Sobur Setiaman

Clinical leadership in emergency nursing is essential for providing high-quality services in chaotic situations. It involves a multifaceted role that goes beyond individual patient care to include team coordination, resource optimization, and continuous improvement initiatives. Emergency nurses must demonstrate strong clinical skills, critical thinking, and effective leadership qualities to navigate complex care challenges successfully. Clear and concise communication, delegation, and fostering teamwork are critical components in the strategic orchestration of healthcare delivery. Clinical leaders in emergency nursing play a crucial role in creating a supportive and resilient environment, contributing to the overall effectiveness and adaptability of emergency nursing care delivery.

Dampak transformasi digital terhadap masyarakat sangat besar dan beragam, menyentuh hampir setiap aspek kehidupan kita. Transformasi digital mengacu pada integrasi teknologi digital ke dalam berbagai aspek masyarakat, termasuk ekonomi, pemerintahan, layanan kesehatan, pendidikan, dan banyak lagi.

Kepemimpinan klinis dalam keperawatan gawat darurat sangat penting untuk penyampaian layanan berkualitas tinggi secara efisien dalam situasi kacau. Bertindak sebagai kunci utama, pemimpin klinis menyediakan struktur, memandu pengambilan keputusan untuk manajemen yang efektif. Pemimpin klinis membangun dan memelihara respon yang terkoordinasi, berfungsi sebagai penghubung komunikasi antara tim multidisiplin. Kepemimpinan klinis menekankan pada pengutamaan keselamatan pasien, penerapan praktik terbaik, dan pengembangan budaya perbaikan berkelanjutan. Selain manajemen krisis, pemimpin klinis juga memainkan peran strategis dalam mengoptimalkan pemanfaatan sumber daya dan membentuk jalur penyampaian. Mereka berkontribusi pada tim yang tangguh dan mudah beradaptasi, memastikan perawatan darurat dengan kualitas terbaik. Kepemimpinan yang efektif melibatkan komunikasi yang jelas, tindakan tegas, dan penetapan prioritas tugas untuk memberikan perawatan yang optimal dan tepat waktu. Perawat gawat darurat, sebagai pemimpin garis depan, harus menunjukkan keterampilan klinis yang kuat, pemikiran kritis, dan kualitas kepemimpinan yang efektif untuk berhasil menavigasi tantangan perawatan yang kompleks.

Atlas.ti is designed to be flexible and allow you to record your thoughts at any time in the analysis process. Therefore, the workspace of the program has many functions and tools that can seem overwhelming to the novice. However, the  program is almost limitless in its qualitative analysis capabilities. In fact, the design  of the program reflects the non-linear approach to qualitative research.

Introduction:Traumas that give symptoms of severe pains could lead to stress induced pain if not given an immediate pain relief. Penthroxinhaler an immediate pain reliever, can be given in pre-hospital services by ambulance officers (paramedics or ambulance nurses). Penthroxinhaler is a low-dose Methoxyflurane single-use inhaler, and has been used for more than 40 years in the medical field in managing trauma pain. Aim:The purpose of this study was to explore the original research related to the prospects of trauma pain management with Penthrox Inhaler, the benefits of using Penthrox inhaler in pre-hospital trauma pain management, and to identify the side effects from using Penthrox Inhaler based on researches published in international journals. Method:The method used in this literature review is the PICO method a type of systematic literature review. Problem/patient: Severe pain. Intervention: Penthrox Inhaler, Comparison: none. Outcome: Pain relief, Keyword : Pain relief. Result:...

The passage of time in the company organization, the value of employees can decrease due to experiencing unwanted events and having accidents and harming employees where Company property is damaged or lost due to a work accident. In other words, employees can be detrimental to the company if there is an accident at work. How does the company maintain and improve the quality of employees to avoid an incident or work accident, then companies must apply the concept of “human development in working safety practices”, starting from the process application of Heinrich's concept to the views of other experts in the field of human behavior.
History records that since the 1930s, Heinrich argued that the main cause of accidents are unsafe-act (80%) and unsafe-condition (20%) and what are the views of other experts (especially in the field of Human Behavior and Human Factors) in 1950, 1970, 1980 until today regarding human factors and human behavior related to Safety and Health issues.

