Pengaruh Persepsi Perawat Pelaksana Tentang Fungsi Manajerial Kepala Ruang Terhadap Pelaksanaan Manajemen Asuhan Keperawatan Di Ruang Rawat Inap Rsjd Dr. Amino Gondohutomo Semarang

Influence of the Nurse's Perception about Function of the Head Nurse Management toward Nursing Care Management Implementation at Inpatient Room of Dr. Amino Gondohutomo District Mentally Hospital in Semarang. The functions of management such as planning, organizing, guiding, monitoring, and controlling had not been done well by the head nurse. Nursing management is important to determine the nursing care services for client at inpatient room. Aim of this research was to analyse influence of the nurse's perception about function of the head nurse management toward nursing care management implementation at Inpatient Room of Dr. Amino Gondohutomo District Mentally Hospital in Semarang. This was a quantitative and qualitative research with cross sectional approach. Population was nurses at inpatient room and all head nurses. Number of sample was 52 nurses taken by Proportionate stratified random sampling at 12 inpatient rooms. The questionair was used to collect data continued with cross check to the head nurses about perception of management. Result of this research showed that implementing of nursing care management is good (65,4%). Perception of a nurse about the head's nurse management namely: (1) Good planning (53,8%), no significant association (p=0,857), and no influence (p=0,543, Exp B=0,700). (2) Good organizing (55,8%), no significant association (p=0,982), and no influence (p=0,982, Exp B=1,013). (3) Good guiding (75%), significant associated (p=0,002), and significant influence (p=0,035, Exp B=4,888). (4) Not good monitoring (51,9%), significant association (p=0,007), and significant influence (p=0,068, Exp B=3,679). (5) Not good controlling (59,6%), no significant association (p=0,873), and no influence (p=0,873, Exp B=1,100). Conclusion of the research is the nurse who perceives not good the head's nurse guiding has a risk to be not implementing the nursing care management (p=0,035, Exp B=4,888), and the nurse who perceives not good the head's nurse monitoring has a risk to be not implementing the nursing care management (p=0,068, Exp B=3,679)

Analysis on Private Practice Midwives Work Performance in the Implementation of Early Initation of Breastfeeding in Surabaya

Successfulness of an exclusive breastfeeding was influenced by early breastfeeding initiation (IMD). In Surabaya, implementation of IMD was only done by 33% of all deliveries assisted by private practice midwives in 2009, and it decreased to 27% in 2010. Based on a preliminary study, work performance of private practice midwives (BPS) in the implementation of IMD was not optimal. Objective of this study was to analyze work performance of private practice midwives in the implementation of early breastfeeding initiation in Surabaya. This was an observational-qualitative study. Study main informants were 10 BPS who were selected from area with the lowest and highest IMD coverage; each of area consisted of 5 BPS. Triangulation informants were a secretary of IBI Surabaya branch, midwives assistance, and post-delivery mothers. Data were collected through in-depth interview and observation on the implementation of IMD. Data were managed and analyzed by applying content analysis method. Results of the study showed that six out of 10 BPS had implemented IMD though with improper way. Cognitive ability of all respondents regarding IMD was still inadequate. Six out of 10 BPS had positive attitude toward IMD. Motivation of BPS to implement IMD was influenced by IMD benefits, suggestion from district health office and from IBI, and from patient's request. All respondents told that no supervision by coordinator midwives was conducted although it was needed by respondents. In conclusion, work performance of BPS in the implementation of IMD was not optimal. It was caused by inadequate cognitive ability of BPS, and no supervision from a coordinator midwives

Performance Analysis in the Village Midwife Neonatal Care in Infants with Low Birth Weight in PHC Pati

