Surabaya Islamic Hospital Research Articles

Analysis of the Need for Nurse Competency Training at Ahmad Yani Islamic Hospital Surabaya

<p><em></em><strong><em>Abstrack</em></strong></p><p><strong><em>Introduction</em></strong><em>: Minimum service standards field of administration and management about employee training require at least 20 hours per year. The aims of this study was to analyze the training needs of nurses at the Ahmad Yani Islamic hospital in Surabaya. In addition, this study explain the organizational analysis, conduct operational analysis, explain individual analysis nurse staff and prioritize nurse training needs in Ahmad Yani Islamic Hospital Surabaya. <strong>Method</strong>: This research is a observational description. The number of respondents about 55 nurses participating the study. <strong>Results</strong>: Based on the aspect of quantity of work, the workload of nurses is classified as high by 49.1%. Most have applied a high quantity of work aspects as much as 78.1%. In the aspect of quality of work, most nurses have performed high tasks. <strong>Conclusion</strong>: Analysis of organizations related to organizational climate at Ahmad Yani Islamic hospital in general was described by nurses in good condition. There are a number of things that need to be considered, namely guaranteed nurse self development through Training, work protection for nurses, nurse remuneration needs to be improved. Operational analysis related to the general competence of nurses in the nurse law is quite capable and most nurses have already taken action. Operational analysis relating to the priority of nurses' training needs is a main priority.</em></p><p> Keywords: <em>Operational Analysis; Individual Analysis; Nurse Training Priority.</em></p>

Foot Exercise Movement Activities as Efforts to Lower Blood Sugar Levels in Diabetes Mellitus Patients

Based on Riskesdas in 2018, the prevalence of diabetes mellitus in Indonesia based on interviews showed an increase from 1.1 percent (2007) to 2.1 percent in 2019. The International Diabetes Federation (IDF) estimates that DM sufferers in Indonesia in 2020 will amount to 178 million people aged over 20 years and assuming a DM prevalence of 4.6%, 8.2 million DM patients will be obtained. The most data on visits from internal medicine policymakers at the outpatient clinic of Islamic Hospital in Surabaya were diabetes militus. One of the most common complications of diabetes mellitus is diabetic foot, which can manifest as ulcers, infections and gangrene and Charcot's arthropathy. The method used in this community service activity is carried out to increase knowledge and understanding of public awareness by doing foot exercises to reduce sugar levels. This community service activity is carried out by educating patients with diabetes at the Internal Medicine Department of the Islamic Hospital Surabaya. Diabetes exercise carried out by the GLC group which was carried out independently by the participants showed an average decrease in sugar levels with an average of 12.5 points with participants who routinely did regular exercise 4 times a week showing the largest number of points of decline. Sig. (2-tailed): Probability value / p value Paired T test: Result = 0.000 shows that there is a difference between before and after treatment. Implementation of diabetic foot exercises which were carried out independently at home by GLC patient at Surabaya Islamic Hospital A Yani

ASSOCIATION BETWEEN TRIGLYCERIDE SERUM LEVELS AND GLOMERULAR FILTRATION RATE (eGFR) IN PATIENTS WITH CHRONIC RENAL FAILURE AT JEMURSARI ISLAMIC HOSPITAL SURABAYA, INDONESIA

