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DIFFERENCES IN BURNOUT AMONG NURSES WORKING IN OUTPATIENT, INPATIENT, AND EMERGENCY DEPARTMENT UNITS AT IMANUEL WAY HALIM HOSPITAL Sipahutar, Evryna; Pramesona, Bayu Anggileo; Lusina, Septia Eva; Lisiswanti, Rika
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

Burnout among nurses varies across hospital units, with emotional exhaustion particularly higher in the emergency department due to acute workload. This study compared burnout rates among nurses in the outpatient, inpatient, and emergency departments of Imanuel Way Halim Hospital. Using a comparative cross-sectional design, 115 nurses were selected proportionally from a population of 161 through stratified random sampling. Burnout was measured using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS; 22 items, three dimensions), analyzed using the Kruskal-Wallis test and post-hoc Bonferroni test after normality testing. Results showed a significant difference only in emotional exhaustion (H = 7.559, p = 0.023), with the highest score in ED nurses (mean = 41.00) versus inpatient (34.01) and outpatient (35.89); post-hoc analysis confirmed the inpatient-ER difference (p = 0.006). Depersonalization and personal accomplishment did not differ (p > 0.05). The conclusion emphasizes specific interventions for emotional exhaustion in the ED through staffing adjustments and psychosocial support, addressing unit-specific risks in Indonesian type B hospitals.
Management of Abdominal Management of abdominal Typhoid in a 22 years old women without regular diet and lack of PHBS knowladge. especially washing hands before eating: Typoid fever, PHBS and Diet Dewi, Tri Agustina; Lisiswanti, Rika
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1750

Abstract

Typhoid fever is a potentially fatal multisystem infectious disease that remains a significant public health problem in Indonesia, particularly in areas with poor sanitation and inadequate implementation of clean and healthy living behavior (PHBS). We report a case of a 22-year-old woman who presented with continuous fever for approximately three days prior to admission, worsening in the afternoon and evening, accompanied by chills, headache, dizziness, nausea, vomiting, epigastric pain, and constipation. The patient had a history of irregular dietary habits, frequent consumption of street food, and poor hand hygiene practices, especially failure to wash hands before meals. Physical examination revealed a coated tongue and epigastric tenderness, while laboratory findings showed a Widal O titer of 1/320 supporting the diagnosis of abdominal typhoid fever. The patient was managed with chloramphenicol, antipyretics, intravenous fluids, bed rest, and a low-fiber diet, along with comprehensive education regarding PHBS implementation, particularly proper handwashing and regular dietary patterns. This case highlights that irregular eating habits and inadequate knowledge and practice of PHBS play an important role in the occurrence of abdominal typhoid fever, emphasizing the need for comprehensive management combining medical therapy and health behavior education to prevent recurrence and disease transmission.
Remediasi Pencapaian Mahasiswa di Pendidikan Kedokteran: Rika Lisiswanti, Oktafany, Dewi Rusnita, Selfi Renita Rusdi, Rizki Anisa Lisiswanti, Rika
Jurnal Kedokteran Universitas Lampung Vol. 9 No. 2 (2025): JK Unila
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jkunila.v9i2.pp232-237

Abstract

Setiap institusi pendidikan akan dihadapkan dengan adanya mahasiswa yang belum mencapai standar pendidikan yang sudah ditetapkan. Mahasiswa pencapaian rendah saat awal pendidikan menentukan keberhasilan mahasiswa untuk tahap selanjutnya sehingga diperlukan remediasi untuk mendukung mahasiswa mencapai standar yang sudah ditetapkan tersebut. Berbagai metode remediasi diusulkan oleh para ahli pendidikan. Metode yang digunakan antara lain dengan refleksi, keterampilan pembelajaran sepanjang hayat, identifikasi mahasiswa, professional development comitte, student support system dan sebagainya. Institusi pendidikan dapat mengembangkan metode remediasi berdasarkan kerangka konsep pendidikan yang sesuai.