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"Praktik cuci tangan merupakan faktor kunci dalam menurunkan dan mencegah infeksi terkait pelayanan kesehatan. Masih rendahnya praktik cuci tangan di kalangan petugas kesehatan menyebabkan angka infeksi di rumah sakit masih cukup tinggi. Penelitian ini bertujuan mengidentifikasi elemen yang menjadi penyebab masih rendahnya praktik cuci tangan enam langkah melalui pendekatan elemen strategi implementasi multimodal WHO di Unit Rawat Inap Rumah Sakit Mitra Medika Batanghari. Dengan pendekatan kualitatif, Hasil penelitian menunjukkan praktik cuci tangan enam langkah baik (89,6%) dan ketersediaan handrub berbahan dasar alkohol merupakan faktor yang paling dominan berkontribusi terhadap pelaksanaan praktik cuci tangan enam langkah.Kata Kunci : Praktik Cuci Tangan, Strategi Implementasi WHO, infeksi terkait pelayanan kesehatan.

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Hand washing practice is key factor to decrease and prevent of health-care assosiated infections. Poor of hand washing practice among healthcare workers causing hospital infection rates are still high. This study aimed to identify the elements that cause the low six-step of hand washing practice through the element of WHO multimodal strategy implementation approach in Mitra Medika Batanghari Hospital. The design was cross-sectional, used quantitative approach, continued by qualitative approach. The results showed that the six-step of hand-washing practice was good (89,6%) and availability of alcohol based handrub to be the most dominant factor contributed to the implementation of six steps of hand washing practice.Keywords: Hand washing practice, Implementation strategy WHO, Health-care assosiated infections."

"Penelitian ini bertujuan untuk mengetahui faktor pendukung dan penghambat yang dapat digunakan sebagai masukan optimalisasi pelayan program rujuk balik di instalasi rawat jalan RS Mitra Medika Batanghari. Metode penelitian. Penelitian menggunakan desain kualitatif dengan metode case study. Informan dari 22 orang pasien hipertensi yang telah dirujuk balik dan 6 orang petugas RS Mitra Medika Batanghari, sumber data dari wawancara mendalam, observasi telah dokumen. Hasil. Sebagian besar pasien hipertensi yang telah dirujuk balik tidak patuh mengunjungi FKTP. Pengetahuan pasien terhadap PRB kurang. Akses menuju fasyankes mudah. Penghambat tidak optimalnya pelayanan PRB adalah kurangnya sosialisasi monitoring dan evaluasi kebijakan PRB di lingkungan rumah sakit, tidak ada SOP terkait PRB, PIC PRB bertugas melayani PRB dan non PRB, tidak ada pelatihan terkait PRB, Pojok PRB tidak tersedia, tidak ada insentif petugas pelaksana PRB, pasien tidak patuh terhadap instruksi DPJP, tidak ada SRB rekomendasi dokter dan lembar resep khusus PRB, SRB tidak diisi lengkap, edukasi pasien singkat. Faktor pendukung pelayanan PRB yaitu petugas pelaksana berkomitmen aktif terhadap PRB, DPJP patuh merujuk balik pasien PRB, komunikasi dan koordinasi antar petugas pelaksana PRB baik, petugas pelaksanan mengetahui formularium nasional obat PRB. Kesimpulan. Program rujuk balik di instalasi rawat jalan RS Mitra Medika Batanghari belum terimplementasi dengan baik karena tidak ada panduan yang jelas terkait PRB dan masih ada pasien hipertensi yang telah direkomendasikan untuk dirujuk balik tidak melanjutkan hingga terdaftar sebagai pasien PRB. Saran. Pelayanan PRB akan terimplementasi dengan baik apabila rumah sakit memiliki panduan pelayanan PRB yang jelas yang mengatur seluruh kegiatan yang berhubungan dengan PRB serta dilakukannya monitoring dan evaluasi yang berkelanjutan. Penelitian lebih lanjut terkait PRB diharapkan dapat meneliti secara holistik dengan melibatkan seluruh stakeholder.

