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Impact of work ability and motivation on health worker performance at Rantauprapat Primary Health Center T. Halomoan Dalimunthe; Ermi Girsang; Sri Lestari Ramadhani Nasution
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 2 (2026): September (in press)
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v5i2.8471

Background: Health development is a main pillar in improving the quality of life of the Indonesian population. Primary health centers (Puskesmas) serve as the frontline of health services. Health worker performance is influenced by multiple factors, including work ability and work motivation. This study aimed to analyze the effect of work ability and work motivation on the performance of health workers at the Rantauprapat City Primary Health Center. Method: This was an analytic survey with a cross-sectional design. The population comprised all health workers at the Rantauprapat City Primary Health Center, totaling 100 individuals. A total sampling method was used. Data were collected using structured questionnaires measuring work ability, work motivation, and performance. Univariate, bivariate (chi-square test, α=0.05), and multivariate (logistic regression) analyses were performed. Results: Most respondents were female (55.0%), aged >52 years (62.0%), and had junior high school education (37.0%). Work ability was rated as poor by 52.0%, work motivation as poor by 60.0%, and performance as good by 64.0%. Bivariate analysis showed significant associations between work ability and performance (p<0.001) and between work motivation and performance (p<0.001). Multivariate analysis identified work motivation as the dominant factor (OR=22.993; p<0.001), indicating that health workers with good motivation were nearly 23 times more likely to perform well compared to those with low motivation. Conclusion: Both work ability and work motivation significantly influence health worker performance, with motivation being the dominant factor. Health centers should allocate budgets for motivation enhancement programs, including performance-based incentives and workplace improvements.

The influence of supervision by the head of medical services and nurse performance on patient safety at Aek Kanopan Regional General Hospital Fitria Desiana Siregar; Ermi Girsang; Sri Lestari Ramadhani Nasution
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 1 (2026): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

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Background: Patient safety is a primary priority in healthcare services; however, adverse events persist and are often associated with nurse performance and weak supervision. This study aimed to analyze the influence of supervision by the Head of Medical Services and the performance of inpatient ward nurses on patient safety at Aek Kanopan Regional General Hospital, North Labuhanbatu Regency. Methods: This quantitative study employed a cross-sectional design. The study population comprised all 120 implementing nurses in the inpatient wards, who were also recruited as the total sample. Data were collected using a structured questionnaire measuring nurse perceptions of supervision, performance, and patient safety implementation. Data analysis included univariate and bivariate analyses using the Chi-Square test. Results: The majority of respondents rated supervision as good (84.2%), nurse performance as good (84.2%), and patient safety as good (84.2%). Bivariate analysis demonstrated a significant association between supervision and patient safety (p=0.000) and between nurse performance and patient safety (p=0.000). Conclusion: This study concludes that effective supervision by department heads and optimal nurse performance contribute significantly to improved patient safety. Hospital management is advised to strengthen supervisory capacity and invest in continuing professional development programs for nurses.

The relationship between coffee consumption habits and body mass index among medical students Christian Michael Oloan Sitompul; Ermi Girsang; Irza Haicha Pratama
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 1 (2026): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Background: Obesity is a growing global health concern with increasing prevalence among young adults. Coffee consumption, particularly among medical students experiencing high academic stress, may influence body mass index (BMI) through various metabolic mechanisms. However, the relationship between different types of coffee and BMI remains inconclusive. This study aimed to analyze the relationship between coffee consumption habits (frequency and type of coffee) and BMI among medical students at Universitas Prima. Methods: A quantitative study with a cross-sectional design was conducted in 2025. The sample comprised 87 medical students selected through simple random sampling from a population of 675 students. Data were collected using structured questionnaires assessing coffee consumption patterns (type and frequency) and self-reported weight and height for BMI calculation. BMI was classified according to WHO criteria: underweight (<18.5 kg/m²), normal (18.5-24.9 kg/m²), overweight (25-29.9 kg/m²), and obese (≥30 kg/m²). Coffee consumption was categorized by type (Americano vs. milk coffee) and frequency (1-2 times/week vs. >3 times/week). Data were analyzed using univariate and bivariate analyses with non-parametric tests. Results: Milk coffee was more popular than Americano among both male (72.1%) and female (89.6%) students. Among obese students, 100% consumed milk coffee, while underweight students showed the highest preference for Americano (37.5%). Students with normal BMI predominantly consumed coffee 1-2 times weekly (69.8%), while obese students showed higher consumption frequency (>3 times/week: 20%). Normality tests showed non-normal distribution of BMI data (p<0.001 for both coffee type and frequency). Bivariate analysis revealed no significant association between coffee type and BMI (p=0.220) or between consumption frequency and BMI (p=0.578). Conclusion: Coffee consumption habits, including type and frequency, were not significantly associated with BMI among medical students at Universitas Prima. BMI appears to be influenced by multiple interacting factors beyond coffee consumption alone. Further research with larger samples and consideration of confounding variables such as physical activity, dietary patterns, and sleep quality is warranted.

