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"Asuhan keperawatan spiritual diberikan untuk memnuhi kebutuhan spiritual perempuan dengan kanker serviks. Tujuan penelitian ini untuk menggali lebih dalam tentang persepsi dan harapan perempuan dengan kanker serviks terhadap asuhan keperawatan spiritual. Penelitian ini menggunakan penelitian kualitatif dengan pendekatan studi fenomenologi deskriptif. Sampel ada enam partisipan dengan menggunakan purposive sampling. Analisis data menggunakan Collaizzi, diperoleh lima tema utama yaitu pengalaman perempuan pada awal didiagnosa kanker serviks, pengalaman perempuan terhadap kebutuhan spiritual, dukungan spiritual yang diberikan perawat, harapan terhadap penyediaan sarana ibadah dan harapan terhadap asuhan keperawatan spiritual. Saran perlu adanya asuhan keperawatan spirtual baku.

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Spiritual nursing care provided to meet the spiritual needs of women with cervical cancer. The aims of this study explored women with cervical cancer perceptions and expectations toward spiritual nursing care. Qualitative research design with phenomenoogy studies. This studies used purposive sampling consist of six participants. Data were analyzed with the Collaizzi's method.

The result identified five mayor themes which are: the experiences of women diagnosed with cervical cancer early, the experience of women toward spiritual needs, spiritual support provided by nurses, the participants hope of providing a means of worship and spiritual nursing care. Suggestion needed for standard raw spiritual nursing care."

"Supervisi adalah suatu proses fasilitasi sumber-sumber yang diperlukan staf, dilaksanakan dengan cara perencanaan, pengarahan, bimbingan, motivasi, evaluasi dan perbaikan agar staf dapat melaksanakan tugas-tugasnya secara optimal. Kepala Ruangan sebagai ujung tombak pelayanan kesehatan di Rumah sakit harus mempunyai kemampuan untuk melakukan supervisi, karena dengan adanya supervisi dan pengarahan kepada staf keperawatan dapat meningkatkan kinerja, kinerja staf akan meningkat apabila ada kepuasan kerja. Tujuan penelitian adalah diperoleh informasi tentang hubungan kompetensi supervisi Kepala Ruangan dengan kepuasan kerja tenaga Pelaksana Keperawatan di Ruang Rawat Inap RSUP. Dr. Hasan Sadikin Bandung. Sampel penelitian diambil 10 ruang rawat Inap di RSUP Dr Hasan Sadikin, dengan jumlah sampel, 10 kepala ruangan, 148 pelaksana keperawatan untuk melihat kepuasan kerja, 110 status rekam medis pasien, dan 110 pelaksana keperawatan untuk melihat penerapan standar operational prosedur (SOP). Pengambilan sampel dilaksanakan secara acak dan proporsional. Jenis penelitian merupakan penelitian eksperimen dengan menggunakan kelompok pembanding (kontrol group). bersifat operational research, dengan analisa deskriftif dan analitik, Alat pengukur data adalah kuesioner terstruktur, observasi tindakan keperawatan dan observasi rekam medis pasien. Waktu penelitian dilakukan pada Ruangan Kontrol dan ruangan eksperimen, kemudian ruang eksperimen diintervensi berupa pelatihan, 1 bulan kemudian ruangan eksperimen dan ruangan kontrol diteliti kembali. Pada ruangan eksperimen hasil penelitian menunjukan adanya hubungan positif antara kompetensi supervisi Kepala Ruangan dengan kepuasan Kerja Tenaga Pelaksana Keperawatan, karena pads Ruangan eksperimen telah mendapatkan intervensi berupa pelatihan. Sedangkan pada Ruangan Kontrol, tidak ada perencaan, nilainya masih dibawah standar. Ada perbedaan bermakna antara kompetensi supervisi kepala ruangan antara ruangan kontrol dan ruangan eksperimen, dan ada perbedaan bermakana kepuasan kerja tenaga pelaksana keperawatan, antara ruangan kontrol dan ruangan eksperimen. Saran penelitian ini adalah perlu adanya penambahan pengetahuan dengan mengadakan pelatihan, dan setelah pelatihan perlu evaluasi secara regular agar hasil penelitian ada manfaatnya. Pada waktu melaksanakan supervisi sebaiknya penyelia, melihat pekerjaan sedang berlangsung agar dapat memperbaiki apabila ada kesalahan dalam pelaksanaan asuhan keperawatan.

