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All Journal Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Jurnal Riset Kesehatan Poltekkes Depkes Bandung Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Jurnal Untuk Masyarakat Sehat (JUKMAS) Utsaha: Journal of Entrepreneurship Epidemiological Journal of Indonesia Journal of Ageing And Family
Sunita, Anna
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Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Pengaruh Pelatihan Kanban Terhadap Perilaku dan Persediaan Obat di Rumah Sakit Karitas Tahun 2023 Vini Pertiwi, Maria; Sunita, Anna; Widiyaningsih, Cicilia
Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Vol 7, No 4 (2023): Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/marsi.v7i4.3561

Abstract

Belanja perbekalan farmasi menyerap anggaran sekitar 33-66% biaya operasional rumah sakit. Pengelolaan persediaan farmasi yang kurang baik dapat menyebabkan dis efisiensi oleh karena itu butuh perhatian khusus. Salah satu alat dalam penerapan metode lean dengan pendekatan persediaan tepat waktu dan efisien adalah Kanban. Tren nilai persediaan obat di RS Karitas fluktuatif, persediaan obat stagnant di Instalasi Farmasi RS Karitas sebesar 4-24% dan cenderung mengalami peningkatan. Berdasarkan analisis akar permasalahan kejadian tersebut karena kurangnya pengetahuan dan kemampuan SDM dalam pengelolaan persediaan obat. Oleh karena itu dibutuhkan intervensi pelatihan guna meningkatkan pengetahuan, sikap dan perilaku petugas tentang lean inventory menggunakan metode Kanban. Tujuan penelitian ini untuk mengetahui perbedaan persediaan obat, pengetahuan, sikap dan praktek petugas sebelum dan setelah pelatihan sistem Kanban di Rumah Sakit Karitas. Penelitian ini merupakan penelitian quasi eksperimental dengan one group pretest-postest design. Dengan jumlah sampel petugas sebanyak 20 orang menggunakan total sampling, dan sampel obat sebanyak 96 item dengan random sampling. Penelitian dilakukan selama 1 bulan di logistik Farmasi Rumah Sakit Karitas. Perilaku petugas diukur menggunakan kuesioner sebelum dan setelah pelatihan, persediaan obat di analisis dengan membandingkan nilai stagnant obat sebelum dan setelah implementasi Kartu Kanban. Terdapat perbedaan pengetahuan petugas sebelum dan setelah pelatihan dengan uji t-test (p value = 0,0000,05). Berdasarkan penelitian ini dapat disimpulkan pelatihan sistem Kanban dapat meningkatkan pengetahuan dan sikap petugas farmasi di Rumas Sakit Karitas. Pelatihan tidak meningkatkan praktik petugas farmasi di Rumas Sakit Karitas. Pelatihan tidak menurunkan persediaan obat stagnant di Rumas Sakit Karitas. Kata kunci: lean management, persediaan obat, RS, Kanban, NTT
Determinants of Treatment Delay in Drug-Resistant Tuberculosis Patients in Banten Province in 2020 Oktarini, Ria; Widiyaningsih, Cicilia; Sunita, Anna
Journal of Ageing And Family Vol 3, No 1 (2023): Journal of Ageing And Family
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/joaf.v3i1.4153

