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Analysis of Service Quality in Pharmaceutical Installations on Outpatient Patient Satisfaction Tarigan, Jingkat; Nadapdap, Thomson P; Syamsul, Darwin; Tarigan, Andini Mentari
Journal La Medihealtico Vol. 4 No. 1 (2023): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v4i1.820

Abstract

Pharmaceutical services are direct and responsible services to patients relating to pharmaceutical preparations with the aim of achieving definite results to improve the quality of life of patients. The purpose of this study was to analyze the quality of service in the Pharmacy Installation on the satisfaction of outpatients in the Kabanjahe Regional General Hospital. Research conducted is quantitative with cross sectional approach. The study population was all outpatients in the Pharmacy Installation of the Kabanjahe District General Hospital, amounting to 13,359 in November 2018-January 2019. Samples taken were 87 people, obtained using proportional sampling techniques. Data obtained by interview and observation using a questionnaire, analyzed by Multiple Logistic Regression Test at α = 0.05. The results of the multiple logistic statistical tests show that there is a significant influence of the reliability variable (p = 0.023), concern (p = 0.032), direct evidence (p = 0.016) on patient satisfaction. Concern variable gave the greatest influence on patient satisfaction in the Outpatient Pharmacy of the Kabanjahe Regional General Hospital with (Exp value (B) of 146,434). The conclusion of this study is that there is a significant influence on reliability, care and direct evidence on patient satisfaction. It is recommended to the management of the Kabanjahe Regional General Hospital to provide punishment for officers who have not been optimal in providing services and to increase the reliability, care, and direct evidence of officers to improve patient satisfaction.
Factors Influencing Efforts to Prevent DHF in the Community Health Center Atika, Atika; Nadapdap, Thomson P; Yuniati, Yuniati; Asriwati, Asriwati; Maryanti, Endang
Journal La Medihealtico Vol. 4 No. 2 (2023): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v4i2.851

Abstract

Dengue hemorrhagic fever (DHF) is an illness spread by the Aedes aegypti mosquito, which is infected with the dengue virus from the genus Flavivirus, family Flaviviridae. The research set out to identify what elements in the Working Area of the Sungai Guntung Public Health Center in the Kateman District of the Indragiri Hilir Regency of Riau were most influential in dengue prevention efforts. An analytical survey using a Cross Sectional Study design is used to conduct the quantitative study. All 19,271 adults living in the nine-village Sungai Guntung Health Center Working Area were included in the analysis. Up to 99 family heads were included in the Stratified Random Sample. Univariate, bivariate, and multivariate analyses were employed to examine the data. Education, knowledge, attitudes, the role of health workers, water storage, and the presence of garbage were all found to be related to efforts to prevent DDB in the Working Area of the Sungai Guntung Health Center in the Kateman District of the Indragiri Hilir Regency of Riau. P = 0.000 0.025, 95% CI = 5.389-316.539, OR = 41.154; the most important factor is level of education. In order to avoid DDB in the Working Area of the Sungai Guntung Health Center in the Kateman District of the Indragiri Hilir Regency of Riau, the study's authors recommend focusing on education, knowledge, attitudes, the role of health professionals, water reservoirs, and the presence of rubbish.
Pengaruh Strategi Case Manager dalam Mengelola Kasus Pasien Rawat Inap di RSUD Tarutung Tahun 2019 Julietta, Martha Uli; Nadapdap, Thomson P; Harahap, Fatma Sylvana Dewi
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 8, No 2 (2022): OKTOBER 2022
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v8i2.2331

