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"ABSTRAKNama : Wayan Indah PramantiProgram Studi : Kajian Administrasi Rumah SakitJudul : Hubungan Antara Karakteristik Individu, Motivasi DanKarakteristik Organisasi Dengan Perilaku Dokter DanPerawat Dalam Penerapan Pelayanan Berpusat Pada PasienDi RSU Ganesha, Gianyar Tahun 2018Pembimbing : Dr. Ede Surya Darmawan S.K.M., M.D.M.Pelayanan berpusat pada pasien PBP merupakan paradigma baru pelayanankesehatan di rumah sakit. Penelitian terkait penerapan PBP di Indonesia masihsangat terbatas. Penelitian ini dilatarbelakangi belum diketahuinya gambaranperilaku dokter dan perawat dalam menerapkan PBP di RSU Ganesha, Gianyar.Penelitian ini bertujuan untuk mengetahui bagaimana perilaku PBP pada dokterdan perawat serta menganalisis hubungan status kepegawaian, motivasi, dankarakteristik organisasi terhadap penerapan PBP. Penelitian ini memiliki desaincross sectional dengan menggunakan kuisioner yang disebarkan kepada seluruhdokter dan perawat. Total sampel penelitian sebanyak 141 responden. Hasilpenelitian menunjukkan sebagian besar responden 80,1 memiliki perilaku PBPyang baik. Pada komponen perilaku PBP yang diteliti yaitu komponen melibatkanpasien dan keluarga, berbagi informasi, memberi dukungan fisik, dukunganemosional, dan pelayanan yang berkelanjutan juga menunjukkan lebih banyakproporsi perilaku yang baik dengan persentase masing-masing sebanyak 68,1 ;84,4 ; 96,5 ; 94,3 ; dan 91,5 . Variabel umur, motivasi, dan karakteristikorganisasi seperti imbalan, supervise, desain pekerjaan, kepemimpinan, sertabudaya organisasi signifikan hubungannya dengan perilaku dokter dan perawatdalam menerapkan PBP nilai p

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ABSTRACTName Wayan Indah PramantiStudy Program Study of Hospital AdministrationTitle The Relationship Between Individual Characteristics,Motivation and Organizational Characteristics With TheBehavior of Doctors and Nurses in The Implementation ofPatient Centered Care at Ganesha General Hospital, Gianyar,2018.Counselor Dr. Ede Surya Darmawan S.K.M., M.D.M.Patient centered care PCC is a new paradigm of health care services in hospital.In Indonesia, research related to implementation of PCC is still very limited.Background of this research is there not yet known about the behavior of doctorsand nurses in implementing PCC in Ganesha General Hospital, Gianyar. The aimsof this study are to find out the PCC behavior in doctors and nurses as well asanalyze the relationship of individual, psychological, and organizationalcharacteristics to the implementation of PCC. This study has a cross sectionaldesign using a questionnaire distributed to all doctors and nurses. The total sampleis 141 respondents. The results showed that most respondents 80,1 had goodPCC behavior. In the PCC behavioral component studied, the componentsincluding the involvement of patients and families, sharing information, providingphysical support, emotional support, and sustainable health services also showed agreater proportion of poor behavior with percentage of 68.1 84.4 96.5 94.3 and 91.5 respectively. Variables of age, motivation, and organizationalcharacteristics such as rewards, supervision, job design, leadership, organizationalculture are significantly related to the behavior of doctors and nurses inimplementing PCC p "

"Treatment planning for person-centered care, second edition, guides therapists in how to engage clients in building and enacting collaborative treatment plans that result in better outcomes. suitable as a reference tool and a text for training programs, the book provides practical guidance on how to organize and conduct the recovery plan meeting, prepare and engage individuals in the treatment planning process, help with goal setting, use the plan in daily practice, and evaluate and improve the results. case examples throughout help clarify information applied in practice, and sample documents illustrate assessment, objective planning, and program evaluation."