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The aim of this study is to determine the supporting and inhibiting factors that can be used as input for optimizing the staff of the Referral Program in the outpatient installation of the Mitra Medika Batanghari hospital. Method. The study used a qualitative design with a case study method. Informants from 22 hypertensive patients who have been referred back and 6 from Mitra Medika Batanghari hospital staff, data sources from in-depth interviews, observations have been documented. Results. Most hypertensive patients who have been referred back do not comply with primary health care. The patients knowledge of the referral program is lacking. Access to health care facilities is easy. Inhibition of suboptimal service of the referral program is the lack of socialization of monitoring and evaluation of referral program policies in the hospital environment, there are no SOP related to the referral program, the PIC referral program is responsible for operating the referral program and non-referral program, there is no training related to the Referrals program, Referral program corner is not available, there is no incentive to implement referral program, patients are not in adherence with the instructions of the specialist, no recommendations from referral doctors and special referral program sheets, referral returns are not fully completed, short patient training. Supporting factors for the referral program services are that the executive officer is actively engaged in the referral program, obedient specialist doctors refer patients back to the referral program, communication and coordination between the referral program performers well, the implementation officer knows the national formulary of the referral program medication from the referral program. Conclusion. The referral program in outpatient facilities at Mitra Medika Batanghari Hospital has not been correctly implemented because there are no clear guidelines and hypertensive patients are still being advised to be referred back to continue until they are registered as referral program patients. Suggestion. The referral program service is well implemented if the hospital has a clear referral program service guide that controls all activities related to the referral program and performs continuous monitoring and evaluation. It is expected that further research on the referral program can be holistically examined by involving all stakeho."

"ABSTRAKNama : Edison SahputaProgram Studi : Kajian Administrasi Rumah SakitJudul : Analisis Penerapan Praktik Cuci Tangan Perawat diRuang Rawat Inap RSUD Kemayoran Jakarta SebagaiSalah Satu Syarat Akreditasi Rumah Sakit Tahun 2017Akreditasi rumah sakit adalah untuk keselamatan pasien dengan menilai praktikcuci tangan pada kelompok kerja Pencegahan Pegendalian Infeksi PPI versiKARS 2012. Tujuan penelitian ini adalah untuk melihat praktik cuci tangan yangdilakukan perawat di ruang rawat inap RSUD Kemayoran sehari-hari yangmerupakan salah satu syarat akreditasi rumah sakit. Metode yang dilakukan adalahpenelitian kuantitatif-kualitatif mixed method . Desain penelitian kuantitatifsecara cross sectional dan data kualitatif diperoleh dengan pengamatan langsungdan wawancara mendalam. Hasil praktik cuci tangan perawat sebesar 58,3 .Variabel usia, ruang kerja, pengingat di tempat kerja, media belajar, ketersediaansarung tangan, telusur kars dan sikap ada hubungan Praktik cuci tangan, p Value

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ABSTRACTName Edison SahputaStudy Program Hospital Administration StudyTitle Analysis of Implementation of Nurse Hand WashingPractices at Inpatient Room of RSUD KemayoranJakarta As One of the Accreditation Terms of Hospitalin 2017Hospital accreditation is for patient safety by assessing handwashing practices inworking group of Infection Prevention and Control IPC version 2012. Thepurpose of this research is to see the practice of handwashing done by nurses inKemayoran Hospital ward everyday which is one of the requirements of hospitalaccreditation. The method used is quantitative qualitative research mixedmethod . Quantitative research design is cross sectional and qualitative data isobtained by direct observation and in depth interview. The result of nurse handwashing practice was 58,3 . Age variables, workspace, workplace reminders,learning media, availability of gloves, search kars and relationship attitudesHandwashing Practice, p Value "

"Tesis ini bertujuan untuk menguji validitas dan reliabilitas instrumen NAURAH untuk mengukur kepuasan pasien serta menganalisis kepuasan pasien terhadap mutu pelayanan kesehatan rawat inap Rumah Sakit Mitra Medika Bondowoso menggunakan metode servqual dan importance performance analysis (IPA). Penelitian ini bersifat kuantitatif dan deskriptif-analisis. Penelitian ini diikuti oleh 100 responden yang mengisi kuesioner kepuasan berdasarkan teori Servqual dan instrumen NAURAH. Hasil penelitian menunjukkan reliabilitas dan validitas intrumen NAURAH dan pasien Rumah Sakit Mitra Medika Bondowoso merasa puas dengan pelayanan di rumah sakit tersebut. Berdasarkan analisis IPA, ada aspek empati dari servqual yang mesti diperhatikan, dan aspek understanding dan respect dari instrumen NAURAH yang perlu dikembangkan. Kemudian Rumah Sakit Mitra Medika Bondowoso telah mempraktikkan Total Quality Management. Untuk mengembangkan empati, digunakan matriks PDCA yang mengikutsertakan aspek TQM.

