Model Supervisi Klinis Yang Dapat Meningkatkan Mutu Pelayanan Keperawatan

1Mahasiswa Magister Manajemen Keperawatan, Departemen Ilmu Keperawatan, Universitas Diponegoro Semarang. Email: [email protected] 2Dosen Magister Keperawatan, Departemen Ilmu Keperawatan, Universitas Diponegoro Semarang Abstrak Latar belakang: Mutu pelayanan keperawatan sebagai indikator kualitas pelayanan kesehatan menjadi salah satu faktor penentu citra institusi pelayanan kesehatan di mata masyarakat. Mutu pelayanan keperawatan memiliki beberapa outcome yang menjadi indikator mutu pelayanan keperawatan. Indikator mutu pelayanan keperawatan meliputi aspek pelayanan, tingkat efisiensi, kepuasan pasien, cakupan pelayanan, dan keselamatan pasien. Oleh karena itu perlu adanya fungsi manajemen yang dapat meningkatkan mutu pelayanan keperawatan. Supervisi klinis merupakan metode yang efektif dalam meningkatkan mutu pelayanan keperawatan. Tujuan: Mengidentifikasi model supervisi klinis yang dapat meningkatkan mutu pelayanan keperawatan. Metode: Systematic literatur review dilaksanakan dengan menelusuri artikel/jurnal melalui Elseiver ScienceDirect, EBSCO E-Journal, dan Proquest E-Journals. Jurnal yang sudah terkumpul kemudian dilakukan critical appraisal tool sesuai dengan tujuan yang ingin dicapai. Hasil: Supervisi klinis dalam pelaksanaannya harus berdasarkan evidance based nursing practice agar pelaksanaan supervisi klinis dapat dilaksanakan secara efektif. Supervisi model proctor merupakan supervisi klinik yang efektif karena mengandung tiga fungsi yaitu fungsi normatif dalam upaya pengembangan profesionalitas; fungsi formatif dalam upaya pengembangan keterampilan dan pengetahuan; dan fungsi restoratif dalam upaya memberikan dukungan. Selain itu supervisi klinis yang tetap relevan sampai saat ini yaitu supervisi reflektif. Proses reflektif mengharuskan perawat belajar dari refleksi. Setiap opini, memori, dan pengalaman dalam praktek dievaluasi secara kritis. Oleh karena itu modifikasi sintesis dari kedua model supervisi klinis tersebut dapat menjadi efektif dalam meningkatkan mutu pelayanan keperawatan. Kesimpulan: pelaksanaan supervisi klinis modifikasi reflektif proctors dapat meningkatkan mutu pelayanan keperawatan. Kata Kunci : Clinical supervision for nurse, Clinical Supervision models, Effectiveness of clinical supervision, Quality of Nursing Care

IMPROVING STUDENT WRITING ABILITY IN NARRATIVE TEXT BY USING COMIC STRIPS TOWARD ON THE EIGHT GRADE AT SMPN 3 SATU ATAP NGEBEL PONOROGO IN ACADEMIC YEAR 2014/2015

Key Words : Writing skill, Comic Strips The language is an important part of the world. People use language to communicate and express ideas of their life. This reality makes teacher think that writing skill should be mastered by the students. In SMP N 3 Satu Atap ngebel Ponorogo showed that the skill writing was low. Here, the researcher chose teaching using comic strips in teaching writing. A comic strip is defined in this study as series of pictures inside boxes that tell a story. Comic as sufficient essential visual aids can be used as a tool of communication between teacher and pupils in teaching learning process. Based on the fact above, the researcher concluded that the statement of this study about Comic Strips improve students’ writing skill of narrative text on the eighth grade of SMPN 3 Ngebel in Academic year 2014/2015. So, the purpose of the study was to know the improvement students’ of writing ability in narrative text by using comic strips on the eighth grade of SMPN 3 Satu Atap Ngebel Ponorogo 2014/2015 academic year. In this study, the researcher used Classroom Action Research. It consisted of four steps, they were planning, acting, observing, and reflecting. The researcher used three instruments to do the research. They were observation, questionnaire and test. Observation sheet is the tool to observe and control classroom activity. The questionnaire consists of list from the statements and questions that arranged by the researcher. The purpose of the statements and questions were giving the students feedback from the list as the comments from all of the things in teaching and learning activity. The purpose of the test is to know the result of teaching and learning process. The result of observation checklist proved that the students were very active in the class. They were active in teaching and learning process, doing the writing, and asking about difficult material. The result of questionnaire proved that the most of the students’ were motivated and interested in using comic strips in teaching writing because it made them easier to write and have many idea. The result of the test showed that in cycle 1 just 8 students got reach KKM. But in cycle 2 are 25 students’ got reach KKM. Finally, the researcher concluded that the result of this research showed the improvement students’ writing ability in narrative text by using comic strips toward on the eight grade of SMP N 3 Satu Atap Ngebel Ponorogo

