Claim Missing Document
Check
Articles

Analisis Mutu Pelayanan dengan Kepuasan Pasien Rawat Jalan di UPT Puskesmas Sangatta Utara (Studi : Potong Lintang) Noriah, Noriah; Adrianto, Ratno; Ramdan, Iwan Muhamad
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 4: November 2025
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v10i4.28333

Abstract

Background: Health service quality reflects how well services meet patient satisfaction as it affects patient trust and adherence while also demonstrating the accountability of primary health care facilities. This study aims to examine the impact of service quality on outpatient satisfaction at UPT Puskesmas Sangatta Utara.Methods: This study utilized an analytical survey with a cross-sectional design. The population included community members seeking care at the North Sangatta Health Centre. A total of 271 respondents were selected based on the Lemeshow formula, using purposive sampling as the sampling method. Data were collected through a structured questionnaire that included demographic characteristics and research variables. Data analysis was conducted using a combination of univariate, Chi-square, and multiple logistic regression methods to explore the relationships and effects among the variables.Result: The results showed that variables significantly associated with outpatient satisfaction were technical competence, facility accessibility, service effectiveness, continuity, safety, comfort, information, timeliness, and interpersonal relations (p < 0.05). Service efficiency was not significantly associated with patient satisfaction (p > 0.05). The most influential factor was interpersonal relations, with the highest odds ratio of 2.294 (95% CI: 1.381–3.809).Conclusion : This study demonstrated that outpatient satisfaction at the North Sangatta Health Centre was influenced by multiple service aspects, with interpersonal relations emerging as the most dominant factor. These findings emphasized the importance of improving healthcare workers’ communication and interaction with patients to enhance overall satisfaction.
Analysis of Risk Factors for Pulmonary Function Disorders among Workers at PT X Coal Division, East Kalimantan Septiana, Lisa; Pakki, Irfansyah Baharuddin; Azmiardi, Akhmad; Adrianto, Ratno; K., Iriyani; Lestari, Ida Ayu Indira Dwika
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.6146

Abstract

Pulmonary function impairment remains a critical occupational health issue among coal industry workers due to prolonged exposure to airborne pollutants. Despite the implementation of occupational health regulations, respiratory disorders continue to be prevalent, leading to decreased work capacity and increased health risks. Identifying key risk factors is essential to developing targeted preventive measures. Objective: This study aims to analyze the relationship between occupational risk factors and pulmonary function impairment among workers at PT X Coal Division, East Kalimantan. A cross-sectional study was conducted on 183 coal division workers selected through cluster random sampling. Data were obtained through structured questionnaires, spirometry tests, and workplace dust level measurements. Multivariate logistic regression analysis was used to determine the most influential factors associated with pulmonary function impairment. The analysis identified significant associations between pulmonary function impairment and a history of other diseases (p = 0.001; OR = 11.709; 95% CI: 2.901–47.257), work tenure of ≥3 years (p = 0.032; OR = 3.319; 95% CI: 1.109–9.934), heavy physical workload (p = 0.036; OR = 2.807; 95% CI: 1.071–7.361), and inadequate personal protective equipment (PPE) usage (p = 0.015; OR = 2.566; 95% CI: 1.205–5.463). Other factors such as age, body mass index (BMI), work location, dust exposure, exercise habits, and smoking were not significantly associated with pulmonary function impairment. Work-related exposures and individual health conditions play a crucial role in pulmonary function impairment among coal workers. Strengthening workplace safety measures, enforcing PPE compliance, and implementing regular health screenings are necessary to mitigate respiratory risks. Ensuring a safer work environment through targeted preventive strategies is essential for protecting workers from long-term pulmonary complications while enhancing occupational health policies in the coal industry.
Analysis of the Relationship Between Knowledge, Perception, and Workload of Nurses on Patient Safety Culture Norsehan, Norsehan; Adrianto, Ratno; Bakhtiar, Rahmat; Pakki, Irfansyah Baharuddin; Hilda, Hilda
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6442

