ketut swarjana | Stikes Bali (original) (raw)

Papers by ketut swarjana

JNKI (Jurnal Ners & Kebidanan Indonesia)/Jurnal Ners dan Kebidanan Indonesia, Mar 29, 2024

Background: Nursing care provided to patients, especially in hospitals, is expected to be of high... more Background: Nursing care provided to patients, especially in hospitals, is expected to be of high quality, and its implementation is in accordance with the nurse's clinical competence. Objectives: This scoping review aimed to assess the implementation of the clinical competence of nurses in hospitals so that a clear picture of the implementation of these competencies is obtained. In addition, this study can be evidence-based and related to implementing these clinical competencies. Methods: This literature review used PICO framework to develop articles questions (P: nurses, I: not applicable, C: not applicable, and O: application of clinical nursing competency). Articles search for literature review was conducted during April and May 2023. This study used Pubmed and ScienceDirect Databases and other sources. The keywords that used in this scoping review was "nursing competency" OR "clinical nursing competency" AND "evaluation" OR "implementation" AND "hospital". Results: There were 1,150 articles from the search results, but only seven were included for review. One article is a descriptive comparative study using a qualitative approach, and six articles are cross-sectional studies. The articles are publications within five years (2019-2023). In its implementation, the average clinical competency of nurses is at a low to moderate level, and only one study found was at high nurse competency. The results of the supervisor's clinical competency assessment were significantly lower than those assessed by oneself and the group. In addition, the nurse competency level was moderate, and there was no significant difference in the clinical competency of nurses before and during the COVID-19 pandemic. Conclusions: The implementation of nurses' clinical competence has yet to be optimal, so hospital management needs to improve nurses' clinical competence so that nurses can provide higher quality and professional nursing care in the hospital.

Nurse & Health, Nov 15, 2023

Background: Nurse anesthetists as medical personnel have an important role in the continuity of w... more Background: Nurse anesthetists as medical personnel have an important role in the continuity of work in the operating room. Although they have considerable responsibility and role, no research has focused on the job satisfaction of nurse anesthetists. In addition, no literature review has shown low job satisfaction among nurse anesthetists. Objectives: This research aimed to determine the relationship between the work environment and job satisfaction of nurse anesthetists in hospitals. Methods: This research used a quantitative method with a cross-sectional design through an online survey. The population of this research covered all nurse anesthetists working in hospitals in Central Java and Bali, of which 108 respondents were selected as the sample using a simple random sampling. The data were collected using questionnaires and analyzed using inferential statistics, namely chi-square, to determine the relationship between the work environment and job satisfaction of nurse anesthetists. Results: This research showed that a total of 60 respondents (55.6%) had a high category of job satisfaction. In addition, the work environment factor (p=<0.001) significantly affected the job satisfaction of nurse anesthetists. Conclusion: Hospital management must strengthen the commitment related to the sense of belonging to employees by considering the work environment factor that can affect the job satisfaction of nurse anesthetists in hospitals.

Nurse & Health, Nov 12, 2023

Background: Acute respiratory infections (ARIs) are the leading cause of morbidity and mortality ... more Background: Acute respiratory infections (ARIs) are the leading cause of morbidity and mortality among children globally, and require early diagnosis and intervention. During the COVID-19 pandemic, ARI healthcare utilization has been a challenge. Objectives: This study aimed to determine healthcare utilization for ARI during the COVID-19 pandemic, and the associated factors among children aged under five years. Methods: A cross-sectional study was conducted in South Denpasar District, Indonesia. It involved 221 mothers of children aged under five years with ARIs, selected using probability proportional to size. Data were collected through a questionnaire and analyzed using descriptive statistics to measure frequency and proportion, along with multiple logistic regression to determine the factors associated with healthcare utilization of ARI. Results: Among 221 respondents, the majority (65.6%) utilized ARI healthcare in the health centers. Mother's age (OR: 0.21; p=0.041), number of children (OR: 4.79; p=0.001), occupation (OR: 0.38; p=0.002), and distance traveled (OR: 2.37; p=0.008) were associated with utilization of ARI healthcare. Conclusion: The healthcare utilization for ARI during the COVID-19 pandemic was low. Therefore, improved utilization is needed by using local health centers, mobile services, and home visits.

