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"Penelitian ini bertujuan untuk menganalisis Efektifitas Program Aftercare Dalam Upaya Mengurangi Eks Residen Yang Relapse: Studi Kasus Di Rumah Dampingan Jakarta pada Direktorat Pasca Rehabilitasi Deputi Bidang Rehabilitasi BNN serta mengidentifikasi upaya-upaya yang telah dilakukan dalam mengatasi residen yang relapse pada Rumah Dampingan Jakarta. Penelitian ini menggunakan metode kualitatif yang mengandalkan analisis data deskriptif yang diperoleh melalui hasil wawancara mendalam dengan para informan, pengamatan, studi kepustakaan dan telaah dokumen.Hasil penelitian menunjukkan bahwa Efektifitas Program Aftercare Dalam Upaya Mengurangi Eks Residen Yang Relapse sudah cukup efektif terbukti dengan adanya komunikasi dan hubungan kerja Rumah Damping terhadap masyarakat dan lembaga pemerintah/ masyarakat sudah terlaksana dengan baik dan efektif juga SDM yang dimiliki sudah cukup untuk memenuhi dan memfasilitasi residen dalam mengikuti seluruh rangkaian kegiatan pasca rehabilitasi selama mereka berada di Rumah Damping. Namun dalam pelaksanaannya masih ada beberapa kendala/hambatan diantaranya capaian atas sasaran/ tujuan yang ingin dicapai belum sesuai yang diharapkan oleh karenanya dibutuhkan koordinasi yang baik antara pihak-pihak pelaksana, baik dari tingkat Pusat, Provinsi, Kabupaten/ Kota juga terhadap orang tua klien (eks residen) demi keberlangsungan pelaksanaan kegiatan yang efektif. Peningkatan kualitas Rumah Damping agar lebih ditingkatkan sesuai dengan kebutuhan serta terhadap pelatihan vokasional agar lebih variatif untuk meningkatkan keterampilan sesuai dengan minat bakat residen dan sebagai upaya pemulihan yang berkelanjutan.

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This study aimed to analyze the Effectiveness of Aftercare Program Efforts to Reduce Ex-Resident in the Relapse : Case Study at Rumah Dampingan Jakarta on Direktorat Pasca Rehabilitasi Deputy of Rehabilitation BNN as well as identify efforts that have been made in overcoming relapse resident in Rumah Dampingan Jakarta. This study used a qualitative method that relies on the analysis of descriptive data obtained through in-depth interviews with informants, observation, literature study and review documents.

The results showed that the Effectiveness of Aftercare Program Efforts to Reduce Ex-Resident in the Relapse proved effective with an communication and working relationships of Rumah Dampingan Jakarta to the community and government agencies/ community already implemented properly and effectively also has sufficient human resources to fulfill and facilitate resident in a whole series of aftercare activities during their stay in Rumah Dampingan Jakarta. However, in practice there are still some obstacles and barriers including achievement of targets/ objectives have not been as expected therefore required good coordination between the implementing parties, both from the national level, provincial, district/ city as well as to the client`s parent (ex-resident) for the continuation of the implementation of effective activity. Half Way House quality improvement is enhanced in accordance with the needs and to be more varied vocational training to improve the skills according to their interests and talents resident as a sustainable recovery."

