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All Journal Jurnal Penelitian Pendidikan IPA (JPPIPA) Jurnal Ners
Ali Napiah Nasution
Universitas Prima Indonesia
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Education Health Professions Materials Science & Nanotechnology Medicine & Pharmacology Nursing Physics

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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.
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.
An Analysis Of Factors Influencing Bpjs Patient Loyalty Based On Customer Satisfaction Theory At Bandung General Hospital Medan Windri Mutiara Matondang; Chrismis Novalinda Ginting; 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.v9i4.51101

Abstract

This study aims to analyze the effect of marketing strategies and medical device product facilities on increasing the number of patients at Dr. Pirngadi Regional General Hospital, Medan. Competition in the healthcare industry requires hospitals to not only provide quality medical services but also implement effective marketing strategies and provide adequate healthcare facilities to attract and retain patients. This study used a quantitative approach with a descriptive correlational design. The study population included all patients visiting Dr. Pirngadi Regional General Hospital during the last three months, with a total sample of 78 respondents selected using a purposive sampling technique. Data were collected through questionnaires and analyzed using multiple linear regression. The results showed that marketing strategies and medical device facilities had a positive effect on increasing the number of patients, with medical device facilities having a more dominant influence. This finding emphasizes the importance of synergy between appropriate marketing strategies and improved medical facilities in building patient trust, strengthening loyalty, and increasing hospital competitiveness sustainably amidst increasingly fierce healthcare competition.
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.
Acute Toxicity Test of Lancing Leaf Extract (Solanum Mauritianum Scop.) as Well as Determination of Ld50 Values and Histopathology in Male Mice (Wistar Rat) Afifah Ikhwan; Erny Tandanu; Ali Napiah Nasution; Refi Ikhtiari
Jurnal Penelitian Pendidikan IPA Vol 11 No 6 (2025): June
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i6.10776

Abstract

The purpose of this study is to find out about the acute toxicity test and analysis of its activity on lancing leaves. This research method is an experimental method including sampling and sample processing, extract making, acute toxicity tests, research on toxic symptoms in animals, organ harvesting, organ weighing, organ histopathology examination and data analysis with Statistical Program Service Solution (SPSS).  The research was conducted at the Integrated Development and Research Laboratory of Andalas University from September 2024 to December 2024. The tools used in this study are Rotary evaporator (Buchi R-210 Rotavapor), separation funnel, oven (Memmert), furnace, analytical scale (SF-400), decigator, mortar and pestle, porcelain cruce, Moisture Analyzer, Hot plate, Uv-Visible lamp (Camag), dark bottle, funnel, infusion bottle (500 ml and 100 ml), glass beaker (Pyrex), drip plate, rack and test tube, measuring cup (Pyrex), measuring flask,  spatels, stirring rods, droppers, ointment pots, object glass, KLT chambers, capillary pipes, syringes, sondes, animal cages, animal feeding and drinking places. The animals that will be used in this study are healthy male white rats aged 2-3 months with a body weight of 200-300 g and have never been used for experiments as many as 25 animalsAn LD50 value was obtained with a mild toxic value (>2000 mg/KgBB – 5000 mg/KgBB) against the acute toxicity test of lancing leaf extract (Solanum Mauritianum Scop.) in male rats. There was no significant difference between groups (p>0.05) in the body and BOR of male rats compared to the control group after administration of lancing leaf extract (Solanum Mauritianum Scop.).
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.
Co-Authors Afifah Ikhwan Arum Grahini Kusumadewi Candra Ahmadi Chrismis Novalinda Ginting Ermi Girsang Erny Tandanu IKHTIARI, REFI Ira Gracela Jeri Yuliansyah Nasution, Sri Lestari Ramadhani Oscar Dirgantara Riri Virzan Putri Windri Mutiara Matondang