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ANALISA PENGGUNAAN TERAPI ANTIBIOTIK PADA PASIEN BEDAH DI Rumah Sakit ROYAL PRIMA MARELAN Nurul Apla Wizaya Syahputri; Ermi Girsang; Ali Napiah Nasution
Jurnal Penelitian Pendidikan IPA Vol 9 No 12 (2023): December
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i12.5419

Abstract

The use of antibiotics in surgical patients aims to reduce Surgical Site Infection (SSI) so that it can reduce the number of patient admissions to hospital. Fully used antibiotics in patient’s cancontributes to the spread of antibiotic resistance, so it is necessary to evaluate the use of antibiotics in hospitals.Quantitative and qualitative assessment of antibiotic use is an important metric in evaluating rational antibiotic prescribing and controlling drug resistance. This study aims to evaluate the use of antibiotics in surgical patients at Royal Prima Marelan Hospital based on assessing the quantity and quality of use. This research is a retrospective study using an observational-analytic design using a quantitative and qualitative approach with secondary data referring to the medical records of 200 surgical patients who received antibiotic therapy and were treated at the Royal Prima Marelan Hospital in the period June - November 2022. Quantitative analysis was carried out using the method ATC/DDD and qualitative analysis using Gyssens criteria. Correlation analysis uses the contingency coefficient statistical test. The results of the quantity of antibiotic use show that the total DDD/100 patient-days value is 77.6 and the quality of antibiotic use using the Gyssens criteria is appropriate/rational, with the most widely used antibiotic being ceftriaxone and the majority of patients' length of stay being ≤ 7 days. This research shows that age (p=0.761), gender (p=0.920), and quality of antibiotic use (p=0.610) do not correlate with length of stay in surgical patients at Royal Prima Marelan Hospital for the period June - November 2022.
Analysis of Implementation of Infection Prevention and Control at Royal Prima Marelan General Hospital Fajar Sahputra; Ermi Girsang; Ali Napiah Nasution
Jurnal Penelitian Pendidikan IPA Vol 9 No 12 (2023): December
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i12.5421

Abstract

Nosocomial infections or Healthcare-Associated Infections (HAIs) are a serious problem for global public health, including Indonesia. HAIs are infections experienced by patients during treatment and health care procedures ≥ 48 hours and ≤ 30 days after leaving the health facility. This study aims to analyze the implementation of infection prevention and control at the Royal Prima Marelan General Hospital. This research is a quantitative study with an observational analytical approach with a Cross Sectional Study design, namely in the form of data collection aimed at analyzing the implementation of infection prevention and control at the Royal Prima Marelan General Hospital for the period July to August 2023. The population in this study was 100 people who included hospital management who were considered competent in providing information. The population sample for this study that met the inclusion and exclusion criteria was 50 people. The results of bivariate analysis show that the variables related to infection prevention and control are knowledge, motivation, supervision and workload. The results of multivariate analysis show that the variable that partially influences the prevention and control of nosocomial infections in hospitals is knowledge.
Development of a Subjective Workload Assessment Technique Model as an Effort to Improve Performance Nurse in Home Inpatient Room Royal Prima Hospital Ali Napiah Nasution; Muliate Tarigan; Ermi Girsang
Jurnal Penelitian Pendidikan IPA Vol 9 No SpecialIssue (2023): UNRAM journals and research based on science education, science applic
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9iSpecialIssue.6134

Abstract

It is hoped that the performance of all medical and non-medical personnel at the Hospital will be in top condition. Nurses are expected to provide good service. This research aims to develop a subjective workload assessment technique model as an effort to improve the performance of nurses in the Inpatient Room at Royal Prima Hospital. This research is a quantitative study with a cross sectional study design which was carried out in the inpatient ward of the Royal Prima Hospital from June to July 2023. The population was 120 people. Respondents who were selected (inclusion) or excluded through the selection process were those who had more than 3 months of experience working in a care unit or related work. Data were analyzed univariate, bivariate and multivariate. The results of the research show that there is an influence of time pressure, working hour schedules, multiple roles, revetitive action on improving the performance of inpatient nursing personnel which is subjectively reasoned by inpatient nurses at Royal Prima Hospital. The variable that has the most dominant influence is the dual role variable.The suggestion of this research is that the health service should provide input in the context of continuous guidance to hospitals, especially in managing hospital management to improve better performance.
The Effectiveness of Health Promotion Models with Comic Media, Videos, and Lectures on Helminthiasis to Medical Faculty Students at Universitas Prima Indonesia Ali Napiah Nasution; Lia Christiana; Intan Audrey Alicia Hutabarat; Christina J. R. Esmaralda Lumbantobing
Jurnal Penelitian Pendidikan IPA Vol 9 No SpecialIssue (2023): UNRAM journals and research based on science education, science applic
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9iSpecialIssue.6307

