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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PEMAKAIAN KONTRASEPSI IMPLANT PADA IBU PASANGAN USIA SUBUR (PUS) D PUSKESMAS AEK NAULI KEC.SIANTAR SELATAN KOTA PEMATANG SIANTAR TAHUN 2017. Ramadhani Syafitri Nasution; Rapida Saragih
Jurnal Ilmiah Kebidanan (Scientific Journal of Midwifery) Vol. 5 No. 1 (2019): JIKeb | Maret 2019
Publisher : LPPM - STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (237.624 KB) | DOI: 10.33023/jikeb.v5i1.227

Abstract

Tingkat kematian, terutama kematian bayi dan anak, erat kaitannya dengan masalah kualitas penduduk. Untuk meningkatkan kualitas penduduk usaha yang dapat menaikkan tingkat kesehatan, pengetahuan dan sikap serta prilaku masyarakat untuk hidup sehat terus ditingkatkan. Upaya langsung untuk menurunkan kelahiran dilaksanakan melalui program keluarga berencana, yaitu dengan mengajak pasangan usia subur (PUS) agar memakai kontrasepsi. Sedangkan jenis alat kontrasepsi yang dipakai ditingkatkan kepada yang lebih efektif, Tujuan dari penelitian ini adalah mengetahui faktor-faktor yang berhubungan dengan pemakaian kontrasepsi implant pada ibu pasangan usia subur (PUS) di Puskesmas Aek Nauli Kec.Siantar Selatan Kota Pematang Siantar Tahun 2017.Jenis penelitian ini adalah survey analitik yang bersifat cross sectional dengan pengolahan data menggunakan analisis univariat dan analisis bivariat, sampel sebanyak 30 orang.Hasil penelitian diperoleh faktor-faktor yang berhubungan dengan pemakaian kontrasepsi implant pada ibu pasangan usia subur (PUS) di Puskesmas Aek Nauli Kec.Siantar Selatan Kota Pematang Siantar yaitu ditinjau dari pendidikan dasar 6 orang (20.0%), Menengah 11 (36.7%), tinggi 13 (43.3%), Faktor pengetahuan baik 3 orang (10.0%), cukup 1 orang (36.7%), kurang 16 orang (53.3%), dari faktor dukungan suami yang mendukung 9 orang (30.0%), tidak mendukung 21 orang (70.0%). Kesimpulan dari penelitian ini adalah ada hubungan yang bermakna antara pendidikan, pengetahuan, dan dukungan suami dengan pemakaian kontrasepsi implant, bagi ibu pasangan usia subur (PUS)
Faktor-Faktor yang Berhubungan dengan Pemanfaatan Pelayanan Kesehatan Bagi Masyarakat di Puskesmas Sambirejo Langkat 2021 Yuniati Yuniati; Ramadhani Syafitri Nasution
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 8, No 1 (2022): APRIL 2022
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v8i1.2029

