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Journal : Science Midwifery

Analysis of the Implementation of Total Quality Management (Tqm) on Nurse Performance at Mother and Child Hospital (Rsia) Eria Bunda Pekanbaru Nurafni Marissa; Budi Hartono; Lita; Doni Jepisah; Arnawilis
Science Midwifery Vol 10 No 4 (2022): October: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i4.799

Abstract

Total Quality Management (TQM) is an approach that is widely used by companies in improving quality with the aim of improving performance in quality, productivity and probability. That study aims to determine the application of TQM to the performance of nurse at RSIA Eria Bunda Pekanbaru in 2021. This study includes a quantitative study with a cross sectional design. The number of samples was carried out using a total sampling technique, namely 37 people. The analysis used chi square test, fisher exact test, multiple logistic regression and importance performance analysis (IPA) methods. The result showed that the focus on customers (OR:7.583 95%Cl=1.737-33.089), obsession with quality (OR:1500 95%Cl=0.220-10.218), scientific approach (OR:5.818 95%Cl=1.032-32.793 ), long term commitment (OR:5.993 95%Cl=1.337-25.226), teamwork (OR:7. 585 95Cl%Cl=1738-33.089), continuous improvement (OR:5.893 95%Cl=1.337-25.226), training education (OR: 3.405 95%Cl=0.879-13.188), freedom of control (OR:7500 95%Cl =1.715-32.796), unity of purpose (OR:0.941 95%Cl=0.118-7.499), involvement and empowerment (OR:10.625 95%Cl=1.874-60.246). The conclusion is that there is an influence between TQM focus on customers, scientific approach, long term commitment, teamwork, continuous improvement, education training, freedom of control and involvement and empowerment
Factors Affecting Inpatient Patient Satisfaction of Social Security Agency of Health (BPJS) Participants at Bangkinang Hospital Mahmudah; Hetty Ismainar; Budi Hartono; Doni Jepisah
Science Midwifery Vol 10 No 5 (2022): December: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i5.1091

Abstract

Bangkinang Hospital is the main referral hospital for the people of Kampar, especially Social Security Agency of Health (BPJS) patients. Inpatient satisfaction at Bangkinang Hospital in 2021 is 76%. The standard according to the Ministry of Health is ≥90%. The BOR value has decreased in the last three years, namely 2019 by 57%, 2020 by 52% and 2021 by 43%. One of the causes is the Covid-19 pandemic that has occurred in the last two years. The standard BOR value is 60-85%. The purpose of this study was to look at the factors that influence inpatient satisfaction of Social Security Agency of Health (BPJS) participants at Bangkinang Hospital. The research was conducted in the inpatient room of Bangkinang Hospital, August 2022 with a total sample of 96. This type of research is an analytic study with a cross-sectional design. The data analysis used was univariate, bivariate and multivariate. Bivariate analysis showed that the variables that influenced patient satisfaction were empathy (p = 0.011), responsiveness (p = 0.009), reliability (p = 0.014) and patient experience (p = 0.007). Variables that have no effect are assurance (p = 0.238) and tangible (p = 0.073). Multivariate analysis obtained two confounding variables, namely assurance and tangible. The variable that has the dominant influence is the patient's experience with a POR value of 7,495. The conclusion of this study is that there are four variables that influence patient satisfaction and two confounding variables. The suggestion of this research is that it is necessary for homes to complete facilities in inpatient rooms, especially call bells, provide training to improve the competence of officers, and ESQ training.
Community behavior towards maternal and child health services during the covid-19 pandemic at tualang public health center, siak district Dewi Sanita; Novita Rany; Doni Jepisah
Science Midwifery Vol 11 No 3 (2023): August: Midwifery and Health Sciences
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v11i3.1337