In conducting research, the things that must be considered are as follows: 1. What objects do you want to examine? Generally, the object studied related to health is a person, place and time related to his behavior. 2. Define the purpose of this research? Just to describe the situation or explore a cause-andeffect relationship. 3. Determine the type of research? This type of research is in the form of a description / descriptive or analyzing the relationship between one variable and another. 4. Determine the theoretical framework and research framework (framework of theory and practice)? From this framework, it is transformed into tools, the form of data collection tools, and the types of analysis.

Introduction:Traumas that give symptoms of severe pains could lead to stress induced pain if not given an immediate pain relief. Penthroxinhaler an immediate pain reliever, can be given in pre-hospital services by ambulance officers (paramedics or ambulance nurses). Penthroxinhaler is a low-dose Methoxyflurane single-use inhaler, and has been used for more than 40 years in the medical field in managing trauma pain.

Aim:The purpose of this study was to explore the original research related to the prospects of trauma pain management with Penthrox Inhaler, the benefits of using Penthrox inhaler in pre-hospital trauma pain management, and to identify the side effects from using Penthrox Inhaler based on researches published in international journals.

Method:The method used in this literature review is the PICO method a type of systematic literature review. Problem/patient: Severe pain. Intervention: Penthrox Inhaler, Comparison: none. Outcome: Pain relief, Keyword : Pain relief.

Result: The administration of Low Dose Methoxyflurane in cases of trauma pain showed a very significant effect. Giving Low Dose Methoxyflurane was given faster to the patient compared to other drugs. With the provision of LDM, the pain reduction was with a VAS value, which stated very satisfying by 42.8% and satisfying 67.3%. The side effects of using gas drugs are generally seen, whether it causes neprotoxicity and the level of tolerability by the patient himself. Before giving Methoxyflurane to patients, must ensure that the oxygen saturation level is above 90% and the maximum dosage given must be 6 ml in the span of 2 hours to reduce side effects. Ambulance officers can be safe with an exposure time of 8 hours while administering Penthrox to patients.

Goal: Increase health and safety awareness for responders and workers with potential exposure by COVID-19.

Learning objectives: After attending participants will be able to:
• Explain basic facts about SARS-CoV-2 virus.
• Explain basic facts about COVID-19 disease.
• Assess the risk of workplace exposure to COVID-19.
• Define key steps in worker protection and infection prevention and control.
• Identify methods to prevent and respond to COVID-19 exposure in the workplace.

1. Discussion minimal competency as nurse.
2. Ladder carrier for nurses in the nursing services.
3. Discussion area of job for the nurses.
4. Discussion of minimal requirement apply job as
nurse at Qatar.
5. Discussion of data flow for document verification,
how to response.

Setelah mengikuti presetasi ini peserta mampu:
1. Menjelaskan langkah-langkah penentuan judul / topik presentasi.
2. Menjelaskan gap yang dihadapi audien dari segi pengetahuan, keterampilan dan sikap.
3. Menyusun tujuan presentasi.
4. Merancang isi pokok presentasi yang berbasis dimensi pengetahuan, keterampian dan sikap.
5. Menyusun Rencana Presentasi.