"Tesis ini bertujuan untuk memahami faktor internal dan faktor eksternal yang menyebabkan residen premature discharge dalam program rehabilitasi di Balai Besar Rehabilitasi BNN. Premature discharge adalah residen yang pulang dari rehabilitasi sebelum waktu yang ditentukan baik dengan melarikan diri atau diambil keluarga di tengah program. Penelitian ini dilakukan melalui pendekatan kualitatif dengan karakteristik penelitian deskriptif analisis. Data yang digunakan dalam penelitian terdiri atas data primer dan sekunder. Data primer didapatkan melalui wawancara kepada informan sebanyak 5 (lima) orang yang terdiri dari 2 (dua) residen, 1 (satu) komandan jaga, 1 (satu) perawat, dan 1 (satu) konselor. Sedangkan data sekunder didapatkan melalui penelusuran data-data di Balai Besar Rehabilitasi BNN seperti rekam medis, data kepegawaian, dan lain-lain. Teori yang dipergunakan meliputi teori tentang premature discharge/ discharge against medical advice, demografi, narkoba, sikap terhadap pengobatan, staf, dan struktur organisasi. Kejadian premature discharge secara teori dipengaruhi oleh dua faktor yaitu faktor internal dan faktor eksternal.Namun hasil penelitian di Balai Besar Rehabilitasi BNN menunjukkan faktor yang signifikan berpengaruh pada kejadian premature discharge dari sisi internal meliputi residen usia dewasa muda, residen yang tidak bekerja, pengguna ATS, residen yang memiliki keyakinan rendah selama menjalani rehabilitasi. Sedangkan dari faktor eksternal tidak memberikan dampak yang signifikan pada kejadian premature discharge residen di Balai Besar Rehabillitasi BNN. Pembagian kerja di Balai Besar Rehabilitasi BNN telah berjalan dengan baik, staf mampu menjadi role model yang baik, dan fasilitas bagi residen sudah mencukupi. Adanya temuan teori ini berguna bagi lembaga rehabilitasi dalam menentukan arah kebijakan layanan agar lebih menekankan keunikan residen dan memandang mereka secara holistik. Beberapa saran yang diberikan untuk mencegah munculnya premature disharge antara lain peningkatan kegiatan residen, optimalisasi sarana dan prasarana, peningkatan wawasan residen, peningkatan konseling individu bagi residen, serta peningkatan wawasan untuk staf.

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This thesis aimed to understand the internal and external factors which cause premature discharge of residents in treatment programs of Rehabilitation Center of National Narcotics Board. Premature discharge is a process when resident don`t finish his/her moment of rehabilitation or in other way her/she finish before regular moment because of escape from facility or being terminated by her/his family. This research was conducted through qualitative approach with descriptive characteristics analysis. The data used in the research consisted of primary and secondary data. The primary data obtained through interviews to the informant as much as five (5) persons consisting of two (2) resident, 1 (one) guard commander, 1 (one) nurses, and 1 (one) counselor. While secondary data was taken by investigating and managing data from medical record, human resources, etc. Research was using theory about premature discharge/ discharge against medical advice, demography, substance abuse, attitude toward medical treatment, human research and organizational structure. The incidence of premature discharge theoretically influenced by two factors: internal factors and external factors.However, the results of research at Rehabilitation Center of National Narcotics Board showed significant factors affect the incidence of premature discharge from the internal side covers early adult resident, resident who does not work, ATS users, residents who have low confidence while undergoing rehabilitation. While external factors do not have a significant impact on the incidence of premature discharge resident in the Rehabilitation Center of National Narcotics Board. The division of labor in Rehabilitation Center of National Narcotics Board has gone well, the staff is able to be a good role model, and facilities for the resident to be sufficient. The findings of this theory is useful for rehabilitation institutions in determining the policy direction of the service in order to further emphasize the uniqueness of the resident and looking at them holistically Some recommendation will be given for next improvement such as an increase resident activities, optimize the facilities, increase resident insight, and educate the knowledge of staff."

