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Analysis of the Suitability of the Head Nurse's Leadership Style Mediated by Job Satisfaction and Organizational Commitment to Nurse Performance at Pidie Jaya Regional General Hospital Dian Melani; Ermi Girsang; Tan Suyono
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.161

Abstract

This study examines the relationship between the leadership styles of nurse managers, job satisfaction, organizational commitment, and their combined influence on nurse performance in Pidie Jaya Regional General Hospital. Using a qualitative approach, the research explores how transformational and transactional leadership styles affect organizational outcomes through the mediating variables of job satisfaction and commitment. The findings contribute to understanding the dynamics of effective nursing leadership in improving healthcare delivery.
A COMPARATIVE STUDY OF PHYSIOTHERAPY OUTCOMES BETWEEN INFRARED-TENS COMBINATION AND PNF THERAPIES IN NPH PATIENTS Nasution, Sri Lestari Ramadhani; Ermi Girsang; Siti Aminah
Journal of Vocational Health Studies Vol. 8 No. 3 (2025): March 2025 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V8.I3.2025.191-199

Abstract

Background: The pain experienced by Nucleus Pulposus Herniation (NPH) patients can have an impact on productivity and may lead to disability. Therefore, non-pharmacological therapies can serve as alternatives in reducing pain levels for Grade I and Grade II NPH patients. Purpose: To compare the difference in effectiveness between Infrared-Transcutaneous Electrical Nerve Stimulation (IR-TENS) combination and Proprioceptive Neuromuscular Facilitation (PNF) therapies in reducing pain among NPH patients. Method: This research employed a quasi-experimental design with a two group before and after intervention conducted at the Physical Medicine and Rehabilitation Unit of Royal Prima Hospital in Medan. A total of 20 NPH patients were provided with interventions, consisting of a combination of IR and TENS therapies for 10 patients, and PNF therapy for the other 10 patients, administered eight times for one month. Pain measurement was conducted using a Visual Analogue Scale (VAS) questionnaire before and after the interventions. The statistical analysis employed an Independent Sample T test, with a significance level (α) set at 0.05. Result: There was a reduction in moderate and severe pain scales in both groups, and no subjects were experiencing severe pain anymore. However, the reduction in moderate pain scale was higher in the group receiving the combination of infrared and TENS therapies (80%) compared to the PNF therapy (70%). The Independent T test showed that there was no significant difference between the effectiveness of the combination of IR-TENS therapies and PNF therapy on pain in NPH patients (p-value = 0.075). Conclusion: Both groups of patients experienced a reduction in pain scale after the interventions, although there was no significant difference in the outcome between the two treatment groups. This implies that both therapies are equally effective in suppressing pain in NPH patients.
Analysis of Hospital Health Service Quality Towards Patient Loyal-ty Through Leadership Style at Tgk. Chik Ditiro Sigli Regional General Hospital Rakhmat Akbar Dinur; Ermi Girsang; Fioni Fioni
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.158

Abstract

This study examines the relationship between Hospital Healthcare Service Quality (HCSQ) and patient loyalty at Tgk. Chik Ditiro Sigli Regional General Hospital, with a focus on the mediating role of patient satisfaction and the influence of leadership styles. Employing a qualitative approach, data were collected through in-depth interviews, focus group discussions, and document analysis to capture the perspectives of patients, healthcare professionals, and hospital administrators. The findings reveal that key dimensions of HCSQ—such as responsiveness, empathy, communication, and facility environment—significantly impact patient satisfaction, which in turn mediates patient loyalty. Leadership styles emphasizing collaboration, communication, and patient-centeredness were found to enhance service quality and foster stronger patient-hospital relationships. Conversely, authoritarian leadership styles or those lacking effective communication negatively affected both employee performance and patient perceptions. The study highlights the importance of empowering employees, fostering teamwork, investing in infrastructure, and prioritizing patient-centered care to improve service quality and loyalty. These findings provide actionable insights for hospital management to enhance organizational performance and build long-term trust with patients. Future research is recommended to explore these relationships quantitatively across diverse healthcare settings and examine the role of cultural factors in shaping patient expectations and loyalty behaviors.
Analysis of the Suitability of the Head Nurse's Leadership Style Mediated by Job Satisfaction and Organizational Commitment to Nurse Performance at Pidie Jaya Regional General Hospital Dian Melani; Ermi Girsang; Tan Suyono
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.161

Abstract

This study examines the relationship between the leadership styles of nurse managers, job satisfaction, organizational commitment, and their combined influence on nurse performance in Pidie Jaya Regional General Hospital. Using a qualitative approach, the research explores how transformational and transactional leadership styles affect organizational outcomes through the mediating variables of job satisfaction and commitment. The findings contribute to understanding the dynamics of effective nursing leadership in improving healthcare delivery.
THE USE OF BPJS DIGITALIZATION PROGRAMS TO IMPROVE SERVICE QUALITY IN FACING THE INDUSTRIAL REVOLUTION 4.0 ERA Clinton Antony; Ermi Girsang; Sri Lestari Ramadhani Nasution
International Journal of Cultural and Social Science Vol. 6 No. 1 (2025): International Journal of Cultural and Social Science
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/ijcss.v6i1.997