Abstract

Indonesia is currently ranked 2nd with the most tuberculosis cases in the world, after India and China. is ranked 2nd with the most tuberculosis sufferers in the world, after India and China. Tuberculosis control in Indonesia faces many challenges, one of which is the increase in patients with drug-resistant tuberculosis (DR TB). In 2019, the number of tuberculosis sufferers in Indonesia reached 543,874 cases, with drug-resistant tuberculosis cases reaching 11,463 (2.1%). Banten is one of the provinces with the highest number of Tuberculosis sufferers in Java, which is 223 people per 100,000 population, with a national TB rate of 203 people per 100,000 population, of which only 58.3% take medication regularly. This study aims to determine the determinants of treatment delay in drug-resistant tuberculosis patients in Banten province in 2020. The study design was a retrospective cohort. The sampling technique was a total sampling of the list of DR TB cases at South Tangerang city General Hospital and dr. Drajat Prawiranegara Serang. Secondary data search was carried out on the TB Information System (SITB) and patient medical records. The study population was 114 respondents, obtained 90 respondents who fit the inclusion and exclusion criteria. Univariate, bivariate analysis with chi-square test and multivariate with logistic regression statistical test were performed to obtain a fit final model. The results of the bivariate analysis showed a significant relationship between age (p=0.030) and employment status (p=0.003). The final multivariate model, showing employment status with delayed treatment (p = 0.008), with OR 18,788 (95% CI: 2,122 – 166.329), meaning that respondents who have jobs have 18.8 times risk for late treatment compared to respondents who do not have jobs after being controlled by variables of age, gender, history of TB, and education level. The researcher concludes that the determinants of delay in treatment of DR TB patients in Banten province in 2020 are employment status and age. It is recommended that the Banten Provincial Health Office can coordinate cross sectors, to ensure the treatment of DR TB patients until they are cured. Keywords: epidemiology, tuberculosis, drug-resistant
Hubungan Ketersedian Obat Terhadap Waktu Tunggu Pelayanan Farmasi Rawat Jalan di Rumah Sakit Bun Tangerang Tahun 2024 Setiawan, Budi; Yoshida, Eka; Sunita, Anna
Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Vol 8, No 4 (2024): Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/marsi.v8i4.5319

Abstract

Instalasi farmasi yang terdapat di rumah sakit harus memenuhi beberapa indikator, salah satunya adalah tingkat kepuasan pasien dan waktu tunggu pelayanan resep maksimal 30 menit untuk obat jadi dan 60 menit untuk obat racik. Tujuan dari penelitian ini untuk mengetahui faktor mana yang paling dominan terhadap waktu tunggu pelayanan farmasi rawat jalan di Rumah Sakit BUN Tangerang Tahun 2024. Desain penelitian cross sectional dengan mix method kuantitatif dengan 200 sample resep rawat jalan dan kualitatif 7 responden. Data dianalisa menggunakan analisis chi-square, multivariat regresi logistic. Hasil uji chi square menggambarkan ada hubungan variabel ketersediaan obat lengkap (pvalue = 0,041), konfirmasi dokter (pvalue = 0,034), pembuatan copy resep (pvalue = 0,003), penyediaan obat dari gudang farmasi (pvalue = 0,042) terhadap waktu tunggu pelayanan farmasi. Hasil uji regresi logistic didapat pengaruh kelengkapan obat 2,37 kali besar (pvalue 0,011); pengaruh pembuatan copy resep 2,25 kali lebih besar (pvalue 0,010); pengaruh pengambilan obat lengkap dari gudang 1,81 kali besar (pvalue 0,084) pada resep dengan waktu tunggu sesuai standar dibandingkan resep dengan waktu tunggu tidak sesuai standar. Penelitian ini menyimpulkan ke empat variabel bebas diatas berpengaruh terhadap waktu tunggu pelayanan farmasi dan yang paling dominan yaitu ketersedian obat lengkap. Disarankan agar melakukan evaluasi dan menentukan buffer stock untuk order obat agar tidak terjadi kekosongan obat di IFRS BUN. Kata Kunci : Ketersediaan Obat, Farmasi, Waktu Tunggu Pelayanan, Rawat Jalan
EFFECTIVENESS OF ACCELERATING STUNTING REDUCTION THROUGH CONVERGENCE ACTIONS IN THE NORTH JAKARTA ADMINISTRATIVE CITY Citrawati, Citrawati; Kridawati, Atik; Sunita, Anna
Indonesia Epidemiological Journal Vol 3 No 2 (2024): Epidemiological Journal of Indonesia
Publisher : Perhimpunan Ahli Epidemiologi Indonesia

