Experiências de práticas de cuidado farmacêutico para pessoas surdas: uma revisão integrativa da literatura

Educação no contexto da promoção e recuperação da saúde e prevenção de doenças é uma prática importante e contribui para a compreensão do paciente surdo sobre o seu processo de saúde-doença-cuidado. O objetivo dessa revisão é identificar experiências de inclusão envolvendo pessoas com surdez no âmbito das práticas de cuidados farmacêuticos. Para o desenvolvimento, considerou-se analisar as publicações indexadas de cinco bases de dados, LILACS, Web of Science, Scopus, Embase e Pubmed. As combinações dos descritores constituíram-se pelos operadores booleanos AND e OR: ((Deaf OR Deafness OR “Hearing loss” [All Fields]) AND (Pharmaceutical Services [All Fields] OR Pharmaceutical Care [All Fields])) e ((Deaf OR Deafness OR “Hearing loss” [All Fields]) AND (“Pharmaceutical Services” [All Fields] OR “Pharmaceutical Care” [All Fields])). Foram analisados os artigos nos idiomas inglês, português e espanhol, no período de janeiro de 2011 a setembro de 2021. Os resultados das buscas contemplaram estudos do tipo transversal, qualitativo e quali-quantitativo. Os achados apontaram lacunas no que tange às experiências de farmacêuticos e/ou alunos de graduação em Farmácia sobre educação em saúde para surdos, onze artigos destacam sobre os serviços farmacêuticos. A barreira linguística é um desafio, que necessita ser superado, para que o paciente surdo consiga adquirir informações necessárias sobre a utilização de medicamentos e educação em saúde. Podemos concluir que existem estudos relevantes sobre a oferta e promoção de cuidados farmacêuticos para pessoas surdas, sendo essas estabelecidas em diferentes cenários.

Identification of waste: DOWNTIME in the outpatient prescription services at the pharmacy installation of Rumah Sakit Islam Siti Hajar Mataram

Background: The hospital pharmacy installation is a health service unit that is required to provide professional services and improve quality which is oriented towards achieving patient satisfaction. Waste identification in pharmaceutical services is important because it has an impact on stakeholder satisfaction. Objective: Identifying waste using the DOWNTIME method for the outpatient prescription services at the pharmacy installation of Rumah Sakit Islam Siti Hajar Mataram. Methods: The study used the cross-sectional design, with the population being all outpatients who were provided with pharmaceutical services during February – April 2019 as well as all staff. Data were tabulated and analyzed descriptively. Critical waste was obtained through questionnaires and the root causes of critical waste were obtained through in-depth interviews with 5-why methods. Results: Waste waiting had the highest rate compared to other wastes, reaching 44% or 53 out of 121 respondents, followed by inventory (26%), extra processing (19%), transportation (14%), defects (14%), motion (13%), over production (8%), and non-utilized skills (7%). Meanwhile, from the staff respondents, waiting was also the highest waste (18%), followed by inventory (16%), motion (13%), over production (12%), transportation (12%), non-utilized skills (10%), extra processing (10%), and defects (9%). The root cause of waste waiting was the frequent drug unavailability due to delays in payment of services from the cooperating party to the hospital as well as the narrow service areas. Conclusion:Waste waiting became the critical waste with the highest percentage of dissatisfaction in the patient respondents (44%) and staff respondents (18%). Keywords: Waste, DOWNTIME, outpatient prescription services, pharmacy installation of RSI Siti Hajar Mataram

COMMUNITY HEALTH CENTRES AS THE PHARMACEUTICAL SERVICES SUPPORT SYSTEM IN HEALTHY INDONESIA PROGRAM: AN OBSERVATIONAL STUDY IN WEST JAVA INDONESIA

Objective: The Healthy Indonesia Programme with a family approach strategy was launched by the Indonesian government in 2015. Pharmaceutical service, including drug supply management and clinical pharmacy, is one of the essential components for the program implementation. This study was aimed to evaluate the pharmaceutical services support in the Healthy Indonesia Programme in West Java Indonesia. Methods: This was a cross-sectional study observed on pharmaceutical services under the family approach programme description. A self-completed questionnaire was distributed to 39 accredited community health centres (CHCs) in West Java, Indonesia. Several indicators of the Standard Pharmacy Services were assessed. Results: Thirty-nine CHCs were involved in this study. Most of the CHCs were accredited as intermediate (59%) and have applied good pharmaceuticals and consumables inventory management. The online system and more training will give room for improvement. A big gap was found in human resources number and competencies, impact on clinical pharmacy standard services including counselling services (23.1%) and home visit (7.7%). Conclusion: Applying an online system is needed to improve the inventory management system in CHCs. The quality of clinical pharmacy standard services in CHCs can be improved by fulfilling the minimum numbers and competencies of human resources.

