Hasil Pencarian  ::  Simpan CSV :: Kembali

"SAGES represents a worldwide community of surgeons that can bring minimal access surgery, endoscopy and emerging techniques to patients in every country."

"Manual of fast track recovery for colorectal surgery provides a broad overview on enhanced recovery, with expert opinions from leaders in the field regarding elements of enhanced recovery care that are generic and specific to colorectal surgery. This book covers the patient journey through such a programme, commencing with optimisation of the patient’s condition, patient education and conditioning of their expectations. Manual of fast track recovery for colorectal surgery investigates the metabolic response to surgery, anaesthetic contributions and optimal fluid management, after surgery. It also details examples of enhanced recovery pathways and practical tips on post-operative pain control, feeding, mobilisation and criteria for discharge."

"The manual has been split into two volumes for better portability. Volume I, Basic Laparoscopy and Endoscopy covers the fundamentals and procedures performed during surgical residency. Volume I will be the first volume used by students, residents, and allied healthcare professional trainees. Material has been added to these fundamentals and procedures that will also be of interest to experienced surgeons. Volume II, Advanced Laparoscopy and Endoscopy covers more advanced procedures, generally taught during fellowship.All of the sections have been reorganized with a critical eye to the needs of the modern minimal access surgeon. Two new editors have been added. Chapters have been revised by both new authors as well as many stalwart authors from previous editions.These portable handbooks cover all of the major laparoscopic and flexible endoscopic procedures in easy-to-read format. Indications, patient preparation, operative techniques, and strategies for avoiding and managing complications are included for the complete spectrum of both “gold standard” and emerging procedures in diagnostic and therapeutic laparoscopy, thoracoscopy, and endoscopy.The scope, detail, and quality of the contributions confirm and demonstrate the SAGES commitment to surgical education. This manual is sure to find a home in the pocket, locker or briefcase of all gastrointestinal endoscopic surgeons and residents."

"ABSTRAKFistel enterokutan (FEK) mengakibatkan sepsis, malnutrisi, ketidakseimbangan cairan dan elektrolit. Tujuan penelitian ini supaya diketahuinya faktor risiko yang mempengaruhi penyembuhan FEK. Penelitian ini dirancang secara potong lhe purpose of this study be discovered the risk factors that affect ECF healing. The study was designed as a cross-sectional retrospective analytic, by recording medical records for the period January 2007 - December 2011 at Cipto Mangunkusumo Public Hospital. Obtained 69 cases, the appropriate inclusion criteria 57 cases, aged 17-76 years, the highest in the group 31-45 years, male 37 cases, 54 cases of post-operative, 3 cases of spontaneous. Factors that affect healing is albumin levels> 3.0 mg / dl 3.8 times, low output fistula 2.9 times, colon fistula site 2.9 times, Subjective Global Assessment A and B 1.6 times. Factors that affect healing is good nutrition, low output fistula, colon fistula site.intang retrospektif analitik, dengan mencatat rekam medis penderita pada periode Januari 2007 - Desember 2011 di RSUPN Cipto Mangunkusumo. Didapatkan 69 kasus, yang sesuai kriteria inklusi 57 kasus, usia 17–76 tahun, terbanyak pada kelompok 31–45 tahun, laki-laki 37 kasus, 54 kasus pasca operatif, 3 kasus spontan. Faktor yang memengaruhi penyembuhan adalah kadar albumin >3,0 mg/dl 3,8 kali, fistel low output 2,9 kali, lokasi fistel kolon 2,9 kali, Subjective Global Assessment A dan B 1,6 kali. Faktor yang memengaruhi penyembuhan adalah nutrisi baik, fistel low output, lokasi fistel kolon.

