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The impact of work commitment and motivation on the performance of nurses at Muyang Kute Hospital, Bener Meriah Regency Jumiati, Jumiati; Hartono, Hartono; Ginting, Rapael; Wilvia, Wilvia; Setiawan, Linda Novelgia; Chiuman, Veranyca; Yuni, Yuni; Pratiwi, Tari Dwi
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6678

Abstract

This study investigates the influence of work commitment and motivation on nurse performance at Muyang Kute Regional General Hospital, Bener Meriah Regency, Indonesia, using an analytical survey with a cross-sectional design. A total sampling of 49 nurses from inpatient wards participated in the study. Data were collected via questionnaires measuring work commitment (Guttman scale), work motivation (Guttman scale), and nurse performance (Likert scale). Bivariate analysis using Fisher’s Exact Test revealed a significant association between both work commitment and nurse performance (p = 0.000) and work motivation and nurse performance (p = 0.003). Nurses with high commitment demonstrated significantly higher performance, with 81.8% exhibiting high performance compared to 25.9% of nurses with low commitment. Similarly, nurses with high work motivation showed significantly higher performance, with 70.4% categorized as high performers compared to 27.3% of those with low motivation. These findings highlight the critical role of work commitment and motivation in enhancing nurse performance, suggesting that interventions aimed at improving these factors could lead to significant improvements in healthcare delivery at Muyang Kute Hospital. The study underscores the importance of addressing factors that influence nurse commitment and motivation to optimize patient outcomes and organizational success.
Health service quality and outpatient hypertension patient satisfaction: A cross-sectional study Olidya, Desyoma; Ginting, Rapael; Siagian, Masryna; Yulizal, OK; Lumbantobing, Christina JRE.; Edlin, Edlin; Fibrini, Dewi
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6755

Abstract

This study aimed to evaluate the impact of healthcare service quality on patient satisfaction among hypertensive outpatients at Muyang Kute Regional General Hospital. Employing a quantitative, cross-sectional design, data were collected from 79 patients using a questionnaire assessing five service quality dimensions (tangibles, reliability, responsiveness, empathy, and assurance) and overall patient satisfaction. Bivariate analysis, utilizing the chi-square test, was conducted to examine relationships between service quality dimensions and patient satisfaction. Results indicated generally positive perceptions of service quality dimensions, with tangibles, reliability, and assurance rated highly. However, empathy and responsiveness showed higher dissatisfaction rates. Notably, only assurance demonstrated a statistically significant association with patient satisfaction (p=0.002), where patients perceiving "Good" assurance were more likely to report satisfaction. Overall patient satisfaction was mixed, with 54.43% reporting satisfaction and 45.57% reporting dissatisfaction. The study highlights the critical role of staff competence and patient confidence (assurance) in driving satisfaction. Recommendations include targeted interventions to improve empathy and responsiveness, continuous monitoring of all service quality dimensions, and further investigation into potential underlying factors affecting overall satisfaction.
The association between snacking habits and the incidence of diarrhoea among school-aged children at SD Negeri 060834 Medan Petisah Gea, Lestin; Hartono, Hartono; Ginting, Rapael
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6786

Abstract

Background: Diarrhoea remains a significant health concern among school-aged children, with snacking habits playing a potential role in its occurrence. Aim: This study aimed to examine the relationship between snacking habits (frequency, type, and consumption practices) and the incidence of diarrhoea among primary school students at SDN 060834 Medan Petisah. Methods: A cross-sectional study was conducted with 56 students in grades IV–VI. Data were collected using a structured questionnaire assessing snacking habits and diarrhoea incidence. Statistical analysis employed chi-square tests to determine associations. Results: The majority of respondents (60.7%) reported frequent snacking, with 58.9% exhibiting healthy snacking practices. No significant association was found between the frequency (p=0.549) or type (p=0.122) of snacks consumed and diarrhoea. However, unhealthy snacking practices showed a significant association with diarrhoea incidence (p=0.001), with 64.3% of students engaging in unhealthy practices experiencing diarrhoea. Conclusion: Unhealthy snacking practices significantly increase the risk of diarrhoea among schoolchildren. Interventions promoting hygienic and nutritious snacking habits are essential to reduce diarrhoea prevalence in this population.
Factors affecting community waste disposal in the Deli River, Medan Petisah Batu, Artosi Sumana Lumban; Ginting, Rapael; Hartono, Hartono
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7234