Chronic Renal Failure (CRF) is a progressive and irreversible decrease in kidney function. One risk factor that affects the progression of CRF is dyslipidemia due to abnormalities of lipid metabolisms. Dyslipidemia is characterized by the increase level of total cholesterol, LDL cholesterol, triglycerides, and a decrease in HDL cholesterol level. eGFR is a parameter for assessing the excretion function, by calculating the amount of filtrate produced by the renal glomerulus. This study aims to determine the relationship between serum triglyceride levels with eGFR in patient suffering from CRF at Jemursari Islamic Hospital Surabaya. This type of research is descriptive experimental with cross–sectional design. The study population was the patients with CRF. The primary data in this study was the results of examination of serum triglyceride levels in patients with CRF. The secondary data (serum creatinine levels, body weight, age, and sex) was obtained from medical records of CRF patients in February 2019. As much as 12% of patients were in the 40–50 years old category, 36% of patients were 51–60 years old, 44% of patients were 61–70 years old, and 8% of patients were 71–80 years old. 72% of patients were male. The mean triglyceride level was 146.68 mg/dL and the average eGFR was 19.86 mL/min/1.73m2. The relationships between triglyceride levels and eGFR was carried out by the Spearman–rho test where r value was –0.442 and value was 0.027. It was concluded that there was a significant negative correlation between serum triglyceride levels and eGFR in patients with CRF.

Cost Benefit Analysis Management of Jerry Can Hemodialysis Used Packaging of Hazardous and Toxic Substances In The Islamic Hospital Surabaya

<p>Pengelolaan jirigen hemodialisa di Rumah Sakit Islam Surabaya secara pengangkutan dan pemusnahan terjadi kenaikan nilai kontrak sebesar 50% dan tidak efisien untuk dilanjutkan. Dengan adanya penawaran untuk pengelolaan jirigen hemodialisa secara <em>Reduce, Reuse, Recycle</em> (3R) maka penelitian ini bertujuan untuk menganlisis biaya dan manfaat <em>(cost benefit analysis)</em> pada pengelolaan jirigen hemodialisa pengangkutan dan pemusnahan dan pengelolaan jirigen hemodialisa secara <em>Reduce, Reuse, Recycle</em> (3R). Penelitian ini menggunakan metode <em>cost benefit analysis </em>yang merupakan penelitian kuantitatif dan bersifat observasional. Dari hasil perhitungan masing – masing pengelolaan jirigen hemodialisa didapatkan hasil <em>Present Value</em> (PV) <em>cost</em> untuk pengelolaan jirigen hemodialisa pengangkutan dan pemusnahan sebesar Rp. 268.326.525 sedangkan PV <em>cost</em> pengelolaan jirigen hemodialisa <em>reuse, reduce, recycle </em>sebesar Rp. 32.159.233. Untuk PV <em>benefit</em> pengangkutan dan pemusnahan adalah Rp. 0 dan PV <em>benefit</em> 3R adalah 97.015.367. Ratio B/C pengelolaan jirigen hemodialisa pengangkutan dan pemusnahan adalah 0 dan Ratio B/C secara 3R adalah 3,02. Berdasarkan <em>nett present value</em> diperoleh pengangkutan dan pemusnahan sebesar Rp. (-) 268.326.525 sedangkan 3R sebesar Rp. (+) 64.856.134. Sehingga pengelolaan jirigen hemodialisa secara <em>reduce, reuse, recycle</em> yang lebih menguntungkan daripada pengelolaan jirigen hemodialisa secara pengangkutan dan pemusnahan. Dengan alasan pengelolaan jirigen hemodialisa secara <em>reduce, reuse, recycle</em> dapat menurunkan biaya pengeluaran rumah sakit serta menciptakan budaya ramah lingkungan.</p><p><strong>Kata Kunci : </strong>Pengelolaan, Jirigen Hemodialisa, <em>Cost Benefit Analysis</em><strong><em></em></strong></p>