PENERAPAN STANDAR PROSEDUR OPERASIONAL (SPO) PENERIMAAN DALAM MENJAGA KUALITAS MUTU SEDIAAN FARMASI DI APOTEK X

Standar Pelayanan Kefarmasian adalah tolak ukur yang dipergunakan sebagai pedoman bagi tenaga kefarmasian dalam menyelenggarakan pelayanan kefarmasian. Salah satu faktor yang mendukung adalah pengelolaan sediaan farmasi dan alat kesehatan yang mencakup bagian penerimaan. Penerimaan dalam perundang-undangan yang berlaku di Indonesia diatur dalam Peraturan Menteri Kesehatan Nomor 73 tahun 2016 tentang Standar Pelayanan Kefarmasian di Apotek. Penerimaan merupakan kegiatan untuk menjamin kesesuaian jenis, spesifikasi, jumlah, mutu, waktu penyerahan dan harga yang tertera dalam surat pesanan dengan kondisi fisik yang diterima. Penelitian ini bertujuan untuk mengetahui penerapan Standar Prosedur Operasional (SPO) di Apotek X telah sesuai dengan peraturan perundang-undangan. Jenis penelitian yang digunakan adalah observasional deskriptif dengan pendekatan kualitatif yang bertujuan untuk mendapatkan informasi yang lebih mendalam tentang penerimaan dilakukan di Apotek X. Standards of Pharmaceutical Services are benchmarks used as guidelines for pharmaceutical personnel in carrying out pharmaceutical services. One supporting factor is the management of pharmaceutical products, medical devices, and consumable medical materials that include the reception. Reception of pharmaceutical products has been regulated by Minister of Health Regulation Number 73 of 2016 concerning The Standards of Pharmaceutical Services at Pharmacy. Reception is an activity to ensure the suitability of type, specifications, quantity, quality, delivery time and price stated in the order letter with physical conditions received. This study aims to determine the application of Standard Operating Procedures (SOP) in Pharmacy X in accordance with statutory regulations. This type of research is a descriptive observational study with a qualitative approach that aims to get more in-depth information about acceptance conducted at Pharmacy X.

The Relationship of Pharmaceutical Service Quality with Outpatient Satisfaction in Internal Medicine Polyclinic

It is a direct and responsible service to patients in the pharmaceutical field, which aims to enhance the quality of life of patients by attaining certain goals. Satisfaction is a result of how people perceive their own and others' performances. The performance of the health services received by new patients will be pleased if it meets or surpasses their expectations, and patient disappointment or discontent will develop if the performance of the health services received does not meet their expectations. The purpose of this research was to find out whether there was a link between patient satisfaction at H. Adam Malik Hospital and the quality of the pharmaceutical services provided. Researchers at Medan's Haji Adam Malik Hospital used cross-sectional survey analysis to examine the link between the independent and dependent variables, namely, the quality of pharmaceutical services provided and patient satisfaction. Aromatherapy wind oil preparations using small white ginger essential oil (Zingiber officinale Roscoe) concentrations of 4%, 5%, and 6% meet the criteria, the organoleptic test is a light yellow, clear liquid, had a distinctive smell and felt warm, homogeneity, the wind oil pH test is 6, the irritation test was non-existent, and the hedonic test was successful. Outpatient satisfaction with pharmaceutical services at H. Adam Malik Hospital Medan was shown to be associated with the quality of pharmaceutical services, according to the study's findings.

