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ANALISIS PELAKSANAAN PELAYANAN OBSTETRI NEONATAL EMERGENCY KOMPREHENSIF (PONEK) DI RSUD Dr. PIRNGADI MEDAN TAHUN 2019 Hana Dhini Julia Pohan; Sudiro Sudiro; Arifah Devi Fitriani
Indonesian Trust Health Journal Vol 4 No 1 (2021): Indonesian Trust Health Journal
Publisher : STIKes Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/ithj.v4i1.70

Infant mortality has a close relationship with the quality of maternal care, so the process of childbirth and baby care must be in an integrated system at the national and regional levels. The study was conducted at Dr. Pirngadi Hospital Medan 2019. The research aims at describing the administration and management of PONEK, describing the adequacy of PONEK HR, and describing the fulfillment of PONEK facilities. This research approach is descriptive qualitative with data collection techniques through interviews. The informants of this study were the PONEK Implementation Team and the PONEK Management Team with a total of 8 people. The research instrument was the researcher himself and the collection of data through interviews and documentation. Processing and analysis of data used in the Content Analysis method. The results of the study were that the PONEK funding source comes from the Regional Public Service Agency. Incorrect PONEK Team Placement. Many PONEK Team members have not yet received PONEK training and certificates. 24-hour PONEK facilities. Blood supply of RSUD Dr. Pirngadi Medan is a Blood Transfusion Unit. The conclusion of the research is that management and administration are less than optimal. The PONEK executive officer does not get special PONEK incentives. The placement of Human Resources in implementing PONEK officers is not in accordance with their main tasks and functions, many PONEK Team members have not received PONEK certificate training but have provided emergency obstetric services. PONEK facilities serve 24 hours. The suggestion is that the budget for the procurement of facilities be proposed in the Regional Revenue and Expenditure Budget / Medan Government so that the Regional Public Service Board budget obtained by the hospital can be used optimally for the need to improve PONEK training and provide special PONEK incentives for PONEK implementing officers. Abstrak Kematian bayi mempunyai hubungan erat dengan mutu penanganan ibu, maka proses persalinan dan perawatan bayi harus dalam sistem terpadu di tingkat nasional dan regional. Penelitian dilakukan di RSUD Dr. Pirngadi Medan Tahun 2019. Penelitian bertujuan mendeskripsikan administrasi dan pengelolaan PONEK, mendeskripsikan kecukupan SDM PONEK, dan mendeskripsikan pemenuhan fasilitas PONEK. Pendekatan penelitian ini deskriptif kualitatif dengan teknik pengumpulan data melalui wawancara. Informan penelitian ini Tim Pelaksana PONEK dan Tim Manajemen PONEK dengan jumlah seluruhnya 8 orang. Instrument penelitian adalah peneliti sendiri dan pengumpulan data melalui wawancara dan dokumentasi. Pengolahan dan analisis data menggunakan metode Content Analysis. Hasil penelitian adalah Sumber dana PONEK berasal dari Badan Layanan Umum Daerah. Penempatan Tim PONEK yang tidak sesuai. Banyak anggota Tim PONEK yang belum mendapatkan pelatihan dan sertifikat PONEK. Fasilitas PONEK 24 jam. Persediaan darah RSUD Dr. Pirngadi Medan bersifat Unit Transfusi Darah. Kesimpulan penelitian yaitu Pengelolaan dan administrasi kurang maksimal. Petugas pelaksana PONEK tidak mendapatkan insentif khusus PONEK. Penempatan Sumber Daya Manusia petugas pelaksana PONEK tidak sesuai tupoksinya, banyak anggota Tim PONEK yang belum mendapatkan pelatihan sertifikat PONEK tetapi sudah memberikan pelayanan obstetri emergensi. Fasilitas PONEK melayani 24 jam. Saran yaitu anggaran pengadaan fasilitas diusulkan dalam Anggaran Pendapatan dan Belanja Daerah/Pemerintah Kota Medan, sehingga anggaran Badan Layanan Umum Daerah yang didapat rumah sakit bisa digunakan secara maksimal untuk kebutuhan meningkatkan pelatihan PONEK dan pemberian insentif khusus PONEK bagi petugas pelaksana PONEK.