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This thesis aims to test the validity and reliability of the NAURAH instrument for measuring patient satisfaction and analyzing patient satisfaction with the quality of inpatient health services at Mitra Medika Bondowoso Hospital using the servqual and importance performance analysis (IPA) methods. This research is quantitative and descriptive-analytic. This research was attended by 100 respondents who filled out a satisfaction questionnaire based on Servqual theory and the NAURAH instrument. The research results showed the reliability and validity of the NAURAH instrument and that patients at Mitra Medika Bondowoso Hospital were satisfied with the services at the hospital. Based on the IPA analysis, there is an empathy aspect of servqual that must be considered, and an understanding and respect aspect of the NAURAH instrument that needs to be developed. Then Mitra Medika Bondowoso Hospital has practiced Total Quality Management. To develop empathy, the PDCA matrix is used which includes TQM aspects."

"Praktik cuci tangan merupakan faktor kunci dalam menurunkan dan mencegahinfeksi terkait pelayanan kesehatan. Masih rendahnya praktik cuci tangan dikalangan petugas kesehatan menyebabkan angka infeksi di rumah sakit masihcukup tinggi. Penelitian ini bertujuan mengidentifikasi elemen yang menjadipenyebab masih rendahnya praktik cuci tangan enam langkah melalui pendekatanelemen strategi implementasi multimodal WHO di RS Islam Siti Khadijah.Digunakan desain cross sectional dengan pendekatan kuantitatif dilanjutkanpendekatan kualitatif. Hasil penelitian menunjukkan praktik cuci tangan enamlangkah baik (61,9% ) dan ketersediaan air dan sabun merupakan faktor yangpaling dominan berkontribusi terhadap pelaksanaan praktik cuci tangan enamlangkah

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Hand washing practice is key factor to decrease and prevent of health-care

assosiated infections. Poor of hand washing practice among healthcare workers

causing hospital infection rates are still high. This study aimed to identify the

elements that cause the low six-step of hand washing practice through the element

of WHO multimodal strategy implementation approach in Siti Khadijah Islamic

Hospital, Palembang in 2016. The design was cross-sectional, used quantitative

approach, continued by qualitative approach. The results showed that the six-step

of hand-washing practice was good (61.9%) and availability of water and soap to

be the most dominant factor contributed to the implementation of six steps of

hand washing practice"

"Skripsi ini membahas mengenai perilaku cuci tangan perawat pelaksana di Unit perawatan intensif RSUD Budhi asih tahun 2011. Tujuan dari penelitian ini adalah untuk memperoleh analisis gambaran perilaku cuci tangan perawat pelaksana. Apabila perilaku cuci tangan pada perawat sudah dilakukan secara optimal, hal ini dapat meminimalisir terjadinya infeksi nosokomial. Penelitian ini menggunakan pendekatan kualitatif untuk memperoleh analisis perilaku cuci tangan perawat pelaksana di Unit Perawatan Intensif. Data yang diperoleh berdasarkan hasil wawancara mendalam, observasi, telaah dokumen, serta referensi literature-literatur yang terkait dengan topik penelitian ini. Masalah yang di temukan di unit perawatan Intensif dari waktu ke waktu adalah perilaku cuci tangan perawat yang mencuci tangan belum sepenuhnya mengikuti prosedur yang ada.Berdasarkan Hasil penelitian diperoleh bahwa perilaku cuci tangan perawat pelaksana di Unit perawatan Intensif masih belum optimal yang disebabkan oleh beberapa faktor yang saling terkait diantaranya adalah dari factor predisposisi (pengetahuan, sikap), faktor pemungkin (ketersediaan fasilitas), faktor penguat (Pendidikan dan pelatihan, SOP, Komunikasi). Dari hasil penelitian ini di peroleh bahwa perilaku cuci tangan perawat tergolong tidak baik maka di perlukan adanya peningkatan pengetahuan perawat melalui pendidikan dan pelatihan terkait cuci tangan, adanya SOP yang di sempurnakan dan sosialisasi terkait pentingnya cuci tangan serta dengan adanya pengawasan dari pihak internal rumah sakit sehingga diharapkan timbul kesadaran dan motivasi untuk melakukan cuci tangan yang benar sesuai prosedur.