The Quality of Pharmaceutical Services in the New Normal Era on Outpatient Loyalty at the Pharmacy Installation of the Daya General Hospital

Background: The quality of pharmaceutical services is an important factor in ensuring the quality of health services in hospitals. In this current era of the new normal, improving the quality of pharmaceutical services is closely related to patient satisfaction and loyalty. Objective: The purpose of this study was to examine and analyze the effect of pharmaceutical service quality on loyalty through mediating outpatient satisfaction at the Pharmacy Installation of Daya General Hospital. Method: This research was a quantitative study with an analytical observational study design. Respondents in this study were 120 outpatients at the Pharmacy Installation. The data analysis method used was univariate and bivariate analysis through the Statistical Package for the Social Sciences (SPSS) program and multivariate Structural Equation Modeling (SEM) with the AMOS program. Results: Satisfaction affected the loyalty of outpatients at the Pharmacy Installation. The most dominant indicator was feeling satisfied in the satisfaction variable, with a loading factor of 0.93. In the loyalty variable, the most dominant indicator was the loyalty aspect, with a loading factor of 0.41. The direct effect of pharmaceutical service quality on loyalty was 0.550, while the indirect effect mediated by patient satisfaction was 0.303. Conclusion: The direct effect was greater than the indirect effect of service quality on the loyalty of outpatients at Daya General Hospital.

Analysis of an Effect Quality Pharmaceutical Services on the Satisfaction of Patients in Royal Prima Public Hospital Medan

Based on a predecessor survey conducted by researchers of 30 outpatients at the Royal Prima Medan Hospital in July 2019, it showed that out of 30 patients, 23 patients expressed dissatisfaction with the quality of service and availability of drugs at the Pharmacy Installation of the Royal Prima Medan General Hospital. Where the patient's satisfaction states that there is still a lack of direct evidence (tangibles), reliability, responsiveness, assurance (assurance), empathy, hospitals and employees of outpatients at Royal Prima Hospital, Medan. This paper described Knowing the Analysis of the Effect of Pharmacy Service Quality on Outpatient Satisfaction at the Royal Prima Medan General Hospital in 2019. There is an effect of the quality of pharmaceutical services (appearance, reliability, responsiveness, assurance, and empathy) on outpatient satisfaction at Royal Prima Medan General Hospital. 2019. It is hoped that the pharmacy installation of the Royal Prima Medan General Hospital will improve the quality of services that are more optimal to achieve maximum patient satisfaction values. If the quality of pharmacy services at Royal Prima Medan General Hospital is improved, patient satisfaction will also increase. Keywords: Quality of Pharmacy Services and Patient Satisfaction.

Evaluasi Manajemen Pengelolaan Obatdi Instalasi Farmasi Rumah Sakit Tipe C Se-Kabupaten Tegal Tahun 2021

Drug logistics management plays an important role in improving pharmaceutical services in hospital pharmacy installations and is one of the aspects to determine the success of rational treatment programs in hospitals. This study aims to determine the implementation of pharmaceutical preparation service standards in accordance with the Technical Guidelines for Pharmaceutical Services Standards in Hospitals in 2019. The method used in this study is descriptive using a total sampling technique of 42 respondents with an average age of 26-35 years. who are female and male with the last education of the pharmacist profession. The results of the evaluation of this study are that the management of drug logistics in type C hospitals throughout Tegal Regency in the process of selecting, receiving, storing, distributing and controlling is appropriate (100%), planning needs according to (90.5%), destruction according to (97, 6%) and administration in accordance with (81%) Technical Guidelines for Pharmaceutical Services Standards in Hospitals in 2019Keywords: Management; Drug Logistics; Evaluation AbstrakManajemen pengelolaan logistic obat sangatlah berperan penting dalam meningkatkan pelayanan kefarmasian di Instalasi farmasi rumah sakit dan salah satu aspek untuk menentukan suksesnya program pengobatan secara rasional di Rumah Sakit. Penelitian ini bertujuan untuk mengetahui pelaksanaan standard pelayanan pengelolaan sediaan farmasi yang sesuai dengan Petunjuk Teknis Standar Pelayanan Kefarmasian Di Rumah Sakit Tahun 2019. Metode yang digunakan dalam penelitian ini bersifat deskriptif dengan menggunakan teknik total sampling sebanyak 42 responden dengan rata-rata berusia 26-35 tahun yang berjenis kelamin perempuan dan laki-laki dengan berpendidikan terakhir profesi apoteker. Hasil evaluasi dari penelitian ini bahwa pengelolaan logistic obat di rumah sakit tipe C se-Kabupaten Tegal dalam proses pemilihan, penerimaan, penyimpanan, pendistribusian dan pengendaliansesuai (100%), perencanaan kebutuhan sesuai (90,5%), pemusnahan sesuai (97,6%) dan administrasi sesuai (81%) Petunjuk Teknis Standar Pelayanan Kefarmasian di Rumah Sakit Tahun 2019.Kata kunci: Manajemen; Logistik Obat; Evaluasi