Jurnal Kesehatan

Berbagai upaya World Health Organisation (WHO) untuk menekan jumlah korban COVID-19 secara global... more Berbagai upaya World Health Organisation (WHO) untuk menekan jumlah korban COVID-19 secara global telah dilakukan. Banyak peneliti yang berusaha mengembangkan vaksin dari virus ini, tetapi vaksin yang berhasil dibuat dinilai masih belum sepenuhnya dapat menghentikan pandemi ini. Upaya pemerintah Republik Indonesia yang telah dilakukan untuk mempercepat pemulihan kondisi pandemi menjadi endemi dimana vaksin COVID-19 telah didistribusikan hingga pelaksanaan vaksinasi dosis penguatan (booster). Namun dengan beredarnya berbagai berita negatif terkait vaksin COVID-19 dan perkembangan virus yang terus bermutasi ini mempengaruhi penerimaan dan kesediaan masyarakat dalam pelaksanaan vaksinasi covid-19. Tujuan penelitian ini untuk mengetahui gambaran tingkat pengetahuan, dukungan keluarga dan persepsi masyarakat tentang vaksinasi dosis penguatan terhadap varian COVID-19. Desain penelitian yang digunakan adalah penelitian kuantitatif dengan metode deskriptif. Metode pengambilan sampel menggun...

Jurnal Riset Kesehatan Nasional

Masyarakat mengharapkan rumah sakit memberikan pelayanan kesehatan yang berkualitas tinggi dan ce... more Masyarakat mengharapkan rumah sakit memberikan pelayanan kesehatan yang berkualitas tinggi dan cepat. Namun demikian, masyarakat sering mengeluh tentang waiting time di uit rawat jalan rumah sakit. Penelitian ini bertujuan mengidentifikasi specific waiting time pelayanan pasien di Poliklinik Rawat Jalan Rumah Sakit Daerah (RSD) Mangusada. Studi cross-sectional digunakan dengan mengikutsertakan 379 responden yang berkunjung dan mendapatkan pelayanan di poliklinik. Responden dipilih menggunakan consecutive sampling. Pengumpulan data berlangsung dari bulan Maret sd April 2023. Sementara itu, instrumen penelitian menggunakan kuisioner yang menanyakan tentang karakteristik responden dan specific waiting time. Data dianalisis secara univariate untuk mengetahui frekuensi dan proporsi specific waiting time di loket pendaftaran, poliklinik dan juga apotek rawat jalan. Hasil penelitian menemukan bahwa sebagian besar (88,9%) termasuk dalam waiting time dengan kategori yang baik dalam memberika...

Jurnal Riset Kesehatan Nasional

Abstrak Aborsi adalah berakhirnya kehamilan dengan cara apapun sebelum janin cukup berkembang dan... more Abstrak Aborsi adalah berakhirnya kehamilan dengan cara apapun sebelum janin cukup berkembang dan mampu untuk hidup di luar kandungan. Tingginya kasus aborsi di Indonesia, menimbulkan banyak persepsi negatif, hanya sedikit masyarakat khususnya remaja yang mampu memandang secara jernih. Banyak kasus aborsi pada remaja dikarenakan persepsi yang salah terhadap aborsi. Penelitian ini bertujuan untuk mengetahui persepsi remaja SMA tentang aborsi di Denpasar dan Gianyar. Desain penelitian yang digunakan pada penelitian ini adalah analitik komparatif dengan pendekatan cross-sectional. Sampel pada penelitian ini sebanyak 147 siswa di SMA N 2 Denpasar dan 140 siswa di SMA N 1 Tegallalang secara online dengan menggunakan teknik sampling cluster sampling. Pengumpulan data menggunakan kuesioner persepsi remaja SMA tentang aborsi di Denpasar dan Gianyar yang telah di uji validitas, kuesioner yang telah dibuat berupa link google form. Analisa data yang digunakan yaitu Mann-Whitney U-test. Hasil p...

Jurnal Riset Kesehatan Nasional

Abstrak Kualitas tidur yang rendah pada petugas kesehatan menjadi kendala dalam melakukan suatu k... more Abstrak Kualitas tidur yang rendah pada petugas kesehatan menjadi kendala dalam melakukan suatu keselamatan kerja. Penilaian tentang faktor yang berkorelasi dengan kualitas tidur menjadi penting sebagai kontrol kualitas layanan perawatan. Kecemasan dan beban kerja banyak dialami oleh petugas kesehatan sebagai stressor kurang tidur. Mengidentifikasi hubungan kecemasan dengan kualitas tidur perawat di ruang rawat inap Rumah Sakit Daerah Mangusada Badung dan mengidentifikasi hubungan beban kerja dengan kualitas tidur perawat di ruang rawat inap Rumah Sakit Daerah Mangusada Badung. Desain penelitian menggunakan analitik korelasi dengan metode pendekatan cross-sectional. Sampel yang digunakan adalah 100 perawat dengan pengambilan sampel menggunakan total sampling. Data dikumpulkan dengan kuesioner online yang diolah menggunakan aplikasi SPSS. Uji korelasi yang digunakan adalah Uji Spearman Rho, yang menguji hubungan kualitas tidur dengan masing- masing variable lainnya. Hasil penelitian ...

