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Analysis of Health Service Factors on Patient Satisfaction at The Dental Clinic Sabang, Novrizal; Asriwati, Asriwati; Fitriani, Arifah Devi
Jurnal Keperawatan Priority Vol. 7 No. 1 (2024)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v7i1.4750

Abstract

Puskesmas is a technical implementation unit of the District/City Health Office that is responsible for providing first-level health services in a comprehensive, integrated and sustainable manner. The main problem as a health service institution with many competitors is the service provided whether it is in accordance with the expectations of patients/ consumers or not. The purpose of the study was to determine the factors of health services on patient satisfaction. The research design used quantitative methods conducted by analytical surveys with a cross sectional study approach. The samples in this study were 74 patients, research conducted in Simpang Kanan Health Center, Simpang Kanan District, Aceh Singkil Regency. Where the sampling technique in this study used purposive sampling techniques with inclusion criteria are able to communicate well and have ever come for treatment. Exclusion criteria are new patients seek treatment and not able to communicate well. Based on the results of statistical tests, the p-value of all variables is <0.05 where there is an influence on waiting time, competence, financing system, facilities, and comfort. After a multivariate test, it is known that the facility variable is the most influential factor on patient satisfaction. It is recommended that the Simpang Kanan Health Center be able to improve discipline, competence, and public health service facilities in an effort to increase patient satisfaction.
ANALYSIS OF BPJS PATIENT SATISFACTION LEVEL TOWARDS COMMUNITY HEALTH CENTER HEALTH SERVICES Ndruru, Efranita Somasi Crownlina; Asriwati, Asriwati; Subaedah, Sitti
Jurnal Keperawatan Priority Vol. 7 No. 2 (2024)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v7i2.5546

Abstract

High patient satisfaction will indicate how well the health center is able to provide high-quality medical care. The Service Quality Approach (SERVQUAL) can be used to measure the level of patient satisfaction consisting of fitness, assurance, physical evidence, empathy, and responsiveness. This study examines how satisfied BPJS patients are with medical services. This study was conducted at the Bawomataluo Health Center in Fanayama District. Sampling was carried out using the Accidental Sampling method totaling 99 people. The results of the study showed the influence of reliability, assurance), real evidence, empathy, and no influence of responsiveness to health services. The conclusion of this study is that there is no influence when viewed from the five dimensions in terms of performance level, but there is an influence when viewed from the aspects of completeness, assurance, physical evidence, empathy, and responsibility on the level of BPJS patient satisfaction with health services. It is hoped that the Health Center can improve patient happiness, including attention from health workers who are very important in meeting patient needs to get special care.
Analisis Faktor Resiko Kelelahan Kerja pada Perawat di Rumah Sakit Umum Sinar Husni Tahun 2021 Sasmita, Maya; Asriwati, Asriwati; Daryanto, Eka
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.v9i1.2825