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Supervisory Competency Relationship of Ward Head Nurse with Job Satisfaction at the Nursing Unit of RSUP. Dr. Hasan Sadikin Bandung 1998Supervision is one sources accommodative process are needed by staffs, performed by means of planning, directing, guidance, motivation, evaluation and improvement in order that staffs can optimally perform their tasks. Head Nurse as the health service forefront in hospital must have a capability to do the supervision, because the availability of supervision and direction for nursing staff can improve their performance, staff performance will improve when the working satisfaction is available.

The purpose of research is to obtain information concerning the supervisory competency relationship of Head Nurse with the Job satisfaction at nursing unit in RSVP. Dr. Hasan Sadikin, Bandung. Research's sample is taken from 10 nursing unit in the RSUP Dr. Hasan Sadikin, with total of samples, 10 Head Nurse, 148 nurses for observe the working satisfaction, 110 status of patient medical records and 110 nurses for observing the application of Standard Operational Procedure (SOP). Sampling is both randomly and proportionally taken.

Type of this research is an experimental one by means of control group, operational research in nature, with the descriptive and analytical analysis. Data measuring total is the structured questionnaire, observation of nursing action and observation of patient medical record. Research is performed in both Control and Experimental Room, and then the experimental room is intervened with the training, 1 month later, both control and experimental room is reviewed.

In the experimental room, the research result showed the availability of positive relationship between supervisory competency of Head Nurse with the Working Satisfaction of Nursing, because in. the experimental room they have followed an intervention such as training. Whereas, in the Control Room, there is no change and its value is still under standard. There is significant difference between supervisory competency of Head Nurse between control room and experimental room and there is significant difference of job satisfaction of nurses between control and experimental room.

The recommendation of this research is necessarily the improvement of knowledge by operating the training, and after that training, a regularly evaluation is need in order that results of research has benefit. At best when supervising the supervisor observing the work is taking place in order to be able to improve when any mistake occurs in the execution of nursing guidance."

"Sekitar 490.000 perempuan di seluruh dunia didiagnosa menderita kanker serviks danrata-rata 240.000 kasus kematian perempuan terjadi akibat kanker serviks dan hampir80% dari kasus tersebut terjadi di negara-negara berkembang (WHO, 2008). Nyerimerupakan keluhan terbanyak yang dirasakan penderita kanker. Seperti halnya dikatakanoleh Abernethy, Keefe, McCrory, Scipio, (2006), angka kejadian nyeri pada semuapasien kanker sekitar 25% pada kanker yang baru terdiagnosa dan sekitar 60% sampaidengan 90% pada kanker stadium lanjut. Dodd, Miaskowski, dan Paul (2001)mengidentifikasi terjadinya nyeri pada pasien dengan kanker yang mendapatkankemoterapi. Tujuan :dari penelitian ini mendapatkan gambaran efektifitas Brief CBTterhadap nyeri dengan menggunakan instrumen Numeric Rating Scale (NRS) dan PerceivedMeaning Cancer Pain Inventory (PMCPI). Metoda : quasi experimental pre post test withcontrol group, teknik consecutive sampling terhadap 51 sampel : 26 intervensi dan 25kontrol. Hasil penelitian ditemukan penurunan intensitas nyeri dan PMCPI yang mendapatCBT lebih besar dibanding yang tidak mendapat CBT (p-value < 0,05). Rekomendasi: BriefCBT dijadikan terapi terpadu dalam manajemen nyeri pada pasien kanker serviks.

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Approximately 490,000 women worldwide are diagnosed with cervical cancer and

anaverage of 240,000 female deaths occur from cervical cancer and nearly 80% of these

cases occur in developing countries (WHO, 2008). Pain is a complaint that is felt most

cancer patients. As well said by Abernethy, Keefe, McCrory, Scipio, (2006), the incidence

of pain in all cancer patients about 25% in the newly diagnosed cancers and approximately

60% to 90% in advanced cancer. Dodd, Miaskowski, and Paul (2001) identified the

occurrence of pain in patients with cancer receiving chemotherapy. The purpose: to get an

overview of the research on the effectiveness of brief CBT pain using instruments Numeric

Rating Scale (NRS) and Perceived Meanings Cancer Pain Inventory (PMCPI). Method:

quasi-experimental pre-post test with control group, 51 consecutive sampling technique to

sample: 26 intervention and 25 control. The results found reductions in pain intensity and

PMCPI that gets bigger than that CBT did not receive CBT (p-value <0,05).

