The characteristics of government internal auditor in supporting good governance (A case study in Dompu District Inspectorate)

Regulation of Ministry of State Apparatus Empowerment (Permenpan) Number PER/05/M.PAN/03/2008, on the auditing standards of APIP (Government Internal Auditor), regulates the characteristics of APIP. The adequate characteristics of APIP are expected to support the realization of good governance. However, many problems related to the characteristics of APIP of Dompu District Inspectorate still occur, con-sisting of its expertise, independence, and objectivity. All of these problems are sus-pected to have caused agency problems in local government. This research was con-ducted using phenomenological qualitative method with a case study approach. This study used participatory observation, in-depth interview, and documentation for anal-ysis. The research found as the following: 1) the existence of agency problem caused by the conflict of interests between local government and APIP; 2) the lack of APIP’s mastery of accounting standards and; 3) the lack of APIP’s knowledge of law, account-ing, engineering, public administration, agriculture, statistics, and state administra-tion. In addition, the problems of independence and objectivity are still often found in the characteristics of APIP of Dompu District Inspectorate when auditing. Overall, the inadequate characteristics of APIP have been unable to improve participation, accountability related to financial statement quality, rule of law, and transparency of Dompu District Government

PENGARUH KONSENTRASI KOH PADA PROSES EKSTRAKSI RUMPUT LAUT (Kappaphycus alvarezii) TERHADAP SIFAT ALKALI TREATED COTONII (ATC)

One of the superior fishery commodities abundant in Indonesian waters is Kappaphycus alvarezii seaweed. The seaweed type K. alvarezii can be used to make Alkali Treated Cottonii (ATC), a raw material for carrageenan. Making ATC goes through seaweed extraction stages, which can be done using conventional methods. Data collection for this research was carried out using observation, interviews, and active participation. The results of ATC processing using conventional methods and variations of KOH show that the administration of KOH affects the quality of the ATC product; the higher the ATC, the higher the yield percentage and temperature produced by the extract solution. The best use of KOH is in the treatment with a KOH concentration of 8%, a water content of 13.73%, a yield of 73.62%, and a temperature of 58.15%

Relationship of Nursing Management Functions with Missed Nursing Care: A Cross-Sectional Study

A crucial role of the nurse is to provide safe nursing care without missing anything. Unsafe care is a key contributor to morbidity and mortality in the world. This study aimed to identify the relationship between management functions and nursing care that were missed at three inpatient installations at regional general hospitals. The research used a quantitative approach with an analytic research and cross-sectional design. The sample consisted of 238 nursing staff comprising team leaders and implementing nurses who worked at Regional Hospitals A, B, and C. The management function (p = 0.001) and all its components of planning, organizing, staffing, direction, and control (p = 0.001; p = 0.001 p = 0.001; p = 0.001; p = 0.001) were significantly related. The management function and all its components are thus related to missed nursing care. The recommendation is to improve the quality of the implementation of the nursing management function. Keywords: management function, missed nursing care   Abstrak   Hubungan Fungsi Manajemen Keperawatan dengan Asuhan Keperawatan yang Terlewatkan: Studi Cross Sectional. Peranan penting seorang perawat salah satunya adalah pemberian asuhan keperawatan yang aman tanpa ada yang terlewatkan. Hal ini dikarenakan perawatan yang tidak aman adalah salah satu sumber morbiditas dan mortalitas terpenting di dunia. Penelitian ini adalah untuk mengidentifikasi hubungan antara fungsi manajemen dengan asuhan keperawatan yang terlewatkan di 3 (tiga) Instalasi Rawat Inap Rumah Sakit Umum Daerah. Penelitian ini menggunakan pendekatan kuantitatif dengan desain penelitian analitik dan rancangan cross-sectional. Sampel berjumlah 238 staf pelaksana keperawatan yang terdiri dari ketua tim dan perawat pelaksana yang bekerja di Rumah Sakit Umum Daerah A, B, dan C. Fungsi manajemen (p = 0,001) dengan seluruh komponennya perencanaan, pengorganisasian, ketenagaan, pengarahan dan pengendalian (p = 0,001; p = 0,001 p=0,001; p = 0,001; p= 0,001) berhubungan secara signifikan. Fungsi manajemen dan seluruh komponennya berhubungan dengan asuhan keperawatan yang terlewatkan. Rekomendasi yaitu meningkatkan kualitas pelaksanaan fungsi manajemen keperawatan. Kata Kunci: asuhan keperawatan yang terlewatkan, fungsi manajeme

Psikoterapi Pemberdayaan: Berbagi Tiga Hal Baik untuk Mengatasi Burnout Perawat di Era COVID-19

This study aims to identify problems and determine improvement strategies to overcome burnout nurses. The research method used is a case report to assess quality improvement with an 8-step approach to change starting from problems with observation and screening of burnout using the Maslach Burnout Inventory Human Services Survey (MBI-HSS), analysis using a fishbone approach, determining improvement strategies, implementing and program evaluation. The results showed that 55% of nurses experienced a decrease in self-esteem, but through the Empowerment Psychotherapy program: Three Good Things, which was carried out for two weeks, it was able to reduce the burnout level of nurses as assessed by the Mini Z burnout survey. In conclusion, Empowerment Psychotherapy: Three Good Things can overcome nurse burnout problems. It is recommended that the implementation of this program be carried out thoroughly in all work units. Keywords: Burnout Management, Nurses, Empowerment Psychotherapy, Three Good Thing