Jurnal Epidemiologi Kesehatan Indonesia

Pandemi coronavirus disease 2019 (COVID-19) tidak hanya berdampak pada ekonomi dan kesehatan, tet... more Pandemi coronavirus disease 2019 (COVID-19) tidak hanya berdampak pada ekonomi dan kesehatan, tetapi juga aspek pendidikan termasuk praktik klinik mahasiswa profesi kesehatan di rumah sakit. Berbagai perubahan dan penyesuaian jumlah mahasiswa yang melaksanakan praktik klinik, peralatan praktik dan juga metode bimbingan dapat berpengaruh terhadap kepuasan mahasiswa. Penelitian ini bertujuan untuk mengidentifikasi kepuasan mahasiswa profesi kesehatan dan prediktornya dalam melaksanakan praktik klinik selama pandemi COVID-19 di Rumah Sakit Daerah (RSD) Mangusada, Kabupaten Badung. Penelitian ini adalah sebuah studi potong lintang yang melibatkan 341 mahasiswa profesi kesehatan (Mahasiswa Koas, Profesi Ners, Profesi Bidan dan Profesi Fisioterapis) yang melaksanakan praktik klinik di RSD Mangusada. Pemilihan sampel dalam penelitian ini menggunakan teknik consecutive sampling. Pengumpulan data berlangsung dari bulan Januari hingga Maret 2022 dan alat pengumpulan data yang digunakan adalah...

Nurse and Health: Jurnal Keperawatan

Background: Effective communication is one of the competencies of nurse anesthetists; they must a... more Background: Effective communication is one of the competencies of nurse anesthetists; they must also play the role of educator to the patients, meaning that they have to disseminate knowledge related to anesthesia to the patients that will undergo the anesthesia process. The communication done by nurse anesthetists may help reduce patients’ anxiety and prepare patients for the post-anesthesia process. Objectives: This study explores the experience of nurse anesthetists in educating patients and families. Methods: This study employed a phenomenological qualitative approach involving 12 nurse anesthetists in Bali. The inclusion criteria for respondents were nurse anesthetists working in the operating room and nurse anesthetists having STRPA and SIPPA. This study took place for 3 months in 2 hospitals. Data were collected through semi-structured interviews with 8 questions. Data collected using in-depth interviews were analyzed using the Colaizzi method. Results: The themes that emer...

Jurnal Riset Kesehatan Nasional

Abstrak Latar Belakang: Burnout adalah suatu proses psikologis yang di bawa oleh stress pekerjaan... more Abstrak Latar Belakang: Burnout adalah suatu proses psikologis yang di bawa oleh stress pekerjaan yang menghasilkan kelelahan emosi, perubahan kepribadian, dan perasaan penurunan pencapaian. Kepatuhan penata anestesi sangat diperlukan dalam melaksanakan pendokumentasian dan pelaporan pelayanan anestesi. Tujuan: Menggali tingkat burnout dan kepatuhan penata anestesi dalam pengisian formulir laporan anestesi di Ruang Instalasi Bedah Sentral RSUD Karangasem. Metode: Penelitian dilakukan pada bulan April 2022 dengan pendekatan kualitatif. Pengumpulan data dilakukan dengan wawancara mendalam (deep interview) tingkat burnout dan kepatuhan, serta dilakukan penilaian observasi secara langsung pengisian formulir laporan anestesi. Partisipan dalam penelitian ini berjumlah 3 orang penata anestesi. Data dianalisis secara deskriptif kualitatif. Hasil: Hasil penelitian ini didapatkan bahwa pada burnout, dimensi kelelahan emosional partisipan cenderung mengalami kelelahan emosional ringan. Dimensi...

Jurnal Kesehatan dr. Soebandi

Introduction: The Covid-19 pandemic has had a wide impact on society, including healthcare worker... more Introduction: The Covid-19 pandemic has had a wide impact on society, including healthcare workers on the frontline dealing with Covid-19. The large number of healthcare workers who have been exposed to and died due to Covid-19 causes anxiety for both nurses and midwives who work in hospitals. Objective: This study aimed to assess the factors associated with anxiety among nurses and midwives in the emergency unit and outpatient department of Mangusada Regional Hospital. Methods: This study used a cross-sectional design involving 95 samples consisting of nurses and midwives working in the emergency unit and the outpatient department of Mangusada Regional Hospital which was selected using a total sampling technique. Data were collected using a questionnaire developed by the researchers. Furthermore, data collection was done online using a Google form that has been shared with respondents. Furthermore, the data were analyzed using univariate, bivariate, and multivariate analysis. Resul...

