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All Journal Jurnal Keperawatan Indonesia Jurnal NERS JKG (Jurnal Keperawatan Global) Public Health of Indonesia Jurnal Keperawatan Padjadjaran Indonesian Contemporary Nursing Journal (ICON Journal) Jurnal Keperawatan Silampari Journal of Telenursing (JOTING) Pediomaternal Nursing Journal Community Empowerment Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Keperawatan Jurnal Abdimas Kesehatan Strada Jurnal Ilmiah Kesehatan (SJIK)
Erfina Erfina
Faculty Of Nursing Universitas Hasanuddin, Makassar 90245
Arts Humanities Dentistry Education Health Professions Neuroscience Nursing Public Health Social Sciences

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Evaluation Of the Emergency Severity Index Triage For Improving Emergency Room Services Quality In Indonesian Hospital Ramli, Hasnah; Erfina, Erfina; Rini Rachmawaty
Public Health of Indonesia Vol. 10 No. 3 (2024): July - September
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i3.809

Abstract

Background:Effective prioritization is crucial in delivering high-quality emergency medical services, although it is often lacking. Objective:This study aims to evaluate the application of triage based on the Emergency Severity Index (ESI) in improving the quality of emergency departments in hospitals in Indonesia. Methods:An accidental sample of 100 emergency room patients was selected. Patient satisfaction was measured using questionnaires, while infrastructure, support facilities, and the triage process were assessed through direct observation. Results:The evaluation found that nurse staffing levels did not meet standards and were inadequate to meet patient needs. Triage facilities and infrastructure at both hospitals met established standards. The triage process, conducted on 100 respondents by 30 nurses, revealed that the majority of patients were categorized as ESI level 3, comprising 82 (82%) respondents. There was an excessive use of triage resources beyond projections, and patient placement did not always adhere to standards, although the average response time was within the accepted range. Patient satisfaction was evaluated across five dimensions; the most satisfying dimensions were assurance and empathy, with 90% of respondents rating thempositively, while the tangibles dimension received the lowest satisfaction rating at 84%. The correlation between the application of ESI triage and patient satisfaction was not statistically significant (p-value = 0.101, higher than 0.05). Conclusion:It is recommended that hospitals increase the number and competence of nursing staff in emergency departments to ensure response times and patient placement align with ESI triage standards, thereby enhancing the effectiveness of triage implementation. Keywords:emergency severity index triage; quality of care; emergency department
Preparedness of Elementary School Parents for Offline Learning Decisions during the COVID-19 Pandemic Hariati, Suni; Andriani, Andriani; Nurmaulid, Nurmaulid; Erfina, Erfina; Kadar, Kusrini Semarwati
Jurnal Keperawatan Soedirman Vol 18 No 3 (2023): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2023.18.3.7332

Abstract

Reopening schools during the COVID-19 pandemic requires the full consideration of parents’ decisions due to the worry of exposure for their children. This study evaluated parents’ preparedness for offline learning decisions among elementary school children during the COVID-19 pandemic. This is a cross-sectional study with 134 parents as respondents. The consecutive sampling technique was used. The online questionnaire was distributed on social media to collect data from various regions in Indonesia. The finding indicated that 99 (73%) parents sent their children for offline learning from July to November 2021 for one to three times a week (44.8%) and one to three hours a day (46.8%). The significant factor for parents’ decisions was school preparedness for COVID-19 prevention (p < 0.05). However, parents' preparedness for self-protection and the child's mental condition had no significant relationship because almost all parents were already prepared for these factors (> 95%). Therefore, the government and primary health care have a vital role in supervising and providing a safe environment for children during the COVID-19 pandemic.
Supporting Factors and Barriers to Implementing the Referral System in Primary Health Care Laode Ardini; Elly L. Sjattar; Erfina Erfina
Jurnal Keperawatan Silampari Vol 7 No 1 (2023): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/jks.v7i1.6011

