HUBUNGAN MOTIVASI, KOMPETENSI, DISIPLIN DAN BEBAN KERJA TERHADAP KINERJA PERAWAT DI RSUD ACEH TAMIANG

Pelayanan keperawatan merupakan bagian integral dari pelayanan kesehatan, pelayanan keperawatan bermutu maka pelayanan kesehatan rumah sakit tersebut juga bermutu. Data temuan di Rumah Sakit Daerah Kabupaten Aceh Tamiang diketahui bahwa ada beberapa pasien komplain terhadap pelayanan perawat di Rumah Sakit Daerah Kabupaten Aceh Tamiang. Beban kerja perawat yang tinggi menyebabkan kurang atau buruknya komunikasi antara pasien dan perawat. Tujuan penelitian untuk menganalisis hubungan motivasi, kompetensi, disiplin dan beban kerja dengan kinerja perawat di ruang rawat inap Rumah Sakit Umum Daerah Kabupaten Aceh Tamiang Tahun 2021. Jenis penelitian kuantitatif observasional analitik. Penelitian ini dilaksanakan pada bulan Juni hingga bulan September 2021. Sampel merupakan seluruh populasi sebanyak 113 orang perawat. Pengumpulan data menggunakan data primer dan skunder. Hasil penelitian diketahui ada hubungan antara motivasi, kompetensi, disiplin, dan beban kerja dengan kinerja perawat dengan nilai p-value keseluruhan variabel 0,000 < 0,05.  Disarankan bagi direktur rumah sakit dapat membuat kebijakan dalam peningkatan kompetensi dan skill perawat,  pemerataan beban kerja sesuai dengan jenjang keilmuan serta penegakan  disiplin  yang  tegas  bagi perawat dapat meningkatkan kinerja dalam memberikan asuhan keperawatan yang sesuai standar sehingga tercapai pelayanan yang bermutu serta kepuasan bagi pasien rawat inap

Development and validation of a new instrument to measure perceived risks associated with the use of tobacco and nicotine-containing products

Making tobacco products associated with lower risks available to smokers who would otherwise continue smoking is recognized as an important strategy towards addressing smoking-related harm. Predicting use behavior is an important major component of product risk assessment. In this context, risk perception is a possible factor driving tobacco product uptake and use. As prior to market launch real-world actual product use cannot be observed, assessing risk perception can provide predictive information. Considering the lack of suitable validated self-report instruments, the development of a new instrument was undertaken to quantify perceived risks of tobacco and nicotine-containing products by adult smokers, former smokers and never-smokers. Initial items were constructed based on a literature review, focus groups and expert opinion. Data for scale formation and assessment were obtained through two successive US-based web surveys (n=2020 and 1640 completers, respectively). Psychometric evaluation was based on Rasch Measurement Theory and Classical Test Theory. Psychometric evaluation supported the formation of an 18-item Perceived Health Risk scale and a 7-item Perceived Addiction Risk scale: item response option thresholds were ordered correctly for all items; item locations in each scale were spread out (coverage range 75-87%); scale reliability was supported by high person separation indices > 0.93, Cronbach's alpha > 0.98 and Corrected Item-Total Correlations > 0.88; and no differential item functioning was present. Construct validity evaluations met expectations through inter-scale correlations and findings from known-group comparisons. The Perceived Risk Instrument is a psychometrically robust instrument applicable for general and personal risk perception measurement, for use in different types of products (including cigarettes, nicotine replacement therapy, potential Modified Risk Tobacco Products), and for different status groups (i.e., current smokers with and without intention to quit, former smokers, never smokers)

La subsidiarité: Histoire d’un principe aux fondements ecclésiastiques et de son applicabilité ecclésiale

Die offensichtliche Spannung zwischen Hierarchie und Subsidiarität innerhalb der katholischen Kirche wird die Frage auf, wie die Kirche ein Prinzip anwendet, dessen Grundlagen sie für die Gesellschaft gelegt hat. Dieser Artikel zeichnet die Geschichte der kirchlichen Grundlagen des Subsidiaritätsprinzips nach und untersucht, wie sich diese Spannung innerhalb des kirchlichen institutionellen Rahmens manifestiert. Dabei zeigt sich, dass die Kirche in ihrem eigenen Kontext gegensätzliche Anforderungen ausbalancieren muss, die zwei Seiten des Subsidiaritätsprinzips widerspiegeln, wenn es auf den Staat beziehungsweise auf die Kirche selbst angewandt wird. DOI: 10.3256/978-3-03929-069-7_02The apparent tension between hierarchy and subsidiarity within the Catholic Church raises questions about how the Church applies a principle for which it has laid the foundations for the society. This article traces the history of the ecclesiastical foundations of the principle of subsidiarity and explores how this tension manifests itself within the institutional framework of the Church. It shows that, in its own context, the Church has to balance opposing requirements, reflecting two sides of the principle of subsidiarity when applied to the State and to itself respectively. DOI: 10.3256/978-3-03929-069-7_02La tension apparente entre la hiérarchie et la subsidiarité au sein de l’Église catholique interroge sur la manière dont cette dernière applique un principe dont elle a posé les bases pour la société. Cet article retrace l’histoire des fondements ecclésiastiques du principe de subsidiarité et explore comment cette tension se manifeste au sein du cadre institutionnel ecclésial. Il apparaît ainsi que l’Église doit, dans son propre contexte, équilibrer des exigences opposées, reflétant deux aspects du principe de subsidiarité lorsqu’il est appliqué respectivement à l’État et à elle-même. DOI: 10.3256/978-3-03929-069-7_0

