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All Journal JBIO: jurnal biosains (the journal of biosciences) Journal of Biomedicine and Translational Research Indonesian Journal of Pharmaceutical Science and Technology Majalah Obat Tradisional BIOLINK (Jurnal Biologi Lingkungan, Industri, Kesehatan) Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan Jurnal Penelitian Pendidikan IPA (JPPIPA) Jambura Journal of Health Sciences and Research Jurnal Kesehatan Global Journal of Health Sciences JURNAL KEBIDANAN KESTRA (JKK) Jurnal Maternitas Kebidanan Jurnal Pendidikan dan Konseling Contagion: Scientific Periodical Journal of Public Health and Coastal Health Jurnal Ners Journal of Telenursing (JOTING) INFOKUM PRIMER (Prima Medical Journal) Jurnal Ekonomi Multidiciplinary Output Research for Actual and International Issue (Morfai Journal) JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Cerdika: Jurnal Ilmiah Indonesia
Ermi Girsang
Universitas Prima Indonesia
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Energy Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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Young Doctors' Perception Of The Effectiveness Of The Clinical Learning System At Royal Prima Hospital Medan Restin Julianti Zebua; Ermi Girsang; Sri Lestari Ramadhani 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.v9i4.51028

Abstract

Young doctors often have different perceptions of the effectiveness of clinical learning in medical professional education. Clinical learning is a crucial stage in shaping the competence of young doctors, in terms of knowledge, skills, and professionalism. This study aims to explore young doctors' perceptions of the effectiveness of the clinical learning system at Royal Prima General Hospital in Medan. This qualitative study with a phenomenological approach involved six informants (five young doctors and one clinic coordinator) who were selected purposively. Data were collected through in- depth interviews, focus group discussions, and observations. The results of the study revealed four main themes. First, the quality of clinical learning is influenced by the clarity of instructions, tutor involvement, patient availability, and rotation structure. Second, the learning environment is influenced by the relationship with the supervisor and the clinical work atmosphere. Third, the young doctors' self-competence includes self-confidence, readiness to face patients, and stress management strategies. Fourth, supporting factors (senior support, hospital facilities) and inhibiting factors (patient case variations, high workload, differences in tutor supervision styles) also influence the effectiveness of clinical learning. In conclusion, the effectiveness of clinical learning is influenced by the interaction of instructional, personal, environmental, and structural factors. Therefore, improvement efforts are needed in the form of strengthening tutor supervision skills, equalizing practice opportunities, and providing psychosocial support for young doctors in order to optimize the clinical learning system.
The Role Of The Medical Committee In Improving The Quality Of Health Services Ar Dr. Pringadi Hospital Medan City Helga Kurniawati Tandungan; Ermi Girsang; Irza Haicha Pratama
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.v9i4.51100

Abstract

This study aims to analyze the role of the Medical Committee in improving the quality of health services at Dr. Pirngadi Hospital, Medan City. The Medical Committee plays an important role in maintaining the professionalism of medical personnel and ensuring quality medical services through medical audits, continuing education, scientific meetings, and mentoring new medical personnel. Using a qualitative descriptive method with an in-depth interview approach to informants consisting of medical staff, doctors, patients, and nurses. This study shows that the role of the Medical Committee at Dr. Pirngadi Hospital has been carried out well, especially in medical audits, although there are obstacles in implementing follow-up audit results due to limited time and facilities. The role of the Medical Committee in organizing scientific meetings and continuing education is still limited and not made a routine program, while the mentoring process (proctoring) for new medical personnel has not been well structured. Through this study, it is clear that although the Medical Committee has played a role in improving the quality of services through medical audits, there is still room for improvement, especially in terms of continuing education and proctoring new medical personnel.
Pengaruh Aktivitas Olahraga dengan Pengetahuan dan Sikap Penderita Diabetes Mellitus Puskesmas Tenayan Raya Candra Ahmadi; Ermi Girsang; Ali Napiah Nasution
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.51588