Abstract

Pendahuluan: Pelayanan kesehatan dapat diartikan sebagai sebuah konsep yang diterapkaan untuk memberikan layanan dalam jangka waktu yang lama dan hal ini terus dilakukan kepada publik dan juga masyarakat. Tujuan: untuk mengetahui Faktor-Faktor Yang Berhubungan dengan Pemanfaatan Pelayanan Kesehatan Bagi Masyarakat di Puskesmas Sambirejo Langkat 2021. Metode: Desain penelitian ini menggunakan observasional analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah Masyarakat berjumlah 8.025 KK, sedangkan sampel yang digunakan adalah accidental sampling dengan rumus Notoadmodjo yaitu sebanyak 99 responden. Jenis data yang digunakan adalah wawancara dan dokumentasi. Sedangkan analisa data yang digunakan yaitu analisa univariat dan analisa bivariat, dengan menggunakan uji Chi-Square α = 0,05. Hasil: Berdasarkan hasil analisa dengan menggunakan Uji Chi-Square test memperlihatkan bahwa nilai signifikan dengan faktor waktu tunggu pelayanan nilai p-value 0.132, faktor pengtahuan  nilai  p-value 0.026, faktor jarak nilai p-value 0.002 dan faktor tradisi/budaya nilai p-value 0.13 di Puskesmas Sambirejo Langkat 2021. Kesimpulan: dalam penelitian ini menunjukkan bahwa secara statistik ada hubungan antara faktor-faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan bagi masyarakat di Puskesmas Sambirejo Langkat 2021. Disarankan perlu dilakukan penelitian lebih lanjut tentang pemanfaatan pelayanan kesehatan bagi masyarakat dengan jenis penelitian yang berbeda, sehingga dapat membandingkan dengan peneliti sebelumnya. Kata Kunci:   Waktu Tunggu Pelayanan, Pengetahuan, Jarak, Tradisi/Budaya,  Pemanfaatan Pelayanan Kesehatan Background: Health services can be interpreted as a concept that is applied to provide services in the long term and this continues to be done to the public and also the community. Objective: to find out the factors related to the utilization of health services for the community at the Sambirejo Langkat Health Center 2021. Method: The stuay design was observational analytic with a cross-sectional approach. The populations were 8025 families. The sample was 99 respondents. Data used interviews and documentation. Data were analyzed by using univariate and bivariate analyses with Chi-Square test = 0.05. Result: from analysis used the Chi-Square test, it shows that the value is significant with the service waiting time factor p-value 0.132, knowledge factor p-value 0.026, distance factor p-value 0.002 and tradition/culture factor p-value 0.13 at the Sambirejo Langkat Health Centre 2021. Conclusion: showed that statistically there was a relationship between factors related to the utilization of health services for the community at Sambirejo Langkat Health Centre 2021. It is recommended that further research be carried out on the use of health services for the community with different types of research, so that it can be compared with previous researchers. Keywords:  Service Waiting Time, Knowledge, Distance, Tradition/Culture, Utilization of Health Services
Faktor yang Berhubungan dengan Status Gizi Balita di Wilayah Kerja Puskesmas Peudada Kecamatan Peudada Kabupaten Bireuen Ramadhani Syafitri Nasution; Hasanah Pratiwi Harahap; Yuka Oktafirnanda
Jurnal Bidan Komunitas Vol 5, No 2 (2022): Edisi Mei
Publisher : Departemen Kebidanan, vFakultas Farmasi dan Kesehatan, Institut Kesehatan Helvetia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33085/jbk.v5i2.5203

Abstract

Latar belakang: Balita merupakan kelompok yang rawan mengalami masalah gizi. Masalah gizi secara langsung disebabkan oleh asupan yang kurang, dan tingginya penyakit infeksi.Gangguan gizi akibat tidak sesuai asupan dengan kebutuhan tubuh, yang menjadikan rendahnya status gizi yang berdampak pada kualitas sumber daya manusia. Tujuan: untuk mengetahui faktor Yang Berhubungan Dengan Status Gizi Pada Balita Di Wilayah Kerja Puskesmas Peudada Kecamatan Peudada Kabupaten Bireuen Tahun 2021. Desain: penelitian ini adalah penelitian survei analitik dengan pendekatan cross sectional. Lokasi penelitian Di Wilayah Kerja Puskesmas Peudada Kecamatan Peudada Kabupaten Bireuen. Penelitian dilakukan pada bulan Mei sampai September 2021. Populasi dalam penelitian ini adalah Ibu yang memiliki Anak balita berjumlah 583 balita. Sampel sebanyak 85 orang, analisa data yang dilakukan dengan analisis univariat dan bivariat dengan uji chi-square. Hasil: dari hasil uji chi-square menunjukkan bahwa ada hubungan antara pendidikan (p = 0,000 0,05), pendapatan Keluarga (p = 0,000 0,05), Pola Asuh (p = 0,000 0,05) dan riwayat penyakit infeksi (p = 0,000 0,05) dengan Status gizi balita Di Wilayah Kerja Puskesmas Peudada Kecamatan Peudada Kabupaten Bireuen Tahun 2021. Kesimpulan: ada hubungan antara pendidikan, pendapatan keluarga, Pola asuh dan riwayat penyakit infeksi dengan status gizi balita di wilayah kerja puskesmas Peudada Kecamatan Peudada Kabupaten Bireuen tahun 2021.
FAKTOR YANG BERHUBUNGAN DENGAN PEMILIHAN ALAT KONTRASEPSI SUNTIK PADA IBU DI BPM TIARMIN BR SITORUS. AMD.KEB DI DUSUN GARUT DESA BELUTU KECAMATAN KANDIS KABUPATEN SIAK Debby Pratiwi; Ramadhani Syafitri Nst
Maternity and Neonatal : Jurnal Kebidanan Vol. 9 No. 01 (2021): Maternity and Neonatal : Jurnal Kebidanan
Publisher : Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (506.862 KB) | DOI: 10.30606/jmn.v9i01.1039