PERLINDUNGAN KONSUMEN TERHADAP PRAKTIK PEMBULATAN HARGA PERSPEKTIF HUKUM POSITIF DAN HUKUM ISLAM (Studi Pada Bisnis Oriflame di Desa Tanjung Jaya Kecamatan Bangun Rejo Kabupaten Lampung Tengah)

ABSTRAK Setiap manusia tidak terlepas dari kegiatan tukar menukar atau jual beli. Jual beli adalah suatu perjanjian tukar menukar benda atau barang yang mempunyai nilai secara sukarela di antara kedua belah pihak, yang satu menerima benda – benda dan pihak lain menerimanya sesuai dengan perjanjian atau ketentuan yang telah dibenarkan syara’ dan disepakati. Pada praktiknya banyak terdapat unsur ketidakadilan seperti pembulatan harga dalam jual beli produk oriflame yang dilakukan oleh member oriflame tanpa pemberitahuan persetujuan terlebih dahulu kepada konsumen. Permasalahan dalam penelitian ini yaitu pertama, Bagaimana praktik pembulatan harga pada bisnis oriflame yang terjadi di Desa Tanjung Jaya Kecamatan Bangun Rejo Kabupaten Lampung Tengah dalam perspektif hukum positif. Kedua, Bagaimana praktik pembulatan harga pada bisnis oriflame di Desa Tanjung Jaya Kecamatan Bangun Rejo Kabupaten Lampung Tengah dalam perspektif hukum Islam. Tujuan dari penelitian ini untuk mengetahui praktik pembulatan harga pada bisnis oriflame di Desa Tanjung Jaya Kecamatan Bangun Rejo Kabupaten Lampung Tengah dalam perspektif hukum positif, serta untuk mengetahui praktik pembulatan harga pada bisnis oriflame di Desa Tanjung Jaya Kecamatan Bangun Rejo Kabupaten Lampung Tengah dalam perspektif hukum Islam. Penelitian ini menggunakan penelitian lapangan (field research) peneliti melakukan penelitian secara langsung dengan member oriflame dan konsumen dari member tersebut. Data yang diperoleh dari data primer dan data sekunder, data primer diperoleh langsung melalui wawancara dan dokumentasi. Sedangkan data sekunder diperoleh dari buku atau jurnal, Undang – Undang dan hadist. Peneliti melakukan analisis dengan metode kualitatif yang bersifat deskriptif analisis. Dari hasil penelitian dapat disimpulkan bahwa praktik pembulatan harga yang dilakukan oleh member oriflame belum sesuai dengan aturan Peraturan Menteri Perdagangan Nomor 35/M-DAG/PER/7/2013 tentang Pencantuman Harga Barang dan Tarif Jasa Yang Diperdagangkan pada Pasal 6 ayat (3) dan (4). Pembulatan harga dialakukan terhadap pecahan Rp. 100,- dan Rp. 500,-. Dimana saat ini pecahan tersebut masih bisa dijumpai, meskipun terkadang pecahan tersebut sulit untuk mendapatkannya. Para member juga tidak menginformasikan kepada konsumen untuk meminta persetujuan terkait pembulatan harga tersebut. Praktik jual beli produk oriflame dalam hukum islam tidak sesuai dengan hukum islam karena dalam praktiknya konsumen tidak bisa membatalkan jual beli tersebut maka dalam jual beli produk oriflame ini tidak adanya unsur khiyar majlis, konsumen tidak diperbolehkan membatalkan jual beli tersebut pada saat transaksi yang masih dalam satu tempat transaksi dan belum berpisah. Pembulatan harga ini juga termasuk ke dalam riba, karena pada saat pembayaran harga yang dibayar adalah harga yang sudah dibulatkan oleh member, bukan harga yag disepakati diawal dalam katalog. Kata kunci : Pembulatan Harga, Perlindungan Konsumen

Risk Factor Analysis of Anxiety Disorder in Third Trimester Pregnant Women

Introduction: Pregnancy is a natural thing for productive women. Anxiety that occurs in pregnancy is an emotional response related to the concern felt by the mother for the well-being of herself and her fetus during pregnancy, childbirth and the role of being a mother later. The purpose of this study was to determine the relationship between age, level of education, occupation, economy, parity, environmental status, and religious spiritual activities on anxiety disorders in third trimester pregnant women in Somba Opu District, Gowa Regency. Methods: The instrument in this study used a questionnaire. The sample used in this study consisted of 136 third trimester pregnant women in the work area of ​​Syekh Yusuf Hospital and Sungguminasa Health Center. Data was processed and analyzed as needed and data analysis using Chi Square test p<0.05   Results: The study showed that there was a significant relationship between age, education level, occupation, economic factors, parity, and religious spiritual activities with anxiety disorder levels in third trimester pregnant women and this study did not show that there was a significant relationship between living environment status. with the level of anxiety disorder in third trimester pregnant women (0.514) Conclusion: There is a relationship between age, education level, occupation, economic factors, parity, and religious spiritual activities with anxiety disorder levels in third trimester pregnant women, and there is no relationship between living environment status and anxiety disorder levels in third trimester pregnant women

