Ditemukan 4 dokumen yang sesuai dengan query :: Simpan CSV
Elisabeth Sri Lestari Handayani; Pembimbing: Indang Trihandini, Penguji: Artha Prabawa, Kemal N. Siregar, Alexander K. Ginting, Erni Priyatni
T-3522
Depok : FKM UI, 2012
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Putri Yuliani; Pembimbing: Wahyu Sulistyadi; Penguji: Ede Surya Darmawan, Adang Bachtiar, Ferdy Tiwow, Alexander K. Ginting
Abstrak:
Kemampuan rumah sakit untuk bertahan dan menjalankan fungsinya sebagai penyedia layanan kesehatan kepada masyarakat menghadapi tantangan dalam situasi darurat dan bencana. Rumah sakit harus mampu menghadapi pandemi COVID-19 dan bertahan sebagai salah satu bagian sentral dari ekosistem kesehatan. Penelitian ini dilakukan untuk menganalisis respon Rumah Sakit Awal Bros Batam terhadap pandemi COVID-19. Penelitian ini menggunakan pendekatan kualitatif dengan desain studi kasus melalui wawancara mendalam, telaah dokumen, observasi dan focus group discussion (FGD). Hasil penelitian menunjukkan bahwa secara umum rumah sakit dinilai memiliki tingkat kesiapsiagaan yang adekuat untuk berespon terhadap COVID-19. Komponen yang memiliki performa kurang baik adalah Komponen Kesehatan kerja, kesehatan mental, dan dukungan psikososial; Komponen Manajemen Pasien, dan Komponen Surge Capacity. Rumah sakit belum memiliki program kesehatan mental karyawan yang komprehensif terutama bagi tenaga kesehatan yang menangani COVID-19. Penggunaan terapi baru yang belum terdaftar juga belum dilakukan pemantauan dan kajian dilema etik dengan mengembangkan protokol pemantauan terapi. Selain itu, rumah sakit juga belum melakukan penetapan jumlah optimal sumber daya yang dibutuhkan untuk menghadapi kemungkinan kapasitas lonjakan di masa mendatang. Kesiapsiagaan dan respon rumah sakit terhadap pandemi tentunya harus dapat dipertahankan, ditingkatkan, dan dievaluasi sehingga disusunlah strategi mitigasi risiko prioritas yang menitikberatkan pada subkomponen yang memiliki nilai Risk Priority Number (RPN) paling tinggi. Selain strategi mitigasi risiko, telah disusun pula serangkaian Key Performance Outcome Indicator yang akan digunakan untuk melakukan pengukuran dan pemantauan keberhasilan rumah sakit dalam bersiapsiaga, berespon terhadap pandemi COVID-19 dan mempertahankan keberlangsungan bisnis operasionalnya. Diperlukan penelitian lebih lanjut tentang status kesehatan mental tenaga kesehatan yang bekerja di rumah sakit pada masa pandemi COVID-19 serta analisis hubungannya dengan status kesiapsiagaan rumah sakit serta melakukan evaluasi dari pemantauan penggunaan obat yang tidak terdaftar dan dampaknya terhadap outcome pasien COVID-19
Hospital ability to survive and maintain its function as a health service provider to the community faces challenges in emergency and disaster situations. Hospitals must be able to deal with the COVID-19 pandemic and survive as a central part of the health ecosystem. This research was conducted to analyze Awal Bros Batam Hospital responses to the COVID-19 pandemic. This study used a qualitative approach with a case study design through in-depth interviews, document review, observation, and focus group discussion (FGD). The results showed that in general, hospitals were considered to have an adequate level of preparedness to respond to COVID-19. Underperforming components are the components of Occupational Health, Mental Health, And Psychosocial Support; Patient Management Components, and Surge Capacity Components. The hospital have not develop a comprehensive employee mental health program, especially for health workers who handle COVID-19 patients. The use of new unregistered has also not been adequately monitored and studied ethical dilemmas by developing therapy monitoring protocols. Besides, the hospital has not determined the optimal amount of human resources needed to deal with possible future capacity spikes. Hospital preparedness and response to pandemics must of course be maintained, improved, and evaluated so that a priority risk mitigation strategy is formulated that focuses on the subcomponent that has the highest Risk Priority Number (RPN) value. In addition to risk mitigation strategies, a series of Key Performance Outcome Indicators have also been prepared which will be used to measure and monitor the success of hospitals in preparing, responding to the COVID-19 pandemic, and maintaining the sustainability of its operational business. Further research is needed on the mental health status of health workers working in hospitals during the COVID-19 pandemic and its relationship with hospital preparedness status, also research to evaluate the unregistered drug use monitoring and its impact on COVID-19 patient outcomes
Read More
