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All Journal Jurnal Kesehatan Komunitas Jurnal Keperawatan dan Fisioterapi (JKF) JURNAL KEBIDANAN KESTRA (JKK) Jurnal Kesmas dan Gizi (JKG) Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Masyarakat Madani Indonesia Jurnal Pengmas Kestra (JPK) Jurnal Akademika Baiturrahim Jambi
Karokaro, Tati Murni
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Humanities Computer Science & IT Education Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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The Effect of Implementing an Electronic Medical Record (EMR) System on Patient Data Management at the Outpatient Clinic of Rumkit Tk. IV 01.07.02 Binjai in 2025 Anna Ivra Soleliza Jones; Felix Kasim; Tati Murni Karokaro
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/1h37da70

Abstract

The Electronic Medical Record (EMR) system is a crucial component in improving the quality of healthcare services through fast, accurate, and integrated patient data recording. The Outpatient Clinic of Rumkit Tk. IV 01.07.02 Binjai has fully implemented the EMR system; however, its implementation still faces several challenges, including limited computer devices, network disruptions, unstable electricity, and variations in users’ ability to operate the system, which may affect the effectiveness of patient data management. This study aims to analyze the effect of EMR implementation on patient data management, including time efficiency, data accuracy, cost savings, and healthcare workers’ satisfaction. This research employed a quantitative approach with a descriptive-analytic design, involving a sample of 38 healthcare workers representing the total population of EMR users. Data were collected using a Likert-scale questionnaire that had been tested for validity and reliability, supported by observation. Data analysis was conducted using univariate analysis, bivariate analysis with the chi-square test, and multivariate analysis using multiple linear regression. The results showed that EMR implementation was significantly associated with time efficiency, data accuracy, cost savings, and healthcare workers’ satisfaction (p < 0.05). Regression analysis indicated that data accuracy and time efficiency were the most dominant variables contributing to improved patient data management. It can be concluded that the implementation of the EMR system has a significant effect on patient data management at the Outpatient Clinic of Rumkit Tk. IV 01.07.02 Binjai. Therefore, improvements in technological infrastructure, routine training, and handling of technical obstacles are needed to optimize EMR utilization and maximize its impact on healthcare service quality.
The Influence of Emergency Service Management Policies on Response Time and Service Quality at RSUD Bangun Purba, Deli Serdang Regency, in 2026 Rieska Ariza; Rahmad Gurusinga; Tati Murni Karokaro
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/xgr2w111

Abstract

Emergency services represent the frontline of hospital care and require optimal response time and high-quality service delivery, with response time and service quality serving as key performance indicators. The achievement of these indicators is strongly influenced by the implementation of effective emergency service management policies. This study aimed to analyze the effect of emergency service management policies on response time and service quality at Bangun Purba Regional General Hospital, Deli Serdang Regency, in 2025. This study employed a quantitative analytical design, with the study population consisting of patients and/or patients’ families who received services at the Emergency Department of Bangun Purba Regional General Hospital. Data were collected through questionnaires and observation, and analyzed using univariate analysis to describe the distribution of study variables and bivariate analysis to examine the relationships between variables. The univariate analysis indicated that emergency service management policies were generally perceived as moderate to good, while response time performance had not fully met the minimum service standards. Bivariate analysis revealed a statistically significant relationship between emergency service management policies and response time (p < 0.05), as well as between management policies and service quality (p < 0.05). Response time was also significantly associated with service quality (p < 0.05), indicating that faster response time was associated with better perceived service quality. In conclusion, emergency service management policies play a crucial role in improving response time and service quality in the emergency department, highlighting the need for strengthened policy implementation, improved adherence to standard operating procedures, and continuous evaluation to enhance service quality and patient safety.
Analysis of Minimum Service Standards on General Patients’ Revisit Intention at the Outpatient Department of RS Grandmed Lubuk Pakam in 2026. Putri Maharani; Ramadhani Sitepu; Tati Murni Karokaro
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/chtfx419