"Treatment planning for person-centered care, second edition, guides therapists in how to engage clients in building and enacting collaborative treatment plans that result in better outcomes. The book provides practical guidance on how to organize and conduct the recovery plan meeting, prepare and engage individuals in the treatment planning process, help with goal setting, use the plan in daily practice, and evaluate and improve the results. Case examples throughout help clarify information applied in practice, and sample documents illustrate assessment, objective planning, and program evaluation"

"Kinerja perawat pelaksana di ruangan sangat menentukan kualitas asuhan keperawatan terhadap pasien. Kemampuan kepala ruangan dalam mengelola manajemen ruangan akan mempengaruhi kinerja perawat pelasana. Remunerasi merupakan salah satu upaya yang dilakukan pihak manajemen rumah sakit untuk meningkatkan kinerja perawat dalam asuhan keperawatan. Penelitian ini mengidentifikasi hubungan persepsi remunerasi,fungsi manajemen kepala ruangan dan motivasi terhadap kinerja perawat dalam melakukan asuhan keperawatan, menggunakan metode pendekatan kuantitatif dengan desain penelitian analit ik dan rancangan cross-sectional terhadap 387 perawat. Dari kuesioner didapatkan hasil hubungan yang signifikan antara persepsi remunerasi p value 0,001 dan motivasi (P 0,000) terhadap kinerja perawat, persepsi remunerasi dan motivasi baik dapat meningkatka n kinerja sebanyak 99 %. Rekomendasi penelitian ini adalah mengoptimalkan sistem pengelolaan remunerasi sesuai peraturan pemerintah, meningkatkan fungsi manajeme n kepala ruangan dalam membangun motivasi perawat sehingga dapat meningkatkan kinerja perawat pelaksana dalam melakukan asuhan keperawatan.

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The performance nurses in carrying out nursing care will be influenced by various factors both from within (intrinsic) and from outside (extracurricular) of the nurse itself, what needs will be increase a nurse is motivation to provide quality service and improve safety culture. Patients go through the performance while doing nursing care, remuneration is one of the efforts made by both the government and hospital management to improve the performance of nurses in providing nursing care. This study identifies the relationship between remuneration perspectives, management function of the head of the room and motivation to the performance of nurses in performing nursing care The method uses a quantitat ive approach with analytical research design and cross-sectional design of 387 nurses using a questionnaire with there is a significant relationship between perceptions of remuneration p value 0.001 and motivation (0.000) on nurse performance, perceptions of good remunerat ion and motivation can improve performance by as much as 99% government regulations, improve the management function of the head of the room in building nurse motivation so that it can improve the performance of nurses in carrying out nursing care."

"[Isolasi sosial merupakan kondisi kesendirian yang dialami individu dan dipersepsikan disebabkan oleh orang lain. Ketidakmampuan mengungkapkan perasaan yang dirasakan oleh klien dapat membuat klien marah. Risiko perilaku kekerasan merupakan respon destruktif individu terhadap stressor. Tujuan penulisan karya Ilmiah ini menjelaskan manajemen asuhan keperawatan spesialis jiwa pada klien dengan isolasi sosial dan risiko perilaku kekerasan dengan menggunakan Hubungan Interpersonal Peplau dan Stuart. Intervensi diberikan pada 69 klien dengan isolasi sosial dan risiko perilaku kekerasan. Dengan menggunakan terapi Social Skil training, Asertiveness Training, Cognitif Behovior Therapy. Hasil didapatkan penurunan tanda dan gejala secara kognitif afektif, fisiologis, perilaku, sosial dan peningkatan kemampuan klien dan keluarga. Rekomendasi penelitian ini adalah klien dengan isolasi sosial dilakukan terapi Social skill training, klien dengan risiko peilaku kekerasan dberikan terapi spesialis cognitive behavior therapy dan assertiveness training dengan mengguakan pendekatan hubungan Interpersonal Peplau dan Stuart

