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Wahyudi, Wawan
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Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing

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Faktor Determinan Implementasi Rekam Medik Elektronik Wahyudi, Wawan; Fatmawati, Fatmawati; Widra, Widra; Rahmayanti, Fenita; Rusmanwadi, Rusmanwadi
Jurnal Keperawatan Vol 17 No 1 (2025): Jurnal Keperawatan: Maret 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v17i1.2127

Abstract

Penggunaan RME harus memungkinkan semua penyedia layanan kesehatan, termasuk perawat, untuk melihat data terkait dengan cepat sehingga keputusan yang akurat dapat dibuat dalam situasi yang mengancam jiwa dan tidak mengancam jiwa. Penggunaan RME memfasilitasi dokumentasi perawat tentang topik yang lebih spesifik seperti pendidikan pasien, perlunya pengekangan, dan penilaian nyeri. RME juga harus memungkinkan perawat untuk mencegah kesalahan, karena pesan kesalahan muncul jika terjadi kesalahan. Penelitian ini bertujuan untuk mengetahui faktor determinan implementasi rekam medik elektronik di RSUP dr M Djamil Padang tahun 2023.Penelitian ini menggunakan desain cros sectional study. Populasi dalam penelitian ini adalah semua perawat yang bertugas di instalasi rawat inap  RSUP Dr. M. Djamil Padang. Teknik pengambilan sampel dalam penelitian ini dilakukan dengan proportional random sampling. Besar sampel 238 orang. Data dikumpukan dengan cara angket dan data dianalisa secara univariat, bivariat serta multivariat, untuk analisa bivariat mengunakan uji Chi square sedangkan untuk multivariat digunakan uji regresi logistik.  Hasil penelitian diperoleh     proporsi implementasi RME yang  baik 55,9%, persepsi kemudahan  baik 68,9%, persepsi kemanfaatan baik 70,2%, pengaruh sosial baik 60,5%, kondisi yang memfasilitasi baik 61,8%, sikap positif 57,6%. Terdapat relasi antara persepsi kemudahan, persepsi kemanfaatan, sikap, kondisi yang menfasilitasi dan pengaruh sosial dengan implementasi rekam medis elektronik dengan nilai p<0,005. Faktor yang paling berhubungan dengan implementasi rekam medis elektronik adalah faktor sikap (OR =0.265, 95% CI 0.103-0,681).
Analysis of Factors Associated with Patient Acceptance in the Cancer Navigation Program at Dr. M. Djamil Padang General Hospital in 2024 Wahyudi, Wawan
Oshada Vol. 2 No. 4 (2025): Oshada Journal - August
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/85rabb98

Abstract

Cancer remains one of the leading causes of morbidity and mortality in Indonesia, posing challenges in access, timely diagnosis, and continuity of care. To address these gaps, RSUP Dr. M. Djamil Padang implemented a cancer navigation program to guide patients through the treatment process. This study aimed to analyze the factors associated with patient acceptance of the program in 2024. A quantitative cross-sectional design was applied with 100 cancer patients recruited through purposive sampling. Data were collected using a validated structured questionnaire covering socio-demographics, knowledge, family support, healthcare communication, and perceived benefits. Analysis included Chi-square tests and logistic regression with a 95% confidence level. The results showed that 65% of patients accepted the program, while 35% did not. Family support (p=0.001), knowledge level (p=0.021), and healthcare provider communication quality (p=0.004) were significantly associated with acceptance, whereas age, gender, education, and perceived benefits were not. Logistic regression identified family support as the most dominant predictor (OR=3.25), followed by communication quality (OR=2.89) and knowledge (OR=2.10). These findings highlight the importance of social and interpersonal factors in shaping patient engagement. In conclusion, strengthening family involvement, patient education, and communication competencies among healthcare providers is essential to optimize navigation program acceptance, improve continuity of care, and support the national cancer control strategy.
Co-Authors Fatmawati Fatmawati Rahmayanti, Fenita Rusmanwadi, Rusmanwadi Widra, Widra