter gigi yang melakukan praktik kedokteran di Indonesia wajib memiliki STR sesuai sertifikat kompetensi yang dimiliki. STR berlaku lima (5) tahun. Jika sampai masa berlaku STR habis dokter atau dokter gigi tidak melakukan registrasi ulang, akan kehilangan kewenangan untuk melakukan praktik kedokteran. Sanksi bagi yang menjalankan praktik dengan sengaja tanpa STR dan surat ijin adalah denda maksimal Rp 100 juta ( pasal 75). Hasil pencapaian registrasi ulang belum 100%.
Penelitian ini ditujukan untuk melakukan analisis terhadap kebijakan dan analisis untuk menyusun rekomendasi (analysis of policy dan analysis for policy) registrasi ulang dokter dan dokter gigi di Indonesia. Penelitian ini menggunakan pendekatan kualitatif dan untuk analisis data digunakan model content analisis diolah dengan pendekatan model Patton Savicky dengan kriteria boulton disajikan berdasarkan analysis of policy dan analisis for policy sebagai rekomendasi.
Hasil penelitian menemukan bahwa dokter dan dokter gigi kurang bersedia melakukan registrasi ulang karena : alur sertifikasi kompetensi untuk persyaratan registrasi ulang terlalu panjang, pemenuhan persyaratan terlalu sulit, pengisian borang borang terlalu banyak, pengumpulan SKP untuk memperoleh sertifikat kompetensi bagi registrasi ulang kurang menilai kompetensi (skill) lebih untuk menilai administrasi, pendidikan dan pelatihan yang diselenggarakan oleh organisasi profesi membutuhkan biaya dan hanya untuk peningkatan pengetahuan (knowledge) bukan untuk meningkatkan keterampilan (skill), proses penerbitan sertifikat kompetensi dan STR ulang menjadi terlalu lama.Kesimpulannya, implementasi kebijakan registrasi ulang dokter dan dokter gigi kurang efektif pelaksanaannya karena dipengaruhi oleh peraturan itu sendiri, upaya dokter atau dokter gigi, institusi yang melaksanakan kebijakan serta kondisi lingkungan.
Peneliti menyarankan agar mengembangkan sistem registrasi, meningkatkan komitmen, meningkatkan otoritas KKI, meningkatkan resources, meningkatkan pemahaman dan kesepakatan terhadap tujuan dan stakeholder agar meningkatkan pembinaan dan pengawasan.
According to the Law Number 29 in 2004 article 29 States that every doctors and dentists who conduct medical practices in Indonesia must have a certificate of competence in accordance STR owned .STR is expired after five (5) years. If until the expiration date of STR, doctor and dentist do not apply for the re-registration, so doctors or dentists will loss their authority to conduct medical practices. The consequence for doctors and dentists who running practice without STR and licence intentionally is a fine of up to Rp 100 million (article 75). The achievements of re-registration have not been 100% yet.
This study aimed to analysis the policy and analysis to make recomendations for reregistration policy of doctors and dentists in Indonesia. This study used qualitative approach and for data analysis using the content analysis model, prepared by "Patton Savicky model approach with Boulton criteria based on the analysis of policy and analysis for policy as a recommendation.
The study has found that doctors and dentists are less willingness to be registered as the competencies certification flow for the reregistration are too long, too difficult STR making requirements, too many forms must be fulfilled, the SKP activity colllecting to have competence certificate for the reregistration is not to assess the competencies (skills) but to assess the administration, education and training organized by professional organizations to expensive and only for knowledge increase, not for the skills the,and the waiting time for STR publishing is too long. To sum up, the implementation of the re-registration policies of doctors and dentists have not performed well because it was influenced by the re-registration policy and efforts of the doctors and dentists and institutions in implementing the policy and environmental circumstance.
Researchers suggests to develop a registration system, to increase the commitment, to improve KKI authority, increase resources, to increase the understanding and agreement on goals and stakeholders in order to improve the guidance and supervision
Introduction: MSDs, including Carpal Tunnel Syndrome (CTS), are the most widely recognized diseases by the European Agency for Occupational Disease Statistics in 2005 (59%). If left untreated,it can cause permanent damage to the nerves. Dentists are likely to experience physical and psychosocial exposure in the workplace. The aim of this study was to analyze the prevalence of CTS symptoms and associated risk factors. Method : cross sectional. Online questionnaires and observations were carried out May 5 -June 19, 2023, the data obtained was selected according to the inclusion and exclusion criteria. The sample is 126 dentists in DKI Jakarta primary health care. Results: The prevalence of symptoms related to CTS was 45.2% with details of 41.2% mild, 3.2% moderate, and 0.8% severe. Dentists with repetitive movements have a significant relationship wih CTS symptoms than without it (OR 4.750, 95% CI 1.824-12.372). family and work conflict has a significant relationship with CTS symptoms (OR 2.687, 95% CI 1.148 – 6.292). However, there is no relationship between CTS symptoms and age, BMI, smoking, years of service and practice elsewhere. Conclusion: Forty-five percent of dentists experience symptoms related to CTS. Movement repetition and work and family conflicts have a significant relationship with CTS.