PEMBERDAYAAN MASYARAKAT MELALUI BUDIDAYA JAMUR TIRAM UNTUK MEWUJUDKAN KEMANDIRIAN BERWIRAUSAHA DI ERA NEW NORMAL PADA KELOMPOK WANITA TANI (KWT) MAJU BERSAMA DUSUN PELEMPAT KABUPATEN LOMBOK BARAT

Indonesia reported the first case of Covid-19 on March 2, 2020. Data as of March 31, 2020 showed that there were 1.528 confirmed cases and 136 deaths. The Covid-19 death rate in Indonesia is 8.9%, the highest in Southeast Asia. After confirming the first case, the Government of Indonesia took various countermeasures to reduce the impact of the Covid-19 pandemic in various sectors. Not only the health sector but also the economic sector has suffered no less serious impacts due to this pandemic. At the family level, the small and middle levels of society become weak and decline, this is due to restrictions on community activities. Due to these conditions, it is necessary to make efforts that we must do to be able to restore the economic condition of the family by utilizing the potential that exists around it. This service was carried out at the Women Farmers Group called ‘Kelompok Wanita Tani (KWT) Maju Bersama’  Pelempat, Meninting Village, West Lombok District, West Nusa Tenggara Province. The method used in this activity is implemented in 4 (four) activity stages, namely 1) Preparation, 2) Socialization, 3) Activity Implementation, and 4) Monitoring and Evaluation. The results of the activity showed that members of  Kelompok Wanita Tani (KWT) Maju Bersama have understood the technique of developing oyster mushroom cultivation and have high motivation to become entrepreneurs through cultivating oyster mushrooms as well as making it to increase people's income in the New Normal Era of the Covid-19 pandemic

Edukasi Pilar Sanitasi Total Berbasis Masyarakat (STBM) dan Optimalisasi Peran Kader Posyandu Menuju Desa Zero Stunting

KKN Profesi Kesehatan merupakan suatu proses belajar kerja dalam betuk kegiatan profesional terhadap program pembangunan berwawasan kesehatan sesuai dengan paradigma sehat dengan cara partisipasi dalam menggerakan seluruh komponen partnership secara proporsional dalam suatu kerja nyata sebagai bentuk pengabdian pada masyarakat dari mahasiswa. Desa Toluwaya merupakan desa prioritas dalam pencegahan dan penanganan stunting di Kabupaten Bone Bolango yang menempati urutan ke-20 dari 29 desa lokus stunting tahun 2022, dengan jumlah anak stunting sebanyak 11 orang dan prevalensi sebesar 20.0% (di atas target nasional stunting yakni di bawah 14%). Tujuan kegiatan untuk menciptakan kepedulian masyarakat desa dalam melakukan upaya pencegahan risiko stunting melalui edukasi lima pilar STBM, serta meningkatkan peran kader posyandu dalam deteksi dini stunting. meningkatnya partisipasi masyarakat dalam melakukan pencegahan penyakit stunting dan optimalnya peran kader posyandu dalam deteksi dini stunting, sehingga dapat menjadi pilot project desa zero stunting. Kegiatan ini menggunakan metode penyuluhan dan pendampingan berbasis Participatory Rural Appraisal (PRA) dalam mencegah kejadian stunting. Hasil pelaksanaan kegiatan ini adalah meningkatnya pemahaman dan kesadaran masyarakat dalam upaya menurunkan stunting

Implementasi Kebijakan Pengelolaan Sampah Kota Semarang Menurut Perda Nomor 6 Tahun 2012 Tentang Pengelolaan Sampah

Waste management policy based on the event by the high number of heaps of garbage that exists in the city of Semarang. Production of garbage in the city of Semarang per day reached 800 tons/day with a capacity of landfill of 400 tons/day. This happens because with the increase of the population of Semarang city around 1.5 million inhabitants and is also one of the goals of the urbanization. As a result of such activities is the increased production of waste caused by the people. To deal with the problem of local government issued regulation Semarang city waste management areas number 6 in 2012 about waste management that aims to improve public health and the quality of the environment as well as made the waste as a resource. The purpose of this research is to find out how the implementation and the factors that encourage and inhibit the implementation of waste management Policies according to the Semarang area number 6 in 2012. Research methods used in this research is qualitative research methods are descriptive, i.e. by providing a comprehensive overview of the focus of the research. The results of this research show that the implementation of waste management policies are not fully managed to reduce the number of existing middens. In practice there are still various obstacles such as, communications, resources, disposition and bureaucratic structure. Recommendations that can be given to the problem of socialization such as local regulations through electronic media, the addition of human resources and facility cleanliness, training, motivation for employees as well as the establishment of a special section dealing with communities who break the rules are already set

