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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 Sistemasi: Jurnal Sistem Informasi BIOLINK (Jurnal Biologi Lingkungan, Industri, Kesehatan) Equilibrium: Jurnal Ilmiah Ekonomi, Manajemen dan Akuntansi 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 Jurnal Penelitian Pendidikan, Psikologi Dan Kesehatan (J-P3K) PROFESSIONAL HEALTH JOURNAL PRIMER (Prima Medical Journal) Jurnal Ekonomi Multidiciplinary Output Research for Actual and International Issue (Morfai Journal) JUMANTIK (Scientific Journal of Health research) Sehat Rakyat: Jurnal Kesehatan Masyarakat International Journal of Health and Pharmaceutical (IJHP) International Journal of Science and Environment Cerdika: Jurnal Ilmiah Indonesia Eduvest - Journal of Universal Studies Health Research Journal of Indonesia Media Penelitian dan Pengembangan Kesehatan Malahayati International Journal of Nursing and Health Science Jurnal Ragam Pengabdian Jurnal Kesehatan Masyarakat Proceeding of The International Conference on Health Sciences and Nursing
Ermi Girsang
Universitas Prima Indonesia
Religion Aerospace Engineering 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 Electrical & Electronics Engineering 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 Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Linking MDA Levels and Blood Glucose in Streptozotocin-Induced Rat Diabetes: Implications for Diabetic Complications and Therapeutic Strategies Evelyn Angie; Ermi Girsang; Refi Ikhtiari
Jurnal Penelitian Pendidikan IPA Vol 10 No 6 (2024): June
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v10i6.7220

Abstract

Diabetes mellitus is a chronic metabolic disorder characterized by elevated blood glucose levels resulting from insulin deficiency or resistance. Streptozotocin, a potent diabetogenic agent, is commonly employed to induce experimental diabetes by selectively damaging pancreatic beta cells, resulting in insulin deficiency and hyperglycemia. Elevated Malondialdehyde (MDA) levels, indicative of oxidative stress and lipid peroxidation, are closely linked to diabetic complications. This study aimed to investigate the association between MDA levels and blood glucose in Streptozotocin-induced rat diabetes, shedding light on potential therapeutic strategies. Spectrophotometric analysis was utilized to quantify MDA levels in rat tissues, providing insights into the extent of oxidative damage. The results revealed a significant correlation between MDA levels and blood glucose, highlighting the role of oxidative stress in diabetic pathogenesis. These findings underscore the importance of targeting oxidative stress in diabetes management to prevent complications. In conclusion, the study emphasizes the relevance of monitoring MDA levels as a biomarker for assessing oxidative stress in diabetic conditions and guiding therapeutic interventions.
ANALYSIS OF THE RELATIONSHIP BETWEEN TELEMEDICINE USERS AND THE QUALITY OF HEALTH SERVICES FOR JKN PATIENTS AT FKTP FLAMINGO CLINIC OF SOEWONDO AIR BASE Chairunnisa Nasution; Ermi Girsang; Santy Deasy Siregar
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 3 (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.20589629

Abstract

Telemedicine has become an important innovation in digital health services to improve healthcare accessibility and quality, particularly for National Health Insurance (JKN) participants in Indonesia. This study aimed to analyze the relationship between telemedicine utilization and healthcare service quality among JKN patients at the Primary Healthcare Facility (FKTP) Flamingo Clinic, Lanud Soewondo, Medan. This study used a quantitative approach with a cross-sectional design. The sample was selected using a total sampling technique, involving all JKN patients who utilized telemedicine services at FKTP Flamingo Clinic during the research period. Data were collected using structured questionnaires measuring respondent characteristics (age, gender, occupation, and frequency of telemedicine use) and telemedicine service factors, including perceived usefulness, ease of use, interface quality, interaction quality, and system reliability. Data analysis was conducted using univariate analysis and bivariate analysis with the Chi-square test. The results showed that respondent characteristics such as age (p=0.614), gender (p=0.636), occupation (p=0.190), and frequency of telemedicine use (p=0.467) were not significantly associated with healthcare service quality. However, perceived usefulness, ease of use, interface quality, interaction quality, and reliability were significantly associated with healthcare service quality (p<0.05). These findings indicate that technological usability and communication quality in telemedicine services play an important role in improving patient satisfaction and healthcare service quality.
Pengalaman Keluarga dalam Membantu Aktivitas Fisik Pasien Chronic Kidney Disease (CKD) yang Menjalani Hemodialisis Resmi Pangaribuan; Ermi Girsang; Elis Anggeria
JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Vol 11, No 1 (2026)
Publisher : Prodi Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UIN Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/jumantik.v11i1.27409