Abstract

Penyakit Diabetes Mellitus (DM) menjadi masalah yang sangat serius kerena mengalami peningkatan dari tahun ke tahun. Penatalaksanaan DM bertujuan untuk menciptakan pola hidup yang sehat dan seimbang. Karena pola hidup yang tidak sehat dan seimbang, akan mengakibatkan komplikasi. Salah satu penatalaksanaan DM adalah aktivitas olahraga. Beberapa upaya untuk meningkatkan aktivitas olahraga adalah peningkatan pengetahuan dan sikap penderita DM. Namun tingkat pengetahuan dan sikap penderita DM belum baik, karena masih terfokus pada pengobatan saja. Tujuan penelitian ini untuk menganalisis pengaruh pengetahuan dan sikap terhadap aktivitas olahraga di Puskesmas Tenayan Raya Pekanbaru. Penelitian ini menggunakan pendekatan kunatitatif dengan desain cross-sectional dan melibatkan 70 responden. Instrument penelitian menggunakan kuesioner aktivitas olahraga, pengetahuan dan sikap penderita DM. Analisis data distibusi responden menggunakan SPSS 25 dan analisis korelasi menggunakan SmartPLS. Uji Validitas dan Reliabilitas dengan menunjukkan hasil Cronbach’s Alpha (CA), Composite Reliability (CR), dan Average Variance Extracted (AVE). Hasil nilai aktivitas olahraga CA = 0.933, CR = 0.937, AVE = 0.625, nilai pengetahuan CA = 0.932, CR = 0.941, AVE = 0.624, nilai sikap CA = 0.929, CR = 0.933, AVE = 0.610. Penelitian ini sangat valid dan reliable. Analisis pengaruh aktivitas olahraga dengan pengetahuan dan sikap adalah signifikan yaitu nilai T-Statisc >1.96 dan p-value < 0.05). Hasil pengaruh aktivitas olahraga dengan pengetahuan adalah nilai T-Statistic = 8.060 (>1.96) dan p-value=0.000 (< 0.05), sedangkan pengaruh aktivitas olahraga dengan sikap adalah nilai T-Statistic = 7.825 (>1.96) dan p-value=0.000 (< 0.05). Hasil penelitian menunjukan ada pengaruh signifikan aktivitas olaharaga yang dilakukan penderita DM dengan pengetahuan dan sikap penderita DM. Temuan ini memperkuat bahwa pengetahuan dan sikap penderita DM sangat berperan penting dalam peningkatan aktivitas olahraga bagi penderita DM.
The Effect Evaluation Of Health Promotion Strategies In Reducing Stunting Incidence Based The Precede-Proceed Model At Upt. Puskesmas Terjun Medan City Astari Wardiah; Ermi Girsang; Sri Lestari Ramadhani Nasution
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.51652

Abstract

Pendahuluan: Stunting menjadi salah satu indikator penting dalam Sustainable Development Goals (SDGs). Prevalensi stunting di Provinsi Sumatera Utara tercatat sebesar 22% pada tahun 2024, meningkat 3,1% dibandingkan tahun sebelumnya. UPT. Puskesmas Terjun mencatatkan jumlah anak stunting tertinggi di Kota Medan dengan 23 balita pada Juni 2024. Tujuan: Mengevaluasi strategi promosi kesehatan dalam upaya penurunan kejadian stunting di UPT. Puskesmas Terjun Kota Medan berdasarkan PRECEDE-PROCEED Model. Metode: Penelitian kualitatif dengan metode Rapid Assessment Procedure (RAP). Data diperoleh melalui wawancara mendalam, observasi lapangan, dan telaah dokumen terhadap tujuh informan kunci yang terdiri dari kepala puskesmas, tenaga promosi kesehatan, tenaga gizi, kader posyandu, dan keluarga balita. Analisis data dilakukan secara tematik dengan triangulasi sumber dan metode. Hasil: Pada fase PRECEDE, faktor predisposisi seperti pengetahuan dan perilaku gizi keluarga masih menjadi tantangan utama. Faktor penguat berasal dari dukungan kader dan keluarga, sedangkan faktor pendukung meliputi dukungan pemerintah dan fasilitas kesehatan. Pada fase PROCEED, strategi promosi kesehatan telah dilaksanakan melalui penyuluhan, kunjungan rumah, dan media edukatif sederhana. Namun, keterbatasan sumber daya manusia dan koordinasi lintas sektor masih menjadi kendala. Kesimpulan: Hasil penelitian menunjukkan bahwa strategi promosi kesehatan di UPT. Puskesmas Terjun Kota Medan telah efektif dalam menurunkan angka stunting. Pengetahuan dan perilaku gizi keluarga yang masih terbatas menjadi tantangan utama, sementara dukungan dari kader, keluarga, dan fasilitas kesehatan menjadi kekuatan utama. Kegiatan seperti penyuluhan dan kunjungan rumah mampu meningkatkan kesadaran masyarakat meskipun terdapat keterbatasan sumber daya
The Effect of Health Promotion Strategies and Multisectoral Collaboration on the Effectiveness of Tuberculosis Control in the Puskesmas Helvetia Medan Area Cyintia Ginting; Ermi Girsang; Sri Lestari Ramadhani Nasution
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.51653