ANALYSIS OF HEALTH SERVICES MAXIMUM SUPPLY IN JEMURSARI ISLAMIC HOSPITAL SURABAYA

The importance of a health service in calculating the maximum supply is to ensure efficiency and effectiveness. To achieve efficiency and effectiveness it is important to pay attention to the combination of Human Resources and other resources (Technology / Machinery). This study aims to determine the maximum capacity of services that can be provided in Medical Rehabilitation Poly, General Surgical Poly and Children Poly at Jemursari Islamic Hospital Surabaya. This research is a type of descriptive observational research. The subjects in this study were Medical Rehabilitation Poly, General Surgery Poly and Children’s Poly at Jemursari Surabaya Hospital and the object in this study was the maximum supply in providing services in each poly. There are two data used, primary data and secondary data. Secondary data obtained from secondary data of each poly in RSI Jemursari Surabaya and primary data obtained from interviews through indepth interviews to nurses in Medical Rehabilitation Poly, General Surgery Poly and Children’s Poly. The maximum supply calculation results in Medical Rehabilitation Poly amounted to 185 patients each day, when compared with the history of poly visit rates of 81%. The results of the maximum supply calculation in General Surgical Poliywere 40 patients each day, when compared with the history of poly visit rates of 112%. The results of the maximum supply calculation in the Children’s Poly were 40 (Room A) dan 80 (Room B) patients each day, when compared to the history of poly visit rates of 125% (Room A) and 62,5% (Room B).Keywords : Hospital, Maximum Supply, Health Service

Comparison of economic loss between generic drug and patent drug in stock-out and stagnant condition at Surabaya Islamic Hospital, Indonesia

The condition of stagnant and stock-out might cause economic loss and indicate ineffective and inefficient drug inventory management in the hospital. This study aims to compare the economic loss between generic drug and patent drug in stagnant and stock-out condition at Surabaya Islamic Hospital. The research was observational descriptive with cross-sectional design. The study was conducted with sample of 148 generic drugs and 299 patent drugs at pharmacy unit, Surabaya Islamic Hospital. The data was analyzed using independent t-test. The result showed different stagnant and stock put (p-value) experience in drug inventory between generic drug (70%) and patent drug (30%). The t-test in economic loss showed no difference between generic drug and patent drug stagnant (p-value=0.75) and stock-out (p-value=0.86) experience. The economic loss of generic drug experienced stagnant and stock-out in July-December 2015 with the amount up to IDR 86,476,696, while patent drug experienced loss both stagnant and stock-out up to IDR 88,349,589 in October 2016-March 2017. The study concluded that both conditions were disadvantageous for hospital’s revenue and inventory management.

Hubungan Ketersediaan Sumber Daya, Kepemimpinan, Lama Kerja, dan Persepsi dengan Kepatuhan Mencuci Tangan Lima Momen di Rumah Sakit Islam Surabaya

Hospital as health care facility has an obligation to make, implement and maintain quality standards for health services. Hospital infection are one of the main causes of death and increased morbidity in patients, which can occur due to non-hygiene behavior, which can be prevented by five moment hand hygiene. However, in Surabaya Islamic Hospital has a low hand hygiene compliance rate of 81.87% with a target of 85% in the third quarter of 2017.The purpose of this study was to analyze the relationship between the availability of resources, leadership, length of work, and perception with five moment hand hygiene compliance at Surabaya Islamic Hospital. This research was an observational analytic study, by questionnaires and observation to 67 employees of Surabaya Islamic Hospital. The research design was cross sectional with statistical analysis, chi-square.The results showed 56.72% of respondents did not comply with hand hygiene. There were a relationship between the availability of resources (p = 0,032) and perception (p = 0,00) with five moment hand hygiene compliance, while leadership (p = 0,13) and length of work (p = 0,249) were not associated with five moment hand hygiene compliance in Surabaya Islamic Hospital. The conclusion of this study is the condition of five moment hand hygiene compliance in Surabaya Islamic Hospital employees is low with the relationship between the availability of resources and perception with five moment hand hygiene compliance.