"Pendahuluan : Profesi dokter spesialis anestesiologi merupakan pekerjaan dengan stres dan burnout yang tinggi. Burnout muncul sebagai akibat dari perasaan stres yang terus menerus terjadi tanpa diatasi. Kebanyakan dokter spesialis anestesiologi sudah merasakan stres sejak masa pendidikan. Pengembangan program yang menyasar pada target menurunkan level stres di tingkat individual sejak periode pendidikan dokter spesialis bisa menurunkan kemungkinan terjadinya burnout di masa mendatang. Penelitian ini dilakukan untuk mengetahui efektivitas penerapan teknik Mindfulness Based Intervention (MBI) dalam mengurangi tingkat stres residen anestesiologi dan terapi intensif Fakultas Kedokteran Universitas Indonesia (FKUI).Metode : Penelitian ini merupakan penelitian eksperimental dengan desain satu subjek berpasangan. Subjek penelitian adalah peserta Program Pendidikan Dokter Spesialis anestesiologi dan terapi intensif FKUI pada tahun 2019. Program pelatihan MBI berlangsung selama empat minggu, terdiri dari satu kali pelatihan formal temu muka dan empat minggu pelatihan informal melalui pekerjaan rumah harian. Terdapat 13 subjek penelitian yang memenuhi kriteria inklusi dan tidak masuk kedalam kriteria ekslusi. 1 subjek penelitian harus dikeluarkan karena tidak melakukan pelatihan informal harian dengan lengkap. Pengambilan data Perceived Stress Scale 10 Item (PSS-10) dilakukan pada Juli dan Agustus 2019.Hasil : Rata-rata usia subjek penelitian (n=12) adalah 29.75 tahun ; 75% merupakan perempuan. 4 partisipan berada dalam rentang tahap pendidikan pembekalan (33,33%), 3 orang dalam tahap pendidikan magang (25%), 2 orang dalam tahap pendidikan mandiri (16,67%) dan 3 orang dalam tahap pendidikan paripurna (25%). Skor PSS-10 pada subjek penelitian secara signifikan menurun setelah diterapkan teknik MBI selama 4 minggu (p=0.001).Kesimpulan : MBI efektif digunakan untuk mengurangi tingkat stres pada residen Anestesiologi dan Terapi Intensif FKUI.

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Introduction : Anesthesiologist is a profession with high incidence of burnout. Burnout arises as a result of perceived stress that continues to occur without being overcome. The development of programs aimed at reducing stress at the individual level since the period of specialist education can reduce the possibility of burnout forming in the future. One of the stress management program that is simple and can be done daily is Mindfulness Based Intervention (MBI). This research was conducted to determine the effectiveness of MBI technique in reducing the stress level of anesthesiology and intensive therapy residents at the Faculty of Medicine, University of Indonesia.

Method : This research was an experimental study with paired one group design. The research subjects were anesthesiology and intensive therapy residents at the Faculty of Medicine, University of Indonesia in 2019. The MBI program lasted  four weeks, consisted of one formal face-to-face training and informal training through homework carried out every day for four weeks. 13 study subjects met the inclusion criteria and did not enter the exclusion criteria. 1 study subject must be excluded because it did not complete the informal training. Data collection on the Perceived Stress Scale 10 Item (PSS-10) was conducted in July and August 2019.

Results : The average age of study subjects (n = 12) was 29.75 years ; 75% are women. 4 participants were in the debriefing education phase (33%), 3 people were in the internship education phase (25%), 2 people were in the independent education phase (16.67%) and 3 people were in the complete education phase (25%). PSS-10 score in the study subjects significantly decreased after applying MBI technique for 4 weeks (p = 0.001).

Conclusion : MBI is effective to reduce stress levels in residents of anesthesiology and intensive therapy at the Faculty of Medicine, University of Indonesia."

