Descriptive Interview Research Articles

Embodying person-centred being and doing: Leading towards person-centred care in nursing homes as narrated by managers.

To explore how managers describe leading towards person-centred care in Swedish nursing homes. Although a growing body of research knowledge exists highlighting the importance of leadership to promote person-centred care, studies focused on nursing home managers' own descriptions of leading their staff towards providing person-centred care is lacking. Descriptive interview study. COREQ guidelines have been applied. The study consisted of semi-structured interviews with 12 nursing home managers within 11 highly person-centred nursing homes purposively selected from a nationwide survey of nursing homes in Sweden. Data collection was performed in April 2017, and the data were analysed using content analysis. Leading towards person-centred care involved a main category; embodying person-centred being and doing, with four related categories: operationalising person-centred objectives; promoting a person-centred atmosphere; maximising person-centred team potential; and optimising person-centred support structures. The findings revealed that leading towards person-centred care was described as having a personal understanding of the PCC concept and how to translate it into practice, and maximising the potential of and providing support to care staff, within a trustful and innovative work place. The findings also describe how managers co-ordinate several aspects of care simultaneously, such as facilitating, evaluating and refining the translation of person-centred philosophy into synchronised care actions. The findings can be used to inspire nursing home leaders' practices and may serve as a framework for implementing person-centred care within facilities. A reasonable implication of these findings is that if organisations are committed to person-centred care provision, care may need to be organised in a way that enables managers to be present on the units, to enact these strategies and lead person-centred care.

Barriers and facilitators to cancer treatment adherence for older Rural African Americans: Understanding the experience from the view of patients and their caregivers

ABSTRACTThe purpose of the present study was to understand the barriers that a particularly vulnerable sub-population of older adults experience in adhering to cancer treatments in rural eastern North Carolina. Qualitative descriptive interviews were completed with 16 individuals (8 cancer patients and their caregivers) about the challenges they face in adhering to cancer treatments. Three themes emerged based on the analysis which included transportation and financial barriers, and assistance that facilitated patients to adhere to treatment protocols. Transportation barriers were those associated with both the formal and informal systems. Financial barriers were related to costs associated with treatment. Participants also reported on ways in which adherence was facilitated via both formal and informal means. Our findings support those of previous research on treatment adherence and add information on the actions patients take in response to barriers that can negatively impact their disease trajectory. The knowledge gained can inform service providers about the issues in treatment adherence and help identify interventions that could support caregivers and patients to circumvent such challenges.

Return to Work following Ill Health or Disability in a Public-Private Health Care Facility: A Study in South Africa

INTRODUCTION: Disability management involves is dynamic interactional strategies used to promote an individual’s return to work. These strategies revolve around the person’s health condition and contextual factors for example their employer and the work environment. However, there remains limited literature on the strategies used in the public healthcare sector. Objective: To explore the return to work strategies used at a public sector facility in the province of KwaZulu Natal, South Africa.
 
 METHOD: A case study design, with multiple sources of data contributed towards profiling disability management strategies implemented at a central quaternary health care facility. Data collection methods included a file audit, work ability index assessments and semi-structured interviews with employees. Saturation sampling was used to recruit n = 23 employees who had been referred for occupational therapy vocational assessments over a period of 10 years. Data from the file audit were analysed using descriptive statistics and interviews were analysed using thematic analysis.
 
 RESULTS: Fifty six percent (n = 38) of the participants that were currently employed at the institution scored between 28 and 38 (moderate) on the Work Ability Index and required job realignments and reasonable accommodations within their current vocations. Twenty two percent (n = 5) scored 7–9 (poor) and were medically boarded or on long-term incapacity leave. 
 
 CONCLUSIONS: Occupational therapists play a significant role in disability management within public health care facilities. Return to work strategies and reasonable accommodations can improve productivity in the workplace.