FAKTOR PENGHAMBAT BELUM DITERAPKANNYA REKAM MEDIS ELEKTRONIK (RME) DI KLINIK AKSARA TAHUN 2022 Hana Dhini Julia Pohan; Aida Sulisna; Sri Agustina Meliala
Indonesian Trust Health Journal Vol 5 No 1 (2022): Indonesian Trust Health Journal
Publisher : STIKes Murni Teguh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37104/ithj.v5i1.98

Electronic Medical Record is a computerized health information system that contains social data and patient medical data, and is equipped with a decision support system. The purpose of this study was to determine the inhibiting factors for not implementing electronic medical records in literacy clinics. This research is a qualitative research using triangulation technique using observation, interview and documentation methods. There are 4 informants in this research. The results of the study stated that there were several factors that had not been implemented in the Electronic Medical Record, including inadequate facilities and a network that was difficult to obtain, besides that it was known that there were no officers with a medical record graduate background at the Aksara Clinic. This causes the implementation of medical record tasks to be less than optimal. The method used is correct using the technical instructions for clinical services, but it has not been realized optimally because there are several obstacles. The conclusion of the study is that there are several factors that have not been implemented in the Electronic Medical Record, including man, money, material, machine and methods. The advice given is that medical record officers with medical record graduate backgrounds, increase the number of machines use the internet network at a higher speed, and should implement Electronic Medical Records at the Aksara Clinic in order to achieve better medical records. Abstrak Rekam Medis Elektronik merupakan sistem informasi kesehatan terkomputerisasi yang berisi data sosial dan data medis pasien, serta dilengkapi dengan sistem pendukung keputusan. Tujuan penelitian ini untuk mengetahui faktor penghambat belum diterapkannya rekam medis elektronik di klinik aksara. Penelitian ini adalah penelitian kualitatif menggunakan teknik triangulasi dengan menggunakan metode observasi, wawancara dan dokumentasi. Informan penelitian ini berjumlah 4 orang. Hasil penelitian menyatakan terdapat beberapa faktor belum diterapkannya Rekam Medis Elektronik diantaranya fasilitas yang tidak memadai dan jaringan yang sulit didapat, selain itu diketahui bahwa tidak adanya petugas yang berlatar belakang lulusan rekam medis di Klinik Aksara. Hal ini menyebabkan pelaksanaan tugas rekam medis kurang maksimal. Metode yang digunakan sudah benar menggunakan petunjuk teknis pelayanan Klinik, namun belum terealisasikan secara maksimal dikarenakan terdapat beberapa kendala. Kesimpulan penelitian terdapat beberapa faktor belum diterapkannya Rekam Medis Elektronik diantaranya yaitu manusia, uang, bahan, mesin dan metode. Saran yang diberikan sebaiknya petugas rekam medis berlatar belakang lulusan rekam medis, penambahan jumlah mesin, menggunakan jaringan internet dengan kecepatan yang lebih tinggi, dan sebaiknya menerapkan Rekam Medis Elektronik di Klinik Aksara agar tercapainya rekam medis yang lebih baik.

Experimental Study Of Second Semester Student Knowledge About Vital Sign at AKBID Helvetia Medan Hana Dhini Julia Pohan
International Archives of Medical Sciences and Public Health Vol. 3 No. 1 (2022)
Publisher : Pena Cendekia Insani

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

Midwives have many ways to monitor client well-being. A group of skills that involves measuring physical characteristics as observations, one of which is measuring blood pressure, pulse, respiratory rate and measuring temperature. Can be used to monitor the response of the mother's body to pregnancy, labor, and delivery. The purpose of this study was to determine the difference in knowledge of second semester students about vital signs before and after being given learning media through audio-visual media. The design used in this study was a quasi-experimental study with a non-randomized pretest-posttest control group design that conducted a pretest before treatment was given and posttest afterward, to determine whether there was a difference between the experimental group and the control group. This study used the total population method, where the entire population was sampled as many as 117 respondents. The data used in this study are primary data, secondary data, and tertiary data. The results of this study, the knowledge of students in the intervention group with the Chochran test analysis. Based on the test statistics, the results of the Chochran test showed a significance value of 0.000 from the results of the study (test statistics), the results of the McNemar test obtained a difference in the level of knowledge between the two measurements. Knowledge of students in the control group. Based on test statistics, the results of the Chochran test with a significance value of 0.607 from the results of the study (test statistics), the results of the McNemar test showed no difference in the level of knowledge between the two measurements. Suggestions are expected that audio visual media learning media can increase students' knowledge about vital signs and can be an effective learning media.