Abstract

This research aimed to examine the influence of Minimum Service Standards (MSS), which include human resources, facilities and infrastructure, management and governance, and budget, on the revisit intention of general outpatients at RS Grandmed Lubuk Pakam in 2026. The study applied a quantitative method using a cross-sectional design. The population consisted of all general patients who had made repeat visits, with a sample of 95 respondents selected through purposive sampling. Data were gathered using structured questionnaires and analyzed through the Chi-square test for bivariate analysis and multiple logistic regression for multivariate analysis. The results of the univariate analysis indicated that most respondents considered human resources (75.8%), facilities and infrastructure (80.0%), management and governance (60.0%), and budget (71.6%) to be in poor condition. In addition, the majority of respondents showed a low level of revisit intention (54.7%). The bivariate analysis demonstrated significant associations between human resources (p=0.006), management and governance (p=0.017), and budget (p=0.007) with revisit intention. Meanwhile, facilities and infrastructure did not show a significant relationship with revisit intention (p=0.081). The multivariate analysis revealed that human resources had a significant impact on revisit intention (p=0.041), whereas management and governance and budget variables were not statistically significant. In summary, human resources were identified as the most influential factor affecting revisit intention among general outpatients. Therefore, efforts to improve staff competence, professionalism, and service attitudes should be prioritized in order to strengthen patient loyalty and promote repeat visits.
The Effect of Modern Dressing Moist Wound Healing Technique on the Wound Healing Process in Diabetic Ulcer Patients Tati Murni Karokaro; Abdi Lestari Sitepu; Fredy Kalvind Tarigan; Dray Kelvin Pandiangan
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v7i2.2646

Abstract

Background: The main goal in treating diabetic ulcers is to achieve optimal wound healing. So far, many people assume that wounds can heal quickly due to the drying process. However, in fact, a balanced moist environment in the wound actually supports the growth of new cells. Therefore, a wound care method based on the principle of moisture, or known as moist wound healing, is the main key in modern dressing. Moist wound healing is maintaining a moist wound environment using a moisture-retaining dressing. Objective: The aim is to determine the effect of modern moist wound healing dressing on the wound healing process in diabetic ulcers in the inpatient room 4 in front of Grandmed Hospital Lubuk Pakam. Method: The research design used was a Quasy Experiment using a Pretest posttest One Group Design research design with 37 patients as respondents using the Slovin formula. Results: The average value of diabetic ulcer condition in patients before and after Modern Dressing with Moist Wound Healing technique was obtained, namely 601 with a Standard Deviation of 1,163, with the results of the simple Paired T-Test obtained ? 0.05) obtained P value 004 where P value 0.05, then there is an average difference. This means that there is a difference in wound condition in diabetic ulcer patients before and after modern dressing with moist wound healing technique. Conclusion: The modern dressing technique with the principle of moist wound healing aims to maintain wound moisture in the ulcer healing process. Increased exudate production is a natural part of the inflammatory phase in the wound healing process. Based on the results of the research observation, it shows that before Modern Dressing with Moist Wound Healing Technique was carried out, the Mean value was obtained on the sixth day of treatment of 40.30 with a Standard Deviation of 3.302. Meanwhile, after the Modern Dressing Moist Wound Healing technique was carried out, the Mean value obtained on the sixth day of treatment was 31.90 with a Standard Deviation of 2.601, so it is recommended that nurses use the Modern Dressing Moist Healing technique for the wound healing process when treating wounds.
The  Relationship Between Nurse Response Time In Treating Open Fractur Patients And The Risk Of Hypovolemic Shock In The Emergency Room Of Grandmed Hospital Lubuk Pakam Tati Murni Karokaro; Amy Vivi Insani Alja
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 1 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/kxsgpw35

Abstract

Introduction:Open fractures are bone injuries involving skin disruption, leading to direct bone exposure and a high risk of contamination. Emergency care reports indicate that around 50% of trauma patients die en route to the hospital, 35% due to severe injuries. Timely nursing response is crucial in early emergency management, especially in open fractures. This study aimed to assess the association between nurses' response time and the risk of hypovolemic shock in patients with open fractures. Methods:A descriptive correlational study was conducted from September to October 2024 at the Emergency Department of Grandmed Hospital, Lubuk Pakam. Thirty-one nurses were selected using total sampling. Data were obtained through structured observations of eligible nurses. Results: Delayed response was observed in 32.3% of nurses, with hypovolemic shock occurring in 32.3% of patients. Fisher’s Exact Test revealed a significant association between nursing response time and hypovolemic shock risk (p = 0.040). Discussion: Delayed nursing interventions were significantly linked to increased hypovolemic shock risk. The findings underscore the need for effective leadership and prompt nursing action to prevent complications.
Depression Management Education in Improving the Quality of Life of Patients with Type 2 Diabetes Mellitus at Grandmed Hospital Tati Murni Karokaro; Sukarnawan Sukarnawan; Ratna Limbeng
JURNAL PENGMAS KESTRA (JPK) Vol. 6 No. 1 (2026): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/bm1azr40

