Pengembangan Model Integrasi Kano-QFD Untuk Mengoptimalkan Kepuasan Konsumen Dengan Mempertimbangkan Keterbatasan Dana Pengembangan

. This study develops a model of integration between the application of the concept of Kano in QFD framework and considering the use of product development costs. Kano concept would classify the product attributes into 5 categories: reverse, indifference, one-dimensional, must-be, dan attractive. These attributes are given different weights based on the influence of these attributes on the level of consumer satisfaction. Furthermore, the allocation process of product development by taking into account the contribution of the cost of each technical response. The result of the integration is allocate development funds for must-be attributes and do not allocate to the reverse and indifference attributes. Thus, companies avoid the development of product attributes indifference and reverse that does not give effect to increasing customer satisfaction so that it saves development costs. The results of this model are all the technical response both in the category of must-be, one-dimensional and attractive product development funds be allocated with total costs of $348,30 and the value of customer satisfaction of 89,61, whereas the model Bode and Fung (1998) make the decision to realize all technical response including technical response that does not affect satisfaction (indifference) so the total product development costs become$ 353,30

HUBUNGAN PENGETAHUAN DAN KOMUNIKASI PERAWAT DENGAN PELAKSANAAN PERENCANAAN PULANG DI RUANG RAWAT INAP RSUD ZAINAL ABIDIN PAGARALAM WAY KANAN

ABSTRACT : THE RELATIONSHIP KNOWLEDGE AND NURSING COMMUNICATION WITH THE IMPLEMENTATION OF PATIENT RECOVERY PLANNING INPATIENT RSUD ZAINAL ABIDIN PAGARALAM WAY KANAN 2018 Background: In Indonesia, as many as (61%) nurses in Yogyakarta do not undertake home planning. In addition, research conducted in Bandung showed that as many (54%) nurses did not carry out the planning home. In Lampung Province, especially in Zainal Abidin Pagaralam Way Kanan Hospital, based on observation of the list of outgoing patients, not all nurses write home plans for the patients. Only 32 list (25%) of the 128 list of information have been made back home (Medical Record of RSUD Zainal Abidin Pagaralam Right Way, 2017).Purpose: To know the relationship of knowladge and  nurse communication with the implementation of planning to go home in hospital room of Zainal Abidin Pagaralam Hospital Right Way of Year 2018.Methods: The type of this research is quantitative, the design in this study used the design of Analytic Survey with cross sectional approach, the number of population and the sample of 72 people, the sample technique in this study is the total sampling. The research will be conducted at RSUD Zainal Abidin Pagaralam Way Kanan Year 2018, with questionnaire research instrument and statistic test using chi-square test.Results: In this research, it was found that 38 (73,7%) were not good enough and 10 (26,3%) were good implementation with p-value (0,001) and 37 respondents had bad communication obtained 28 (75,7%) the implementation is not good and 9 (24,3%) the implementation is good with p-value (0.000).Conclusion: There is a Significant Relation Between Nursing Knowledge and Communication With Implementation of Planning Home in the Inpatient Room of Zainal Abidin Pagaralam Hospital Right Way of Year 2018. The suggestion in this research is to prepare in planning the making of standard policy guideline for planning the return home. Keywords : Pediatric Communication, Implementation, Planning Hom

HUBUNGAN MOTIVASI PERAWAT DAN GAYA KEPEMIMPINAN DENGAN PERILAKU PERAWAT DALAM PEMBUANGAN SAMPAH MEDIS BENDA TAJAM DI RSUD DR.A.DADI TJOKRODIPO KOTA BANDAR LAMPUNG