Number of Low Birth Weight Babies (LBWB) cases and Maternal Mortality Rate from 2009 to 2010 was high. The result of preliminary study revealed that the performance of village midwives in providing neonatal services for LBWB had not been optimal, recording results of neonatal services had not been done well, available facilities had not been used optimally, and supervision was just conducted based on the reports of activities. This research aimed to explain village midwives' performance in providing neonatal services in District of Pati. This was descriptive-qualitative research with analytic-qualitative approach. Informants were village midwives at work area of Health Centers in District of Pati. Data were collected using indepth interview and analyzed using content analysis. The result of this research showed that village midwives in providing neonatal services had not conducted in accordance with the service standards for LBWB especially in terms of the methods and the schedule of services. In addition, resources had not been used optimally, availability of facilities had not been distributed equally, and baby proofing tools were prepared independently. Form of monitoring was supportive supervision and had not been in accordance with midwives' necessity namely scheduled, routine, materials and time integrated with the activities of providing neonatal for LBWB. Additionally, cooperation had been done comprehensively

Faktor-Faktor Yang Berhubungan Dengan Kinerja Bidan Desa Sebagai Fasilitator Dalam Kegiatan Tabulin Dan Dasolin Di Kabupaten Sumenep

Salah satu upaya untuk menurunkan AKI (Angka Kematian Ibu) dengan melaksanakan Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) dalam wujud kegiatan tabulin dan dasolin yang difasilitasi bidan desa. Tujuan dari penelitian ini adalah untuk menganalisis faktor – faktor yang berhubungan dengan kinerja bidan desa sebagai fasilitator dalam kegiatan dasolin dan tabulin pada program P4K di Kabupaten Sumenep Tahun 2014. Jenis penelitian ini adalah analitik observasional dengan design cross sectional.Variabel bebas(umur, status perkawinan, pendidikan, pengetahuan, pengalaman, motivasi dan supervisi), variabel terikat (kinerja bidan desa). Jumlah sampel 90bidan desa yang berada di 30 puskesmas. Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner terstruktur yang telah diuji validitas dan reliabilitas. Analisis bivariat dengan uji chi-square dan analisis multivariat dengan uji regresi logistik. Hasil penelitian ini menunjukkan bahwa responden memiliki kinerja kurang (30%), umur muda (31,1%), status perkawinan tidak menikah (24,4%), pendidikan kurang (42,2%), pengetahuan kurang (35,6%) pengalaman kurang (77,8%), motivasi kurang (26,7%), supervisi kurang (24,4%) pada pengelolaan kegiatan tabulin dan dasolin diwilayah kerjanya. Ada hubungan positif antara pengetahuan ( p = 0,019)dan supervisi (p = 0,037) terhadap kinerja bidan desa sebagai fasilitator dalam pelaksanaan kegiatan tabulin dan dasolin pada program P4K.Ada pengaruh bersama – sama antara pengetahuan (p=0,07) dan Supervisi ( p= 0,013) terhadap kinerja bidan desa sebagai fasilitator dalam pelaksanaan kegiatan tabulin dan dasolin pada program P4K.Disarankan kepada Dinas kesehatan beserta pihak puskesmas dan IBI untuk mengadakan pelatihan dan workshop atau sosialisasi kepada bidan desa mengenai program P4K khususnya kegiatan dasolin dan tabulin. One of the efforts to decrease maternal mortality rate (MMR) was an implementation of a delivery planning and complication prevention program (P4K) in activities of delivery mother\u27s saving and social fund for delivery conducted by village midwives. The aim of this study was to analyse factors relating to performance of a village midwife as a facilitator in the activities of delivery mother\u27s saving and social fund for delivery on the P4K in District of Sumenep in 2014.This was an analytic-observational study using a cross-sectional approach. Independent variables consisted of age, marital status, education, knowledge, experience, motivation, and supervision and a dependent variable was performance of village midwives. Number of samples were 90 village midwives working at 30 health centres. Data collection used a structured questionnaire that had been performed tests of validity and reliability. Furthermore, data were analysed using methods of bivariate (Chi-Square test) and multivariate (Logistic Regression test). The results of this research showed that respondents had low performance (30%), young age (31.1%), not married (24.4%), low education (42.2%), low knowledge (35.6%), low experience (77.8%), low motivation (26.7%), and low supervision (24.4%) in managing the activities of delivery mother\u27s saving and social fund for delivery at their work areas. Variables of knowledge (p=0.019) and supervision (p=0.037) statistically significantly related to the performance of village midwives. These two variables jointly influenced the performance of village midwives with p values= 0.07 and 0.013 respectively. District Health Office, Health Centre, and Indonesian Midwives Association need to conduct training, workshop, or socialisation to village midwives regarding the P4K particularly the activities of delivery mother\u27s saving and social fund for delivery

