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The Knowledge and Attitude of the Health Workers of the Pidie Jaya Regional Public Hospital
and their Relationships withPreparedness in Facing Flood Risks
Abstract : Preparedness in facing flood risk requires health workers to acquire vast knowledge and
good attitude. However, the contrary can be found in the Regional Public Hospital of Pidie Jaya, where
the health workers are still not fully prepared to face disasters. The purpose of this research was to
discover the relationship between the knowledge and attitude of the health workers of the Pidie Jaya
Regional Public Hospital and preparedness in facing flood risks in Pidie Jaya Regency. The study was
conducted using the quantitative analysis method. The research was conducted in September 2015 at
the Pidie Jaya Regional Public Hospital. The sample used in this research was thirty health workers,
consisting of 11 men and 19 women who represented the Intensive Care (IC), inpatient, and polyclinic
units. The research results indicated that 60% of the health workers possess good knowledge, 56,7%
possess good attitude and 53,3% displayedunpreparedness.Conclusion of these findings were: (1) there
was a significant relationship between the health workers knowledge and preparedness in facing
disaster risks, as the statistical test indicated a p-value of 0,011 (H0 is rejected if p<0,05), and (2) there
was a significant relationship between the health workers attitudes and preparedness in facing disaster
risks,as the statistical test indicated a p-value of 0,004 (H0 is rejected if p<0,05).
INTRODUCTION
Flood occurs during almost every rainy Pidie Jaya suffer from floods, which
season in Indonesia, whether caused by natural thengeneratesecondary impacts to hospitals,
factors or human actions. As of the time of the such as the huge surge of flood victims seeking
writing, Indonesia ranks 6thout of 163 flood risk help from health workers.
countries (Price, 2008 in Dodon, 2013). Based Based on the authors observation
on the data published by the National Disaster during a flash flood disaster which happened in
Management Authority (2014), throughout Pidie Jaya in 2010, the health workers of the
2014, Indonesia suffered 86 floods, causing Pidie Jaya Regional Public Hospital seemed to
142.823 deaths and injuries, 59.587 damaged be in a combination of confusion and chaos.
and submerged houses, as well as damages to Most health workers went home at once to find
20 worship, 10 education, and 9 health news about their families, while others received
facilities. a direct instruction from the Regent of Pidie
Floods can be caused by Jaya through the agency head to form a health
numerousfactors. In Aceh Province, much of it command post in the Regents Residence. Both
is caused by deforestation. Building of lead to a disruption in the hospitals services.
provincial roads, opening of new farmlands and At the time of the disaster, there were
illegal loggingshave caused a large scale forest only about five health workers who stayed
conversion at UluMasen forest area, which behind in the Intensive Care Unit. However,
covers 738.000 hectares of land. This forest they were in a state of panic during the
area includes the highlands of Aceh Besar, treatment of the endless stream of flood
Aceh Jaya, Aceh Barat, Pidie, andPidie Jaya victims. This indicates their unpreparedness in
Regencies, as well as the borders ofBireun. In facing disasters. Interviews with several health
2008, 179 new roads were opened in the forest workers revealedthat they were never given
area, 105 illegal logging locations were found training in emergency management. Based on
and 112 locations were converted into the aforementioned issues, this research entitled
farmlands (Fauna and Flora International, The Knowledge and Attitude of the Health
2011). Workers of the Pidie Jaya Regional Public
In the regency of Pidie Jaya, illegal Hospital and Preparedness in Facing Flood
loggingswhich took place in Risk was conducted.
UluMasenforestaffected the water discharge
of Meureudu River during the rainy seasons, LITERATURE REVIEW
instigating flood in almost every year to the Hospital and Flood
regency: 2010, 2011, 2012 and 2014. Jaji and Kirno (2002) stated that hospitals
According to a study by Azmeryet al (2009), function as the main resource for the handling
Meureudu River is categorized as a majorly and treating of flood afflicted victims.An
troubled and flood prone river, thus during indirect disaster impact occurs to a hospital if it
rainy seasons, the river is unable to contain its resides near a disaster area and is not afflicted
water discharge. As a result, several parts of by flood.In such situation, the hospitalmust take
in victims of the disaster. It must also provide 3. A new disaster commando structure is not
assistances in the form of health workers, drugs necessary. The available hospital structure
and medicine and logistics. The hospital can is adequate enough to be made into a
also send health teamsto disaster areas to disaster preparedness structure, as building
provide medical care and support public health a new one will be inefficient. If the
experts in handling infectious diseases, water available structure is used, the hospital
supplies and sanitations. director will be able to directly lead and
Kodoatie and Sugiyanto (2002) asserted instruct required and appropriate actions.
that because of the close relationship between a 4. Preparing strong and sturdy infrastructures.