Jaman ka jaman -1
Halodo sataun, baseuh ku hujan sapoe -7
Lauk buruk milu mijah-11
Teu sapira tapi matak Bungan -16
Nyalindung ka indung- 21
Pun bapaloba jasa - 24
Siduru isuk-isuk- 27
Bar moek tapi caang - 30
Inget kanu lawas - 32
Virus - 34
Gere belut - 38
Bulan purnama - 41
Tauhid sareng Dizkir - 44

Kawula hatur pangéling:
ka sadaya kadang warga, ka nu sepuh ka nu anom, dina hal ieu carita, sumawona aksarana, awonna kaliwat langkung, wantu sim kuring teu ngalap.
Aksarana henteu uni, ngan pikeun lulumayanan, aksarana kasar kabéh, kawantu henteu sakola, ngan kuring bawaning hayang, sugan laun-laun becus, bawaning ku dileuleukan.
Kuping kuring enggeus yakin, soca anu enggeus nyata, gentarna anu geus jongok, enggeus nyata sadayana, anu aya dina papan, pangambung anu geus nungtung, jumenengna ing kawula.
Kakara jumeneng gusti, tapi kudu harti pisan, tingkah polah éta kabéh, kanyataan kanugrahan, karasa teu asa-asa, raos anu sapatemu, nu murba sakabéh alam.

Injection practices was common medical procedure done by nurses according doctor's prescription. In nursing process, injection practice is part of nursing intervention, but injection practices was risky for the health care workers. Needle stick injury was happened to the nurses, 18% due disposal of the needle, and 15% while draw the blood for laboratory study. Adherence to the work procedure influence by few behavior factors. Aim of research of the research were to finding out of the factors influence of adherence to safe injection practice among the nurses at healthcare center X Qatar. Type of the research was observational analytic quantities of the analytic description, using cross sectional approach. 9 variable latent with 56 variable indicator. Size of sample were 114 nurses. Data analytic with using PLS-SEM. T-statistic value on variable culture 2.94; environment 1.99; work procedure 3.81 and supervisory 3.10. T-statistic of Individual characteristic, work facility, attitude, and knowledge bellow 1.96. R2 variable adherence were showed 96.05% with Q2 87.07%. Culture, environment, work procedure and supervisory influenced of the adherence safe injection practice among the nurses. (96.05%) variable independent influence of the adherence safe injection practice among the nurses, within 87.07% showed good predicted.

Abstrak: Software statistik STATA adalah paket software lengkap dan terintegrasi dalam menganalisa data, manajemen data, dan grafik data. Disamping bisa mengolah data statistik, STATA juga bisa digunakan untuk mengolah data kesehatan untuk studi epidemiologi. Pada kesempatan ini, akan saya tampilkan bagaimana melakukan analisa data epidemiologi.

Software SMART-PLS digunakan untuk menganalisis faktor-faktor yang berkontribusi terhadap suatu kejadian, tanpa memerlukan data harus terdistribusi normal dan secara multivariate tanpa memerlukan multikolonieritas antara variabel eksogen.

Tujuan PLS adalah membantu peneliti untuk mendapatkan nilai variabel laten untuk tujuan prediksi.

Variabel laten adalah linear agregat dari indikator-indikatornya. Weight estimate untuk menciptakan komponen skor variabel laten berdasarkan bagaimana inner model dan outler model dispesifikasi.

Hasilnya adalah residual variance dari variabel independen (keduanya variabel laten dan indikator) diminimumkan.

Penjadwalan atau rostering tenaga kerja dapat dilakukan untuk mengalokasikan sumber daya dengan ukuran yang tepat terhadap beragam permintaan. Penjawalan kerja minimal dilakukan terhadap permintaan jasa yang minimal, sebaliknya penjadwalan kerja maksimal di sesuaikan dengan tingginya permintaan supaya ongkos produksi tidak terlalu tinggi. Penjadwalan kerja jasa di sesuaikan dengan aturan kerja perusahaan dan kepentingan staff terhadap penyesuai kerja dengan kepentingannya, artinya jawal kerja yang sudah di buat masih bisa di rubah sesuai dengan konsep fairness, acceptability and compliance to the policy.