Recommendation: Brief CBT therapy be integrated in the management of pain in patients

with cervical cancer."

"Penanganan pasangan ingin anak membutuhkan kesabaran dari pihak medis maupun pasien di samping kemampuan mendiagnosa serta pengobatan yang terarah. RSUP Dr. Hasan Sadikin mempunyai kelompok kerja ART (Assisted Reproduktif Technology) dengan surat keputusan Direktur Nomor: Kp 01.01.1.2.231.P tanggal 20 Nopember 1995, untuk mengembangkan Tim Ahli Bayi Tabung di Seksi Infertilitas SMF Kebidanan dan Penyakit Kandungan. Kememapuan penangann pasangan infertil di RSUP Dr. Hasan Sadikin masih jauh dari memadai, karena keterbatasan sarana, sedangkan kebutuhan akan pelayanan ART sudah mendesak. Penelitian ini dilakukan dengan tujuan memperoleh gambaran trend pelayanan infertilitas di RSUP Dr. Hasan Sadikin dan memilih model strategis yang tepat untuk di terapkan. Penelitian ini adalah operasional riset yang dianalisis secara kuantitatif dan kualitatif. Hasil penelitian dari analisia situasi menggambarkan total jumlah kunjungan pelayanan mengalami penurunan sekitar 19,21% dan dari total jumlah kasus, 87% kasus usia di bawah 35 tahun potensi untuk ditangani tuntas dan 67% kasuss memerlukan tindakan ART, pada periode tahun 1993-1997. Hasil analisis metode Dekamposisi menggambarkan faktor trend kunjungan menurun, sehingga sulituntukmerencanakan sasaran jangka panjang, dan Indeks Musim.memperlihatkan peningkatan hanya pada bulan Januari, Maret, Mai, Juni, Nopember dan Desember, sehingga baru dapat mereucanakan sasaran jangka pendek di pelayananinfertilitas. Hasil analisis metode Delphi menggambarkan derajat pelaksanaan rendah, akselerasi pelayanan lamban, adanya factor pendorong dan penghambat pelaksanaan serta masalah keuangan sebagai faktor kekuatan, kelemahan, ancaman dan peluang Seksi Pelayanan Infertilitas. Hasil analisis matrike SPACE dalam memposisikan strategi sebagai langkah awal pemilihan model strategi, yaitu pada Kuadran I: Agresif adalah pertumbuhan dan perkembangan. Pada penelitian ini dibahas dua strategi alternatif untuk memilih model strategi yang tepat, yaitu strategi umum/bisnis dan strategi operasional. Untuk mengembangkan pelayanan infertilitas di RSUP Dr. Hasan Sadikin saat ini dipilih strategi operasional dengan sasaran elemen kunci pengembangan di bidang pemasaran, keuangan, produksi/operasi, riset dan pengembangan, sumber daya manusia serta konsisten dengan target lahir bayi tabung, sehingga. dapat disusun program kerja berdasarkan pendekatan legislatif, edukatif, ekonomi, administratif dan teknis.

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Managing couples wishing to have children needs patience from the medical services as well as the patient besides ability to diagnose and well planned medical treatment. Dr. Hasan Sadikin Provincial Hospital developed has an ART (Assisted Reproductive Technology) team work through the Director's Decree: Kp. 01.01.2. 231.P date 20'h November 1995. This Team of Experts of Test-tube Babies at the Infertility Division, Obstetrics and Gynecology Department is developing it capability in managing infertile couples at Dr. Hasan Sadikin Provincial Hospital, however it still far from adequate, due to limited facilities, while the need for ART services is already urgently field.

This is an operational research study, utilizing quantitative and qualitative analysis, aiming at obtaining the trend of the infertility service demand at Dr. Hasan Sadikin Provincial Hospital, and selecting a correct strategy model to be applied.

