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All Journal Journal Of Vocational Health Studies Jurnal Penelitian Pendidikan IPA (JPPIPA) Jurnal Kesehatan Medika Saintika Pendas : Jurnah Ilmiah Pendidikan Dasar JOURNAL OF SCIENCE AND SOCIAL RESEARCH Journal of Humanities and Social Studies Journal Health & Science : Gorontalo Journal Health and Science Community JURNAL MUTIARA KESEHATAN MASYARAKAT Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Contagion: Scientific Periodical Journal of Public Health and Coastal Health Jurnal Scientia Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences International Journal Of Science, Technology & Management (IJSTM) Archives of The Medicine and Case Reports Jurnal EduHealth Jurnal Ekonomi INTERNATIONAL JOURNAL OF CULTURAL AND SOCIAL SCIENCE Jurnal Multidisiplin Madani (MUDIMA) JUMANTIK (Scientific Journal of Health research) International Journal of Health and Pharmaceutical (IJHP) Jurnal An-Najat: Jurnal Ilmu Farmasi dan Kesehatan The International Journal of Medical Science and Health Research The Indonesian Journal of General Medicine Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health
Ermi Girsang
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An analysis of the role health personnel, health facilities and family support in increasing pregnant women's interest in antenatal care visits at Kuta Alam health centre Winda Tri Mutia; Ermi Girsang; Sri Lestari Ramadhani Nasution
Jurnal Ekonomi Vol. 13 No. 01 (2024): Jurnal Ekonomi, Edition January - March 2024
Publisher : SEAN Institute

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

Abstract

Antenatal Care is one of the pillars supporting safe motherhood in efforts to reduce maternal and fetal morbidity and mortality. WHO estimates that 500,000 pregnant women die from pregnancy-related complications. There are factors that can influence Antenatal Care visits, including the role of health workers and family support. This study aims to analyze the role of health workers and family support in increasing pregnant women's interest in antenatal care visits at the Kuta Alam Community Health Center. This type of research is quantitative analysis using a cross sectional design. The population in this study is mothers who have given birth and had babies during the period September 2020-September 2023, totaling 250 respondents. The results obtained were significant (p=0.002) and there was a relationship between Health Facilities and Antenatal Care visits. The results obtained were significant (p=0.001) and the variables that had an influence in increasing pregnant women's interest in ANC visits at the Kuta Alam Community Health Center were the Health Facilities variable with p value 0.001, OR = 9.333 (95% CI = 3.085) meaning that respondents who stated health facilities had 9.333 times the odds compared to respondents who stated health workers were provided with a B coefficient value of 2.413.
The Role of Health Workers in Managing Degenerative Diseases in the Elderly at the Negeri Lama Community Health Center: A Case Study Dhyta Nurhasanah Janas; Ermi Girsang; Sri Lestari Ramadhani Nasution
The International Journal of Medical Science and Health Research Vol. 30 No. 1 (2026): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/4sh2rn33

