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"Infeksi HIV terus bertambah. Angka kesakitan dan angka kematian infeksi HIV dapat dihambat dengan terapi ARV. Terapi ARV efektif menekan viral load namun dapat menimbulkan dampak ketidaknyamanan. Kenyamanan spiritual merupakan aspek sentral untuk kesehatan. Pengkajian kenyamanan spiritual digunakan untuk menentukan masalah keperawatan. Penelitian ini ditujukan untuk membentuk instrumen kenyamanan spiritual pada pasien HIV positif. Metode penelitian menggunakan mixed methode. Hasil penelitian kenyamanan spiritual pasien HIV terdapat tiga faktor kenyamanan spiritual yaitu intrapersonal, interpersonal dan transpersonal. Instrumen kenyamanan spiritual pasien HIV positif valid dan reliabel untuk digunakan. Hasil respon regulator tekanan darah sistolik dan denyut jantung berhubungan dengan kenyamanan spiritual dengan tekanan darah sistolik dapat mendeteksi kenyamanan spiritual pada faktor intrapersonal (sensitivitas 70,8%), faktor interpersonal (spesivisitas 70,4%) dan faktor transpersonal (spesivisitas 81,5%). Uji diagnostik perubahan denyut jantung dapat mendeteksi kenyamanan spiritual pada faktor intrapersonal (sensitivitas 60%), faktor interpersonal (spesivisitas 61,5%) dan faktor transpersonal (spesivisitas 80,8%).

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The infection of HIV increases continuously with morbidity and mortality rates can be inhibited through the provision of ARV therapy. Giving ARV therapy suppresses effectively the viral load even though it has an impact on patients' discomfort. However, spiritual comfort is a central aspect in health care. Therefore, spiritual comfort needs to be determine nursing problems. This research intended to produce a spiritual comfort instrument to patients with HIV positive. The research used a mixed-method. The HIV patients' spiritual comfort consisted of three factors which are intrapersonal, interpersonal and transpersonal. The instrument of spiritual comfort for patients with HIV positive valid and reliable to use.  The regulator response of systolic blood pressure and heart rate related to the spiritual comfort. The systolic blood pressure detect the spiritual comfort for intrapersonal factor 70.8% sensitivity, interpersonal factor 70.4% specificity, and transpersonal factor 81.5% specificity. The heart rate changes in diagnostic test detect spiritual comfort in intrapersonal factor 60% sensitivity, interpersonal factor 61.5% specificity, and transpersonal factor 80.8% specificity."

"Authority confusion in a development area in the region, especially on tourism destinations, has increased the government's attention. The weaknesses of communication, coordination, and cooperation (3K) across sectors are sus¬pected to be the source of the inhibiting problem. The actors who have various authorities run less synergistically and sometimes tend to prioritize their sector ego. The Ministry of Tourism currently prioritizes the concept of single desti¬nation - single management that is believed to answer the problem of development of tourism destinations in Indonesia. Ten tourism destinations have been established into national priority destinations as well as being the focus and locus of implementing this concept. To that end, the government through the Ministry of Tourism encourages the birth of institutions that have an integrity of authority, namely in the form of Tourism Authority Agency (BOP). But there are still other patterns that can be held, such as Destination Management Organization (DM0) in the context of Destination Governance (DG). The discussion of the concept of BOP as an instrument of tourism destination development in the region became the focus of writing this article. A discussion on BOP concept management pattern with DM0 also needs to be done to be the source of consideration for policy improvement and planning for central and regional in the future."