Abstract

Chronic Kidney Disease (CKD) is a growing global health problem. Patients undergoing hemodialysis frequently experience decreased physical capacity, fatigue, and limitations in daily activities. Physical activity has proven physiological and psychological benefits; however, its implementation largely depends on family support as primary caregivers. To date, limited studies have deeply explored family experiences in supporting physical activity among hemodialysis patients in the Indonesian healthcare context. To explore and gain an in-depth understanding of family experiences in supporting physical activity among CKD patients undergoing hemodialysis. A qualitative study with a phenomenological approach was conducted at Tk. II Putri Hijau Hospital Medan in September 2025. Ten family members were recruited using purposive sampling based on inclusion criteria. Data were collected through semi-structured in-depth interviews and analyzed using thematic. Analysis based on Colaizzi’s approach. Trustworthiness was ensured through source and method triangulation, member checking, and audit trail. Six major themes emerged: (1) the meaning of physical activity in patient recovery, (2) family support during hemodialysis sessions, (3) simple home-based physical activities, (4) physical and psychological barriers, (5) emotional burden of caregivers, and (6) the importance of healthcare professional education. Families played an active role in motivating, assisting, and adapting physical activities to patients’ conditions. Family experiences indicate that emotional, motivational, and educational support are key factors in promoting physical activity among hemodialysis patients. These findings highlight the importance of family-centered nursing interventions in CKD rehabilitation programs.
Analysis of Education, Work Environment, and Job Satisfaction Influencing Paramedic Behavior in Indonesian Hospitals Vermona Marbun; I Nyoman Ehrich Lister; Linda Chiuman; 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.v2i1.51

Abstract

This research investigates the impact of education, work environment, and job satisfaction on the behavior of paramedics in Indonesian hospitals. A quantitative approach was employed, utilizing survey data collected from paramedics across Indonesia. The study aims to identify key factors influencing paramedic behavior, offering valuable insights for hospital management to enhance healthcare service quality. Multiple regression analysis was used to test the hypotheses. The results indicated that education (β = 0.25, p < 0.05), work environment (β = 0.32, p < 0.05), and job satisfaction (β = 0.40, p < 0.05) significantly and positively influence paramedic behavior. Additionally, education positively impacts both the work environment (β = 0.35, p < 0.05) and job satisfaction (β = 0.42, p < 0.05). These findings underscore the importance of continuous professional development, a conducive work environment, and high job satisfaction in promoting positive paramedic behavior and improving patient care in Indonesian hospitals.
Analysis of Factors Related to Stunting Incidence in Toddlers Aged 24-59 Month Tri Suci; Ermi Girsang; Ali Napiah Nasution; Irza Haicha Pratama
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.v2i1.54

