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All Journal Jurnal Sosialisasi: Jurnal Hasil Pemikiran, Penelitian dan Pengembangan Keilmuan Sosiologi Pendidikan Jurnal Riset Gizi Jurnal Manajemen Kesehatan Indonesia UNEJ e-Proceeding Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Kesehatan Komunitas Jurnal Ilmiah Manuntung Jurnal Manajemen Informasi dan Administrasi Kesehatan Faletehan Health Journal Poltekita : Jurnal Ilmu Kesehatan Afiasi : Jurnal Kesehatan Masyarakat Jurnal Ners Indonesian Journal of Global Health research Kampurui Jurnal Kesehatan Masyarakat Yumary: Jurnal Pengabdian kepada Masyarakat Jurnal Kesehatan Masyarakat Mulawarman (JKMM) Jurnal Pengabdian Kepada Masyarakat Mulawarman Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management) Eduvest - Journal of Universal Studies Jurnal Riset Gizi Journal of Community Empowerment Proceeding Mulawarman International Conference on Tropical Public Health
Adrianto, Ratno
Department Of Health Administration And Policy, Faculty Of Public Health, Mulawarman University, Samarinda, East Kalimantan, Indonesia
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Analisis Faktor-faktor yang Berhubungan Dengan Kinerja Pegawai Puskesmas di Kota Samarinda Pamowa, Agustina Simanangi; Adrianto, Ratno; Azmiardi, Akhmad; Pakki, Irfansyah Baharuddin; Bakhtiar, Rahmat; Lestari, Ida Ayu Indira Dwika
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.44055

Abstract

Tantangan yang dihadapi Puskesmas dalam meningkatkan kinerja karyawan cukup kompleks. Beberapa kendala yang sering dihadapi termasuk beban kerja yang tinggi, keterbatasan sumber daya manusia, serta fasilitas yang kurang memadai. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan kinerja pegawai Puskesmas di Kota Samarinda. Penelitian ini merupakan penelitian survei analitik dengan menggunakan pendekatan cross sectional. Populasi penelitian ini ialah seluruh pegawai Puskesmas Sidomulyo, Puskesmas Remaja, Puskesmas Karang Asam dan Puskesmas Segiri dengan teknik pengambilan sampel menggunakan total sampling sebanyak 169 orang. Analisa data dilakukan dengan menggunakan analisa univariat dengan distribusi frekuensi, analisa bivariat dengan uji chi square dan analisa multivariat dengan uji regresi logistik. Hasil penelitian menunjukkan faktor yang berhubungan adalah kompetensi (p=0,010), motivasi (p=0,017), kepemimpinan (p=0,020), disiplin kerja (p=0,005), budaya organisasi (p=0,003) dan lingkungan kerja (p=0,011). Sedangkan faktor yang tidak berhubungan ialah kemampuan (p=0,228) dan penghargaan (p=0,420). Faktor yang paling dominan dalam penelitian ini ialah kompetensi (p = 0,003, OR= 18,289) yang berarti pegawai dengan kompetensi yang baik memiliki kemungkinan 18,3 kali lebih besar untuk memiliki kinerja yang baik dibandingkan dengan pegawai yang kompetensinya kurang.
Analisis Faktor-Faktor Mempengaruhi Implementasi Kebijakan Peraturan Daerah Nomor 8 Tahun 2017 Tentang Kawasan Tanpa Rokok (KTR) di SMK 6 Kota Samarinda Hasibuan, Juliana; Adrianto, Ratno; Rohmah, Nur; G, Ike Anggraini; Pakki, Irfansyah Bahruddin; Lestari, Ayu Indira Dwika
Jurnal Ners Vol. 9 No. 3 (2025): JULI
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47100

