Penerapan Model Problem-Based Learning untuk Meningkatkan Hasil Belajar Siswa pada Mata Pelajaran Keterampilan Dasar Tindakan Keperawatan (KDTK) SMK Negeri 1 Tembuku

Penelitian ini bertujuan untuk meningkatkan hasil belajar siswa kelas XI Asisten Keperawatan dalam pembelajaran Keterampilan Dasar Tindakan Keperawatan di SMK Negeri 1 Tembuku melalui penerapan model Problem-Based Learning (PBL). Penelitian ini adalah penelitian tindakan kelas yang dilaksanakan dua siklus, setiap siklusnya dilaksanakan selama 14 hari dengan tahapan kegiatan berupa perencanaan, pelaksanaan, observasi, analisis, dan refleksi. Subjek penelitian adalah siswa kelas XI kompetensi keahlian Asisten Keperawatan SMK Negeri 1 Tembuku tahun pelajaran 2020/2021 dengan jumlah siswa 9 orang. Data dari penelitian ini, diperoleh dari instrument penilaian hasil belajar siswa baik pada ranah pengetahuan (kognitif) dan keterampilan (psikomotor). Hasil penelitian menunjukkan bahwa hasil belajar siswa meningkat setiap siklusnya. Pada siklus I diperoleh nilai rata-rata hasil belajar siswa sebesar 70,56 dengan nilai KKM 65 dan ketuntasan klasikal sebesar 77,78%. Pada siklus II diperoleh nilai rata-rata hasil belajar siswa sebesar 76,67 dengan nilai KKM 65 dan ketuntasan klasikal sebesar 88,89%. Dengan demikian, hasil penelitian menunjukkan bahwa penggunaan model pembelajaran PBL dapat meningkatkan hasil belajar siswa pada mata pelajaran Keterampilan Dasar Tindakan Keperawatan

DECEPTIVE IS EFFECTIVE NEGOTIATION STRATEGIES TO CUSTOMERS FOR USING CONDOMS CONSISTENTLY

The Consistency of condom use by the sex customers is very low. These problems occur due to the lack of negotiations carried out by the sex workers into their customers. This study aims to determine the most effective negotiation strategies for the customers to consistently using condoms. The study was conducted by using a survey cross-sectional of sex workers directly with the sample of 100 peoples, which who selected by a random cluster sampling in Denpasar city. The data collected by interviews conducted by using a questionnaire about the characteristics and modification Condom Influence Strategy Questionnaire (CISQ) developed by Noar. The results of the study show that about 63% of customers consistently used condoms in the past week. The effective negotiation strategies used so that customers consistently using condoms is deceptive by sex workers to their client's variables associated with consistent condom use is the availability of condoms and sex worker's age. Deceptive is the most effective strategy to increase consistent condom use.Keywords— Negotiations Condoms, Female Sex Workers, Consistency of Condom Us

Family Support and Family Economic Status With Depression Level on Patients End Stage Renal Disease

Patients with hemodialysis therapy have uncertainty as to how long hemodialysis is required and should accept the fact that therapy is needed throughout life. Because it appears anxiety response, rejection and anger. ESRD patients undergoing hemodialysis therapy, require support from the family. The purpose of this study was to determine the relationship of family support and economic status with depressed ESRD patients who underwent hemodialysis therapy <1 year. The design of this research is descriptive correlation with cross sectional research method, by using simple random sampling technique with the number of samples of 47 ESRD patients who are undergoing hemodialysis at Gatoel Hospital Mojokerto. The Research done in April 2017. The results obtained most of the respondents have economic ability Above the Provincial Minimum Wage of 27 respondents (57.4%). Most of the respondents stated that they received good family support in 30 categories (63,8%) and most of respondents had light depression 24 respondents (51,1%). Based on statistical test of spearman's rho with significance level α 0,05 obtained result (r) = 0,462 meaning bigger than value signifikansi (0,462> 0,05) hence H1 rejected which mean there is no significant relation between economic status with depression level In ESRD patients and Spearman's rho statistical test results obtained significance value 0.000 <0.05 which means there is a significant relationship between family support with depression levels in ESRD patients. The economic level does not affect depression because the cost of hemodialysis therapy all respondents is covered by health insurance, whereas family support has a positive influence where the better the family support the lighter the depression level in ESRD patients undergoing hemodialysis therapy