Abstract

Family planning is an attempt to plan the number and distance of pregnancies using hormonal contraceptives. In Indonesia, injectable hormonal contraceptives are increasingly being used because of effective, practical,cheap and safe. This study aims to determine the associated factors with the choice of injection contraceptives for mothers at BPM Tiarmin Br Sitorus.Amd.Keb in Garut Hamlet, Belutu Subdistrict, Kandis District, Siak Regency in 2020.This study was an analytical survey with a cross sectional approach using Primary data is a questionnaire for the period March-April 2020. The sampling accidental sampling was 50 people. Data analysis in this study was univariate and bivariate analysis with the Chi Square test with α = 0.05. Based on the results of the chi-square statistical test, it was found that there was a significant relationship with the choice of injection contraceptives, namely the age factor, the value of ρ-value = 0.039, where the value of ρ-value <α = 0.05, the knowledge factor ρ-value = 0.027 where the value of ρ-value <α = 0.05, parity ρ-value = 0.018 where the value of ρ-value <α = 0.05, and husband's support ρ-value = 0.062 where the value of ρvalue <α = 0.05. Based on the results of this study, it is suggested for BPM Tiarmin Br.Sitorus Amd. Keb is expected to be used as input in order to improve services, especially services in providing information about injection contraceptives
Analisis Faktor yang Memengaruhi Ibu Bekerja Tidak Memberikan ASI Eksklusif di Wilayah Kerja Puskesmas Batu 10 Kecamatan Tanjungpinang Timur Tahun 2021 Evawaty Evawaty; Razia Begum Suroyo; Ramadhani Syafitri Nasution
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 8, No 2 (2022): OKTOBER 2022
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v8i2.2391