disaster and hospital, a hospital must be perfect In some countries, especially Japan, the
in itsbuilding structure, human resources and sturdiest buildings are schools and hospitals.
management. Considering the significant role 5. Preparing trained staffs. The hospital staffs
of a hospital, every acting officer of the must be given periodical training and ability
hospital must create scenarios and development in order to prevent massive
responsibilities to prepare an action plan that loss of victims.
could happen in its area. There are seven 6. Compiling a perfect disaster response
important points that must be observed by the procedure at the hospital. This is important
acting officers that can affect the hospitals because the procedure must be followed and
capability to respond to a possible heavy implemented by the hospital staffs.
casualty disaster: 7. Preparing a hospital function-based disaster
1. The hospitals ability to provide extra planning.
spaces to respond to hugespikes of demands Kodoatie and Sugiyanto (2002) added that
in order tohandle and treat patients.In other for the last point, the acting officers must
words, if a disaster with heavy casualties realize that during a flood, the hospitals
were to happen, the victims would require necessities will be depending on two factors:
immediate and simultaneous internal, consisting of human resources and
assistance.However, at the same time, the hospital facilities; and external, such as
ICU is unable to accommodate every electricity, water and fuel.If the aforementioned
patient. In this case, temporary spaces infrastructures and necessities were to be
such as general and specialist clinics destroyed by a flood, the hospital may be
needs to be prepared. If these extra spaces paralyzed, thus unable to carry out its function.
could still not accommodate the patients,
other temporary and makeshift spaces, as Knowledge
well as the parking lot, must be prepared According to Notoadmojo (2012),
and used. knowledge is the result of the sensing of a
2. Drugs and supply must be prepared. A large particular object. Knowledge is a source
amount of victims will also require a great whichgrounds a persons action. With sufficient
amount of drugs and medical devices. The knowledge, one is able to perform an action or
hospital must purchase and borrow to fulfill solve a problem that he faces. As such, every
the surge of demandfor these items.
man must increase his knowledge, making it occupation, age, hobby, experience,
the foundation for his actions. environment culture and information.
Yavaet al (2013) claimed that health A further research done by Bradford et al
workers who possess bachelors, masters or (2012) in Thiekenet al (2014) stated that flood
higher degrees have statistically significant experiences significantly affect the knowledge
knowledge over those who only possess high of flood victims. This will result in an easier
school degrees. Similarly, health workers who implementation of specific information
have taken pain management postgraduate regarding the necessary steps to take during a
program have statistically significant flood. Therefore, it could be concluded that the
knowledge over those who did not; those who health workers sufficient knowledge on flood
have read books or papers on his field of will make them more prepared to face such
expertise also have significantly higher disasters and to handle a ceaseless stream of
knowledge scores compared to those who did victims at the hospital. The health workers
not. preparedness depends on how well they
Dodon (2013) asserted that knowledge on understand about flood preparedness.
disasters is the main reason for someone to
perform protection actions or preparedness Attitude
efforts. The possessed knowledge influences a Chaiklin (2011) explained that attitude is
health workers attitude and care so as to be a mental position relating to a fact, condition,
ready and prepared in anticipating a disaster. feeling or emotion towards a certain fact or
The knowledge and attitude indicators consist condition.Sarwono (2012) added that attitude
of knowledge on disasters and its causes and can also be defined as a tendency to response
symptoms, as well as understanding the (positively or negatively) to a person, object or
required actions during a flood. A communitys particular situation. Attitude contains an
knowledge and attitude towards a disaster can emotional or affective evaluation (happiness,
be seen by their understanding of appropriate hatefulness, sadness, etc.) in addition to
preparedness actions during a disaster. cognitive component (knowledge on the
In their research,Firmansyahet al subject) and conative aspect (the tendency to
(2014)discovered a strong and positive act). A persons attitude can change after he
relationship between knowledge and flood and received new information on a certain object
landslide preparedness behaviors. In other through persuasion and social peer pressure.
words, the increase of knowledge will Firmansyahet al (2014)asserted that
subsequently improve preparedness behaviors. attitude is a determining factor of a behavior as
The research indicatedthat knowledge is a it is related to perception, personality and
product of the five senses, or ones ability to motivation. Attitude is defined as mental
understand an object through his senses, preparedness, which is learned and organized
comprising of senses of sight, hearing, smell, through experience. It has certain influences on
taste and touch. There are several factors that howa person responds to another person,
influence knowledge, such as education, object, and situation relating to himself. An
attitude can be positive or negative. Positive
4- Volume , No. 2015
Jurnal Ilmu Kebencanaan
Pascasarjana Universitas Syiah Kuala
x
x Description:
E
n
Description: X 2 = Chi Square
O = Observed value
x = Mean score E = Expected value
b. Dependent Variable
1. Howas rejected if p. Value <0.05
Univariate analysis was performed to clarify
2. Hawas accepted if p. Value 0.05
the work discipline related factors variable in
an ordinal scale, namely: Only a 2x2 contigency table was used in this
research. Data processing was done using SPSS
1. Categorized as disciplined, if x > x
version 17.0. Sabri and Hastono (2006)
2. Categorized as undisciplined, if x x
elaborated several guidelines regarding the chi-
The categorized results were then square test in the SPSS program:
tabulated into a frequency distribution table
1. If an e (expected) value of less than 5 is
with the respective percentage value of each
found in a 2x2 table, Fishers exact test
category, calculated using the following
should be used.
formula:
2. If there is no e < 5 value in a 2x2 table, the
fi continuity test should be used.