Kajian Kebijakan Proses Pengambilan Keputusan di Perguruan Tinggi di Era Revolusi Industri

This article aims to describe the process of decision-making and the effective method of disseminating the decision result. This descriptive research use questionannaires and interviews for data collection. The result of the study shows that the process of decision-making is predominantly done through the formal process of the combination of top-down and bottom up mechanisms. The approach for dissemination of meeting result is done through traditional approach of formal meeting and social media. The implication of this process is that the formal meeting is the best best possible option in the process of decision-making. This mechanism allows every participant to contribute to providing suggestions in creating effective decision-making. This research contributes to the development and the debates on the policy and mechanism of decision-making process

Motivation and Instructional Preference of EFL Students at Tertiary Level

The aims of the study to find out the relationship between students’ motivation and instructional preference. The main components of motivation that underlay the students to learn English, and the students’ most preferred instruction, is beneficial to contribute to teachers’ understanding of the need to consider students’ preferences when planning the teaching-learning activities and to choose the instructional methods to use in teaching. A mixed-method design used in this study by combining quantitative and qualitative data to analyze. Descriptive statistics and interview analysis were used. The participants of this study were 323 students at a private university in Palembang, Indonesia. An 82-item questionnaire assessing motivation and instructional preference and semi-structured interview were used. The questionnaire consisted of 50 items measuring motivation and 32 items measuring instructional preference. The result showed that there was a positive and significant relationship between motivation and instructional preference. It means that students who had a higher level of motivation would have more instructional preferences than those who had a lower level of motivation. The result of the study indicated that the primary motivational components underlying the students to learn English were instrumental orientation, intrinsic orientation, and integrative orientation, and the students’ most preferred instruction was mastery learning. This study implies that teachers should be aware of diversifying the instructional methods used in their classes. They should take into account the students’ characteristics when planning and implementing educational processes.

Peranan Masyarakat Lokal Desa Kukuh dalam Pengelolaan Daya Tarik Wisata Alas Kedaton, Kabupaten Tabanan


 
 
 Alas Kedaton tourist is a natural tourist attraction. The tourist attraction offered such as forests, monkeys and bats in this natural attraction. In the middle of the Alas Kedaton forest there is a Dalem Kahyangan Kedaton temple that is unique. The choice of this location as a place of research is to find out how the management and role of the local community of Kukuh Village in developing Alas Kedaton as a tourist attraction.
 The research methodology used is this study is a descriptive qualitative research, with observation, interview, literature study and documentation techniques. Data sources are obtained from primary data and secondary data. The theory or concept used is the concept of role, local society, tourist attraction and management.
 The result of this research is that management in Alas Kelaton tourist attraction involves local communities actively. The involvement and role of the local community of Desa Kukuh is empowered to become a member of the management body, counter staff, janitors, local guides, security officers, Alas Kedaton Trader Group (KPAK) and as well as forming tourism awareness organisations such as tourism awareness groups (Pokdarwis).
 Keywords: The Role of Local Communities,Management, Tourist Attractions
 
 

THE ROLE OF SURAT UKAT IN KARO SINGALOR LAU KARO DISTRICT

Changing Karo language into a modern written language is certainly not an easy matter. Karo society does not want to be involved to improve, develop, and preserve the Karo language. Therefore, in this research we will examine the role of surat ukat in Karo Singalor Lau Karo District.
 Surat ukat can serve as a way of life in every action in Karonese life so that people can live harmonious and peacefully. The method that used in this research is descriptive method and interview. The theory that used is cultural theory.
 This study describes about the role of surat ukat in the Karo community Singalor Lau Karo District can be distinguished on: surat ukat in deeds, surat ukat in thoughts, surat ukat in the household and surat ukat for students.
 From the results above, can be concluded that the Karo people have surat ukat as a guide to life in sangkep geluh in ancient times, while in the present, the younger generation is rarely know and use the surat ukat. We suggest the Karo community to life their daily life based on surat ukat so that they can live in harmony and good.

Exploring accreditation from the front lines: A qualitative study of staff experiences & perceptions of hospital accreditation

Objective: Relative to the global investment in hospital accreditation programs overall, both the total amount and methodological quality of existing accreditation research is mediocre. To address this apparent gap in knowledge, we undertook a study of the experiences and perspectives of hospital staff, those most underrepresented in the accreditation research literature, including those working on the front lines and non-leaders who may or may not have been directly involved in the preparation for the accreditation survey visit.Methods: Design: Qualitative descriptive interview study. Setting: Tertiary care teaching hospital in Toronto, Ontario Canada. Study Participants: Program directors, unit managers, physicians, nurses, health discipline professionals (HDP), and non-clinical staff.Results: We have grouped what we heard from the data into three major groups of findings which we have titled: a) perceptions of the purpose of accreditation; b) the “work” of accreditation; and c) dissemination gaps regarding results. Informative finding from this study include the fact that participants put surprising value on the accreditation process, although mistaken feel it is mandatory; that the “work” of accreditation can be disappointing and feels disconnected from the bigger QI picture, and that the disconnect also exists in terms of their knowledge of and belief in the actual results of the process.Conclusions: These findings point to potential gaps in the accreditation culture which can be detrimental to the impact of the accreditation process. Such gaps likely exist in other health care organizations and could inform similar evaluations in other settings.