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

Abstract

Background: Stunting is a significant health problem in Indonesia, including in urban areas such as North Jakarta, which requires integrated interventions to reduce the incidence. Objectives: This study aims to evaluate the effectiveness of the accelerated stunting reduction program through convergence action and analyze the driving and inhibiting factors, including innovations in the North Jakarta Administrative City. Methods: This study used descriptive analysis with a combined quantitative and qualitative approach, collecting primary data through questionnaires and interviews, as well as secondary data from the convergence action implementation report. Program effectiveness was measured through source, process, and target approaches. Results: The study shows that the accelerated stunting reduction program is quite effective, although its implementation is not yet optimal. Driving factors include budget support, regulations, human resources, as well as cross-sector collaboration and innovation from the private sector. Barriers include poverty, lack of healthy living behaviors, limited community knowledge, and the unavailability of an integrated data management system. Conclusion: Accelerating stunting reduction through convergence actions is considered quite effective, although there are still some challenges that need to be overcome, such as poverty and low community knowledge.
MODEL KEPERAWATAN ADAPTASI CALISTA ROY TERHADAP BODY IMAGE PADA IBU HAMIL TRIMESTER III Surtiati, Eti; Sunita, Anna; Nuraeni, Ati; Susilowati, Dwi
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 16 No 1 (2024): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v16i1.2410

Abstract

Model keperawatan Adaptasi Callista Roy  ini memandang bahwa setiap manusia pasti mempunyai potensi untuk dapat beradaptasi terhadap stimulus baik stimulus internal maupun eksternal dan kemampuan adaptasi ini dapat dilihat dari berbagai tingkatan usia.  Ibu hamil dapat merasakan kekhawatirannya mengenai perubahan bentuk tubuh yang terjadi dan dapat juga merasa ragu akan kemampuan peran barunya sebagai ibu, sehingga pengalaman ini menimbulkan bermacam rasa antara bahagia dan cemas selama kehamilan. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh model keperawatan Adaptasi Fungsi Fisiologis Callista Roy terhadap body image ibu hamil trimester III di Puskesmas kota Bogor. Penelitian ini menggunakan desain quasi eksperimental pre post with control group design. Pengumpulan data menggunakan instrumen berupa kuesioner untuk mengukur adaptasi psikologis. Populasi dalam penelitian ini adalah seluruh ibu hamil trimester III yang berkunjung di Puskesmas Pancasan Kota Bogor yang memenuhi kriteria inklusi dan esklusi berjumlah 40 ibu. Sampel terdiri atas 20 orang kelompok perlakuan dan 20 orang kelompok kontrol. Analisis univariat menggunakan distribusi frekuensi. Analisis bivariat menggunakan uji t-independent.  Hasil penelitian menunjukan bahwa terdapat perbedaan body image ibu hamil trimester III antara kelompok kontrol dan kelompok intervensi sesudah diberikan model keperawatan adaptasi fungsi fisiologi Callista Roy dengan nilai p=0,032 untuk body image. Dapat disimpulkan bahwa ada pengaruh yang bermakna pada body image ibu hamil setelah diberikan model keperawatan adaptasi fungsi fisiologi Callista Roy.
EFEKTIVITAS KONSUMSI BAWANG PUTIH PANGGANG, RELAKSASI NAPAS DALAM, DAN RELAKSASI AUTOGENIK TERHADAP PENURUNAN TEKANAN DARAH PENDERITA HIPERTENSI Susmadi, Susmadi; Sunita, Anna; Sutiarti, Eti; Ngadiarti, Iskari
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 16 No 1 (2024): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v16i1.2423