Jurnal Kesehatan

Covid-19 has been declared a global pandemic Anxiety is a problem that often arises in patients t... more Covid-19 has been declared a global pandemic Anxiety is a problem that often arises in patients treated at healthcare centers or hospitals. The purpose of this study was to determine the factors related to anxiety in facing societal stigma in Covid-19 patients in the Covid-19 Isolation Room of RSD Mangusada. This research method is a quantitative study with a cross-sectional design conducted in the Covid-19 Isolation Room of RSD Mangusada in March-May 2021. The sampling technique was determined using consecutive sampling with a sample of 256 respondents. The Ordinary Logistic Regression test was used to determine the relationship between the dependent variable and the independent variable and to determine the most influential variable. The results showed that the age variable was the most influential on anxiety with a p-value of 0.049, OR=2.25, which means respondents aged 17-25 years can increase the risk of anxiety by 2.25 times compared to respondents who are adults and the elderly. Age, comorbid status, coping responses, disease-related information, and family support are factors related to patient anxiety in dealing with community stigma in Covid-19 patients at Mangusada Hospital. The involvement of all parties is absolutely necessary for dealing with the Covid-19 pandemic.

This study aimed to develop a Web-based patient safety incident reporting system and evaluate its... more This study aimed to develop a Web-based patient safety incident reporting system and evaluate its satisfaction and benefits. Methods: pre-experimental one-group pre-posttest design and simple random sampling were used. The total respondents were 59 subjects. The research instrument used a questionnaire with a statistical test using a paired T-Test. Results and analysis: As seen from the evaluation results before and after the intervention, respondents' satisfaction with ASOKA Web-based has increased. The Mean value before the intervention was 34.73 and increased after the intervention to 51.49. The maximum before (61) and after (80) the intervention experienced has a significant increase. ASOKA Web-based evaluation has a significant effect (p<0.001) with an effect size value of d = 0.75, which indicates that respondents' satisfaction is in the Moderate Effect range. Conclusion: The testing and evaluation of the ASOKA Web-based at the Sanjiwani Hospital provide satisfactio...

Kesmas: Jurnal Kesehatan Masyarakat Nasional, Aug 31, 2022

Health facilities are experiencing overcapacity, oxygen scarcity, and a limited number of healthc... more Health facilities are experiencing overcapacity, oxygen scarcity, and a limited number of healthcare providers due to the coronavirus disease 2019 (COVID-19), thus impacted on anxiety. This study aimed to determine predictors of anxiety among healthcare providers toward the Delta variant of COVID-19 in Indonesia. A cross-sectional study was conducted with 371 healthcare providers in Java and Bali Islands, and the snowball sampling technique was used. Data were collected using a questionnaire and distributed through social media (WhatsApp), then analyzed using univariate analysis, bivariate analysis (Chisquare test), and multivariate analysis (multiple logistic regression). The results showed that 81 (21.8%) respondents experienced anxiety. The workplace (AOR: = 0.617; p-value = 0.011), records of tested positive for COVID-19 (AOR = 2.965; p-value<0.001), and the respondent's comorbidities (AOR = 8.753; p-value<0.001) were significantly associated with anxiety toward the Delta variant. Healthcare managers must regularly evaluate the psychological condition of their subordinates during the COVID-19 pandemic, so that anxiety can be detected and overcome early through constructive self-adaptation and positive coping mechanisms.

Andi, 2017

xii 340 hlm 16 x 23 c

International Journal of Care Coordination

Introduction Integrated and patient-focused healthcare is urgently needed, and there is an import... more Introduction Integrated and patient-focused healthcare is urgently needed, and there is an important role for case managers in implementing them. However, the understanding of healthcare providers, especially nurse anesthetists, about the role of case managers is still varied and is often considered only as a complement to hospital accreditation. This study aimed to determine the factors that influence the nurse anesthetist’s perception of the role of the case manager. Methods This cross-sectional study involved 369 nurse anesthetists who were selected using cluster sampling. Data collection was done using Google Forms. Furthermore, the data were analyzed using multiple logistic regression to identify the factors that influence the nurse anesthetists’ perception of the role of the case manager. Results From a total of 369 respondents, most (60%) have a positive perception of case managers. Marital status (AOR = 2.3; 95% CI: 1.27–4.15) and knowledge (AOR = 3.2; 95% CI: 2.03–5.07) wer...