Abstract

Kematian bayi yang bersifat infeksi dapat dicegah dengan pemberian ASI Eksklusif selama 6 bulan pertama. Meskipun jumlah ibu yang telah menyadari pentingnya memberikan ASI kepada bayinya makin meningkat, tetapi masih tidak berhasil ibu menyusui sampai 6 bulan. Data Profil Kesehatan Indonesia  menunjukkan bahwa persentasi pemberian ASI Eksklusif pada bayi 0-6 bulan hanya sebesar 61,5%. Tujuan penelitian ini adalah untuk menganalisis faktor yang memengaruhi ibu bekerja tidak memberikan ASI eksklusif di wilayah kerja Puskesmas Batu 10 Kec. Tanjung Pinang Timur. Jenis penelitian ini menggunakan mix methods. Populasi dalam penelitian ini sebanyak 80 orang. Sampel kuantitatif sebanyak 80 orang dan kualitatif sebanyak 5 orang. Metode pengumpulan data melalui wawancara kepada responden menggunakan kusioner dan wawancara secara mendalam kepada informan. Analisis data yang digunakan adalah analisis univariat, bivariat dan multivariat. Berdasarkan hasil uji chi-square diperoleh pada variabel umur nilai p =0,117, pendidikan p = 0,009, pengetahuan p=0,001, sikap p=0,003, dukungan suami p=0,000 dan pojok ASI p=0.003 dengan faktor yang  paling berpengaruh adalah dukungan suami nilai p= 0.000 exp (B) 345.494. Hasil wawancara menunjukkan ASI ekslusif hanya diberikan kepada anak saat menangis saja. Kesimpulan penelitian adalah ada pengaruh antara pendidikan, pengetahuan, sikap, dukungan suami dan pojok ASI dengan ibu bekerja tidak memberikan ASI Eksklusif di Wilayah Kerja Puskesmas Batu 10 dan variabel yang paling dominan berpengaruh adalah dukungan suami. Kepada tenaga kesehatan untuk dapat melakukan upaya pendekatan kepada ibu agar memberikan ASI Eksklusif.  Kata Kunci : Umur, Pendidkan, Pengetahuan, Sikap, Dukungan  Suami, Pojok ASI, ASI EksklusifInfant mortality that is infectious can be prevented by exclusive breastfeeding for the first 6 months. Although the number of mothers who have realized the importance of giving breast milk to their babies is increasing, they are still unable to breastfeed until 6 months. Indonesian Health Profile data shows that the percentage of exclusive breastfeeding for infants 0-6 months is only 61.5%. The purpose of this study was to analyze the factors that influence working mothers not to give exclusive breastfeeding in the working area of Batu 10 Health Center, Kec. East Tanjung Pinang. This type of research uses mixed methods. The population in this study were 80 people. Quantitative samples were 80 people and qualitative samples were 5 people. Methods of collecting data through interviews with respondents using questionnaires and in-depth interviews with informants. The data analysis used was univariate, bivariate and multivariate analysis. Based on the results of the chi-square test obtained on the age variable p value = 0.117, education p = 0.009, knowledge p = 0.001, attitude p = 0.003, husband's support p = 0.000 and breastfeeding corner p = 0.003 with the most influential factor is husband's support value p= 0.000 exp (B) 345,494. The results of the interview show that exclusive breastfeeding is only given to children when they cry. The conclusion of the study is that there is an influence between education, knowledge, attitude, husband's support and breastfeeding corner with working mothers not giving exclusive breastfeeding in the Batu 10 Health Center Work Area and the most dominant variable influencing is husband's support. To health workers to be able to make efforts to approach mothers to give exclusive breastfeeding.Keywords : Age, Education, Knowledge, Attitude, Husband's Support, Breastfeeding Corner, Exclusive Breastfeeding
The effect of oxytocin massage on increasing breast milk production in breastfeeding mothers: Oxytocin Massage Ramadhani Syafitri Nasution; Yuniati Yuniati; Elya Rosa br Sembiring
Science Midwifery Vol 11 No 2 (2023): June: Midwifery and Health Sciences
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v11i2.1269

Abstract

Breastfeeding is a scientific process, but mothers often fail or stop breastfeeding prematurely. Breast milk is a white liquid produced by the mother's breast glands through the breastfeeding process. For mothers who breastfeed, smooth milk is very important to meet the needs of the baby. This study aims to determine the effect of oxytocin massage on increasing milk production for breastfeeding mothers at the Siti Kholijah HSB Medan Pratama Clinic in 2022. This type of research is a quasi-experimental technique (Quasi Experiment) with pretest and posttest without control group, namely a research design using observation before and after experiment. The research location was at the Siti Kholijah Hsb Medan Pratama Clinic on Jl. Marelan I West IV Market, Waterfall Village, Medan Marelan District. The population in this study were 15 people and a sample of 15 people in breastfeeding mothers. Data were analyzed using the T test. The results showed that the statistical test using the T test, the calculation results obtained p value = 0.000 <0.05, meaning that there is a difference before being given treatment and after being given treatment. The conclusion in this study is for health workers in the Waterfall sub-district to hold counseling which aims to increase public knowledge, especially about oxytocin massage, which can increase milk production and provide exclusive breastfeeding.
Analisis Perilaku Perawat Tentang Penggunaan Gelang Identifikasi Pasien Di Instalasi Rawat Inap Anak RSUD. DR. RM. Djoelham Binjai Peby Muhammad Ramdhan; Nuraini Nuraini; Ramadhani Syafitri Nst
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 1 No. 4 (2023): November : Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/detector.v1i4.2535

