-, Nurdin (2019) Analisis Faktor yang Berhubungan Dengan Kesiapsiagaan Perawat Puskesmas Dalam menghadapi Bencana Kabut Asap di Kota Pontianak. Magister thesis, Universitas Brawijaya.
Abstract
encana kabut asap yang terjadi akibat kebakaran hutan dan lahan tahun 2015 menyebabkan 503.874 jiwa yang menderita ISPA dan menimbulkan korban jiwa sebanyak 26 orang serta menimbulkan kerugian ekonomi yang sangat besar mencapai 200 triliun rupiah dan 43 juta penduduk terpapar kabut asap.Kesiapsiagaanperawatdalam penanggulangan bencana adalah serangkaian perencanaan dan kesiapan perawat yang dilakukan untuk mengantisipasi bencana melalui pengorganisasian serta langkah-langkah efektifyang disiapkan pada saat keadaan darurat atau bencana. Kesiapsiagaan perawat dipengaruhi oleh beberapa faktor seperti dari pengetahuan, keterampilan, kesiapan manajemen bencana, regulasi diri, dan suasana pelayanan kesehatan. Tujuan umum penelitian ini adalah untukmenganalisisfaktor pengetahuan, keterampilan, kesiapan manajemen bencana, regulasi diri, dan suasana pelayanan kesehatanberhubungan dengan kesiapsiagaan perawat puskesmas dalam menghadapi bencana kabut asap di Kota Pontianak. Penelitian ini menggunakan desain survey analitik dengan pendekatan cross sectional jumlah responden sebanyak 90 perawat dengan pengambilan sampel dilakukan secara probability sampling menggunakan teknik simple random sampling. Penelitian ini dilaksanakan di 23 puskesmas wilayah kerja Kota Pontianak pada tanggal 22 Januari – 2 Februari 2019. Analisa data yang digunakan dalam penelitian ini adalah analisis univariat, analisis bivariat menggunakan uji spearman ranks untuk menganalisis hubungan pengetahuan, keterampilan, kesiapan manajemen bencana, regulasi diri, dan suasana pelayanan kesehatan dengan kesiapsiagaan perawat puskesmas dalam menghadapi bencana kabut asap di Kota Pontianak. Sedangkan analisis multivariat menggunakan uji regresi logistik berganda untuk menganalisis faktor yang paling berhubungan dengan kesiapsiagaan perawat puskesmas dalam menghadapi bencana kabut asap di Kota Pontianak. Hasil uji spearman ranks menunjukkanhubungan antara faktor pengetahuan (p= 0.036), keterampilan (p= 0.000), kesiapan manajemen bencana (p= 0.013), tetapi tidak terdapat hubungan regulasi diri (p= 0.074) dan suasana pelayanan kesehatan (p= 0.558) dengan kesiapsiagaan perawat puskesmas dalam menghadapi bencana kabut asap di Kota Pontianak. Uji regresi logistik berganda menunjukan bahwa keterampilan merupakan faktor yang paling berhubungan dengan kesiapsiagaan perawat puskesmas dalam menghadapi bencana kabut asap dengan nilai hitung Exp(B) sebesar 6.154 dibandingkan dengan faktor lainnya.ix Hasil penelitian ini diharapkan dapat dijadikan sebagai salah satu dasar pengambilan kebijakan bagi instansi pemerintah, dalam hal ini Dinas Kesehatan Kota Pontianak khususnya puskesmas sekota Pontianak dalam menghadapi bencana kabut asap dengan meningkatkan pengetahuan, keterampilan, dan kesiapan manajemen bencana perawat. Maka dari itu perawat dapat mengikuti simulasi tentang bencana, seminar dan pelatihan tentang bencana serta berperan aktif dalam proses penanggulangan bencana baik di fase kesiapsiagaan maupun fase respon sehingga meningkatkan mutu pelayanan keperawatan dalam menghadapi bencana kabut asap. Kemudian, perlu dikembangkan penelitian lebih lanjut terkait faktor-faktor lainyangberhubungan dengan kesiapsiagaan perawat puskesmas dalam menghadapi bencana kabut asap yaitu perbedaan individu, sikap, self-efficacy, kebijakan pemerintah menurut persepsi perawat, fasilitas infrastruktur, pengalaman bencana sebelumnya, dan kompetensi perawat. Di samping itu perlu mengeksplorasi lebih dalam tentang kesiapsiagaan lintas sektoral atau profesi lintas sektoral dalam menghadapi bencana kabut asap dengan penelitian kualitatif seperti studi focus group discussion (FGD)
English Abstract