Abstract

Stunting is a critical global health issue, especially in developing countries, affecting the growth and development of children under five. This study aims to analyze the factors related to the incidence of stunting in toddlers aged 24-59 months. This quantitative research employs a cross-sectional design, involving 200 toddlers selected randomly from several integrated health posts (Posyandu). Data were collected through questionnaires and direct measurements, then analyzed using multiple logistic regression. The results showed that family nutritional awareness behavior, maternal nutritional knowledge, and clean and healthy living behavior (CHLB) significantly affect the incidence of stunting. Maternal nutritional knowledge was identified as the most dominant factor. These findings emphasize the importance of comprehensive interventions involving family education, nutritional support, and CHLB promotion to reduce stunting prevalence. Further research and implementation of targeted interventions are needed to address and mitigate stunting effectively.
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.
Mapping the Number of Patients Undergoing Treatment and Care in Public Hospitals After the Covid-19 Pandemic Lenni Dianna Putri; Ermi Girsang; I Nyoman Ehrich Lister; Evizal Abdul Kadir
SISTEMASI Vol 15, No 6 (2026): Sistemasi: Jurnal Sistem Informasi
Publisher : Universitas Islam Indragiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32520/stmsi.v15i6.6321

Abstract

The COVID-19 pandemic has had profound impacts on healthcare systems globally, altering the patterns of patient care and treatment in public hospitals. This research aims to map the number of patients undergoing treatment and care in public hospitals following the pandemic, providing insights into the evolving healthcare landscape. Utilizing data from public hospitals, we analyzed trends in patient admissions, treatment types, and care requirements post-pandemic. Our findings reveal a significant shift in healthcare demands, with an increase in patients requiring long-term care and treatment for chronic conditions exacerbated by delayed medical attention during the pandemic. Additionally, mental health services have seen a notable surge in utilization, reflecting the psychological toll of the pandemic. The research highlights the need for adaptive healthcare strategies to address the changing patient demographics and ensure efficient resource allocation. These insights can guide policymakers and healthcare providers in optimizing patient care and improving healthcare delivery in the post-pandemic era.
ANALISIS PENERAPAN METODE ACTIVITY BASED COSTING (ABC) UNTUK PENGENDALIAN BIAYA OPERASIONAL RAWAT INAP TAHUN 2025 Ongky Harianto; Ermi Girsang; Sri Lestari Ramadhani Nasution
Equilibrium : Jurnal Ilmiah Ekonomi, Manajemen dan Akuntansi Vol 15, No 1 (2026): April
Publisher : Lembaga Penerbitan dan Publikasi Ilmiah (LPPI) Universitas Muhammadiyah Palopo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35906/equili.v15i1.2843