Abstract

The Industrial Revolution 4.0 era demands digital transformation in various sectors, including the health sector. One form of innovation in health services is the digitalization of the BPJS Kesehatan program, which aims to improve the efficiency and quality of services in health facilities. This study aims to assess the effectiveness of the use of BPJS program digitalization to improve the quality of services in facing the industrial revolution 4.0 era at Royal Prima Medan Hospital, as well as to identify obstacles faced in its implementation. The research method used is a qualitative study, where data was obtained through interviews with the hospital director, the head of the BPJS primary benefit guarantee division, and six patients using BPJS services. The results of this paper indicate that the use of BPJS digitalization at Royal Prima Medan Hospital has been running in accordance with the Standard Operating Procedure (SOP) and has had a positive impact on the acceleration of the administrative process, queue efficiency, and patient data integration. However, there are still several obstacles, such as technical disruptions in the system, limited patient understanding of technology, and instability of the internet network, which can affect the effectiveness of services. To overcome these obstacles, the hospital has made various efforts, such as providing a help desk, improving digital infrastructure, and education for patients and medical personnel. Overall, the digitalization of the BPJS Kesehatan program at RSU Royal Prima Medan has proven effective in improving the quality of service, although further system optimization and innovation are still needed so that the implementation of this digitalization can run optimally in accordance with the demands of the Industrial Revolution 4.0.
The Influence Of Role, Supervision, Controlling And Motivation Health Personnel On Stunting Coverage In Health Center South Nias District Putri Satriani Dachi; Ermi Girsang; Sri Lestari Ramadhani Nasution
Jurnal Scientia Vol. 13 No. 02 (2024): Education and Sosial science, March - May 2024
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58471/scientia.v13i02.2976

Abstract

According to the Indonesian Ministry of Health, there are several factors that cause stunting in children, including mothers not having access to healthy and nutritious food such as high protein foods, which causes their children to also lack nutrition. The incidence of stunting has decreased between 2020 and 2021, the prevalence of stunting globally has decreased from 32.6 percent to 22.2 percent, the number of children affected by stunting has decreased from 198 million to 151 million. The aim of this research is to determine whether there is an influence between the role, supervision, control and motivation of health workers on stunting coverage in the South Nias District Health Center. The type of research used is quantitative analytics. The research design is a cross-sectional study. The sampling technique in this research is the total population, that is, the entire population is used as the research sample, so the total sample in the research is 360 employees. The results of the research explain that there is an influence between the role, supervision, control and motivation of health workers on stunting coverage in the South Nias District Health Center. It is hoped that this research can have a positive impact on the coverage of stunting in the South Nias Regency Health Center.
Analysis of effect strategies in improving water quality diarrhea prevention on Hilibala health center, South Nias district Erisman Hondro; Sri Lestari Ramadhani Nasution; Ermi Girsang
Jurnal EduHealth Vol. 15 No. 01 (2024): Jurnal eduHealt, Edition January - March, 2024
Publisher : Sean Institute

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Abstract

Hilibala Community Health Center is the largest contributor to diarrhea cases, namely 662 cases. One of the causes is poor water quality. Therefore, this study aims to analyze the effect of health promotion in improving water quality to prevent diarrhea. The location of this research was carried out in the working area of the Hilibala Community Health Center, South Nias Regency. The research will start in June-August 2023. The sample in this study was 99 families and was determined using a purposive sampling formula. There were 6 informants for this research. The data was analyzed univariately, bivariately, and multivariately as well as by theme analysis. The results of the research show that there is an influence of advocacy, partnership, and community empowerment on the role of families in improving water quality as an effort to prevent diarrhea at the Hilibala Community Health Center, South Nias Regency, with the results of statistical tests obtaining a significant p-value for each, namely 0.000 < 0.05. The variable that influences this is the empowerment variable with a p-value of 0.000, OR = 9.333 (95% CI = 3.085), while the strategy used to improve water quality as an effort to prevent diarrhea at the Hilibala Health Center, South Nias Regency is to empower the community, such as working together to find clean water locations, digging wells and maintaining the cleanliness and quality of the water. This research concludes that the right strategy is to increase empowerment as a health promotion strategy in improving water quality to prevent diarrhea at the Hilibala Community Health Center, South Nias Regency. Suggestions for community health centers are to carry out situation analysis, outreach, cadre formation and intervention, and evaluation. The results of community empowerment activities with character building have a good impact, namely that the majority of people have increased understanding. The quality of life of the community will also improve as seen from the reduced number of diarrhea incidents.
An Analysis Of Drug Planning Using ABC Index Method Critical In The Pharmacy Installation Public Hospital Royal Prima Marelan Disti Amanda Putri; Ermi Girsang; Sri Lestari Ramadhani Nasution
Jurnal Scientia Vol. 13 No. 04 (2024): Education and Sosial science, September-December 2024
Publisher : Sean Institute