Abstract

Humanity and other living organisms coexist within the environment. Rivers, as essential components of the environment, provide critical benefits for human survival, including supplying water for daily use, supporting fisheries, and facilitating water transportation. However, human activities frequently exert negative impacts on river ecosystems, such as the disposal of solid and industrial waste. This study aimed to identify the factors influencing community waste disposal practices in the Deli River, Petisah Village, in 2023. Employing a quantitative, descriptive-analytical cross-sectional survey design, the study population comprised 250 residents residing along the Deli River, from which a sample of 154 participants was selected through simple random sampling. Bivariate analyses were conducted using the Chi-square test. The findings demonstrate significant associations between waste disposal behavior and knowledge (p=0.004), attitude (p=0.004), practices (p<0.001), and infrastructure (p=0.008). Furthermore, logistic regression analysis identified infrastructure as the strongest predictor of waste disposal behavior, indicating that inadequate infrastructure increases the likelihood of respondents disposing of waste into the river.
Differences in nutritional status of exclusively breastfed and non-exclusively breastfed infants aged 0-6 months in Kutambaru Village, Munte Subdistrict Tarigan, Denada Br; Sibagariang, Eva Ellya; Ginting, Rapael; Halim, Binarwan; Kuswani, Lili; Silaen, Mangatas; Hutapea, Johnson; Iskandar, Dalmy; Nasution, Syamsul Arifin
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7564

Abstract

Nutritional status in children under five remains a critical public health issue in Indonesia, characterized by high rates of stunting (21.6%) and wasting (7.9% in North Sumatra). Exclusive breastfeeding (EBF) for the first six months is vital for optimal growth, but compliance is low. This study aimed to analyze the determinants of nutritional status, focusing on the differences between infants aged 0-6 months receiving exclusive breastfeeding and those receiving breastfeeding plus early complementary feeding (MPASI). This research employed a comparative analytical design with a total sampling of 40 mothers and their infants (0-6 months) in Kutambaru Village, Munte Subdistrict. The independent variables were breastfeeding status (exclusive vs. non-exclusive) and complementary feeding status. The dependent variable was infant nutritional status (weight-for-length). Data were analyzed using the Chi-Square test. The results demonstrated a statistically significant association between exclusive breastfeeding and infant nutritional status (p = 0.019). Infants who received EBF were significantly more likely to have an optimal nutritional status. Complementary feeding also showed a significant association (p = 0.033). In conclusion, exclusive breastfeeding is the dominant factor significantly associated with optimal nutritional status in infants 0-6 months. Strengthening interventions to promote EBF is critical to prevent malnutrition.
Analysis Of Factors Associated With The Occurrence Of Tuberculosis Treatment Dropout In The Work Area Of The Subulussalam City Health Office Year 2023 Fatmasari Bangun, Nita; Girsang, Ermi; Ginting, Rapael
Eduvest - Journal of Universal Studies Vol. 4 No. 4 (2024): Journal Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v4i4.1180

Abstract

Tuberculosis (TB) poses a grave threat to those afflicted, contributing significantly to the global mortality rate. Caused by the infectious bacterium Mycobacterium tuberculosis, TB primarily targets the lungs, with Indonesia ranking second in its prevalence worldwide. This study aims to scrutinize factors associated with TB treatment discontinuation within the Subulussalam City Health Service Work Area in 2023, employing a quantitative, cross-sectional approach. A sample of 203 TB patients under treatment within the area was subjected to logistic regression and multiple logistic regression analyses. Findings revealed a correlation between treatment discontinuation and factors such as inadequate knowledge (p = 0.00; OR = 27.81) and adverse drug reactions (p = 0.02; OR = 13.05). Recommendations include enhancing patient education on TB risks to bolster awareness and deter treatment abandonment, instituting recognition programs within health centers to incentivize treatment completion, and acknowledging the proactive role of healthcare personnel in facilitating patient adherence.
Efficiency Of Transition From Manual Medical Records To Electronic Medical Records On  The Speed Of Patient Service At RSU Royal Prima Medan Laurenxius, Vanessa Sinana; Ginting, Chrismis Novalinda; Ginting, Rapael
Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol. 7 No. 2 (2025): May
Publisher : Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijeeemi.v7i2.79

