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All Journal Majalah Kedokteran Bandung Damianus Journal of Medicine Biology, Medicine, & Natural Product Chemistry BIOLINK (Jurnal Biologi Lingkungan, Industri, Kesehatan) Jurnal Penelitian Pendidikan IPA (JPPIPA) Jurnal Kesehatan Komunitas Jurnal Keperawatan Silampari INTECOMS: Journal of Information Technology and Computer Science Jurnal Keperawatan dan Fisioterapi (JKF) Jurnal Maternitas Kebidanan Jurnal Keperawatan Priority JURNAL PENELITIAN PERAWAT PROFESIONAL Jurnal Ners Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan INFOKUM Budapest International Research in Exact Sciences (BirEx Journal) Jurnal Penelitian Farmasi dan Herbal Jurnal Ilmiah Kebidanan Imelda PROFESSIONAL HEALTH JOURNAL Multidiciplinary Output Research for Actual and International Issue (Morfai Journal) JINTAN : Jurnal Ilmu Keperawatan JIDAN (JURNAL ILMIAH KEBIDANAN) Nurse and Holistic Care International Journal of Islamic Education, Research and Multiculturalism (IJIERM) Sehat Rakyat: Jurnal Kesehatan Masyarakat Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Jurnal Sosial dan Sains Jurnal Natural Malahayati International Journal of Nursing and Health Science Journal of Pharmascience Proceeding of The International Conference on Health Sciences and Nursing Jurnal Penelitian Perawat Profesional
Chrismis Novalinda Ginting
Universitas Prima Indonesia
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The Role of Leadership on Organizational Performance Through Paramedic Loyalty in Public Health Centers Oos Fatimah Rosyati; Linda Chiuman; I Nyoman Ehrich Lister; Chrismis Novalinda Ginting
Proceeding of the International Conference on Health Sciences and Nursing Vol. 2 No. 1 (2025): Proceeding of the International Conference on Health Sciences and Nursing
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/ichsn.v2i1.52

Abstract

This study examines the role of leadership in enhancing organizational performance through the mediating effect of paramedic loyalty in public health centers (Puskesmas). Using a quantitative approach, data were collected from paramedics working at various Puskesmas through structured questionnaires. The research model hypothesizes that the role of Puskesmas leaders positively influences both paramedic loyalty and organizational performance, with paramedic loyalty also having a direct positive impact on performance. Furthermore, the study explores the mediating effect of paramedic loyalty on the relationship between leadership and organizational performance. Data analysis was conducted using regression and mediation techniques to test the proposed hypotheses. The findings indicate that effective leadership significantly increases paramedic loyalty, which in turn enhances the overall performance of Puskesmas. Additionally, the results reveal that paramedic loyalty partially mediates the relationship between leadership and organizational performance, emphasizing the importance of fostering loyalty among healthcare staff to achieve optimal organizational outcomes. This research provides valuable insights for public health administrators and policymakers to develop leadership strategies that strengthen staff commitment and improve service delivery in public health centers.
Analysis of Service Quality and Hospital Image on Patient Loyalty Influenced by BPJS Kesehatan Patient Satisfaction Hainun Nisa; Chrismis Novalinda Ginting; Ali Napiah Nasution; Ermi Girsang
Proceeding of the International Conference on Health Sciences and Nursing Vol. 2 No. 1 (2025): Proceeding of the International Conference on Health Sciences and Nursing
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/ichsn.v2i1.56

Abstract

This research aims to analyze the influence of service quality and hospital image on patient loyalty, with patient satisfaction as an intervening variable, specifically focusing on BPJS Kesehatan patients. Using a quantitative approach, data was collected through surveys distributed to BPJS Kesehatan patients in a hospital setting. Data analysis techniques include descriptive analysis, multiple regression analysis, and path analysis to test the hypotheses. The results indicate that service quality and hospital image significantly affect patient satisfaction, which in turn influences patient loyalty. Patient satisfaction also mediates the relationship between service quality, hospital image, and patient loyalty. These findings provide valuable insights for hospitals in improving service quality and building a positive image to enhance patient satisfaction and loyalty, particularly among BPJS Kesehatan patients.
The Effectiveness of Herbal Plant Extracts in Burn Wound Care: A Systematic Literature Review NURLELA PETRA SARAGIH; Chrismis Novalinda Ginting; Tiarnida Nababan
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/ab149m91