EDUKASI PENCEGAHAN KEKERASAN SEKSUAL DENGAN MEDIA LAGU PADA MURID KELAS VI SD MUHAMMADIYAH 2 KOTA BANDA ACEH

Kasus kekerasan seksual pada anak semakin hari semakin memprihatinkan. Data yang dirilis oleh Dinas Pemberdayaan Perempuan dan Perlindungan Anak dalam Sistem Informasi Online Perlindungan Perempuan dan Anak (Simfoni PPA), yang diinput per tanggal 1 Januari sampai dengan Agustus 2024 ini, menyebutkan terdapat lebih dari 1000 anak di seluruh Indonesia menjadi korban kekerasan seksual setiap tahunnya. Dari jumlah korban kekerasan seksual tersebut, 2.976 diantaranya merupakan siswa tingkat sekolah dasar. Hal ini dilatarbelakangi oleh berbagai faktor. Pertama, pendidikan seksual masih dianggap tabu di negara kita. Kedua, masih rendahnya kesadaran orang tua untuk memberikan pendidikan seksual secara dini pada anak-anak mereka. Faktor selanjutnya adalah kurangnya edukasi atau sosialisasi tentang upaya-upaya pencegahan kekerasan seksual pada anak. Salah satu bentuk upaya untuk mengantisipasi tingginya tingkat kekerasan seksual pada anak, terutama siswa tingkat sekolah dasar, perlu adanya kegiatan edukasi atau sosialisasi yang dapat meningkatkan pengetahuan dan menumbuhkan karakter berani berbicara (speak up) bagi siswa/siswi tingkat sekolah dasar. STIKes Muhammadiyah Aceh merupakan  sekolah tinggi ilmu kesehatan yang peduli dengan kesehatan reproduksi dan promosi di bidang kesehatan. Untuk itu, Dosen STIKes Muhammadiyah Aceh berinisiatif untuk mengadakan edukasi pencegahan kekerasan seksual melalui media yang menarik dan mudah dipahami oleh anaka-anak, yaitu melalui media lagu yang ditujukan kepada siswa/siswi kelas VI SD Muhammadiyah 2 Kota Banda Aceh. Hasil dari kegiatan edukasi ini menunjukkan sejumlah 76% murid SD Muhammadiyah 2 Kota Banda Aceh memahami cara-cara mencegah tindak kekerasan seksual.

EDUKASI PENDIDIKAN KESEHATAN REMAJA PUTRI TENTANG ANEMIA DAN STATUS GIZI DI DESA LAMHASAN KABUPATEN ACEH BESAR

Anemia yaitu penurunan kadar hemoglobin pada sel darah merah, kondisi ini menjadi salah satu masalah kesehatan yang rentan dirasakan oleh para remaja putri, terjadinya anemia diantaranya dipengaruhi oleh proses mentruasi, asupan gizi dan kebutuhan zat besi yang tidak mencukupi. Jika tidak ditanggulagi kondisi tersebut berdampak buruk dimasa yang akan datang. Kurangnya informasi dan edukasi yang menjadi masalah dasar terjadinya anemia pada remaja putri, pengabmas ini dilakukan untuk memerikan edukasi pendidikan kesehatan pada remaja putri tentang anemia dan status gizi, guna meningkatkan pengetahuan dan mengoptimalkan kesehatannya. Pengambas ini berjalan dengan tiga proses tahapan (persiapan, pelaksanaan dan monitoring evaluasi), metode yang digunakan secara ceramah dengan alat bantu media elektronik, dilanjutkan proses diskusi dan pengukuran status kesehatan remaja putri. Kegaiatan diawali dengan pelaksanaan pre-test dan diakhri dengan post-test serta quis dengan dooprize. Hasil yang didapat terjadinya peningkatan pengetahuan dengan tingkat pemahaman baik pada remaja putri yang signifikan menjadi 86,5% dibandingkan sebelum pemberian edukasi dengan kategori pemahaman kurang sebesar 65,4%. Demikian dengan keinginan remaja putri untuk melakukan pemeriksaan status gizi dan komitmen untuk meningkatkan derajat kesehatannya. Sehingga program pemerintah dalam menurunkan angka prevalensi anemia pada remaja putri dapat tertanggulagi, sesuai point ke 3 SDGs tentang kehidupan sehat dan sejahter