Introduction: sharp medical waste is not only able to cause scratch and stab wounds but also to infect wounds when they are contaminated by pathogen. A pre-survey result done by the researcher in wards of dr. A. Dadi Tjokrodipo at 20 January 2019 to 10 nurses concerning activities of nursing care and medicla waste management including needle, syringe, and bandage that were disposed without sorting.Objective: the objective of this research was to find out the correlations of nurse’s motivation and leadership style to nurse’s behavior in sharp medical waste disposal in dr. A. Dadi Tjokrodipo public hospital in Bandar Lampung. Method: this was a quantitative analytic survey research by using cross sectional approach and it was conducted in dr. A. Dadi Tjokrodipo public hospital from March to April 2019. Population was all nurses and samples were of total sampling. Data were collected by using questionnaires and analyzed by using univariate (frequency distribution) and bivariate (chi square test) analyses.Result: there were 31 respondents (54.4%) with poor medical waste littering behavior, 34 respondents (59.6%) with low motivation, and 29 respondents (50.9%) with bad leadership style. There were correlations of nurse’s behavior (p-value 0.000; OR 11.70) and leadership style (p-value 0.012: OR 4.725) to sharp medical waste disposal in dr. A. Dadi Tjokrodipo public hospital in Bandar Lampung in 2019. Conclusion: there were correlations of nurse’s motivation and leadership style to nurse’s behavior in littering sharp medical waste in dr. A. Dadi Tjokrodipo public hospital in Bandar Lampung in 2019. The researcher expects nurse’s motivation improvement concerning medical waste disposal by joining training about effects of improper sharp medical waste disposal.Introduction: sharp medical waste is not only able to cause scratch and stab wounds but also to infect wounds when they are contaminated by pathogen. A pre-survey result done by the researcher in wards of dr. A. Dadi Tjokrodipo at 20 January 2019 to 10 nurses concerning activities of nursing care and medicla waste management including needle, syringe, and bandage that were disposed without sorting.Objective: the objective of this research was to find out the correlations of nurse’s motivation and leadership style to nurse’s behavior in sharp medical waste disposal in dr. A. Dadi Tjokrodipo public hospital in Bandar Lampung. Method: this was a quantitative analytic survey research by using cross sectional approach and it was conducted in dr. A. Dadi Tjokrodipo public hospital from March to April 2019. Population was all nurses and samples were of total sampling. Data were collected by using questionnaires and analyzed by using univariate (frequency distribution) and bivariate (chi square test) analyses.Result: there were 31 respondents (54.4%) with poor medical waste littering behavior, 34 respondents (59.6%) with low motivation, and 29 respondents (50.9%) with bad leadership style. There were correlations of nurse’s behavior (p-value 0.000; OR 11.70) and leadership style (p-value 0.012: OR 4.725) to sharp medical waste disposal in dr. A. Dadi Tjokrodipo public hospital in Bandar Lampung in 2019. Conclusion: there were correlations of nurse’s motivation and leadership style to nurse’s behavior in littering sharp medical waste in dr. A. Dadi Tjokrodipo public hospital in Bandar Lampung in 2019. The researcher expects nurse’s motivation improvement concerning medical waste disposal by joining training about effects of improper sharp medical waste disposal

Faktor – Faktor Yang Berhubungan Dengan Produktivitas Kerja Tenaga Kesehatan Di Puskesmas Tulang Bawang I Kabupaten Tulang Bawang

ABSTRACT: FACTORS RELATED TO THE WORK PRODUCTIVITY OF HEALTH WORKERS AT THE TULANG BAWANG I HEALTH CENTER IN TULANG BAWANG REGENCY  Introduction: Based on data from the electric health information system (SIKDA) it is known that Puskesmas Tulang Bawang I, input data produced in 2017 were 27 reports, in 2018 there were 316 reports. At the 2017 Penawar Jaya Community Health Center there were 656 reports and in 2018 there were 788 reports, from the data reports it was seen that the Tulang Bawang I Health Center did not report activities to the fullest.Objective: known factors related to the work productivity of health workers at the Tulang Bawang I Health Center in Tulang Bawang Regency in 2019.Method: Type of quantitative research, research design with cross sectional approach. The population in this study were all health workers at the Tulang Bawang I Health Center in Tulang Bawang Regency with a sample of 63 people. There are two variables in this study, namely: Independent variables: motivation, work discipline and work ethic. The dependent variable in this study is work productivity. Analysis of data by univariate (frequency distribution) and bivariate using the chi square test.Results: It is known that respondents with good work productivity as many as 34 (54.0%) respondents, poor work discipline as many as 36 (57.1%) respondents, good motivation as much as 50 (50%) respondents, and good work ethic as many as 39 (61.9 %) respondents. There is a relationship between work discipline and work productivity of health workers (p-value = 0,000 OR 20,800). There is a correlation between motivation and work productivity of health workers (p-value = 0.005 OR 9.778). There is a relationship between work ethic and work productivity of health workers (p-value = 0.020 OR 4,000). Suggestions provide opportunities for employees to express ideas and innovations in the process of progress of the hospital by looking at the rules that apply in the hospital. Key Word:  work productivity, work discipline, motivation, work ethic   INTISARI: FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN PRODUKTIVITAS KERJA TENAGA KESEHATAN DI PUSKESMAS TULANG BAWANG I KABUPATEN TULANG BAWANG  Pendahuluan: Berdasarkan data sistem informasi kesehatan daera (SIKDA) elektrik diketahui bahwa Puskesmas Tulang Bawang I, input data yang dihasilkan tahun 2017 sebanyak 27 laporan, di tahun 2018 sebanyak 316 laporan. Pada Puskesmas Penawar Jaya tahun 2017 sebanyak 656 laporan dan di tahun 2018 sebanyak 788 laporan, dari laporan data terlihat bahwa Puskesmas Tulang Bawang I tidak melaporkan kegiatan dengan maksimal.Tujuan : diketahui faktor – faktor yang berhubungan dengan produktivitas kerja tenaga kesehatan di Puskesmas Tulang Bawang I Kabupaten Tulang Bawang  tahun 2019.Metode : Jenis penelitian kuantitatif, rancangan penelitian dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh petugas kesehatan  di Puskesmas Tulang Bawang I Kabupaten Tulang Bawang dengan sampel 63 orang. Variabel dalam penelitian ini ada dua yaitu: Variabel independen: motivasi, disiplin kerja dan etos kerja. Variabel dependen dalam penelitian ini adalah produktivitas kerja. Analisa data secara univariat (distribusi frekuensi) dan bivariat menggunakan uji chi square.Hasil Penelitian : Diketahui responden dengan produktivitas kerja baik sebanyak 34 (54,0%) responden, disiplin kerja kurang baik sebanyak 36 (57,1%) responden, motivasi baik sebanyak 50 (50%) responden, dan etos kerja baik sebanyak 39 (61,9%) responden. Ada hubungan disiplin kerja dengan produktivitas kerja tenaga kesehatan (p-value = 0,000 OR 20,800). Ada hubungan motivasi dengan produktivitas kerja tenaga kesehatan ( p-value = 0,005 OR 9,778). Ada hubungan etos kerja dengan produktivitas kerja tenaga kesehatan (p-value = 0,020 OR 4,000). Saran memberikan kesempatan pada pegawai untuk mengungkapkan ide dan inovasi dalam proses kemajuan rumah sakit dengan memandang aturan yang berlaku di rumah sakit. Kata kunci    : produktivitas kerja, disiplin kerja, motivasi, etos kerj