Abstract

Background: Burns are tissue injuries caused by various thermal, chemical, or electrical agents, resulting in serious skin damage that requires comprehensive management. Traditional burn care often utilizes herbal plants due to their bioactive compounds, which have the potential to accelerate the healing process and reduce complications. Objective: This study aims to systematically examine the effectiveness of various medicinal plant extracts in accelerating the healing of Grade I and II burns, based on evidence from relevant experimental studies. Method: The research methodology follows the PRISMA guidelines, employing a literature review to identify experimental studies evaluating the efficacy of medicinal plant extracts in burn management published between 2019 and 2025 in both Indonesian and English. The search process utilized electronic databases such as Google Scholar and ResearchGate, using a combination of keywords including "Luka Bakar" OR "Burn Healing" OR "Wound of Burn," "herbal," "tanaman herbal," "rats," and "Wistar." From the 10,800 articles identified, after removing duplicates and initial screening based on titles and abstracts, 10,718 articles underwent further screening based on full-text availability, publication year (2019-2025), language, and relevance. Ultimately, 14 studies were selected for review. Results: Data from various studies indicate that the application of full-concentration (100%) aloe vera gel provides optimal burn healing results, with a success rate reaching 95.99% within a 12-day period. Conclusion: The use of medicinal plants demonstrates promising therapeutic prospects for the treatment of mild to moderate burns (Grade I and II), owing to their ability to shorten healing duration and reduce associated morbidity.
EFFECTIVENESS OF ADOLESCENT REPRODUCTIVE HEALTH TRIAD EDUCATIONAL INTERVENTIONS IN IMPROVING ADOLESCENT REPRODUCTIVE HEALTH KNOWLEDGE AND ATTITUDES AT SMA NEGERI 1 KOTARIH Anfrisa Gultom; Chrismis Novalinda Ginting; Sri Wahyuni Nasution
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 4 (2026): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.21885263

Abstract

Adolescents are a vulnerable population due to limited knowledge of reproductive health, which increases the risk of unsafe sexual behavior, HIV/AIDS infection, and drug abuse. This study aimed to determine the effectiveness of the Triad Adolescent Reproductive Health (TRIAD KRR) educational intervention in improving adolescents’ knowledge and attitudes toward reproductive health. This study used a quantitative approach with a quasi-experimental one-group pretest–posttest design conducted at SMA Negeri 1 Kotarih, Serdang Bedagai Regency, North Sumatra. The sample consisted of 63 tenth-grade students selected using purposive sampling. Data were collected using validated questionnaires measuring knowledge and attitudes before and after the intervention. The intervention was delivered through interactive educational sessions covering sexuality, HIV/AIDS prevention, and drug abuse. Data analysis was performed using the Wilcoxon Signed Rank Test and effect size calculation. The results showed a significant increase in knowledge scores from 28.63 to 29.29 and attitude scores from 58.49 to 59.16 after the intervention (p < 0.05), with a large effect size, indicating the effectiveness of the TRIAD KRR education. This study concludes that TRIAD KRR educational intervention is effective in improving adolescents' knowledge and attitudes and can be used as a promotive and preventive strategy in school-based reproductive health programs.
Efektivitas Terapi Mindfulness terhadap Peningkatan Kualitas Hidup pada Pasien Diabetes Melitus Tipe 2 Aldi Andesta; Erniwati Tafonao; Anggun Kezia Ginting; Imel Icca Marsahanda Simanungkalit; Jenny Perlopes Br Sitepu; Chrismis Novalinda Ginting
Jurnal Penelitian Perawat Profesional Vol. 7 No. 6 (2025): Desember 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i6.1087