Abstract

Kelelahan kerja termasuk suatu kelompok gejala yang berhubungan dengan adanya penurunan efisiensi kerja, keterampilan serta peningkatan kecemasan atau kebosanan. Kelelahan kerja ditandai oleh adanya perasaan lelah, output menurun, dan kondisi fisiologis yang dihasilkan dari aktivitas yang berlebihan.Kelelahan akibat kerja juga sering kali diartikan sebagai menurunnya performa kerja dan berkurangnya kekuatan atau ketahanan fisik tubuh untuk terus melanjutkan yang harus dilakukan. Penelitian ini telah dilakukan pada perawat yang bekrja di rumah sakit umum sinar husni tahun 2021 untuk mengetahui hubungan usia, jenis kelamin, status gizi, masa kerja, shift kerja dan beban kerja dengan kelalahan kerja. Jenis penelitian ini adalah penelitian Kuantitatif Deskriptif dengan pendekatan desain cross sectional untuk menganalisis hubungan antara variabel bebas (independent variabel), Populasi dalam penelitian  ini adalah seluruh perawat di RSU Sinar Husni Tahun 2021 Medan sebanyak 67 karyawan. Metode pengambilan Sampel yang digunakan dalam penelitain ini yaitu Total sampling.  Dengan demikian jumlah sampel dalam penelitian ini sebanyak 67 perawat di RSU Sinar Husni. Kelelahan pekerja diukur dengan menggunakan. Hasil uji chi square menunjukkan nilai p value sebesar 0.002 antara faktor umur dengan kelelahan, nilai p value sebesar 0.007 antara faktor jenis kelamin dengan kelelahan , nilai p value sebesar 0.128 antara faktor status gizi (IMT) dengan kelelahan, nilai p value sebesar 0.022 antara faktor masa kerja dengan kelelahan, nilai p value sebesar 0.019 antara faktor shift kerja dengan kelelahan, dan nilai p value sebesar 0.000 antara faktor beban kerja dengan kelelahan. Dimana p< 0.05 yang berarti adanya hubungan yang bermakna antara usia, jenis kelamin, masa kerja shift kerja dan beban kerja dengan kelelahan. Sementara status gizi tidak memiliki hubungan yang bermakna terhadap kelelahan. Disarankan agar perawat sering berolahraga dan minum vitamin yang dapat meningkatkan stamina serta daya tahan tubuh, mengupgrade ilmu pengetahuan dengan mengikuti seminar yang dimadakan didalam maupun diluar rumah sakit, untuk pihak rumah sakit untuk dapat mengurangi jam kerja shift malam dan memperpanjang shift pagi dan mengupgrade alat – alat rumah sakit dengan yang lebih baik dan efektif sehingga dapat mengurahi beban kerja pada perawat. Kata kunci : Faktor Resiko, Usia, Jenis Kelamin, Status Gizi, Masa Kerja, Shift Kerja, Bebankerja, Kelelahan KerjaWork fatigue is a group of symptoms associated with decreased work efficiency, skills and increased anxiety or boredom. Work fatigue is characterized by feelings of tiredness, decreased output, and physiological conditions resulting from excessive activity. Work-related fatigue is also often interpreted as decreased work performance and reduced physical strength or endurance to continue what must be done. This research was conducted on nurses working at Sinar Husni General Hospital in 2021 to find out the relationship between age, gender, nutritional status, length of service, work shifts and workload with work fatigue. This type of research is a descriptive quantitative study with a cross-sectional design approach to analyze the relationship between the independent variables. The population in this study were all nurses at Sinar Husni Hospital in 2021 Medan, with a total of 67 employees. The sampling method used in this research is total sampling. Thus the number of samples in this study were 67 nurses at Sinar Husni General Hospital. Worker fatigue is measured using. The results of the chi square test showed a p value of 0.002 between age and fatigue, a p value of 0.007 between sex and fatigue, a p value of 0.128 between nutritional status (BMI) and fatigue, a p value of 0.022 between factors work period and fatigue, the p value is 0.019 between the work shift factor and fatigue, and the p value is 0.000 between the workload factor and fatigue. Where p < 0.05 which means there is a significant relationship between age, gender, shift work period and workload and fatigue. While nutritional status does not have a significant relationship with fatigue. It is recommended that nurses often exercise and take vitamins that can increase stamina and endurance, upgrade knowledge by attending seminars held inside and outside the hospital, for the hospital to be able to reduce working hours for the night shift and extend the morning shift and upgrade equipment - hospital tools with better and more effective so as to reduce the workload on nurses.Keywords: Risk Factors, Age, Gender, Nutritional Status, Years Of Service, Work Shifts, Workload,  Work Fatigue. 
Analysis of the Influence of Clinical Governance on Physician Job Satisfaction at RSUD Teungku Peukan Kab. Southwest Aceh in 2023 Dewi, Yenni Sandra; Asriwati, Asriwati; Lubis, Masnely
PROMOTOR Vol. 7 No. 2 (2024): APRIL
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i2.603