The situational analysis of this study revealed for that a period of 1993-1997 there was a decrease of around 19,21% in the total number of visits; in which, 87 % of the cases of those under 35 years of age and were potential for complete treatment, while 67% of the cases needed an ART management.

Analysis by decomposition method revealed that the trend factor decreased, so that it was difficult to plan for a long term target, and that the season Index showed an increase only in the months of January, March, May, June, November, and December, so that only a short term plan could be planned in the infertility services.

Analysis by the Delphi method revealed a low level of implementation, a slow acceleration of service, the presence of enchancing and delaying factors in the implementation, and also financial problems as factors of strength, weakness, threat, and opportunity in the infertility services.

Result of SPACE matrix analysis in positioning strategy as an initial step in the selection of a strategy model, is as follows Quadrant I: Aggressive is growth and development.

In this study two alternative strategies were analyzed to choose the right strategy model, i.e. general business strategy and operational strategy to develop the infertility services at Dr. Hasan Sadikin Provincial Hospital. At present the operational strategy was selection with the development key element as the target in the aspect of marketing, finance, production/operation, research and development, human resources, and consistent with the birth of test-tube babies as target, so as to allow the compilation of a working program based on a legislative, educative, economic, administrative, and technical approach."

"Penelitian ini membahas hubungan antara kualitas layanan, kepuasan, dan loyalitas pasien. Penelitian ini adalah penelitian kuantitatif dengan desain studi cross-sectional. Responden berjumlah 96 orang dan merupakan pasien yang harus melakukan kunjungan ulang. Hasil analisis statistik menunjukkan tidak terdapat hubungan antara penilaian kualitas layanan dengan karakteristik pasien (p-value > 0,05). Tidak terdapat hubungan antara kepuasan dengan karakteristik pasien (pvalue > 0,05). Tidak terdapat hubungan antara loyalitas pasien dengan karakteristik pasien (p-value > 0,05). Terdapat hubungan antara kualitas layanan dengan kepuasan pasien (p-value = 0,000).Terdapat hubungan antara kepuasan dengan loyalitas pasien (p-value = 0,0002). Terdapat hubungan antara kualitas layanan dengan loyalitas pasien (p-value = 0,037). Kembalinya pasien dapat dikarenakan kepercayaan terhadap dokter. Tidak kembalinya pasien dapat dikarenakan pasien kecewa pada pelayanan atau beralih ke sarana pelayanan lain.

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This research discussed the relationship of service quality, satisfaction, and patient loyalty. This was a quantitative research with cross-sectional design of study. Data was acquired from 96 respondents who were required to do control by physician. Statistical findings demonstrated that there was no difference of satisfaction service quality with patient's characteristics (p-value > 0,05). There was no difference of satisfaction with patient's characteristics (p-value > 0,05). There was no difference of patient loyalty with patient's characteristics (p-value > 0,05). There was relationship between each dimension of service quality with patient's (p-value > 0.000). There was relationship between of satisfaction with patient loyalty (p-value > 0.0002). There was relationship between service quality with patient loyalty (p-value > 0.037). Actual return behavior could be influenced by the patient's trust to physician. Unreturned behavior of patient due to disappointment ni service quality or switch to another service of facility."

"ABSTRAKBACKGROUND: The incidence lung tumors and mediastinum tumors are the main causes of death due to malignancies with 12,9% of all malignancy cases. Lung tumors are more common in developing countries. Biopsy of lung tumors and mediastinal tumors is a frequent and multidisciplinary action. The minimally invasive technique that is mostly done is percutaneus transthoracic needle aspiration biopsy (PTNAB). Research states that PTNAB is a safe, effective, and accurate procedure.OBJECTIVE: This study aimed to assess the effect of needle biopsy size on the success of biopsy and the incidence of pneumothorax in intrathoracal tumor patients in Hasan Sadikin General Hospital for the period 2014-2016.METHODS: This study is a clinical epidemiological study and observational analytic with a cross sectional study design involving 232 data of patients who met the inclusion criteria and did not meet the exclusion criteria. Matching is done because there are differences in the number of research subjects in each group. The total number of research subjects is 158 patient data. The test used is chi square.RESULTS: The results showed that PTNABs actions using large and small needles had a success rate of 73,4% and 49,4%, respectively, and were significantly different (p <0,05). The success rate of PTNABs actions is not significantly different from lung tumors and mediastinum. The success rate of PTNABs actions in mediastinal tumors using large and small needles was 92,3% and 50%, respectively, and was significantly different (p <0,05). The incidence of pneumothorax after PTNABs action is zero in both groups so analysis cannot be performed.CONCLUSION: This study concluded that the success of PTNABs actions using large-sized needles on small-sized needles differed significantly."