Abstract

In the digital era, the integration of quality and routine data is key to transforming healthcare services. The utilization of information technology continues to grow, spanning from planning to providing individual and community health data. One of the innovations implemented is the transition from manual medical records to electronic medical records (RME), which despite its many benefits, still faces various challenges. RSU Royal Prima Medan started this transition process at the end of 2023 until early 2024, with the main obstacles being infrastructure limitations, suboptimal system integration, and adaptation difficulties that impacted the efficiency of patient services.  This study aims to analyze the efficiency of the RME transition in improving patient service speed at RSU Royal Prima Medan. The method used was descriptive qualitative with an exploratory approach, involving in-depth interviews, direct observation, and document analysis. Data were analyzed using the Miles and Huberman interactive model. The results showed that the implementation of RME has achieved about 80% effectiveness in improving service efficiency. The data retrieval process became 50% faster than the manual system, while the RME utilization rate reached 85%. Patient waiting time was also reduced by an average of 15 minutes per consultation. Despite this, obstacles such as network instability and technical issues were still encountered. In conclusion, the transition to RME at RSU Royal Prima Medan has improved service efficiency and patient data management. However, continuous system development, more comprehensive integration, as well as infrastructure improvements are needed to optimize the benefits of RME in improving healthcare quality
Analisis Penerapan Kesehatan dan Keselamatan Kerja (K3) dalam Upaya Pencegahan Penularan Virus Covid-19 di Tempat Kerja (Studi PT. Midas Multi Industri) Sinaga, Asina Br; Ginting, Rapael; Ginting, Johannes Bastira; Siahaan, Perry Boy Chandra; Putra, Onetusfifsi; Fadilah, Mardi
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 9, No 1 (2023): April 2023
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v9i1.2826

Abstract

Penyakit Covid-19 menjadi bahaya kerja baru bagi pekerja, dalam penanggulangan bahaya penyebaran Covid-19 ditempat kerja pemerintah melalui Surat Edaran Menteri Ketenagakerjaan Nomor M/3/HK.04/III/2020, dan Surat Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/328/2020 mengarahkan agar adanya integrasi protokol kesehatan pencegahan Covid-19 ditempat kerja dengan K3 perusahaan. Dalam penerapan protokol kesehatan ditempat kerja masih ditemukan berbagai pelanggaran. Penelitian dilakukan dengan menggunakan metode penelitian kualitatif-deskriptif, tujuan penelitian ini adalah menggambarkan dan mengidentifikasi SMK3 dan pelaksanaan protokol kesehatan ditempat kerja PT. Midas Multi Industri. SMK3 dan program K3 PT. Midas Multi Industri sudah dirancang sesuai dengan protokol kesehatan pencegahan penyebaran Covid-19 ditempat kerja, pekerja yang melanggar beberapa aturan yang diberikan disebabkan tidak terbiasa dengan penetapan budaya baru dilingkungan kerja. PT. Midas Multi Industri perlu melakukan sosialisasi lebih mendalam kepada pekerja dan menetapkan sanksi terhadap pelanggaran aturan protokol kesehatan ditempat kerja.Kata kunci: SMK3, K3,Covid-19, Protokol KesehatanThe Covid-19 disease has become a new work hazard for workers, in overcoming the danger of spreading Covid-19 in the government's workplace through Circular Letter of the Minister of Manpower Number M/3/HK.04/III/2020, and Decree of the Minister of Health of the Republic of Indonesia Number HK.01.07 /MENKES/328/2020 directs the integration of the Covid-19 prevention health protocol in the workplace with the company's K3. In the application of health protocols in the workplace, various violations are still found. The study was conducted using qualitative-descriptive research methods, the purpose of this study was to describe and identify SMK3 and the implementation of health protocols in the workplace of PT. Midas Multi Industries. SMK3 and PT. Midas Multi Industries has been designed in accordance with health protocols to prevent the spread of Covid-19 in the workplace, workers who violate some of the given rules are not accustomed to establishing a new culture in the work environment. PT. Midas Multi Industries need to conduct more in-depth socialization to workers and set sanctions for violations of health protocol rules in the workplace. Keywords: SMK3, K3, Covid-19, Health Protocol.
Determinan Yang Mempengaruhi Kepatuhan Ibu Hamil Terhadap Antenatal Care di Masa Pandemi COVID-19 di Puskesmas Gunung Tinggi Kecamatan Pancur Batu Simanjuntak, Mafe Robbi; Sari, Chairani Novia; Manalu, Yuli Andriani Br; Silalahi, Marling Isabella; Ginting, Rapael; Manalu, Putranto; Siahaan, Perry Boy Chandra
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 9, No 2 (2023): Oktober 2023
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v9i2.3315