"Di Indonesia proses pembersihan tangki penyimpanan minyak mentahmasih menggunakan sistem pembersihan konvensional, dimana endapan minyak mentah di dalam tangki (sludge) akan dikeruk dan akan langsung dibuang kedalam pits penampungan, padahal 70% dari sludge tersebut masih mengandung minyak mentah yang layak produksi, dan merupakan bahan B3 (bahan berbahaya dan beracun). PT X yang merupakan perusahaan milik pemerintah menyadari adanya kerugian dalam penggunaan sistem konvensional pada proses pembersihan tangkiminyak mentah, berencana akan mengembangkan usahanya pada jasa pembersihan tangki dengan sistem baru, yaitu dengan menggunakan teknologi Blabo Automated Tank cleanig System, dengan sistem ini proses pembersihan minyak mentah dapat dilakukan dengan lebih cepat, lebih aman, lebih ramah lingkungan, dan sisa pembersihan (sludge) dapat direcovery menjadi minyak mentah yang layak produksi.Tujuan dari penelitian ini adalah untuk mengetahui apakah pengembanagan bisnis yang dilakukan PT X layak untuk dilakuakan, dengan menggunakan financial feasibility analysisberdasarkan NPV, IRR, DiscountedPayback period, Benefit cost ratio, danProfitability ratio. hasil analisis kelayakan tersebut diuji lebih lanjut dengan menggunakan Sensitfity Analysisuntuk variabel yang paling kritis terhadap bisnis ini. Analisis akan dilanjutkan denganmembuat proforma neraca keuangan pengembangan bisnis ini, setelah itu penelitian akan dilanjutkan dengan menganalisis pengaruh pengembangan bisnis terhadap keuangan perusahaan berdasarkan prroforma neraca keuangan PT X dengan teknik Revised balance sheet.

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In Indonesia, the crude oil storage tank cleaning is still using conventional cleaning systems, where deposits of crude oil in the tank (sludge) will be dredged and will be directly discharged into the pits shelter, whereas 70% of the sludge still contains crude oil which can used for production, and it is hazardous materials. PT X which is a government-owned company is aware of the disadvantages in the use of the conventional system on a crude oiltank cleaning process, PT X plans to expand its business on tank cleaning services using new system, using Blabo cleanig Automated Tank System technology, with this system the tank cleaning process can be faster, safer, more environmentally friendly, and the sludge can be recovered into a viable crude oil production. The purpose of this study is to determine whether the business development conducted by PT X is feasible, using the financial feasibility analysis based on NPV, IRR, Discountedpayback period, Benefit cost ratio and Profitability ratio. the results of the feasibility analysiswill befurther tested using Sensitfity Analysis for the most critical variables for this business. The analysis will be continued by making a projectionof Financial Statement of this business and also the financial statement of PT X as the holding company after invested the funds to develop this business. The ?revised balance sheet? become the basic of the analysis on this paper."

"Hemodialisis merupakan salah satu terapi pengganti ginjal yang efektif dan paling banyak digunakan. Pasien harus patuh terhadap regimen terapi karena dapat mempengaruhi sukses hemodialisis, menurunkan mortalitas dan morbiditas. Belum ada instrumen baku untuk mengukur kepatuhan ini. Penelitian bertujuan menghasilkan instrumen kepatuhan regimen terapi yang valid dan reliabel di Indonesia. Penelitian dilakukan dua tahap. Tahap pertama yaitu diperolehnya susunan butir - butir instrumen dan tahap kedua diperolehnya instrumen valid dan reliabel. Untuk mencapai tujuan pertama dilakukan telaah literatur, studi kualitatif dan konsultasi pakar. Untuk tahap kedua dilakukan uji instrumen kepada 120 pasien hemodialisis menggunakan total sampel. Hasil penelitian tahap pertama diperoleh 60 butir instrumen (nilai koefisien validitas isi berkisar 0,78 sampai dengan 1). Hasil uji confirmatory analysis factor (CFA) diperoleh 35 butir instrumen valid dan reliabel terdiri dari 5 komponen yaitu kepatuhan melaksanakan HD sesuai program, pengobatan, pembatasan cairan, diet dan aktivitas fisik. Hasil analisis bivariat menunjukkan hasil terdapat hubungan signifikan kepatuhan dengan outcome pasien hemodialisis meliputi kepatuhan dengan IDWG (p < 0,001), frekuensi dirawat di rumah sakit (p 0,020), komplikasi intradialitik (p 0,009), namun tidak ada hubungan antara kepatuhan dengan adekuasi dialisis (p 1,000). Hasil analisis multivariat nilai odds ratio (OR) paling besar adalah variabel jarak yaitu 3,4 (95% CI: 1,16-13,23). Instrumen KeReTa HD direkomendasikan digunakan untuk meningkatkan pengelolaan pasien hemodialisis melalui asuhan keperawatan. Perawat dapat mengkaji kepatuhan pasien menggunakan instrumen ini dan menjadi dasar pengembangan intervensi keperawatan untuk pasien hemodialisis di Indonesia.

