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All Journal Jurnal Bidang Ilmu Kesehatan Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Jurnal Pelayanan dan Pengabdian Masyarakat (Pamas) Jurnal Untuk Masyarakat Sehat (JUKMAS)
Samingan .
Universitas Respati Indonesia
Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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Determinan Perilaku Kepatuhan Minum Obat Diabetes Mellitus Tipe 2 di Puskesmas Binuangeun Tahun 2025 M. Sobri Hermawan; Soekidjo Notoatmodjo; Samingan Samingan; Sudibyo Alimoeso
Jurnal Untuk Masyarakat Sehat (JUKMAS) Vol 10, No 1 (2026): Jurnal Untuk Masyarakat Sehat (JUKMAS)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/jukmas.v10i1.6922

Abstract

Diabetes Mellitus Type 2 is a chronic disease whose prevalence continues to increase both globally, nationally, and locally. One of the main challenges in managing this disease is medication adherence. At the Binuangeun Health Center, efforts to improve adherence have been carried out through various programs such as Prolanis, but its effectiveness has not been evenly distributed, especially in non BPJS patients. This study aims to study and explain medication adherence behavior and the factors that influence it in Type 2 Diabetes Mellitus patients at the Binuangeun Health Center, Lebak Regency in 2025. This study uses a quantitative approach with a cross-sectional design. The population is patients with type 2 diabetes mellitus who visited the Binuangeun Health Center in March 2025 totaling 106 people. The sample was taken using a simple random sampling technique with a total of 84 respondents. Data collection was carried out using a structured questionnaire from independent variables, namely determinants such as age, gender, education, occupation, duration of suffering, complications, knowledge, motivation, beliefs, attitudes, perceptions, access to services, family support and health worker support. The dependent variable, namely medication adherence, was measured by the MMAS-8 questionnaire, observation and confirmation from people closest to them. Data will be processed univariately, bivariately with chi-square and multivariate with multiple logistic regression. The results of the study showed a relationship between all independent variables with the behavior of adherence to taking type 2 diabetes mellitus medication at the Binuangeun Health Center in 2025. The most dominant variable was motivation. This study is expected to provide a comprehensive picture of the fulfillment of taking medication in patients with Type 2 Diabetes Mellitus factors and factors that influence it, as a basis for developing more effective and inclusive interventions in managing this disease
Analisis Kepuasan Kerja dan Kinerja Perawat Terhadap Kualitas Pelayanan di Rumah Sakit Pusdikkes Jakarta Timur Elfrida Novita Savitri; Budiharto Budiharto; Samingan Samingan
Jurnal Untuk Masyarakat Sehat (JUKMAS) Vol 10, No 1 (2026): Jurnal Untuk Masyarakat Sehat (JUKMAS)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/jukmas.v10i1.6952

Abstract

The quality of hospital services is influenced by various factors, one of which is the performance and job satisfaction of nurses, who represent the largest group of healthcare professionals and play a direct role in delivering patient care. At Rumah Sakit Pusdikkes, East Jakarta, a decline in patient satisfaction with nursing services has been identified, which is suspected to be related to nurses’ job satisfaction and performance. This study aims to analyze the impact of job satisfaction and nurse performance on the quality of healthcare services at RS Pusdikkes East Jakarta. This study employed a quantitative research method with a cross-sectional design. The study population consisted of all 78 staff nurses at RS Pusdikkes, all of whom were included as the sample using a total sampling technique. Data were collected using a Likert scale–based questionnaire that had undergone validity and reliability testing. Data analysis was carried out through several methods, including univariate analysis, bivariate analysis using the Chi-Square test, and multivariate analysis through logistic regression. The results showed that most nurses had high levels of job satisfaction and performance. There was a significant relationship between job satisfaction and service quality (p = 0.004), as well as between nurse performance and service quality (p = 0.001). Multivariate analysis revealed that nurse performance was the most influential factor, with an odds ratio of 31.8 in affecting service quality (p = 0.000), while job satisfaction (p = 0.620) did not have a significant effect when nurse performance was taken into account. Based on these findings, it can be concluded that job satisfaction and nurse performance jointly contribute to service quality. Therefore, managerial efforts should focus on improving nurses’ well-being and systematically evaluating their performance to ensure optimal healthcare service quality
Analisis Penerapan Program Pencegahan dan Pengendalian Infeksi di Klinik X Tahun 2025 Novita Novita; Ahdun Trigono; Samingan Samingan
Jurnal Untuk Masyarakat Sehat (JUKMAS) Vol 10, No 1 (2026): Jurnal Untuk Masyarakat Sehat (JUKMAS)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/jukmas.v10i1.6953