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This paper discusses the behavior of nursing hand -washing executor in the intensive care unit hospitals Budhi compassion in 2011. The purpose of this study was to obtain a picture analysis of hand-washing behavior of nurse executives. When hand-washing behavior in the nurse had done optimally, this can minimize the occurrence of nosocomial infections. This study used a qualitative approach to obtain the analysis of hand-washing behavior of nurse executive at the Intensive Care Unit. Data obtained on the basis of in-depth interviews, observation, document review, as well as literatureliterature references related to this research topic. The problems found in intensive care units from time to time hand washing is the behavior of nurses washed their hands have not fully follow the procedures. Based on the results obtained that the hand washing behavior of nurse executive in the Intensive care unit is still not optimal due to several interrelated factors which include the predisposing factors (knowledge, attitudes), enabling factors (availability of facilities), reinforcing factors (education and training, SOP, Communications).

From the results of this study was obtained that the behavior of nurses wash their hands properly then classified as not in need of increased knowledge and training of nurses through education related to hand washing, the SOP in the perfected and socialization-related importance of washing hands and with the supervision of the hospital so that the internal party expected to arise awareness and motivation to perform the correct hand washing procedure."

"ABSTRAKNama : Mahardhika Setya NugrohoProgram Studi : Kajian Administrasi Rumah SakitJudul : Analisis Praktik Cuci Tangan Perawat Ciputra HospitalCitraGarden Jakarta Tahun 2017Praktik cuci tangan merupakan faktor kunci dalam menurunkan dan mencegahHealthCare Associated Infections HCAI . Rendahnya praktik cuci tangan padaperawat menyebabkan HCAI di Ciputra Hospital CitraGarden Jakarta masih cukuptinggi. Penelitian ini bertujuan mengidentifikasi variabel yang berpengaruh dalampraktik cuci tangan sesuai standar WHO di rumah sakit tersebut, menggunakan desainpotong lintang yang dilanjutkan dengan pendekatan kualitatif. Hasil penelitianmenunjukkan praktik cuci tangan sesuai standar WHO baik 88,6 dan pengetahuanmerupakan variabel yang paling dominan berkontribusi terhadap pelaksanaan praktikcuci tangan sesuai standar WHO. Disarankan untuk meningkatkan pengetahuandengan cara memberikan pelatihan yang spesifik terkait praktik cuci tangan.Kata Kunci : Praktik Cuci Tangan Perawat, HealthCare AssociatedInfections HCAI

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ABSTRACTName Mahardhika Setya NugrohoStudy Program Hospital Administration ProgramTitle Analysis of Hand Washing Practice Among Nurses at CiputraCitraGarden Hospital Jakarta in 2017.Hand washing practice is one of the key factors to decrease and prevent HealthCareAssociated Infections HCAI . Poor hand washing practice among nurses causingHCAI rates are still high. This study aimed to identify the variables that are correlatedwith WHO rsquo s hand washing practice at Ciputra CitraGarden Hospital Jakarta in 2017.The design of the study was cross sectional, using quantitative approach, thenfollowed by qualitative approach. The result showed that WHO rsquo s hand washingpractice was good 88,6 and ldquo Knowledge rdquo is the most dominant factor contributedto the implementation of WHO rsquo s hand washing practice. It is suggested to gain more ldquo Knowledge rdquo on how to give trainings, especially with regards to hand washingpractice.Keywords Hand washing practice among nurse, HealthCare Associated Infections HCAI ."