Analisis Kesulitan Mahasiswa Institut Teknologi dan Sains Nahdlatul Ulama Pasuruan pada Mata Kuliah Biologi Umum Materi Sistem Pencernaan Manusia

Learning difficulty students at the Nahdlatul Ulama Institute of Technology and Science Pasuruan in first semester for academic on year 2018/2019 which are marked by midterm scores in general Biology courses for human digestive system meterial that is deficient. Learning Difficulty student can lead to their lack of achievement in this course. This research was conducted to find out the factors of learning difficulty both internal and external by the students and the expectation is to be able to provide further input as an effort to resolve the difficulty learning to improve their learning achievement. This research is a qualitative descriptive study that aims to determine the internal and external factors that induces difficulty student Learning in General Biology courses in human digestive system material. The study used a descriptive design, tests, questionnaires and interviews to receive data. The research subjects are 32 students are from Biology, Mathematics, Physics and Agricultural Product Technology major. Based on the results of the study for the internal factors that cause their difficulty for Learning are study habits and ability material comprehension are still lacking as much as 59.37%, while the external factors are the lack of learning support tools as much as 59.37% and the condition of the house environment and around it as much as 50%.

Pregnant women\u2019s experiences and perceptions of participating in the EVERREST prospective study; a qualitative study

BackgroundThe EVERREST Prospective Study is a multicentre observational cohort study of pregnancies affected by severe early-onset fetal growth restriction. The study recruits women with singleton pregnancies where the estimated fetal weight is less than the 3rd centile and below 600 g, between 20 + 0 and 26 + 6 weeks of pregnancy, in the absence of a known chromosomal, structural or infective cause.MethodThe reported study was retrospective descriptive qualitative interview study of women who had participated in the EVERREST Prospective Study. The aim of this study was to explore the experiences and perceptions of pregnant women taking part in research during a pregnancy affected by severe early-onset fetal growth restriction. Audio-recorded semi-structured telephone interviews were conducted with a purposive sample of 12 women, at least 1 year after delivery of their baby. Two of these pregnancies had ended in stillbirth and one in neonatal death, reflecting the outcomes seen in the EVERREST Prospective Study. Participants gave informed consent, were 16 years or older and were interviewed in English. A topic guide was used to ensure a consistent approach. Questions focused on pregnancy experiences, involvement with the EVERREST study and potential involvement in future research. Recordings were transcribed verbatim for thematic analysis using NVivo10.ResultsFour broad themes were identified; ‘before joining the EVERREST Prospective Study’, ‘participating in research’, ‘information and support’ and ‘looking back and looking forwards’. Each broad theme incorporated several subthemes. All participants recalled their reaction to being told their baby was smaller than expected. The way this news was given had a lasting impact. A range of benefits of participation in the EVERREST Prospective Study were described and the participants were positive about the way it was conducted. As a consequence, they were receptive to participating in future research. However, the findings suggest that research teams should be sensitive when approaching families at a difficult time or when they are already participating in other research.ConclusionsThis study highlights the willingness of pregnant women to participate in research and identifies strategies for researchers to engage participants.

Women’s perspectives on the management and consequences of hyperemesis gravidarum – a descriptive interview study