Abstract

Indonesia is currently facing a growing number of active smokers, particularly among adolescents. In an effort to protect the public from the negative impacts of cigarette smoke, the Government has established a Smoke-Free Area (KTR) policy. This study aims to analyze the factors influencing the implementation of Regional Regulation Number 8 of 2017 concerning Smoke-Free Areas (KTR) at SMK Negeri 6 Samarinda.This research employed a quantitative approach with a cross-sectional design. The sampling technique used was stratified random sampling, involving 428 student respondents. Data were collected using a questionnaire, and analyzed using path analysis with the help of SPSS software.The results show a direct influence of communication, bureaucratic structure, resources, and disposition on policy implementation (each with a p-value = 0.000). Furthermore, communication had a direct effect on resources (p-value = 0.000), and bureaucratic structure had a direct effect on disposition (p-value = 0.000). An indirect effect was also found between communication and implementation through resources (Sobel test value = 6.132 > t-table = 1.969), as well as between bureaucratic structure and implementation through disposition (Sobel test value = 8.625 > t-table = 1.969).In conclusion, communication, resources, bureaucratic structure, and disposition are key factors influencing the implementation of Regional Regulation No. 8 of 2017 on Smoke-Free Areas in the school environment. communication needs to be improved through regular and interesting socialization. Keywords: Implementation, Smoke-Free Areas, Adolescents, School, Smoking
Studi Kepuasan Pelayanan Kesehatan Masyarakat di Puskesmas Sungai Kapih Kota Samarinda Astuti, Ashri Budi; Adrianto, Ratno; Baharudin, Irfansyah; Kartikasari , Dina
Jurnal Kesehatan Komunitas Vol 11 No 1 (2025): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol11.Iss1.2104

Abstract

A long with technological advancements and societal demands for services, public service providers are required to meet the expectations of the community in delivering services. One of the efforts that must be made in improving public services is conducting community satisfaction surveys. The purpose of this research is to provide an overview of public satisfaction with the services received. The survey is conducted periodically using a descriptive method approach, where the measurement employs the Likert Scale. The respondents in this study were determined based on the Krejcie and Morgan table, consisting of 70 men and 105 women. This survey was conducted at the Sungai Kapih Health Center in Samarinda City from July to October 2024. Data collection was conducted using questionnaires and interviews with respondents who came to the health center. The results of this survey indicate that the complaint and facility elements have a lower satisfaction index compared to other elements. This is caused by the Sungai Kapih Health Center, which is currently providing services at a temporary location in a rented shop,where one of the components that can influence customer satisfaction is direct evidence or physical evidence (tangibles), namely facilities and infrastructure that can be felt directly or physically by customers. It is hoped that after the renovation process is complete, services can run smoothly, with better and more adequate facilities and infrastructure so that patient expectations and comfort are met. Patient satisfaction is a benchmark in the performance of public services, so it is necessary to immediately meet the expectations of the community regarding the provision of facilities and infrastructure in services at the health center.
Pelatihan Manajemen Puskesmas Dengan Metode 3P di Puskesmas Sempaja Kota Samarinda Adrianto, Ratno; Rahayu, Eka Putri; Sumarni, Sumarni; AR, Chaerunnisa; Isnaniah, Enny
Yumary: Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 4 (2025): Juni
Publisher : Penerbit Goodwood

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35912/yumary.v5i4.3839

Abstract

Purpose: The aim of this activity was to make primary health care capable of doing management and optimum healthcare activity. Methodology/approach: This activity was held in October 2024, placed in Puskesmas Sempaja. These activities were mostly two days of training in 3P Primary Health Care Management. Results/findings: There was an increase in knowledge in the good category from 69,6% to 87%. This result shows that there was an increase in participant knowledge before and after participating in the 3P primary health care management training. The enthusiasm of the participants was also very high in this training. Conclusions : A community service activity titled “Health Center Management Training Using the 3P Method at Puskesmas Sempaja in the Humid Tropical Forest Area of Samarinda City” was conducted over two days. The program involved 23 participants, all of whom were employees of Puskesmas Sempaja. The results indicated a significant improvement in knowledge, with the percentage of participants categorized as having "good" knowledge increasing from 69.6% to 87% after the training. This demonstrates that the 3P method effectively enhanced participants' understanding of health center management. Limitations: The participants were limited to accidental workers who joined this training due to another activity. Contribution: This community service activity can have a positive impact on workers who work in Puskesmas Sempaja. These activities are used to refresh knowledge of primary healthcare management.
HUBUNGAN MUTU PELAYANAN DENGAN KEPUASAN PASIEN RAWAT JALAN DI RUMAH SAKIT IBU DAN ANAK AISYIYAH SAMARINDA TAHUN 2024 Wardani, Citra Rizki; Adrianto, Ratno; Sumarni, Sumarni; AR, Chaerunnisa; Elvira, Vivi Filia
Jurnal Manajemen Kesehatan Indonesia Vol 13, No 1 (2025): April 2025
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.13.1.2025.110-22