Abstract

Patient safety culture refers to a pattern of behavior of both individuals and organizations that consistently seek to reduce the risk of harm or injury to patients due to the services provided, based on shared beliefs and values. This study aims to analyze the relationship between knowledge, perceptions, and workload of nurses on patient safety culture at Beriman Hospital, Balikpapan City. The method used in this study is a quantitative approach with a cross-sectional design, involving all nurses working in the service unit of Beriman Hospital, Balikpapan City, totaling 129 respondents (total sampling). This study was conducted from February to March 2025, with data collection using a questionnaire that had been tested for validity and reliability. Univariate data analysis, chi-square test, and logistic regression. The results showed good knowledge 81.4%, good perception 51.2%, high workload 50.4% and patient safety culture value 58.9%. The results of the chi-square test sig value of knowledge: 0.600 and perception: 0.302, both (p> 0.05) indicating no relationship between knowledge and perception of nurses towards patient safety culture. However, the sig value for workload is 0.006 (p <0.05) indicating a relationship between workload and patient safety culture. The results of the logistic regression test show that nurses' workload has a significant effect on patient safety culture with a significance value (Sig) of 0.009. The Odds Ratio (OR) value of 2.712 indicates that nurses with a higher workload are 2.7 times more likely to influence patient safety culture compared to those with a low workload. The conclusion is that workload is the factor most related to patient safety culture.
An Analysis of Relationship Between Organization Climate, Work Culture, and Work Environment on Employee Job Satisfaction Nursakti, Nursakti; Adrianto, Ratno; Bakhtiar, Rahmat; Pakki, Irfansyah Baharuddin; Hilda, Hilda
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6575

Abstract

The background of this research was based on the importance of job satisfaction in improving the quality of services in the health sector, especially in community health centers. This study aimed to analyze the relationship between organizational climate, work culture, and work environment on job satisfaction of employees at Klandasan Ilir Public Health Center and Manggar Baru Public Health Center in Balikpapan City. The research method used a quantitative approach with a survey technique conducted on employees at both public health centers using a cross-sectional approach. The sampling technique was total sampling with a total of 111 respondents. Data were collected through a questionnaire that included indicators of organizational climate, work culture, work environment, and job satisfaction. Data analysis was conducted using univariate analysis with frequency distribution, bivariate analysis with the chi-square test, and multivariate analysis with logistic regression. The study found that 80.2% of respondents were female, with the majority working in the General Services Unit. Most had a diploma-level education and more than three years of work experience. Bivariate analysis showed significant relationships between job satisfaction and all three independent variables. Multivariate analysis indicated that work culture was the most significant factor influencing job satisfaction (p = 0.001; OR = 0.147). Work culture had the strongest relationship with job satisfaction among Puskesmas employees. Efforts to improve work culture can lead to higher satisfaction and better service quality.
Kondisi Kesehatan Masyarakat Berdasarkan Survei dan Observasi di Kelurahan Bukuan, Kota Samarinda Adrianto, Ratno; Susanti, Rahmi; Danu Putra, Muhammad Rangga; Eka Dewi Sitepu, Abira Ivanca; Fajri, Audya Nada; Wahyudi, Ayu Huwaidah; Hutauruk, Hutauruk; Nauli, Ruth Sekar; Jumliana, Jumliana; Ulfah, Meilida; Nur, Syalmitha Auralia; Khotimah, Vika Khusnul
Jurnal Kesehatan Masyarakat Mulawarman (JKMM) Vol.5 No.1 Juli (2023) : Jurnal Kesehatan Masyarakat Mulawarman (JKMM)
Publisher : Mulawarman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/jkmm.v5i1.9692