Ergindi: Tuvan Tradition of Sharing Children’s Clothing and Things Reviewed

Introduction. The article discusses an essential upcycling practice to have existed in various local cultures of the past — and still observable in different forms. Goals. The study aims at describing and analyzing a contemporary form of the children’s clothing sharing tradition of Tuvans, indigenous population of the Tyva Republic. The former is viewed as a local traditional variant of upcycling. The tradition proper has no special name in Tuvan culture but there are several Tuvan terms to denote old things. The most common one is ergindi — ‘old stuff’. The paper draws examples to introduce present-day patterns of the tradition and outlines it, since the latter has been totally uninvestigated. Materials and methods. The study comprises autoethnographic observations, employs anthropological methods and data from related academic disciplines, including philology, linguoculturology, and history. Results and conclusions. Tuvan folklore and ethnic literary narratives, 19th and 20th century ethnographic publications do mention the practice, the latter to be confirmed by stories of Tuvan elders about their childhood, family customs. The tradition was not only to save money or instruct people to handle things carefully but also illustrated special attitudes of Tuvans towards children, and furthermore acted as a kinship maintenance mechanism. Similar characteristics are inherent to contemporary patterns. Nevertheless, the paper also lists some innovations, e.g., expanded categories of things involved (children’s clothes proper be added to with clothes for pregnant women, children’s implements, toys, books), sharing not only with relatives, use of national costumes once owned by relatives, etc

The Youth Festival “Oytulaash” in the Traditional Culture of Tuvans

The article discusses the symbolic nature of traditional games of Tuvan youth festival “Oytulaash”. The author concludes that being a relic of the initiation rites and chaotic group marriage, these games were aimed at evoking the fruitful forces of nature and a man. One of the objectives of the article is to show the wealth of the Tuvan folklore. It should be noted that the youth festival “Oytulaash” had existed long before the formation period of the Tuvan People’s Republic. Later it became obsolete in Tuvan society as an alien element. Traditional holiday “Oytulaash” was aimed at provoking reproductive forces of nature and man. Scientific studies show that “Oytulaash” as a phenomenon of culture of the people, had its positive and negative points. The positive effects can be attributed to the fact that during these public festivals, the young people had a rest from everyday work, were happy to live through cold winter and all spring work was behind. The analysis of folk games in traditional festivals allows identifying with the layers of later development an archaic gaming culture, dating back to the early forms of traditional worldview and culture of the Tuvan people. It should be noted that cultural links with the Tuvan peoples of China and Mongolia had an influence on the formation and structure of the traditional games. Youth games including pet games symbolized fertility and conveyed the idea of well-being and prosperity of the whole clan. The traditional festive culture of the Tuvan people was associated with the transformation into a different creature; something that was unacceptable became acceptable, thus, contributing to the successful functioning of the society’s life activity

Tuvan Family Photo Album: Social Practices of Creation and Storage

The authors analyze the social practices of creating and storing a Tuvan family photo album throughout the XX - early XXI century. The sources of the study are the materials of narrative biographical interviews with ten respondents - indigenous residents of Tuva of different ages which were recorded by the authors in April - May 2023. The appearance of photo albums, the features of their creation and storage reflect the general history of photo albums in the Soviet state, and now in Russia. The authors point out that in the history of photo albums there appear the Tuvan traditions, for example, in photo frames inside the yurt there are photographs of relatives, domestic animals (horses), and elements of national cuisine. But due to the events of the XX century, the issue of loss and theft of photographs and photo albums became relevant for Tuvans. In the XXI century, Tuvans have a wide variety of photo albums on different media, and today family photo albums also represent the ethnicity of people

Photoelectric panel with equatorial mounting of drive

The relevance of the work is determined by the need to create effective models for sunny energy. The article considers a photoelectric panel equipped with a system for tracking the sun. Efficiency of the system is provided by equatorial mounting, which compensates for the rotation of the Earth by rotating the sunny panel in the plane of the celestial equator. The specificity of climatic and geographical conditions of Tomsk is estimated. The dynamics of power variations of photoelectric panels with equatorial mounting during seasonal fluctuations in Tomsk is calculated. A mobile photovoltaic panel with equatorial mounting of the drive has been developed. The methods of design strategy for placing photovoltaic panels in the architectural environment of the city are presented

Distinct Gamma-Band Components Reflect the Short-Term Memory Maintenance of Different Sound Lateralization Angles

Oscillatory activity in human electro- or magnetoencephalogram has been related to cortical stimulus representations and their modulation by cognitive processes. Whereas previous work has focused on gamma-band activity (GBA) during attention or maintenance of representations, there is little evidence for GBA reflecting individual stimulus representations. The present study aimed at identifying stimulus-specific GBA components during auditory spatial short-term memory. A total of 28 adults were assigned to 1 of 2 groups who were presented with only right- or left-lateralized sounds, respectively. In each group, 2 sample stimuli were used which differed in their lateralization angles (15° or 45°) with respect to the midsagittal plane. Statistical probability mapping served to identify spectral amplitude differences between 15° versus 45° stimuli. Distinct GBA components were found for each sample stimulus in different sensors over parieto-occipital cortex contralateral to the side of stimulation peaking during the middle 200–300 ms of the delay phase. The differentiation between “preferred” and “nonpreferred” stimuli during the final 100 ms of the delay phase correlated with task performance. These findings suggest that the observed GBA components reflect the activity of distinct networks tuned to spatial sound features which contribute to the maintenance of task-relevant information in short-term memory