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APLIKASI MODEL EDUKASI POSTNATAL MELALUI PENDEKATAN FAMILY CENTERED MATERNITY CARE (FCMC) SEBAGAI STRATEGI OPTIMALISASI COMPETENT MOTHERING
asmuji, asmuji;
Indriyani, Diyan
Jurnal NERS Vol 11, No 1 (2016): Jurnal Ners
Publisher : Universitas Airlangga
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DOI: 10.20473/%oj.Ners111%y17-28
Introduction: Indonesiaâs rate of MMR and IMR remains high among other ASEAN countries. This issue needs to be seriously addressed, particularly in dealing the mother-and-infant related problems, through developing the postnatal education model which focuses on postpartum mother by involving family as the social support. Methodology: This research is conducted at dr. Soebandi Regional Hospital Jember and the Kaliwates Primary Health Service Jember Regency. This research employs participative approach (qualitative) and Participatory Action Research (PRA), with the intention of conducting the try-out to the postnatal education model comprehensively, as well as evaluating the perfection attempts to the model in order to generate the fittest model. The data collection technique used in this research is survey/observation, interview, FGD, in-depth interview to postpartum mothers and family (100 respondents), as well as healthcare extension agents. Result: This research has successfully formulated the postnatal education model through FCMC approach as the optimization of competent mothering strategy in lowering the infant and maternal mortality rate. This model has undergone comprehensive trial to postpartum mothers and family as well as the healthcare extension agents by providing modules and booklet concerning the treatment of postpartum mother and newly born infants in accordance with the postpartum stages. The results of this research revealed that the effect of postnatal education model through the FCMC approach on the perception of postpartum mothers and their family regarding the self-care treatment during the immediately post partum period, the infant and self-care treatment at the early and late postpartum stages by using the α = 0,05 existed as shown by the p value of 0,00 each. Furthermore, there was also an impact of the extension attempt of postnatal education model through the FCMC towards the perception of the healthcare extension agents with the p value of 0,00. Discussion:  This research recommended that the postnatal education model through family centered maternity care (FCMC) as the optimization of competent mothering is implemented as one of the attempts in lowering the Maternal and Infant Mortality Rates, respectively. Keywords: Postnatal Education Model, FCMC, Competent Mothering
ANALISIS PERILAKU OPTIMALISASI PRODUKSI ASI PADA IBU POSTPARTUM BEKERJA DAN TIDAK BEKERJA DI WILAYAH PUSKESMAS SUMBERSARI JEMBER
Indriyani, Diyan;
A, Asmuji
Jurnal Penelitian IPTEKS Vol 2, No 2 (2017): JURNAL PENELITIAN IPTEKS
Publisher : Universitas Muhammadiyah Jember
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DOI: 10.32528/ipteks.v2i2.1898
Air Susu Ibu (ASI) sangatlah penting bagi bayi baru lahir karena merupakan sumber nutrisi utama. Banyak faktor yang mempengaruhi ASI terhambat untuk diproduksi secara optimal, padahal ASI ini yang sangat dibutuhkan oleh bayi. Faktor tersebut antara lain karena pengetahuan dan perilaku stimulasi produksi ASI yang belum maksimal, tertundanya pertemuan ibu dan bayi, dukungan suami kurang optimal, nutrisi yang kurang seimbang, ibu terlalu muda (pengalaman kurang) dan lain-lainnya. Tujuan penelitian ini adalah menganalisis perilaku optimalisasi produksi ASI pada ibu postpartum bekerja dan tidak bekerja. Penelitian ini menggunakan desain Deskriptif Korelasional, dengan sampel 62 responden yang terbagi yaitu 30 ibu postpartum bekerja dan 32 ibu postpartum tidak bekerja yang ada di Wilayah Puskesmas Sumbersari Jember. Instrument yang digunakan yaitu kuesioner dan skala likert, dengan analisa data menggunakan Chi Square (?=0,05). Hasil penelitian menunjukkan ada perbedaan perilaku pada ibu postpartum bekerja dan tidak bekerja terhadap optimalisasi produksi ASI, dengan P Value sebesar 0,043. Mengingat pentingnya ASI bagi bayi, maka direkomendasikan yaitu meskipun ibu bekerja disarankan tetap memiliki motivasi untuk mengoptimalkan produksi ASI, sedangkan pada ibu postpartum yang tidak bekerja disarankan menggunakan waktu sebaik-baiknya dalam mensukseskan perilaku mengoptimalkan produksi ASI.