Abstract

Maternal and child health (MCH) services stand as pivotal components of Public Health Centers, serving to enhance the well-being of both mothers and children. In light of this, optimizing the management of MCH programs becomes imperative. However, data from the Siak District Health Office in 2020 unveiled that the Tualang Public Health Center exhibited lower MCH program accomplishments in comparison to its counterparts within the Siak District. This study, therefore, strives to procure insights into the knowledge, attitudes, health promotion initiatives, and family backing pertinent to MCH services during the COVID-19 pandemic within the operational sphere of Tualang Public Health Center, Siak District. Employing a qualitative approach underpinned by the phenomenological method, this research involves primary informants encompassing expectant mothers and mothers of young children. Supplementary informants encompass spouses or guardians, along with key stakeholders like the Head of Tualang Public Health Center, the Responsible Party for the MCH Program, and Health Promotion Officers. The research methodology encompasses in-depth interviews and meticulous observations, followed by a data analysis fortified by source and data triangulation. Findings underscore a dearth in mothers' understanding of MCH services, juxtaposed with positive attitudes towards them. While health promotion initiatives for MCH services appear underutilized, familial support surges to its zenith. As a synthesis of these findings, it's deduced that MCH services within the operational precinct of Tualang Public Health Center, Siak District, have yet to attain optimal efficacy. In this regard, it's advocated that Tualang Public Health Center orchestrate succinct workshops or extend educational outreach to various stakeholders, including Subdistrict Heads, Village Chiefs, Religious Leaders/Tabligh Teams, District/Village PKK (Family Welfare Movement) Activators, Health Cadres, and Family Planning Field Officers.
Co-Authors Abidin, dr. Aldiga Rienarti Ade Idra Suhara Ahmad Hanafi Ahmad Hanafi Ahmad Hanafi Alni Diniati Alni Diniati, Alni Anggraini, Gussri Anggraini, Lola Anusirwan Arba’a, Nurhamni Arnawilis Asmarwiati, Septien Astika, Fitriani Astika, Rini Azlina, Azlina budi hartono Budi Hartono Budi Hartono Damayanti, Elok Daniati, Sy. Effi Dedi Afandi Dekrial Dekrial Dessica Noviasari Dewi Sanita Emy Leonita Ennimay Ester Napitupulu, Ervinna Fetty Try Rahmadani Fitriani Astika Fitriani, Ernita Gussri Anggraini H. Ahmad Hanafi, SKM, M.Kes Haili Harnani, Yaessi Haryani Octaria Henny Maria Herman M. Purwonegoro Herniwanti Herniwanti Hetty Ismainar Huda Nuri Suraya, Huda Nuri Imam Slamet Prasetio Irwan Muryanto Julia Citra Sari Kamali Zaman Karnila Ardiyanti Kholida Hosni Kholili, Ulil Kiswanto Kiswanto Kiswanto Kiswanto Lita Lita, Lita Mahmudah Mailisa Dwi Cahayati Maimun, Nur Marlina, Hastuti Megasari, Miratu Misnaimah, Misnaimah Muhamadiah, Muhamadiah Nadia Rista Nopriadi Nopriadi nur helmi Nurafni Marissa Nurmala Sari Jambago Nurwidad, Nurwidad Octaria, Haryani Octaria, Haryani Octaria, Haryani Ovi Novianto Siska Priwahyuni, Yuyun Priwahyuni Putri Yahya Rahayu, Endang Purnawati Rani, Novita Rany, Novita Riauni Syaputri Ricardo Ricardo Riri Maharani Rizer Fahlevi Roslia Asrin Rukijah, Siti Septemdelti, Mona Shanti Veroniga Handayani Siti Hasanah Sy Effi Daniati Syamnur, Rizka Amelia Syarafina, Intan Tia Harjianti Tri Purnama Sari Tri Purnama Sari Tuty Syafni Ulil Kholili Via Trisna, Wen Wen Via Trisna Wulandari I, Prima Yang Ma Aisyah Yang Ma Aisyah Yeni Yeni Yessi Harnani Yuda Irawan Yunita, Jasrida Yusneli, Yusneli Zaman, M. Kamali Zapri Salis Zulhenry