Persepsi Pasien dan Perawat tentang Patient Safety di Pelayanan Hemodialisa

This study aims to explore patient and nurse perceptions of patient safety to increase patient engagement so that patients can be aware of patient safety in the Hospital Hemodialysis Unit. This research method uses qualitative methods of conducting in-depth interviews with patients and medical personnel. The results of this study indicate that overall the patients said they were satisfied with the services provided; this was evidenced by the patient feeling very well known by the medical staff, both nurses and doctors. In conclusion, this kinship relationship is highly valued by the patient and accompanying family so that patients can be open to medical personnel so that effective communication can be well established.   Keywords: Hemodialysis, Patient Engagement, Patient Safet

Modul Penerapan Interprofessional Collaborative Practice (IPCP) pada Kegiatan Pencegahan Kesalahan Pelayanan Obat di Puskesmas

Modul ini berisi SOP penerapan Interprofessional Collaborative Practice (IPCP) untuk pencegahan kesalahan pelayanan obat di Puskesma

Modul Penerapan Interprofessional Collaborative Practice (IPCP) untuk Pengendalian Hipertensi di Puskesmas

Hipertensi adalah keadaan di mana tekanan darah mengalami peningkatan yang memberikan gejala berlanjut pada suatu organ target di tubuh. Hal ini dapat menimbulkan kerusakan yang lebih berat, misalnya stroke (terjadi pada otak dan menyebabkan kematian yang cukup tinggi), penyakit jantung koroner (terjadi kerusakan pembuluh darah jantung), dan hipertrofi ventrikel kiri (terjadi pada otot jantung). Hipertensi juga dapat menyebabkan penyakit gagal ginjal, penyakit pembuluh lain dan penyakit lainnya (Syahrini et al., 2012). Di Indonesia, berdasarkan hasil riset kesehatan tahun 2007 diketahui bahwa prevalensi hipertensi di Indonesia sangat tinggi, yaitu rata-rata 3,17% dari total penduduk dewasa. Hal ini berarti dari 3 orang dewasa, terdapat 1 orang yang menderita hipertensi (Riskesdas, 2008). Hasil penelitian yang dilakukan oleh 2 Riskesdas menemukan prevalensi hipertensi di Indonesia pada tahun 2013 sebesar 25,8%. Daerah Bangka Belitung menjadi daerah dengan prevalensi hipertensi yang tertinggi yaitu sebesar 30,9%, kemudian diikuti oleh Kalimantan Selatan (30,8%), Kalimantan Timur (29,6%) dan Jawa Barat (29,4%) (Riskesdas, 2013). Berdasarkan latar belakang diatas, untuk mengurangi angka kejadian hipertensi di Indonesia maka penulis mengambil judul "Perlunya Komunikasi Interprofesi dalam Mengendalikan Angka Kejadian Hipertensi"

Modul Penerapan Interprofessional Collaborative Practice (IPCP) pada Kegiatan Penanganan Kasus Anemia Remaja Putri di Wilayah Puskesmas

Program penanggulangan anemia gizi yang dilakukan oleh pemerintah selama ini hanya terfokus pada ibu hamil. Sementara, para remaja yang merupakan calon ibu dan kelak akan melahirkan generasi penerus bangsa kurang mendapat perhatikan dan diabaikan. Berdasarkan latar belakang inilah diperlukan sebuah upaya yang dapat menurukan prevalensi anemia remaja dengan adanya sebuah inovasi yang menekankan kepada komunikasi interprofesi yang didalamnya terdapat sebuah kordinasi terpadu dari berbagai lintas profesi nakes dan melibatkan masyarakat sebagai sebuah kesatuan dalam menyelesaikan masalah yang dihadapi. Modul ini berisi SOP penanganan kasus anemia remaja putri dengan menerapkan IPCP dalam pelayanan penanganan kasus anemia remaja putri ini disusun dengan harapan dapat diterapkan di masing masing Puskesmas agar dapat meningkatkan pelayanan penanganan kasus anemia remaja putri yang diberikan

Modul Penerapan Interprofessional Collaborative Practice (IPCP) pada Kegiatan Ante Natal Care (ANC) Terpadu di Puskesmas

Dalam upaya meningkatkan kualitas pelayanan ANC Terpadu, saat ini dikembangkan suatu sistem yang melibatkan peran aktif semua komponen yang mendukung dalam pelayanan ANC Terpadu yaitu dengan melaksanakan Interprofessional Collaborative Practice (IPCP) atau Praktik Kolaborasi Interprofesi. Kolaborasi dalam perawatan kesehatan didefinisikan sebagai perawatan kesehatan secara profesional dengan meningkatkan peran dan bekerja sama serta berbagi tanggung jawab untuk mengatasi suatu masalah dan membuat keputusan dalam merumuskan dan melaksanakan rencana perawatan bagi pasien dan keluargnya. Kolaborasi antara dokter, bidan, perawat serta profesional kesehatan lainnya akan meningkatkan kesadaran setiap profesi yang ada untuk menggunakan pengetahuan dan keterampilannya sesuai dengan kompetensi masing- masing dalam melaksanakan pelayanan kesehatanan sehingga akan meningkatkan kualitas pelayanan kepada pasien dan keluarganya. Kemampuan dalam bekerjasama secara interprofesi (interprofessional teamwork) tidak akan muncul begitu saja, melainkan harus dibiasakan sejak dini. Modul ini berisi bagaimana aturan penerapan kerjasama interprofesi untuk meningkatkan pelayanan ANC Terpadu

Exploring the feasibility of implementing self-management and patient empowerment through a structured diabetes education programme in Yogyakarta City Indonesia: a pilot cluster randomised controlled trial.