USIA DAN TINGKAT EOSINOFIL PASIEN BRONKO PNEUMONIA PADA BALITA DI RS ISLAM SURABAYA

Pneumonia is any state of inflamation where some oral of the alveoliare filled with fluid and blood cells.The total of pneumonia in children at year2013 is 15%, is still quite high. In bacterial infections such as pneumonia,usually indicates with increasing number of leukocytes (leukocytosis). Some studies, inverse correlation it with an age. Leukocytosis consists of several types, such as eosinophilia. Significant eosinophilia can occur in newborns and it will decrease constantly at old. Other study said that eosinophilia occur due to several conditions,one of them due to infection and response to foreign antigens. This research used descriptive correlational and crosssectional research method. Materials data sources obtained from patients medical records from 2014 to 2016 with bronchopneumonia at Jemur sari Surabaya Islamic Hospital. This study used chi-square analysis with interpretation p-value0,05 with SPSS version 21. The results obtained 11 patients with eosinophilia, 3 of patients (27,3%) aged 0-12 months, and 8 patients (72,7%) aged 13-59 months. Then in 76 patients with noeosinophilia or normal eosinophiliaor 21 patients (27,6%) aged 0-12 months, and 55 patients (72,4%) aged 13-59 months. The result bivariate analysis of correlation age with eosinophil level of bronchopneumonia patient showed no significant relationship (p-value 0.05). The conclusion of this research there was no signigficant relationship between age and eosinophil level in bronchopneumonia patients aged 0-59 months. Therefore, age can not be an indicator to eosinophils levels during inflamation procesess or other needed indicators that support diagnosis. Keywords: Age, eosinophils, bronchopneumonia

MICROBIAL PATTERN OF DIABETIC FOOT ULCER PATIENT IN JEMURSARI ISLAMIC HOSPITAL SURABAYA PERIOD 2012-2016

Diabetic foot ulcers (DFU) are complications in people with diabetes mellitus (DM) in the form of wounds or tissue damage resulting in vascular insufficiency and or neuropathy that can develop into an infection. Early detection of germs of diabetic foot ulcers may be used as a recommendation of empirical therapy before the definitive treatment based on culture results and appropriate antibiotics treatment, which may reduce hospitalization time and amputation events. According to Riskesdas in 2013, state that the number of antibiotic used without prescriptions in Indonesia about 86.1%. The study aims to retrospectively analyze the bacterial culture and drug susceptibility test results for patients with diabetic foot ulcers (DFU) in Jemursari Islamic Hospital Surabaya during 2012–2016 to help clinicians choose a more appropriate empirical antibiotic treatment for DFU. This study used cross–sectional designed with retrospective approaches, which analyzed descriptively and samples were taken by the total sampling of 11 samples. This research was conducted at Islamic Hospital of Jemursari Surabaya in May–September 2017 by using medical record data which are outpatient and inpatients who treatment at Jemursari Islamic Hospital. The result was found 6 types of bacteria consisting of Staphylococcus aureus (18%), Staphylococcus non–haemolytic (18%), Klebsiella pneumonia (27%), Enterobacter aerogenes (18%), Burkholderia cepacia (9%), Escheria coli (9%). The most sensitive antibiotics in the Gram–positive bacteria in this study are Amikacin, Teicoplanin and Oxacillin and the most resistant to Amoxicillin and Ampicillin whereas the most sensitive antibiotics in the Gram–negative bacteria in this study were Meropenem and the most resistant to Ciprofloxacin and Trimethroprim–sulfamethoxazole.

The Effect Of Combination Spherical Grip And Kinesio Taping Exercise To Enhance Of Muscle Strength In Ischemic Stroke Patients In Jemursari Islamic Hospital Surabaya