MORTALITY OF HIV/AIDS-INFECTED PEOPLE WITH ANTIRETROVIRAL THERAPY: A GENDER ANALYSIS

Background: Mortality in people living with HIV/AIDS is one of measures to the success of its treatment. Study related to their deaths seen from gender is still very limited. Objective: The aim of this study was to determine the incidence rate of mortality between men and women living with HIV/AIDS and receiving antiretroviral therapy. Methods: This was a retrospective study using secondary data of HIV/AIDS-infected patients in Buleleng District Hospital in the period of 2006-2015. This research used Survival analysis, Kaplan-meier, incident rate comparison and logistic regression with STATA SE 12. Results: A total of 1204 HIV/AIDS-infected patients data was included. The incidence of total mortality rates was 27.7 per 1000 person-years. Based on gender, the mortality in men (35 per 1000 person-years) was higher than women (14 per 1000 person-years) with the incidence rate ratio (IRR) of 2.39 (p 0.01). Fifty percent of cases of mortality occured at 0.15 years of observation. The median time of mortality in men was 0.14 years (1.7 months) and in women was 0.15 years (1.8 months). The poor clinical condition was seen from a body weight <50 kg, which increased the risk of death with aOR 3.85 (p 0.01 CI 2.40-6.16). Nevirapine increased the risk of mortality (aOR 2.18; p 0.01; CI 1.18-4.03). and CD4 cell counts of ≤ 200 cells / mm3 reduced the risk of death by 69% (AOR 0.31; p 0.01; CI 0.18-0.53). Conclusion: The incidence of mortality in men was greater than it in women, which is caused by poor clinical conditions. It is better to evaluate the success of antiretroviral therapy by considering the needs of patients according to their gender. Further research is needed in regard to adherence of treatment and loss to follow-up events

KARAKTERISTIK GESTASIONAL DAN STANDAR OPERASIONAL PROSEDUR (SOP) IBU BERSALIN DENGAN SECTIO CAESARIA PADA MASA PANDEMI COVID-19

 Background Covid-19 is a disease that can be transmitted through droplets, with signs and symptoms, namely coughing, shortness of breath, hyperthermia and others. The Covid-19 pandemic period is something that really needs to be considered, especially for maternity mothers who will have a caesarean section, by screening a good covid-19 protocol before a caesarean section is carried out.Purpose of this study was to determine the gestational characteristics of mothers giving birth with Sectio Caesaria during the Covid-19 pandemic in the Central Surgical Installation Room (IBS) of the Sanjiwani Hospital, Gianyar.Methods This study uses a mix method design, where quantitative data uses a cross sectional approach to the type of secondary data, namely Medical Records. The qualitative data used in-depth interviews involving the head of the room and the Head of Nursing at the Sanjiwani Hospital consisting of 4 doctors, midwives and nurses. The data were analyzed by univariate analysis with Stata SE 12 software. This study used total sampling in the period March-September 2020 with a total of 102 mothers who gave birth by cesarean section. Results of the study were obtained from 102 respondents with an average age of 29.77 years, with high school education, namely 75 people (70%), 55 people not working (52%), medical indications 82 people (80.39%), complaints of vaginal discharge (KPD) were 33 people (32.35%), positive rapid test 37 people (36.27%), and positive PCR swab results were 33 people (32.35%).Conclusion The policy is that all pregnant women must undergo a rapid test and PCR test before the delivery process is carried outSuggestions The regulation of maternity services during the COVID-19 pandemic is more about screening, namely mandatory rapid tests and PCR tests. Handling with strict health protocol level 3 to break the chain of virus transmission. Key words: Sectio Caesaria, Covid-19, SOP ABSTRAK  Latar Belakang Covid-19 merupakan penyakit yang dapat ditularkan melalui droplet, dengan tanda dan gejala yaitu batuk, sesak, hipertermi dan lain-lain. Masa pandemi Covid-19 merupakan hal yang sangat perlu diperhatikan terutama pada ibu bersalin yang akan dilakukan tindakan sectio caesarea, dengan melakukan skrining protocol covid-19 yang baik sebelum dilakukan tindakansectio caesarea.Tujuan penelitian ini adalah untuk mengetahui karakteristik gestasional pada ibu bersalin dengan Sectio Caesaria pada masa pandemi Covid-19 di Ruang Instalasi Bedah Sentral (IBS) RSUD Sanjiwani Gianyar.Metode Penelitian ini menggunakan rancangan mixmethod, dimana data kuantitatif menggunakan pendekatan cross sectional pada jenis data sekunder yaitu Rekam Medis. Data kualitatif menggunakan wawancara mendalam yang melibatkan kepala ruangan dan Kabag Keperawatan RSUD Sanjiwani yang terdiri dari dokter, bidan dan perawat yang berjumlah 4 orang. Data dianalisis dengan analisis univariat dengan software Stata SE 12.  Penelitian ini menggunakan total sampling pada periode Maret-September 2020 dengan total 102 orang ibu bersalin dengan tindakan SC.      Hasil penelitian didapatkan dari 102 responden rata-rata pada umur 29,77 tahun, berpendidikan SMA yaitu 75  orang (70%), tidak bekerja sebanyak 55 orang  (52%), indikasi medis sebesar 82 orang (80.39%), keluhan keluar air pervaginam (KPD) yaitu 33 orang (32.35%), rapid test positif 37 orang (36.27%), dan hasil swab PCR positif sebanyak 33 orang (32.35%).Kesimpulan Kebijakan yang dilakukan bahwa seluruh ibu hamil wajib dilakukan rapid test dan PCR test sebelum dilakukan proses tindakan persalinanSaran Regulasi layanan ibu bersalin pada masa pandemi COVID 19 ini lebih pada skrining yaitu wajib rapid test dan test PCR. Penanganan dengan protokol kesehatan yang ketat level 3 untuk memutus rantai penularan virus.   Kata Kunci :  Sectio Caesaria, Covid-19, SO