Abstract

Pendahuluan: Tuberkulosis (TBC) tetap menjadi tantangan besar dalam bidang kesehatan masyarakat global, termasuk di Indonesia. Pengendalian TBC yang efektif memerlukan tidak hanya intervensi medis, tetapi juga strategi promosi kesehatan yang kuat dan kolaborasi multisektor. Tujuan: Penelitian ini bertujuan untuk menganalisis dampak strategi promosi kesehatan dan kolaborasi multisektor terhadap efektivitas pengendalian TBC di Medan, khususnya di wilayah Puskesmas Helvetia. Metode: Penelitian ini menggunakan desain penelitian kuantitatif dengan pendekatan survei potong lintang. Data dikumpulkan dari 135 responden, termasuk pasien TBC, petugas kesehatan, dan pemangku kepentingan yang terlibat dalam program pengendalian TBC. Kuesioner terstruktur digunakan untuk mengumpulkan data mengenai strategi promosi kesehatan, kolaborasi multisektor, dan efektivitas pengendalian TBC. Hasil: Penelitian ini menemukan bahwa strategi promosi kesehatan, terutama pesan kesehatan yang jelas dan relevan secara budaya, secara signifikan meningkatkan kepatuhan pengobatan dan kesadaran masyarakat. Kolaborasi multisektor, terutama keterlibatan sektor pemerintah dan komunitas, sangat penting dalam meningkatkan hasil pengendalian TBC. Efektivitas pengendalian TBC berhubungan positif dengan promosi kesehatan dan kolaborasi multisektor. Kesimpulan: Promosi kesehatan dan kolaborasi multisektor merupakan komponen vital dalam pengendalian TBC yang efektif. Pendekatan terintegrasi yang menggabungkan kedua elemen ini dapat secara signifikan meningkatkan keberhasilan program TBC, yang mengarah pada hasil pasien yang lebih baik dan penghapusan penyakit jangka panjang.
Application of Clitoria ternatea L. Flower Extract Lotion in Preventing the Decrease in Collagen and Epidermis Thickness in Wistar Rats Skin Given Ultraviolet-B Rays Ira Gracela; Ermi Girsang; Ali Napiah Nasution; Jeri Yuliansyah; Riri Virzan Putri
Jurnal Penelitian Pendidikan IPA Vol 11 No 3 (2025): March
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i3.10947

Abstract

Exposure to ultraviolet-B (UV-B) light contributes to a decrease in skin collagen levels, which can cause premature aging. This study aims to evaluate the effectiveness of telang flower (Clitoria ternatea L.) extract lotion in maintaining collagen levels and epidermal thickness of UV-B-exposed rat skin. A total of 30 Wistar male white rats (200-250 g) were divided into six treatment groups: negative control (distilled water), positive control (Vaseline), and four treatment groups of telang flower extract lotion with concentrations of 0.2, 0.5, 0.75, and 1%. Mice were exposed to UV-B light (311 nm, 70 mJ/cm² per session) for 14 days with a total dose of 420 mJ/cm². The lotion was applied twice daily, before and after UV-B exposure. Evaluation was performed by measuring collagen content and epidermal thickness using histology staining. Statistical analysis used One-Way ANOVA or Kruskal-Wallis if assumptions were not met. The results showed that the treatment group with telang flower extract significantly increased collagen content and epidermal thickness compared to the negative control (p < 0.05), with a dose of 0.5% showing the highest effectiveness. In conclusion, telang flower extract lotion has potential as a photoprotective agent against UV-B-induced skin damage.
Evaluating SIMPUS Implementation at Teladan Community Health Center: a HOT-Fit Framework Analysis Sri Lestari Ramadhani Nasution; Ermi Girsang; Ahmad Fuadi Nasution
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.25522