<p>Ischemic stroke patients are the main problem that occurs when disruption of cerebral blood flow. Data Global Burden Disease shows that all populations obtained 80% ischemic stroke and 20% hemorrhagic stroke with physical mobility barriers namely muscle weakness obtained 58%. Nursing actions that can be done, one of which is by giving activity to stroke patients who are useful to increase cerebral blood flow. This study aims to analyze the effect of the combination of spherical grip exercise and<em> Kinesiotaping</em> to the muscle strength of ischemic stroke patients in Jemursari Islamic Hospital Surabaya.</p><p>This research is designed by <em>Quasi Experiment </em>with approach <em>pre post test control group design</em>. All populations are ischemic stroke patients in the azzahra room 1 as many as 41 people, a sample of 38 respondents divided into 19 treatment and control groups. In the intervention group was given a combination of Spherical Grip and Kinesiotaping Exercise for 20 minutes twice a day for 3 weeks. Whereas in the control group was given training accordance with Hospital procedures. Statistical analysis used <em>Wilcoxon signed rank test</em> and <em>Mann-Whitney</em>α test< 0,05.</p><p>The results of this study indicated that the mean increase in muscle constriction in the intervention group 2.83, and a big control group is 1.10. Analysis with <em>Mann Whitney </em>showed <em>p</em>= 0.000. So that H0 rejected this means that there is an effect of a combination of Spherical Grip and Kinesiotaping exercises on increasing muscle strength in ischemic stroke patients in Jemursari Islamic hospitals.</p><p>The combination of Spherical Grip and Kinesiotaping exercises that are routinely performed can increase muscle strength, resulting in increased muscle strength in ischemic stroke patients. Nurses need to apply Spherical Grips and Kinesiotaping to ischemic stroke patients in the rehabilitation phase.</p><p> </p><p><strong>Keyword</strong> : Ischemic stroke, <em>Spherical Grip</em> and <em>Kinesiotaping</em>, Muscle Strength.</p><p> </p>

HUBUNGAN WAKTU TUNGGU DAN SIKAP PETUGAS DENGAN KEPUASAN PASIEN PADA INSTALASI FARMASI RUMAH SAKIT ISLAM SURABAYA (RSIS) JEMURSARI

Introduction: Jemursari Surabaya Islamic Hospital has a Pharmacy Installation service that requires long prescription service waiting times. This resulted in the emergence of patient dissatisfaction with the quality of services available at the Jemursari Islamic Hospital Pharmacy Installation in Surabaya. In relation to patient satisfaction and the quality of service at the Jemursari Islamic Hospital, there are still patients who are dissatisfied with the services of the Jemursari Islamic Hospital Pharmacy Installation staff. This study aims to analyze the relationship between waiting time and the attitude of the officer with patient satisfaction at the Jemursari Islamic Hospital Pharmacy Installation in Surabaya.
 Method: this study was an observational analytic study using aapproach cross sectional. The research locations were in Depo 1 Pharmacy Installation, Jemursari Islamic Hospital, Jl Jemursari no. 51-57, Jemur Wonosari, Wonocolo, Surabaya City, East Java. The research sample was 100 respondents using random sampling techniques. The data obtained were then analyzed using thetest chi square.
 Results: the results of the study showed that there was a significant relationship between service waiting time and the attitude of the officers in the service at the Pharmacy Installation with the level of satisfaction felt. Waiting time for services at Depo 1 Pharmacy is not in accordance with the Standard Minimum Procedure that has been determined.
 Conclusion: the waiting time and attitude of the officers have a significant relationship to patient satisfaction.

Efficiency Effort of Inpatient Service for BPJS-Health Participants with Lean Method at Surabaya Islamic Hospital

Hospital is required to provide effective and efficient health services in accordance with hospital service standards, including Surabaya Islamic Hospital. It actively carries out quality improvement services through managing the existing resources effectively and efficiently, evaluating and improving all installations, including inpatient service. This study aimed to perform efficiency effort of inpatient service for BPJS-Health participants at Surabaya Islamic Hospital, in the form of operational research. The samples were 30 inpatients of BPJS-Health participants. There were 8 waste found. Effort made to reduce the waste was by completing SIMRS with the data and information needed by the management for each work unit of inpatient service for BPJS-Health participants.