SMK3 merupakan salah satu sistem dalam manajemen perusahaan yang saling saling berkaitan. Sistem manajemen itu sendiri di artikan sebuah rangkaian kegiatan yang teratur dan saling berhubungan untuk mencapai tujuan yang telah ditetapkan oleh pimpinan perusahaan, sedangkan SMK3 adalah bagian dari sistem manajemen secara keseluruhan yang meliputi struktur organisasi perencanaan, tanggung jawab, pelaksanaan, prosedur proses dan sumber daya yang dibutuhkan bagi pengembangan pencapaian, pengkajian dan pemeliharaan kebijakan keselamatan dan kesehatan kerja. Tujuan yang ingin dicapai pada SMK3 meliputi berbagai golongan yang berkaitan. Dari beberapa golongan tersebut diharapkan dapat menjadikan sebuah sistem manajemen K3 yang baik dalam pelaksanaannya. Sistem manajemen K3 tersebut dapat digolongkan meliputi: (1) Alat ukur kinerja K3 dalam organisasi. (2) Pedoman implementasi K3 dalam organisasi. (3) Dasar penghargaan (awards). (4) Sertifikasi penerapan K3. Element-element penting yang ada dalam ISO 45001 ada tujuh elemen yaitu: (1) Context organization, (2) leadership and worker participation, (3) planning, (4) support, (5) operation, (6) performance evaluation and (7) improvement. Dengan adanya SMK3 menganut ISO 45001, gap yang ditemukan di perusahaan, akan mudah diketahui. Gap bisa di mulai dari contextual organisasi sampai program improvement. Penerapan program K3 menurut ISO 45001 mengharuskan manajemen untuk berperan dalam menentukan tata kelola manajemen K3 mulai dari penerbitan kebijakan tertulis, menjalskan contektual organisasi kepada semua karyawan sampai penerapan PDSA sebagai pendekatan yang digunakan dalam quality improvement. 1. Latar belakang Kegagalan (risk of failures) pada setiap proses atau aktifitas pekerjaan, dan saat kecelakaan kerja seberapapun kecilnya, akan mengakibatkan efek kerugian (loss). Menurut Dominich Copper bahwa kegagalan bisa di akibatkan oleh human error dan atau oleh organizational factor. Salah satu penyebab dari organizational factor sebagai penyebab kegagalan proses kerja adalah tidak adanya commitment perusahaan terhadap pelaksanaan K3, keterbatasan peraturan dan prosedur kerja, serta keterbatasannya

Salah satu tantangan terbesar yang dihadapi oleh pemasar saat ini adalah munculnya konsep “sharing economy”. Dalam makalah ini akn kita bahas konsen dan contoh kasus tentang sharing economy dan analisis fenomena tersebut dari perspektif pemasar dan pelanggan.

Law  no 1, 1970 : Act of Occupational safety, up to now had been 48 years. Aim this law is to prevent of the accident, but accident is happening could  not control.

So many incident and accident happened in Indonesia due to the company not compliance with this law. Any company not compliance to this law, only can get the punishment only 3 month jail and fine Rp 100000. As you know recenly with Rp 100000 you only can buy lunch food for two persons.

Lawforcement from the government is limited due lack of the control to the implementation of the occupational safety program and lack of the menpower.

Some company not established insurance for the employees, so there is no secure life for those workers.

Job description and qualification for the director of occupational safety, supervisor and safety specialist not clearly define in within this law. Involved company doctor not clearly define, what doctor qualification and education level. Practicaly there is another profession worked for occupational health program such occupational nurse, industrial hygiene and safety specialist. 

We recommended, to update the punishment type, and to be update qualification and education level for director, supervisor and safety specialist, occupational doctor, occupational nurse, industrial hygiene.
We recommended also to defining the criteria occupational health program, and company tobe establish system management of Occupational Health and Safety.