Abstract

Stunting adalah gangguan pertumbuhan linier yang tidak sesuai dengan umur atau panjang lebih dari -2 SD median standar pertumbuhan anak dari WHO. Persentase balita stunting di Kalimantan Timur sebesar 27.6% atau telah berada di bawah rerata persentase nasional 37,2%. Tujuan penelitian ini adalah untuk mengetahui bagaimana kondisi kesehatan masyarakat dinilai dari survei dan observasi yang dapat mempengaruhi kejadian stunting.  Penelitian ini dilaksanakan di RT 01 dan RT 02 Kelurahan Bukuan, Kecamatan Palaran, Kota Samarinda, Provinsi Kalimatan Timur menggunakan metode deskriptif dengan pengambilan data secara sekunder dan primer melalui wawancara langsung yang dipandu kuesioner. Penelitian ini menggunakan metode purposive sampling. Jenis penelitian yang digunakan adalah penelitian deskriptif dengan pendekatan kuantitatif yang memberikan gambaran umum mengenai pengetahuan masyarakat sebelum dan sesudah dilakukan edukasi. Hasil penelitian menunjukkan secara epidemiologi terdapat 64% responden menderita ISPA dan 34% menderita Hipertensi. Dalam dunia kesehatan, ditemukan terdapat 14% responden sering mengonsumsi mie instan, secara kesehatan lingkungan terdapat 31% responden mengolah sampah dengan dibakar, berdasarkan tingkat pengetahuan dan sikap perilaku merokok terdapat 44.9% responden merokok di dalam rumah dan berdasarkan tingkat pengetahuan kesehatan reproduksi remaja terdapat 56.5% remaja tidak menerima informasi tentang kesehatan reproduksi remaja dari orang tua. Dapat disimpulkan bahwa terdapat 6 masalah yang berkaitan dengan penegtahuan dan perilaku hidup sehat sebagai faktor risiko yang mempengaruhi kejadian stunting. Sehingga diharapkan peran tenaga kesehatan dan kader dapat lebih menyebarluaskan informasi pencegahan stunting dengan pengembangan inovasi program pencegahan stunting terbaru.
The Role of Stress and Job Satisfaction Among Frontline Nurses in the National Health Insurance Era: The Mediating Role of Self-Efficacy Adrianto, Ratno; Sumarni, Sumarni; AR, Chaerunnisa
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 3 (2023): November
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i3.2849

Abstract

The study aimed to analyze the effect of role stress (role ambiguity and role conflict) on the self-efficacy and job satisfaction of nurses implementing the National Health Insurance (JKN) era at Panembahan Senopati Hospital, Bantul. The research design used was an analytic survey design using a cross-sectional study approach. The population of this study was all nurses at the Panembahan Senopati Hospital, Bantul, with a sample size of 105 executive nurses. Data analysis used Spearman correlation analysis to see the effect of the independent variables on the dependent variable with a significance limit (α) of 5%. The results indicated no effect of role ambiguity on nurses' self-efficacy in the JKN era at Panembahan Senopati Hospital, Bantul (p=0.236). Further, there was an effect of role conflict on the self-efficacy of nurses in the JKN era at Panembahan Senopati Hospital, Bantul (p=0.000). There is an effect of self-efficacy on the job satisfaction of nurses in the JKN era at Panembahan Senopati Hospital, Bantul (p=0.000). It can be concluded that there is a complex relationship between role ambiguity, role conflict, self-efficacy, and nurse job satisfaction. Although not all relationships have a significant effect, this study provides an initial understanding of the factors that influence the self-efficacy and job satisfaction of nurses at Panembahan Senopati Hospital, Bantul, in the JKN era.
Analisis Faktor-Faktor Yang Mempengaruhi Implementasi Kebijakan Pantas Sehat Pada Pegawai Puskesmas Kabupaten Kutai Kartanegara (Peraturan Bupati Kutai Kartanegara No. 66 Tahun 2019 Tentang Penyelenggaraan Gerakan Keluarga Peduli Pencegahan Dan Atasi Stun Imanuddin, Khairul; Adrianto, Ratno; Annisa Nurracmawati
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i8.61359