MOVEMENT OF MENTAL REVOLUTION WITHIN NURSING PERFORMANCE IN GIVING NURSING CARE AT RSUD JEMBER
asmuji, Asmuji
Jurnal Riset Kesehatan Nasional Vol 1, No 2 (2017)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali
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DOI: 10.37294/jrkn.v1i2.62
Abstract: Nursing resource has been come to dominate the number of other human resources in health care.. However there was biased news about nursing performances in giving nursing care. Mental revolution in public health services was hoped it could make the personal inside will have character with higher integrity, good work ethic that focused on professionalism, independent, creative, innovative, and be a life-long learners. Purpose: to analyze the relationship between educational level, work period, nurse’s perception about mental revolution in giving nursing care. Methods: Design of this research was correlation. The research population was all nurses at inpatient room with 40 nurses as sample who spread out over 4 rooms that taken by simple random sampling. Questionnaire was used in this research as collecting data instrument and spearman rho with α= 0.05 was used to see the correlation between both of the variables. Result: The result of this research showed: 1) no relationship were note between education level of respondent and their performance in giving nursing care (p= 0.702; α= 0.05; r= -0.063), 2) no relationship were noted between variable of respondent’s work period and their performance in giving nursing care (p= 0.447; α= 0.05; r= - 0.124); 3) the relationship noted between perception variable about movement of mental revolution and their performance in giving nursing care (p= 0.028; α= 0,05; r= 0.348). Conclusion: Therefore the relationships noted between perception variable about movement of mental revolution and their performance in giving nursing care. Monitoring and evaluation periodically on performance of their nurses, trying to evaluate performance of nurses/ employees through 360O model, such as combination between self-evaluation, manager evaluation, peer- evaluation, and user evaluation. Keywords: Mental Revolution, Nursing Performance, Nursing Care
ANALISIS PERILAKU OPTIMALISASI PRODUKSI ASI PADA IBU POSTPARTUM BEKERJA DAN TIDAK BEKERJA DI WILAYAH PUSKESMAS SUMBERSARI JEMBER
Diyan Indriyani;
Asmuji A
Jurnal Penelitian IPTEKS Vol 2, No 2 (2017): JURNAL PENELITIAN IPTEKS
Publisher : Universitas Muhammadiyah Jember
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DOI: 10.32528/ipteks.v2i2.1898
Air Susu Ibu (ASI) sangatlah penting bagi bayi baru lahir karena merupakan sumber nutrisi utama. Banyak faktor yang mempengaruhi ASI terhambat untuk diproduksi secara optimal, padahal ASI ini yang sangat dibutuhkan oleh bayi. Faktor tersebut antara lain karena pengetahuan dan perilaku stimulasi produksi ASI yang belum maksimal, tertundanya pertemuan ibu dan bayi, dukungan suami kurang optimal, nutrisi yang kurang seimbang, ibu terlalu muda (pengalaman kurang) dan lain-lainnya. Tujuan penelitian ini adalah menganalisis perilaku optimalisasi produksi ASI pada ibu postpartum bekerja dan tidak bekerja. Penelitian ini menggunakan desain Deskriptif Korelasional, dengan sampel 62 responden yang terbagi yaitu 30 ibu postpartum bekerja dan 32 ibu postpartum tidak bekerja yang ada di Wilayah Puskesmas Sumbersari Jember. Instrument yang digunakan yaitu kuesioner dan skala likert, dengan analisa data menggunakan Chi Square (α=0,05). Hasil penelitian menunjukkan ada perbedaan perilaku pada ibu postpartum bekerja dan tidak bekerja terhadap optimalisasi produksi ASI, dengan P Value sebesar 0,043. Mengingat pentingnya ASI bagi bayi, maka direkomendasikan yaitu meskipun ibu bekerja disarankan tetap memiliki motivasi untuk mengoptimalkan produksi ASI, sedangkan pada ibu postpartum yang tidak bekerja disarankan menggunakan waktu sebaik-baiknya dalam mensukseskan perilaku mengoptimalkan produksi ASI.
