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All Journal JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Jurnal Ilmiah Kebidanan Jurnal Bidan Komunitas JURNAL KESEHATAN MERCUSUAR Science Midwifery Maternity and Neonatal : Jurnal Kebidanan Jurnal Rumpun Ilmu Kesehatan Jurnal Kesehatan Amanah Jurnal Kebidanan, Keperawatan dan Kesehatan (J-BIKES) Jurnal Ilmu Kesehatan dan Gizi Promotor: Jurnal Mahasiswa Kesehatan Masyarakat Jurnal Medika Nusantara Vitamedica: Jurnal Rumpun Kesehatan Umum Journal of Innovative and Creativity Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Ramadhani Syafitri Nasution
Institut Kesehatan Helvetia
Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Factors that Influence the Incidence of Stunting in Toddlers at Working Area of UPT Belawan Health Center Medan City in 2025 Putri Rahmarianti; Zuraidah Nasution; Ramadhani Syafitri Nasution
PROMOTOR Vol. 9 No. 3 (2026): JUNI
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v9i3.1972

Abstract

Stunting is a condition in which toddlers have a shorter length or height compared to their age. This condition is measured by length or height being below minus two standard deviations of the median according to the WHO Child Growth Standards. This study aims to identify and analyze the factors that influence the incidence of stunting in toddlers at working area of UPT Belawan Health Center, Medan City in 2025. This study used a quantitative design with a cross-sectional approach. The population consisted of all mothers with toddlers aged 24–59 months, totaling 2,560 individuals. A random sampling technique was used to obtain 97 respondents, plus an additional 10% reserve, resulting in 107 participants. Data collection was done through questionnaires, with primary, secondary, and tertiary data sources. Data were analyzed using univariate, bivariate, and multivariate analyses. The statistical tests applied included chi-square and multiple logistic regression. The findings revealed that exclusive breastfeeding duration (p = 0.013), the timing of complementary feeding (p = 0.002), birth weight (p = 0.001), sanitation (p = 0.004), and history of infectious diseases (p = 0.001) significantly influenced the incidence of stunting. The most dominant factor affecting stunting was the history of infectious diseases, with an Exp(B) value of 7.378. The study concluded that exclusive breastfeeding duration, timing of complementary feeding, birth weight, sanitation, and history of infectious diseases were significantly associated with stunting incidence in toddlers. It is suggested that the government, particularly health workers at public health centers, evaluate programs and enhance health promotion regarding stunting to reduce its prevalence in Indonesia.
Analysis of Risky Sexual Behavior Among Adolescents in Langsa Sherly Wardana; Razia Begum Suroyo; Ramadhani Syafitri Nasution
PROMOTOR Vol. 9 No. 3 (2026): JUNI
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v9i3.2527

Abstract

The Indonesian Adolescent Reproductive Health Survey reported that 33.2% of male adolescents and 9.1% of female adolescents had engaged in intimate touching, 53.8% of males and 36.7% of females had kissed, and 6.1% of males and 1.5% of females aged 15–19 years had experienced premarital sexual intercourse. This study aimed to analyze the factors influencing risky sexual behavior among adolescents in Langsa. This study employed a mixed-methods design using an explanatory sequential approach. The quantitative phase involved 143 adolescents selected through total sampling. The qualitative phase included nine informants: four adolescents, one vice principal for student affairs, one guidance and counseling teacher, and three parents. Quantitative data were analyzed using multiple logistic regression, while qualitative data were analyzed through data reduction, data display, and conclusion drawing. The results of the chi-square test showed that attitude (p = 0.001), peer influence (p = 0.000), family role (p = 0.006), social media use (p = 0.000), and self-control (p = 0.003) were significantly associated with risky sexual behavior (p < 0.05). The most influential factor was social media use, with an odds ratio (OR) of 14.356. Qualitative findings supported these results, indicating that exposure to social media strongly influenced adolescents’ experiences and contributed to risky sexual behavior. In conclusion, attitude, peer influence, family role, social media use, and self-control significantly affect risky sexual behavior among adolescents in Langsa City. It is recommended that adolescents be more selective in their use of social media and strengthen their understanding of personal boundaries. Parents should improve communication and supervision, while schools should enhance reproductive health education through regular programs and counseling involving health professionals.
The Effect of Social Media on Adolescents’ Sexual Behavior at SMA Negeri Unggul Binaan Bener Meriah in 2025 Mauhizah Hasanah; Jumirah Jumirah; Ramadhani Syafitri Nasution
PROMOTOR Vol. 9 No. 3 (2026): JUNI
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v9i3.2538