Abstract

Stunting as a condition of growth failure caused by lack of nutrition in the first 1000 days of life. The prevalence of stunting in toddlers in Kutai Kartanegara Regency in 2021 was 26% and increased in 2022 by 27.1% with a target of 21.89%, so the target is still achievable. Efforts to prevent stunting in Kutai Kartanegara Regency through the Pantas Sehat program policy. Observations of the stunting prevention program still lack socialization and there are errors in receiving information in implementing the policy, lack of understanding of staff at the locus, the division of authority has not been running well and some facilities are inadequate. For this reason, it is necessary to look at the implementation of the program through communication, resources, disposition and bureaucratic structure. The aim of this research was to analyze factors that influence implementation health care policies among Community Health Center employees in Kutai Kartanegara Regency. Cross Sectional method study design. The sample was employees at Community Health Center in Kutai Kartanegara Regency, totaling 160 people. The sampling technique used was purposive sampling. Bivariate data analysis used was chi square and multivariate used was logistic regression. The results study indicate that communication, resources, and bureaucratic structure have a significant effect on the implementation Pantas Sehat policy, while disposition does not have a significant effect on the implementation Pantas Sehat policy. The logistic regression equation model is Implementation = 4.467 + 1.628 (Communication) + 0.522 (Resources) + 0.264 (Disposition) + 1.482 (Bureaucratic Structure) + e. R Square of 0.338 means the level of influence of communication, resources, disposition and bureaucratic structure on the implementation Pantas Sehat policies for Puskesmas employees in Kutai Kartanegara Regency is 33.8%. It was concluded that the factors that influence the implementation Pantas Sehat policy include communication, resources, disposition and bureaucratic structure. Communication variable was the most dominant. It was recommended to improve communication through counseling and socialization to mothers who have under five years children regarding exclusive breastfeeding and routine immunizations carried out every month using interesting and diverse media.
TRP, The Magister student Analysis of Factors Related to Job Satisfaction and Its Relationship with Community Satisfaction Paramita, Tri Ratna; Adrianto, Ratno; Ramdan, Iwan Muhamad
Preventif : Jurnal Kesehatan Masyarakat Vol. 16 No. 2 (2025): VOLUME 16 NO.2 TAHUN 2025
Publisher : Tadulako University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/preventif.v16i2.2057