Hubungan Karakteristik Perawat dan Safety Attitude di Rumah Sakit Jakarta

Sikap keselamatan perawat mempengaruhi tindakan dalam menerapkan implementasi asuhan keperawatan yang berbasis keselamatan pasien. Penelitian ini bertujuan mengetahui hubungan karakteristik perawat dan sikap keselamatan, melalui penelitian cross sectional yang melibatkan 330 perawat di 3 rumah sakit veritkal Jakarta. Instrumen yang digunakan adalah Safety Attitudes Questionnaire dengan tambahan data demografi.  Terdapat hubungan signifikan antara karaktersitik perawat dan sikap  keselamatan perawat. Jenis kelamin, posisi, jenjang karir, pendidikan, usia serta pengalaman kerja secara signifikan berpengaruh pada sikap keselamatan (P<0,05). Perbaikan dan peningkatan sikap keselamatan perawat dapat dievaluasi dan diperbaiki dengan mempertimbangkan karaktersitik perawat agar upaya upaya tersebut dapat tepat sasaran dan sesuai dengan kebutuhan

Upaya Peningkatan Keselamatan Pasien dengan Pelaksanaan Manajemen Risiko di Unit Rawat Inap

  This study aims to describe the implementation of planned changes in an effort to improve patient safety through optimizing monitoring and evaluation of the implementation of risk management countermeasures in inpatient rooms. The method used is to use a problem solving cycle approach which includes identifying problems, analysis and diagnosis, designing solutions, implementation and evaluation. The assessment was carried out by means of structured interviews, observation, and distributing questionnaires. Implementation of planned changes using Kurt Lewin's change model, namely unfreezing, movement and refreezing. The results of problem identification showed that the implementation of risk management in the inpatient unit was not optimal, so innovation was needed to motivate staff to implement patient safety by distributing online flyers and creating an instrument to monitor the implementation of risk management. In conclusion, monitoring using good monitoring instruments and distributing online flyers can increase nurses' understanding of implementing risk management so that patient safety can be realized.   Keywords: Patient Safety, Risk Management, Service Quality Improvement, Monitoring Syste

Metode Speak Up untuk Meningkatkan Interprofesional Collaboration Practice

This study aims to identify problems and develop nurse improvement strategies to speak up in IPCP. The method used in this research is an improvement program based on innovation development with a pilot project approach. The results showed that the characteristics of the respondents in the survey of nurse satisfaction in IPCP conducted during problem identification were that there were more female nurses (91%) than male nurses (9.3%), the age of the most respondents was between 21-30 years. (44%), and age 31 -40 years (33%) or productive age. The education level of most respondents is D3 (83%), the second is Nurses (23%). Respondent's competency level for PK I (25%), PK II (32%), PK III (45%), and PK IV (4%). Most of the respondents who participated in this survey were Associate Nurse (PA) at 91% and Primary Nurse (PP) at 14%. In conclusion, the speak-up method can improve nursing services, the image of the nursing profession, and the achievement of patient safety.   Keywords: Patient Safety, Interprofessional Collaborative Practice, Speak U

Evaluasi Kualitas Air Sungai terhadap Air Lindi (Leachate) dari TPA Sampah Mojorejo di Kecamatan Bendosari, Kabupaten Sukoharjo

TPA Sampah Mojorejo di Kabupaten Sukoharjo menghasilkan limbah cair yang disebut dengan air lindi (leachate), akan tetapi proses pengolahan lindi di dalamnya belum difungsikan secara optimal. Hal tersebut ditandai dengan tampilan fisik air lindi yang masih berwarna coklat kehitaman dan berbau. Penelitian ini bertujuan untuk mengetahui kualitas air lindi yang dihasilkan dari TPA sampah dan mengevaluasi kualitas air sungai setelah masuknya air buangan tersebut, menggunakan evaluasi standar stream. Metode yang dipakai dalam penelitian yaitu purposive sampling, analisis matematis dan analisis deskriptif. Hasil penelitian menunjukkan bahwa kualitas air lindi dari TPA Sampah Mojorejo melebihi baku mutu pada parameter BOD, COD, TSS dan TDS. Kondisi kualitas air sungai pun semakin buruk setelah adanya outlet buangan lindi, akan tetapi kualitas air sungai pada hulu aliran sebelum outlet buangan lindi juga telah tercemar. Kondisi tersebut memberikan indikasi bahwa air lindi bukan merupakan satu-satunya sumber pencemar bagi kualitas air sungai. Perhitungan evaluasi standar stream menunjukkan nilai konsentrasi campuran yang masih melebihi baku mutu pada parameter BOD, COD, dan TSS. Berdasarkan hasil evaluasi yang telah dilakukan, perlu adanya proses pengolahan air lindi sebelum dibuang menuju ke sungai, supaya tidak memperburuk kualitas air sungai.Kata Kunci: TPA sampah; Air lindi; Evaluasi Standar Strea