Model Family Centered Maternity Care sebagai Strategi Optimalisasi Competent Mothering
Asmuji Asmuji;
Diyan Indriyani
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i1.1905
Introduction: Indonesia’s rate of MMR and IMR remains high among other ASEAN countries. This issue needs to be seriously addressed, particularly in dealing the mother-and-infant related problems, through developing the postnatal education model which focuses on postpartum mother by involving family as the social support.Methods: This research is conducted at dr. Soebandi Regional Hospital Jember and the Kaliwates Primary Health Service Jember Regency. This research employs participative approach (qualitative) and Participatory Action Research (PRA), with the intention of conducting the try-out to the postnatal education model comprehensively, as well as evaluating the perfection attempts to the model in order to generate the fittest model. The data collection technique used in this research is survey/observation, interview, FGD, in-depth interview to postpartum mothers and family (100 respondents), as well as healthcare extension agents.Results: This research has successfully formulated the postnatal education model through FCMC approach as the optimization of competent mothering strategy in lowering the infant and maternal mortality rate. This model has undergone comprehensive trial to postpartum mothers and family as well as the healthcare extension agents by providing modules and booklet concerning the treatment of postpartum mother and newly born infants in accordance with the postpartum stages. The results of this research revealed that the effect of postnatal education model through the FCMC approach on the perception of postpartum mothers and their family regarding the self-care treatment during the immediately post partum period, the infant and self-care treatment at the early and late postpartum stages by using the α = 0,05 existed as shown by the p value of 0,00 each. Furthermore, there was also an impact of the extension attempt of postnatal education model through the FCMC towards the perception of the healthcare extension agents with the p value of 0,00.Conclusion: This research recommended that the postnatal education model through family centered maternity care (FCMC) as the optimization of competent mothering is implemented as one of the attempts in lowering the Maternal and Infant Mortality Rates, respectively.
The Integrated Maternity Management Model Through Promoting and Preventive Encouragement in the Attempts of Lowering the Maternal and Infant Mortality Rates
Diyan Indriyani;
Asmuji Asmuji
Jurnal Ners Vol. 9 No. 2 (2014): Oktober 2014
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v9i2.2533
Introduction: Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) remain the major indicator in assessing the level of certain country’s health quality. Both of Indonesia’s MMR and IMR levels are high enough compared to other ASEAN countries. To address this problem, a synergic cooperation among the cross-linked authorities is of prime important. One possible alternate option is building the Integrated Maternity Management model through promoting and preventive encouragement particularly designated for rural societies whose knowledge is relatively lower than the ones in urban areas.Methods: This research is conducted in Mumbulsari and Sukorambi Sub-Districts. The data collection techniques used in this research are survey/observation, interview, FGD, in-depth interview and, PRA conducted both to societies (local figures, people at risk, female teenagers, under-aged pregnant mother and young mothers) and local institutions and authorities.Result: This research has been able to formulate the Integrated Maternity Management model through promoting and preventive encouragement particularly designated for rural societies in the attempts of lowering the MMR and IIMR. This model has undergone trial, although the trial is simple in nature, by using the module medias of (1) teenager’s reproductive health which generated the average perception of the teenagers shown by the figure of 58,67 regarding their reproductive health prior to the intervention with minimum score of 30 and maximum score of 85. Meanwhile, upon applying the intervention, the average showed the figure of 81,33 with minimum score of 60 and maximum score of 95. The margin between the pre-test and post-test values reaches the figure of 22,36. This means that the supply of information regarding the module (1) which discusses the health reproductive issue generates better knowledge of those female teenagers concerning the respective issue.Discussion: Therefore, it is suggested that the implementation of the Integrated Maternity Management model through promoting and preventive encouragement put into action by initiating a comprehensive trial in order to generate the most suitable model, respectively.