The smoke haze disaster that occurred due to forest and land fires in 2015 caused 503,884 people suffering from acute respiratory inflammation (ARI) and causing 26 people die and causing huge economic losses reaching 200 trillion rupiahs and 43 million people exposed to smoke haze. Nurse preparedness in disaster management is a series of nurses' planning and readiness to anticipate disasters through organizing and effective measures prepared during emergencies or disasters. Nurse preparedness is influenced by several factors such as knowledge, skills, disaster management readiness, selfregulation, and health care climate. The general objective of this study was to analyze the factors of knowledge, skills, disaster management readiness, self-regulation, and the health care climate related to preparedness of puskesmas nurses in the face of smoke haze disasters in Pontianak City. This study use an analytical survey design with a cross sectional approach, the number of respondents 90 nurses with probability sampling using simple random sampling technique. This research was conducted in 23 puskesmas in Pontianak City working area on 22 January - 2 February 2019. Data analysis of this study was univariate analysis, bivariate analysis using spearman ranks test to analyze the relationship of knowledge, skills, disaster management readiness, self-regulation, and the health care climate with the preparedness of puskesmas nurses in the face of smoke haze disasters in Pontianak City. Multivariate analysis using multiple logistic regression tests to analyze the factors most related to the preparedness of puskesmas nurses in the face of smoke haze disasters in Pontianak City. The results of the Spearman ranks test showed a relationship between knowledge factors (p = 0.036), skills (p = 0.000), disaster management readiness (p = 0.013), but there was no self-regulation relationship (p = 0.074) and health care climate (p = 0.558) with the preparedness of puskesmas nurses in the face of smoke haze disasters in Pontianak City. Multiple logistic regression test showed that skills is the factor most associated with nurses' preparedness in facing smoke haze disasters with a calculated Exp (B) value of 6,154 compared to other factors. The results of this study are expected to be used as a basis for policy making for government agencies, Pontianak City Health Office, especially Pontianak city public health centers in the face of smoke haze disasters by increasing nurses' knowledge, skills and disaster management readiness. Therefore nurses can take part in disaster simulations, disaster seminars and training as well as play an active role in the disaster management process both inxi the preparedness and response phases so as to improve the quality of nursing services in the face of smoke haze disasters. Then, further research needs to be done regarding other factors relating to nurses 'preparedness in dealing with smoke haze disasters, which are individual differences, attitudes, self-efficacy, government policies according to nurses' perceptions, infrastructure facilities, previous disaster experiences, and nurse competencies. Besides, it is needed to cross-sectoral preparedness or cross-sectoral professions in dealing with haze disasters with qualitative research such as focus group discussion (FGD) studies
Other obstract
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| Item Type: | Thesis (Magister) |
|---|---|
| Identification Number: | TES/610.734 9/NUR/a/2019/041903922 |
| Uncontrolled Keywords: | EMERGENCY NURSING, DISASTER NURSING, DISASTER MEDICINE, EMERGENCY MANAGEMENT |
| Subjects: | 600 Technology (Applied sciences) > 610 Medicine and health > 610.7 Education, research, nursing, services of allied health personnel > 610.73 Nursing and services of allied health personnel > 610.734 Public health nursing > 610.734 9 Disaster Nursing |
| Divisions: | S2/S3 > Magister Keperawatan, Fakultas Kedokteran |
| Depositing User: | Budi Wahyono Wahyono |
| Date Deposited: | 26 Dec 2019 11:34 |
| Last Modified: | 09 Mar 2022 07:23 |
| URI: | http://repository.ub.ac.id/id/eprint/177370 |
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