Abstract

Introduction: The increasing elderly population in Indonesia presents significant challenges in managing degenerative diseases, particularly in primary health care facilities with limited resources. This study aims to explore the role of health workers in managing degenerative diseases in the elderly at the Negeri Lama Community Health Center. Methods: This research employed a qualitative approach with a case study design. Data were collected through in-depth interviews with seven informants (elderly cluster officers, non-communicable disease program holders, doctors, pharmacists, and nutritionists), observation, and documentation. Data analysis used thematic analysis with source triangulation, method triangulation, member check, and audit trail to ensure data validity. Results: Health workers performed curative roles through integrated medical services including comprehensive examinations, diagnosis, medication provision (amlodipine, metformin, glimepiride, simvastatin, allopurinol), pharmaceutical and nutritional counseling, and referral systems. Preventive roles were implemented through routine health screenings using E-pus and P-care applications, counseling on healthy lifestyles, education on balanced nutrition, and lifestyle modifications. Challenges included complex disease complications (multimorbidity), unpredictable drug shortages from the District Health Office, limited diagnostic facilities, declining memory and cognitive function in the elderly, low health literacy, irregular visits, unstable internet networks, poor road conditions, flooding, geographical distance, and economic constraints. Communication patterns applied were patient-centered with specific adjustments for the elderly including louder volume, slower speech, simple language, and family involvement in the education process. Interprofessional collaboration involved medical records staff, elderly cluster officers, pharmacists, and nutritionists working according to standard operating procedures. Discussion: The findings align with previous research emphasizing comprehensive geriatric assessment, the effectiveness of pharmacist counseling in improving medication adherence, the importance of family support in chronic disease management, and the impact of geographical and economic barriers on healthcare access. The study highlights the need for integrated approaches addressing both clinical and social determinants of health in elderly care. Conclusion: Health workers at the Negeri Lama Community Health Center have implemented comprehensive curative and preventive roles despite various challenges. Improvements are needed in logistics management systems, development of educational media, strengthening interprofessional collaboration, innovation in education methods, and family and community support to optimize health services for the elderly with degenerative diseases.
ANALYSIS OF THE INFLUENCE OF WORKPLACE ENVIRONMENTAL HEALTH CONDITIONS ON THE QUALITY OF HEALTH SERVICES AND PATIENT SATISFACTION AT EVI MARELAN PRIMARY CLINIC Akhyar Al Fauzi Lubis; Ermi Girsang; Sri Lestari Ramadhani Nasution
Pendas : Jurnal Ilmiah Pendidikan Dasar Vol. 11 No. 02 (2026): Volume 11 No. 2, Juni 2026 Release
Publisher : Program Studi Pendidikan Guru Sekolah Dasar FKIP Universitas Pasundan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23969/jp.v11i02.45728

Abstract

Clinics are healthcare facilities that provide medical services to the community. This study aims to analyze the influence of workplace environmental health conditions, healthcare service quality, and human resource (HR) competence on patient satisfaction at Evi Primary Clinic. Despite being accredited and having a strong vision, the clinic still receives complaints regarding suboptimal services and facilities.Using a quantitative analytic correlational design with a cross-sectional approach, this study examined variable relationships at a single point in time. The population included all patients visiting the clinic within one month, with data collected through questionnaires and interviews. A total sampling technique was applied, and the data were analyzed using univariate, bivariate (Chi-Square), and multivariate (Discriminant Analysis) methods.Results show that HR competence significantly influences healthcare service quality, with a coefficient of 0.806 (p = 0.000), and also impacts patient satisfaction (coefficient 0.609; p = 0.000). Most respondents (62.8%) rated HR competence as fair, and 19.9% as good. Workplace environmental conditions and health facilities also significantly influence service quality (coefficient 0.639; p = 0.000) and patient satisfaction (coefficient 0.527; p = 0.000). Multivariate analysis further revealed that facilities affect service quality with a coefficient of 0.748.In conclusion, HR competence, healthcare facilities, and service quality all significantly affect patient satisfaction. A comprehensive approach is needed to enhance staff competence, improve infrastructure, and optimize service procedures. These strategies are essential for achieving high patient satisfaction and realizing the clinic’s mission of delivering excellent healthcare.
Analysis of Implementation of Infection Prevention and Control at Royal Prima Marelan General Hospital Fajar Sahputra; Ermi Girsang; Ali Napiah Nasution
Jurnal Penelitian Pendidikan IPA Vol 9 No 12 (2023): December
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i12.5421

Abstract

Nosocomial infections or Healthcare-Associated Infections (HAIs) are a serious problem for global public health, including Indonesia. HAIs are infections experienced by patients during treatment and health care procedures ≥ 48 hours and ≤ 30 days after leaving the health facility. This study aims to analyze the implementation of infection prevention and control at the Royal Prima Marelan General Hospital. This research is a quantitative study with an observational analytical approach with a Cross Sectional Study design, namely in the form of data collection aimed at analyzing the implementation of infection prevention and control at the Royal Prima Marelan General Hospital for the period July to August 2023. The population in this study was 100 people who included hospital management who were considered competent in providing information. The population sample for this study that met the inclusion and exclusion criteria was 50 people. The results of bivariate analysis show that the variables related to infection prevention and control are knowledge, motivation, supervision and workload. The results of multivariate analysis show that the variable that partially influences the prevention and control of nosocomial infections in hospitals is knowledge.
FAKTOR-FAKTOR GAYA KEPEMIMPINAN KEPALA RUANGAN TERHADAP MUTU PELAYANAN KEPERAWATAN Rahmad Fitrianto; Ermi Girsang; Sri Lestari Ramadhani Nasution
Jurnal Kesehatan Medika Saintika Vol 16, No 1 (2025): Juni 2025
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jkms.v16i1.3119