Physical Rehabilitation Outcomes in Patients with Dementia Following Hip Fracture Surgery: A Review

Background: Dementia patients were reported of having high risk for hip fracture. Rehabilitation programs were still being debated for this vulnerable population and the recovery outcomes in this frail elderly population are varied, thus evidenced-based outcomes for this issue are needed.Objective: To investigate rehabilitation programs, especially on physical function outcomes in patients with dementia following hip fracture surgery.Method: PubMed, Scopus and MEDLINE (EBSCO) databases were searched from January 2000 to June 2020 concerning rehabilitation intervention program in dementia patients who received hip surgical treatment. The studies included have the following criteria, (1) investigating physical outcomes of rehabilitation programs (2) Randomized controlled trials (RCTs) study design, (3) study involving dementia patients following hip fracture surgery (4) English full-text journal.Results: Six studies were included in this review. Most study focused on interdisciplinary or multidisciplinary rehabilitation program. Physical outcomes of rehabilitation programs seem to improve physical function, maintaining physical ability for ambulation, and decrease the risk of falls in mild or moderate dementia patients following hip fracture surgery. However, the physical function of older persons with dementia confirmed to be lower than those without dementia.Conclusion: Rehabilitation may show benefit for physical function in elderlywith mild or moderate dementia following hip fracture surgery, and this population needs to be included in the clinical rehabilitation program. Investigating and establishing the strategies to improve outcomes for dementia population is needed for future study.

Implementasi Program Pemberdayaan Ekonomi Masyarakat Pesisir Di Kelurahan Mangunharjo Kecamatan Tugu Kota Semarang

The Program of Coastal Society Economic Empowerment Manguharjo District, Tugu Sub – District, Semarang City is due to by the still high number of poverty in coastal Mangunharjo District. Therefore, the Marine and Fisheries Agency of the city of Semarang was trying to improve the economy of coastalsociety by digging and empowering potential Mangunharjo District. The Program is grounded by a decision of the Minister of Marine and Fisheries No. 18 of 2004 concerning the implementation of the General guidelines for economic Coastal Society Economic Empowerment Program.The purpose of this research is to investigate the implementation process and the factors that affect Coastal Society Economic Empowerment Program. The purpose of this program can be achieved if the implementation of Coastal Society Economic Empowerment Program follow Riant Nugroho criteria that Policy Accuracy, Precision of execution, the target accuracy, precision and accuracy of the process environment. Implementation of Coastal Society Economic Empowerment can not be separated from the factors supporting and inhibiting factors. Based on the theory of George C. Edwards III, factors supporting and inhibiting factors is communication, bereaucratic structure, resources and disposition.The results of this study indicate that the Departement of Marine and Fisheries Semarang City was ready to implement the Coastal Society Economic Empowerment Program in District Mangunharjo. Implementation of Coastal Society Economic Empowerment has been implemented properly. Factors thainfluence is (1) a good implementor ability to deliver information, (2) clarity of information recevied by the public, (3) good impementor commitment in implementing the program, (4) the use of the authority vested in implementor the fullest

Pengaruh Tingkat Profitabilitas, Ukuran Perusahaan, Risiko Keuangan, Nilai Perusahaan, dan Reputasi Auditor Terhadap Perataan Laba (Studi Empiris Pada Perusahaan Manufaktur Yang Terdaftar Di Bursa Efek Indonesia Periode 2011-2014)

The objective of this study is to analyze the influence of profitability, firm size, financial risk, firm value, and auditor reputation to income smoothing in manufacturing companies listed in Indonesia Stock Exchange during the period of 2011-2014. Sample was determined by purposive sampling method. From this method, there was collected 128 observations from 32 companies based on logistic regression analysis. The result showed that firm size had positive significantly effect to income smoothing. Auditor reputation had negative significantly effect to income smoothing. Whereas profitability, financial risk, and firm value had no significantly effect to income smoothing. This result were consistent to previous studies from Santoso and Salim (2012), Amanza and Rahardjo (2012), Octavania and Asyik (2014), Noviana and Yuyetta (2011), Dewi and Latrini (2016). Keywords: income smoothing, profitability, firm size, financial risk, firm value, auditor reputation