Abstract

The quality of services at RSUD Taman Husada has not met the expected standards, partly due to disparities in employment status affecting compensation and career development. Assessing employee job satisfaction is crucial, as it directly influences service effectiveness and patient satisfaction. This study aimed to describe job satisfaction and community satisfaction at RSUD Taman Husada and to analyze the factors associated with job satisfaction and its relationship to community satisfaction. This study employed a cross-sectional design involving 250 employees at Taman Husada Regional Hospital. Data were collected using a structured questionnaire to assess job satisfaction and community satisfaction. Statistical analyses, including Spearman's rank correlation and logistic regression, were conducted to identify significant factors associated with job satisfaction and its relationship to public satisfaction. The results showed that job satisfaction was categorized as high (78.42), while the community satisfaction index was very good (89.59). Significant factors influencing job satisfaction included achievement, recognition, responsibility, advancement, work itself, compensation, job security, working conditions, organizational policies, technical supervision, and interpersonal relationships (p < 0.005). The most dominant factor was work itself (OR = 16.89). No significant relationship was found between job satisfaction and community satisfaction in the aspect of employee behavior (p = 0.715). It was concluded that intrinsic and extrinsic factors significantly affect job satisfaction. However, a direct relationship with community satisfaction has not been established.
Performance Evaluation of Tim Pendamping Keluarga (TPK) in theAccelerated Stunting Reduction Programme within Kutai KartanegaraRegency in 2024 Ramadhani, Dewi Endah; Anggraeny, Ike Anggraeni G; Adrianto, Ratno
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background : Stunting is a condition of impaired growth in children under five (toddlers) resulting from chronic malnutrition and recurrent infections. This condition adversely affects the development of cognitive and physical abilities. Stunting prevention necessitates a multisectoral approach, including improvement in nutrition, hygiene and sanitation, maternal and child health, and socioeconomic factors. The main challenge of controlling stunting is the complexity of its determinants, including direct factors such as inadequate nutritional intake and indirect factors such as poverty and low education (Black et al., 2013; UNICEF, 2019). Objective : The objective of this study is to assess the efficacy of Tim Pendamping Keluarga (TPK) in executing the accelerated stunting reduction program in Kutai Kartanegara Regency in 2024 Research Methods/ Implementation : a quantitative descriptive approach, utilizing monitoring data, TPK output achievements, and verification across districts and sub-districts ResultsThe analysis revealed the highest accompaniment rate for children under two at 86.84%, followed by at-risk prospective spouses at 81.45%, postpartum women at 71.62%, and the lowest for pregnant women at 25.32%. The Pearson correlation between the target numbers and those who were affected is quite strong for children under two (R=0.99), spouses (R=0.98), and postpartum women (R=0.95), and lower for pregnant women (R=0.76), indicating implementation gaps in accompaniment for pregnant women. The synergy of KRS (At-Risk Families) data collection and verification through Elsimil, together with cross-sector collaboration, contributed to a reduction in the stunting prevalence in Kutai Kartanegara (from 27.1% in 2022 to 14.3% in 2024), although increasing accompaniment coverage for pregnant women remains a priority for improvement, with Kutai Kartanegara serving as a leading example in East Kalimantan. Conclusion/Lesson Learned : Nevertheless, optimizing TPK resources remains a major concern. Accompaniment coverage for pregnant women must be strengthened in parallel with other targets, supported by TPK training or capacity building, supervision, and improvements in data integration systems so that the Kutai Kartanegara accompaniment model can be adopted as a national best practice for stunting reduction.