Abstract

Penelitian ini menggunakan uji chi-square metode analisis data teknik purposive sampling dengan nilai ρ-value (ρ<0,05) dan regresi logistic dengan nilai sig. (ρ<0,05) untuk menemukan variabel yang paling berhubungan dengan pemeriksaan Antenatal Care di Masa Pandemi COVID-19 di Puskesmas Gunung Tinggi Kecamatan Pancur Batu. Hasil uji statistik SPPS pada penelitian ini menunjukan proporsi dari setiap variabel yaitu kecemasan (ρ =0,047), pendidikan (ρ =0,038), pengetahuan (ρ =0,036), jarak tempat tinggal (ρ =0,063), dukungan keluarga (ρ =0,024), dan sosialisasi protokol kesehatan oleh tenaga kesehatan (ρ=0,038). Pada analisis bivariat menunjukan adanya hubungan variabel kecemasan, pendidikan, pengetahuan, dan sosialisasi protokol kesehatan oleh tenaga kesehatan, sedangkan pada variabel jarak tempat tinggal tidak ada hubungan. Serta analisis multivariat variabel pendidikan dan sosialisasi protokol kesehatan oleh tenaga kesehatan menunjukan adanya hubungan yang sangat signifikan.Kata Kunci: antenatal care, kepatuhan, ibu hamil, protokol kesehatanThe research was conducted quantitatively using cross-sectional with a sample of 61 pregnant women. This study used chi-square test analysis data method purposive sampling technique with ρ-value (ρ<0,05) and logistic regression with sig. (ρ<0,05) to find the variables most related to Antenatal Care examinations during the COVID-19 Pandemic at the Gunung Tinggi Health Center, Pancur Batu District. The results of the SPPS statistical test in this study showed the proportion of each variable anxiety (ρ=0,047), education (ρ=0,038), knowledge (ρ=0,036), distance of residence (ρ=0,063), family support (ρ=0,024), and socialization of health protocols by health workers (ρ=0,038). The bivariate analysis showed that there is a relationship between the variables of anxiety, education, knowledge, and socialization of health protocols by health workers, while the variable distance of residence there is no relationship. In the multivariate analysis of education and socialization of health protocols by health workers variables showed a very significant relationship.Keywords: antenatal care, compliance, pregnant women, health protocols
Risk factors for obesity and overweight in under-five children in a highland community, Kabanjahe Sibagariang, Eva Ellya; Ginting, Rapael; Sihombing, Rachel Raselia; Amir, Dwi Fenny; Meliala, Juli Elisabet Mayen Br; Angkasa, Celvin; Zubaidah, Siti; Sherliana, Ferra; Siregar, Hesti Despita
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7746