Apabila ada memiliki dua variabel interval yaitu variable X dan Y, ingin diketahui apakah saling berkorelasi atau tidak, maka harus dilakukan uji korelasi. Apabila distribusi datanya normal, maka harus diuji dengan uji korelasi Pearson Product Moment, sebalinya dilakukan dengan uji korelasi Spearman. Dan seberapa besar kontribusi faktor X terhadap variabel Y, maka harus di uji dengan regresi linier analisis.
Korelasi dan regresi adalah dua hal yang berbeda. Dua duanya digunakan untuk mengukur keterkaitan scara statistik antara dua variabel atau lebih. Uji korelasi hanya sampai untuk mengetahui ada tidaknya korelasi, sedangkan regresi analisis dapat mengetahui seberapa besar pengaruhnya faktor X terhdap Y.

Manajemen risiko adalah suatu pendekatan terstruktur/metodologi dalam mengelola ketidakpastian yang berkaitan dengan ancaman; suatu rangkaian aktivitas manusia termasuk: Penilaian risiko, pengembangan strategi untuk mengelolanya dan mitigasi risiko dengan menggunakan pemberdayaan/pengelolaan sumberdaya.

Strategi yang dapat diambil antara lain adalah memindahkan risiko kepada pihak lain, menghindari risiko, mengurangi efek negatif risiko, dan menampung sebagian atau semua konsekuensi risiko tertentu.

1. Menjelaskan tujuan tabulasi silang.
2. Melakukan tabulasi data silang pada dua variabel yang memiliki jenis data kategori.
3. Menginterprestasikan hasil tabulasi data silang.
4. Melakukan uji kontruksi model
5. Uji predictor
6. Uji model fit
7. Melakukan prosedur uji logistik dengan SPSS

Pertumbuhan (growth): perubahan dalam besar, jumlah ukuran / dimensi tingkat sel organ maupun individu yang bisa diukur dengan ukuran berat (gram, pound, kilogram), ukuran panjang (cm, meter), umur, tulang, dan keseimbangan metabolik (retensi kalsium, dan nitrogen tubuh) (Suaningsih, 2002 : 21)

Perkembangan (development): Berkembangnya kemampuan (skill) dalam struktur dan fungsi yang lebih kompleks dalam pola yang teratur dan dapat diramalkan sebagai hasil pematangan. (Suaningsih, 2002 : 22)

Introduction: Nurses has responsibility in prevention and control of infection in hospitals. Hand hygiene practices, basically procedure routine could be done by nurses to prevent of infection in hospital, but so many factors can influence of adherence hand hygiene practice. Attitude may influence of adherence of hand hygiene practices.  Methods: This study used an observational analytic with study of cross-sectional method. Aim research were to study of relationship between attitude and adherence hand hygiene practice among nurses In Patient Unit Semarang District Hospital. The study was conducted in May 2015 at In-patient Unit of the Semarang District Hospital. Number of sample were 107 nurses on duty at In-patient Unit of the Semarang District Hospital who meet inclusion and exclusion criteria. The data collected by filling a questionnaire of attitude and observation of hand hygiene practices. Practiced of hand hygiene observed by observer with double blind methods, between observer and nurses did not recognize each other. The data of demography, level of attitude and level of adherence hand hygiene described by distribution of frequencies analysis. Results: Attitude of nurses to hand hygiene showed 75,7%  positive, and compliance level to hand hygiene practice were showed 63,6%. Relationship analysis between attitude and adherence of hand hygiene practice among nurses done by correlate analyzed with Spearman Rank Test. The results of bivariate analysis r2 0.269 indicated correlated between attitude and adherence hand hygiene, probability result p=0.005 (<0,05) indicated significant relationship between attitudes and adherence of hand hygiene practice among nurses acquired by  Spearman Rank Test. Discussion: Attitude may influence adherence of the hand hygiene practice among nurses. Confirmed analysis that good attitude, may increased of adherence of hand hygiene practices. To improving adherence hand hygiene, not only influence by attitude, also influence by rule and procedure and must be same perception about importantly of hand hygiene practice can be prevented of cross infection in hospital.