Determinant of Waste Causes in Outpatient and Inpatient Rooms of Surabaya Islamic Hospital

Determinant of Waste Causes in Outpatient and Inpatient Rooms of Surabaya Islamic Hospital

IDENTIFIKASI CASH RATIO RUMAH SAKIT ISLAM SURABAYA

Cash ratio is an indicator for measuring the ability of company to pay short-term liabilities by available cash. Cash performance ratio in Islamic Hospital Surabaya only reached 61%, it indicates that Islamic Hospital Surabaya lack of working capital in cash for operations. This study aimed to evaluate policy account receivables cycle through policy evaluation approach. This study was an observational descriptive study using cross sectional design during six months. Data collection through analysis of secondary data, interviews and focus group discussion. Sources of information include hospital management and several departement such as service, marketing or public relations, and finance. Increasing of ability by liquidity, profitability and avtivity ratio in 2011 to 2015. Hospital management need to improve commitment building and determine reward, punishment for implementation in every policies and to arrange planning for policy evaluation that it has implemented.

IDENTIFIKASI CASH RATIO RUMAH SAKIT ISLAM SURABAYA

Cash ratio is an indicator for measuring the ability of company to pay short-term liabilities by available cash. Cash performance ratio in Islamic Hospital Surabaya only reached 61%, it indicates that Islamic Hospital Surabaya lack of working capital in cash for operations. This study aimed to evaluate policy account receivables cycle through policy evaluation approach. This study was an observational descriptive study using cross sectional design during six months. Data collection through analysis of secondary data, interviews and focus group discussion. Sources of information include hospital management and several departement such as service, marketing or public relations, and finance. Increasing of ability by liquidity, profitability and avtivity ratio in 2011 to 2015. Hospital management need to improve commitment building and determine reward, punishment for implementation in every policies and to arrange planning for policy evaluation that it has implemented.

EFEKTIVITAS PENERAPAN PERENCANAAN PULANG DENGAN METODE TERSTRUKTUR TERHADAP KESIAPAN KELUARGA DALAM MEMBERIKAN MOBILISASI DINI PADA PASIEN CEREBRO VASKULER ATTACK DI RS. ISLAM SURABAYA

Discharge Planning in Surabaya Islamic Hospital done only when the patient will discharge in the form of discharge instructions. Providing health education to patients and families still incidental, which is given when the patient or his family have any question and it does not well prepared as a health education that suit with the patient's condition. This study uses quasy Experimental design, Control Group Pre Test – Post Test Design. Sample of this study are the family of stroke patients who were admitted in Surabaya Islamic Hospital with amount 30 respondents (15 respondents as treated group and 15 others as control group). Samples were taken by consecutive sampling technique. Statistically data analysis uses Mann Whitney test with a significance level 5% (0.05). Results of this study showed that the readiness of the treated group increased after a given structured discharge planning, from percentage value 0% to 53,33%. Results of statistically test by Mann Whitney got p value of readiness before and after giving structured discharge planning = 0.001 (p <0.05) means there is influence nursing in the treated group. Application of structured discharge planning increases readiness of families in caring for stroke patients in Surabaya Islamic Hospital. It is suggested in future studies to expand the study population and the discharge planning followed up until at home.

HUBUNGAN ANTARA LAMA HARI RAWAT DENGAN ANTRIAN MASUK RUMAH SAKIT PADA PASIEN BPJS DI RS. ISLAM JEMURSARI SURABAYA

Since January to December, visits BPJS patients in Jemursari Islamic hospital increased average of 241 patients per month. On 27 December 2014 have an survey with ten BPJS patiens who 80% must waiting for the room. The purpose of this research is to find out the relation of the inpatiets waiting list with the long of BPJS inpatient who was gived the treatment in Jemursari Islamic hospital Surabaya. The design is cross-sectional analytic probability sampling is simple random sampling . The population of inpatient in Islamic hospital Surabaya are 181 people, for sample are 73 BPJS patients hospitalized in Jemursari Islamic Hospital Surabaya , being 73 ALOS of BPJS patients secondary data taken from medical records. The independent variable is the long of stay with instument is the secondary data from medical record and the dependent variable of the queue inpatient with the research instrument using questioner. The results showed long of stay or BPJS patient ALOS majority (74.0 %) patients were not standardized , and almost all (85.0 %) BPJS patients queuing to enter the hospital. The Fisher's Exact Test statistical shows that p = 0,029 and p < a =0,05 means H0 is rejected, there is relationship long of stay with the queue BPJS patient in Jemursari islamic Hospital Surabaya The conclusion of this research is if the long of stay not standard with the queue of BPJS patient is getting more. Because of the reason, the hospital is expected to more optimalizing the long of stay of inpatient or give more bed.