Abstract

This study aims to identify the supporting and inhibiting factors for the implementation of the referral system in primary health care. This study used a scoping review design, using four databases namely PubMed, ProQuest, ScienceDirect, and Garuda, using keywords based on the PCC method (Population, Concept, Contect. The results of this study identify a number of supporting and inhibiting factors for the implementation of the referral system in primary health care, showing that the supporting factors are human resources, facilities and infrastructure, medicines, medical devices, referral fees, referral information and support from various parties. While the inhibiting factors are knowledge/understanding of officers or patients, accessibility, SOP/regulation of referrals, information systems, completeness of the referral process and social culture of the community. In conclusion, with several supporting and inhibiting factors in the implementation of the referral system in primary health care identified, causing referral health services to not be optimal. Keywords: Supporting Factors, Barriers, Primary Health Care, Referral Systems
Evaluation of the clinical nurse career path system in Indonesian Hospitals: Identifying areas for improvement and development Firman, Firman; Erfina, Erfina; Saleh, Ariyanti
Jurnal Keperawatan Padjadjaran Vol. 12 No. 3 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i3.2543

Abstract

Background: The clinical nurse career path system significantly impacts nurses' professional growth, job satisfaction, and service quality. Evaluating its effectiveness is vital for enhancing human resource management. Purpose: This study aimed to evaluate the nursing career path in Indonesia, identifying areas for improvement and development. Method: This study used a mixed-methods approach with nine participants and 339 samples. Surveys targeted clinical nurses, while interviews involved nursing management. Data was analyzed using descriptive statistics and thematic analysis. Results: Managerial experiences revealed three themes: (1) implementation of the nurse career path as a mandatory accreditation process, (2) challenges in the implementation of the nurse career path, and (3) expectations for career path implementation. The process evaluation pinpointed areas for improvement, including organizing, internship programs, Continuous Professional Development (CPD), and career advancement. In product evaluation, 80.8% of nurses had good perceptions, with a 77% job satisfaction rate. Analysis showed a positive correlation between perception and job satisfaction (P < 0.001). Conclusion: The clinical nurse career path in hospitals requires more attention, especially in areas such as human resources, which are not yet full-time, and leadership policies regarding rewards, regulations, and nurse placement in the implementation of career paths related to organizing, internship programs, CPD, and career advancement. Enhancing these aspects is vital for boosting nurses' job satisfaction and improving service quality and patient care.
The Characteristic of Parents and Elementary School Students in Offline Learning during The Covid-19 Pandemic in Indonesia Hariati, Suni; Andriani, Andriani; Nurmaulid, Nurmaulid; Kadar, Kusrini S.; Erfina, Erfina
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 7 No. 1 (2022): Volume 7 No. 1 Agustus 2022
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v7i1.18704

Abstract

Introduction: The government has issued a new policy to hold face-to-face meetings at schools in July 2021 following the decreased of positive confirmed cases of COVID-19 in children, increasing public discipline in health protocols implementation and most teachers have been vaccinated. However, the parents still worry about the spread of COVID-19 in school which creates anxiety for parents. Method: This study used a quantitative method with a cross-sectional survey approach. The population in this study were all parents of elementary school students (SD) in Indonesia. The sampling technique is non-probability sampling with a consecutive sampling approach where the researcher distributes the instrument online on social media. Data collection will be carried out in Sep – Nov 2022.Result: The majority of children who participated in offline learning were in grade 1-3 (76; 57.1%). The majority of education level of mothers (95; 70.9%) and fathers (95; 70.9%) were high education. Most of mothers (73; 54.5%) and fathers (103; 76.8%) had income more than three million rupiah. Most children participated in offline learning in July-December 2021 (85; 63.4%). Offline learning was held in 1-3 times a week (61; 45.5%) that occurs in 1-3 hours for day (68;50.7%). Conclusion: The implementation of offline learning is mostly held after June 2022, but there were several students who participated since 2020. There is variation of implementation offline learning from one to six days in a week
Inspiratif (comprehensive stunting prevention initiative): Specific stunting intervention efforts in Pangkajene Kepulauan District Suni Hariati; Erfina Erfina; Nur Fadilah; Andi Dwi Bahagia; Nurmaulid Nurmaulid; Muh. Imanuddin Taqwa Karim
Community Empowerment Vol 9 No 4 (2024)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.10490