Profile of glibenclamide prescription services at pharmacies in Nagan Raya: A simulated patient study Zarini Zarini; Ermi Girsang
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 2 (2026): September (in press)
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v5i2.8488

Background: Prescription service in pharmacies involves two stages: prescription screening by pharmacists (administrative, pharmaceutical, and clinical requirements) and drug preparation (compounding, labeling, packaging, dispensing, drug information, counseling, and monitoring). The goal is to ensure that dispensed drugs are correct administratively, pharmaceutically, and clinically. This study aimed to investigate the profile of glibenclamide prescription services at pharmacies in Nagan Raya. Method: A descriptive study was conducted using a simulated patient method. Ninety pharmacies were selected by simple random sampling. The researcher acted as a patient's family member visiting pharmacies to obtain glibenclamide with a prescription. Four instruments (prescription, scenario, protocol, and checklist) were validated and tested for reliability. After each visit, the researcher recorded information obtained from pharmacy staff into the checklist. Results: Of 90 pharmacies, 85 (94.4%) had the prescribed drug available. Information asked from patients included: for whom the drug was intended (7.1%), patient address (18.8%), patient phone number (4.7%), information already given by the doctor (1.2%), previous use (2.4%), and whether the patient knew how to use the drug (1.2%). No pharmacy asked about patient age, symptoms, symptom duration, prior actions, therapy goals, other medications, or allergy history. On average, only 0.4 of 13 possible assessment questions were asked. Drug information provided included: frequency of use (64.7%), amount per use (30.6%), timing of use (15.3%), drug name (4.7%), indication (4.7%), total amount (2.4%), adverse effects (1.2%), and adverse effect symptoms (1.2%). On average, only 1.2 of 16 possible information items were provided. Labels were given by 65.9% of pharmacies. Conclusion: Pharmacy staff performance in glibenclamide prescription services was low across information gathering, drug information provision, and labeling. Improvement is urgently needed.

Factors associated with tuberculosis treatment dropout at primary health centers in Rantau Prapat City Nurbayani Ritonga; Ermi Girsang; Sri Lestari Ramadhani Nasution
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 2 (2026): September (in press)
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v5i2.8498

Background: Tuberculosis (TB) remains a major global public health challenge. Indonesia ranks second globally in TB burden, accounting for 10% of total cases. Treatment dropout is a significant barrier to TB control, contributing to drug resistance, relapse, and mortality. This study aimed to analyze factors associated with TB treatment dropout at primary health centers in Rantau Prapat City in 2026. Method: This analytic survey used a cross-sectional design. A total of 186 TB patients were selected using purposive sampling from five primary health centers in Rantau Prapat City. Data were collected through structured interviews using a validated questionnaire covering sociodemographic characteristics, alcohol consumption, medication adherence, family support as a treatment supervisor, and health worker support. Bivariate analysis used the Chi-square test, and multivariate analysis used logistic regression (α = 0.05). Results: The majority of respondents were aged 37–45 years (49.5%) and male (56.5%). Alcohol consumption was not significantly associated with dropout (p > 0.05). Significant associations were found between medication adherence and dropout (p < 0.001), family support and dropout (p < 0.001), and health worker support and dropout (p < 0.001). Multivariate analysis identified health worker support as the most dominant factor (OR = 32.88; p < 0.001), indicating that patients with high health worker support had substantially greater odds of treatment completion. Conclusion: Medication adherence, family support, and health worker support are significantly associated with TB treatment dropout. Health worker support was the most dominant factor. Strengthening patient education, family involvement, and health worker engagement is essential to reduce dropout rates.

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