KINERJA PERAWAT DALAM MEMBERIKAN ASUHAN KEPERAWATAN BERPENGARUH TERHADAP KEPUASAN PASIEN RAWAT INAP

The performance of nurses in providing nursing care is still considered unsatisfactory by the patient. The purpose of this study is to find out the relationship of the performance of nurses in providing nursing care with patient’s satisfaction in Multazam ward of Surabaya Islamic Hospital. Design of this studied Analytical survey. The population were all patients in Multazam ward of Surabaya Islamic Hospital with amount 85 person. Number of sample were 39 respondents, taken by simple random sampling. The independent variable is performance of nurses in providing nursing care, dependent variable is patient’s satisfaction. Instruments use questionnaires, data were processed by editing, coding, scoring, and tabulating, then analyzed by Chi-Square test with significant level α = 0.05. Study result showed most of respondents 39 (51.3%) the nurse had a poor performance, and most them (56,4%) the patients are not satisfied. Results of Chi-Square test analysis showed p (0.038) < α (0.05), so H0 is rejected means there is relationship of the performance of nurses in providing nursing care with patient’s satisfaction in Multazam ward of Surabaya Islamic Hospital. The conclusions of this study is the performance of nurses in providing nursing care influence to the patient satisfaction. Nurses should responsive to the complaints and expectations of patients due.

PEMAKAIAN JENIS BH (BREAST HOLDER) MEMPENGARUHI NYERI PUNGGUNG PADA IBU HAMIL DI POLI BKIA RUMAH SAKIT ISLAM SURABAYA

Back pain in pregnant women can disturb her daily activities, therfore she needs much more lying. Wearing a proper BH will help reducing a strain on the back. The purpose of this study is to determine the relationship using of the type of BH (Breast Holder) with back pain in pregnant women in Children and Maternity Department of Islamic Hospital Surabaya. Study design is analytic with cross sectional approach. Population were all pregnant women in trimester II and III by 52 person, the samples were 46 respondents taken by simple random sampling technique. Independent variables is using the types of BH (Breast Holder), the dependent variable is back pain. It’s instruments are observation and interviews, data then analyzed by Chi-Square test with significance level α = 0.05 when ρ <α so Ho is rejected it means there is a connection using the type of BH (Breast Holder) with back pain. The most part (67.4%) of respondents uses the reguler BH and the most part (65.2%) of respondents do have back pain. Chi-square test results obtained ρ = 0.000 <α = (0.05) Ho rejected, means there is a relationship the use of the type BH (Breast Holder) with back pain. Wearing BH (Breast Holder) gives influence in back pain. Maternity bra can reduce back pain during pregnancy. Hopefully the nurse spreads the educational information about the importance of wearing maternity bra to pregnant women.

Factors Affecting Unsafe Acts by the Nurse in the Inpatient Unit of Surabaya Islamic Hospital Based on Loss Causation Model

The nurses are a hospital medical worker who has a high risk of harm compared to all workers in all category. The data of workplace accident in Surabaya Islamic Hospital is the Needle Stick Injury (NSI) on the nursing staff. The occurrence of NSI on the nurses is four cases and all of them are in the inpatient care unit. That accident possibly because of the weak supervision on the implementation of occupational health and safety in that hospital, individual characteristic, the work stress factor experienced by the nurse, and also the task complexity performed by the nurse.