Lampiran 1 (Ethical Clearance Penelitian)repository.unika.ac.id/17455/7/15.C2.0049 DR. LINDA ARTANTI...
Transcript of Lampiran 1 (Ethical Clearance Penelitian)repository.unika.ac.id/17455/7/15.C2.0049 DR. LINDA ARTANTI...
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Lampiran 1 (Ethical Clearance Penelitian)
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Lampiran 2 (Surat Pernyataan RSUD Tugurejo)
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Lampiran 3a (Surat Ijin Melakukan Penelitian dari RSUD Tugurejo)
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Lampiran 3b (Surat Ijin Melakukan Penelitian dari RS Bhayangkara)
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Lampiran 3c (Surat Ijin Melakukan Penelitian dari RS Columbia Asia)
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Lampiran 3d (Surat Ijin Melakukan Penelitian dari RS Panti Wilasa Dr. Cipto)
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Lampiran 4a (Surat Pengajuan Permohonan Ijin Penelitian ke RSUD Tugurejo)
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Lampiran 4b (Surat Pengajuan Permohonan Ijin Penelitian ke RS Bhayangkara)
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Lampiran 4c (Surat Pengajuan Permohonan Ijin Penelitian ke RS Columbia Asia)
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Lampiran 4d (Surat Pengajuan Permohonan Ijin Penelitian ke RS Panti Wilasa Dr.
Cipto)
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Lampiran 4e (Surat Pengajuan Permohonan Ijin Penelitian ke RS Panti Wilasa
Citarum)
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Lampiran 4f (Surat Pengajuan Permohonan Ijin Penelitian ke RS Ketileng)
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Lampiran 4g (Surat Pengajuan Permohonan Ijin Penelitian ke RSUP Dr. Kariadi)
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Lampiran 4h (Surat Pengajuan Permohonan Ijin Penelitian ke RS Bhakti Wira
Tamtama)
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Lampiran 4i (Surat Pengajuan Permohonan Ijin Penelitian ke RS Hermina
Pandanaran)
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Lampiran 4j (Surat Pengajuan Permohonan Ijin Penelitian ke RS Elisabeth)
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Lampiran 4k (Surat Pengajuan Permohonan Ijin Penelitian ke RS William Booth)
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Lampiran 5a (Struktur Organisasi RSUD Tugurejo)
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Lampiran 5b (Struktur Organisasi RS Bhayangkara)
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Lampiran 5c (Struktur Organisasi RS Panti Wilasa Dr. Cipto)
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Lampiran 5d (Struktur Pelayanan Gizi RSUD Tugurejo)
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Lampiran 5e (Struktur Pelayanan Gizi RS Bhayangkara)
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Lampiran 6a (Kebijakan Pelayanan Gizi di RSUD Tugurejo)
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Lampiran 6b (Kebijakan Pelayanan Gizi di RS Bhayangkara)
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Lampiran 6c (Kebijakan Pelayanan Gizi di RS Columbia Asia)
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Lampiran 6d (Kebijakan Pelayanan Gizi di RS Panti Wilasa Dr. Cipto)
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Lampiran 7a (Contoh SOP Pelayanan Gizi di RSUD Tugurejo)
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Lampiran 7b (Contoh SOP Pelayanan Gizi di RS Bhayangkara)
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Lampiran 7c (Contoh SOP Pelayanan Gizi di RS Panti Wilasa Dr. Cipto)
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Lampiran 8 (Informed Consent untuk Responden)
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Lampiran 9 (Lembar Kuesioner Penelitian)
LEMBAR KUESIONER
Nama :_______________________________________________
Jenis Kelamin :_______________________________________________
TTL :_______________________________________________
Alamat :_______________________________________________
No Telp./ HP :_______________________________________________
Pendidikan terakhir :_______________________________________________
Pekerjaan :_______________________________________________
Lama bekerja :_______________________________________________
Jawablah pertanyaan di bawah ini berdasarkan pengetahuan dan pengalaman
Bapak/ Ibu selama bekerja di RS dan sebaiknya diberikan penjelasan.
1) Bagaimana ketentuan mengenai kebijakan pelayanan gizi di RS ini?
__________________________________________________________________
__________________________________________________________________
2) Berapa jumlah kebijakan gizi yang ada di RS ini?
__________________________________________________________________
__________________________________________________________________
3) Bagaimana indikator mutu pelayanan gizi yang diterapkan?