Abstract

Diabetes melitus tipe 2 digolongkan sebagai gangguan metabolik yang berlangsung lama dan ditandai oleh penurunan bertahap dalam kualitas hidup penderitanya, sehingga aktivitas sehari-hari terasa semakin berat. Salah satu metode non-farmakologis yang mulai banyak diperhitungkan adalah latihan mindfulness, karena pendekatan ini dipercaya mampu membantu individu menjadi lebih peka, lebih tenang, serta lebih stabil secara emosional. Meski demikian, efektivitas mindfulness dalam benar-benar memperbaiki kualitas hidup pasien diabetes masih perlu diverifikasi melalui pembuktian ilmiah. Penelitian ini ditujukan untuk menilai apakah pelatihan mindfulness dapat memberikan rasa lebih nyaman dan berkontribusi pada peningkatan kualitas hidup pada pasien dengan diabetes melitus tipe 2. Penelitian ini diterapkan menggunakan desain quasi-eksperimen dengan model satu kelompok yang diukur sebelum dan sesudah perlakuan. Total 30 partisipan dipilih melalui teknik purposive sampling. Penilaian kualitas hidup dilakukan dengan instrumen WHOQOL-BREF yang diberikan sebelum serta setelah sesi mindfulness. Melalui analisis statistik, terlihat adanya kenaikan bermakna pada skor kualitas hidup setelah peserta menyelesaikan latihan mindfulness (p < 0,05). Hasil penelitian ini mengisyaratkan bahwa pelatihan mindfulness berpotensi memberi manfaat positif dan dapat diterapkan sebagai pendekatan pendukung dalam meningkatkan kualitas hidup pasien dengan diabetes melitus tipe-2.
THE EFFECT OF MORINGA LEAF DECOCTION ON BLOOD GLUCOSE REDUCTION AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS Lenta Dwi Novita Zebua; Amanda Napa Erlita Ritonga; Denvis Notatema Zai; Krisnatalia Br Rajagukguk; Mawazini Adila; Chrismis Novalinda Ginting
Nurse and Holistic Care Vol. 6 No. 1 (2026): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v6i1.8286

Abstract

Background: Type 2 diabetes mellitus remains a major metabolic disorder characterized by chronic hyperglycemia, and long-term pharmacological therapy may cause adverse effects, highlighting the need for safe complementary interventions. Moringa oleifera leaves contain bioactive compounds with potential antihyperglycemic properties. Objective: The aim of this study is to examine the effect of consuming Moringa oleifera leaf decoction on the reduction of blood glucose levels among individuals with type 2 diabetes mellitus. Methods: This study used a quantitative quasi-experimental one-group pretest - posttest design. The independent variable was the administration of Moringa oleifera leaf decoction, while the dependent variable was blood glucose level. Twenty participants with type 2 diabetes mellitus were recruited using accidental sampling. The intervention was given once daily for seven days. Blood glucose levels were measured before and after the intervention, and data were analyzed using the Wilcoxon signed-rank test. Results: Prior to the intervention, most participants had blood glucose levels between 180 - 199 mg/dL, which decreased to 140 - 159 mg/dL after the intervention. Statistical analysis showed a significant difference (p < 0.05). Conclusion: Moringa oleifera leaf decoction may reduce blood glucose levels and could be considered as a complementary intervention for patients with type 2 diabetes mellitus.
KOMUNIKASI PERAWAT-PASIEN DAN HAMBATANNYA DI INSTALASI GAWAT DARURAT RS ANDINI PEKANBARU Chrismis Novalinda Ginting; Muhammad Faridz Syahrian; Octisa Almira Chalida Hutasuhut
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 16 No 1 (2026): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