Objective: Hyperemesis gravidarum (HG) affects 0.3–3% of pregnant women and is a leading cause of hospitalization in early pregnancy. The aim of the study was to investigate women’s treatment and management of HG, as well as the consequences of HG on women’s daily life.Design and setting: A cross-sectional study based on a structured telephone interview and an online questionnaire. Participants were recruited by social media and by the Norwegian patient’s organization for HG.Subjects: Norwegian women that experienced HG.Main outcome measure: Women’s perspectives on management and consequences of HG.Results: The study included 107 women. Maternal morbidity was profound; about 3/4 of participants were hospitalized due to HG, and the majority showed clinical signs of dehydration (79%), ketonuria (75%), and >5% weight loss (84%). Antiemetics were used by >90% and frequently prescribed “as needed”. Metoclopramide (71%) and meclozine (51%) were most commonly used. Participants described HG as having severe psychosocial consequences and profound impact on daily activities. Almost two out of five reported thoughts of elective abortion, and 8 women had at least one elective pregnancy termination due to HG. Overall, 20 women (19%) changed GPs due to dissatisfaction with HG management.Conclusion: Despite the high psychosocial burden and major impact on daily activities, many women with HG reported a lack of support from healthcare professionals and suboptimal management. Greater awareness and knowledge among healthcare professionals is needed to improve care for women with HG.Key PointsThere is a paucity of studies on management and the consequences of HG on women’s daily lives and psychosocial burden. We found that:• Many women described HG as one of their worst life experiences with profound morbidity.• Many women reported suboptimal management of HG and lack of support from healthcare professionals.• Greater understanding of patient perspectives among healthcare professionals is important to improve care and management for HG patients.

La igualdad de género en la docencia universitaria : transitando de la universalidad a la especificidad

El objetivo de este estudio fue analizar si se incluye o no, y cómo se integra en su caso, el significado y alcance de la igualdad de género entre mujeres y hombres en la docencia universitaria. En la investigación, con enfoque cualitativo, participaron 25 profesores de los siete centros de la Universidad de Alicante. El instrumento utilizado para la recolección de datos fue una entrevista narrativa diseñada ad hoc para el estudio. El análisis de los datos se realizó con el software Aquad 7. Los hallazgos destacan que el profesorado considera que el enfoque de género es relevante en la docencia universitaria, aunque hay una considerable presencia de voces que señalan que no lo es, e incluso afirman que le quita calidad a los contenidos de las materias que imparten. Asimismo, los docentes que lo integran o están a favor de ello o arguyen que no requieren formación específica, aunque contradictoriamente destacan la existencia de factores limitantes como la complejidad y el desconocimiento del tema y la falta de referentes femeninas en su ámbito de conocimiento. Se concluye que la incorporación de la perspectiva de género no ha llegado a las aulas universitarias, que el marco legislativo en materia de género no ha tenido resultados efectivos ni funcionales, que hay una resistencia del profesorado para su inclusión en la docencia, y que la integración del género obedece a la voluntad solo de algunos profesores que están parcialmente convencidos de su beneficio y necesidad.

Exploring the prevalence and experience of mask anxiety for the person with head and neck cancer undergoing radiotherapy.

IntroductionWhile use of a thermoplastic mask during radiotherapy (RT) treatment for head and neck cancer (HNC) is an essential component of safe patient care, there is little understanding of the extent to which this evokes anxiety (i.e. “mask anxiety”) for the person undergoing treatment.MethodsA mixed method, convergent design was used to examine the prevalence and experience of mask anxiety using two clinical cohorts. In phase one, a cohort of 100 patients undergoing RT for HNC were assessed for self‐perceived mask anxiety using a modified distress thermometer screening tool. In phase two, a separate cohort of 20 patients who identified as having mask anxiety participated in individual interpretative descriptive interviews to explore the nature of their experience.ResultsIn phase one, 26% of participants self‐identified as being anxious about the use of a thermoplastic mask. In phase two thematic analysis of the interviews revealed two over‐arching themes relating to the person's experience of mask anxiety: contributors to the mask anxiety (vulnerability, response to experience and expectations); and how the person was going to manage the mask anxiety during treatment (strategies and mindset).ConclusionsMask anxiety impacted a quarter of participants undergoing radiotherapy for HNC. In line with the themes elicited from the participants, implementation of routine screening to ensure early identification, and patient education to assist preparation for wearing the mask during RT are strategies that could improve current management of mask anxiety.

The experiences of older caregivers of cancer patients following hospital discharge

This study addressed the experiences of older caregivers of cancer patients in the 2weeks following a hospital discharge. It sought to understand the challenges they face in providing supportive care to patients at home. Qualitative descriptive interviews with a narrative approach were conducted with each caregiver at 1 and 2weeks following the patient's discharge from the hospital. A thematic analysis approach was used to identify the themes that emerged from the caregiver interviews. Caregivers were primarily Caucasian (77%), were mostly 68years of age or older (62%), and were primarily caring for a spouse (69%). Three key themes emerged from the qualitative analysis: caregiver and patient wellness are connected, caregivers' struggle with control issues, and challenges in communication with health professionals. These findings highlight psychosocial changes that caregivers experience over the 2-week time period following hospital discharge. Implications include the need to identify interventions to better prepare caregivers for the post-discharge period.

