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All Journal Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia JURNAL ETIKA KEDOKTERAN INDONESIA International Journal of Public Health Excellence (IJPHE) Malahayati International Journal of Nursing and Health Science
Librianty, Nurfanida
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Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Nursing Public Health

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Utilisation and associated factors in public health centres in urban areas, Banten-Indonesia Sasmito, Priyo; Sumartini, Sri; Ahmadi, Ahmadi; Purwanti, Nunuk Sri; Librianty, Nurfanida; Madani, Ultra; Nugroho, Kurnia Arik; Gayatri, Sri Wahyuni
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 10 (2024): Volume 7 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i10.504

Abstract

Background: Public Health Centers (PHCs) in urban areas face various challenges, including competition from numerous other health facilities. Purpose: To analyze the internal factors influencing the utilization of a PHC in Serang City, Banten. Method: The study is analytical observational research with a cross-sectional design. The population includes individuals aged 14 and older residing within the PHC service area. Data on age, education level, employment, insurance ownership, availability of health workers, accessibility, and perception of illness were collected. The outcome measured was the utilization of PHC services, and data were analyzed descriptively. Results: A total of 96 respondents participated in the study. Most respondents were male (49/51.0%), aged 14-44 (59/61.5%), had a senior high school education and higher (37/38.5%), worked in the formal sector (56/58.3%), had national insurance (78/81.3%), and held a positive perception of illness (86/89.6%). Additionally, the majority found PHC access easy (78/81.3%) and believed that the necessary health workers were available (78/81.3%). Statistical analysis revealed that education (p-value 0.00), employment (p-value 0.00), insurance ownership (p-value 0.00), availability of health workers (p-value 0.00), accessibility (p-value 0.00), and perception of illness (p-value 0.00) were all significantly related to PHC utilization. Conclusion: To improve the development of more effective health policies, further studies are needed regarding the mechanisms behind the influence of these factors.
Sepsis protocol adherence and emergency department overcrowding: An observational study Arifani, Nisa; Mulyati, Leli; Sasmito, Priyo; Sujana, Treesia; Gayatri, Sri Wahyuni; Astuti, Novia Dwi; Librianty, Nurfanida; Lie, Sukirman; Deviana, Elina; Ihsan , Farly
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i2.870

Abstract

Background: Emergency Department (ED) overcrowding is a persistent global challenge that affects the quality and timeliness of patient care, particularly for sepsis management. Despite established guidelines such as the hour-1 sepsis bundle and national sepsis guideline, adherence remains inconsistent. Purpose: To analyze the relationship between sepsis protocol compliance and emergency unit crowding. Method: A retrospective observational cohort study was conducted, analyzing adult sepsis and septic shock patients triaged as Priority 1. Data on patient demographics, sepsis severity scores, ED occupancy rates, and adherence to sepsis protocols using the Hour-1 sepsis bundle and the National Sepsis Guideline were collected. Statistical analysis was performed using Fisher’s Exact Test to examine associations between ED overcrowding and compliance with sepsis protocols, with a significance threshold of p<0.05. Results: This study included 38 cases with a mean age of 56.6 years and the majority (52.6%) of patients were female. Most cases were diagnosed with septic shock (55.3%) and the average occupancy rate of the emergency department was 80.8%. Serum lactate measurements were performed in 68.4% of cases, blood culture sampling in 21.1%, and broad-spectrum antibiotics were given in 94.7%. Full compliance with both sepsis protocols was only 5.3%. Compliance with fluid resuscitation was high at 97.4%, while compliance with blood culture sampling was low at 5.3% and 7.9%. No significant association was found between protocol compliance and ED crowding (p > 0.05). Conclusion: There was no significant correlation between ED crowding and adherence to sepsis protocols. Strategic and clinical policy interventions are needed to improve adherence to sepsis management guidelines. Suggestion: Future research should investigate additional barriers to sepsis care, such as financial constraints, physician decision-making processes, and variations in adherence across healthcare settings to develop more comprehensive strategies to improve sepsis outcomes worldwide.
Co-Authors Adi Kurniawan AHMADI Aljufri, Salim Amsyah, Ummul Khairi Anna Rozaliyani Arifani, Nisa Bernadus, Janno Berty Bradly Broto Wasisto Broto Wasisto Christianto, Gilbert Mayer Deviana, Elina Fadlika Harinda Fitriana Nur Rahmawati Gadistya Novitri Adinda Gayatri, Sri Wahyuni Hana Faisal Iffa Mutmainah Ihsan , Farly Lie, Sukirman Madani, Ultra Mahrani Mahrani Meilia, Putri Dianita Ika Mulyati, Leli Mulyatiindo, Leli NOVIA DWI ASTUTI Nugroho, Kurnia Arik Nunuk Sri Purwanti Paramita Khairan Peter Pratama Prasetya, Fika Indah Pukovisa Prawirohardjo Pukovisa Prawiroharjo Putri Dianita Ika Meilia Putri Dianita Ika Meilia Rasmita, Dina Sarah Shafa Marwadhani Sasmito, Priyo Sri Sumartini Treesia Sujana Uti Nilam Sari Wirawan, Nandar Yektiningtyastuti Yektiningtyastuti