Abstract

Nurses must correctly identify patients as people who will be given certain services or treatment, this must be done by adapting the service or treatment to each patient. This identification process requires at least two ways of identification, such as name, identification number, date of birth, barcoded bracelet or others. The aim of this research is to analyze the behavior of nurses in wearing patient identification bracelets in the children's inpatient installation at RSUD. Dr. RM. Djoelham Binjai. This research uses qualitative research (In-depth interviews). From this research, the sample consisted of 6 (six) people, namely 1 key informant and 5 main informants. The results of the research are that not all nurses know about the Fixed Procedure (PROTAP) for using patient identification bracelets in the class III children's inpatient room at Dr. RSUD. R.M. Djoelham Binjai is good, not all nurses' attitude in carrying out the Permanent Procedure (PROTAP) for wearing patient identification bracelets in the class III children's inpatient room at RSUD Dr. R.M. Djoelham Binjai is not yet good, not all of the nurses' actions were correct in carrying out the Permanent Procedure (PROTAP) for wearing patient identification bracelets in the class III children's inpatient room at Dr. R.M. Joelham Binjai, Suggestions are expected for hospital management to avoid things that are undesirable for babies to also wear identity bracelets, not just mothers. Protap disseminates affirmations and hospital policies that include rewards and punishments for nurses so that there are no mistakes in identity. And continues to provide socialization, education and understanding of the importance of nurse behavior when installing patient identification bracelets in pediatric inpatient rooms.
Analisis pengaruh pelayanan IGD terhadap kepuasan pasien di rumah sakit Omni Cikarang tahun 2021 Aristya Maulida Safuranti; Arifah Devi Fitriani; Ramadhani Syafitri Nasution
Journal of Pharmaceutical and Sciences JPS Volume 7 Nomor 1 (2024)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v7i1.256

Abstract

Background: The Emergency Room (IGD) is one of the service units in hospitals that provides first aid. Emergency services provided must meet good service quality. Patients are satisfied with the services of nurses in the ER if the patient's expectations are met. According to WHO, health systems should strive to make improvements in six areas or dimensions of quality. Objectives: To analyze the effect of emergency services on patient satisfaction at OMNI Cikarang Hospital in 2021. Method: This type of research is an analytical survey method with a cross sectional approach. The research was carried out at OMNI Cikarang General Hospital. The population of this study were emergency room patients with the number of samples in this study as many as 92 people through the calculation of the slovin formula. Sampling using accidental sampling technique. Data analysis used univariate, bivariate and multivariate analysis. Results: Showed that the respondents who were satisfied were 40 people (43.5%) and 52 people (56.5%) were not satisfied with the emergency room service. The results of the chi-square statistical test showed that the variables of effectiveness, efficient, accessible, acceptable, impartial and safe had an influence on patient satisfaction with a p value of <0.05. Simultaneous test results showed that the effectiveness factor was the most dominant factor influencing patient satisfaction in the OMNI Cikarang Emergency Room. Conclusion: There is an effect of effectiveness, efficiency, access, acceptable, impartial and safe has an effect on patient satisfaction in the ER OMNI Cikarang. It is recommended to health workers to always improve better services in order to increase patient satisfaction as users of health services.
Analisis Faktor Yang Memengaruhi Kejadian Hipertensi Pada Lansia Di Puskesmas Rasau Kab. Labuhanbatu Selatan Febri Gustianda Ginanti Siregar; Deli Theo; Ramadhani Syafitri; Arifah Devi Fitriani; Yuniati Yuniati
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 2 No. 1 (2024): Januari : Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v2i1.2864