"ABSTRAKPrevalensi penyakit Gagal Ginjal Kronik cenderung makin tinggi sejak 3 tahunterakhir ini (sejak tahun 2015). Sehingga mereka harus menjalani hemodialisis(cuci darah). Adapun komplikasi saat hemodialisis yaitu demam, menggigil,hipotensi, dan keram. Faktor-faktor yang mempengaruhi komplikasi saathemodialisis pada pelayanan mulai dari faktor pasien terdiri dari durasi HD, aksesHD, lama menjalani HD, komorbiditas pasien). Selain itu juga ada peran dari sisimanajemen yaitu Standar Operasional Prosedur (SOP) tentang pencucian dialiserulang dan kebijakan direktur. Faktor pasien dan manajemen penting dalam kualitaspelayanan hemodialisis rawat jalan. Metode penelitian yang digunakan adalah mixmethod. Tahapan yang dilakukan pertama adalah penelitian kuantitatif denganpendekatan cross-sectional dan melanjutkan dengan wawancara mendalam darihasil penelitian. Hasil analisis bivariat, didapatkan bahwa durasi hemodialisisberhubungan signifikan secara statistik dengan komplikasi hemodialisis (p 0.005). Hasil analisis multivariat, diperoleh durasi hemodialisis 4 jam 30 menitberisiko menyebabkan komplikasi sebesar 2.76 (IK 95% 0.9-8.47) kali dan aksesAVF-Shunt berpengaruh paling tingi menyebabkan komplikasi sebesar 3.32 (IK95% 0.76-14.57) kali. Dari hasil wawancara mendalam dengan informan, bahwakurangnya implementasi Standar Operasional Prosedur (SOP) pencucian dialiserulang meningkatkan risiko komplikasi. Triangulasi sumber data didapatkan bahwaRS. Anna belum menjalankan Standar Operasional Prosedur (SOP) dengan baikdibandingkan RS. Anna Medika dalam pengukuran volume primming atau TotalCell Volume (TCV) dan tidak dilakukan penandaan dialiser setelah dicuci ulang.Adanya data pencantuman volume priming pada dialiser ulang merupakan bentukpenjaminan mutu layanan unit hemodialisis RS. Dan hal ini bisa menjadi kebijakandirektur terkait penggunaan dialiser ulang. Kejadian komplikasi saat hemodialisisdi Rumah Sakit dapat diatasi dengan memperhatikan aspek keselamatan pasienyaitu melakukan Standar Operasional Prosedur dengan baik dan menjamin mutulayanan hemodialisis dengan cara membuat kebijakan penggunaan dialiser ulang.

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ABSTRACTPrevalence of Chronic Kidney Failure tends to be higher since the last 3 years(since 2015). So they have to undergo hemodialysis (dialysis). The complicationsof hemodialysis are fever, chills, hypotension, and cramps. Factors that influencecomplications during hemodialysis in services are from patient factors consist ofduration, access, length of time hemodialysis, patient comorbidity. In addition,there is also a role from the management side, namely the Standard OperatingProcedure (SOP) reuse dialyzer and director policies. Patient and managementfactors are important in the quality of outpatient hemodialysis services. Theresearch method used is the mix method. The first step is quantitative researchwith a cross-sectional approach and continues with in-depth interviews from theresults of the study. The results of the bivariate analysis showed that the durationof hemodialysis was statistically significant with complications of hemodialysis (p0.005). The results of multivariate analysis, obtained the duration of 4 hours 30minutes hemodialysis at risk of causing complications of 2.76 (95% CI 0.9-8.47)times and the highest effect of AVF-Shunt access caused complications of 3.32(95% CI 0.76-14.57) times. From the results of in-depth interviews withinformants, that the lack of implementation of the Standard Operational Procedure(SOP) for repeated dialysis washing increases the risk of complications.Triangulation of data sources was found that Anna hospital has not run theStandard Operating Procedure (SOP) well compared to Anna Medika hospital inmeasuring primming volume or Total Cell Volume (TCV) and dialysis marking isnot done after repeated washing. The data of inclusion priming volume on repeateddialiser is a form of hemodialysis unit service quality assurance. And this could bethe director's policy regarding the use of repeated dialiser. The occurrence ofcomplications during hemodialysis at the hospital can be overcome by payingattention to the aspects of patient safety, namely performing the StandardOperating Procedure properly and ensuring the quality of hemodialysis services bymaking a policy of using dialiser again."