Hasil Pencarian  ::  Simpan CSV :: Kembali

Abstrak :
Purpose: The aims of the study was to describe Indonesian nurses’ attitudes and beliefs toward providing sexuality care with cancer patients using the Sexual Attitudes and Beliefs Survey (SABS). Methods: The study had a descriptive and correlative design. A convenience sample of 135 oncology nurses were enrolled from three hospital in Jakarta. Results: Over 85% of nurses have attitudes and beliefs that discussing sexuality with patients is a taboo and is too private an issue. More than 90% of nurses giving a patient permission to talk about sexual concerns is a nursing responsibility. About 73.3% nurses had beliefs that most hospitalized patients are too sick to be interested in sexuality and agreed that sexuality should be discussed only if initiated by the patient. However, more than 70% of the nurses beliefs that patients expect nurses to ask about their sexual concerns. Conclusions: The findings can help to identify nurses’ barriers to addressing patients’ sexuality. Educational programs for nurses are needed to help the nurses overcome their barriers and improve nurses’ ability to give patients the holistic care.

Abstrak :

Latar Belakang: Kanker membutuhkan perawatan medis jangka panjang dan biaya besar, sehingga memerlukan benchmark pelayanan kanker terstandardisasi. Program Kemenkes RI mengenai Rumah Sakit Jejaring Pengampuan Pelayanan Kanker berupa pelayanan berjenjang merata di Indonesia. Tiga pembagian strata rumah sakit, yaitu madya, utama, dan paripurna, dikoordinatori oleh satu pengampu nasional. RSCM sebagai pengampu dari lima RS strata utama yang tersebar dari empat Provinsi, yaitu Lampung, Banten, Kalbar dan Kalsel. Tujuan: Mengkaji situasi dan kondisi pelayanan kanker komprehensif di rumah sakit provinsi dan melakukan analisis keberhasilan program pengampuan tersebut. Metode: Studi deskriptif analisis kuantitatif dan kualitatif. Hasil: Pada kelima RS ampuan RSCM masih ada kesenjangan dalam pelayanan kanker dibandingkan dengan benchmark, terutama pada pemenuhan SDM, sarana, dan prasarana. Derajat kesenjangan dalam program penanggulangan kanker sedang hingga ringan. Terdapat kekurangan yang signifikan dalam aspek diagnosis dan terapi secara kualitatif pada RS Sitanala dan RS Banten, yang membutuhkan peningkatan SDM dan fasilitas untuk mengurangi kesenjangannya. Perubahan derajat kesenjangan masih rendah hanya 0.86% hingga 6.25%. Kendala terletak pada implementasi program yang tidak sesuai dengan kebutuhan masing-masing rumah sakit, serta ketergantungan pada dukungan dana dari pengampu nasional. Kesimpulan: Program pengampuan pelayanan kanker yang dirancang strategis berdasarkan analisis kesenjangan belum menunjukkan peningkatan yang memuaskan setelah dua kuartal pelaksanaan. ......Background: Cancer requires long-term medical care and substantial costs, requires standardized cancer care benchmarks. The Ministry Health of Indonesia has established Cancer Care Mentoring Network Hospitals, designed to provide equitable cancer care across country. Hospitals are divided into three strata: intermediate, main, and complete, coordinated by national mentor. RSCM acts as mentor for five main-strata hospitals spread across four provinces: Lampung, Banten, West Kalimantan, and South Kalimantan. Objective: Assess situation of comprehensive cancer care at provincial hospital level and analyse its success. Methods: Descriptive study using both quantitative and qualitative analysis. Results: In five RSCM-mentored hospitals found gaps in cancer care compared to established benchmarks, particularly in human resources, facilities, and infrastructure. The gaps degree in cancer control program tends to be moderate to mild, but qualitatively, there are significant lacks in diagnostic and therapeutic aspects at Sitanala and Banten Hospital, that require improvements. The change in gap degree remains low, ranging from only 0.86% to 6.25%. The main challenges lie in program implementation that are not align with each hospital specific needs and reliance on funding support from national coordinator. Conclusion: The designed cancer care mentoring program based on gap analysis, shows unsatisfactory improvement after two quarters of implementation.

Abstrak :
This book is a ground-breaking, highly innovative addition to the literature on cancer care. Detailing a comprehensive summary of truly impressive research demonstrating the ability of dogs to serve an important therapeutic role within the cancer arena and in other serious medical conditions, the text provides highly practical advice and very helpful “tips” to ensure that those who wish to employ dogs to assist the cancer patient have the necessary knowledge and “tools” to optimize outcomes.