Abstract

Data on outpatient visits at Aisyiyah Samarinda Mother and Child Hospital in 2022-2024 where the data for 2022 is 9,839 visitors, in 2023 there has been an increase where the number of patient visits amounted to 18,689 visitors, and in 2024 until October there was a decrease where the number of patient visits amounted to 15,783 visitors. This study aims to determine the relationship between service quality and outpatient satisfaction at Aisyiyah Samarinda Maternal and Child Hospital in 2024. This type of research is quantitative research using cross sectional studies. The number of samples was 132 respondents using the purposive sampling technique. Data analysis uses univariate and bivariate analysis with chi squared test. The results showed that there was a relationship between technical competence (ρ = 0.025), access to services (ρ = 0.001), and comfort (0.008) with outpatient satisfaction at RSIA Aisyiyah Samarinda. Meanwhile, there was no relationship between human relationships (ρ = 0.916) and outpatient satisfaction at RSIA Aisyiyah Samarinda. So it can be concluded that there is a relationship between technical competence, access to services, and comfort with patient satisfaction. However, there was no relationship between human relationships and outpatient satisfaction at RSIA Aisyiyah Samarinda.
Analysis of Factors Related to the Incidence of Ventilator-Associated Pneumonia (VAP) in the Intensive Care Unit Cahyana, Yudi Jaya; Pakki, Irfansyah Baharuddin; Lestari, Ida Ayu Indira Dwika; Adrianto, Ratno; Yadi, Yadi; Azmiardi, Akhmad
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6628

Abstract

Ventilator-associated pneumonia (VAP) occurs in patients who have been on mechanical ventilation with an endotracheal tube (ETT) for at least 48 hours. This type of pneumonia typically arises as a result of nosocomial infections or Healthcare-Associated Infections (HAIs) and is commonly linked to the use of ventilators in hospital settings. This study was to identify the factors associated with the incidence of VAP among patients admitted to the Intensive Care Unit of Abdoel Wahab Sjahranie Hospital, Samarinda. Method: A cross-sectional study was conducted. The study population consisted of all patients who had undergone mechanical ventilation in the ICU without a prior history of pneumonia, totaling 118 respondents, using the HAIs bundle observation tool and direct observation. Chi-square and multiple logistic regression were used for statistical analysis, along with a predictive model. The results showed that the prevalence of VAP among respondents in the ICU was 5.9%. Factors significantly associated with the incidence of VAP included duration of ventilator use (p = 0.000), oral hygiene procedures (p = 0.000), head-of-bed elevation to 30–45° (p = 0.007), hand hygiene compliance (p = 0.015), and aseptic suctioning procedures (p = 0.043). The multivariate analysis identified duration of ventilator use ≥96 hours as the most dominant factor, with the highest Odds Ratio (OR = 13.975; 95% CI: 0.753–227.435). Duration of ventilator use was the most significant factor associated with an increased risk of VAP, with patients ventilated for ≥96 hours being 13 times more likely to develop VAP compared to those ventilated for <96 hours. Proper oral hygiene, appropriate head-of-bed elevation (30–45°), compliance with hand hygiene, and aseptic suctioning procedures were also found to be significantly associated with VAP incidence among ICU patients at Abdoel Wahab Sjahranie Hospital
Analysis of the Relationship Between the Implementation of the Clinical Pathway for NSTEMI Disease and Service Variance Hapsari, Palupi Setyo; Adrianto, Ratno; Pakki, Irfansyah Baharuddin
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6773

Abstract

This research was conducted to address the increasing number of NSTEMI (Non-ST Elevation Myocardial Infarction) cases, which represent a significant portion of heart attack patients (85%) according to the 2023 Ischemic Myocardial Infarction National Audit. The challenge for healthcare providers is to ensure optimal care for these patients. Clinical Pathways are structured guidelines designed to improve service quality, but despite a relatively high compliance rate (82%) for filling out Clinical Pathways at Taman Husada Bontang Hospital, there has been no clear analysis of how Clinical Pathway implementation benefits patient outcomes. Therefore, the study aims to evaluate the relationship between the implementation of Clinical Pathway and the quality of care provided to NSTEMI patients. The study aims to analyze the relationship between the implementation of the Clinical Pathway for NSTEMI patients and the quality of service at Taman Husada Bontang Hospital. Quantitative research method with a cross-sectional case study approach. The sample technique used is non-probability sampling; the number of samples is 50 Clinical Pathway forms from NSTEMI patients treated at the hospital during the 2022-2023 period. The Chi Square test on the service variance variable has a significant relationship with the implementation of Clinical Pathway, with a p value of 0.000 < 0.05, incomplete documentation resulting in a lack of information about the service variance provided with an OR value of 1.5. The conclusion is that the implementation of Clinical Pathway is significantly related to the quality of services, especially the variance of actions given to patients. To improve service quality, improvements are needed in documentation and regular evaluation of the implementation of the Clinical Pathway.
Analysis of Activity Based Costing (ABC) Calculations in Services Hemodialysis at the Kudungga Regional Hospital Dialysis Unit Wijayanti, Dwi Astuti Noor; Adrianto, Ratno; Ramdam, Iwan Muhammad; Pakki, Irfansyah Baharuddin; Kamaruddin, Iriyani; Bahtiar, Rahmat
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6871