Abstract

The rapid development of technology has made social media an essential part of adolescents’ lives, not only as a means of communication but also as a platform for self-exploration and access to information, including sexual content. This study aims to analyze the influence of social media use on adolescents’ sexual behavior. This study employed a quantitative design with a cross-sectional approach. The population consisted of 320 adolescents, with a sample of 178 respondents selected using stratified random sampling based on the Slovin formula. Data were analyzed using univariate, bivariate, and multivariate methods. The results showed that there was a significant influence of social media usage intensity (p = 0.039), the role of teachers and parents (p = 0.014), and specific social media platforms such as Instagram, TikTok, and WhatsApp (p = 0.001) on adolescents’ sexual behavior. Meanwhile, knowledge (p = 0.258) and attitudes (p = 0.835) did not show a significant influence. The most dominant variable affecting adolescents’ sexual behavior was the role of social media, with TikTok being the most influential platform. In conclusion, social media use and the social environment play an important role in shaping adolescents’ sexual behavior. Therefore, increased supervision and education from teachers and parents are necessary, along with strengthening digital literacy and reproductive health programs in schools as efforts to prevent risky sexual behavior among adolescents.
Analisa Faktor Yang Memengaruhi Kinerja Perawat Non PNS Di RSUD Gunung Tua Kabupaten Padang Lawas Utara Cut Shanaz Dhiya Shafira; Nuraini Nuraini; Ramadhani Syafitri Nasution; Sitti Subaedah; Miskah Afriany
JURNAL KEBIDANAN, KEPERAWATAN DAN KESEHATAN (BIKES) Vol 5, No 3 (2026): J-BIKES MARET
Publisher : Mata Pena Madani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51849/j-bikes.v5i3.153

Abstract

Perawat merupakan “the caring profession” yang memberikan pelayanan keperawatan selama 24 jam bagi pasien secara berkesinambungan. Perawat yang berkinerja dengan baik dan profesional dapat meningkatkan mutu pelayanan rumah sakit sehingga dapat meningkatkan derajat kesehatan masyarakat. Tujuan penelitian ini untuk menganalisa faktor yang memengaruhi kinerja perawat Non PNS di RSUD Gunung Tua Kabupaten Padang Lawas Utara. Penelitian ini menggunakan desain cross sectional. Populasi yang diambil adalah keseluruhan perawat dengan jumlah 68 orang dengan metode penarikan sampel secara total sampling. Analisis data menggunakan univariat, bivariat dengan uji chi square, dan multivariat dengan uji regresi logistik. Hasil penelitian menunjukkan bahwa terdapat pengaruh kepemimpinan (p=0,002), imbalan (p=0,000), sikap (p=0,000), motivasi (p=0,004), dan hubungan interpersonal (p=0,003) terhadap kinerja perawat non PNS. Tidak terdapat pengaruh pendidikan (p=0,835). Variabel yang paling dominan berpengaruh terhadap kinerja perawat adalah variabel imbalan adalah (p=0,001; Exp (B)=3,122 95%CI 1,483-8,182) yang artinya bahwa variabel imbalan berpeluang 3 kali lebih berpengaruh terhadap kinerja perawat. Kesimpulan dalam penelitian ini adalah ada pengaruh kepemimpinan, imbalan, sikap, motivasi, dan hubungan interpersonal terhadap kinerja perawat non PNS. Tidak terdapat pengaruh pendidikan terhadap kinerja perawat.
Faktor Yang Memengaruhi Ibu Menyusui Pasca Operasi Caesar Di Rumah Sakit Sylvani Binjai Munirawati Munirawati; Nuraini Nuraini; Ramadhani Syafitri Nasution; Ismail Efendy; Hizrah Hanim Lubis
JURNAL KEBIDANAN, KEPERAWATAN DAN KESEHATAN (BIKES) Vol 5, No 3 (2026): J-BIKES MARET
Publisher : Mata Pena Madani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51849/j-bikes.v5i3.154

Abstract

Saat ini operasi caesar sering dianggap sebagai kemajuan tehnologi persalinan atau cara bersalin yang lebih modern, salah satunya karena pada persalinan dengan operasi sesar tidak merasakan sakit. Namun setelah sadar dari pembiusan rasa sakit akan tumbuh. Persalinan dengan cara ini seringkali menjadi kendala dalam pemberian air susu terutama jika ibu diberikan anastesi umum. Beberapa penelitian menyimpulkan bahwa proses melahirkan dengan caesar akan menghambat terbentuknya produksi Air Susu Ibu. Meskipun demikian, menyusui sesering mungkin setelah proses kelahiran dengan sesar akan meminimalisasi masalah-masalah tersebut. Bahkan beberapa ibu yang melahirkan dengan caesar memiliki produksi ASI yang berlimpah. Desain penelitian menggunakan metode kuantitatif yang dilakukan survei analitik dengan pendekatan cross sectional study. Menggunakan tehnik accidental sampling dengan menggunakan analisis univariat, bivariat dan multivariat. Hasil penelitian menunjukkan bahwa ada pengaruh pengetahuan, sikap, tindakan, dukungan tenaga kesehatan, dukungan suami dan kondisi payudara  terhadap ibu menyusui pasca operasi caesar di Rumah Sakit Umum Syilvani Binjai.
Factors Influencing The Implementation of Comprehensive Emergency Obstetric and Neonatal Services (PONEK) at Restu Ibu Hospital Balikpapan Hendra Susanto; Asriwati Amirah; Ramadhani Syafitri Nasution
PROMOTOR Vol. 9 No. 1 (2026): FEBRUARI
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v9i1.1950