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

Abstract

Abstract The Emergency Department (ED) requires effective communication between nurses and patients to ensure patient safety and quality of care; however, various barriers to communication remain prevalent. This study aimed to analyze differences in communication barrier factors between nurses and patients in the ED of Andini Hospital, Pekanbaru. This observational analytic study employed a retrospective cohort approach and involved 80 respondents (40 nurses and 40 patients) selected through consecutive sampling using a questionnaire. Data analysis was performed using an independent t-test or the Mann–Whitney test with a significance level of p < 0.05. The results demonstrated no statistically significant difference in nurse-related factors between the nurse and patient groups (p = 0.134). In contrast, health system–related factors showed a significant difference (p < 0.001), with nurses perceiving system-related communication barriers to be higher than patients. These findings indicate that communication barriers in the ED are more predominantly influenced by health system factors rather than individual nurse-related factors. Therefore, strengthening service systems and institutional support is necessary to improve communication effectiveness and enhance patient safety in the ED. Keywords: Nurse–patient communication, communication barriers, emergency department, health system, patient safety.
Implementasi Lean Hospital dalam Meningkatkan Pelayanan Rawat Jalan Poliklinik Penyakit dalam di RSUD Sabang Ema Nurul Tafaqa; Chrismis Novalinda Ginting; Ali Napiah Nasution
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 2 (2026): Mei 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i2.7568

Abstract

Effective outpatient care is an indicator of hospital service quality and must meet the Ministry of Health’s Minimum Service Standards (MSS), particularly the waiting time requirement of ≤ 60 minutes. However, many healthcare facilities have yet to meet this standard. This study aims to analyze the implementation of Lean Hospital practices in improving service efficiency and compliance with MSS at the Internal Medicine Outpatient Clinic of Sabang City Regional General Hospital. The study employed a quantitative cross-sectional design using observation, time-motion studies, and the SERVQUAL questionnaire, with Spearman and Pearson correlation analyses. Findings revealed an average service time of 87 minutes, exceeding MSS (≤ 60 minutes), with non–value-added activities accounting for 55 minutes and waiting waste at 40%. The Process Cycle Efficiency (PCE) value of 36.7% indicates low efficiency. Patient satisfaction was high (mean 3.43), but higher among those meeting MSS (43.4%) compared to those exceeding it (6.7%). There was a significant relationship between waiting time and satisfaction (r = −0.612; p < 0.05), and between Lean implementation and process efficiency (r = 0.683; p < 0.05). Conclusion: Failure to meet MSS is associated with low efficiency and suboptimal Lean implementation. Improvements should focus on eliminating waiting waste and strengthening kaizen to enhance service quality and patient satisfaction
Root Cause Analysis and Estimated Time for Completing Administration for Inpatients Discharged from General Hospitals Royal Prima Medan Winny Wijaya; Chrismis Novalinda Ginting; Sriwahyuni Nasution
International Journal of Islamic Education, Research and Multiculturalism (IJIERM) Vol 7 No 3 (2025)
Publisher : The Islamic Education and Multiculturalism Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47006/ijierm.v7i3.621

Abstract

The discharge process of inpatient care includes activities from when a patient is medically declared fit for discharge until they leave the hospital administratively. This study aims to analyze the root causes and time required for completing inpatient discharge administration at Royal Prima General Hospital Medan. This research used a qualitative analytical approach with a case study design. The informants consisted of 55 people, including 5 hospital staff and 50 patients. Data analysis techniques included data reduction, inductive and deductive analysis, data presentation, and conclusion drawing. The results showed that the average waiting time for inpatient discharge was 53.39 minutes, which is in accordance with the Minimum Service Standards (SPM). However, some units did not meet the standards, particularly the pharmacy department (61.12 minutes). The identified root causes included lengthy administrative procedures, delayed examination reports, limited human resources, drug shortages, and system network issues. In conclusion, although the overall waiting time met the SPM, improvements are needed in pharmacy and administrative units to enhance efficiency and accelerate the discharge process.
Factors influencing balanced diet in patients with type 2 diabetes mellitus based on theory of planned behavior Lia Fentia; Chrismis Novalinda Ginting; Linda Chiuman
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i2.617