__________________________________________________________________
__________________________________________________________________
4) Siapakah yang berperan dalam penyusunan kebijakan pelayanan gizi di RS ini?
__________________________________________________________________
__________________________________________________________________
5) Apakah kebijakan yang ada saat ini telah sesuai dengan panduan UU atau Peraturan
Menteri Kesehatan?
__________________________________________________________________
__________________________________________________________________
6) Apakah struktur organisasi, visi dan misi, serta tujuan pelayanan gizi di RS ini?
__________________________________________________________________
__________________________________________________________________
7) Bagaimana SPO pelayanan gizi yang diterapkan?
__________________________________________________________________
__________________________________________________________________
8) Bagaimana pelaksanaan kebijakan tersebut apakah telah sesuai dengan tujuan awal
yang direncanakan oleh RS?
__________________________________________________________________
__________________________________________________________________
9) Siapa saja yang wajib ikut serta dalam pelaksanaan kebijakan gizi tersebut?
__________________________________________________________________
__________________________________________________________________
10) Berapa lama kebijakan gizi tersebut telah diterapkan?
__________________________________________________________________
__________________________________________________________________
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11) Bagaimana pemantauan pelaksanaan kebijakan pelayanan gizi yang telah ditetapkan
di RS ini?
__________________________________________________________________
__________________________________________________________________
12) Bagaimana koordinasi dan alur penerapan kebijakan pelayanan gizi?
__________________________________________________________________
__________________________________________________________________
13) Apakah kebijakan gizi diperlukan dalam pelayanan RS? Beri alasannya.
__________________________________________________________________
__________________________________________________________________
14) Bagaimana peranan pelayanan gizi untuk keberhasilan perawatan pasien?
__________________________________________________________________
__________________________________________________________________
15) Jika pasien tidak mendapatkan makanan di RS, apakah hal tersebut termasuk
pelanggaran kebijakan?
__________________________________________________________________
__________________________________________________________________
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LEMBAR KUESIONER
Nama :_______________________________________________
Jenis Kelamin :_______________________________________________
TTL :_______________________________________________
Alamat :_______________________________________________
No Telp./ HP :_______________________________________________
Pendidikan terakhir :_______________________________________________
Pekerjaan :_______________________________________________
Lama bekerja :_______________________________________________
Jawablah pertanyaan di bawah ini berdasarkan pengetahuan dan pengalaman
Bapak/ Ibu selama bekerja di RS dan sebaiknya diberikan penjelasan.
1. Apakah penerapan pelayanan gizi sudah sesuai dengan kebijakan gizi yang ada di RS
ini?
___________________________________________________________________
___________________________________________________________________
2. Apakah peranan Anda dalam pelayanan gizi di RS ini?
___________________________________________________________________
___________________________________________________________________
3. Sejauh mana wewenang Anda dalam pelayanan gizi di RS ini?
___________________________________________________________________
___________________________________________________________________
4. Apakah kendala yang ada dalam pelayanan gizi yang dilaksanakan? Bagaimana
Anda mengatasinya?
___________________________________________________________________
_________________________________________________________
5. Siapa yang merencanakan anggaran belanja dan kebutuhan bahan makanan?
___________________________________________________________________
___________________________________________________________________
6. Bagaimana mengantisipasi agar pengeluaran tidak melebihi anggaran yang
ditetapkan?
___________________________________________________________________
___________________________________________________________________
7. Apakah dasar yang digunakan untuk perencanaan bahan makanan?
___________________________________________________________________
___________________________________________________________________
8. Apa saja faktor-faktor yang perlu diperhatikan dalam perencanaan anggaran belanja
dan pembelian kebutuhan bahan makanan?
___________________________________________________________________
___________________________________________________________________
9. Berapa jumlah ahli gizi yang turun langsung ke lapangan untuk melaksanakan
pelayanan gizi? Bagaimana pengelompokkannya?
___________________________________________________________________
___________________________________________________________________
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10. Bagaimana sistem pencatatan dan pelaporan pelayanan dan edukasi gizi yang telah
dilakukan?
___________________________________________________________________
___________________________________________________________________
11. Kapan dan ditujukan kepada siapa penerima laporan pelayanan gizi di RS?
___________________________________________________________________
___________________________________________________________________
12. Siapa saja yang bertugas melakukan pencatatan dan pelaporan?
___________________________________________________________________
___________________________________________________________________
13. Siapa yang bertanggung jawab dalam pembelian dan penerimaan bahan makanan?
___________________________________________________________________
___________________________________________________________________
14. Bagaimana sarana dan prasarana yang digunakan untuk menunjang pelayanan gizi?
Siapa yang menentukan fasilitas yang ada?