Abstract

Rumah sakit memerlukan desain atau strategi agar dapat melakukan proses pelayanan yang berkelanjutan. Salah satu model asuhan tersebut adalah case management. Case management merupakan sebuah strategi intervensi yang digunakan oleh penyedia dan sistem layanan kesehatan untuk menyokong klien, mengkordinasikan layanan kesehatan, dan menfasilitasi hasil baik dalam harga maupun kualitas. Tujuan penelitian ini adalah untuk mengetahui analisis pengaruh strategi case manager dalam mengelola kasus pasien rawat inap di RSUD Tarutung tahun 2019. Desain penelitian yang digunakan adalah penelitian mixed metode yaitu kuantitatif dan kualitatif dengan pendekatan cross sectional dimana data yang menyangkut variabel bebas (variabel sebab) dan variabel terikat (akibat), yang dikumpulkan dalam waktu yang bersamaan. Dimana data kuantitatif diperoleh dengan membuat dan menyebarkan kuisioner pertanyaan. Variabel ini dilakukan untuk mengetahui pengaruh komunikasi, koordinasi, integrasi, advokasi, negosiasi, dan empowerment seorang case manager dalam mengelola kasus pasien rawat inap di RSUD Tarutung Tahun 2019. Jumlah sampel yang diteliti terdiri dari: case manager di RSUD Tarutung Tahun 2019 sebanyak 3 orang yang terdiri dari 1 orang dokter dan 2 orang perawat dan kepala bidang di RSUD Tarutung Tahun 2019 (data utama), 87 responden data pasien dan pimpinan RSUD Tarutung yaitu 2 orang (data pendukung). Dari hasil penelitian kuantitatif diperoleh hasil penelitian yang menunjukkan pengaruh strategi case manager dalam mengelola kasus pasien rawat inap di RSUD Tarutung tahun 2019 adalah strategi komunikasi dan strategi koordinasi case manager berpengaruh secara signifikan dalam mengelola kasus pasien rawat inap di rumah sakit umum daerah Tarutung tahun 2019. Dari hasil penelitian kualitatif dengan dua orang pimpinan yang ada di rumah sakit umum daerah Tarutung tahun 2019 yaitu kepala bidang pelayanan dan kepala bidang keperawatan, diperoleh informasi bahwa Pelaksanaan sebagai case manager di rumah sakit tidak maksimal dikarenakan yang diberangkatkan oleh pimpinan rumah sakit beda orang yang menjadi case manager. Disarankan kepada pihak rumah sakit umum daerah Tarutung untuk mengevaluasi dokter dan perawat yang menjadi case manager untuk dapat meningkatkan pengetahuannya dan keterampilannya terhadap peran sebagai case manager di RSUD Tarutung dengan memberikan pelatihan secara berkesinambungan mengenai tanggung jawab case manager untuk meningkatkan mutu pelayanan rumah sakit daerah Tarutung.Kata Kunci: Case Manager, Mengelola Kasus Pasien Rawat Inap Hospitals need a design or strategy in order to carry out a continuous service process. One such model of care is case management. Case management is an intervention strategy used by health care providers and systems to support clients, coordinate health services, and facilitate outcomes in both price and quality. The purpose of this study was to determine the analysis of the effect of the case manager strategy in managing inpatient cases at Tarutung Hospital in 2019. The research design used was a mixed method study, namely quantitative and qualitative with a cross sectional approach where the data involved independent variables (causal variables) and dependent variable (effect), which is collected at the same time. Where quantitative data is obtained by creating and distributing question questionnaires. This variable was conducted to determine the effect of communication, coordination, integration, advocacy, negotiation, and empowerment of a case manager in managing inpatient cases at Tarutung Hospital in 2019. The number of samples studied consisted of: case managers at Tarutung Hospital in 2019 as many as 3 people. consisting of 1 doctor and 2 nurses and the head of the field at Tarutung Hospital in 2019 (main data), 87 patient data respondents and the leadership of Tarutung Hospital, namely 2 people (supporting data). From the results of quantitative research, research results show that the effect of the case manager strategy in managing inpatient cases at Tarutung Hospital in 2019 is a communication strategy and case manager coordination strategy that has a significant effect in managing inpatient cases at the Tarutung general hospital in 2019. From the results of qualitative research with two leaders at the Tarutung general hospital in 2019, namely the head of the service sector and the head of the nursing field, information was obtained that the implementation as a case manager in the hospital was not optimal because the hospital leadership was dispatched by different people who became the case manager. the actual case manager at the hospital. It is suggested to the Tarutung general hospital to evaluate doctors and nurses who become case managers to be able to improve their knowledge and skills towards the role of case manager in Tarutung Regional Hospital by providing continuous training on the responsibilities of case managers to improve the quality of services at Tarutung regional hospitals.Keywords: Case Manager, Managing Inpatient Cases
The Influence Of Head Nurses’ Leadership Styles On Staff Nurses’ Performance In Delivering Nursing Care At The Inpatient Wards Of Rsi Malahayati Medan Saragih, Fauziah; Nadapdap, Thomson P; Efendy, Ismail
Journal of Innovative and Creativity Vol. 5 No. 3 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

Nurse performance is a series of activities of nurses in providing an action or nursing care to patients. Good performance is a reflection of the quality of nursing services provided by nurses. Data on the quality of nursing at RSI Malahayati Medan in 2024 is 75.8% of the performance of executive nurses in the good category, 15.9% of the performance of executive nurses in the sufficient category and 8.3% of the performance of executive nurses in the less assessment category including documentation of nursing care. The purpose of the study was to analyze the effect of the leadership style of the head of the room on the performance of the executive nurse in the implementation of nursing care in the inpatient room of RSI Malahayati Medan. The research design used Analytical Survey method with Cross Sectional approach. The population in this study were all executive nurses who served in the inpatient room as many as 70 people, all of whom were used as research samples with total population techniques. Data analysis used univariate analysis, bivariate with chi-square test and multivariate with logistic regression. The results of logistic regression research indicate that there is a democratic influence p = 0.003, laisses faire (free to act) p = 0.003, participatory p = 0.005 and transpormative p = 0.013. While the dominant factor influencing the performance of executive nurses is democratic p = 0.001 with Exp (B) 85.754, meaning that democracy has 85 times the risk compared to other variables. The conclusion of this study is that there is a democratic, free-action, participatory and transformative influence on the performance of implementing nurses in the implementation of nursing care in the inpatient room of RSI Malahayati Medan and variables that have no effect are authoritarian. It is recommended that the head of the room in carrying out the leadership function should be democratic, namely making decisions based on deliberations with other teams that are adjusted to the situation so that it will produce effective leadership so as to make subordinate performance better and of higher quality.