Abstract

Diabetes mellitus (DM) is a disease that often leads to physical health complications and adversely affects the psychological well-being of those living with the condition. Long-term treatment, lifestyle modifications, and concerns about disease-related complications may increase the risk of depression, which in turn can negatively impact patients’ quality of life. Limited knowledge regarding depression and its management often leads patients to experience psychological difficulties during the course of treatment. This community service program aimed to improve the knowledge of patients with T2DM regarding depression and depression management as an effort to support a better quality of life. The program was implemented using an educational-participatory approach through health education sessions, interactive discussions, and question-and-answer activities. Evaluation was used pre-test and post-test involving 20 patients with T2DM at Grandmed Hospital, Lubuk Pakam. The instruments included a knowledge questionnaire, observation sheets, educational leaflets, and presentation materials. The results showed that most participants were female (55%), aged 41–49 years (40%), experienced moderate depression (50%), and had poor quality of life (50%). Following the educational intervention, the mean knowledge score increased from 58.5 ± 11.2 to 84.0 ± 8.7, representing an improvement of 25.5 points. Participant satisfaction evaluation revealed that 75.0% were very satisfied, 20.0% were satisfied, and 5.0% were moderately satisfied with the program. These results indicate that depression management education was effective to improve participants’ knowledge and was well accepted as a strategy to support better quality of life among patients with Type 2 Diabetes Mellitus.
Co-Authors Abdi Lestari Sitepu Abdi Lestari Sitepu Abdy Lestari Sitepu Ade Muliani Alfrisa, Bagus Amel Yanis Amriani Eva Perawati Silalahi Amy Vivi Insani Alja Anita Sri Gandaria Purba Anita Sri Gandaria Purba Anna Ivra Soleliza Jones Arfah May Syara Arfah May Syara Armansyah Berampu Balqis Wasliati Br. Turnip, Nur Ulina M Bunga Br Saragih Damayanti . Dian Anggriyanti Dian Anggriyanti Diki Muliani Dray Kelvin Pandiangan Fazar Witama Felix Kasim Felix Kasim Fredy Kalvind Tarigan Hardisman Hariati Hariati Hayati, Kardina Ida Yolanda Irma Nurianti Junita Ika Susanti Br Ginting Kardina Hayati Kardina Hayati Karnirius Harefa Latifatul Robbaniyah Lia Hasrawi Melisa Queen Hutabarat Mif Zannah Miftahul Zannah Mila Gustia Mila Gustia Muhammad Riduan N.C Sitanggang, Margaretha Nurhapni Pulungan Nurul Fernanda Williani Peni Rio Ginting Pratiwi Christa Simarmata Purba, Novandi Putra Harahap, Bahdi Mandala Putri Maharani Putri, Puji Audina Rahmad Gurusinga Rahmad Gurusinga Raisha Octavariny Ramadhani Sitepu Ramdanil Arifin Ratna Limbeng Rawaty Sitorus Ribka Erika Rieska Ariza Romaulianna Theresia Marbun Rosita Ginting Safril Matua Harahap Sari Desi Esta Ulina Sitepu Sari Desi Esta Ulina Sitepu Sari Desi Esta Ulina Sitepu Sarmana . Sarmana Sarmana Selamat Tuahta Sipayung Simarmata, Juni Mariati Siti Sarah Bintang Situmorang, Novidawati Sri Julia Ningsih Sri Melda Bangun Sri Yana Sukarnawan Sukarnawan Syatria Wati Syatriawati Suhaimi Syatriawati Syatriawati Tania Diah Masitah Ucu Suherman Wati, Indah Widya . Winardi Silaen Zuidah