Abstract

The higher prevalence of stunting in South Sulawesi compared to the national average poses a significant health concern for children, thus necessitating accelerated efforts to reduce stunting. One of the updated strategies for accelerating stunting reduction is the family-centered approach through mentoring families at risk of stunting via the formation of Family Mentor Teams (TPK). Therefore, the objective of this community service is to enhance the role of TPKs by providing comprehensive training on the handling and prevention of stunting from pre-conception to children aged 0-59 months. The implementation method utilizes community-based participatory research (CBPR). The activity was attended by 139 TPKs from 12 districts. The results of the activity demonstrate the effectiveness of the training, as evidenced by an increase in participants' knowledge scores in the post-test (12.96 ± 1.44) compared to the pre-test scores (11.12 ± 1.73).
Factors related to the Incident Reporting Culture in Health Services: A Literature Review Reni Astuti; Takdir Tahir; Kusrini S Kadar; Erfina Erfina
STRADA : Jurnal Ilmiah Kesehatan Vol. 10 No. 1 (2021): May
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v10i1.787

Abstract

A literature search was performed using computerized databases of PubMed, ProQuest, Willey, and secondary searching journal portals. The keywords “patient safety, incidence report, and healthcare were used in various combinations. Inclusion criteria were as follows: written in the English language published in the last ten years and origin research, focusing on the cultural incident reporting, reported nurse staff, or other healthcare workers as participants. Exclusion criteria were: a review of literature or assessment tools development and report article. A total of 77 articles were obtained from the search. Of these, 70 articles were excluded due to did not meet the criteria of this review. We finally reviewed seven articles and categorized them into two main factors: Organizational culture and healthcare staff. This review emphasizes the importance of promoting the factors related to incidence reporting culture in health services, both organization level, and healthcare staff.
Empowering elementary school teachers through early detection of visual impairment training in Makassar Erfina, Erfina; Rahayu, Sri Bintari; Hariati, Suni; Andriani, Andriani; Basrah, Miftahul Jannah; Parawansyah, Asrul; Rahma, Nurmaulida
Community Empowerment Vol 10 No 10 (2025)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.13625

Abstract

Early detection of visual impairment in elementary school students is crucial for supporting academic achievement and child development. This community service activity aimed to increase the knowledge of teachers at SD Inpres Jongayya and Andi Tonro Makassar regarding the early detection of visual impairment. The method involved training and simulation on the use of the Snellen chart. Participant knowledge was evaluated using a pre-test and post-test design. The results showed an increase in teacher knowledge scores after the training, from an average pre-test score of 7.41 ± 1.570 to 7.79 ± 1.612 on the post-test. However, this increase was not statistically significant. This training provided an initial positive impact, but to ensure program sustainability, supporting efforts such as periodic supervision, provision of standard guidelines, and incentives for implementing teachers are necessary.
Factors associated with caregiver ability to support medication adherence among people with mental disorders: a multivariate cross-sectional study Andriani, Andriani; Yusuf, Ah; Fitryasari, Rizki; Basrah, Miftahul Jannah; Arsyad, Dian Sidik; Hariati, Suni; Erfina, Erfina; Nurmaulid, Nurmaulid; Kadar, Kusrini S.
Jurnal Ners Vol. 21 No. 1 (2026): VOLUME 21 ISSUE 1 (FEBRUARY 2026)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v21i1.80610