Implementation of Discharge Planning in Hospital Inpatient Room by Nurses
Asmuji Asmuji;
Faridah Faridah;
Luh Titi Handayani
Jurnal Ners Vol. 13 No. 1 (2018): April 2018
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v13i1.5942
Introduction: Discharge planning is still become a problem for health services in hospital in-patient rooms. Discharge planning commonly is only done when the patients leave hospital by giving them an explanation about the content of the controlling card. Discharge planning is a routine activity that must be done by nurses in order to give information to the patients about their condition and any actions can or should be undertaken by them. In fact, the importance of discharge planning is not yet balanced, nor effectively applied in field. This research was conducted to find out about the implementation of discharge planning by nurses in one of the hospital in-patient rooms at the hospital of study.Methods: This research was a qualitative research study conducted with the phenomenological approach. The informants were 6 patients and 6 nurses in first, second and third class nursing wards. The instruments used in this research were the researchers themselves with interview guidance, field notes and a tape recorder. The data was collected through an in-depth interview.Results: There were three themes found through the analysis, which were 1) the information dimension involving room orientation, rights and obligations, and patient health problems as the sub-themes; 2) the understanding dimension with knowing and understanding the discharge planning as the sub-themes; 3) the implementation dimension with the time of implementation and content of discharge planning as the sub-themes.Discussion: Complete information given to the patients will bring about a positive impact, so then they can help themselves in relation to their curing time at home. A lack of and unclear information will bring about negative impacts such as mistakes when taking drugs, poor diet, neglecting activity while staying at home
PKM Screening Infeksi Soil Transmitted Helmints (STHs) pada Kelompok Petugas Sampah di Kelurahan Sumbersari, Kecamatan Sumbersari, Kabupaten Jember, Propinsi Jawa Timur
Asmuji;
Ali Usman
J-Dinamika : Jurnal Pengabdian Masyarakat Vol 4 No 2 (2019): Desember
Publisher : Politeknik Negeri Jember
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DOI: 10.25047/j-dinamika.v4i2.1095
Pendahuluan: Mitra merupakan kelompok petugas sampah selalu bersinggungan dengan sampah rumah tangga yang merupakan media yang sangat baik bagi perkembangbiakan mikroorganisme, termasuk cacing dalam kelompok Soil Transmitted Helminths (STHs). Dengan demikian Mitra merupakan kelompok yang mempunyai risiko tinggi mengalami infeksi cacing kelompok STH ini. Rentannya Mitra mengalami infeksi cacing didukung dengan data 100% Mitra tidak menggunakan alat pelindung diri (APD) yang terstandar. Sewaktu bekerja, 100% Mitra tidak menggunakan masker, 100% tidak menggunakan sarung tangan yang kedap air, 75% tidak memakai sepatu atau alas kaki yang terstandar, 100% tidak menggunakan pelindung badan yang kedap air, 100% tidak mencuci tangan dengan antiseptic sesegera mungkin setelah bersentuhan dengan sampah. Bahkan pada saat memegang makanan atau merokok, mitra tidak melakukan cuci tangan dengan menggunakan sabun dan air mengalir terlebih dahulu. Solusi: Melakukan screening, memberikan pendidikan kesehatan dan juga memberikan bantuan APD kepada Mitra. Target: Mitra terdeteksi sejak dini terinfeksi cacing STHs, pengetahuan mitra semakin baik, perilaku hidup bersih dan sehat semakin baik. Metode pelaksanaan: pelaksanaan pengabdian dilaksanakan mulai dari tahap persiapan (mengurus perijinan), tahap pelaksanaan (pemeriksaan telur cacing dan hemoglobin, pendidikan kesehatan dan informasi tentang PHBS, pemberian APD), dan tahap evaluasi. Hasil: Hasil screening 9 orang positif terdapat telur cacing pada sampel kukunya, 26 negatif. 9 orang yang positif ditemukan telur cacing pada kukunya mempunyai kadar Hb yang rendah bila dibanding dengan yang telur cacingnya negatif. Mitra juga antusias dalam mengikuti pendidikan kesehatan dan mau menggunakan APD pada saat melakukan pekerjaannya. Kesimpulan: Perilaku hidup bersih dan sehat Mitra masih sangat rendah. Pendidikan/penyuluhan kesehatan dapat meningkatkan pengetahuan dan perilaku mitra tentang PHBS.