Abstract

Background: Type 2 diabetes mellitus (DM) is a chronic disease that continues to increase globally, with a significant health and economic burden. A balanced diet is a key component of type 2 DM management. Purpose: To analyze the factors that influence balanced diet behavior in patients with type 2 DM in Pekanbaru using the Theory of Planned Behavior (TPB) approach. Method: This study used a quantitative method with a cross-sectional design. Data were collected from 117 patients with type 2 diabetes who were registered at the Pekanbaru Health Center. The variables studied included knowledge, attitude, family support, and the role of health workers in balanced diet behavior. Data analysis was performed using chi-square and Odds Ratio (OR) tests to determine the relationship and the chance of influence of independent variables on the dependent variable. Results: The results showed that low knowledge (OR=4.9), negative attitude (OR=2.5), lack of family support (OR=2.8), and non-optimal role of health workers (OR=3.2) had a significant influence on balanced diet behavior in patients with type 2 diabetes (p<0.05). Conclusion: Factors such as knowledge, attitude, family support, and the role of health workers significantly influence the balanced diet behavior of patients with type 2 diabetes. Suggestion: Education-based interventions and strengthening social support are needed to improve patient adherence to a balanced diet.
Co-Authors Aditya Azri Rizki AHMAD RAIF Ahmad Raif Aldi Andesta Ali Napiah Nasution Ali Napiah Nst Amalia Kartika Amanda Napa Erlita Ritonga Andy Putra Ndruru Anfrisa Gultom Anggun Kezia Ginting Antonius Waruwu ARFANI ARFANI Arie Tika Anditha Arman Hia Belinda Putri E. Sihura Bella Vetriyasa Cahyanto Kurnia Mendrofa Cut Eliza Hidayani David Calvin David Erickson Simanjuntak Deborah Angelin Purba Denvis Notatema Zai Desi Haryanti Zendrato Desy Khairani Devina Anggreini Dewi Rahanum Dhea Rebeca Lumbanraja Edy Fachrial Effendi Zamili Ema Nurul Tafaqa Endah Juni Satri Erma Lingga Ermi Girsang Erniwati Tafonao Ester Wangsasaputra Fadillah, Qori Faradila Murni Finna Piska Fitri Yana Kaban Florenly Florenly Grace Nathasya Manurung Gusmina Mendrofa Hainun Nisa Hanawita Gultom Hari Sandi Bahagia Siregar Harmileni I Nyoman Ehrich Lister IKHTIARI, REFI Imel Icca Marsahanda Simanungkalit irza Haicha Pratama Jeni Putri Fadhilla Jenny Anggraini Jenny Perlopes Br Sitepu Jeny Angelica Karolina Simanungkalit Juando Juando Krisnatalia Br Rajagukguk Landi Kurnia Daeli Lenta Dwi Novita Zebua Lia Fentia Lidia Henni Sembiring Linda Chiuman Livia Anggraini Makdalena Makrifatul Aulia Malna Tresun Br. Turnip Margaretia Yenni Rotua Maria Emilia Laia mariana Marissa Hardayati Br Raja Guk Guk Masryna Siagian Mawazini Adila Maya Sari Mutia Mhd. Farhans Hermansyah Muhammad Aditya Kurnia Muhammad Faridz Syahrian Muhammad Habibi Muhammad Hidayat Nadia Enjelika Puspita Nadiyah Santika Nadya Nazimuddin Putri Nasution, Ali Napiah Natasya Indah S. Manalu Nita Tri Maria Nurlela Petra Saragih Octisa Almira Chalida Hutasuhut Oos Fatimah Rosyati Panta Leon Raynard Aditia Kaban R. Raje Telegem Rani Mustika Rani Rahmadani Ratmi Yanti Rayani Manik Rendy Ferbianto Rennita Hutagaol Riky Suherman Simanjuntak Sahna Ferdinand Ginting Satria Prihandini Shefira Aprilia Silvi Tiara Dewi Sri Lestari Ramadhani Nasution Sri Rezeki Sri Wahyuni Nasution Sriwahyuni Nasution Suci Erawati Suci Syafira Sucy Hasfya Suhartomi Suhelis Anggraini Sukriston Buulolo Sunarti Theresia, Yohani Thipani Angela Tiarnida Nababan Windri Mutiara Matondang Winny Wijaya Yohana Candra Andini Hutabarat Yosia Nathaniel E. Halawa Yuliani Mardiati Lubis Yulizal, Ok Zaim Anshari