Abstract

Introduction: This study aimed to identify family, caregiver, patient, nurse, and healthcare service factors associated with caregivers’ ability to support medication adherence among relatives with mental disorders. Methods: This cross-sectional study was conducted between February and June 2024 at seven community health centers (Puskesmas) in Makassar, Indonesia. Purposive sampling was used to recruit 155 caregivers. Questionnaires were validated prior to data collection. Bivariate associations were examined using the chi-square test, and factors associated with caregivers’ ability to support medication adherence were analyzed using multivariate logistic regression. Results: The multivariate model was statistically significant (model χ²  =  42.87, p < 0.001; Nagelkerke R² = 0.32). In bivariate analyses, the caregiver’s ability to support patients’ medication adherence was associated with family functioning, caregiver factors (gender, stress, motivation, knowledge), patient factors (relapse frequency, severity level), and nurse psychological factors. In the multivariate analysis, family economic status (AOR = 0.22, 95% CI = 0.07–0.69, p = 0.010), family functioning (AOR  =  2.58, 95% CI = 1.19–5.58, p = 0.016), caregiver motivation (AOR = 0.29, 95% CI = 0.12–0.73, p = 0.008), and caregiver knowledge (AOR = 0.40, 95% CI = 0.16–0.96, p = 0.041) remained significantly associated with caregiver ability to support medication adherence. Conclusions: These results suggest that family factors and caregiver psychosocial preparedness play critical roles in facilitating adherence-related caregiving practices. Strengthening family functioning and caregiver motivation and knowledge may improve support for medication adherence.
Intervensi Holistik dalam Perawatan Bayi Kecil: Sinergi Buku KIA dan Health Coaching untuk Meningkatkan Kualitas Asuhan Suni Hariati; Erfina Erfina; Dian Sidik Arsyad; Andriani Andriani; Nurmaulid Nurmaulid; Tuti Seniwati; Eva Febrianty; Andi Tizaly Nurul Istighfari; Nadya Salsabila Ramadhani; Andi Miftahul Jannah; Kamlia Ramadhani; Agnes Claudia Pas
Jurnal Abdimas Kesehatan (JAK) Vol. 8 No. 1 (2026): Januari
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v8i1.1042

Abstract

Kaluku Bodoa Community Health Center in Tallo District is among the top three areas with the highest incidence of low birth weight (LBW) cases in Makassar, recording 48 cases in 2022. A 2024 study revealed that many LBW infants had not received neonatal home visits and did not possess the Small Baby MCH Book, further exacerbated by the lack of socialization and training among health workers. Through the integration of the Healthy Indonesia Program with Family Approach (PIS-PK), empowering community health cadres in small baby care is essential to prevent stunting. This community service program aimed to enhance cadre capacity through managerial training, utilization of the Small Baby MCH Book, and the establishment of an online support forum for mothers with small infants. The activities were implemented through technical training on the integration of the Small Baby MCH Book and health education using a health coaching approach for health workers and cadres, followed by mentoring sessions at pilot Posyandu through book distribution and educational sessions using visual and guideline-based media The results of the activity demonstrated an increase in the average knowledge and skills of community health cadres and maternal and child health (MCH) healthcare providers in delivering services for mothers and infants with a history of low birth weight, with scores improving from 46.7 on the pre-test to 60.4 on the post-test., and successfully initiated the implementation of a dedicated Posyandu for LBW infants. Targeted care for small babies is a crucial effort to prevent future growth and developmental disorders, emphasizing the need for special attention and differentiated care from health professionals and cadres.
Co-Authors Agnes Claudia Pas Ah Yusuf, Ah Andi Dwi Bahagia Andi Miftahul Jannah Andi Tizaly Nurul Istighfari Andriani Andriani Andriani Andriani Andriani Andriani Andriani Arnis Puspitha R Basrah, Miftahul Jannah Dian Sidik Arsyad Dian Sidik Arsyad Elly L. Sjattar Eta Mardiana Eva Febrianty Firman Firman Fitrah Ardillah Hasniar Imami Nur Rachmawati Jumriani Jumriani Kamlia Ramadhani Kusrini S. Kadar Laode Ardini Lely Lusmilasari Martini Martini Muh. Imanuddin Taqwa Karim Musdalipa Kendeng Nadya Salsabila Ramadhani Nirta Aprila Paembonan Numaulid Nurmaulid Nur Fadilah Nurmaulid Nurmaulid Nurmaulid Nurmaulid, Nurmaulid Parawansyah, Asrul Rahayu, Sri Bintari Rahma, Nurmaulida Ramli, Hasnah Reni Astuti Rini Rachmawaty Rini Rachmawaty Saldy Yusuf Saldy Yusuf Saleh, Ariyanti Saleh, Ariyanti Seniwati, Tuti Suni Hariati Suni Hariati Suni Hariati Suni Hariati Suni Hariati, Suni Takdir Tahir Yati Afiyanti