---

ABSTRACTEnterocutaneous fistula (ECF) resulting in sepsis, malnutrition, fluid and electrolyte imbalance. The purpose of this study be discovered the risk factors that affect ECF healing. The study was designed as a cross-sectional retrospective analytic, by recording medical records for the period January 2007 - December 2011 at Cipto Mangunkusumo Public Hospital. Obtained 69 cases, the appropriate inclusion criteria 57 cases, aged 17-76 years, the highest in the group 31-45 years, male 37 cases, 54 cases of post-operative, 3 cases of spontaneous. Factors that affect healing is albumin levels> 3.0 mg / dl 3.8 times, low output fistula 2.9 times, colon fistula site 2.9 times, Subjective Global Assessment A and B 1.6 times. Factors that affect healing is good nutrition, low output fistula, colon fistula site."

"Suitable for clinicians, students, educators, researchers, and administrators in various clinical, educational and research venues, this title includes specific indicators that can be used as intermediate outcomes or to evaluate and rate the patient in relation to outcome achievement. This text standardizes the terminology and criteria for measurable or desirable outcomes as a result of interventions performed by nurses. Clinicians, students, educators, researchers, and administrators in a variety of clinical, educational and research venues can use the classification, which serves as an important focus for both cost containment and effective care. This new edition is even more comprehensive and includes specific indicators that can be used as intermediate outcomes or to evaluate and rate the patient in relation to outcome achievement."

"Tata Kelola Mutu Puskesmas merupakan pengelolaan terhadap tingkat layanan kesehatan untuk individu dan masyarakat yang dapat meningkatkan luaran kesehatan yang optimal. Penjaminan terhadap mutu puskesmas dilakukan akreditasi setiap 5 tahun sekali. Penerapan tata kelola mutu melalui tiga komponen yaitu struktur/input, proses dan output. Input terdiri dari sumber daya manusia, sarana dan prasarana, ketersediaan anggaran, komitmen pimpinan dan staf, serta pengorganisasian. Pada Proses menggunakan USEPDSA (Understanding Quality Improvement Needs, State the quality Problem, Evaluate the root cause, plan the solution, Do or Implement the solution, Study the solution and Action), dan output melihat keberhasilan peningkatan capaian Indikator Nasional Mutu yang ditetapkan oleh Kementerian Kesehatan. Penelitian ini menggunakan pendekatan kualitatif dengan design studi kasus, menggunakan metode wawancara mendalam, observasi dan telaah dokumen. Wawancara mendalam dilakukan pada informan kunci pada Dinas Kesehatan Kota Depok dan kementerian Kesehatan, informan utama pada kepala puskesmas dan penanggung jawab mutu di enam puskesmas kota Depok, dan informan pendukung pada pasien puskesmas tersebut. Enam puskesmas terdiri dari tiga puskesmas yang sudah terakreditasi dan tiga puskesmas yang belum terakreditasi. Hasil penelitian pada faktor input sudah berjalan namun beberapa faktor tidak sesuai standar, faktor SDM secara kuantitas dan kualitas tidak sesuai, kurangnya anggaran, kurangnya komitmen staf dan pengorganisasian tim mutu khususnya bagi tiga puskesmas yang belum terakreditasi. Pada faktor proses USEPDSA belum berjalan yaitu pada proses Do/pelaksanaan pengukuran INM belum sesuai, pada Study/ evaluasi pembelajaran belum dilakukan monitoring evaluasi secara berkala dan kaji banding, Pada proses Act/standarisasi belum dilakukan. Pada faktor Output, capaian prioritas INM tahun 2022 dan 2023 tidak terjadi peningkatan. Kesimpulan tata kelola mutu dalam pencapaian Indikator Nasional Mutu (INM) belum diimplementasikan secara optimal. Pemenuhan faktor input dan optimalisasi proses perlu diupayakan dengan dukungan dari Dinas Kesehatan.