Evaluasi Pengelolaan Sediaan Farmasi dan Bahan Medis Habis Pakai Pada Puskesmas di Kabupaten Pekalongan Berdasarkan Petunjuk Teknis Standar Pelayanan kefarmasian di Puskesmas Tahun 2019

Management of pharmaceutical preparations is a series of activities involving aspects of planning, procurement, receipt, storage, distribution, destruction and withdrawal, control and administration of drugs that are managed optimally to ensure the achievement of determination of the amount and type of pharmaceutical supplies. The purpose of this study was to evaluate the management of pharmaceutical preparations and medical consumables in health centers in Pekalongan Regency based on the Technical Instructions for Pharmaceutical Services at Puskesmas in 2019. The method used in this study was a quantitative method with descriptive quantitative analysis using simple techniques. random sampling consisting of 30 respondents from pharmacy staff in 17 health centers in Pekalongan Regency who met the inclusion criteria. The research instrument used a questionnaire with univariate analysis. The results showed that the management of pharmaceutical preparations and medical consumables (BMHP) in the planning category was very good (100%), the procurement category was very good (76.7%), the acceptance category was very good (100%), the storage category was very good (100 %), very good category distribution (90%), very good withdrawal and annihilation category (100%), very good category control (93.3%) and very good category administration stage (100%). The conclusion of this study is that the implementation of the management of pharmaceutical preparations and medical consumables (BMHP) in district health centers is in accordance with the Technical Guidelines for Pharmaceutical Service Standards at Health Centers in 2019, therefore pharmaceutical staff in each health center must always improve pharmaceutical service standards in order to prosper. high public health.Keywords: Technical Guidelines; for Pharmaceutical Services; Public health center AbstrakPengelolaan sediaan farmasi merupakan suatu rangkaian kegiatan yang menyangkut aspek perencanaan, pengadaan, penerimaan, penyimpanan, pendistribusian, pemusnahan serta penarikan, pengendalian dan administrasi obat yang dikelola secara optimal untuk menjamin tercapainya ketetapan jumlah dan jenis perbekalan farmasi. Tujuan dari penelitian ini adalah untuk mengevaluasi pengelolaan sediaan farmasi dan bahan medis habis pakai di puskesmas yang ada di Kabupaten Pekalongan berdasarkan Petunjuk Teknis Pelayanan Kefarmasian di puskesmas tahun 2019. Metode yang digunakan dalam penelitian ini adalah metode kuantitatif yang bersifat deskriptif analisis kuantitatif dengan menggunakan teknik simple rundom sampling yaitu sejumlah 30 responden tenaga kefarmasian dalam 17 puskesmas di Kabupaten Pekalongan yang memenuhi kriteria inklusi. Instrumen penelitian ini menggunakan kuesioner dengan analisis univariat. Hasil penelitian menunjukan pengelolaan sediaan farmasi dan bahan medis habis pakai (BMHP) pada perencanaan kategori sangat baik (100%), pengadaan kategori sangat baik (76,7%), penerimaan kategori sangat baik (100%), penyimpanan kategori sangat baik (100%), pendistribusian kategori sangat baik (90%), penarikan dan pemusnahan kategori sangat baik (100%), pengendalian kategori sangat baik (93,3%) dan tahapan administrasi kategori sangat baik (100%). Kesimpulan pada penelitian ini bahwa pelaksanaan pengelolaan sediaan farmasi dan bahan medis habis pakai (BMHP) di puskesmas Kabupaten telah sesuai dengan Petunjuk Teknis Standar Pelayanan Kefarmasian di Puskesmas Tahun 2019, oleh karena itu tenaga kefarmasian di setiap puskesmas harus selalu meningkatkan standar pelayanan kefarmasian guna untuk mensejahterakan kesehatan masyarakat yang tinggi.Kata kunci: Petunjuk; Teknis; Pelayanan; Kefarmasian; Puskesmas