Abstract

Hypertension is a worldwide health problem that causes complications of kidney damage, coronary heart disease, stroke, disability, and even death. Roasted garlic, slow deep breathing relaxation, and autogenic relaxation are complementary alternative therapies that have not been fully utilized. These therapies are scientifically meaningful, so they need to be developed. This study aimed to determine the effectiveness of roasted garlic consumption, autogenic relaxation, deep breath relaxation on blood pressure reduction. The research design is Quasi-Experiment with control group Pre-test Post-test. Sampling method using non-probability random sampling - purposive sampling. The sample in 1 group is at least 30 respondents. Anticipating lost to follow-up of 10%, each group was 31-32 respondents. The sample was of productive age in the West Bogor. All groups were given hypertension management leaflets. Intervention group I consumed roasted garlic for 3 days at the rate of 15-17 grams morning and evening. Intervention group II performed breath relaxation morning and evening for 3 days. Intervention group III performed autogenic relaxation, while the control group was only given hypertension management leaflets. The results showed that consumption of roasted garlic compared to the control on systole p=0.001 and diastole p=0.001, autogenic relaxation compared to the control, systole p=0.042 and diastole p=0.009, deep breath relaxation compared to the control, obtained systole p=0.367 and diastole p=0.125. It is concluded that roasted garlic is more effectively used to reduce hypertensive patients' systole and diastole blood pressure. The recommendation is that roasted garlic can reduce blood pressure in hypertensive patients.
Peranan Dukungan Keluarga Terhadap Kepatuhan Pengobatan Hipertensi Pada Usia Produktif di Wilayah Kerja Puskesmas Ciperna Tahun 2023 Laila, Nadratul; Rahajeng, Ekowati; Sunita, Anna; Windiyaningsih, Cicilia
Jurnal Untuk Masyarakat Sehat (JUKMAS) Vol 8, No 1 (2024): Jurnal Untuk Masyarakat Sehat (JUKMAS)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/jukmas.v8i1.3478

Abstract

Kasus hipertensi di wilayah Kerja Puskesmas Ciperna tahun 2022 sebanyak 2.217 kasus dan hanya 164 kasus (14,56%) yang melakukan pengobatan secara rutin di puskesmas maupun di jaringan puskesmas seperti pustu, polindes, pusling, dan poskesdes dikarenakan kebanyakan dari mereka beranggapan bahwa penyakit hipertensi bukanlah penyakit yang berbahaya. Tujuan penelitian ini untuk mengetahui peranan dukungan keluarga terhadap kepatuhan pengobatan hipertensi pada usia produktif di wilayah kerja Puskesmas Ciperna tahun 2023. Disain penelitian ini adalah case control. Populasi dalam penelitian ini adalah seluruh penderita hipertensi di wilayah kerja Puskesmas Ciperna pada tahun 2022 yaitu 2.217 orang dan sampel sebanyak 130 responden dengan perbandingan 65 kasus dan 65 kontrol. Pemilihan sampel kasus secara random dan kontrol secara consecutive sampling. Pengumpulan data menggunakan kuesioner. Analisis data menggunakan analisis univariat, bivariat uji statistik chi-square dan multivariat uji regresi logistik. Hasil penelitian dari 13 var independent (dukungan keluarga, umur, jenis kelamin, tingkat pendidikan, status pekerjaan, pendapatan, kormobid, lama menderita hipertensi, efek samping, pengetahuan, dukungan petugas kesehatan, riwayat pengobatan, dan dukungan petugas kesehatan) terdapat 3 variabel yang berhubungan yaitu dukungan keluarga p value= 0,017, OR= 3,91; 95% CI (1,340 – 11,455), lama menderita hipertensi (p value= 0,013, OR= 2,62; 95% CI (1,281 – 5,381), dan pengetahuan (p value= 0,014, OR= 2,57; 95% CI (1,266 – 5,219) terhadap kepatuhan pengobatan hipertensi. Pemodelan akhir bahwa dukungan keluarga berhubungan dengan kepatuhan pengobatan hipertensi, p value 0,002, OR 6,88; 95%CI (1,987 – 23,826) dengan variabel konfonding adalah komorbid, lama menderita hipertensi, dan pengetahuan. Diharapkan keluarga memberikan dukungan terhadap keluarganya yang menderita hipertensi. Kata Kunci: Hipertensi, kepatuhan pengobatan, dukungan keluarga
THE INFLUENCE OF MARKETING MIX ON PATIENT SATISFACTION IN THE INPATIENT WARD OF GRAHA HUSADA HOSPITAL IN 2025 Fitri, Azza Nur Laila; Sunita, Anna; Rinaldi, Enrico Adhitya
UTSAHA: Journal of Entrepreneurship [IN PRESS] Vol. 4 Issue 4 (2025)
Publisher : jfpublisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56943/joe.v4i4.825