Abstract

Healthcare-associated infections (HAIs) remain a global challenge affecting patient safety, healthcare quality, and costs[1]. Global HAIs prevalence is estimated at 3.5–12%, with higher rates in rate reported in developing countries (10.1%) compared to developed countries (7.6%)[2]. In Indonesia, a Perdalin Jaya survey conductes in hospitals in Jakarta reported high infection rates, including Surgical Site Infection (SSI) at 18.9% and pneumonia at 24.5% [3]. Surveillance at Clinic X (2024) also indicated SSI (2.94%) and phlebitis (1.96%, exceeding the national standard set by the Ministry of Health (≤1.5%). This study aimed to evaluate the implementation of the Infection Prevention and Control (IPC) program at Clinic X. A concurrent embedded mixed-method design was employed, involving 60 patients for quantitative analysis and in-depth interviews with healthcare workers and management qualitative insight. The results demonstrated that medical waste and management and the availability of facilities and infrastructure were significantly associated with IPC implementation. Medical waste management emerged as the most dominant factor (p=0.044; OR=3.667), while dressing changes, intravenous catheter insertion, and injection procedures were not significantly associated. Barriers to IPC implementation include limited facilities and suboptimal compiance among healthcare workes, whereas managerial support, standars operating procedures (SOPs), and adherence to personal protective equipment (PPE) served as enabling factors. In conclusion, effective IPC implementation requires strengthning clinic policies in accordance with Ministy of Health Regulation No. 27/2017, improving medical waste management systems, and ensuring continious training and monitoring
Pendekatan Lean Hospital untuk Mengidentifikasi Waste Kritis dalam Penanganan Kegawatdaruratan di Instalasi Rawat Jalan RSU An Ni’mah Rizqiana Arum Sari; Aliefety Putu Garnida; Samingan Samingan
Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Vol 10, No 2 (2026): 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.v10i2.8321

Abstract

Latar Belakang: Pelayanan rawat jalan merupakan titik akses utama bagi pasien rumah sakit dan berpotensi mengalami kejadian kegawatdaruratan yang membutuhkan respons cepat dan terkoordinasi. Namun, penanganan kegawatdaruratan di rawat jalan sering kali belum didukung oleh alur pelayanan yang spesifik dan terstandarisasi. Penelitian ini bertujuan untuk mengidentifikasi dan menganalisis pemborosan (waste) kritis dalam proses penanganan kegawatdaruratan di Instalasi Rawat Jalan RSU An Ni’mah menggunakan pendekatan Lean Hospital. Metode: Penelitian ini merupakan studi kualitatif dengan desain studi kasus yang dilaksanakan pada November–Desember 2025. Informan dipilih secara purposive dan terdiri atas unsur manajemen, penanggung jawab unit, serta tenaga pelaksana langsung. Pengumpulan data dilakukan melalui observasi non-partisipan terhadap alur pelayanan, wawancara mendalam, serta telaah dokumen terkait. Analisis data dilakukan menggunakan Value Stream Mapping (VSM) untuk memetakan alur proses dan mengukur waktu pelayanan, perhitungan Value Added Ratio (VAR), metode Borda untuk menentukan waste kritis, serta analisis fishbone untuk mengidentifikasi akar penyebab pemborosan. Hasil penelitian menunjukkan total lead time penanganan kegawatdaruratan sebesar 127,1 menit dengan VAR sebesar 19%, yang mengindikasikan dominasi aktivitas non value added. Pemborosan kritis didominasi oleh waste waiting (24,2%), diikuti defect (21,9%) dan motion (16,1%). Pemborosan terutama terjadi pada fase antrean awal pelayanan, penentuan kegawatdaruratan, proses administrasi alih rawat, serta koordinasi dan transfer pasien ke Instalasi Gawat Darurat. Analisis akar penyebab menunjukkan bahwa waste waiting dipengaruhi oleh faktor sumber daya manusia, metode pelayanan, ketersediaan peralatan, dan mekanisme monitoring. Kesimpulan: Inefisiensi penanganan kegawatdaruratan di rawat jalan terutama bersumber dari desain sistem dan alur pelayanan. Pendekatan Lean Hospital memberikan dasar yang sistematis untuk perbaikan berkelanjutan melalui penguatan SOP kegawatdaruratan rawat jalan, penerapan alur fast track, standardisasi alih rawat, dan penguatan monitoring berbasis response time.
Determinan Penggunaan Media Instagram Rumah Sakit Pada Pasien Rawat Jalan Rumah Sakit Baiturrahim Jambi Tahun 2026 Winda Putri Aprinanda; Yuli Prapancha Satar; samingan samingan
Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Vol 10, No 2 (2026): 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.v10i2.8245