Abstract

Mutu Pelayanan Kesehatan adalah mutu yang di anggap sebagai kunci dalam direferensi dan keunggulan layanan merupakan sumber potensi berkelanjutan, sehingga pengukuran dan perbaikan tingkat mutu menjadi sangat penting. Penelitian ini dilakukan untuk menilai pengaruh faktor-faktor gaya kepemimpinan kepala ruangan terhadap mutu pelayanan keperawatan. Penelitian ini menggunakan metode cross sectional. Penelitian ini dilakukan pada perawat dan pasien di Unit Rawat Inap Rumah Sakit Royal Prima Jambi dengan metode total sampling. Analisa data menggunakan metode bivariat dan multivariat. Hasil penelitian menunjukkan semua faktor gaya kepemimpinan yaitu komunikasi, prilaku, disiplin dan kemampuan gaya kemampuan mempengaruhi mutu pelayanan keperawatan dengan nilai p value < 0,005 dan faktor yang paling dominan adalah faktor kemampuan gaya kepemimpinan.
Internal and External Factors that Affect Employee Motivation at Materna Medan Hospital Joshua Andre Wijaya; Ermi Girsang; Ali Napiah Nasution
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 4 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i4.15956

Abstract

Employees are the main capital in a company or organization including hospitals. Good health services are produced by hospital employees who have great motivation in working. Motivation is influenced by basic human needs including physiological needs, a sense of belonging, a sense of security, self-actualization, and appreciation. This study aims to determine and assess external and internal factors that affect employee motivation at Materna Hospital Medan. This research is quantitative research with a cross-sectional approach. The population of all employees working at Materna Hospital Medan amounted to 137 people and all of them were sampled. Data collection techniques through questionnaire dissemination, documentation, and literature study. The analysis method uses univariate, multivariate, and bivariate analysis using multiple linear regression equations. Research findings show that internal factors in the form of recognition affect employee motivation at Materna Medan Hospital while internal factors in the form of responsibility and work itself do not influence. External factors in the form of compensation, supervisors, and relationships with colleagues affect the motivation of employees at Materna Medan Hospital while external factors in the form of working conditions do not influence. Internal and external factors that predominantly influence motivation are internal factors in the form of recognition. It is recommended to hospital management/leaders give statements of recognition to employees according to their performance, and compensate accordingly and supervisors should understand the nature and characteristics of employees who are subordinates to be able to provide appropriate motivation.Keywords : Internal Factors, External Factors, Work Motivation, Hospital Employees
A Cost Effectiveness Analysis Of Single Use And Reuse Dialyser Utilization In Hemodialysis Services For Kidney Failure Patients At Hospital X Stabat Maas Lubis; Ermi Girsang; Sri Lestari Ramadhani Nasution
JHSS (JOURNAL OF HUMANITIES AND SOCIAL STUDIES) Vol 8, No 3 (2024): JHSS (Journal of Humanities and Social Studies)
Publisher : UNIVERSITAS PAKUAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33751/jhss.v4i3.11222

Abstract

The prevalence of Chronic Kidney Disease sufferers globally, including Indonesia, has increased every year. According to the 2018 Basic Health Research data, the prevalence of Chronic Kidney Disease in Indonesia is 0.38% of the population of Indonesia or around 713,783 people. The Indonesian Nephrology Association said that the use of reuse dialyzers is permitted with a maximum limit of 7 times of use, Indonesian 2 Renal Registry data shows that reuse dialyzers are mostly used with a frequency of 1-5 times. Manual cleaning of single-use and reuse dialyzers can have an impact on several aspects, including: dialysis adequacy and risk of infection. Putri Bidadari Hospital, Stabat has a problem with changing the reuse dialyzer to single use because if you use reuse, the used equipment is washed again. So by switching to single use, it is hoped that the output of hemodialysis will be better. However, by switching to single use, there is a possibility of additional/reduced costs per patient for each hemodialysis. This study aims to analyze the Cost Effectiveness of Using Single Use and Reuse Dialyzers for Hemodialysis Services for Kidney Failure Patients at Putri Bidadari General Hospital, a cross-sectional quantitative research design with a prospective and retrospective approach, involving 160 patients in 2023. Data were analyzed using Cost Effectiveness Analysis (CEA). The results of the analysis show that the cost efficiency of the Reuse dialyzer is proven to be lower than the Single Use dialyzer. While in producing changes in the outcome of creatinine, urea, and hemoglobin, the single use dialyzer is more effective than the reuse dialyzer. Hospitals also need to conduct an evaluation of the environmental impact of using both types of dialyzers, including medical waste and energy consumption.
Peran Tenaga Kesehatan dalam Penanganan Penyakit Degeneratif pada Lansia di Puskesmas Negeri Lama: Sebuah Studi Kasus Dhyta Nurhasanah Janas; Ermi Girsang; Sri Lestari Ramadhani Nasution
The Indonesian Journal of General Medicine Vol. 33 No. 1 (2026): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/rew5sq66