Kinerja Tim Bedah Kamar Operasi Rumah Sakit di Kabupaten Jember
Asmuji Asmuji;
Priyo Widodo;
Ninik Sumarini;
Iin Indahwati
JI-KES (Jurnal Ilmu Kesehatan) Vol 5, No 1 (2021): JI-KES (Jurnal Ilmu Kesehatan)
Publisher : STIKes Hafshawaty Pesantren Zainul Hasan Probolinggo
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DOI: 10.33006/ji-kes.v5i1.259
AbstrakRuang bedah (kamar operas) menjadi suatu area yang memberikan pelayanan pembedahan dengan resiko kasus kecelakaan yang sangat tinggi. Penerapan 3 fase pembedahan (sign in, time out, dan sign out) menjadi kegiatan wajib yang harus dipatuhi tim bedah untuk mewujudkan program keselamatan pasien. Karena, keselamatan pasien dapat menjadi nilai kinerja tim bedah dalam menjalankan tugas dan tanggung jawabnya. Penelitian ini bertujuan untuk menggambarkan kinerja tim bedah kamar operasi di rumah sakit di Kabupaten Jember. Desain yang digunakan penelitian ini adalah deskriptif observasional. Sampel penelitian ini adalah klien yang mendapatkan tindakan bedah (operasi) dengan jumlah 32 orang diambil secara quota sampling. Alat pengumpulan data yang digunakan adalah Surgical Safety Checklist (SSC) dari WHO. Analisis data yang digunakan adalah deskriptif dengan tampilan data berupa tabel distribusi frekuensi. Hasil penelitian menunjukkan 32 (100%) klien yang akan menjalani operasi dilakukan sign in sesuai dengan item dalam SSC. Artinya kinerja tim bedah dalam tahapan sign in dalam katagori baik. Kinerja tim bedah pada fase time out dan sign out belum menunjukkan kinerja yang baik. Kinerja tim bedah yang tidak baik dalam kegiatan pembedahan sangat berisiko menimbulkan ancaman keselamatan klien selama menjalani pembedahan maupun setelahnya. Bagi pihak manajemen rumah sakit diharapkan melakukan monitoring dan evaluasi kinerja tim bedah secara berkala dan berkelanjutan.Kata kunci: kamar operasi, kinerja, tim bedah AbstractThe surgery room is an area that provides surgical services with a very high risk of accident cases. The implementation of 3 phases of surgery (sign in, time out, and sign out) is a mandatory activity that the surgical team must comply with to realize a patient safety program. Because patient safety shows the work value of the surgical team's performance in carrying out their duties and responsibilities. This study aims to describe the performance of the operating room surgery team at a hospital in Jember Regency. The design used in this research is descriptive observational. The sample of this study was 32 clients who received surgery/surgery which was taken by quota sampling. The collecting data used Surgical Safety Checklist (SSC) from WHO. The data analysis used description with the data display in the form of a frequency distribution table. The results showed that 32 (100%) clients who will have surgery were signed in based on the items in the SSC. It showed that the performance of the surgical team in the sign-in stage is in a good category. The performance of the surgical team in the time out and sign out phases has not shown good performance. The substandard performance of the surgical team is very risky to pose a threat to the client’s safety during surgery and after surgery. The hospital management is expected to monitor and evaluate the performance of the surgical team regularly and continuously.Keywords: surgery room, performance, surgical team
MOVEMENT OF MENTAL REVOLUTION WITHIN NURSING PERFORMANCE IN GIVING NURSING CARE AT RSUD JEMBER
Asmuji asmuji
Jurnal Riset Kesehatan Nasional Vol. 1 No. 2 (2017)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali
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DOI: 10.37294/jrkn.v1i2.62
Abstract: Nursing resource has been come to dominate the number of other human resources in health care.. However there was biased news about nursing performances in giving nursing care. Mental revolution in public health services was hoped it could make the personal inside will have character with higher integrity, good work ethic that focused on professionalism, independent, creative, innovative, and be a life-long learners. Purpose: to analyze the relationship between educational level, work period, nurse’s perception about mental revolution in giving nursing care. Methods: Design of this research was correlation. The research population was all nurses at inpatient room with 40 nurses as sample who spread out over 4 rooms that taken by simple random sampling. Questionnaire was used in this research as collecting data instrument and spearman rho with α= 0.05 was used to see the correlation between both of the variables. Result: The result of this research showed: 1) no relationship were note between education level of respondent and their performance in giving nursing care (p= 0.702; α= 0.05; r= -0.063), 2) no relationship were noted between variable of respondent’s work period and their performance in giving nursing care (p= 0.447; α= 0.05; r= - 0.124); 3) the relationship noted between perception variable about movement of mental revolution and their performance in giving nursing care (p= 0.028; α= 0,05; r= 0.348). Conclusion: Therefore the relationships noted between perception variable about movement of mental revolution and their performance in giving nursing care. Monitoring and evaluation periodically on performance of their nurses, trying to evaluate performance of nurses/ employees through 360O model, such as combination between self-evaluation, manager evaluation, peer- evaluation, and user evaluation. Keywords: Mental Revolution, Nursing Performance, Nursing Care