Abstract

ABSTRAKRumah sakit memerlukan informasi biaya yang akurat untuk menetapkan tarif layanan, menyusun anggaran, dan mengendalikan biaya operasional. Di RS Pratama Krayan, penetapan tarif rawat inap masih berpotensi menimbulkan distorsi biaya karena belum sepenuhnya menggunakan pendekatan berbasis aktivitas. Penelitian ini menganalisis penerapan Activity Based Costing (ABC) dalam pengendalian biaya operasional rawat inap di RS Pratama Krayan, Kalimantan Utara, tahun 2025. Penelitian menggunakan metode deskriptif kuantitatif dengan pendekatan studi kasus. Data dikumpulkan melalui dokumentasi dan wawancara, lalu dianalisis melalui tahapan ABC, yaitu identifikasi aktivitas, pengelompokan biaya ke dalam cost pool, penetapan cost driver, perhitungan tarif aktivitas, dan pembebanan biaya pada masing-masing kelas rawat inap untuk memperoleh unit cost. Hasil penelitian menunjukkan bahwa penerapan ABC menghasilkan unit cost per hari sebesar Rp 179.494 untuk VIP, Rp 107.782 untuk Kelas I, Rp 88.608 untuk Kelas II, dan Rp 86.881 untuk Kelas III, yang lebih rendah dibandingkan tarif yang berlaku. Selain itu, ditemukan sembilan aktivitas biaya utama dengan total biaya operasional rawat inap sebesar Rp 2.744.000.000, dengan cost driver berupa hari rawat inap, luas ruangan, dan konsumsi listrik. Temuan ini menunjukkan bahwa ABC mampu menghasilkan informasi biaya yang lebih rinci, proporsional, dan transparan. Dengan demikian, ABC dapat menjadi dasar yang lebih akurat dalam evaluasi tarif serta pengendalian biaya operasional rumah sakit.ABSTRACTHospitals need accurate cost information to determine service tariffs, prepare budgets, and control operational costs. At RS Pratama Krayan, inpatient tariff setting may still cause cost distortion because it has not fully applied an activity-based approach. This study analyzed the implementation of Activity Based Costing (ABC) in controlling inpatient operational costs at RS Pratama Krayan, North Kalimantan, in 2025. A quantitative descriptive case study was conducted. Data were collected through documentation and interviews, then analyzed using ABC procedures: activity identification, cost pooling, cost driver determination, activity rate calculation, and cost allocation to each inpatient class to obtain unit cost. The results show that ABC produces unit costs per day of Rp 179,494 for VIP, Rp 107,782 for Class I, Rp 88,608 for Class II, and Rp 86,881 for Class III, all of which are lower than the existing tariffs. In addition, nine major cost activities were identified with total inpatient operational costs of Rp 2,744,000,000, using cost drivers such as inpatient days, room area, and electricity consumption. These findings indicate that ABC provides more detailed, proportional, and transparent cost information. Therefore, ABC can serve as a more accurate basis for tariff evaluation and operational cost control in hospitals.
ANALYSIS OF LEADERSHIP AND MANAGEMENT GOVERNANCE IN THE ACCREDITATION POLICY OF MEDAN CITY AIR FORCE HOSPITAL Lisa Yunita Marnas; Ermi Girsang; Sri Lestari Ramadhani Nasution
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 3 (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.20950727

Abstract

Hospital management, leadership, and governance have an important role in ensuring the successful implementation of hospital accreditation policies. This study aims to analyze the influence of leadership and management governance on the implementation of accreditation policies at the Medan City Air Force Hospital. This study uses a mixed-methods approach with a sequential explanatory design, in which quantitative research is conducted first, followed by qualitative analysis to deepen the research findings. The quantitative sample comprised 80 health workers and managerial staff, selected using the total sampling technique. At the same time, qualitative data were obtained through purposive sampling involving five key informants: the hospital head, the hospital secretary, and the head of the installation. Data were collected through structured questionnaires with a Likert scale, in-depth interviews, observations, and document review. Quantitative data were analyzed using descriptive statistics and multiple linear regression, while qualitative data were analyzed using thematic analysis. The results showed that leadership had a significant effect on the implementation of hospital accreditation policies (β = 0.228; p < 0.05). Management governance also exerted a significant influence on the implementation of accreditation policies (β = 0.716; p < 0.05). These findings show that effective leadership and good management governance are important factors in strengthening the hospital's quality management system and ensuring the sustainability of accreditation implementation.
BEYOND COMPLIANCE: EXPLORATION OF PSYCHOSOCIAL AND ORGANIZATIONAL FACTORS THAT AFFECT PERSONAL PROTECTIVE EQUIPMENT COMPLIANCE AND ITS IMPLICATIONS FOR THE INCIDENCE OF HAIS IN EMERGENCY DEPARTMENT HEALTH WORKERS AT RSIA ARTHA MAHINRUS Jennifer Tiosanna; Ermi Girsang; Sri Lestari Ramadhani 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.21064081