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Social isolation is the condition of being alone as experienced by individual and perceived as caused by others. Inability to express client’s feeling can stimuli anger. Violent risk behavior is considered as a destructive response of individual towards stressor. The purpose of this scientific paper was to explain the mental healthpsychiatric nursing care management to clients with social isolation and violent risk behavior using Peplau’s Interpersonal Relationship and Stuart’s Adaptation Theory. Nursing intervention was conducted to 69 social isolated and violent risk behaviors clients were social skill training, assertiveness training, and cognitive behavior therapy. The effect of therapies showed the decreased of sign and symptom at all aspects of cognitive, affective, physiological, behavior, social and improvement of client and family ability. It’s recommended that social skill training applied to client with social isolation, while cognitive behavior therapy and assertiveness training provided to client with violent risk behavior utilizing Peplau’s Interpersonal Relationship and Stuart’s Adaptation Theory as an approach. , Social isolation is the condition of being alone as experienced by individual and perceived as caused by others. Inability to express client’s feeling can stimuli anger. Violent risk behavior is considered as a destructive response of individual towards stressor. The purpose of this scientific paper was to explain the mental healthpsychiatric nursing care management to clients with social isolation and violent risk behavior using Peplau’s Interpersonal Relationship and Stuart’s Adaptation Theory. Nursing intervention was conducted to 69 social isolated and violent risk behaviors clients were social skill training, assertiveness training, and cognitive behavior therapy. The effect of therapies showed the decreased of sign and symptom at all aspects of cognitive, affective, physiological, behavior, social and improvement of client and family ability. It’s recommended that social skill training applied to client with social isolation, while cognitive behavior therapy and assertiveness training provided to client with violent risk behavior utilizing Peplau’s Interpersonal Relationship and Stuart’s Adaptation Theory as an approach. ]"

"ABSTRAKKualitas asuhan keperawatan menjadi elemen kunci mutu pelayanan di rumah sakit. Fenomena di rawat jalan sangat minimal dalam pemberian asuhan keperawatan. Penelitian ini bertujuan untuk menganalisis faktor yang mempengaruhi pelaksanaan asuhan keperawatan. Metode Penelitian ini menggunakan desain korelasi deskriptif pendekatan cross sectional. Metode pengambilan sampel, total sampling 43 perawat dan 43 pasien dengan kriteria inklusi untuk setiap sampel. Hasil penelitian terdapat hubungan antara umur perawat p 0.016 , persepsi perawat terhadap pengelolahan perangkat manajemen money p 0.005 dan material and machine p 0,04 dan pelaksanaan asuhan keperawatan yang dipersepsikan oleh pasien. Implikasi: belum optimal pelaksanaan asuhan keperawatan yang dipersepsikan pasien bila tetap berlangsung maka mengakibatkan penurunan kepuasan, keamanan, dan keselamatan pasien. Dibutuhkan dukungan manajemen rumah sakit untuk mendukung ketersediaanya dana untuk perawat mengembangkan pengetahuan dan keterampilan, serta diperlukan kelengkapan peralatan, fasilitas, sarana, logistik dalam upaya optimalkan asuhan keperawatan.

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ABSTRACTQuality of nursing care became a key element of hospital service quality. The phenomenon in outpatient was very minimal in the provision of nursing care. This study aims to analyze the factors that affect the implementation of nursing care. This research method used descriptive correlation design of cross sectional approach. Methods of sampling, total sampling of 43 nurses and 43 patients with inclusion criteria for each sample. The result of the research shows that there were correlation between nurse age p 0.016 , nurse perception toward business money of the tools management p 0.005 and material and machine p 0,04 and implementation of nursing care perceived by patient. Implication in this study if nursing care not yet optimalized which perceived by patient persisted hence resulted decrease of satisfaction, safety, and patient safety. Hospital management support is required to support the availability of funds for nurses to develop knowledge and skills, and necessary completeness of equipment, facilities, facilities, logistics in an effort to optimize nursing care. "