Abstract

Intensifying competition within the healthcare service sector necessitates that hospitals adopt effective strategies to sustain and enhance patient satisfaction levels. The implementation of marketing mix principles represents one such strategic approach. This investigation was conducted at Graha Husada Hospital Tuban, a type D referral facility situated in the southern region of Tuban Regency. The research employed an extended 4P marketing mix framework encompassing product, price, place, and promotion, supplemented by physical evidence as a critical component representing patients' perceived service quality among inpatients. The primary objective of this study was to examine the influence of marketing mix elements (product, price, place, promotion, and physical evidence) on patient satisfaction and to assess the effectiveness of marketing mix educational interventions. This quantitative investigation utilized a pre-experimental one-group pretest-posttest design. Fifty inpatients were recruited through purposive sampling methodology. The intervention comprised educational brochure distribution, with measurements conducted pre- and post-intervention using validated structured questionnaires. Statistical analyses were performed using paired t-tests and Pearson correlation coefficients. Results demonstrated a significant increase in patient satisfaction following the intervention, with mean scores increasing from 89.14 to 100.62. Pearson correlation analysis revealed that physical evidence (r = 0.732) and product quality (r = 0.719) exhibited the strongest associations with patient satisfaction, whereas price demonstrated no statistically significant influence. Overall, the marketing mix demonstrated a significant positive correlation with patient satisfaction (r = 0.699; p < 0.05). The educational intervention focusing on marketing mix principles effectively enhanced inpatient satisfaction at Graha Husada Hospital Tuban.
Perceptions of Health Workers on the Implementation of Polio Immunization in Manokwari District, Indonesia Marisan, Hendrik; Windiyaningsih, Cicilia; Sunita, Anna
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 13 No. 2 (2025): JAMBI MEDICAL JOURNAL: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v13i2.48330

Abstract

Background: Polio immunization remains a crucial strategy for polio eradication in Indonesia. Understanding health workers’ perspectives is important for strengthening program implementation and ensuring optimal community participation. Method: This qualitative study was conducted in Manokwari District in 2024. Data were collected through in-depth interviews with 15 health workers selected purposively. The interviews explored perceptions, challenges, and strategies related to the polio immunization program. Data were analyzed thematically. Result: The analysis revealed two overarching themes. The first was health innovation, encompassing knowledge, perceived susceptibility and severity, observability, and complexity of the immunization program. Health workers emphasized the importance of clear information and simple procedures to increase acceptance. The second theme was social communication strategies, highlighting the crucial role of interpersonal communication, health worker commitment, and family support in motivating communities to participate. Barriers such as misinformation and limited resources were also identified. Conclusion: Health workers’ perceptions underline the significance of innovation and communication in enhancing community involvement in polio immunization. Strengthening health workers’ communication capacity and engaging family support are recommended to improve program effectiveness.
Co-Authors Budi Setiawan Citrawati, Citrawati Dwi Susilowati Ekowati Rahajeng Fitri, Azza Nur Laila Iskari Ngadiarti kridawati, atik Laila, Nadratul Marisan, Hendrik Nuraeni, Ati Oktarini, Ria Rinaldi, Enrico Adhitya surtiati, Eti Susmadi, Susmadi Sutiarti, Eti Vini Pertiwi, Maria Widiyaningsih, Cicilia Windiyaningsih, Cicilia Yoshida, Eka