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Faktor-Faktor yang Mempengaruhi Kebiasaan Jajan Siswa-Siswi terhadap Kejadian Diare Akut Sri Lestari Ramadhani Nasution; Tan Suyono; Ermi Girsang; Ayu Anggraini Bangun
Journal of Telenursing (JOTING) Vol 4 No 2 (2022): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v4i2.4721

Abstract

This study aims to analyze the factors influencing students' snacking habits on the incidence of acute diarrhea. The method used is a cross-sectional survey with an explanatory research approach. The results showed that there was an effect of attitude (p = 0.024), trust (p = 0.007), availability of snacks (p = 0.012), peers (p = 0.013), the role of the family on acute diarrhea (p = 0.021), but there was no effect the amount of pocket money (p = 0.466) and the role of the mass media in acute diarrhea (p = 0.0869). In conclusion, attitudes, beliefs, availability of snacks, peers and the role of the family affect acute diarrhea, while the amount of pocket money and the role of the mass media do not affect acute diarrhea. Keywords: School Age Children, Acute Diarrhea, Snacking Habits
Penggunaan Gadget terhadap Kelainan Refraksi pada Siswa-Siswi Sri Lestari Ramadhani Nasution; Friska SR; Ermi Girsang; Mangatas Silaen
Journal of Telenursing (JOTING) Vol 4 No 2 (2022): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v4i2.4722

Abstract

This study aims to identify the effect of using gadgets on refractive errors. The method used is cross-sectional. The results showed that there was no effect on the duration of using the gadget, the intensity of light, the position of using the gadget on refractive errors, but there was an effect of visibility and genetics on refractive errors. In conclusion, visibility and genetics are factors that affect refraction. Keywords: Gadgets, Refractive Disorders, Myopia
Penerapan Manajemen Pasien Safety dalam Rangka Peningkatan Mutu Pelayanan di Rumah Sakit Sri Rezeki; Ermi Girsang; Chrismis Novalinda Ginting; Ali Napiah Nasution
Journal of Telenursing (JOTING) Vol 4 No 2 (2022): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v4i2.4723

Abstract

This study aims to analyze the application of patient safety management to improve service quality. The method used is descriptive-qualitative. The results of the study show that there are several themes found, namely: 1) building a culture of patient safety; 2) facilities, infrastructure and monitoring; 3) risk management; 4) building a reporting system; and 5) involving the patient. In conclusion, the efforts made by the Royal Prima Medan Hospital in terms of leadership and staff support are that the directors are also responsible for management commitment. Keywords: Management, Service Quality, Patient Safety
Evaluasi Penerapan Saluran Informasi dan Penanganan Pengaduan (SIPP) bagi Peserta BPJS Kesehatan Sri Lestari Ramadhani Nasution; Muhammad Rinaldy; Ermi Girsang
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.5319

Abstract

This study evaluates the application of Information Channels and Complaint Handling (SIPP) for BPJS Health participants at Sawit Indah Perbaungan Public Hospital. The research method uses in-depth interviews. There were nine informants in this study consisting of 5 BPJS participants and four informants who were Sawit Indah Perbaungan Public Hospital employees. The study results indicate that the usual obstacle Sawit Indah Perbaungan Hospital faces in implementing SIPP is the length of response or answers to the effects of complaints from BPJS participants who use the SIPP complaint service caused by the network. The benefit felt by BPJS Health participants with SIPP is that it is more effective in submitting complaints. In conclusion, overall, the application of SIPP for BPJS Health participants at Sawit Indah Perbaungan Public Hospital has been running effectively. Keywords: Health BPJS, Information Channels, and Complaint Handling
AN ANALYSIS OF EFFECT JOB DEMAND CONTROL-SUPPORT AND PROTECTION MOTIVATION ON COMPLIANCE IN FILLING INPATIENT CARE MEDICAL RECORD FILES AT RSU ESHMUN MEDAN Sri Lestari Ramadhani Nasution; Muhammad Maulidin; Ermi Girsang
Cerdika: Jurnal Ilmiah Indonesia Vol. 3 No. 6 (2023): Cerdika : Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v3i6.615