JNKI (Jurnal Ners & Kebidanan Indonesia)/Jurnal Ners dan Kebidanan Indonesia, Mar 29, 2024

Background: Nursing care provided to patients, especially in hospitals, is expected to be of high... more Background: Nursing care provided to patients, especially in hospitals, is expected to be of high quality, and its implementation is in accordance with the nurse's clinical competence. Objectives: This scoping review aimed to assess the implementation of the clinical competence of nurses in hospitals so that a clear picture of the implementation of these competencies is obtained. In addition, this study can be evidence-based and related to implementing these clinical competencies. Methods: This literature review used PICO framework to develop articles questions (P: nurses, I: not applicable, C: not applicable, and O: application of clinical nursing competency). Articles search for literature review was conducted during April and May 2023. This study used Pubmed and ScienceDirect Databases and other sources. The keywords that used in this scoping review was "nursing competency" OR "clinical nursing competency" AND "evaluation" OR "implementation" AND "hospital". Results: There were 1,150 articles from the search results, but only seven were included for review. One article is a descriptive comparative study using a qualitative approach, and six articles are cross-sectional studies. The articles are publications within five years (2019-2023). In its implementation, the average clinical competency of nurses is at a low to moderate level, and only one study found was at high nurse competency. The results of the supervisor's clinical competency assessment were significantly lower than those assessed by oneself and the group. In addition, the nurse competency level was moderate, and there was no significant difference in the clinical competency of nurses before and during the COVID-19 pandemic. Conclusions: The implementation of nurses' clinical competence has yet to be optimal, so hospital management needs to improve nurses' clinical competence so that nurses can provide higher quality and professional nursing care in the hospital.

Nurse & Health, Nov 15, 2023

Background: Nurse anesthetists as medical personnel have an important role in the continuity of w... more Background: Nurse anesthetists as medical personnel have an important role in the continuity of work in the operating room. Although they have considerable responsibility and role, no research has focused on the job satisfaction of nurse anesthetists. In addition, no literature review has shown low job satisfaction among nurse anesthetists. Objectives: This research aimed to determine the relationship between the work environment and job satisfaction of nurse anesthetists in hospitals. Methods: This research used a quantitative method with a cross-sectional design through an online survey. The population of this research covered all nurse anesthetists working in hospitals in Central Java and Bali, of which 108 respondents were selected as the sample using a simple random sampling. The data were collected using questionnaires and analyzed using inferential statistics, namely chi-square, to determine the relationship between the work environment and job satisfaction of nurse anesthetists. Results: This research showed that a total of 60 respondents (55.6%) had a high category of job satisfaction. In addition, the work environment factor (p=<0.001) significantly affected the job satisfaction of nurse anesthetists. Conclusion: Hospital management must strengthen the commitment related to the sense of belonging to employees by considering the work environment factor that can affect the job satisfaction of nurse anesthetists in hospitals.

Nurse & Health, Nov 12, 2023

Background: Acute respiratory infections (ARIs) are the leading cause of morbidity and mortality ... more Background: Acute respiratory infections (ARIs) are the leading cause of morbidity and mortality among children globally, and require early diagnosis and intervention. During the COVID-19 pandemic, ARI healthcare utilization has been a challenge. Objectives: This study aimed to determine healthcare utilization for ARI during the COVID-19 pandemic, and the associated factors among children aged under five years. Methods: A cross-sectional study was conducted in South Denpasar District, Indonesia. It involved 221 mothers of children aged under five years with ARIs, selected using probability proportional to size. Data were collected through a questionnaire and analyzed using descriptive statistics to measure frequency and proportion, along with multiple logistic regression to determine the factors associated with healthcare utilization of ARI. Results: Among 221 respondents, the majority (65.6%) utilized ARI healthcare in the health centers. Mother's age (OR: 0.21; p=0.041), number of children (OR: 4.79; p=0.001), occupation (OR: 0.38; p=0.002), and distance traveled (OR: 2.37; p=0.008) were associated with utilization of ARI healthcare. Conclusion: The healthcare utilization for ARI during the COVID-19 pandemic was low. Therefore, improved utilization is needed by using local health centers, mobile services, and home visits.