"[ABSTRAKKecemasan merupakan hal yang sering dilaporkan ketika anak dihadapkan pada prosesoperasi. Penelitian ini bertujuan mengidentifikasi dampak penggunaan buku ceritabergambar terhadap kecemasan sebelum operasi. Design Penelitian adalah quasieksperiment:Post test-only non equivalen control group. Sampel penelitian adalah 34anak usia sekolah yang akan menjalani operasi, dipilih dengan teknik Consecutivesampling. Kelompok intervensi diberikan informasi dengan buku cerita bergambar dankelompok kontrol mendapatkan informasi rutin rumah sakit. Hasil penelitianmenunjukan anak yang mendapatkan persiapan dengan buku cerita bergambarmengalami kecemasan sebelum operasi lebih rendah (p=0,003). Penelitian inimerekomendasikan pemberian informasi dengan buku cerita bergambar sebagai salahsatu intervensi persiapan operasi

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ABSTRACTAnxiety is often reported among preoperative children. This study aimed to identify theimpact of story book on preoperative anxiety among school-age children. Researchdesign was quasi experiment: Post test -only non equivalent control group toward 34which were selected with consecutive sampling technique. Children on interventiongroup were prepared with pictured story book, while children on control group wereprepared with hospital routine information. The result showed that children whoseprepared with pictured story book experienced less preoperative anxiety (p=0,003). Thisresearch recommends pictured story book as one of interventions for preoperativepreparation;Anxiety is often reported among preoperative children. This study aimed to identify theimpact of story book on preoperative anxiety among school-age children. Researchdesign was quasi experiment: Post test -only non equivalent control group toward 34which were selected with consecutive sampling technique. Children on interventiongroup were prepared with pictured story book, while children on control group wereprepared with hospital routine information. The result showed that children whoseprepared with pictured story book experienced less preoperative anxiety (p=0,003). Thisresearch recommends pictured story book as one of interventions for preoperativepreparation., Anxiety is often reported among preoperative children. This study aimed to identify theimpact of story book on preoperative anxiety among school-age children. Researchdesign was quasi experiment: Post test -only non equivalent control group toward 34which were selected with consecutive sampling technique. Children on interventiongroup were prepared with pictured story book, while children on control group wereprepared with hospital routine information. The result showed that children whoseprepared with pictured story book experienced less preoperative anxiety (p=0,003). Thisresearch recommends pictured story book as one of interventions for preoperativepreparation.]"

"Demam neutropenia merupakan efek samping yang sering terjadi setelah kemoterapi. Demam neutropenia dapat menyebabkan penundaan dosis kemoterapi sehingga dapat mengurangi efektivitas terapi. Kejadian demam neutropenia paskakemoterapi dapat dicegah dengan pemberian Granulocyte-colony Stimulating Factor (G-CSF). Regimen kemoterapi yang digunakan dapat memengaruhi kejadian demam neutropenia. Selain itu, usia, stadium kanker, riwayat kemoterapi dan kadar hemoglobin sebelum kemoterapi merupakan faktor risiko demam neutropenia paskakemoterapi.Penelitian ini bertujuan untuk mengetahui perbandingan kejadian demam neutropenia regimen TAC (dosetaksel, doksorubisin, siklofosfamid) dengan profilaksis primer G-CSF dan regimen FAC (fluorourasil, doksorubisin, siklofosfamid) pada pasien kanker payudara di RSUP Dr. Hasan Sadikin Bandung periode Januari 2017-Juni 2019.Desain penelitian adalah cross sectional uji dua populasi. Jumlah sampel sebanyak 61 regimen TAC dan 102 regimen FAC. Kejadian demam neutropenia dianalisis menggunakan chi-square.Hasil penelitian menunjukkan kejadian demam neutropenia paskakemoterapi lebih banyak terjadi pada regimen TAC dengan profilaksis primer G-CSF dibandingkan dengan regimen FAC. Kejadian demam neutropenia 12 kali lebih banyak terjadi pada regimen TAC dengan GCSF dibanding regimen FAC. Usia, stadium kemoterapi, riwayat kemoterapi dan kadar hemoglobin sebelum kemoterapi secara statistik tidak signifikan memengaruhi kejadian demam neutropenia paskakemoterapi.