Abstract

This study aimed to analyze psychosocial and organizational factors influencing Personal Protective Equipment (PPE) compliance and their implications for Healthcare-Associated Infections (HAIs) among emergency department healthcare workers at RSIA Artha Mahinrus. This study used a mixed-methods approach with a sequential explanatory design, in which quantitative data were collected first, followed by qualitative data to deepen the findings. The quantitative sample comprised 16 healthcare workers (4 doctors, 4 nurses, and 8 midwives) using a total sampling approach. Data were analyzed using univariate, bivariate (Fisher's Exact Test), and multivariate (multiple linear regression) analyses. Qualitative data were obtained through in-depth interviews. The results showed that psychosocial factors (p = 0.030) and organizational factors (p = 0.012) significantly influenced PPE compliance, with organizational factors as the dominant predictor. The findings also revealed the phenomenon of clinical discretion, in which emergencies and time pressure led to intentional noncompliance with PPE protocols. In addition, a paradox was identified: high organizational involvement was associated with noncompliance due to safety complacency and perceived bureaucratic burden. These findings indicate that PPE compliance is not merely adherence to standard procedures but reflects a complex interaction between individual and organizational factors in maintaining patient and worker safety.
Co-Authors Agung Abadi Kiswandono Ahmad Affandi Ahmad Fuadi Nasution Ahmad Raif Albert Albert Aldi Tambunan Ali Nafiah Nasution Ali Napiah Nasution Almina Rospitaria Tarigan Amalia Hasibuan Aparna dutt Ariyani Ariyani Arum Grahini Kusumadewi Astari Wardiah Axel Valerian Ayu Anggraini Bangun Batara Sanjaya Harahap Candra Ahmadi Carles Carles Cendy Juliana Chairunnisa Nasution Chandra Susanto Chrismis Novalinda Ginting Christine Yennyanti Cindy Stefanie Sinaga Cory Oriensia Siahaan Cyintia Ginting Darnedy Fatwa Mely Santy Dewi Dio Damara Handoyo Dwi Apriany Edy Fachrial Efratiwi Marpaung Eka Lolita Pakpahan Elis Anggeria Elis Anggeria Elsi Rahmini Erna Dame Juliyanti Sihombing Ernawati Hondro Ervineco Limestan Evelyn Angie Evizal Abdul Kadir Fadillah, Qori Febby Maulina firdha amelia Fithri Ananda Frans Judea Samosir Friska SR Gempita cahya aulia tambunan Hafiz Hawari Siregar Hainun Nisa Hartono Hartono Hartono Helga Kurniawati Tandungan I Nyoman Ehrich Lister I. Nyoman Ehrich Lister IKHTIARI, REFI Imelda Lingga Ira Gracela irza Haicha Pratama Jennifer Tiosanna Jeri Yuliansyah Jerry Fidelio Susanto Johannes Bastira Ginting Juli Elisabet Mayen br Meliala kewin gozali Khainir Akbar Landi Kurnia Daeli Lenni Dianna Putri Liena Linda Adriani Linda Chiuman Linda Chiuman Lisa Yunita Marnas Maco Chan Adnan Mangatas Silaen Masryna Siagian Megasilvia Sinaga Muammar Muammar Muhammad Anugerah Ramadhan Hasibuan Muhammad Maulidin Muhammad Rinaldy Muliate Tarigan Nadya Nazimuddin Putri Nasution, Ali Napiah Nova Larysca Manik Nurhafizah Nurhafizah Nurul Apla Wizaya Syahputri Ongky Harianto Ongky Harianto Oscar Dirgantara Putranto Manalu Randa Aqila Lubis Randy Frananta Ginting Rapael Ginting Resmi Pangaribuan Restin Julianti Zebua Riri Virzan Putri Robertus Idealistis Bago Ronel Polin Sihombing Santy Deasy Siregar Sarah Dhiba Naibaho Saud Parulian Harianja sayra nadhifa Siti Khumairah Azzahra Sri Lestari Nasution Sri Lestari Rahamdhani Nasution Sri Lestari Ramadhani Nasution Sri Rezeki Sunarti Sunny Puspita Susi Susanti Tan Suyono Tiara Nabila Nabati Tiarnida Nababan Tri Suci Vermona Marbun Veronica Veronica Wahyu Widowati Widiya Nisa Widya Yanti Sitohang Yogie Chandra