"Latar Belakang: Residen anestesiologi memiliki tangung jawab dan tekanan yang besar di tempat kerja. Berbagai faktor seperti jam kerja yang tinggi, tekanan mental, dan tekanan fisik dapat menimbulkan kelelahan yang dikenal sebagai sindrom burnout. Burnout dapat berdampak terhadap performa kerja dokter dan keselamatan pasien.Tujuan: Tujuan dari penelitian ini adalah melihat kejadian burnout, performa klinis, dan hubungan keduanya pada residen Anestesiologi dan terapi intensif FKUI-RSCM.Metode: Penelitian ini merupakan sebuah penelitian cross-sectional yang dilakukan pada peserta Program Pendidikan Dokter Spesialis (PPDS) Anestesiologi dan Terapi Intensif di FKUI-RSCM selama bulan Februari 2019. Peserta program yang sedang dalam masa cuti atau setelah melakukan jaga selama 24 jam sebelumnya dieksklusi dari penelitian. Tingkat burnout diukur menggunakan Maslach Burnout Inventory (MBI-HSS) versi Bahasa Indonesia, sedangkan performa klinis diukur menggunakan form Best Practice Anesthesiologist Questionaire untuk performa klinis positif dan Anesthesiology Residents Self-Reported Errors and Quality of Care untuk performa klinis negatif dalm Bahasa Inggris.Hasil: Sebanyak 55 subyek penelitian berhasil didapatkan dalam penelitian ini. 36 subyek (65,5%) mengalami burnout dengan tingkat sedang-tinggi dan 19 subyek (34,5%) mengalami burnout dengan tingkat rendah. Tidak ada hubungan antara karakteristik demografis dan tingkat burnout. Terdapat hubungan bermakna antara tingkat burnout dan performa klinis negatif pada residen Anestesi dan Terapi Intensif FKUI-RSCM (p = 0,045). Akan tetapi, tidak didapatkan hubungan bermakna antara tingkat burnout dan performa klinis positif (p = 0,321) maupun performa klinis total (p = 0,075) secara statistik.Kesimpulan: Terdapat hubungan bermakna antara tingkat burnout dan performa klinis negatif pada residen Anestesi dan Terapi Intensif FKUI-RSCM (p = 0,045). Akan tetapi, tidak didapatkan hubungan bermakna antara tingkat burnout dan performa klinis positif (p = 0,321) maupun performa klinis total (p = 0,075) secara statistik.

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Background: Anesthesiology residents have enormous responsibility and pressure on workplace. Various factors such as higher working hours, mental and physical pressure could exert fatigue known as burnout syndrome. Burnout can affect both clinical performace of doctors and patients safety.

Objective: The aim of this study is knowing burnout prevalence, clinical performance, and relationship between both variables on Anesthesiology and Intensive Therapy residents in Faculty of Medicine, Universitas Indonesia.

Method: This is a cross-sectional study done on Anesthesiology and Intensive Therapy residents at February 2019. Residents in leave period or after doing night shifts in the last 24 hours were excluded. Burnout score was determined using Maslach Burnout Inventory (MBI-HSS) Bahasa version, while clinical performance was determined using Best Practice Anesthesiologist Questionaire for positive clinical performance and Anesthesiology Residents Self-Reported Errors and Quality of Care for negative clinical performance.

Result: Fifty five subjects were included in this study. 36 (65,5%) subjects experienced moderate-high burnout syndrome and 19 (34,5%) experienced none-low burnout syndorome. There were no correlation between demographic characteristics and burnout level. There was a significant relationship between burnout score and negative clinical performance (p = 0,045). Meanwhile, there were no significant relationship between burnout score and positive clinical performance (p = 0,321) and total clinical performance (p = 0,075) statistically.

Conclusion: There was a significant relationship between burnout score and negative clinical performance (p = 0,045). Meanwhile, there were no significant relationship between burnout score and positive clinical performance (p = 0,321) and total clinical performance (p = 0,075) statistically."

"Metode Penelitian: Penelitian ini menggunakan metode deskriptif studi potong lintang secara consecutive sampling. Mengggunakan data sekunder dari penelitian induk pada bulan Mei 2020. Subjek merupakan dokter spesialis paru dan dokter residen paru anggota Perhimpunan Dokter Paru Indonesia wilayah Jakarta. Hasil Penelitian: Pada penelitian ini didapatkan subjek penelitian adalah 134 subjek yang masuk dalam kriteria inklusi, dengan 53 subjek dari kelompok spesialis paru dan 81 subjek dari kelompok residen paru .Jenis kelamin paling banyak adalah perempuan sebanyak 87 orang (65%), rerata usia 38,36 (±9,54) tahun dan paling banyak berdomisili di Jakarta timur yaitu 52 subjek (39%). Lama kerja subjek penelitian rata-rata lima jam sehari di zona merah. Kekerapan kejadian COVID-19 pada seluruh total subjek penelitian adalah 9 subjek (6,7%) dengan luaran derajat ringan. Komorbid paling banyak asma yaitu 17 subjek (13%). Ditemukan hubungan bermakna antara penggunaan alat trasportasi umum berupa taksi online dengan kejadian COVID-19 pada subjek penelitian.Kesimpulan: Kekerapan kejadian COVID-19 pada dokter spesialis paru dan residen paru anggota Perhimpunan Dokter Paru Indonesia wilayah Jakarta adalah sebanyak 6,7% dengan luaran mayoritas derajat ringan. Ditemukan hubungan bermakna antara penggunaan alat trasportasi umum berupa taksi online dengan kejadian COVID-19 pada subjek penelitian.