Experimental Study Of Second Semester Student Knowledge About Vital Sign at AKBID Helvetia Medan Hana Dhini Julia Pohan
International Archives of Medical Sciences and Public Health Vol. 3 No. 1 (2022)
Publisher : Pena Cendekia Insani

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

Midwives have many ways to monitor client well-being. A group of skills that involves measuring physical characteristics as observations, one of which is measuring blood pressure, pulse, respiratory rate and measuring temperature. Can be used to monitor the response of the mother's body to pregnancy, labor, and delivery. The purpose of this study was to determine the difference in knowledge of second semester students about vital signs before and after being given learning media through audio-visual media. The design used in this study was a quasi-experimental study with a non-randomized pretest-posttest control group design that conducted a pretest before treatment was given and posttest afterward, to determine whether there was a difference between the experimental group and the control group. This study used the total population method, where the entire population was sampled as many as 117 respondents. The data used in this study are primary data, secondary data, and tertiary data. The results of this study, the knowledge of students in the intervention group with the Chochran test analysis. Based on the test statistics, the results of the Chochran test showed a significance value of 0.000 from the results of the study (test statistics), the results of the McNemar test obtained a difference in the level of knowledge between the two measurements. Knowledge of students in the control group. Based on test statistics, the results of the Chochran test with a significance value of 0.607 from the results of the study (test statistics), the results of the McNemar test showed no difference in the level of knowledge between the two measurements. Suggestions are expected that audio visual media learning media can increase students' knowledge about vital signs and can be an effective learning media.

Analysis of Incidence Rate in Inpatience Based on Patient Safety Targets Mitra Medika Hospital Bandar Klippa Aida Sulisna; Dilla Fitria; Sri Agustina Meliala; Hana Dhini Julia Pohan
International Archives of Medical Sciences and Public Health Vol. 3 No. 2 (2022)
Publisher : Pena Cendekia Insani

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

Introduction : Patient safety incidents are unintentional events and conditions that have the potential to result in preventable injury to patients so that patient safety incidents can affect the incident rate in hospitalization. Objective: To identify and analyze the incidence rate in the inpatient unit based on patient safety goals in the Hospital from 6 (six) patient safety goal elements. Method: The type of research used is quantitative with a cross sectional approach. The population and sample in this study used a saturated sampling technique with a total of 80 respondents. Results: Research using the chi square test includes identifying patients correctly with a p-value of 0.002 <0.05, increasing effective communication with a p-value of 0.002 <0.05, increasing drug safety needs to be watched out for with a p-value of 0.046 <0 .05, ensuring the correct location and surgical procedure in the patient with a p-value of 0.444 > 0.05, reducing the risk of infection related to health services has a p-value of 0.166 > 0.05, reducing the risk of injury to patients due to falls with a p-value of 0.016 < 0.05, against the incidence rate in hospitalization. Conclusion: There is an influence between the variables identifying the patient correctly, increasing effective communication, increasing drug safety needs to be watched out for, and reducing the risk of patient injury due to falls on the incidence rate in hospitalization and there is no influence between ensuring the location and surgical procedure in the correct patient, Reducing the risk of health care-associated infection to the incidence rate in hospitalization. Suggestions that can be given are SPO socialization and training for nurses in inpatients related to patient safety goals and communication and collaboration between teams are always improved in service.