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This study highlights the importance of physician job satisfaction in the context of health care quality. Modern hospitals must not only comply with regulations, but also uphold high standards to meet patient expectations. Factors such as management, clinical governance, and work environment influence physician job satisfaction. This study aims to investigate whether management factors, especially clinical governance, have an impact on the job satisfaction of doctors at Teuku Pekan Hospital, Southwest Aceh Regency in 2023. A cross-sectional method was used by collecting data through questionnaires to 33 doctors who work at home. the pain. The results of the analysis show that the majority of respondents consider management effectiveness, such as communication and strategy, to be quite effective. However, there are areas that are still less effective, such as risk and resource management. The majority of doctors feel sufficient satisfaction regarding the work environment, but there is still room for improvement, especially regarding income commensurate with workload.
The Effect of Outpatient Health Services on the Satisfaction of BPJS Healthcare Participants at Madani Regional Hospital Pekan Baru Razie, Muhammad; Asriwati, Asriwati; Nasution, Ramadhani Syafitri
PROMOTOR Vol. 7 No. 2 (2024): APRIL
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i2.610

Abstract

This study evaluates the impact of outpatient health services on BPJS Health participant satisfaction at Madani Pekan Baru Regional Hospital in 2023. Quantitative research methods with a cross-sectional study approach were used. The results of univariate analysis show respondents' perceptions of service characteristics and aspects. Bivariate analysis highlighted significant relationships between responsiveness, reliability, assurance, caring, and patient satisfaction. Multivariate analysis using logistic regression confirmed that responsiveness and caring influence patient satisfaction. The implications are improvements in health worker response, service reliability, better communication, and facility maintenance.
The Effect of Outpatient Health Services on Patient Satisfaction at Puskesmas Indra Jaya, Indra Jaya District, Aceh Jaya Regency Afriani, Rina; Asriwati, Asriwati; Nasution, Ramadhani Syafitri
PROMOTOR Vol. 7 No. 3 (2024): JUNI
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i3.689

Abstract

The quality of health services is defined as a condition that describes the level of perfection of the appearance of a health service product provided comprehensively. The dissatisfaction felt by patients when receiving services causes the quality of the health center to be poor. This research aims to analyze the influence of outpatient health services on patient satisfaction at the Indra Jaya Health Center, Aceh Jaya Regency. This type of research is an analytical survey with a cross-sectional approach using primary data with questionnaires and secondary data from Community Health Center reports. The population in this study were all outpatients who visited the Indra Jaya Health Center with a sample size of 95 people determined using the accidental sampling method. Analysis was carried out using univariate, bivariate, and multivariate analysis. The results of the logistic regression test show that the variables responsiveness (p=0.025), reliability (p=0.050), guarantee (p=0.150), concern (p=0.042), and physical evidence (p=0.073) influence patient satisfaction. The most influential variable is a concern with an Exp (B) value of 4.781. This research concludes that there is a positive influence between responsiveness and caring on patient satisfaction, while reliability, guarantee, and physical evidence do not have a significant influence. Therefore, efforts are needed to improve the quality of outpatient services by increasing attention to patients and providing good responses in responding to patient complaints.
ANALISIS FAKTOR YANG MEMENGARUHI KEPUASAN PELAYANAN KIA PADA IBU HAMIL DI PUSKESMAS PELABUHAN SAMBAS KOTA SIBOLGA Sumanti, Neni; Nuraini, Nuraini; Utami, Tri Niswati; Effendy, Ismail; Asriwati, Asriwati
Jurnal Kebidanan Khatulistiwa Vol 10, No 2 (2024): Jurnal Kebidanan Khatulistiwa
Publisher : Poltekkes Kemenkes Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30602/jkk.v10i2.1316