Abstract

Pendahuluan: Populasi lansia di Indonesia meningkat pesat, diikuti oleh peningkatan prevalensi penyakit degeneratif. Puskesmas sebagai fasilitas kesehatan primer memiliki peran krusial, namun seringkali menghadapi keterbatasan sumber daya, terutama di daerah terpencil seperti Puskesmas Negeri Lama, Kabupaten Labuhanbatu. Penelitian ini bertujuan untuk menganalisis secara mendalam peran tenaga kesehatan serta tantangan dan dampaknya dalam penanganan penyakit degeneratif pada lansia. Metode: Penelitian kualitatif dengan desain studi kasus ini dilakukan pada September-Desember 2025. Tujuh informan dipilih secara purposive sampling, terdiri dari petugas rekam medis, petugas klaster lansia (perawat dan dokter), apoteker, dan ahli gizi. Data dikumpulkan melalui wawancara mendalam semi-terstruktur, observasi, dan triangulasi. Analisis data menggunakan model analisis tematik. Hasil Penelitian: Tenaga kesehatan menjalankan peran kuratif terintegrasi (anamnesis, pemeriksaan KGD/tekanan darah, pemberian obat seperti amlodipin dan metformin) dan peran preventif (skrining rutin via aplikasi E-pus/P-care, penyuluhan pola hidup sehat, konseling gizi). Tantangan utama meliputi karakteristik lansia (susah komunikasi, rendahnya pemahaman), hambatan struktural (jalan rusak, banjir, jarak tempuh jauh, kekosongan obat dari Dinkes), dan keterbatasan fasilitas. Pola komunikasi yang digunakan adalah komunikasi terapeutik dengan adaptasi bahasa sederhana, kesabaran, dan pelibatan keluarga. Dampak positif terlihat pada pengendalian penyakit dan dukungan sosial-emosional, namun terhambat oleh diskontinuitas pengobatan dan keterbatasan akses. Kesimpulan: Peran tenaga kesehatan di Puskesmas Negeri Lama bersifat komprehensif namun menghadapi tantangan signifikan. Diperlukan penguatan sistem logistik obat, pelatihan geriatri berkelanjutan, dan inovasi layanan seperti kunjungan rumah terstruktur untuk mengatasi hambatan geografis dan meningkatkan kualitas hidup lansia.
Evaluation of Drug Storage Using FIFO/FEFO Methods In Royal Prima Medan Hospital Pharmacy Installation Dewi Sri Rezeki; Ermi Girsang; Mangatas Silaen; Sri Ramadhani Nasution
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 1 (2022): February 2022
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (155.882 KB) | DOI: 10.51601/ijhp.v2i1.8

Abstract

The inappropriate drug storage system can cause the drug to break down quickly, drug expiration, stockout, and drug stagnation. This study aims to evaluate the storage of drugs using the FIFO and FEFO methods in the Royal Prima Medan Hospital Pharmacy Installation Warehouse. This type of research is descriptive qualitative. The research samples were employees of Royal Prima Medan Hospital Pharmacy Installation Warehouse who had worked for ± 1 year. For the validity and reliability of the data, source triangulation and method triangulation were used. Data analysis in this study used domain analysis. The results of this study indicate that drug storage activities using the FIFO and FEFO methods in Royal Prima Medan Hospital Pharmacy Installation Warehouse have been running well. Although in the implementation of drug storage activities, human resources problems have been found that play a dual role in their duties, problems of miscommunication among human resources and there is still a lack of training on drug storage using the FIFO and FEFO methods. It is hoped that the Royal Prima Medan Hospital Pharmacy Installation warehouse will more attention to existing human resources problems.
Effectiveness Of Incision Wound Healing Of Pandanus Amaryllifolius Roxb In Wistar Rats Muna Soraya Putri; Ermi Girsang; Linda Chiuman; Chrismis Novalinda Ginting
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 2 (2022): May 2022
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (747.609 KB) | DOI: 10.51601/ijhp.v2i2.33

