Article Per Year (5 Year)
p-Index From 2020 - 2025
0.444
P-Index
This Author published in this journals
All Journal JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Jambura Journal of Health Sciences and Research Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Merita Arini
Unknown Affiliation
Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Public Health

Published : 4 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 4 Documents
Search

 1 
Evaluasi Implementasi Clinical Pathway Sectio Caesarea di RSUD Panembahan Senopati Bantul Yurni Dwi Astuti; Arlina Dewi; Merita Arini
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 6, No 2 (2017): August
Publisher : Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v6i2.2430

Abstract

The purpose of this study was performed to evaluate the content and quality of clinical pathway sectio Caesarea (CP SC), compliance evaluate the implementation of CP SC and know that there are barriers in the implementation of CP SC, so it can make recommendations to improve the implementation of CP SC in hospitals Panembahan Senopati Bantul. The research used mix method focusing in case study design at obsgyn unit room in Panembahan Senopati State Hospital in Bantul. Sample of respondent to the quantitative data to observe at the documentation and obedience to the medical records of patients who had been operated sectio caesarea’s elective that choosen by total sampling and evaluation of CP SC using the Integrated Care Pathway Appraisal Tools (ICPAT) consisting of six dimensi. Data qualitative is obtained by do a deep interviews with a purposive sampling method.
EVALUATING THE IMPLEMENTATION OF PEDIATRIC DHF CLINICAL PATHWAY IN TYPE D HOSPITAL IN YOGYAKARTA Cornel Anggara; Merita Arini; Ikhlas M. Jennie
Jambura Journal of Health Sciences and Research Vol 3, No 2 (2021): JULI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v3i2.10673

Abstract

AbstractBackground: Dengue haemorrhagic fever (DHF) is an endemic disease that has a high incidence and mortality rate in Indonesia. Implementating clinical pathways (CP) in hospitals can be used as the basis for treating patients with DHF so as to improve service quality and minimize complications. Objective: This study aims to evaluate the implementation of CP DHF in the pediatric unit at Type D Private Hospital in Yogyakarta. Methods: This is a mix method research with case study design. Qualitative data was collected through in-depth interviews and observations of pediatricians n=2), nurses (n=3), directors of medical services (n=1) and medical committees (n=1). Quantitative data was collected through document review and interviews with the Integrated Clinical Pathway Appraisal Tools (ICPAT). Results: Documents is true a CP. The role of the organization has been running well. The process of documenting, developing and implementing CP DHF is not optimal. The maintenance process is bad. Compliance completes of CP DHF is 9%. The majority of lenght of stay are above 3.86 days with treatment costs above the BPJS package. The incidence of complications is low. The obstacles found during the implementation of CP DHF were that the patient did not have access to CP, low adherence to CP and human resource management factors. Conclusion: The development and implementation of CP DHF needs to be improved both in terms of content and quality. Strong policies are needed, good organizational support and the active role of clinicians are the keys to the successful implementation of CP.Keywords: Clinical Pathway, Dengue Haemorragic Fever, Integrated Services
User-Centered Feature Requirements in Wearable Digital Health to Support Self-Care Among Stroke Survivors Merita Arini; Moch Zihad Islami; Attar Husna Fathiya; Warih Andan Puspitosari; Nurchayati, Nurchayati; Firman Pribadi; Setyonugroho, Winny
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 10: OCTOBER 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i10.7891

Abstract

Introduction: Stroke is a major cause of death and disability in Indonesia, leaving many survivors with long-term self-care challenges. Wearable technologies using digital health technology offer potential support. However, the adoption of technology is hindered by usability, accessibility, and cultural barriers. This study explores user-driven feature requirements to inform inclusive and effective digital self-care solutions for stroke survivors Methods: This explorative qualitative study with a phenomenological approach involved in-depth interviews with 19 stroke survivors conducted between May and August 2024 in Yogyakarta and Bandung. Participants were selected using purposive and snowball sampling and analyzed using thematic analysis. Ethical approval was obtained from the Universitas Aisyiyah Yogyakarta Ethics Committee (No. 3832/KEP-UNISA/VII/2024), and all participants provided informed consent. Results: A total of 19 stroke survivors (mostly male and aged 45–60) participated in this study, with the majority having lived with stroke for over five years. Two overarching themes emerged. The first, Managing Health and Daily Life, reflected the need for features that assist stroke survivor to navigate their self-care practices. The second, Navigating Technology with Limitations, highlighted emotional and socio-cultural barriers that hinder technology adoption and sustained use among stroke survivors. These findings suggest that effective wearable solutions must integrate practical health management functions with user-centered design, addressing cognitive, emotional, and contextual barriers to long-term use, with implications for inclusive design guidelines and grassroots-based technology policies. Conclusion: This study gives an understanding of user-centered perspectives in digital health technology by highlighting the practical and emotional aspects of technology use. Future research should incorporate caregiver and healthcare provider perspectives and evaluate prototypes in real-world settings to strengthen inclusive innovation and sustainable adoption.
Lean Strategy for Optimizing Response Time in Hospital Code Blue Activation: A Two-Cycle Action Research in Central Java, Indonesia Habib Laksmana Prima; Merita Arini
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 1: JANUARY 2026 - Media Publikasi Promosi Kesehatan Indonesia
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i1.8571

Abstract

Introduction: Inefficiencies or delays in Code Blue activation for cardiac arrest patients contribute significantly to increased mortality. Rapid response time is closely associated with better prognosis. However, no previous study has systematically addressed the problem of Code Blue activation delay using a structured approach in hospital settings. This study aimed to formulate and implement improvement strategies to minimize waste and accelerate Code Blue activation. Methods: This research employed an action research design and adopted a two-cycle action research design to validate the application of Lean Management in optimizing Code Blue activation at a private Type D hospital in Banyumas, Central Java, Indonesia. A total of 11 consecutive Code Blue cases were observed in each cycle — 11 cases before (Cycle 1) and 11 cases after intervention (Cycle 2). Each cycle consisted of four stages: diagnosis, planning, action, and evaluation, guided by Value Stream Mapping (VSM) to identify and eliminate waste. Quantitative data (lead time, waiting time, cycle time, and Value-Added Ratio) were analyzed using Mann–Whitney tests, while qualitative insights were obtained from in depth interview and focus group discussions with 20 healthcare professionals. Results: The top three critical wastes identified in the baseline assessment were waiting (20.7%), defects (20.4%), and transportation (17%). Thus, waiting was concluded to be the most critical waste in the Code Blue activation process. Initially, the activation process had four phases: initial assessment by inpatient nurse, assessment by ward doctor, system activation, and arrival of the secondary team. After interventions, it was streamlined to three phases by removing the ward doctor’s assessment. Post-intervention, response time dropped by 92.2 % (from 122.1 to 9.5 minutes, p < 0.001), waiting time decreased by 91.3 % (from 50.7 to 4.4 minutes, p < 0.001), and the Value-Added Ratio (VAR) increased from 7 % to 39 % (p < 0.001). Conclusion: The implementation of Lean Management significantly reduces response time in Code Blue activation. Sustaining these improvements requires ongoing commitment and a multidimensional approach, including training, system evaluation, and strengthening a supportive work culture.
Co-Authors Arlina Dewi Attar Husna Fathiya Cornel Anggara FIRMAN PRIBADI Habib Laksmana Prima Ikhlas M. Jennie Moch Zihad Islami Nurchayati Nurchayati Setyonugroho, Winny Warih Andan Puspitosari Yurni Dwi Astuti