Abstract

Latar Belakang:Kesehatan ibu dan anak (KIA) merupakan salah satu program prioritas dalam pelayanan KIA masih menjadi masalah kesehatan di Indonesia. Penyebab langsung AKI yaitu hipertensi pada kehamilan (33,1%), perdarahan obstetri (27,03%), komplikasi non-obstetri(15,7%), dan komplikasi obstetri (12,04%). AKI dapat dicegah jika kualitas layanan sesuai dengan kebutuhan pasien dan pasien puas dengan layanan yang diberikan.Tujuan: Untuk menganalisis faktor-faktor yang memengaruhi kepuasan pelayanan KIA pada ibu hamil di Puskesmas Pelabuhan Sambas di Kota SibolgaMetode:Desain penelitianadalah surveyanalitikdengan cross sectional study. Populasi dalam penelitian adalah semua wanita hamil, berjumlah 607 orang. Sampel menggunakan rumus slovin yaitu sebanyak 86 ibu. Data yang digunakan dengan menggunakan data primer dan sekunder. Analisis data menggunakan univariat, bivariat dan multivariat menggunakan uji regresi binary.Hasil: Diperoleh dengan menggunakan chi square, ada pengaruh disiplin petugas, kemampuan petugas, kecepatan pelayanan, kepastian jadwal, persepsi mutu dengan kepuasan pasien KIA dengan p<0,05 dan tidak ada pengaruh kenyamanan lingkungan, prosedur pelayanan terhadap kepuasan KIA dengan p>0,05,  dan faktor yang paling dominan yaitu persepsi kualitas. Kesimpulan: Adanya Faktor yang memengaruhi kepuasan pelayanan pada ibu hamil di Puskesmas Pelabuhan Sambas Kota Sibolga. Diharapkan tenaga kesehatan di Puskesmas Pelabuhan Sambas meningkatkan kualitas pelayanan KIA sehingga dapat meningkatkan kepuasan pasien
ANALISIS FAKTOR YANG MEMPENGARUHI KUNJUNGAN ANTENATAL CARE (ANC) Tanjung, Faisah; Effendy, Ismail; Utami, Tri Niswati; Asriwati, Asriwati; Nasution, Ramadhani Syafitri
Jurnal Kebidanan Khatulistiwa Vol 10, No 2 (2024): Jurnal Kebidanan Khatulistiwa
Publisher : Poltekkes Kemenkes Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30602/jkk.v10i2.1317

Abstract

Background: Based on WHO data (2020), Indonesia's Antenatal Care (ANC) coverage percentage (82%) is still far from the standards set compared to other countries, where pregnancy checks for ANC (K1) coverage are 96.1%, and ANC (K4) coverage is 96.1%. amounting to 74.1%. The target of the strategic plan (Renstra) related to K1 is 100& and K6 coverage of pregnant women is 78%, in general it has not reached the target. The aim: of the research is to determine the analysis of factors influencing Antenatal Care (ANC) visits in the Sambas Port Health Center Working Area, Sibolga City in 2022 Metodh: The design of this research is analytical research using retrospective. The population in the study was all postpartum mothers ≤2 months, namely 216 people in October 2023. The sample used the Slovin formula, namely 68 respondents. The data used uses primary and secondary data. Data analysis using univariate, bivariate and multivariate using binary regression tests. Resulth: The research results were obtained using the chi square test, there was an influence of knowledge with Antenatal Care (ANC) visits (p= 0.017), there was no influence of employment with Antenatal Care (ANC) visits (p= 0.514), there was an influence of the role of health workers with Antenatal visits Care (ANC) (p= 0.001), there is an influence of husband's support with Antenatal Care (ANC) visits (p= 0.004), There is an influence of the attitude of health workers with Antenatal Care (ANC) visits (p= 0.027) and there is no influence of health facilities with Antenatal Care (ANC) visits (p= 0.017). The most dominant factor is the role of health workers with Antenatal Care (ANC) visits (p= 0.002) with an OR value of 6.160 (2.018-18.807). Conclusion:  the is that there is an influence of knowledge, attitude, role of health workers, husband's support, attitude of health workers with Antenatal visits in the Sambas Port Health Center Working Area. It is hoped that health workers at the Sambas Harbor Health Center will improve the quality of KIA services so that they can increase KIA patient satisfaction.
Analisis Perilaku Perawat terhadap Implementasi Hand Hygiene dalam Pencegahan Kejadian Infeksi Nosokomial di Ruang Rawat Inap RS TK IV IM 07.01 Kota Lhokseumawe Abrar, Abrar; Asriwati, Asriwati; Yuniati, Yuniati
Jurnal Ners Vol. 8 No. 2 (2024): OKTOBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v8i2.29833