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Hemodialysis is the most widely used and effective renal replacement therapies. Patient must adhere to the therapeutic regimen that can affect the success of hemodialysis, reducing mortality and morbidity. There is no standard instrument to measure this adherence. This study aims to results a valid and reliable instrument of adherence to hemodialysis therapeutic regimen in Indonesia. The research was conducted in two stages. The first is obtaining the arrangement of the items of the instrument and the second is the instrument obtained is valid and reliable. To achieve the first, literature reviews, qualitative studies and experts consultations were carried out. The second, the instrument was tested on 120 hemodialysis patients, with total sample. The first results obtained an instrument of 60 items (content validity coefficient values range 0.78 to 1). The results of the CFA analysis obtained a valid and reliable 35 items consisting adherence to HD program, medication, fluids, diet and physical activity. The results of the bivariate analysis showed the significant relationship between adherence to outcome hemodialysis patient that is IDWG (p < 0.001), frequency of hospitalization (p 0.020), intradialytic complications (p 0.009), but there was no relationship with dialysis adequacy (p 1,000). The results of multivariate analysis showed that the greatest odds ratio (OR) is the distance variable, which is 3.4 (95% CI: 1.16-13.23). The KeReTa HD instrument is recommended to be used to improve the management of hemodialysis patients through nursing care. Nurses can assess patient adherence using this instrument and become the basic for developing nursing interventions in Indonesia."

"This is descriptive quantitative research with only have one variable (univariat). The purposes of this research are to identify culture types, dominant culture type and analyze suitability between current organization culture and preferred organization culture from Offset Division and Convening Division at PT. Pura Barutama. In this research, it was used survey method of Organizational Culture Assessment Instrument (OCAI) which was developed by Kim S. Cameron and Robert E. Quinn from University of Michigan. The data analyzing technique is comparing mean value from the variables.This research was involving 404 respondents from Offset Division and 327 respondents from Converting Division. Results of this research are as followed:1) there is identical perception concerning culture types in offset division and converting division, that the forth culture types Clan, Adhocracy, Market and Hierarchy are stated by both divisions and have similar average values that is up 20.2) there is identical perception concerning culture types in Pura Group refer to the offset division and converting division perceptions, that the forth culture types Clan, Adhocracy, Market and Hierarchy are stated by both divisions as Pura Group corporate cultures and have similar average values that is up 20.3a.) there is no identical perception in offset division and converting division concerning current dominant culture types (culture strength) in offset division and converting division.3b.) there is identical perception in offset division and converting division concerning preferred dominant culture types (culture strength) in offset division and converting.4a.) there is no identical perception in offset division and converting division concerning current dominant culture type (culture strength) at Pura Group refer to offset division and converting division perceptions.4b.) there is no identical perception in offset division and converting division concerning preferred dominant culture type (culture strength) at Pura Group refer to offset division and converting division perceptions.4c) there is identical perception in offset division concerning current and preferred dominant culture type (culture strength) at Pura Group refer to offset division perceptions.5a) there is no identical perception in offset division concerning current and preferred dominant culture type (culture strength) at offset division and current and preferred dominant culture type (culture strength) at Pura Group refer to offset division perceptions with corporate culture which was developed by the owner/founder and stated at the corporate philosophy.5b.) there is no identical perception in converting division concerning current and preferred dominant culture type (culture strength) at converting division and current and preferred dominant culture type (culture strength) at Pura Group refer to converting division perceptions with corporate culture which was developed by the owner/founder and stated at the corporate philosophy.5c.) the difference between both divisions? culture type perceptions and the owner/founder corporate culture seems that the management has not embedded the stated corporate values, to the employees, especially in the both division."