PENGGUNAAN MEDIA KOMUNIKASI DALAM SOSIALISASI PROGRAM URBAN FARMING DI KOTA SURABAYA

Communication media is a source of power, a control tool that can be utilized as a substitute for poweror other resources, besides the media is a vehicle that plays a role to socialize the events of communitylife both individually and collectively. To provide food availability independently and sustainably itneeds a breakthrough program through the concept of gardening in the yard of the house or the use ofempty land for planting productive crops. The purpose of research to find out how the background ofmedia usage, type of media used and the form of presentation of messages used in the socialization ofurban farming program in the city of Surabaya. The research method used is descriptive qualitativewith data collection interview, observation and literature study. The results showed that the delivery ofagricultural messages in urban areas from the Surabaya City Agriculture Office to poor families(Gakin) scattered in 31 sub-districts did not use mass media on the grounds that the gakin communityrarely mengengan radio, see television and read the print media so generally the delivery of directmessages done facilitator in this case PPL to poor community society by direct way of technicalguidance in the form of group. Media used more to media antarpersona communication. Messagedelivered on how to do urban farming activities for vegetables with a short harvest period ofapproximately one month, the use of narrow land in the yard so as to support household-scale foodsecurity and add green or green open space.

Pharmacists in general practice: a qualitative interview case study of stakeholders\u2019 experiences in a West London GP federation

BackgroundIncreased patient demand for healthcare services coupled with a shortage of general practitioners necessitates changes in professional roles and service delivery. In 2016, NHS England began a 3-year- pilot study of pharmacists in general practice, however, this is not an entirely new initiative. There is limited, current, evidence-based, UK research to inform the pilot so studies of pre-existing services must suffice until findings from a formal national evaluation are available.MethodsThe aim of this exploratory, descriptive interview study was to explore the experiences of stakeholders in eight general practices in the Ealing GP Federation, West London, where pharmacy services have been provided for several years. Forty-seven participants, including pharmacy team members (pre-registration and clinical pharmacists, independent prescribers and pharmacy technicians), general practitioners, patients, practice managers, practice nurses and receptionists took part in semi-structured, audio-recorded qualitative interviews which were transcribed verbatim, coded and analysed thematically to extract the issues raised by participants and the practicalities of providing pharmacy services in general practice.ResultsFindings are reported under the themes of Complementarity (incorporating roles, skills, education and workloads); Integration (incorporating relationships, trust and communication) and Practicalities (incorporating location and space, access, and costs). Participants reported the need for time to develop and understand the various roles, develop communication processes and build inter-professional trust. Once these were established, however, experiences were positive and included decreased workloads, increased patient safety, improved job satisfaction, improved patient relationships, and enhanced cost savings. Areas for improvement included patients’ awareness of services; pharmacists’ training; and regular, onsite access for practice staff to the pharmacy team.ConclusionsRecommendations are made for the development of clear role definitions, identification of training needs, dedication of time for team building, production of educational materials for practice staff members and patients, and provision of on-site, full-time pharmacy services. Future work should focus on evaluation of various models of employing pharmacy teams in general practice; integration of pharmacists and pharmacy technicians into multidisciplinary general practice teams; relationships between local community pharmacy and general practice personnel; and patients’ service and information needs. A formal national evaluation of the pilot scheme is overdue.

PERAN ORANGTUA DALAM PENANAMAN TANGGUNGJAWAB PADA SISWA SD MUHAMMADIYAH AMBARKETAWANG 2 GAMPING

Based on the results of observations and interviews to classroom teachers conducted by researchers there are still students who are less focused in listening to the ongoing learning process, there are children who, when given an individual task by the teacher who then asked for answers to his friends, often students do the task no maximum and if given the task of the house did not complete. This research aims to Describe the role of parents in planting responsibilities, and describe the factors that support and hinder the cultivation of responsibility to students.The type of research is descriptive qualitative research type, with observation and interview data collection techniques while data analysis techniques using data reduction, presentation of data and conclusions and while the validity of the data used is triangulation techniques and triangulation of sources. The result of the research is the role of parents in the planting of responsibilities on the students of SD Muhammadiyah Ambarketawang 2 Gamping has implemented a good planting system in the form of motivation or support, meet the needs of children ranging from clothing, food and student boards, and be a mediator of children both in the scope of school and space the scope of the house and the contributing factors to the planting of responsibilities to the students is that there are some parents and who assume the character of responsibility is very important for the child by applying the punishment to the child if the child does not respond to the advice or motivation of the parents or teachers, and the assignment to the students is also applied by the teacher during the learning process takes place, and the inhibiting factor on planting the character of responsibility is the busyness of the working parents so that the time given to the child is slightly reduced