Hubungan Beberapa Faktor dengan Kelengkapan Pengisian Buku Kesehatan Ibu dan Anak oleh Bidan Desa di Wilayah Kerja Puskesmas Jepara Tahun 2016

One effort to improve the quality of health care of mothers and children is completeness of MCH handbook. MCH handbook is a tool for early detection of disorder or maternal and child health issues. In Jepara district, the contents of MCH handbook were not complete and not filled, there were nutrition and feeding, Stimulation Detection and Early Intervention on Growth and Development and child health records. This study aims to analyze some factors related to the completeness of MCH handbook filling by a village midwives. This type of research was Explanatory Research with Cross Sectional Study. Study population was 16 village midwives and 1,001 mothers with 5 years old children and has a MCH handbook. Proportional random sampling was applied and obtained a sample of 16 village midwives and 88 MCH handbooks. Data analysis consisted of univariate, bivariate analysis using Rank Spearman and multivariate analysis using multiple linear regression. Results of univariate analysis showed that most of village midwives aged 35-39 years old (50%) with length of work in 11-20 years (56.3%), good enough knowledge (68.8%), good enough attitude (50%), less good motivation (37.5%), good enough skills (68.8%), good enough data requirement (43.8%), less complexity of form (50.0%). The results of the bivariate analysis showed that there are correlation between knowledge (rs = 0.488), attitude (rs = 0.317) and skills (rs = 0.329) with the completeness of MCH handbook filling by village midwives. Multivariate analysis showed that there are correlation between knowledge and skills with the completeness of MCH handbook filling by village midwives. Recommendation to Puskesmas Jepara are establish a training program about MCH handbook and how to filling MCH handbook that aims to improve the knowledge, attitude and skills of village midwives in filling of MCH handbook

Hubungan Faktor Risiko Kejadian Unmet Need Kb (Keluarga Berencana) Di Desa Adiwerna, Kecamatan Adiwerna, Kabupaten Tegal, Triwulan III Tahun 2016

Unmet need for family planning is the need for family planning to reproductive age couples but such a need (not want any more children or want to space their next pregnancy) is not met and do not use contraceptives of any kind. Unmet need in the village Adiwerna quite high at 23.54%, very far from the national target of 6.5%. This study aimed to analyze the relationship between risk factors and the incidence of unmet need for family planning. This type of research is explanatory research with case control study design. The population in this study were 1,500 women (reproductive age couples). A large sample of 102 selected by simple random sampling. The analysis was performed with chi square test with continuity correction method. The results showed there is a significant risk factor 4 with an unmet need in the village Adiwerna the age group (p-value = 0.009; OR = 3.614; 95% CI = 1.396 to 7.172), the number of children living (p-value = 0.050; OR = 2.645 ; 95% CI = 1.085 to 6.448), the support of her husband (p-value = 0.001; OR = 9.886; 95% CI = 3.579 to 27.313), and social support (p-value = 0.023; OR = 2.889; 95% CI = 1.236 to 6.753). And there are seven variables were not significant: education (p-value = 0.529), income (p-value = 1.000), husband's work (p-value = 1.000), side effects (p-value = 0.415), knowledge (p- value = 0.552), attitude (p-value = 0.322), and religious prohibitions (p-value = 0.404). IEC for family planning need their husbands and for acceptors include childbearing years old, it is advisable to use sterile contraception for those who already do not want more children