Analysis of Incidence Rate in Inpatience Based on Patient Safety Targets Mitra Medika Hospital Bandar Klippa Aida Sulisna; Dilla Fitria; Sri Agustina Meliala; Hana Dhini Julia Pohan
International Archives of Medical Sciences and Public Health Vol. 3 No. 2 (2022)
Publisher : Pena Cendekia Insani

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

Introduction : Patient safety incidents are unintentional events and conditions that have the potential to result in preventable injury to patients so that patient safety incidents can affect the incident rate in hospitalization. Objective: To identify and analyze the incidence rate in the inpatient unit based on patient safety goals in the Hospital from 6 (six) patient safety goal elements. Method: The type of research used is quantitative with a cross sectional approach. The population and sample in this study used a saturated sampling technique with a total of 80 respondents. Results: Research using the chi square test includes identifying patients correctly with a p-value of 0.002 <0.05, increasing effective communication with a p-value of 0.002 <0.05, increasing drug safety needs to be watched out for with a p-value of 0.046 <0 .05, ensuring the correct location and surgical procedure in the patient with a p-value of 0.444 > 0.05, reducing the risk of infection related to health services has a p-value of 0.166 > 0.05, reducing the risk of injury to patients due to falls with a p-value of 0.016 < 0.05, against the incidence rate in hospitalization. Conclusion: There is an influence between the variables identifying the patient correctly, increasing effective communication, increasing drug safety needs to be watched out for, and reducing the risk of patient injury due to falls on the incidence rate in hospitalization and there is no influence between ensuring the location and surgical procedure in the correct patient, Reducing the risk of health care-associated infection to the incidence rate in hospitalization. Suggestions that can be given are SPO socialization and training for nurses in inpatients related to patient safety goals and communication and collaboration between teams are always improved in service.

ANALISIS PROSEDUR PENGEMBALIAN BERKAS REKAM MEDIS RAWAT INAP GUNA MENUNJANG EFEKTIVITAS PELAYANAN Hana Dhini Julia Pohan; Sri Agustina Meliala; Aida Sulisna
INFOKES (Informasi Kesehatan) Vol 6 No 2 (2022): Jurnal Infokes
Publisher : POLITEKNIK PIKSI GANESHA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56689/infokes.v6i2.839

During a pandemic, BPJS Health increased digital-based innovation to make it easier to provide services to participants. One of them is an online queue system that is integrated into the Mobile-JKN application, making it easy for participants to access services at health facilities. This research was conducted with the aim of knowing the relationship between patient satisfaction with BPJS Kesehatan participants and online registration for the use of the Mobile-JKN application at Pratama Salma in November–December 2022. This research is analytic in nature, using primary and secondary data with a total sample of 30 BPJS participant patients' health at Pratama Salma Clinic in March–October 2022. From the results of the study it can be seen that 12 respondents 40.0% percent of BPJS Health Participating Patients are dissatisfied, most of the use of the Mobile application registration - Easy JKN is 12 respondents 40.0 percent while BPJS Health Participant Patients satisfied as many as 18 respondents 60.0 percent the majority use the Mobile application registration - JKN is easy as many as 10 respondents 33.3 percent, and the minority uses the Mobile application registration - JKN is not easy as many as 8 respondents 26.7 percent. The conclusion is expected: health workers will further improve communication and outreach in providing information, especially the advantages and disadvantages of using the mobile application for online registration (JKN). Keywords: BPJS Health Participant Satisfaction, Online Registration, JKN Mobile Application.

Analisis Pendidikan Kesehatan Menggunakan Media Leaflet Terhadap Pengetahuan Pasien Dalam Mencuci Tangan Di Praktek Bidan Sarmiati Hana Dhini Julia Pohan; Sri Agustina Meliala; Aida Sulisna; Merdi Yanti Lestari Harefa
Journal of Innovative and Creativity Vol. 5 No. 2 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i2.2654