"Penerapan asuhan keperawatan pasien end of life belum optimal dan determinan yang mempengaruhi kinerja perawat dalam melaksanakannya masih perlu dibuktikan. Penelitian ini bertujuan untuk mengidentifikasi determinan kinerja perawat dalam menerapkan asuhan keperawatan end of life di RS. Metode penelitian ini adalah penelitian kuantitatif cross sectional dengan menggunakan instrumen kuesioner.  Sampel penelitian ini sebanyak 220 perawat pelaksana yang diambil secara  purposive sampling di Rumah Sakit Jantung Pembuluh Darah Harapan Kita.  Hasil uji chi square dan regresi logistic menunjukkan ada hubungan yang bermakna antara kinerja perawat dengan status kepegawaian (p0,018), sikap (p0,000), dan kepemimpinan (p0,004). Hasil multivariat menunjukkan adanya hubungan antara kinerja perawat dengan status kepegawaian(p 0,044); sikap(p0,978) dan kepemimpinan(p 0,855). Kesimpulan adanya hubungan antara status kepegawaian, sikap, dan kepemimpinan dalam keberhasilan penerapan asuhan keperawatan end of life. Saran dibutuhkan evaluasi dan pembinaan sikap, kepemimpinan dalam menerapkan asuhan keperawatan end of life serta perlunya peningkatan status kepegawaian bila memungkinkan.

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The focus of this study is end of life nursing care application isnt optimally and determinat which influence nursing performance still need to be researched. This research has goals to determinant  nurse performance to do  end of life nursing care in hospital. The research method is quantitative-based research cross sectional with questioner instrument. The samples were taken with purposive sampling method (220 nurses) in Harapan Kita CardioVascular hospital. The result correlations chi Square  and  logistic regression that there was a close relationship between nursing performance and civil employee (p0,044), attitude (p0,978), leadership (p0,855). Multivariate result show that nursing performance has relationship with civil employee (p0,044); attitude (p0,978), and leadership (p0,855). Conclusion: civil employee, attitude, and leadership have related to success nursing care plan end of life. The research recommend, evaluation and actuation of  nursing attitude and leadership  are needed  in end of life nursing performance  and increase their employee status if necessary."

"Pendahuluan: Kolik infantil adalah salah satu gangguan saluran cerna fungsional yang cukup banyak ditemukan pada bayi dibawah usia 6 bulan dengan prevalens sekitar 20%. Meskipun keadaan ini bersifat self-limiting, bila tidak ditangani dengan baik dapat mempengaruhi kualitas hidup bayi dikemudian hari. Diagnosis dan tata laksana menjadi hal penting. Kriteria diagnosis yang dipakai saat ini adalah Kriteria Rome IV yang dipublikasi pada tahun 2016 sebagai revisi kriteria sebelumnya. Data mengenai pemahaman kolik infantil berdasarkan Kriteria Rome IV dan tata laksana bayi dengan kolik infantil oleh dokter spesialis anak di Indonesia belum pernah dilaporkan. Oleh karena itu penelitian ini dilakukan untuk mengisi celah informasi tersebut. Metode: Peneliti menggunakan kuesioner untuk mengetahui pengetahuan dan pendekatan terapi para dokter spesialis anak terhadap kolik infantil. Kuesioner dibagikan kepada sampel yang dipilih secara acak. Skor pengetahuan dan perilaku dianalisis dengan menggunakan variabel lama pengalaman klinis, akreditasi institutsi, tempat praktek, dan sumber informasi. Analisis dilakukan dengan SPSS 20.0. Hasil: 75 dari 131 (57.3%) dokter anak mengaku sudah menggunakan Rome IV pada praktek sehari-hari, dari mana mean skor mereka adalah 14.24±3.32 dari total 20 poin. Rata-rata skor pengetahuan adalah 14.38±3.17 dari 20 dan skor pendekatan terapi adalah 11.50±2.80 dari 16. Kesimpulan: Tidak ditemukan hubungan yang signifikan antara variable dengan skor pengetahuan maupun pendekatan terapi. Hasil pengetahuan dan pendekatan dokter spesialis anak terhadap kolik infantil masih belum optimal, sehingga masih perlu disiapkan sarana pembelajaran efektif oleh pihak yang berkepentingan demi meningkatkan capaian yang ada saat ini.