P= x100%
n
3. If the table is larger than 2x2, for example
Description:
3x2, Pearsons chi square should be used.
P = Percentage
fi = Observed frequency
RESEARCH RESULTS AND DISCUSSIONS
n = Number of respondents who turn into
sample Univariate Analysis
Health Workers Knowledge
The responses given by the respondents
on the health workers knowledge variable can
be seen in Figure 1.
on the health workers attitude variable can be an appropriate step to prepare the hospital and
seen in Figure 2. all its personnel to face the annual flood. This is
in conformity with the conclusions of
Wulandari (2014), who exclaimed the
80
importance of disaster area simulation and
60
40
scenario development, with support from
56,7% Good Poor
0
by taking secondary disasters and area capacity
Good Poor
into consideration.
papers, and obtained information from mass respondents, 12 (70,6%) of them had good
and electronic media, achieved significantly attitude and were prepared to face flood risks.
higher scores compared to those who did not. The statistical test resulted in a p-value of 0,004
These results also indicated that the (p < 0,05), which means that Ho was rejected
work unit group affected their responses to the that there was a significant relationship
statements given by the researcher. Health between the health workers attitude and
workers who work in the Intensive Care Unit preparedness to face flood disaster risks.
(ICU) had more sufficient knowledge than This conclusion is also in agreement with
others. This is because their main the findings of Yavaet al (2013), who stated
responsibilities and functions directly connect that there were differences inresults between
to emergency/critical actions. This differs with health workers of different units. ICU workers
achieved higher scores compared to those Pidie Jaya Regional Public Hospital and
working in other units. preparedness to face flood risks.
Attitude is a behavior determining factor 2. There was a significant relationship between
as it is connected closely to perception, the attitudes of thehealth workers of the
personality, and motivation. Attitude is defined Pidie Jaya Regional Public Hospital and
as mental preparedness, which is learned and preparedness to face flood risks.
organized through experiences. It holds an 3. 18 health workers, representing 60% of the
influence over how a person responds to sample, had sufficient knowledge on floods,
another person, object, and situation relating 56,7% or 17 health workers had good
tohim. An attitude can be both positive and attitude on floods, and 53,3% or 16 health
negative. Positive attitude can be identifiedwith workers were unprepared to face flood
an inclination to approach, like, or hope for a risks.
certain object, while negative attitude with an
inclination to avoid, dislike, and loathe a Suggestions
certain object (Firmansyah et al, 2014). There are several suggestions that can be
The attitudes of the Pidie Jaya Regional given based on the results above:
Public Hospital health workers are closely 1. The health workers of Pidie Jaya Regional
linked to coping behavior, which Public Hospital need to read and participate
psychologically can reduce dynamic pressure. in trainingswhether conducted by the
Behaviors in which an individual interact with government or private sectorsmore in
his surroundings with the purpose of solving an order to improve their preparedness.
issue or problem, such as: preparing an 2. The Pidie Jaya Regional Public Hospital
evacuation location in a hospital, providing needs to add more disaster workshops,
necessary medicines and medical devices, and trainings, and simulations periodically, at
training and preparing skillful health workers least three times a year to improve its health
who can respond quickly to handle the workers preparedness.
ceaseless stream of flood victims coming to the 3. The government must pursue further efforts
hospital. However, in reality, the health in increasing the preparedness of health
workers of the Pidie Jaya Regional Public workers. This can be done through the
Hospital still have poor attitudes in addressing development of regulations and programs,
annual flood risks. This is caused by the lack of as well as through funding and developing
coping behavior trainingthat is given to the of disaster preparedness institutions and
health workers. organizations.
3. Further researches to perfect the authors
CONCLUSIONS AND SUGGESTIONS findings are necessary. It can be done by
Conclusions adding more sub-variables, such as mental
There are several conclusions that can be and non-mental attitudes, to perfect the
drawn from the results above. Among them are: results of this research.
1. There was a significant relationship between
the knowledge of thehealth workers of the
10- Volume , No. 2015
Jurnal Ilmu Kebencanaan
Pascasarjana Universitas Syiah Kuala