Pendahuluan Mencuci tangan salah satu prosedur paling penting dari pencegahan penyebaran infeksi yang menyebabkan kesakitan. Mencuci tangan merupakan proses menghilangkan kotoran secara mekanis dari kulit telapak tangan dengan sabun dan air. Pendidikan kesehatan dapat diartikan sebagai bentuk upaya dalam memberi pengaruh, masyarakat agar bisa melakukan pelaksanaan perilaku hidup yang sehat, Tujuan penelitian ini adalah untuk mengetahui Analisis pendidikan kesehatan menggunakan media leaflet terhadap pengetahuan pasien dalam mencuci tangan di Praktik Bidan Sarmiati, Metode penelitian ini menggunakan kuantitatif dengan pendekatan Pre Experimental Design, One Group Pretest-Posttest Design. Responden pada penelitian ini merupakan pasien dengan jumlah 100 responden, Hasil penelitian ini menunjukan pada variabel baca sebelum diberikan pendidikan kesehatan 1.40 dan sesudah diberi pendidikan kesehatan meningkat menjadi 1.58 dengan nilai p=0.010 < P= 0.05. variabel dengar nilai sebelum diberikan pendidikan kesehatan 1.45 setelah diberi pendidikan kesehatan meningkat menjadi 1.64 dengan nilai p= 0.013 < p= 0.05. variabel media leaflet sebelum diberi pendidikan kesahatan dengan nilai 1.40 setalah diberi pendidikan kesehatan meningkat 1.55 dengan nilai p=0.016 < p=0.05. variabel demonstrasi sebelum diberi pendidikan kesehatan dengan nilai 1.40 setelah diberi pendidikan kesehatan meningkat 1.58 dengan nilai p=0.015 < P= 0.05. dan variabel melakukan simulasi sebelum diberikan pendidikan kesehatan 1.30 meningkat setelah diberikan pendidikan kesehatan menjadi 1.54 dengan nilai p=0.001 < p= 0.05, Kesimpulan adanya pengaruh pendidikan kesehatan menggunakan leaflet untuk menambah pengetahuan pasien rawat jalan dalam mencuci tangan. Saran diharapkan kepada praktek bidan untuk menyediakan wastafel cuci tangan di setiap ruangan tunggu dan menyediakan sabun dan media leaflet sebagai petunjuk cara mencuci tangan yang benar.

Hubungan Disiplin Kerja dengan Kualitas Pelayanan Perawat Rawat Inap di RSU Sinar Husni Hana Dhini julia Pohan; Sri Agustina Meliala; Dilla Fitria
SEHATI: Jurnal Kesehatan Vol 6, No 1 (2026)
Publisher : Pelantar Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52364/sehati.v6i1.157

Nurses’ discipline remains relatively low, as evidenced by frequent tardiness, incomplete use of uniforms, and lack of courteousness toward patients. This study aimed to determine the relationship between work discipline and the quality of inpatient nursing services at Sinar Husni Hospital. This research employed a quantitative method with a cross-sectional design. The study population included all 93 inpatient nurses at the Hospital, with total sampling used as the sampling technique. Data were collected using a validated and reliable questionnaire, and analyzed using the chi-square test. The results found a significant relationship (p 0.05) between work discipline and service quality. Compliance with regulations on working hours, attendance, and rest breaks showed a significance value of p = 0.009; adherence to dress codes and professional behavior p = 0.016; compliance with procedures for task performance and work relations p = 0.003; and adherence to organizational rules on permissible and prohibited conduct p = 0.002. It is suggested that the hospital strengthen discipline through continuous guidance, consistent supervision, and the implementation of a fair reward-and-punishment system. Such efforts are expected to enhance nurses’ motivation, responsibility, professionalism, and performance in delivering excellent care.

Hubungan Akses Informasi Kesehatan dengan Pengetahuan Remaja Tentang Bahaya Seks Bebas di MTS Nurul Ikhwan Tanjung Morawa Hana Dhini Julia Pohan; Sri Juliani; Etika Iskandar Br. Ginting
Science: Indonesian Journal of Science Vol. 1 No. 5 (2025)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/science.v1i5.208

Remaja yang kurang pemahaman tentang dampak negatif seks bebas, seperti penyakit menular seksual dan kehamilan di luar nikah, cenderung mencoba perilaku ini. Pengetahuan tentang sumber informasi dan layanan kesehatan reproduksi dapat menjadi pintu masuk penting bagi remaja untuk lebih mengakses informasi kesehatan reproduksi. Tujuan penelitian ini adalah untuk menganalisis akses informasi kesehatan dengan pengetahuan remaja tentang bahaya seks bebas di MTS Nurul Ikhwan Tanjung Morawa. Hasil penelitian menunjukkan dari 15 responden yang mengakses informasi kesehatan terdapat 1 responden (3,1%) yang tahu, terdapat 14 responden (43,8%) tidak tahu, dan dari 17 responden tidak mengakses informasi kesehatan terdapat 9 responden (28,1%) tahu, 8 responden (25%) tidak tahu. Berdasarkan hasil perhitungan uji statistik chi – square yaitu diketahui bahwa hasil uji statistik diperoleh nilai p significancy ada 0,015< 0,05.

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