Abstract

Community Health Centers are required to implement a Community Health Center Information System (SIP) in accordance with Minister of Health Regulation No. 31 of 2019. Medan Teladan Community Health Center has implemented various information systems, one of which is e-Puskesmas, but still found obstacles. This study aims to evaluate the implementation of the Management Information System (SIMPUS) at Medan Teladan Community Health Center using the Human Organization Technology (HOT)-Fit method. This type of research is descriptive qualitative research. The study was conducted at Medan Teladan Community Health Center starting from December 2024 - July 2025. Informants in this study were 5 people consisting of the head of the community health center and medical record officers as key informants, registration officers, SP2TP officers and pharmacy service officers as supporting informants. Data analysis was carried out by data reduction, data presentation and drawing conclusions to identify relevant finding patterns in each aspect of HOT-Fit. The results of the study obtained an evaluation of the implementation using the HOT-Fit method on the human aspect, the user side has problems with input errors, where around 60% of informants reported data input. Organizational aspects, the organizational structure is in place, monitoring and evaluation have been carried out and guidelines for using the information system are in place even though they only adopt those from the Ministry of Health. Technology aspects, the quality of the system is still not optimal because the system has not been integrated with all programs and frequent server disruptions or data bridging failures, differences were also found between drug data in the system and actual stock in the pharmacy warehouse. Net benefit aspects, this system has succeeded in reducing dependence on manual processes and increasing data accuracy, but data integration across all programs is still an obstacle. It is recommended to the Medan City Health Office to encourage the integration of information systems between programs into one platform and ensure server stability. Keywords: System evaluation, information system, HOT-Fit
Performance Evaluation of Internal Verifier in Reducing Pending Inpatient Claims of BPJS Kesehatan at Muhammadiyah Hospital North Sumatra 2022 Amalia Hasibuan; Ermi Girsang; Sri Lestari Ramadhani Nasution
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.25036

Abstract

This study evaluates the effectiveness of internal verifiers at Muhammadiyah Hospital North Sumatra in minimizing delayed inpatient claims submitted to BPJS Kesehatan, Indonesia's national health insurance agency. A mixed-methods sequential explanatory design was employed, combining quantitative data from 2020 (prior to verifier recruitment) and 2022 (post-recruitment) with qualitative insights from interviews with internal verifiers, coders, and other stakeholders, as well as a review of claim files processed by the hospital's BPJS Unit. Interview protocols were adapted from a 2018 study at Koja Hospital, North Jakarta, and data were analyzed using the Miles and Huberman approach, with findings integrated across methods. Source triangulation ensured validity and reliability. Results showed that internal verifiers significantly reduced the proportion of delayed claims despite an overall increase in submissions, with the highest rate of pending claims dropping from 25.6% in 2020 to 17.9% in 2022. Of the 2022 delays, 31.2% were due to BPJS Kesehatan system errors or confirmation processes, indicating that only two-thirds stemmed from hospital-related issues. Qualitative analysis identified key contributors to delays, including diagnostic coding errors, inconsistent understanding among BPJS verifiers, incomplete documentation, limited staff knowledge, and human resource inaccuracies. The presence of internal verifiers improved claim management and hospital revenue by increasing eligibility and accelerating approvals. To further optimize claim processing, strategies such as enhancing coding accuracy, improving staff competency, ensuring documentation completeness, and adopting electronic systems with supportive incentives are recommended. Keyword: Internal verifier, pending claims, performance
Analisis Penyelenggaraan Sistem Pemeliharaan Alat Radiologi Rsu Royal Prima Medan Kewin Gozali; Ermi Girsang; Putranto Manalu
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55191

Abstract

Hospitals as providers of professional, high-quality, and sustainable health services require adequate support from standardized medical equipment, including in the radiology unit. Radiology equipment must be systematically maintained to ensure optimal functionality, produce accurate diagnostic results, and foster patient satisfaction as well as positive public perceptions of the hospital. This study aimed to analyze the implementation of the radiology equipment maintenance system at RSU Royal Prima Medan. This research employed a qualitative design, with primary data obtained through in-depth interviews with relevant informants. Data analysis was conducted using triangulation, followed by data reduction, data presentation, and conclusion drawing. The results showed that, in terms of input, the maintenance of radiology equipment at RSU Royal Prima Medan was supported by the availability of adequate and functional facilities and infrastructure, a sufficient number of human resources, and personnel with appropriate expertise and knowledge according to their respective roles and responsibilities. The maintenance budget was available, although the exact amount was not clearly specified. In terms of process, maintenance activities were carried out routinely, including daily cleaning and comprehensive inspections every six months to assess equipment feasibility. All maintenance procedures were implemented in accordance with the established Standard Operating Procedures (SOPs). In terms of output, all radiology equipment at RSU Royal Prima Medan was in good, normal, and operational condition, enabling accurate diagnostic examinations. In conclusion, the radiology equipment maintenance system at RSU Royal Prima Medan has been implemented effectively and in compliance with established SOPs.
Intervention of Bse Health Promotion on Knowledge, Attitudes, and Practices Among Women in Upt Puskesmas Matsum, Medan, 2026 Nurhafizah Nurhafizah; Ermi Girsang; Sri Lestari Ramadhani Nasution
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.57215