Jurnal Kesehatan

Berbagai upaya World Health Organisation (WHO) untuk menekan jumlah korban COVID-19 secara global... more Berbagai upaya World Health Organisation (WHO) untuk menekan jumlah korban COVID-19 secara global telah dilakukan. Banyak peneliti yang berusaha mengembangkan vaksin dari virus ini, tetapi vaksin yang berhasil dibuat dinilai masih belum sepenuhnya dapat menghentikan pandemi ini. Upaya pemerintah Republik Indonesia yang telah dilakukan untuk mempercepat pemulihan kondisi pandemi menjadi endemi dimana vaksin COVID-19 telah didistribusikan hingga pelaksanaan vaksinasi dosis penguatan (booster). Namun dengan beredarnya berbagai berita negatif terkait vaksin COVID-19 dan perkembangan virus yang terus bermutasi ini mempengaruhi penerimaan dan kesediaan masyarakat dalam pelaksanaan vaksinasi covid-19. Tujuan penelitian ini untuk mengetahui gambaran tingkat pengetahuan, dukungan keluarga dan persepsi masyarakat tentang vaksinasi dosis penguatan terhadap varian COVID-19. Desain penelitian yang digunakan adalah penelitian kuantitatif dengan metode deskriptif. Metode pengambilan sampel menggun...

Jurnal Riset Kesehatan Nasional

Masyarakat mengharapkan rumah sakit memberikan pelayanan kesehatan yang berkualitas tinggi dan ce... more Masyarakat mengharapkan rumah sakit memberikan pelayanan kesehatan yang berkualitas tinggi dan cepat. Namun demikian, masyarakat sering mengeluh tentang waiting time di uit rawat jalan rumah sakit. Penelitian ini bertujuan mengidentifikasi specific waiting time pelayanan pasien di Poliklinik Rawat Jalan Rumah Sakit Daerah (RSD) Mangusada. Studi cross-sectional digunakan dengan mengikutsertakan 379 responden yang berkunjung dan mendapatkan pelayanan di poliklinik. Responden dipilih menggunakan consecutive sampling. Pengumpulan data berlangsung dari bulan Maret sd April 2023. Sementara itu, instrumen penelitian menggunakan kuisioner yang menanyakan tentang karakteristik responden dan specific waiting time. Data dianalisis secara univariate untuk mengetahui frekuensi dan proporsi specific waiting time di loket pendaftaran, poliklinik dan juga apotek rawat jalan. Hasil penelitian menemukan bahwa sebagian besar (88,9%) termasuk dalam waiting time dengan kategori yang baik dalam memberika...

Jurnal Riset Kesehatan Nasional

Abstrak Aborsi adalah berakhirnya kehamilan dengan cara apapun sebelum janin cukup berkembang dan... more Abstrak Aborsi adalah berakhirnya kehamilan dengan cara apapun sebelum janin cukup berkembang dan mampu untuk hidup di luar kandungan. Tingginya kasus aborsi di Indonesia, menimbulkan banyak persepsi negatif, hanya sedikit masyarakat khususnya remaja yang mampu memandang secara jernih. Banyak kasus aborsi pada remaja dikarenakan persepsi yang salah terhadap aborsi. Penelitian ini bertujuan untuk mengetahui persepsi remaja SMA tentang aborsi di Denpasar dan Gianyar. Desain penelitian yang digunakan pada penelitian ini adalah analitik komparatif dengan pendekatan cross-sectional. Sampel pada penelitian ini sebanyak 147 siswa di SMA N 2 Denpasar dan 140 siswa di SMA N 1 Tegallalang secara online dengan menggunakan teknik sampling cluster sampling. Pengumpulan data menggunakan kuesioner persepsi remaja SMA tentang aborsi di Denpasar dan Gianyar yang telah di uji validitas, kuesioner yang telah dibuat berupa link google form. Analisa data yang digunakan yaitu Mann-Whitney U-test. Hasil p...

Jurnal Riset Kesehatan Nasional

Abstrak Kualitas tidur yang rendah pada petugas kesehatan menjadi kendala dalam melakukan suatu k... more Abstrak Kualitas tidur yang rendah pada petugas kesehatan menjadi kendala dalam melakukan suatu keselamatan kerja. Penilaian tentang faktor yang berkorelasi dengan kualitas tidur menjadi penting sebagai kontrol kualitas layanan perawatan. Kecemasan dan beban kerja banyak dialami oleh petugas kesehatan sebagai stressor kurang tidur. Mengidentifikasi hubungan kecemasan dengan kualitas tidur perawat di ruang rawat inap Rumah Sakit Daerah Mangusada Badung dan mengidentifikasi hubungan beban kerja dengan kualitas tidur perawat di ruang rawat inap Rumah Sakit Daerah Mangusada Badung. Desain penelitian menggunakan analitik korelasi dengan metode pendekatan cross-sectional. Sampel yang digunakan adalah 100 perawat dengan pengambilan sampel menggunakan total sampling. Data dikumpulkan dengan kuesioner online yang diolah menggunakan aplikasi SPSS. Uji korelasi yang digunakan adalah Uji Spearman Rho, yang menguji hubungan kualitas tidur dengan masing- masing variable lainnya. Hasil penelitian ...