Abstract

Nurses as professional staff in hospitals cannot avoid the risk of microbial contamination. Therefore, hand hygiene is crucial for nurses. The main cause of nosocomial infections in healthcare facilities is proper hand hygiene practices. In Indonesia, the nosocomial infection rate in hospitals reaches 15.74 percent, and globally, good hand hygiene can reduce nosocomial infection incidents by up to 30 percent. This study aims to analyze nurses' behavior regarding hand hygiene implementation in the initiative to prevent nosocomial infections in the inpatient ward of RS TK IV IM 07.01 Lhokseumawe. This research uses a quantitative method with a Cross-Sectional design. The study was conducted in the Inpatient Ward of RS TK IV IM 07.01 Lhokseumawe. The study population consists of all nurses working in the inpatient ward, totaling 65 people. The sampling technique involved the entire population, namely 65 respondents. Data collection was carried out through questionnaire completion. The collected data were then analyzed using SPSS with univariate, bivariate, and multivariate analyses. The research results show that 56 respondents (86.15 percent) correctly perform hand hygiene, while 9 respondents (13.85 percent) do not. The chi-square statistical test revealed that knowledge, attitude, and practice have a significant relationship with hand hygiene implementation with a p-value < 0.05. The results of the multiple logistic regression test show that practice with a sig value of 0.001 and Exp(B) 11.960. The conclusion of this study is that practice is the most dominant variable associated with nurses' hand hygiene implementation. Nurses are advised to always pay attention to hand hygiene in every medical activity to prevent nosocomial infections in hospitals.
Implementasi Strategi Pemasaran Di Rumah Sakit Gigi Dan Mulut Universitas Sumatera Utara (RSGM-USU) Nasution, Dheina Lianisa; Nuraini, Nuraini; Nasution, Ramadhani Syafitri; Asriwati, Asriwati; Yuniati, Yuniati
JURNAL KEBIDANAN, KEPERAWATAN DAN KESEHATAN (BIKES) Vol 4, No 1 (2024): J-BIKES JULI
Publisher : Mata Pena Madani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51849/j-bikes.v4i1.61

Abstract

Rumah sakit sebagai salah satu sarana kesehatan yang memberikan pelayanan kesehatan kepada masyarakat memiliki peran yang sangat strategis dalam mempercepat peningkatan derajat kesehatan masyarakat. Tujuan penelitian ini adalah untuk menganalisis implementasi strategi pemasaran di Rumah Sakit Gigi dan Mulut Universitas Sumatera Utara (RSGM-USU).Penelitian ini menggunakan metode deskriptif dengan pendekatan kualitatif melalui teknik in-depth interview (wawancara mendalam). Sumber data diperoleh secara langsung (data primer) dan tidak langsung (data sekunder). Informan sebanyak 10 orang yang terbagi menjadi informan utama dan informan pendukung. Analisis data dengan melakukan pengecekan hasil penelitian dengan teknik pengumpulan data yang berbeda yakni wawancara, observasi, dan dokumentasi.Hasil penelitian berdasarkan wawancara terhadap responden diketahui strategi pemasaran yang dilakukan hanya sebatas penyuluhan-penyuluhan di sekolah dan instansi lainnya serta mengikuti event-event yang dilaksanakan pihak ketiga, jenis layanan yang ditawarkan sudah lengkap didukung sarana dan prasarana lengkap, tarif layanan mampu bersaing dengan rumah sakit lain, lokasi mudah dijangkau dengan transportasi umum, promosi yang dilakukan masih belum maksimal, mengikut sertakan para staf dalam berbagai jenis pelatihan, menyiapkan admission dan papan penunjuk arah, alat-alat yang digunakan sudah modern serta selain keterbatasan sumber daya manusia juga terkendala pada dana.