LOKALITAS DALAM SENI GLOBAL TAHUN 2013

Globalisasi yang sedang diwacanakan ternyata melampaui batas-batas kata world. Globalisasi mengisyaratkan mengenai poin-poin lokal seni budaya yang tersebar di manapun dapat disebut aktivitas global. Jim Supangkat memberikan pandangannya mengenai global art bahwa upaya mengidentifikasi global contemporary art yang justru mempertanyakan tanda-tanda keseragaman. Sejarawan terkemuka Hans Belting memulainya dengan melihat global contemporary art sebagai “global art” yang harus dibedakan dari world art. Bagi Hans Belting, pengertian world art mencerminkan pemahaman modernisme yang hegemonik(1). Jadi secara struktur world art masih sebatas klaim bahwa pandangan dunia Barat merupakan pandangan yang mampu diaplikasikan ditiap pelosok kebudayaan dunia, padahal jika dibaca secara teliti hal ini sebatas hegemoni dari moderisme dengan jargon world art. Global art menurut Hans Belting sama sekali bukan tanda-tanda munculnya kenyataan yang diprediksi universalisme. Global Art muncul karena sebab sebab ekonomi. Perkembangannya di art market tidak peduli pada keseragaman pada universalisme. Bisnis membuat global contemporary art memedulikan kekuatan lokal demi kepentingan bisnis(2). Global art mampu merangkul tiap-tiap aspek lokal yang walaupun ada sebuah kepentingan namun keberpihakannya mengankat nilai- nilai lokal didalam percaturan medan sosial seni sudah selayaknya diapresiasi. Tidak ada batas antara Timur dan Barat, semua kebudayaan itu bersifat global. perlu juga diuraian mengenai batas-batas istilah “lokal” serta “global art” dalam kesempatan ini karena sering terjadi pemaknaan yang bias. Istilah “lokal” didalam seminar yang bertajuk “Lokalitas dalam Global Art” berada pada wilayah artefak-artefak kebudayaan lokal yang terdapat di Bali khususnya, ikon-ikon lokal yang mencirikan lokal jeniusnya. Sedangkan Global art berkutat kepada wacana seni yang diangkat dengan kekuatan lokal serta mampu diwacanakan diseluruh penjuru atau pelosok dunia. Note: (1) Lihat “Contemporaneity”: Biennale Indonesia Awards 2010. Pewacanaan Contemporaneity oleh Jim Supangkat. ( 2) Ibid

LOKALITAS DALAM SENI GLOBAL

Globalisasi yang sedang diwacanakan ternyata melampaui batas-batas kata world. Globalisasi mengisyaratkan mengenai poin-poin lokal seni budaya yang tersebar dimanapun dapat disebut aktivitas global. Jim Supangkat memberikan pandangannya mengenai global art bahwa upaya mengidentifikasi global cobtemporary art yang justru mempertanyakan tanda-tanda keseragaman. Sejarawan terkemuka Hans Belting memulainya dengan melihat global contemporary art sebagai "global art" yang harus dibedakan dari word art. Di Dalam ranah seni pertunjukan, Etnomusikologi itu sebuah eklitisme, tidak sekedar ilmu mencari musik disana sini, menyelidiki, mengkaji, bermain musik, namun Etnomusikologi itu lahir dari perlawanan para lokalitas pencinta musik - musik tradisional terhadap superior komunitas musik barat yang selalu menganggap diri paling hebat dan paling bermutu. Di sini para Etnomusikologi berjuang mengangkat citra lokal. Dari ranah visual art atau seni rupa dan desain dewasa ini terhembus wacana seni rupa mengenai Global Art yang kembali melirik dan menghadirkan ikon atau unsur lokal kemudian divisualkan secara kreatif dengan ide-ide "gila", sehingga disetiap karya-karya akan hadir atmosfer lokal bernuansa baru yang mampu eksis di dalam ranah medan sosial seni rupa dunia