Jurnal Epidemiologi Kesehatan Indonesia

Pandemi coronavirus disease 2019 (COVID-19) tidak hanya berdampak pada ekonomi dan kesehatan, tet... more Pandemi coronavirus disease 2019 (COVID-19) tidak hanya berdampak pada ekonomi dan kesehatan, tetapi juga aspek pendidikan termasuk praktik klinik mahasiswa profesi kesehatan di rumah sakit. Berbagai perubahan dan penyesuaian jumlah mahasiswa yang melaksanakan praktik klinik, peralatan praktik dan juga metode bimbingan dapat berpengaruh terhadap kepuasan mahasiswa. Penelitian ini bertujuan untuk mengidentifikasi kepuasan mahasiswa profesi kesehatan dan prediktornya dalam melaksanakan praktik klinik selama pandemi COVID-19 di Rumah Sakit Daerah (RSD) Mangusada, Kabupaten Badung. Penelitian ini adalah sebuah studi potong lintang yang melibatkan 341 mahasiswa profesi kesehatan (Mahasiswa Koas, Profesi Ners, Profesi Bidan dan Profesi Fisioterapis) yang melaksanakan praktik klinik di RSD Mangusada. Pemilihan sampel dalam penelitian ini menggunakan teknik consecutive sampling. Pengumpulan data berlangsung dari bulan Januari hingga Maret 2022 dan alat pengumpulan data yang digunakan adalah...

Nurse and Health: Jurnal Keperawatan

Background: Effective communication is one of the competencies of nurse anesthetists; they must a... more Background: Effective communication is one of the competencies of nurse anesthetists; they must also play the role of educator to the patients, meaning that they have to disseminate knowledge related to anesthesia to the patients that will undergo the anesthesia process. The communication done by nurse anesthetists may help reduce patients’ anxiety and prepare patients for the post-anesthesia process. Objectives: This study explores the experience of nurse anesthetists in educating patients and families. Methods: This study employed a phenomenological qualitative approach involving 12 nurse anesthetists in Bali. The inclusion criteria for respondents were nurse anesthetists working in the operating room and nurse anesthetists having STRPA and SIPPA. This study took place for 3 months in 2 hospitals. Data were collected through semi-structured interviews with 8 questions. Data collected using in-depth interviews were analyzed using the Colaizzi method. Results: The themes that emer...

Jurnal Riset Kesehatan Nasional

Abstrak Latar Belakang: Burnout adalah suatu proses psikologis yang di bawa oleh stress pekerjaan... more Abstrak Latar Belakang: Burnout adalah suatu proses psikologis yang di bawa oleh stress pekerjaan yang menghasilkan kelelahan emosi, perubahan kepribadian, dan perasaan penurunan pencapaian. Kepatuhan penata anestesi sangat diperlukan dalam melaksanakan pendokumentasian dan pelaporan pelayanan anestesi. Tujuan: Menggali tingkat burnout dan kepatuhan penata anestesi dalam pengisian formulir laporan anestesi di Ruang Instalasi Bedah Sentral RSUD Karangasem. Metode: Penelitian dilakukan pada bulan April 2022 dengan pendekatan kualitatif. Pengumpulan data dilakukan dengan wawancara mendalam (deep interview) tingkat burnout dan kepatuhan, serta dilakukan penilaian observasi secara langsung pengisian formulir laporan anestesi. Partisipan dalam penelitian ini berjumlah 3 orang penata anestesi. Data dianalisis secara deskriptif kualitatif. Hasil: Hasil penelitian ini didapatkan bahwa pada burnout, dimensi kelelahan emosional partisipan cenderung mengalami kelelahan emosional ringan. Dimensi...

Jurnal Kesehatan dr. Soebandi

Introduction: The Covid-19 pandemic has had a wide impact on society, including healthcare worker... more Introduction: The Covid-19 pandemic has had a wide impact on society, including healthcare workers on the frontline dealing with Covid-19. The large number of healthcare workers who have been exposed to and died due to Covid-19 causes anxiety for both nurses and midwives who work in hospitals. Objective: This study aimed to assess the factors associated with anxiety among nurses and midwives in the emergency unit and outpatient department of Mangusada Regional Hospital. Methods: This study used a cross-sectional design involving 95 samples consisting of nurses and midwives working in the emergency unit and the outpatient department of Mangusada Regional Hospital which was selected using a total sampling technique. Data were collected using a questionnaire developed by the researchers. Furthermore, data collection was done online using a Google form that has been shared with respondents. Furthermore, the data were analyzed using univariate, bivariate, and multivariate analysis. Resul...