---

Puskesmas Quality Management is the management of the level of health services for individuals and communities that can improve optimal health outcomes. Assurance of the quality of the puskesmas is accredited every 5 years. Implementation of quality governance through three components, namely structure/input, process and output. Input consists of human resources, facilities and infrastructure, budget availability, leadership and staff commitment, and organization. The process uses USEPDSA (Understanding Quality Improvement Needs, State the quality Problem, Evaluate the root cause, plan the solution, Do or Implement the solution, Study the solution and Action), and the output shows the success in increasing the achievement of the National Quality Indicators which are indicators from the Ministry of Health. This study used a qualitative approach with a case study design, using in-depth interviews, observation and document review. In-depth interviews were conducted with key informants at the Depok City Health Office and the Ministry of Health, key informants at the heads of puskesmas and those in charge of quality at six puskesmas in Depok, and supporting informants at the puskesmas patients. The six puskesmas consist of three accredited puskesmas and three that have not been accredited. The results of research on input factors have been running but not optimal, human resources in quantity and quality are not optimal, lack of budget, lack of staff commitment and quality team organization, especially for three health centers that have not been accredited. The USEPDSA process factor has not been running, namely the Do/Implementation process of INM measurement is not appropriate, the Study/learning evaluation has not been carried out periodic monitoring and comparative studies, and the Act/standardization process has not been carried out. In the Output factor, INM's priority achievements in 2022 and 2023 have not increased. The conclusion of quality governance in achieving National Quality Indicators (INM) has not been implemented optimally. Compliance with input factors and process optimization needs to be pursued with support from the Health Office."

"Rentang perawatan pasien ortopedi sangat bervariasi mulai dari kasus sederhana hingga kasus yang kompleks, sehingga menuntut perawat untuk berpikir kritis. Berpikir kritis memiliki kaitan dalam proses pengambilan keputusan dan penilaian klinis yang akan menjadi penentu pemberian asuhan keperawatan yang berkualitas, namun beberapa penelitian tentang hubungan berpikir kritis dengan kualitas asuhan keperawatan masih menunjukkan hasil yang tidak konsisten. Penelitian ini bertujuan untuk mengidentifikasi hubungan berpikir kritis perawat dengan kualitas asuhan keperawatan di unit ortopedi. Penelitian ini menggunakan desain survey analitik cross sectional study pada 45 responden perawat yang diukur kecenderungan berpikir kritisnya kemudian kualitas asuhan keperawatan yang dibuat oleh perawat dinilai berdasarkan dokumentasi asuhan keperawatan. Hasil penelitian menunjukkan adanya hubungan yang bermakna antara berpikir kritis perawat dengan kualitas asuhan keperawatan (p=0,017; α 0,05). Perawat yang berpikir kritis berpeluang 6 kali menunjukkan kualitas asuhan keperawatan yang baik. Rekomendasi dari penelitian ini adalah diperlukan adanya penyusunan dan pelaksanaan program pelatihan berpikir kritis bagi perawat untuk meningkatkan kualitas asuhan keperawatan dan diperlukan penelitian lebih lanjut untuk pengembangan instrumun pengukuran berpikir kritis spesifik untuk perawat.

---

The range of orthopedic patient care varies widely from simple cases to complex cases, thus requires nurses to think critically. Critical thinking has links in decision making and clinical judgments that will be the determinant of the quality of nursing care, but some research on the relationship of critical thinking with the quality of nursing care still show inconsistent results. This study aimed to identify the relationship of nurses critical thinking with the quality of nursing care on an orthopedic unit.

This study is an analytic cross sectional study in 45 nurses who measured the tendency to think critically and then the quality of nursing care made by nurses assessed based on the documentation of nursing care.

The result showed that there was a significant relationship between nurses critical thinking with the quality of nursing care (p = 0.017; α 0.05). Nurses who think critically chance 6times to showed a good quality of nursing care.

Recomendations from this finding are need to design and perform a critical thinking training for nurses to increase the quality of nursing care, and need to perform further studies to developed an instrument to measure critical thinking spesifically for nurses."