Abstract

Hemodialysis is a kidney replacement therapy where blood from outside the body is filtered by a machine. The provision of hemodialysis services currently still uses the old rates and is considered not to provide profits for hospitals, so good calculations are needed as a form of efficiency in financing hemodialysis procedures in hospitals, especially in the JKN era. Hospitals will receive comprehensive information on shopping costs, unit cost calculations and action suggestions in accordance with applicable rates. The study was carried out with the aim of finding out the unit cost rates for hemodialysis services in the Kudungga Regional Hospital Dialysis Unit using the Activity Based Costing (ABC) method and comparing them with INA-CBGs rates and hospital rates. This research uses a descriptive and quantitative approach. Unit costs for dialysis units and cost analysis using the Activity Based Costing (ABC) method approach are the main subjects of this research. This research is based on all financial balance data for hemodialysis services at the Kudungga Regional Hospital Dialysis Unit. The unit cost of hemodialysis can be determined by tracing the costs related to the hemodialysis cost center as a production center and other elements that support this action. The data will be grouped into fixed costs, semi-variable costs and variable costs, then included in direct costs, indirect costs, overhead and unit cost calculations using the Activity Based Costing (ABC) method. The research results show that the unit cost calculation for hemodialysis based on the Activity Based Costing (ABC) method is IDR 1,397,627.79. Meanwhile, the Kudungga Regional Hospital rate is only IDR 1,258,300, the hospital rate only meets 90.03% of the unit cost using the ABC method. Meanwhile, when compared with the INA-CBGs tariff, which is IDR 921,300, the INA-CBGs tariff only meets 65.92% of the unit cost using the ABC method. Things that influence are direct costs, indirect costs and the number of hemodialysis procedures.
Calculation Rational Rates Based on Unit Costs Compared to Kudungga Hospital Surgical Instalation Rates Setianingtyas, Endah Dwi; Adrianto, Ratno; Ramdan, Iwan Muhamad; Pakki, Irfansyah Baharuddin; Kamaruddin, Iriyani; Bahtiar, Rahmat
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6872

Abstract

Hospitals that have carried out unit cost calculations can find out how much they are spending, so that the hospital can know if waste occurs. This is because the costs incurred by one hospital will be different from those incurred by another hospital, even though the hospital is in the same type of hospital. Apart from that, the results of unit cost calculations can also be used as a basis for decision making to improve hospital quality and quality. The aim of this research is to calculate rational rates for types of surgery using the multiple distribution method, then compare them with hospital rates for general surgery rates at the Central Surgical Installation of Kudungga Sangatta Regional Hospital. This study is a comparative descriptive quantitative analytical study to compare the rational rates of types of operations (special, special, major, major, and medium cito operations) in the general surgery group during the period of 2023 with the rates of general surgery operations at the Central Surgery Installation of Kudungga Sangatta Regional Hospital with a sample population of all 340 patients using BPJS insurance who received general surgery operations. The results of the research show that the rational rates obtained for special CITO operations are IDR 14,094,633, special operations IDR 12,383,431, large CITO operations IDR 5,262,904, large operations IDR 6,775,203, and medium operations IDR 3,858,857. Rational rates are higher than hospital rates, except for major CITO surgery rates. Therefore, when determining hospital rates, it is necessary to consider unit cost analysis so that hospital operational costs can be efficiently spent.
Analysis of Factors Affecting Job Satisfaction and Performance of Specialist Doctors Basri, Samsinar; Adrianto, Ratno; Pakki, Irfansyah Baharuddin
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6935