Jurnal Kesehatan

Covid-19 has been declared a global pandemic Anxiety is a problem that often arises in patients t... more Covid-19 has been declared a global pandemic Anxiety is a problem that often arises in patients treated at healthcare centers or hospitals. The purpose of this study was to determine the factors related to anxiety in facing societal stigma in Covid-19 patients in the Covid-19 Isolation Room of RSD Mangusada. This research method is a quantitative study with a cross-sectional design conducted in the Covid-19 Isolation Room of RSD Mangusada in March-May 2021. The sampling technique was determined using consecutive sampling with a sample of 256 respondents. The Ordinary Logistic Regression test was used to determine the relationship between the dependent variable and the independent variable and to determine the most influential variable. The results showed that the age variable was the most influential on anxiety with a p-value of 0.049, OR=2.25, which means respondents aged 17-25 years can increase the risk of anxiety by 2.25 times compared to respondents who are adults and the elderly. Age, comorbid status, coping responses, disease-related information, and family support are factors related to patient anxiety in dealing with community stigma in Covid-19 patients at Mangusada Hospital. The involvement of all parties is absolutely necessary for dealing with the Covid-19 pandemic.

This study aimed to develop a Web-based patient safety incident reporting system and evaluate its... more This study aimed to develop a Web-based patient safety incident reporting system and evaluate its satisfaction and benefits. Methods: pre-experimental one-group pre-posttest design and simple random sampling were used. The total respondents were 59 subjects. The research instrument used a questionnaire with a statistical test using a paired T-Test. Results and analysis: As seen from the evaluation results before and after the intervention, respondents' satisfaction with ASOKA Web-based has increased. The Mean value before the intervention was 34.73 and increased after the intervention to 51.49. The maximum before (61) and after (80) the intervention experienced has a significant increase. ASOKA Web-based evaluation has a significant effect (p<0.001) with an effect size value of d = 0.75, which indicates that respondents' satisfaction is in the Moderate Effect range. Conclusion: The testing and evaluation of the ASOKA Web-based at the Sanjiwani Hospital provide satisfactio...

Kesmas: Jurnal Kesehatan Masyarakat Nasional, Aug 31, 2022

Health facilities are experiencing overcapacity, oxygen scarcity, and a limited number of healthc... more Health facilities are experiencing overcapacity, oxygen scarcity, and a limited number of healthcare providers due to the coronavirus disease 2019 (COVID-19), thus impacted on anxiety. This study aimed to determine predictors of anxiety among healthcare providers toward the Delta variant of COVID-19 in Indonesia. A cross-sectional study was conducted with 371 healthcare providers in Java and Bali Islands, and the snowball sampling technique was used. Data were collected using a questionnaire and distributed through social media (WhatsApp), then analyzed using univariate analysis, bivariate analysis (Chisquare test), and multivariate analysis (multiple logistic regression). The results showed that 81 (21.8%) respondents experienced anxiety. The workplace (AOR: = 0.617; p-value = 0.011), records of tested positive for COVID-19 (AOR = 2.965; p-value<0.001), and the respondent's comorbidities (AOR = 8.753; p-value<0.001) were significantly associated with anxiety toward the Delta variant. Healthcare managers must regularly evaluate the psychological condition of their subordinates during the COVID-19 pandemic, so that anxiety can be detected and overcome early through constructive self-adaptation and positive coping mechanisms.

Andi, 2017

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International Journal of Care Coordination

Introduction Integrated and patient-focused healthcare is urgently needed, and there is an import... more Introduction Integrated and patient-focused healthcare is urgently needed, and there is an important role for case managers in implementing them. However, the understanding of healthcare providers, especially nurse anesthetists, about the role of case managers is still varied and is often considered only as a complement to hospital accreditation. This study aimed to determine the factors that influence the nurse anesthetist’s perception of the role of the case manager. Methods This cross-sectional study involved 369 nurse anesthetists who were selected using cluster sampling. Data collection was done using Google Forms. Furthermore, the data were analyzed using multiple logistic regression to identify the factors that influence the nurse anesthetists’ perception of the role of the case manager. Results From a total of 369 respondents, most (60%) have a positive perception of case managers. Marital status (AOR = 2.3; 95% CI: 1.27–4.15) and knowledge (AOR = 3.2; 95% CI: 2.03–5.07) wer...