Abstract

Latar belakang: Pemanfaatan media sosial dalam pelayanan kesehatan menjadi strategi penting bagi rumah sakit dalam meningkatkan efektivitas komunikasi, edukasi, serta promosi layanan kepada masyarakat. Instagram sebagai media berbasis visual memiliki potensi besar dalam menyampaikan informasi layanan kesehatan secara cepat, menarik, dan interaktif. Namun, tingkat penggunaan media Instagram rumah sakit oleh pasien rawat jalan masih bervariasi dan dipengaruhi oleh berbagai faktor. Penelitian ini bertujuan untuk menganalisis determinan yang mempengaruhi penggunaan media Instagram Rumah Sakit Baiturrahim Jambi oleh pasien rawat jalan tahun 2026. Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross-sectional. Sampel penelitian berjumlah 100 responden yang dipilih menggunakan teknik accidental sampling. Data dikumpulkan melalui kuesioner terstruktur dan dianalisis menggunakan analisis univariat, bivariat dengan uji Chi-Square, serta analisis multivariat menggunakan regresi logistik berganda. Variabel independen dalam penelitian ini meliputi isi (konten), tampilan (visual), dan kejelasan informasi Instagram, sedangkan variabel dependen adalah penggunaan media Instagram rumah sakit oleh pasien rawat jalan. Hasil penelitian menunjukkan bahwa isi (konten), tampilan (visual), dan kejelasan informasi Instagram memiliki pengaruh terhadap penggunaan media Instagram rumah sakit oleh pasien rawat jalan. Variabel yang paling dominan mempengaruhi penggunaan Instagram rumah sakit adalah kejelasan Instagram pada media Instagram rumah sakit. Kesimpulan: Penggunaan media Instagram Rumah Sakit oleh pasien rawat jalan masih belum optimal. Kualitas tampilan visual yang baik belum sepenuhnya diikuti oleh kejelasan informasi dan kesesuaian konten. Peningkatan kualitas konten yang lebih spesifik, informatif, dan mudah dipahami diperlukan untuk meningkatkan pemanfaatan Instagram sebagai media komunikasi dan informasi layanan kesehatan. Konten yang informatif, tampilan yang menarik, serta informasi yang jelas mampu meningkatkan pemanfaatan Instagram sebagai sumber informasi pelayanan kesehatan
Co-Authors Aliefety Putu Garnida Asyifa Robiatul A Budiharto Budiharto Dessy Denila Dessy Denila Sari Elfrida Novita Savitri Erlina BR Sinulingga hanifah, iis Indra Felani Laila Ulfa M. Sobri Hermawan Nabila Viska Ramadhanty Nanda Berliana Tania Fidzikri Noegroho . Novita Novita Rizqiana Arum Sari Rositta Hari Nugroho Soekidjo Notoatmodjo Sri Widodo Sudibyo Alimoeso Suwarto . Suwarto Suwarto Tamri . Trigono, Ahdun Winda Putri Aprinanda Yuli Prapancha Satar