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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
Insitut Kesehatan Medistra Lubuk Pakam
Humanities Computer Science & IT Education Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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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 Karokaro, Tati Murni; Insani Alja , Amy Vivi
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.
The Influence of Inpatient Service Quality on Patients' Decisions to Go Home at Their Own Request (Paps) at The Mayjen H.A Thalib Regional Hospital, Sungai Penuh City Putri, Puji Audina; Romauli Anna Teresia Marbun; Tati Murni Karokaro
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): 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: 10.35451/3nn67r29

Abstract

"Discharge at Own Request (PAPS)" is one of the indicators used to assess the quality of inpatient care services. Based on direct interviews with several PAPS patients in the inpatient ward of a particular regional public hospital (RSUD), several factors were identified as triggers for their decision to leave, including the waiting time for treatment and the condition of the treatment room and walls, which appeared uncomfortable—especially for patients who did not yet have a BPJS National Health Insurance) card.The high incidence of patients discharging themselves at their own request (PAPS) has an impact on the hospital, including a potential decrease in service efficiency, as indicated by a reduction in the length of stay (LOS). This study aims to identify and analyze the influence of inpatient service quality on the decision of patients to discharge themselves at their own request (PAPS) at RSUD Mayjen H.A. Thalib, Sungai Penuh City, in 2025.This is a quantitative study using a cross-sectional study design. The research was conducted at RSUD Mayjen H.A. Thalib, Sungai Penuh City, from November 2024 to April 2025. The sample consisted of 125 patients hospitalized in the inpatient ward of RSUD Mayjen H.A. Thalib, Sungai Penuh City. The sampling technique used was accidental sampling.The research findings indicate a correlation between patient satisfaction—based on the aspects of tangibles, reliability, Responsiveness , assurance, and empathy—and the decision to discharge themselves at their own request (PAPS) at RSUD Mayjen H.A. Thalib, Sungai Penuh City, in 2025. Therefore, it is recommended that regular training be provided to all medical personnel and hospital staff to enhance their competence and ability to deliver optimal healthcare services.
Co-Authors Abdi Lestari Sitepu Abdi Lestari Sitepu Abdy Lestari Sitepu Ade Muliani Alfrisa, Bagus Amel Yanis Amriani Eva Perawati Silalahi Anita Sri Gandaria Purba Anita Sri Gandaria Purba Arfah May Syara Arfah May Syara Armansyah Berampu Br. Turnip, Nur Ulina M Bunga Br Saragih Damayanti . Dian Anggriyanti Dian Anggriyanti Diki Muliani Dray Kelvin Pandiangan Fazar Witama Felix Kasim Fredy Kalvind Tarigan Hardisman Hariati Hariati Hayati, Kardina Ida Yolanda Irma Nurianti Junita Ika Susanti Br Ginting Kardina Hayati Kardina Hayati Latifatul Robbaniyah Lia Hasrawi Melisa Queen Hutabarat Mif Zannah Miftahul Zannah Mila Gustia Mila Gustia Muhammad Riduan Nurhapni Pulungan Nurul Fernanda Williani Peni Rio Ginting Pratiwi Christa Simarmata Purba, Novandi Putri, Puji Audina Rahmad Gurusinga Rahmad Gurusinga Raisha Octavariny Ramdanil Arifin Rawaty Sitorus Ribka Erika Romauli Anna Teresia 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 Syatria Wati Syatriawati Suhaimi Syatriawati Syatriawati Tania Diah Masitah Ucu Suherman Wati, Indah Widya . Winardi Silaen Zuidah