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Febrile Neutropenia is a common side effect of chemotherapy. Febrile neutropenia can cause delayed chemo doses that can reduce the effectiveness of therapy. The incidence of febrile neutropenia can be prevented by administering Granulocyte-colony Stimulating Factor (G-CSF). The chemotherapy regimen can affect the incidence of febrile neutropenia. In addition, age, stage of cancer, history of chemotherapy and prechemotherapy hemoglobin level are risk factors for febrile neutropenia.This study aimed to compare the incidence of febrile neutropenia between TAC (docetaxel, doxorubicin, cyclophosphamide) regimen with G-CSF primary prophylaxis and FAC regimen (fluorouracil, doxorubicin, cyclophosphamide) in breast cancer patients at RSUP Dr. Hasan Sadikin Bandung period January 2017 - June 2019.The study design was cross sectional test of two populations. The sample consisted of 61 TAC regimen and 102 FAC regimen. The incidence of febrile neutropenia were analyzed using chi-square.The results showed that the incidence of post-chemotherapy febrile neutropenia is more common in TAC regimen with G-CSF primary prophylaxis than FAC regimen. The incidence of neutropenia is 12 times more common in TAC regimens with G-CSF than FAC regimen. Age, stage of chemotherapy, history of chemotherapy and pre-chemotherapy hemoglobin levels did not statistically significantly influence the incidence of febrile neutropenia."

"Laboratorium Mikrobiologi mempunyai risiko tinggi terhadap Penyakit Akibat Kerja dari paparan sampel infeksius dan penggunaan bahan kimia pada proses pewarnaan dan desinfektan, Kecelakaan Kerja sebagai akibat dari penggunaan alat-alat mudah pecah dan bervoltase tinggi, serta adanya bahaya kebakaran dan ledakan dari penggunaan bunsen dan otoclave. Oleh karena itu diperlukan manajemen risiko dalam setiap proses pekerjaannya. Kajian risiko dilakukan berdasarkan pendekatan manajemen risiko AS/NZS 4360:2004 dengan metode semikuantitatif berdasarkan W.T. Fine. Dari hasil penelitian diketahui setelah pengendalian risiko yang dilakukan di laboratorium mikrobiologi yaitu engineering control, administrative control, dan penggunaan alat pelindung diri (APD) masih ada residual risk yang berada di tingkat risiko prioritas 1 yaitu bahaya kebakaran dan bahaya ergonomi serta tingkat risiko besar yaitu bahaya biologi dan bahaya kimia. Untuk bahaya fisik seperti tertusuk jarum, tangan terpapar api, terkena pecahan objek gelas, eye strain sudah berada ditingkat risiko prioritas 3 dan diterima, artinya hanya perlu diawasi dan diperhatikan secara kesinambungan.

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Microbiology Laboratory has a high risk of Occupational Diseases from exposure to infectious samples and the use of chemicals in the process of coloring and disinfectant, work accident as a result of the use of the tools to break easily, as well as the presence of high danger of fire and explosion of the use of bunsen and autoclave. It is therefore necessary to risk management in every work process. Study of the risk-based approach to risk management is done AS/NZS 4360: 2004 by the method of semi quantitative based on W.T. Fine.

Result are known after existing risk in the laboratory of Microbiology are there engineering control, administrative control, and personal protection there is still residual risk in priority 1, fire hazard and danger of ergonomics. Level great risk namely danger biological and chemical dangers. For physical risk such as needle stick injury, arise fire, and eye strain have been risk priority level 3 and accepted that means need to be observed continuously. "