PENYULUHAN KESEHATAN TENTANG PELAKSANAAN ADL (ACTIVITY OF DAILY LIVING) KEBERSIHAN GIGI DAN MULUT PADA PASIEN GANGGUAN JIWA DI RSJD PROVINSI LAMPUNG

Gejala penyakit gangguan jiwa menyebabkan penderitanya tidak dapat menilai dan melihat kenyataan pada diri. Masalah umum yang dialami pada penderita akan tidak mempunyai kepedulian dan perawatan diri, seperti kegiatan melakukan pekerjaan rutin sehari-hari (ADL) khususnya perawatan kebersihan gigi dan mulut. Tujuan penyuluhan untuk memberikan pengetahuan pendidikan kesehatan tentang pelaksanaan ADL (Activity of Daily Living) pasien gangguan jiwa di Rumah Sakit Jiwa Daerah Provinsi Lampung. Kegiatan ini dibantu mahasiswa ilmu keperawatan dari universitas Malahayati Bandar Lampung serta di fasilitasi oleh pihak rumah sakit jiwa dalam hal ini pihak Rumah Sakit Jiwa. Pembagian peran dan tugas telah ditetapkan mencakup penanggung jawab, moderator, notulen, observer, fasilitator dan dokumentasi. Hasil kegiatan ini dapat meningkatkan pengetahuan pasien dalam merawat kebersihan dirinya. Saran pada pihak rumah sakit dan keluarga pasien  untuk segera membantu kebersihan diri pasien, setelah pasien dalam kondisi sudah dapat mengendalikan emosi dan perilakunya. Kata Kunci : Gangguan jiwa; Activity of Daily Living (ADL);  Gigi dan mulutABSTRACTSymptoms of mental illness cause sufferers inable to judge and look the reality in themselves. Common problems experienced by patients lack to care and self-care, such as activities of doing daily routine activity (ADL), especially in oral hygiene care. The purpose of counseling is to provide health education knowledge about the implementation of ADL (activity of daily living) for mental patients in Lampung Province Mental Hospital. This activity was assisted by nursing students from Malahayati  University and was facilitated by the Mental Hospital. The division of roles and tasks has been determined including the person in charge, moderator, note-taker, observer, facilitator and documentation. The results of this activity can increase the patient's knowledge in maintaining personal hygiene. Suggestions to the hospital and the patient's family to immediately help the patient's personal hygiene, after the patient able to control of his condition such as emotions and behavior

PEMERIKSAAN, PERAWATAN DAN SENAM PADA LANSIA DENGAN DIABETES MELLITUS DI UPT PUSKESMAS KOTA BUMI LAMPUNG UTARA TAHUN 2017

ABSTRACTWorld Health Organization (WHO) data showed that Indonesia ranks 4th largest number of people with diabetes mellitus after India, China and the United States. In 2013 it was estimated that the number of diabetics in Indonesia has reached 14 million people, of which only 50% are aware of it and among them only about 30% who come for regular treatment. The objective of this activity is to increase knowledge people about the examination, treatment and foot gymnastic DM in people with diabetes mellitus. This activity was done  on Monday, December 18, 2017. The activities consist of Examination, Treatment and Gymnastics Prolanis In Elderly with Diabetes Mellitus at UPT Puskesmas Kota Bumi Lampung Utara 2017 with the method was using leaflets and demonstrations. There was a change in the knowledge and techniques of prolanic gymnastics. Hope this prolanic exercise techniques of DM patients can reduce wounds in patients with DM. Keywords: Gymnastics, DM, Puskesmas