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Introduction: Infant colic is one many FGIDs that occur in infants under 6 months with an approximate prevalence of 20%. Even though this condition is self-limiting in nature, inappropriate therapy does affect the babys quality of life in the future. Hence, diagnosis and therapeutic approach becomes essential. The diagnostic criteria currently used is Rome IV which was published in 2016 as an update of the previous version. Unfortunately, data regarding Indonesian pediatricians understanding of infant colic according to Rome IV criteria and their therapeutic approach in managing infant colic has not been reported. Hence this research was conducted to fill in those gaps in information.

Methods: Researcher uses questionnaire aimed at assessing pediatricians knowledge and therapeutic approach towards the management of infant colic. The questionnaire were then given out to samples which were randomly selected. The scores of both knowledge and therapeutic approach are analyzed with variables which are: years of clinical experience, institution accreditation, place of practice, and source of information. The analysis was performed using SPSS 20.0.

Results: 75 out of 131 (57.3%) pediatrician claims to have use Rome IV in their daily practice, from which mean score were 14.24±3.32 of a total 20 points. Mean of knowledge score is 14.38±3.17 out of 20 and mean of therapeutic approach score is 11.50±2.80 out of 16.

Conclusion: There were no significant relationship between the other variables with the knowledge nor behavior scores. The results of pediatricians knowledge and approach towards infant colic was not optimal yet, so those with interest must improve the means for effective learning to allow improvement better that what is now achieved."

"Mencapai kematian yang bermartabat adalah salah satu tujuan perawatan paliatif yang paling mendasar. Pasien memiliki hak untuk mendapatkan kematian yang diinginkanya dan keluarga memiliki kewajiban untuk membantu pasien mendapatkan kualitas hidup yang optimal dalam fase akhir kehidupan. Penelitian ini bertujuan untuk mengeksplorasi persepsi pasien kanker paru tentang makna kematian yang bermartabat. Penelitian kualitatif dengan pendekatan fenomenologi deskriptif melibatkan 10 pasien kanker paru yang dirawat di ruang rawat inap Rumah Sakit Paru dr. M. Goenawan Partowidigdo Cisarua yang dipilih dengan teknik purposive sampling. Hasil penelitian menghasilkan tiga tema yaitu strategi koping menghadapi penyakit, merasa sendiri dan kurangnya rasa aman, dan makna kematian bagi pasien. Standar Pelayanan Operasional untuk perawatan paliatif dan kesiapan perawat dibutuhkan dalam pelayanan perawatan palatif/ fase akhir kehidupan untuk meningkatkan kualitas hidup pasien.

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Achieving a dignified death is one of the most fundamental goals of palliative care. Patients have the right to get the death they want, and their families have a responsibility to help patients get an optimal quality of life in the end of life. This study aims to explore the perception of lung cancer patients on the meaning of dignified death. Qualitative research with a descriptive phenomenological approach involved 10 lung cancer patients who were treated in the inpatient ward of the Lung Hospital, dr. M. Goenawan Partowidigdo Cisarua selected by purposive sampling technique. The findings of the study resulted in three themes, coping strategies, feeling alone and lack of security, and the meaning of death for the patient. This study recommends that Operational Service Standards and nurse readiness are needed in palliative care services/end of life phase to improve the quality of life of patients.

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