Employees Personality of Intrapersonal and Interpersonal on Emotional Intelligence

The aim of this paper is to investigate the dimension of personality of differently able employees on Emotional Intelligence such as Interpersonal and Interpersonal skills. The descriptive interview schedule is found to be the suitable research tool for making this paper. The sample was drawn from differently able person working on Public and Government sectors in kanchipuram district. The sample size of the present study is 486. Multiple regression analysis is used to measure the linear association between the dependent and independent variables. It is found that Personality dimensions of differently able employees are influencing the interpersonal skills of EI.

Family-centered depression treatment for older men in primary care: a qualitative study of stakeholder perspectives

BackgroundFamily members often play important roles in the lives of depressed older men and frequently attend primary care visits with their loved ones, yet surprisingly little is known about how to most effectively engage and include family members in depression treatment. However, including family in depression treatment may be difficult due to several factors, such as depression stigma and family conflicts. The objective of this study was to describe challenges in engaging family members in older men’s depression treatment and potential strategies to overcome those challenges.MethodsA cross-sectional, qualitative descriptive interview study was conducted in a safety-net, Federally Qualified Health Center in California’s Central Valley. A total of 37 stakeholders were recruited, including 15 depressed older (i.e. age ≥ 60) men, 12 family members, and 10 clinic staff. Depressed men were identified through mail outreach, waiting room screening, and referral. Depressed men identified family members who were later approached to participate. We also recruited a purposeful sample of clinic staff. Interviews explored stakeholder perspectives on family involvement in men’s depression treatment as part of a primary care intervention. Interviews were conducted using a semi-structured interview guide, tape-recorded, transcribed verbatim, and translated if the interview was conducted in Spanish.ResultsFour themes were identified representing core challenges: engaging men at the right time; preserving men’s sense of autonomy; managing privacy concerns; and navigating family tensions. Stakeholders also provided practical suggestions and advice about how each of these challenges might be addressed.ConclusionsWhile engaging family is a promising approach to strengthen depression care for older men in primary care settings, several potential challenges exist. Family- centered depression intervention development and clinical practice need to anticipate these challenges and to develop approaches and guidelines to address them.

PENDELEGASIAN WEWENANG DALAM MENEGAKAN PERATURAN DAERAH NOMOR 4 TAHUN 2013 TENTANG PELARANGAN PEREDARAN DAN PENJUALAN MINUMAN BERALKOHOL DI KOTA CIREBON (STUDI KASUS SATUAN POLISI PAMONG PRAJA KOTA CIREBON)

ABSTRACTDelegation of authority is a right or power of the leadership of subordinates to carry out her duties and requested accountability for the completion of these tasks Civil Service Police Unit is the local technical institute, who are the delegates as enforcement of local regulations No. 4 of 2013 on the prohibition of the distribution and sale of alcoholic beverages in the city of Cirebon. Some problems in the implementation of delegation of authority is still their circulation and sale of alcoholic beverages from class A to class c well supplied and sold in karaoke entertainment venues, cafes, shops and agents.In this study the author uses the theory of the Delegation of Authority proposed by Manullang in his book entitled "Management Basics" (2008: 205), which states that "management is achieving results through others, therefore to be able to realize the manager delegates the absolute need. One of the important qualification of a manager is the ability to delegate some of the tasks and authority to his subordinates. "In this study, the authors used a qualitative method with descriptive analysis and interview with the informant as a source of information”.The results of this research that the Civil Service Police Unit has a very important role as delegates in combating the distribution and sale of alcoholic beverages in the city of Cirebon. But in reality, delegation of authority implemented still not optimal. Still the distribution and sale of alcoholic beverages due to the performance of civil service police unit that is not optimal, among others, is due to less effective and maximum pelaksaanan duties, authority and accountability, lack of budget, personnel and motivation in enforcing local regulations No. 4 of 2013 on banning and sale of alcoholic beverages in the city of Cirebon.