Penyuluhan kesehatan tentang jajanan sehat dan jajanan tidak sehat

Introduction: School Children Snacks conducted by the Food and Drug Supervisory Agency of the Republic of Indonesia Directorate of Food Inspection and Certification together with 26 supervisory agency/ the Food and Drug Supervisory Centers throughout Indonesia show that 45% of School Children Snacks do not meet the requirements because they contain hazardous chemicals such as formaldehyde, borax, rhodamine, and containing Food Additives such as cyclamate andbenzoate exceeds the safelimit. Purpose: Respondents can know, understand about healthy snacks and unhealthy snacks.                                                                                                                           Method: Implementation of the method used in counseling at Public Elementary School 1 Way Gubak is done by 3 stages, namely the first, students of the Psychology profession asking the difference between healthy and unhealthy snacks at, secondly, the presenters of Psychological students explained about healthy and unhealthy snacks using a Power point back, and the third asked questions related to the difference between healthy and unhealthy snacks after being explained. Results: Respondents understand about healthy and unhealthy snacks. Conclusion: Respondents can understand about healthy snacks and unhealthy snacks.   Pendahuluan: Jajanan Anak Sekolah (PJAS) yang dilakukan Badan Pengawas Obat dan Makanan (BPOM) Republik Indonesia Direktorat Inspeksi dan Sertifikasi Pangan bersama 26 Balai Besar / Balai POM di seluruh Indonesia menunjukkan bahwa 45% PJAS tidak memenuhi syarat karena mengandung bahan kimia berbahaya seperti formalin, boraks, rhodamin, dan mengandung Bahan Tambahan Pangan (BTP) seperti siklamat dan benzoat melebihi batas aman. Tujuan: Responden dapat mengetahui,Memahami tentang jajanan sehat dan jajanan tidak sehat. Metode: Pelaksanaan metode yang digunakan dalam penyuluhan di Sdn 1 Way Gubak ini dilakukan dengan 3 tahap, yaitu yang pertama mahasiswa profesi Psik menanyakan perbedaan jajanan sehat dan tidak sehat, yang kedua penyaji mahasiswa menjelaskan tentang jajanan sehat dan tidak sehat menggunakan Power point balik, dan ketiga tanya jawab terkait perbedaan jajanan sehat dan tidak sehat setelah di jelaskan. Hasil: Responden memahami tentang jajanan sehat dan tidak sehat. Simpulan:  Responden dapat memahami tentang Jajanan Sehat dan Jajanan tidak sehat

PENDIDIKAN KESEHATAN INFEKSI SALURAN PERNAFASAN AKUT (ISPA) DI POSYANDU ANGGREK 7 Gg. MAWAR KEMILING BANDAR LAMPUNG

ISPA (Infeksi Saluran Pernafasan Akut) adalah infeksi yang disebabkan mikroorganisme di struktur saluran nafas atas yang tidak berfungsi untuk pertukaran gas, termasuk ronga hidung, faring, dan laring, dengan gejala yaitu pilek, faringitis atau radang tenggorokan, laringitis, dan influenza. Menurut profil kesehatan Indonesia (2016), infeksi saluran pernafasan akut (pneumonia) menjadi 15%  penyebab kematian pada balita. Angka kejadian tertinggi berada di bangka belitung sebesar 6,05 % dan diprovinsi lampung angka kejadian sebesar 2,23%. Tujuan kegiatan ini diharapkan untuk meningkatkan pengetahuan terhadap infeksi saluran pernafasan akut/ ISPA dikalangan masyarakat. Kegiatan penyuluhan ini dilaksanakan pada tanggaL 23 November 2019 di Posyandu Anggrek Kecamatan Kemiling, dengan jumlah peserta sebanyak 16 orang yang memiliki anak usia bayi maupun balita. Sebelum dimulai penyuluhan, terlebih dahulu menyampaikan maksud dan tujuan kedatangan pelaksana penyuluhan, dibuka dengan pretest, dilanjutkan dengan penyampaian materi juga diskusi yang terarah berupa edukasi dan penyuluhan. Terdapat pengaruh yang signifikan terhadap pengetahuan ibu yang memiliki anak balita tentang cara mengatasi ISPA. Hasil penyuluhan ini didapatkan bahwa adanya perubahan peningkatan pengetahuan dan pemahaman peserta penyuluhan bahkan peserta akan berupaya mengatasi gangguan saluran nafas dengan teknik inhalasi sederhana yang telah diajarkan dengan tujuan dapat mengurangi gangguan saluran nafas.