Abstract

Overnutrition in toddlers is a public health problem that continues to increase globally and nationally. In Indonesia, the prevalence of toddler obesity has risen from 10.5% (2007) to 21.8% (2018). In Karo Regency, the prevalence of toddler obesity reached 8.80%. Data from 2025 at Simpang Empat Community Health Center in Kabanjahe shows 12 toddlers with obesity and 49 toddlers with overnutrition. This study aims to analyze the relationship between maternal knowledge, attitudes, and practices with the occurrence of obesity and overnutrition in toddlers aged 12-60 months. The research method used an observational analytic design with a cross-sectional approach. The sample consisted of 61 toddlers with obesity or overnutrition, selected using total sampling. Data were collected through questionnaires and anthropometric measurements of BMI-for-age. Analysis used the Chi-Square test. Results show the majority of mothers had insufficient knowledge (57.4%), positive attitudes (63.9%), and suboptimal practices (65.6%). There was a significant relationship between knowledge (p=0.038), attitude (p=0.041), and practice (p=0.044) with the toddler's nutritional status. The study conclusion confirms that good nutritional care practices, supported by adequate knowledge and a positive attitude, play an important role in preventing obesity and overnutrition in toddlers.
Co-Authors ., Saprilliani Alma, Arlin Liliana Aminuyati Amir, Dwi Fenny Andry Simanullang Angin, Jerry Primsa Perangin- Angkasa, Alexander Angkasa, Celvin Ayura, Bebie Bangun, Andreas Xaverio Batu, Artosi Sumana Lumban Bestari, Welas Binarwan Halim Boas, Richie Ray Barry Chiuman, Veranyca Chrismis Novalinda Ginting Citra, Sri Ayuni DAMERIA DAMERIA Delpitasari Marbun Deseva, Frisca Gemmi Dzul Akbar Insani Edlin, Edlin Emi Girsang Erawati, Suci Ermi Girsang Ermi Girsang Ermi Girsang eva sibagariang Fadilah, Mardi Fatmasari Bangun, Nita Febry Mulyati Fibrini, Dewi Fioni, Fioni Gea, Lestin Ginting, Chrismis Novalinda Ginting, Tarianna Girsang, Ermi Gomagel, Yoel Hartono Hartono Hartono Hartono Herbet Wau Holan Dianju Melva Meinaria Sitanggang Hulu, Viktor Trismajaya Hutabarat, Bartimeus Nicomama Hutagalung, Cantika Viona Adytia Hutagalung, Priscilla Grace J Hutasoit, Mey Lani IKHTIARI, REFI Insani, Dzul Akbar Iskandar, Dalmy Jamhari Jamhari Jeremia Chandra Partogi Siallagan Johannes Bastira Ginting Johannes Ginting Johnson Hutapea Jumiati Jumiati Kaban, Dhian Ladea Kurniawan, Evan Kuswani, Lili Laurenxius, Vanessa Sinana Leslie, William Lister, Clarissa Lizar, Budi Septhian Lolenstine, Cherin Lumbantobing, Christina JRE. Maharani . Malau, Reghita Claudia Manalu, Marselinus V.Y Manalu, Yuli Andriani Br Martin Oloan S, Actor Masryna Siagian Megasilvia Sinaga Meliala, Juli Elisabet Mayen br Merrina Arts, Tricya Muhammad Luthfi Nababan, Santosa Nadhira Yasmine Ahmad Naftalia, Risa Nasution, Syamsul Arifin Nia Franata Nirman Waruwu Novalinda Ginting , Chrismis Noviansyah, Aulia Olidya, Desyoma Onetusfifsi Putra Pahala Maringan J. Simangunsong Pakpahan, Eka Lolita Elivanti Panggabean, Endah Ansylla Pinta Alfiani Telaumbanua Pratiwi, Tari Dwi Purba, Windania Putranto Manalu Putri, Nadya Nazimuddin Richie Ray Barry Boas Ritrit Yanto Zai, Ritrit Yanto Zai Riyan Sabputra S, Buenita Samosir, Frans Judea Santy Deasy Siregar Saprilliani . Sari, Chairani Novia Sari, Fitri Iman Sari, Juwita Purnama Setiawan, Linda Novelgia Sherliana, Ferra Siagian, Masryna Siahaan, Perry Boy Chandra Siallagan, Gabriel Oktavianus sibagariang, eva Sibagariang, Eva Ellya Sihombing, Rachel Raselia Sijabat, Vina Helsa Laora Silaen, Mangatas Silalahi, Marling Isabella Simanjuntak, Mafe Robbi Simanjuntak, Mafe Robby Simanullang, Andry Simbolon, Paska Yolastri Sinaga, Asina Br Siregar, Annisa Surto Siregar, Hesti Despita Siti Zubaidah Sri Lestari Ramadhani Nasution Sri Wahyuni Nasution Sri Yanti Purba Suci Erawati Surbakti, Surbakti Suyono, Tan Syahputra, Ari Denggan Tampubolon, Roy's Grace Tariana Ginting Tarigan, Antje Irmella Tarigan, Denada Br Tarigan, Ermilia Laurensya Tarigan, Nita Kastrina Theresia Rianita Panjaitan Therry Septianto Victor Trismanjaya Hulu Waruwu, Inel Hartanti Widiya Nisa Widya Yanti Sihotang Wilvia, Wilvia Yemima Putri Hasibuan Yulina Yulina Yulizal, Ok YUNI, YUNI Zahrani, Ashila Zendrato, Victorwan Novri