"Pengukuran kinerja perawat dalam sistem layanan kesehatan merupakan hal yang tidak terpisahkan dalam upaya meningkatkan kualitas dan citra keperawatan. Ruang perawatan intensif sebagai bagian dari layanan kesehatan yang memiliki karakteristik ruang perawatan berbeda dengan unit lainnya, hingga saat ini belum memiliki instrumen untuk mengukur kinerja perawat pelaksana. Tujuan penelitian terwujudnya instrumen pengukuran kinerja perawat pelaksana ruang perawatan intensif rumah sakit di Indonesia. Penelitian menggunakan desain research and development, dengan jumlah responden sebanyak 722 perawat pelaksana yang ditentukan dengan teknik total sampling. Penilaian kinerja perawat pelaksana diperoleh melalui penilaian diri sendiri, atasan, dan sejawat. Hasil penelitian berdasarkan uji pakar didapatkan nilai Content Validity Index 0.78 untuk keterwakilan, dan 0.70 untuk kejelasan. Nilai validitas dan reliabilitas instrumen berdasarkan uji Alpha-Cronbach untuk penilaian diri sendiri antara 0.25-0.56, dengan reliabilitas 0.86, untuk penilaian pimpinan diperoleh nilai antara 0.73-0.93, dengan realibilitas 0.95, dan penilaian sejawat nilainya antara 0.52-0.83 dengan reliabilitas 0.97. Hasil uji Goodness of Fit menyatakan model fit dengan data, ditunjukkan dengan nilai RMSEA (≤005) untuk evaluasi diri 0.045, atasan 0.05, dan sejawat 0.075. Selanjutnya, hasil penghitungan koefisien loading factor untuk penilaian diri sendiri diperoleh 14 butir pernyataan valid (> 0.5), sedangkan atasan dan sejawat hanya 7 butir pernyataan yang valid. Hasil tersebut menunjukkan semua butir valid mengukur satu hal yang sama, yaitu kinerja perawat pelaksana. Simpulan penelitian bahwa instrumen yang telah dikembangkan dan diberi nama Instrumen WIDA (Work performance Instrument of intensive care nurses Direct Assessment) ini dapat digunakan untuk mengukur kinerja perawat pelaksana di ruang perawatan intensif rumah sakit. Rekomendasi ditujukan kepada Direktorat Keperawatan Kementrian Kesehatan, instrumen WIDA dapat digunakan sebagai alat pengukur kinerja perawat di ruang intensif berbagai rumah sakit di Indonesia.

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The assessment of nursing work performance in health care system may influence the improvement of quality and image of nursing working performance. Intensive care unit has specific service that differs from general and other unit in the hospital, and yet has not had a nursing work performance tool to measure their staff within the unit. The purpose of this study was to establish a Nursing Work Performance assessment tool in Intensive Care in Indonesia. This study used a research and development design, and 722 staff nurses were recruited as respondents using a total sampling method. The tool was developed for three types of assessment head nurse, peer & self evalution. Based on an expert review, it was found that. Content Validity Index score is 0.78 for representation, and 0.70 for clarity. The validity score Alpha- Cronbach) for self assessment between 0.25-0.56, and reliability of 0.86. The head nurse assessment had scores between 0.73-0.93, and the reliability of 0.95, whereas the peer assessment score between 0.52-0.83, and the reliability 0.97. The result of Goodness of Fit showed that RMSEA (≤0.05) for self assessment is 0.045, the head nurse assessment is 0.05, and the peer assessment is 0.075. Further,the result of loading factor for self assessment found 14 statement items are valid (> 0.5), whereas the head nurse and the peer assessment are only 7 statement items valid. Those valid items measure the same variable which is nursing work performance. Conclusion: this study had succeeded to establish a valid instrument to measure nursing work performance in intensive care which named as WIDA (Work performance Instrument of intensive care nurses Direct Assessment). A recomendation is directed to Directorate of Nursing at Ministry of Health Republic of Indonesia to utilize the instrument of WIDA as a tool to measure Nursing work performance in variety hospital in Indonesia."