Abstract

The incision is a condition of tissue discontinuity that is commonly encountered with the risk of prolonged healing time, imperfect wound healing, infection, etc. Assessment of the wound healing activity of the incision is the purpose of this research, which includes an examination of wound contraction, the thickness of collagen fibers, and the number of new blood vessels formation. In total, 25 rats will be divided into 5 test groups, each consisting of 5 rats; the control group (cream base treated), standard group (Povidone Iodine), followed by the treated group with 10%, 20%, and 30% pandan leaf extract ointment. The preliminary screening of phytochemical analysisshowed the presence of alkaloids, saponins, flavonoids, tannins, triterpenoids, and steroids and glycosides, with the total content of phenols and flavonoids from the ethanolic extract of Pandan Wangi is 20.95 GAE mg/gram extract, and 23.57 TAE mg/gram extract. Wound contraction examination result showed a significant difference between the treatment groups on day 16 and a sign the pairs of groups after being given the ointment with each concentration (p <0.05), especially in the group with 30% fragrant leaves extract and the standard group. Examination of new blood vessels showed a significant difference (p <0.05), especially with 30% of the leaves extract ointment. There was also a significant difference in collagen density in the group given pandanus ethanol ointment, especially at the 30% pandanus extract content against the group that was only given the ointment base. This research strongly suggests that the fragrant pandan leaf extract ointment is effective in healing incisional wounds and promises the potential for further studies on the pharmacological aspects.
Co-Authors Akhyar Al Fauzi Lubis Akmalul Habib Damanik Ali Nafiah Nasution Ali Napiah Nasution Alvin Abrar Harahap Analita Khoironissa Anita Merry Cisca Arie - Vonikartika Asri Widiya Sitompul Asyrun Alkhairi Lubis Ayu Hasanah Panjaitan Benedictus Juve Bethania Nadi Ida Febrina Siagian Chiuman, Linda Clinton Antony Depi Yunaspi Dewi Dewi Sri Rezeki Dhyta Nurhasanah Janas DIAN MELANI Diana Agustina Ritonga Disti Amanda Putri Djohan Djohan Doli Catur Utomo Enda Menaisa Sitepu Erisman Hondro Eva Kristina Pelawi Fajar Sahputra Fioni Fioni Firdha Muharraran Ginting, Chrismis Novalinda Gusbakti Gusbakti Hanjaya hardiansyah siregar Ibnu Rushd Irfan Aulia Isabela Silalahi, Marlinang Jeri Yuliansyah Joshua Andre Wijaya Liani Br Ginting M. Ridho Fitra Alamsya Maas Lubis Mangatas Silaen Maria Seri Arihta Martin Loodwyck Simanjuntak Maya Sari Mutia Muhammad Agus Muljanto Muhammad Insan Andika Muhammad Nawal Hasya Muna Soraya Putri Nadia Zenni Andari Nasution, Ali Napiah Primanita Novi Andriati Putri Satriani Dachi Rahmad Fitrianto Rakhmat Akbar Dinur Ramadhan Efendi Rapael Ginting Redo Widhio Mahatvavirya Ria Hartaty S. Shelly Hazlina Hararap Saprilliani . Sindy Zelvia SITI AMINAH Sri Lestari Nasution Sri Lestari Ramadhan Sri Lestari Ramadhani Sri Lestari Ramadhani Nasution Sri Ramadhani Nasution Syaifullah Syaifullah Tan Suyono Tommy Adhi Wijaya Vijay Dhillon Waoziduhu Ndruru Welly Ria Utami Lubis Widya Pasca Amir Widya Yanti Sihotang Widyaningsih Oentari Widyaningsih Oentari Winda Tri Mutia Wulan Dhari Yuliani Yuliani Zsa Zsa Ranty Bianca Saragih