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Background: Coronavirus disease 2019 (COVID-19) is an infection by severe acute respiratory syndrome Coronavirus 2 (SARS-COV-2) with a high transmission rate in Indonesia. We concern that transmission rate of COVID-19 among healthcare worker whose contact with COVID-19 patients is high, about 3.8% occurred in China in February 2020. Data in Indonesia from the Indonesian Doctors Association recorded about 80 specialist doctors transmitted with COVID-19 from their patients in April 2020. High transmission can occur due to close contact and several other things that affecting such as variations in immunity status of each individual. Proper preventive procedures are needed in an effort to prevent COVID-19 transmission, especially among healthcare worker.

Methods: This study uses descriptive study cross-sectional methods with consecutive sampling. Using secondary data from the main study in May 2020. The subjects are pulmonologist and pulmonology resident member of The Indonesia Society of Respirology in Jakarta.

Results: The study with 134 subjects suitable with inclusion criteria, with 53 subjects from the pulmonologist group and 81 subjects from the pulmonology resident group. Women are the most common 87 subjects (65%), the mean age was 38,36 (±9,54) years and most of them live in east Jakarta 52 subjects (39%). Median of working duration in red zone was five hours in a day. The frequency of COVID-19 incidence in all total subjects was 9 subjects (6.7%) with majority mild outcome in degrees severity. Asthma is the most comorbid in 17 subjects (13%). There is a relationship between using of public transportation in the setting of online taxis and the incidence of COVID-19 in the study subjects.

Conclusion: The frequency of COVID-19 incidence in pulmonologist and pulmonology residents members of The Indonesia Society of Respirology in Jakarta is 6.7% with a majority mild outcome in degrees severity. There is a relationship between using of public transportation in the setting of online taxis and the incidence of COVID-19 in the study subjects."

"Penyesuaian diri merupakan komponen penting kehidupan manusia karena manusia akan selalu dihadapkan pada permasalahan dan memerlukan penyesuaian diri khususnya pada tempat rehabilitasi napza Ada beberapa faktor yang mempengaruhi penyesuaian diri Kedekatan seseorang yang memberikan dukungan tentu memiliki peran besar dalam sebuah rehabilitasi Konselor merupakan pedamping residen selama rehabilitasi Penelitian bertujuan melihat hubungan antara kedekatan dengan konselor dan penyesuaian diri residen penyalahguna napza selama rehabilitasi Metode yang digunakan adalah metode kuantitatif survei Hasil penelitian yang diperoleh bahwa ada korelasi yang positif antara kedekatan konselor dengan penyesuaian diri residen penyalahguna napza di BNN Lido.

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Self adjustment is an important component in human rsquo s life Because every human will always be face some kind of problems and needs self adjustment especially in a condition if you use drugs and live in a drug rehab There are some factors that affect human self adjustment A close relationship that always give some certain support surely have a big role for residents drug users in a rehab Counselor is the person who accompany residents everytime in a rehab This research goal is to see a connections between the counselor closeness with drug drug abuse resident rsquo s self adjustment along the rehab The methods that rsquo s been used is a survey quantitative methods The result of this research is there is a positive correlation between the counselor closeness with drug abuse resident self adjustment in BNN Lido rehabilitation "

"Skripsi ini membahas mengenai hubungan hukum antara Fakultas Kedokteran, Rumah Sakit Pendidikan, dan Dokter Residen beserta tanggung jawab perdata yang diberikan Fakultas Kedokteran dan Rumah Sakit Pendidikan atas pelayanan medis yang diberikan oleh Dokter Residen selama proses pendidikan dokter spesialis. Penulis mengajukan pokok permasalahan yaitu: 1. Bagaimanakah hubungan hukum antara Rumah Sakit Pendidikan, Fakultas Kedokteran, dan Dokter Residen? dan 2. Bagaimanakah bentuk tanggung jawab perdata dari Rumah Sakit Pendidikan dan Fakultas Kedokteran atas pelayanan medis yang diberikan oleh Residen kepada pasien? Berdasarkan analisis yang telah dilakukan, maka diperlukan adanya pengaturan mengenai pemberian tanggung jawab hukum dari Fakultas Kedokteran ataupun Rumah Sakit Pendidikan terhadap Dokter Residen karena pelayanan medis Dokter Residen dapat menimbulkan kerugian terhadap pasien.