Abstract

The research aims to assess the knowledge about worm infections among students at the Faculty of Medicine, Prima Indonesia University, through health promotion media. The methodology involves the Sample T test Pretest and Posttest method, with a sample size of 154, determined based on prior research outcomes. The data analysis utilizes SPSS 25. The findings of the study indicate that the mean knowledge score prior to educational intervention via media was 36.3506, with a standard deviation of 3.32653. After the intervention, the mean knowledge score rose to 50.4416, accompanied by a standard deviation of 3.63891. This indicates an improvement in student knowledge scores before and after the health education intervention, utilizing video lectures and comics as media. The pretest and posttest outcomes exhibit an increase from 77.50% to 119.35% after the media intervention.
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.
Implementasi Lean Hospital dalam Meningkatkan Pelayanan Rawat Jalan Poliklinik Penyakit dalam di RSUD Sabang Ema Nurul Tafaqa; Chrismis Novalinda Ginting; Ali Napiah Nasution
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 2 (2026): Mei 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i2.7568

Abstract

Effective outpatient care is an indicator of hospital service quality and must meet the Ministry of Health’s Minimum Service Standards (MSS), particularly the waiting time requirement of ≤ 60 minutes. However, many healthcare facilities have yet to meet this standard. This study aims to analyze the implementation of Lean Hospital practices in improving service efficiency and compliance with MSS at the Internal Medicine Outpatient Clinic of Sabang City Regional General Hospital. The study employed a quantitative cross-sectional design using observation, time-motion studies, and the SERVQUAL questionnaire, with Spearman and Pearson correlation analyses. Findings revealed an average service time of 87 minutes, exceeding MSS (≤ 60 minutes), with non–value-added activities accounting for 55 minutes and waiting waste at 40%. The Process Cycle Efficiency (PCE) value of 36.7% indicates low efficiency. Patient satisfaction was high (mean 3.43), but higher among those meeting MSS (43.4%) compared to those exceeding it (6.7%). There was a significant relationship between waiting time and satisfaction (r = −0.612; p < 0.05), and between Lean implementation and process efficiency (r = 0.683; p < 0.05). Conclusion: Failure to meet MSS is associated with low efficiency and suboptimal Lean implementation. Improvements should focus on eliminating waiting waste and strengthening kaizen to enhance service quality and patient satisfaction
Factors influencing self-awareness with blood glucose level among patients with type 2 diabetes Carles Carles; Ermi Girsang; Ali Napiah Nasution
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 2 (2025): Volume 8 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i2.619

Abstract

Background: Type 2 diabetes mellitus is a global health problem with increasing prevalence, especially in urban areas. Management of the disease requires patient self-awareness of factors such as physical activity, balanced diet, stress control, and medication adherence. Purpose: To analyze the influence of physical activity, balanced diet, stress control, and medication adherence on patients' self-awareness behavior in controlling blood sugar levels in urban communities of Riau Province. Method: Quantitative research with a cross-sectional design involved 105 respondents aged 40-65 years who were registered as type 2 DM patients at a health center in an urban area of Riau Province. Data were collected using a questionnaire and analyzed using the chi-square test and odds ratio. Results: Insufficient physical activity increased the risk of low patient self-awareness by 2.8 times (p=0.016). Unbalanced diet increased the risk by 3.5 times (p=0.004). Poor stress control increased the risk by 4.5 times (p=0.0001). Meanwhile, lack of medication adherence increased the risk by 3.2 times (p=0.007). Conclusion: Physical activity, balanced diet, stress control, and medication adherence significantly influenced patients' self-awareness in diabetes management. Community-based interventions are needed to improve the management of this disease.
EVALUATION OF TURNAROUND TIME (TAT) OF CLINICAL LABORATORY EXAMINATIONS BASED ON REQUEST TIME AND RESULTSAS AN INDICATOR OF THE EFFICIENCY OF DIAGNOSTIC SERVICES AT ROYAL PRIMA HOSPITAL IN MEDAN R. Raje Telegem; Chrismis Novalinda Ginting; Ali Napiah Nasution
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 6 (2026): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Turnaround Time (TAT) is an important indicator for assessing the efficiency and quality of clinical laboratory diagnostic services because timely laboratory results support rapid clinical decision-making. This study aimed to evaluate the Turnaround Time (TAT) of clinical laboratory examinations as an indicator of diagnostic service efficiency at RSU Royal Prima Medan. A quantitative descriptive evaluative study with a retrospective approach was conducted using secondary data from the laboratory information system for the period March–May 2026. Samples were selected using systematic random sampling from laboratory examination records that met the inclusion criteria. Data were analyzed descriptively by assessing the mean, median, and proportion of examinations meeting the established hospital standard, as well as comparing TAT across service units. The results showed that the mean TAT was 151.13 minutes in the emergency department, 161.29 minutes in inpatient services, and 187.05 minutes in outpatient services. Based on the hospital standard of ≤120 minutes, only 11.2% of examinations met the standard, while 88.8% did not. The emergency department demonstrated the highest compliance at 17.5%, followed by outpatient services at 9.8%, while no inpatient examinations met the standard. Overall, TAT performance had not met the established standard, indicating the need for workflow optimization to improve diagnostic service efficiency and timeliness.