Abstract

An important indicator to determine the quality of service in a hospital is about the completeness of the hospital's medical record files. There are many problems arise due to incomplete medical record files and do not recorded neatly and regularly. The incident is due to lack of medical team awareness in recording all information or actions that would be given to the patient. The aim of this study is to analyse the effect of Job Demand-Control-Support and Protection Motivation on compliance in filling out Medical Record files at RSU ESHMUN Medan 2023. This study uses quantitative research method which is analytical in nature. The total sampling of this study is 115 active nurses at RSU ESHMUN Medan. The result of the study informs that there are very strong and significant effect among Job Demand-Control-Support and Protection Motivation on compliance in filling out Medical Record files at RSU ESHMUN Medan 2023. The variable that has the most influence on Obedience with filling in inpatient medical record files at RSU ESHMUN in 2023 is the Protection Motivation variable. It is recommended to RSU ESHMUN Medan to improve the administration pattern in order to all of nurses have the same job demands and receive the same support
FAKTOR YANG BERPENGARUH DENGAN KEJADIAN PENYAKIT GASTRITIS DI WILAYAH KERJA PUSKESMAS TANJUNG REJO Randa Aqila Lubis; Ermi Girsang; Eka Lolita Pakpahan
Jurnal Maternitas Kebidanan Vol. 8 No. 2 (2023): Jurnal Maternitas Kebidanan
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jumkep.v8i2.4290

Abstract

Gastritis is a common disease of the stomach lining caused by excessive consumption of foods that stimulate stomach acid, such as spicy foods, caffeinated foods, alcohol, acids and sodas. This study aims to determine the factors that influence the incidence of Gastritis in the Working Area of Tanjung Rejo Health Center. This study uses analytical survey method with case-control approach. Sampling techniques in this study using the Slovin formula. Data analysis used univariate analysis and bivariate analysis using chi square. The results showed that there was a significant influence between age and the prevalence of gastritis in the working area of the Tanjung Rejo Health Center with a P Value of 0.044, then there was a significant influence between the Sexes with the incidence of gastritis with a p Value of 0.008, then that there was a significant influence between the family history of gastritis patients with the prevalence of gastritis with a P Value of 0.048, there was a significant influence between diet with the emergence of gastritis with a P Value of 0.000, there is a significant influence between the type of food with the incidence of gastritis p-value of 0.000, and it can be stated that there is a significant influence between age with the prevalence of gastritis with a p Value of 0.012 in the working area of Tanjung Rejo Health Center. The conclusion of this study is that there is an influence between age, sex, family history of gastritis, diet, type of food and stress with the incidence of gastritis.
Analisis Pengaruh Kelengkapan Pencatatan Rekam Medis Pada Patient Safety Goals Di RS Royal Prima Tahun 2024 Oscar Dirgantara; Ermi Girsang; Ali Napiah Nasution
Jurnal Ners Vol. 9 No. 1 (2025): JANUARI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i1.30835

Abstract

Tingkat kejadian kematian yang terjadi karena kesalahan medis telah meningkat secara signifikan selama 10 tahun terakhir. Salah satu kesalahan medis yang sering terabaikan adalah pencatatan rekan medis khususnya pada asesmen awal pasien. Pencatatan Rekam Medis yang lengkap yang baik adalah komponen penting dalam pengelolaan informasi kesehatan di Rumah Sakit. Mengidentifikasi apakah faktor kelengkapan pencatatan Rekam Medisdapat mempengaruhi pencapaian International Patient Safety Goals. Penelitian ini menggunakan penelitian survei yang bersifat analitik deskriptif dengan menggunakan desain cross sectional study. Sampel diambil dari Rekam Medis pasien rawat inap di Rumah Sakit Royal Prima Medan periode Januari 2024 yang berjumlah 218 pasien. Pada penelitian yang dilakukan di RS Royal Prima Medan pada periode Januari 2024, didapatkan hasil kelengkapan pencatatan Rekam Medis mencapai 82% dan standarisasi JCI 7th edition yang menggunakan IPSG di RS Royal Prima Medan pada periode Januari 2024 mencapai 84,17%. Dari penelitian ini dapat disimpulkan sementara bahwa semakin tinggi nilai pencatatan Rekam Medis, maka nilai IPSG juga akan meningkat pada faktor identifikasi pasien, komunikasi yang efektif, dan keamanan penggunaan obat.Kendati demikian, harus ada perubahan dalam penyusunan tujuan utama akreditasi JCI, karena tidak dapat diletakkan pada seluruh lapisan Rumah Sakit.
Evaluation Of The Hospital Billing System's Implementation In Recording Outpatient And Inpatient Payments Using The Pieces Method Widya Yanti Sitohang; Ronel Polin Sihombing; Ermi Girsang
Jurnal Ners Vol. 9 No. 1 (2025): JANUARI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i1.31892