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The focus of this study is about the legal relationship between Faculty of Medicine, Teaching Hospital, and Residents along with the civil liability given from Faculty of Medicine and Teaching Hospital on Residents? medical care to patients during the process of specialist profession education. The writer tried to describe the main issues, which are: 1. How is the legal relationship between Faculty of Medicine, Teaching Hospital, and Residents? And 2. How is the civil liability given from Faculty of Medicine and Teaching Hospital on Residents? medical care to patients? Based on the research conducted, the civil liability given from Faculty of Medicine and Teaching Hospital to Residents it is needed to be ruled because Residents? medical care clould provoke a loss to patients."

"Penyakit endokrin merupakan penyebab kematian dengan angka yang cukup tinggi baik secara nasional maupun global. Hal ini menjadi tantangan bagi seluruh tenaga kesehatan khususnya bagi perawat spesialis medikal bedah peminatan endokrin dalam ikut membantu menurunkan tingkat komplikasi yang terjadi. Praktik ilmu keperawatan yang berkualitas berdasarkan evidence base nursing terbaru menjadi landasan dalam melaksanakan peran sebagai pemberi asuhan, peneliti, pendidik dan inovator. Praktik residensi perawat spesialis peminatan endokrin berlangsung dalam dua semester telah memberikan pengalaman dan kesempatan untuk menerapkan teori keperawatan secara menyeluruh dalam mengelola asuhan kepada pasien. Penerapan model teori adaptasi Roy dilakukan oleh residen terhadap 30 kasus resume dan satu kasus kelolaan utama yaitu pada pasien Diabetes Melitus type 2 dengan riwayat KAD, akut on CKD, hipertensi, dyslipidemia dan pankreatitis akut. Peran peneliti dilakukan dengan menerapkan evidence base nursing yaitu melalui inlows sixty second sebagai alat screening risiko terjadinya luka kaki pada pasien Diabetes Melitus. Inovasi pelayanan yang dilakukan residen adalah membuat alat simulation tool yaitu alat edukasi untuk pasien Diabetes Melitus yang menerima terapi insulin pertama kali. Protokol ini mampu memberikan panduan secara sistematis, mudah dipahami, serta mudah dilaksanakan oleh perawat kepada pasien sehingga diharapkan pasien dengan terapi insulin tidak merasa ketakutan saat mendapatkan insulin pertama kali.

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Endocrine disease is a cause of death with a fairly high number both nationally and globally. This is a challenge for all health workers, especially for medical surgical specialist nurses specializing in endocrine in helping to reduce the rate of complications that occur. Quality nursing science practice based on the latest nursing evidence base is the cornerstone in carrying out the role as a caregiver, researcher, educator and innovator. The endocrine specialist nurse residency practice which takes place over two semesters has provided experience and opportunity to apply nursing theory as a whole in managing care for patients. Residents applied Roy's adaptation theory model to 30 resume cases and one main managed case, namely type 2 Diabetes Melitus patients with a history of DKA, acute CKD, hypertension, dyslipidemia and acute pancreatitis. The role of the researcher is carried out by applying evidence-based nursing, namely through sixty second inlows as a screening tool for the risk of foot injuries in patients with Diabetes Melitus. The resident's service innovation is to make a simulation tool, which is an educational tool for Diabetes Melitus patients who receive insulin therapy for the first time. This protocol is able to provide guidance in a systematic, easy to understand, and easily implemented by nurses to patients so that patients on insulin therapy are expected not to feel afraid when they get insulin for the first time."