Abstract

According to the American Heart Association or AHA, Hypertension is a Silent Killer, with symptoms that can vary for each individual and are almost the same as the symptoms of other diseases. Blood pressure tends to increase with age i.e. people over 60 years old and this increase in blood pressure occurs naturally. Hypertension is a risk factor for various cardiovascular diseases and stroke. According to the AHA, hypertension is a disease that occurs due to an increase in systolic blood pressure > 140 mmHg or diastolic blood pressure > 90 mmHg.the purpose to be achived in this study is to determine and analyze the factors that influences the incident of hypertension in the elderly in puskesmas rasau south labuhanbatu district. This type of research uses a descriptive analytical survey with a cross sectional design. The population in this study were all elderly (≥60 years) sufferers of hypertension at the Rasau District Health Center. South Labuhanbatu as many as 148 people, while the sample was 108 people using slovin technique. The sampling technique was carried out using purposive sampling Data analysis was carried out using univariate, bivariate and multivariate analysis. Based on the results of the chi-square test, it is known that the incidence of hypertension has an influence of family history, smoking, obesity, diet and lack of physical activity on the incidence of hypertension p <0.05, meaning that there is an influence of family history, smoking, obesity, diet and lack of physical activity on the incidence of hypertension. . From the results of the multivariate analysis, it is known that the most influential variable in this study is the smoking variable with an OR value of 62,850. This means that respondents who smoke have a 62 times chance of influencing the incidence of hypertension at the Rasau District Health Center. South Labuhanbatu 2023. The conclusion in this study is that smoking is the most dominant factor influencing the incidence of hypertension at the Rasau District Health Center. South Labuhan Batu. In order to reduce the prevalence of hypertension, it is hoped that patients at the Rasau District Health Center. South Labuhanbatu must implement hypertension management with a healthy lifestyle, especially not smoking, so that hypertension sufferers can have controlled blood pressure levels.
Analisis Implementasi Kebijakan Manajemen Tata Kelola Di Rumah Sakit Mitra Medika Medan Amplas Setia Megawati Hutajulu; Nuraini Nuraini; Ramadhani Syafitri Nasution
Afiasi : Jurnal Kesehatan Masyarakat Vol. 9 No. 2 (2024): Afiasi
Publisher : Universitas Wiralodra

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31943/afiasi.v9i2.383

Abstract

Tata kelola merupakan sistem tata kelola dalam melaksanakan manajemen yang baik dan dapat membantu dalam uapaya meningkatkan kinerja perusahaan dan kualitas pelayanan khususnya perusahaan rumah sakit yang memberikan pelayanan jasa kesehatan kepada masyarakat, penerapan tata kelola yang baik pada perusahaan menjadi salah satu faktor yang mendukung perusahaan dalam meningkatkan pelayanan dan inovasi manajemen, Tujuan dalam penelitian ini adalah untuk mengetahui dan menganalisis pelaksanaan aspek tata kelola seperti aspek transparansi, akuntabilitas, responslibilitas, kemandirian, kewajaran dan hambatan yang dighadapi, penelitian ini merupakan penelitian kualitatif yang bertujuan membuktikan fenomena dalam permasalahan penelitian Informan penelitian sebanyak 6 orang termasuk direktur, kepala bagian keuangan, SDM, komite mutu, kepala keperawatan dan perawat, Hasil penelitian menunjukkan bahwa pada pelaksanaan tata kelola di rumah sakit Mitra Medika Amplas pada aspek transparansi sudah berjalan namun belum dilakukan secara keseluruhan karena banyak aspek yang bersifat privasi rumah sakit, dalam pelaksanaan akuntabilitas rumah sakit sudah menjalankan sesuai dengan peraturan dan standar yang berlaku, dalam pelaksanaan aspek responsibilitas bahwa rumah sakit sudah melaksanakan aseperti SDM kesehatan sudah melaksanakan tugas dan fungsinya sesuai dengan profesinya masing-masing, pada aspek kemandirian bahwa rumah sakit dapat melaksanakan segala sesuatu secara mandiri, dalam aspek kewajaran bahwa rumah sakit sudah melaksanakan dan memperlakukan seluruh karyawan dengan wajar dan adil. Saran dalam penelitian ini adalah perlu melaksanakan aspek transparansi, akuntabilitas, responsibilitas, kemandirian dan kewajaran dapat lebih dilaksanakan lebih baik lagi dan secara keseluruhan serta dapat sebagai sasaran dalam pelaksanaan audit internal rumah sakit Mitra Medika Amplas.