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All Journal Buletin Kedokteran dan Kesehatan Prima
Sri Lestari Ramadhani Nasution
Department of Public Health, Universitas Prima Indonesia
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health

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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; Syahrul Ramadan Rambe; Billi Billi; Surya Dharma; Haryadi Haryadi; Denny Eka Praja; Charles Charles; Agus Pramono
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 2 (2026): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

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

Abstract

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.
Factors associated with tuberculosis treatment dropout at primary health centers in Rantau Prapat City Nurbayani Ritonga; Ermi Girsang; Sri Lestari Ramadhani Nasution; Dewi Purwanti; Ma'al Abror; Andrei Rizqan Akmal; Nina Adista Ambarwati; Meisya Melissa; Alzi Kardiasyah
Buletin Kedokteran & Kesehatan Prima Vol. 5 No. 2 (2026): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

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

Abstract

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.
Co-Authors Agus Pramono Alzi Kardiasyah Andrei Rizqan Akmal Billi Billi Charles Charles Denny Eka Praja Dewi Purwanti Ermi Girsang Fitria Desiana Siregar Haryadi Haryadi Ma'al Abror Meisya Melissa Nina Adista Ambarwati Nurbayani Ritonga Surya Dharma Syahrul Ramadan Rambe T. Halomoan Dalimunthe