Analysis of Factors Related to Employee Satisfaction at Rural HealthCenters in Samarinda Astuti, Ashri Budi; Adrianto, Ratno; pakki, Irfansyah Baharuddin
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background : Job satisfaction is an important goal in Human Resources management because it directly and indirectly impacts work productivity. Employee job satisfaction directly impacts organizational commitment, where employees who are satisfied with their work, colleagues, pay, and superiors are more likely to be highly dedicated to the organization Objective : The purpose of this study was to analyze factors related to employee job satisfaction at Rural Community Health Centers in Samarinda. The research method used was quantitative with a cross-sectional approach. The study population consisted of 179 employees, and the sample size was determined by purposive sampling, with 138 employees. Data were collected using a questionnaire with a Likert scale Results : The results of the bivariate analysis showed a relationship between income and job satisfaction among Rural Community Health Center employees in Samarinda, with a p-value of 0.00. In addition, the work policy variable also shows a relationship with job satisfaction with a p value of 0.00. Conclusion/Lesson Learned : There is a relationship between income and work policies with employee job satisfaction in rural community health center employees in Samarinda.
Co-Authors 'Aina 'Uruba, Huurul Adiyatsa, Reza Jales Mahesa Agustina Simanangi Pamowa Agustina, Elvi Akhmad Azmiardi Akhmad Azmiardi Alvie Magda Lesiwal Aminah Aminah Angelina, Grace Annisa Nurrachmawati Annisa Nurracmawati AR, Chaerunnisa AR., Chaerunnisa Astuti, Ashri Budi Astuti, Ayu Sri Mega Astuti, Prima Yulia Atik Suhargiati Atthoba, La Debi Auralia, Syalmita Auralia, Syalmitha Ayu Indira Dwika Lestari Baharuddin Pakki, Irfansyah Baharudin, Irfansyah Bahtiar, Rahmat Bakhtiar, Rahmat Basri, Samsinar Blego Sedionoto Budi, Eko Prasetya Cahyana, Yudi Jaya Chaerunnisa AR Chaerunnisa, Chaerunnisa Dahlia Dahlia Danu Putra, Muhammad Rangga Dedi Priansyah Dias Pratama Eka Dewi Sitepu, Abira Ivanca Eka Putri Rahayu Elvira, Vivi Filia Fajri, Audya Nada Fatimatuzzahra, Siti Firnanda, Rivana Gloria Priska Britani Sumlang Hamri, Ahmad Ahsyar Hapsari, Palupi Setyo Hasan, Hismawati Hilda Hilda Hutauruk, Hutauruk Huwaidah, Ayu Ida Ayu Indira Dwika Lestari Ike Anggraeni Ike Anggraini G Imanuddin, Khairul Irfansyah Baharuddin Pakki Irfansyah Bahruddin Pakki Iriyani K Iriyani Kamaruddin, Iriyani Isnaniah, Enny Ivanca, Abira Iwan M. Ramdan Iwan Muhamad Ramdan Iwan Muhamad Ramdan Jami'an, Jami'an Jaya Mualimin Juliana Hasibuan Jumliana, Jumliana K., Iriyani Kartikasari , Dina Khalisha, Nailah Khalishah az Zahra Kurniawan Khotimah, Vika Khusnul Khusnul, Vika Kurniawan, Khalishah az Zahra Lasari, Aramika Laura, Najoan Brigitta Lenik Gah, Regina Lestari, Ida Ayu Indira Dwika Listiyani, Dwi Mahardhika, Rizqa Mardiana, Desy Indah Marinda, Indri Masruroh1,2, Ah Yusuf3 , Nikmatur Rohmah4, Irfansyah Baharudin Pakki5 , Anita Dewi Prahastuti Prasojo6 , Qurnia Andayani1 , *Agung Dwi Laksono7 Maulana, Ady Mochamad Makin, Mochamad Muhammad Rangga Muhammad Sultan Muhammad Sultan, Muhammad Nada, Abira Ivanca Audya Nada, Audya Najla, Syarifah Amira Najoan Brigitta Laura Nauli, Ruth Sekar Noor, Zulhijrian Noors, Ilfa Pratiwi M Noriah, Noriah Norsehan, Norsehan Nur Asiyah Nur Rohmah Nur Rohmah Nur, Syalmitha Auralia Nurlinda, Fitria Nursakti Nursakti Nurul Rizkiana Tistania Nuryanto, Muhammad Khairul Paramita, Tri Ratna Pasha, Yuliana Payung, Boli Matius Tandi Pratama, Dias Pratiwi, Fierda Eka Purnama, Tasha Citra Rahayu, Eka Putri Rahmat Bakhtiar Rahmi Susanti Ramadhani, Dewi Endah Ramdam, Iwan Muhammad Ramdan , Iwan M. Rangga, M. Ratih Wirapuspita Wisnuwardani Reny Noviasty Risky Amelia Rhamadani Riyan Ningsih Sadaria, Sadaria Saputra, Rudi Septiana, Lisa Septimaulida, Firda Setianingtyas, Endah Dwi Setiawati, Ronny Setyo Nugroho Sinar, Sinar siti nurlela Subirman - SUMARNI Sumarni Sumarni Syauqi, Ferdhitya Rizky Syawalia, Zheditya Ayu Taqie, Sayyid Muhammad Tricindra, Dzulhannisa Ulfah, Meilida Ulpah, Rini Wahidatul Utari, Ari W, Ratih Wirapuspita. Wahyudi, Ayu Huwaidah Wahyudianto, Yogik Wardani, Citra Rizki Wijayanti, Dwi Astuti Noor Wirapuspita W, Ratih Wirapuspita Wisnuwardani, Ratih Yadi, Yadi Yunus, Mudassir