Abstract

There are many patient complaints regarding the performance of specialists at Kudungga Hospital. This is shown in accordance with the results of patient satisfaction surveys conducted in 2020 and 2021. From the satisfaction survey, it was concluded that the patient's complaint was the behavior of doctors who often arrived late so that the polyclinic schedule was not on time. The purpose of this study is to analyze factors related to job satisfaction and performance of specialist doctors at Kudungga Regional Hospital, East Kutai Regency.The type of research used is observational with a cross sectional design, namely a study that explores information about the phenomenon of work dissatisfaction of Specialist Doctors at Kudungga Sangatta Hospital and then analyzes the dynamics of the correlation between phenomena, between the independent variable and the dependent variable can be how far the influence between the independent variable on the dependent variable. The population and sample in this study were 30 specialist doctors who actively worked at the Kudungga Sangatta Regional General Hospital. Data collection was carried out by distributing questionnaires and collecting secondary data in the form of OPPE specialist doctors and And data analysis was carried out using univariate and bivariate analysis using the Spearman Rank test. There is a relationship between work environment conditions and promotion opportunities with job satisfaction of Specialist Doctors. Based on the results of data analysis and discussion, it can be concluded that factors related to specialist doctor job satisfaction consist of work environment conditions and promotion opportunities. The variable most closely related to specialist doctor job satisfaction is work environment conditions, which has an R value of 0.689 (a strong correlation).
Co-Authors 'Aina 'Uruba, Huurul Abira Ivanca Eka Dewi Sitepu Agustina, Elvi Akhmad Azmiardi Akhmad Azmiardi Alvie Magda Lesiwal Annisa Nurrachmawati AR, Chaerunnisa AR., Chaerunnisa Astuti, Ashri Budi Astuti, Prima Yulia Audya Nada Fajri Auralia, Syalmita Auralia, Syalmitha Ayu Huwaidah Wahyudi Baharudin, Irfansyah Bahtiar, Rahmat Bakhtiar, Rahmat Basri, Samsinar Cahyana, Yudi Jaya Chaerunnisa AR Chaerunnisa AR Dahlia Dahlia Dias Pratama Eka Putri Rahayu Elvira, Vivi Filia Fatimatuzzahra, Siti G, Ike Anggraini Gloria Priska Britani Sumlang Hapsari, Palupi Setyo Hasibuan, Juliana Hilda Hilda Hilda Hilda Hutauruk Hutauruk Hutauruk, Hutauruk Huwaidah, Ayu Ida Ayu Indira Dwika Lestari Irfansyah Baharuddin Pakki Iriyani K Iriyani Kamaruddin, Iriyani Isnaniah, Enny Ivanca, Abira Iwan M. Ramdan Iwan Muhamad Ramdan Jumliana Jumliana Jumliana, Jumliana Kartikasari , Dina Khalisha, Nailah Khalishah az Zahra Kurniawan Khusnul, Vika Kurniawan, Khalishah az Zahra Lasari, Aramika Laura, Najoan Brigitta Lenik Gah, Regina Lestari, Ayu Indira Dwika Lestari, Ida Ayu Indira Dwika Lisa Septiana Marinda, Indri Masithah, Masithah Masruroh1,2, Ah Yusuf3 , Nikmatur Rohmah4, Irfansyah Baharudin Pakki5 , Anita Dewi Prahastuti Prasojo6 , Qurnia Andayani1 , *Agung Dwi Laksono7 Maulana, Ady Meilida Ulfah Mochamad Makin, Mochamad Mualimin, Jaya Muhammad Rangga Muhammad Rangga Danu Putra Muhammad Sultan Muhammad Sultan, Muhammad Nada, Abira Ivanca Audya Nada, Audya Najoan Brigitta Laura Norsehan Norsehan Nur Rohmah Nurlinda, Fitria Nursakti Nursakti Pakki, Irfansyah Bahruddin Pamowa, Agustina Simanangi Paramita, Tri Ratna Pasha, Yuliana Pratama, Dias Rahayu, Eka Putri Rahmat Bakhtiar Rahmi Susanti Rahmi Susanti Ramdam, Iwan Muhammad Ramdan , Iwan M. Rangga, M. Reny Noviasty Risky Amelia Rhamadani Riyan Ningsih Ruth Sekar Nauli Septimaulida, Firda Setianingtyas, Endah Dwi Setiawati, Ronny siti nurlela Subirman - Suhargiati, Atik SUMARNI Sumarni Sumarni Sumarni Sumarni Syalmitha Auralia Nur Ulfah, Meilida Vika Khusnul Khotimah W, Ratih Wirapuspita. Wahyudianto, Yogik Wardani, Citra Rizki Wijayanti, Dwi Astuti Noor Wirapuspita W, Ratih Wirapuspita Wisnuwardani, Ratih Yadi, Yadi