Implementasi Program Manajemen Terpadu Balita Sakit (MTBS) Puskesmas Wilayah Kabupaten Pasuruan

Pada tahun 2006 sosialisasi program MTBS dan pelatihan kepada petugas puskesmas telahdilakukan, dimana masing-masing Puskesmas diwakili oleh 1 orang tenaga medis (dokter)dan 2 orang tenaga paramedis (bidan, perawat). Akan tetapi kematian Balita di kabupatenPasuruan mengalami kenaikan, yaitu tahun 2007 sebesar 5,2/1000 kelahiran hidup, tahun2008 sebesar 5,4/1000 kelahiran hidup dan tahun 2009 sebesar 6,1/1000 kelahiran hidup. Darikematian tersebut diketahui penyebabnya antara lain karena gizi buruk, pneumonia, DBD,diare serta infeksi. Oleh karena itu perlu dilakukan analisis terhadap faktor faktor dalamimplementasi program MTBS di Puskesmas Kabupaten Pasuruan. Jenis penelitian adalahdeskriptif kualitatif, metode sampling yang digunakan adalah purposive sampling. Sebagaiinforman utama adalah petugas MTBS (dokter, bidan, perawat) di Puskesmas wilayahperkotaan dan pinggiran kota yang melakukan MTBS, berjumlah 12 orang. Sedangkansebagai informan triangulasi adalah 4 kepala Puskesmas, satu Kasie Kesga Dinas KesehatanKabupaten Pasuruan. Variabel dalam penelitian ini adalah faktor komunikasi, faktor sumberdaya, faktor disposisi, serta faktor struktur birokrasi. Penelitian memberikan hasil sosialisasidan pelatihan program MTBS sudah dilakukan. Petugas yang melayani Balita sakit belummenunjang keberhasilan pencapaian tujuan MTBS oleh karena belum semua petugasmendapatkan pelatihan MTBS, jumlah petugas tidak sebanding dengan jumlah Balita sakityang berkunjung. Seluruh petugas MTBS mempunyai sikap positif untuk mendukungprogram MTBS. Meskipun sudah tersedia SOP namun tidak semua petugas menggunakannyadalam melayani MTBS.Pembinaan dari DKK belum dilakukan rutin, supervisi masihbersifat umum, serta tidak ada tindak lanjut yang diberikan. Agar pelayanan MTBS terlaksanadengan baik maka perlu ditingkatkan sosialisasi SOP yang disertai pelatihan yang meratauntuk semua petugas serta supervisi yang spesifik pada MTBS

Analysis on Leadership, Budget Allocation and Disposition of Management Policy at Nursing Department of Kudus District General Hospital

Nursing activities conducted by nurses were at the first line in the health service; and it was the first and the longest duration of contact with patients. The number of private/ public/paying patients (28.33%) in Kudus district general hospital (RSUD) decreased in the last five years. Result from community satisfaction index was not good. Therefore, nursing management needed to get attention from the manager. Objective of this study was to explain leadership, budget allocation, and delegation of policy makers in the nursing section of Kudus district general hospital. This was an observational-qualitative study. Study subjects were three policy makers in the nursing section as main informants, and three policy-executor nurses as triangulation informants. Content analysis method was applied in the data analysis; this method consisted of data collection, data reduction, data presentation, and conclusion drawing. Results of the study showed that leadership had been done by policy makers in the supervision and in relationship among nurses; however, policy makers had not explained motivation that was in the reward and support system. Policy makers had allocated budget for human resource completion, infrastructure, and supporting instrument for nursing. However, the existing budget had not been used to increase nursing human resource that originated from a formal education path. Policy makers had delegated formulation of decisions and SOP to the nurses who implemented the policies; however this delegation did not include structured evaluation instruments on nursing service. In conclusion, supervision to workers involved only structural and functional authorities; motivation improvement had been done; budgeting had not included a formal education path; structured evaluation was not done