BACKGROUND Diabetes is a global public health problem which can cause serious disabling complications. Indonesia is among the top four countries with the highest numbers of diabetes. Diabetes self-management education (DSME) is widely recognized as an essential element of diabetes care. Patient empowerment has long served as the philosophical foundation for DSME. However, self-management and patient empowerment are largely unknown in diabetes education and care in Indonesia. The current traditional diabetes education found in hospitals and publicly funded community health centres (CHCs) does not incorporate these two concepts. Therefore, there is a particular need for research on DSME and patient empowerment for people with type 2 diabetes (T2D) in Indonesia. AIMS The main aims of this research project were to develop a pilot model of a structured diabetes education programme promoting diabetes self-management and patient empowerment for people with T2D in the primary care setting in Indonesia, and to evaluate its effectiveness on clinical outcomes and diabetes-related scores of knowledge, health beliefs, self-care behaviours, and self-efficacy. The research project also aimed to cross-culturally adapt the 24-item Diabetes Knowledge Questionnaire (DKQ-24), the Diabetes Health Belief Measure (DHBM), the Summary of Diabetes Self-Care Activities revised scale (SDSCA), and the Diabetes Empowerment Scale - Short Form (DES-SF); and to identify the perceptions of people with T2D and their family members, and health care providers (HCPs) towards the current diabetes education and/ or diabetes education intervention administered. METHODS This research project was undertaken in two studies. A convenience sample survey (n = 83) was used to test the internal consistency reliability of the final Indonesian versions of the DKQ-24, the DHBM, the SDSCA, and the DES-SF in an Indonesian population (Study 1). The internal consistency reliability of the adapted instruments were then reassessed among the participants of the main study (n = 101). A pilot cluster randomised controlled trial comparing a four-weekly structured diabetes education programme (intervention group = 51) and a three-hour diabetes seminar trial (control group = 50) in improving clinical outcomes and diabetes related scores of knowledge, health beliefs, self-care behaviours, and self-efficacy for patients with T2D was conducted at four community health centres (CHCs) in Yogyakarta City, Indonesia (Study 2, the main study). Both groups received a set of comprehensive diabetes leaflets. Outcome assessment was performed at baseline and 3 months after the research interventions were completed. Six scoping discussions were also conducted with four groups of patients with T2D and their family members (n=43), and two groups of health care providers working at the participating CHCs (n=18). Quantitative data were double-entered for verification, analysed and digitally stored using SPSS statistical software version 18. Descriptive statistics were used to examine sociodemographic characteristics and medical history outcome variables. Cronbach‘s alpha coefficients were performed to assess the internal consistency reliability of the Indonesian version of the DKQ-24, the DHBM, the SDSCA, and the DES-SF. T-tests were used to analyse differences on continuous data between mean scores for the intervention and control groups. Categorical data were analysed using Chi-square statistics to test the significance of different proportions. Repeated measures ANOVA were used to assess the group differences on clinical outcomes and diabetes-related scores of diabetes knowledge, health beliefs, self-care behaviours and self-efficacy. Scoping discussions were audiotaped and notes of important issues were taken during the discussions. Loose transcription of discussions and interview notes were combined to generate a summary of key findings. RESULTS Study 1 Using the main study population, the Indonesian versions of DKQ-24 (α = 0.723) and the DHBM (α = 0.718) demonstrated satisfactory internal consistency reliabilities. The Indonesian versions of 10-item SDSCA (α = 0.605) and the DES-SF (α = 0.595) showed adequate internal consistency reliabilities to be used as research instruments for a preliminary study. Study 2 (the main study) Participation in the structured diabetes education programme led to significant improvements only in diabetes knowledge (95% CI = 1.43 to 14.75; p = 0.004); 2-hour postprandial plasma glucose level (95% CI = -2.82 to 1.58; p = 0.02) and waist circumference (95% CI = -6.15 to 5.14; p = 0.04) at 3-month follow-up. The intervention group demonstrated improvements in HbA1c (primary outcome), fasting blood glucose, systolic and diastolic blood pressure, body weight, BMI, the SDSCA scores on general diet, specific diet, exercise, blood sugar testing and foot care, and the DES-SF score. However, these changes did not significantly differ to the changes in the control group. Findings from soping discussions suggested that there was inadequate provision of traditional diabetes education due to constrained resources and the characteristics of patients attending CHCs. Patients with T2D attending CHCs were ready and enthusiastic to engage with diabetes self-management and patient empowerment concepts. In contrast, the scoping discussions raised questions about the readiness of HCPs working at CHCs to embrace diabetes self-management education, particularly when they were reluctant to engage adequately in traditional diabetes education, let alone accommodate the patient empowerment concept. CONCLUSION A structured diabetes education programme for patients with T2D resulted in significant improvements in diabetes knowledge, 2-hour postprandial plasma glucose level and waist circumference at 3-month follow-up, but no significant difference in the primary outcome (HbA1c). The findings of this preliminary study can contribute to the development of DSME programmes based on patient empowerment approach in the primary care settings with limited resources, and will provide building blocks for an improved programme of diabetes education and care in Indonesia.Thesis (Ph.D.) -- University of Adelaide, School of Population Health, 201

Remaja Hebat Peduli Sehat Bersama Posbindu

Panduan praktis komprehensif pencegahan penyakit tidak menular (NCDs) untuk dewasa berumur 15 keatas.<div><br></div><div>Comprehensive practical guidance on the prevention of non-communicable diseases (NCDs) for adults aged 15 and above.</div

Aku Generasi Sehat Indonesia - Pesan dari Dokter Kecil

Panduan praktis komprehensif pencegahan penyakit tidak menular (NCDs) untuk anak berumur 10 keatas.<div><br></div><div>Comprehensive practical guidance on the prevention of non-communicable diseases (NCDs) for children aged 10 and above.<br></div