Abstract

Pendahuluan: Secara global, data WHO tahun 2022 menunjukkan bahwa kanker payudara merupakan tantangan kesehatan yang serius dengan 2,3 juta kasus baru dan 685.000 kematian. Di Indonesia, angka ini juga sangat mengkhawatirkan dengan catatan 68.858 kasus baru atau sekitar 16,6% dari total seluruh jenis kanker di tanah air. Tujuan: Untuk mengetahui pengaruh intervensi promosi kesehatan tentang SADARI sebagai deteksi dini kanker payudara terhadap pengetahuan sikap dan perilaku pada wanita usia subur di wilayah kerja Puskesmas Matsum Kota Medan. Hasil: Hasil studi menunjukkan adanya perbedaan rerata yang nyata antara kelompok eksperimen dan kelompok kontrol dalam hal tingkat pengetahuan, sikap, serta perilaku terkait metode SADARI. Secara spesifik, intervensi promosi kesehatan terbukti efektif dalam meningkatkan pemahaman responden, membentuk cara pandang yang lebih positif, dan mendorong perubahan perilaku konkret dalam melakukan pemeriksaan payudara sendiri secara mandiri setelah diberikan edukasi. Kesimpulan: Penelitian di wilayah kerja Puskesmas Matsum Kota Medan menyimpulkan bahwa pemberian promosi kesehatan memberikan dampak yang signifikan terhadap upaya deteksi dini kanker payudara pada wanita usia subur.
Co-Authors Ahmad Affandi Ahmad Fuadi Nasution Ahmad Raif Albert Albert Aldi Tambunan Ali Napiah Nasution Amalia Hasibuan Aparna dutt Arum Grahini Kusumadewi Astari Wardiah Axel Valerian Ayu Anggraini Bangun Batara Sanjaya Harahap Candra Ahmadi Cendy Juliana Chairunnisa Nasution Chandra Susanto Chrismis Novalinda Ginting Christine Yennyanti Cindy Stefanie Sinaga Cory Oriensia Siahaan Cyintia Ginting Dio Damara Handoyo Dwi Apriany Edy Fachrial Efratiwi Marpaung Eka Lolita Pakpahan Elis Anggeria Elsi Rahmini Erna Dame Juliyanti Sihombing Ervineco Limestan Evelyn Angie Fadillah, Qori Febby Maulina firdha amelia Fithri Ananda Frans Judea Samosir Friska SR Gempita cahya aulia tambunan Hafiz Hawari Siregar Hartono Hartono Helga Kurniawati Tandungan I Nyoman Ehrich Lister I. Nyoman Ehrich Lister IKHTIARI, REFI Imelda Lingga Ira Gracela irza Haicha Pratama Jeri Yuliansyah Jerry Fidelio Susanto Johannes Bastira Ginting Juli Elisabet Mayen br Meliala kewin gozali Khainir Akbar Landi Kurnia Daeli Linda Chiuman Maco Chan Adnan Mangatas Silaen Masryna Siagian Megasilvia Sinaga Muhammad Anugerah Ramadhan Hasibuan Muhammad Maulidin Muhammad Rinaldy Muliate Tarigan Nadya Nazimuddin Putri Nasution, Ali Napiah Nurhafizah Nurhafizah Nurul Apla Wizaya Syahputri Ongky Harianto Oscar Dirgantara Putranto Manalu Randa Aqila Lubis Rapael Ginting Resmi Pangaribuan Restin Julianti Zebua Riri Virzan Putri Robertus Idealistis Bago Ronel Polin Sihombing Santy Deasy Siregar Saud Parulian Harianja sayra nadhifa Sri Lestari Nasution Sri Lestari Rahamdhani Nasution Sri Lestari Ramadhani Nasution Sri Rezeki Susi Susanti Tan Suyono Tiara Nabila Nabati Tri Suci Wahyu Widowati Widiya Nisa Widya Yanti Sitohang Yogie Chandra