Hospital ability to survive and maintain its function as a health service provider to the community faces challenges in emergency and disaster situations. Hospitals must be able to deal with the COVID-19 pandemic and survive as a central part of the health ecosystem. This research was conducted to analyze Awal Bros Batam Hospital responses to the COVID-19 pandemic. This study used a qualitative approach with a case study design through in-depth interviews, document review, observation, and focus group discussion (FGD). The results showed that in general, hospitals were considered to have an adequate level of preparedness to respond to COVID-19. Underperforming components are the components of Occupational Health, Mental Health, And Psychosocial Support; Patient Management Components, and Surge Capacity Components. The hospital have not develop a comprehensive employee mental health program, especially for health workers who handle COVID-19 patients. The use of new unregistered has also not been adequately monitored and studied ethical dilemmas by developing therapy monitoring protocols. Besides, the hospital has not determined the optimal amount of human resources needed to deal with possible future capacity spikes. Hospital preparedness and response to pandemics must of course be maintained, improved, and evaluated so that a priority risk mitigation strategy is formulated that focuses on the subcomponent that has the highest Risk Priority Number (RPN) value. In addition to risk mitigation strategies, a series of Key Performance Outcome Indicators have also been prepared which will be used to measure and monitor the success of hospitals in preparing, responding to the COVID-19 pandemic, and maintaining the sustainability of its operational business. Further research is needed on the mental health status of health workers working in hospitals during the COVID-19 pandemic and its relationship with hospital preparedness status, also research to evaluate the unregistered drug use monitoring and its impact on COVID-19 patient outcomes
B-2172
Depok : FKM-UI, 2021
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
☉
Arifah Alfiyyah; Pembimbing: Robiana Modjo; Penguji: Adang Bachtiar, Evi Martha, Alexander K Ginting S. , Novita Dwi Istanti
Abstrak:
Read More
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
☉
Fetrina Lestari; Promotor: Robiana Modjo; Kopromotor: L. Meily Kurniawidjaja, Agus Dwi Susanto; Penguji: Adang Bachtiar, Besral, Fatma Lestari, Alexander K Ginting, Sutoto
Abstrak:
Read More
Tenaga kerja Rumah Sakit merupakan tulang punggung pelayanan kesehatan dan menghadapi potensi bahaya kesehatan dan keselamatan kerja (K3) yang tinggi. Spesifiknya adalah faktor risiko biologis, salah satunya yaitu kuman Tuberkulosis (TBC). Global TBC Report (WHO, 2022) menyatakan Indonesia adalah negara kedua tertinggi di dunia terinfeksi TBC. Tujuan penelitian ini adalah pengembangan instrumen upaya perlindungan tenaga kerja rumah sakit dari penularan penyakit TBC. Desain penelitian yang digunakan adalah The exploratory sequential mixed method design. Pada tahap pertama melakukan analisis kualitatif melalui Focus Group Discoussion (FGD) dengan para pakar dan ahli di bidang penanggulangan penyakit TBC. Tahap kedua dan ketiga analisis kuantitatif cross sectional pada tenaga kerja di 5 RS pengampu layanan TBC di Indonesia. Tahap keempat merupakan uji coba instrumen pada 10 (sepuluh) rumah sakit pengampu layanan TBC. Hasil uji Instrumen FETRINA (Fasilitasi Eliminasi TBC ringkaskan-hilangkan- absentisme), seluruh item pertanyaan valid dan reliabel nilai Cronbach’s Alpha > 0,6. Terdapat variasi persepsi signifikan antar rumah sakit dalam elemen koordinasi, komunikasi, edukasi, implementasi program TBC, Terdapat variasi persepsi signifikan antar rumah sakit dalam elemen koordinasi, komunikasi, edukasi, implementasi program TBC, pelatihan dan kompetensi, serta monitoring dan evaluasi. Penelitian ini menghasilkan pengembangan instrumen dapat digunakan sebagai referensi/acuan untuk menilai upaya perlindungan tenaga kerja RS dari penularan penyakit TBC. Penerapan manajemen risiko yang baik menentukan keberhasilan perlindungan tenaga kerja rumah sakit dari penularan penyakit TBC.
Hospital workers are the backbone of health services and face high potential occupational health and safety (OHS) hazards. Specifically, there are biological risk factors, one of which is Tuberculosis (TB) germs. The Global TBC Report (WHO, 2022) states that Indonesia is the second most infected country in the world with TB. The aim of this research is to develop an instrument to protect hospital workers from the transmission of TB disease. The research design used was the exploratory sequential mixed method design. In the first stage, a qualitative analysis was carried out through a Focus Group Discussion (FGD) with experts and experts in the field of TB disease control. The second and third stages were cross-sectional quantitative analysis of the workforce in 5 hospitals providing TB services in Indonesia. The fourth stage was a trial of the instrument at 10 (ten) hospitals providing TB services. The results of the FETRINA test (TB Elimination Facilitation summarize-eliminate- absentism), all question items are valid and reliable with Cronbach's Alpha value > 0.6. There are significant variations in perception between hospitals in the elements of coordination, communication, education, implementation of the TB program. There are significant variations in perception between hospitals in the elements of coordination, communication, education, implementation of the TB program, training and competency, as well as monitoring and evaluation. This research resulted in the development of an instrument that can be used as a reference for assessing efforts to protect hospital workers from transmission of TB disease. The implementation of good risk management determines the success of protecting hospital workers from transmission of TB disease.
D-524
Depok : FKM-UI, 2024
S3 - Disertasi Pusat Informasi Kesehatan Masyarakat
☉