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Abstract

Needs planning is an activity to determine the quantity and period of procurement of pharmaceuticals, medical devices and disposable medical materials in accordance with the results of selection activities to ensure that the criteria for the right type, right quantity, right time and efficiency are met. The purpose of the research is to analysed drug planning with ABC critical index method at the Pharmacy Installation of Royal Prima Marelan Hospital. Type This study is a combination of qualitative and quantitative research at the Pharmacy Installation at Hospital.Royal Prima Marelan. The qualitative sample of the study was 3 people and the data source was the drug needs plan. The research instrument used a questionnaire. The results of this study with ABC analysis of the critical index value of group A usage were 30 items (51%), group B obtained 23 items (39%) and group C obtained 8 items (9%). Based on the calculation with ABC analysis of the critical index of investment value, group B obtained 2 items (3%) of the total items and group C obtained 57 items (97%) of the total items in the Pharmacy Installation. Based on the calculation with ABC analysis of the critical index of investment value, group B obtained 2 items (3%) of the total items and group C obtained 57 items (97%) of the total items in the Pharmacy Installation. The results of qualitative research on drug planning at the Pharmacy Installation of Hospital. Royal Prima Marelan used the consumption method, namely looking at the average use of drugs in the previous 3 months, at the time of service there were still frequent stock outs of drugs. It is necessary to prepare and evaluate a drug requirement plan (RKO) which is carried out every month as a basis for planning drug requirements and/or can use methods to analysed drug requirements that are efficient, effective and appropriate.
An Evaluation Of The Implementation Hospital Management Information System (SIMRS Transmedic) Using Hot-Fit Method At Hospital Royal Prima Medan Benedictus Juve; Martin Loodwyck Simanjuntak; Ermi Girsang; Sri Wahyuni Nasution
Jurnal Scientia Vol. 13 No. 04 (2024): Education and Sosial science, September-December 2024
Publisher : Sean Institute

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Abstract

Entering the digital era, technological developments are increasingly rapid in various fields including the health sector. Information systems have a significant role in organizational success. In an effort to improve health services in hospitals, it is necessary to look at the current performance of SIMRS to find out the positive aspects that encourage system use and identify factors that create obstacles. The aim of this research is to evaluate implementation of the use of a hospital management information system (SIMRS) on user satisfaction at RSU Royal Prima Medan using the HOT -Fit method. This type of research is quantitative research with a Cross Sectional approach. Population in this study consisting of active employees from each division who interact with the system with a total of 432 people. The number of samples in this study was taken from several divisions with a total of 168 samples. Data analysis uses univariate, bivariate and multivariate analysis. The research results show partiallyThere is an influence of system quality, information quality, service quality, organizational structure, facility conditions, and leadership support on user satisfaction of the Hospital Management Information System (SIMRS) at RSU Royal Prima Medan with a p -value < 0.05. Simultaneously or together the independent variables in this study have an effect on users of the Hospital Management Information System (SIMRS) at RSU Royal Prima Medan p-value < 0.05. The independent variable that has the most influence on users of the Hospital Management Information System (SIMRS) at RSU Royal Prima Medan is the leadership support variable. Advice for hospitalsHospitals should evaluate SIMRS more frequently so that they can assess and measure the benefits obtained and find problems that are being faced by users and organizations and can be used as a reference to improve and perfect SIMRS so that it becomes even better.
An Analysis Of The Stunting Prevention Program At The Batang Quiz Village Health Center Deli Serdang District In 2022 Asri Widiya Sitompul; Ermi Girsang; Ali Napiah Nasution
Jurnal Scientia Vol. 13 No. 04 (2024): Education and Sosial science, September-December 2024
Publisher : Sean Institute

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Abstract

Stunting is a linear growth disorder in children due to a chronic lack of nutritional intake. The consequences of malnutrition in children will have a major impact on future generations. The prevalence of stunting in Indonesia is 30.8%. This means that three out of ten children under the age of five experience growth disorders which will result in delays in thinking abilities and reduced levels of intelligence. Based on the map of the distribution of stunting in Deli Regency, it shows that there has been a decrease in the percentage of stunted toddlers in Deli Serdang Regency from 6.70% in 2019 to 2.64% in 2020. This shows that the convergence of programs/interventions in efforts to accelerate stunting prevention has been able to reduce percentage of stunted toddlers in Deli Serdang Regency. The research used in this research is quantitative research. The sample taken was 315 people using purposive sampling technique. The independent variables in the research are behavior, level of education, social status, p erceived benefits and perceived barriers to action. The dependent variable in this research is efforts to prevent stunting. In this study, it was found that 74.51% had a level of stunting prevention behavior. Stunting prevention in children aged 2 -5 years is influenced by behavior, while education level, social status, perceived benefits and barriers to action influence stunting prevention in children aged 2 -5 years.