Abstract

Electronic billing simplifies and speeds up patient billing. This study will evaluate the system's performance, information, economics, control/security, efficiency, and service (PIECES) using the analytical model. This study examines RSU Royal Prima Medan's PIECES hospital billing system's outpatient and inpatient payment recording. A mixed-methodologies study uses quantitative and qualitative methods. This study sampled 200 patients quantitatively and seven informants qualitatively. Quantitative data analysis employed univariate analysis, while qualitative used triangulation. This study found that RSU Royal Prima Medan's hospital billing system for outpatient and inpatient payments performed well in performance, information, economics, control, efficiency, and service. The challenges include rare network problems. This study found that RSU Royal Prima Medan's PIECES hospital billing system for outpatient and inpatient payments is working well. RSU Royal Prima Medan should develop the system to properly use it in the future by training officers, evaluating them, and supervising them to reduce errors and maximize patient care.
Analysis of the Relationship between Smoking, Stress, Alcohol, Obesity, Dyslipidemia and Hypertension in the Elderly Tri Suci; Muhammad Anugerah Ramadhan Hasibuan; Ermi Girsang; Sri Lestari Nasution
Jurnal Ners Vol. 9 No. 1 (2025): JANUARI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i1.33235

Abstract

Hypertension causes the deaths of 8 million people every year, of which 1.5 million deaths occur in Southeast Asia. Overall, the prevalence of hypertension is around 30-45% in adults and the prevalence increases progressively to >60% at ages >60 years. Hypertension is one of the main causes of mortality and morbidity in Indonesia, so it is needed at various levels of health care facilities in an effort to reduce the prevalence and incidence of cardiocerebrovascular disease. The aim of this research is to analyze the relationship between smoking, stress, alcohol, obesity, dysplidemia and hypertension in the elderly at Pustu Desa Deli Tua Dusun IV in 2024. This type of research is analytical quantitative research using a cross sectional approach. The population in this study are elderly people who experience hypertension at Pustu Desa Deli Tua IV in 2024, totaling 95 elderly people. Sampling used total sampling with a total sample of 95 elderly people. The data analysis used in this research is univariate, bivariate and multivariate analysis. The results of the research show that there is a relationship between smoking, stress, obesity and dysplidemia on hypertension in the elderly at the Deli Tua Village Dusun IV Pustu in 2024, but there is no relationship between alcohol and hypertension in the elderly at the Deli Tua Village Dusun IV Pustu in 2024. The variables included The most related to hypertension in the elderly at Pustu Desa Deli Tua Dusun IV in 2024 is the obesity variable (X4). From the results of the research that has been carried out, the suggestions that can be given to elderly hypertensive sufferers are to better maintain their lifestyle by reducing stress, reducing smoking for elderly people who still smoke, maintaining their diet for elderly people who are obese and it is also recommended that they do light exercise with as regular as walking in the morning.
An Analysis Of Factors Influencing Bpjs Patient Loyalty Based On Customer Satisfaction Theory At Bandung General Hospital Medan Arum Grahini Kusumadewi; Sri Lestari Ramadhani Nasution; Ermi Girsang; Ali Napiah Nasution
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.51016

Abstract

Patient loyalty is a critical factor in ensuring the sustainability and competitiveness of hospitals, particularly within health services under the National Health Insurance (JKN) program such as BPJS Kesehatan. According to the 2022 report by the Indonesian Hospital Association (PERSI), the patient retention rate in Indonesian hospitals is only 56%, while the remaining 44% switch to other health facilities due to dissatisfaction with service quality, costs, and accessibility. This phenomenon reflects relatively low patient loyalty, especially among BPJS participants. This study employed a quantitative approach with a cross-sectional design and was conducted at Bandung General Hospital Medan, involving 260 inpatients purposively selected from a total population of 341 patients. Data analysis was performed in three stages: univariate, bivariate using the Chi-Square test, and multivariate using multiple logistic regression. The results revealed four factors that significantly influenced BPJS patient loyalty: satisfaction drivers, emotional response, health worker performance, and relationship quality. Among these, satisfaction drivers emerged as the most dominant factor (OR = 7.611). In contrast, perceived value, expectations, service recovery, and brand image did not show a significant effect. These findings suggest that BPJS patient loyalty is more strongly shaped by direct experiences and emotional interactions during the service process than by external attributes such as brand image or initial expectations.