Abstract

The 24-hour PONEK hospital is part of the maternal and neonatal emergency care referral system, which plays a significant role in reducing maternal and neonatal mortality rates. The key to PONEK's success is the availability of competent healthcare workers, reliable infrastructure, facilities, and management. The purpose of this study was to analyze the factors influencing the implementation of Comprehensive Emergency Obstetrics and Neonatal (PONEK) services at Restu Ibu Hospital in Balikpapan. Methodology: The research design used in this study was an analytical survey with a cross-sectional design. The population in this study was all medical personnel involved in the PONEK Program at Restu Ibu Hospital, Balikpapan, totaling 57 people. The number of samples to be studied was 57 people. Data analysis was performed using univariate, bivariate, and multivariate analysis. Statistical tests used were the chi-square test and logistic regression. Results: The results of the chi-square test showed that the independent variables, namely communication, resources, disposition, and bureaucratic structure, had a p-value of 0.001 < 0.05, meaning that communication, resources, disposition, and bureaucratic structure influenced the implementation of PONEK at Restu Ibu Hospital in Balikpapan. The most dominant factor that influenced this was communication with an odds ratio (OR) of 5.969. Conclusion: The conclusion is that communication, resources, disposition and bureaucratic structure influence the implementation of PONEK at Restu Ibu Hospital Balikpapan. It is recommended that good support and commitment from the hospital director and owner's representatives by building good communication with the PONEK team by inviting and involving all PONEK activities, Building good communication among PONEK Teams by participating in effective communication training, Building a skilled team by budgeting training plans related to PONEK so that it is hoped that all PONEK Teams have participated in training according to standards, Equipping adequate room facilities and infrastructure according to PONEK Hospital criteria, conducting MoUs with professional organizations, Building and fostering referral networks.
The Effect of Hospital Service Management on Outpatient Satisfaction among BPJS Health Insurance Participants at Amri Tambunan Regional General Hospital Ramadhani Syafitri Nasution; Setia Megawati Hutaju; Meriahta Sitepu
PROMOTOR Vol. 9 No. 4 (2026): AGUSTUS
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v9i4.3069

Abstract

Patient satisfaction is an important indicator of the quality of healthcare services, particularly among participants of Indonesia's National Health Insurance (BPJS Health). This study aimed to analyze the effect of hospital service management functions planning, organizing, implementation, and controlling—on outpatient satisfaction among BPJS Health participants at Amri Tambunan Regional General Hospital. A quantitative study with a cross-sectional design was conducted involving 100 respondents selected using an accidental sampling technique. Data were collected through a structured questionnaire that had been tested for validity and reliability. The data were analyzed using multiple logistic regression. The results showed that all four hospital service management functions had a significant effect on outpatient satisfaction (p < 0.05). Among these variables, service implementation was identified as the most dominant factor influencing patient satisfaction, with an Odds Ratio (OR) of 445.949. This finding indicates that service delivery characterized by adherence to procedures, promptness, responsiveness, and effective communication plays a crucial role in improving patient satisfaction. The study concludes that effective hospital service management, supported by well-organized planning, coordination, implementation, and supervision, is essential for enhancing the quality of outpatient services. Therefore, strengthening the implementation and organizational aspects of hospital service management should be prioritized to improve patient satisfaction among BPJS Health participants at Amri Tambunan Regional General Hospital.
Co-Authors Asriwati Asriwati Amirah Asriwati Asriwati Cut Shanaz Dhiya Shafira Deli Theo Deli Theo Desra Erwin Aiyuzi Diah Indreswari Dina Gokma Diyan Afriyadi Elya Rosa Sembiring Endang Maryanti Hasanah Pratiwi Harahap Hendra Susanto Hepi Irawan Hizrah Hanim Lubis Ika Amalia Indra Sahputra Irma Valentina Manurung Ismail Efendy Ismail EfendyEfendy Juliandi Harahap Jumirah Jumirah Mauhizah Hasanah Meriahta Sitepu Miskah Afriany Muhammad Lutfi Arafandi Muhammad Razie Munirawati Munirawati Nadiva Olyza Rangkuti Ni Made Putri Afriasih Nia Arita Nona Juli Piarni Nur Aini NUR AINI Nuraini Nuraini Nurmega Nurmega Nurul Hidayati Nur’Aini Nur’Aini Pinda Hutajulu pratiwi, Debby Putri Rahmarianti Rahmania Siregar Rapida Saragih Razia Begum Suroyo Rifelita Saputra Risa Andriani Safitri, Mey Elisa Sarma Lumban Raja Sarma Nursani Lumbanraja Setia Megawati Hutaju Sherly Wardana Sinaga, Sharon Kristin Siti Fatimah Soli Sitti Subaedah Sri Rahayu Lestari Abidin Sukmawati Pasaribu Thomson P Nadapdap Thomson P. Nadapdap Yansnita Mendrofa Yuka Oktafirnanda Yulita Yuniati Yuniati Zulhendri Zulhendri Zuraidah Nasution Zuraidah Nasution