___________________________________________________________________
___________________________________________________________________
15. Siapa yang melakukan perencanaan menu makanan pasien?
___________________________________________________________________
___________________________________________________________________
16. Faktor-faktor yang perlu diperhatikan dalam perencanaan menu?
___________________________________________________________________
___________________________________________________________________
17. Berapa siklus menu yang digunakan dan kapan rotasinya?
___________________________________________________________________
___________________________________________________________________
18. Apakah ada standar porsi untuk setiap pasien?
___________________________________________________________________
___________________________________________________________________
19. Bagaimana evaluasi menu makanan yang telah diterapkan?
___________________________________________________________________
___________________________________________________________________
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LEMBAR KUESIONER
Nama :_______________________________________________
Jenis Kelamin :_______________________________________________
TTL :_______________________________________________
Alamat :_______________________________________________
No Telp./ HP :_______________________________________________
Pendidikan terakhir :_______________________________________________
Pekerjaan :_______________________________________________
Lama bekerja :_______________________________________________
Jawablah pertanyaan di bawah ini berdasarkan pengetahuan dan pengalaman
Bapak/ Ibu selama bekerja di RS dan sebaiknya diberikan penjelasan.
1. Bagaimana alur pelayanan gizi agar makanan dapat sampai ke pasien?
___________________________________________________________________
___________________________________________________________________
2. Apakah ada kendala atau kesulitan dalam pelaksanaan pelayanan gizi?
___________________________________________________________________
___________________________________________________________________
3. Apakah peraturan yang diterapkan saat ini sudah dianggap efektif?
___________________________________________________________________
___________________________________________________________________
4. Siapa yang bertugas mempersiapkan dan mengolah bahan makanan?
___________________________________________________________________
___________________________________________________________________
5. Bagaimana saran dan prasarana yang dimiliki untuk menunjang pelayanan gizi di RS
ini?
___________________________________________________________________
___________________________________________________________________
6. Siapa yang mempersiapkan dan mengolah bahan makanan?
___________________________________________________________________
___________________________________________________________________
7. Bagaimana pengawasan yang diterapkan oleh atasan dalam pelayanan gizi?
___________________________________________________________________
___________________________________________________________________
8. Siapa yang bertugas mendistribusikan makanan hingga sampai ke pasien?
___________________________________________________________________
___________________________________________________________________
9. Bagaimana cara distribusi makanan yang diterapkan?
___________________________________________________________________
___________________________________________________________________
10. Kapan waktu pendistribusian makanan?
___________________________________________________________________
___________________________________________________________________
11. Bagaimana pencatatan dan pelaporan untuk pelayanan gizi yang diterapkan?
___________________________________________________________________
___________________________________________________________________
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LEMBAR KUESIONER
Nama :_______________________________________________
Jenis Kelamin :_______________________________________________
TTL :_______________________________________________
Alamat :_______________________________________________
No Telp./ HP :_______________________________________________
Pendidikan :_______________________________________________
Pekerjaan :_______________________________________________
Lama dirawat :_______________________________________________
Pertanyaan
1. Bagaimana pendapat Anda tentang pelayanan gizi di RS ini?
______________________________________________________________
______________________________________________________________
2. Bagaimana prosedur pemberian makanan yang dijelaskan tim gizi di RS ini
kepada Anda?
______________________________________________________________
______________________________________________________________
3. Apakah Anda diberikan edukasi atau penjelasan mengenai makanan yang akan
diberikan selama perawatan?
______________________________________________________________
______________________________________________________________
4. Bagaimana cara menyampaikan keluhan jika makanan yang disediakan tidak
sesuai dengan selera Anda?
______________________________________________________________
______________________________________________________________
5. Bagaimana manfaat pelayanan gizi yang telah dilakukan selama Anda dirawat?
Apakah membantu atau menghambat proses penyembuhan?
______________________________________________________________
______________________________________________________________
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Lampiran 10 (Contoh Lembar Kuesioner Pasien yang telah diisi)
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Lampiran 11 (Flyer Maklumat Pelayanan di RSUD Tugurejo)
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Lampiran 12 (Form Scan Plagiasi Perpustakaan)