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Efektivitas Pelatihan Btcls Berbasis Blended Learning Terhadap Kepuasan dan Peningkatan Kompetensi Peserta di Bapelkes Mataram Saimi Saimi; Hery Pranoto
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47647

Abstract

Abstract Basic Trauma Cardiac Life Support (BTCLS) training has played an important role in improving the preparedness of health workers in dealing with emergency conditions. The blended learning method as a solution to limited resources and time, as well as to increase the effectiveness of training. Purpose: To find out the level of satisfaction and competency improvement of participants with BTCLS training based on blended learning. Methods: This study was a quantitative study using a cross-sectional survey of one group pre-post test design, with a sample of 73 trainees. Data were collected through standardized questionnaires and statistically analyzed using fisher exact test and paired t-test, with a significance level of p ≤ 0.005. Results: Showed that instructor quality, material accuracy, and organizer facilities were significantly related to participant satisfaction (Sig ≤ 0.01). The paired t-test also showed a significant increase in pre-test and post-test scores in all professional groups (p ≤ 0.05), so that the training provided proved to be effective in improving the competence of participants and needed to be continuously developed. Conclusion: The blended learning method has been shown to be effective in increasing trainee satisfaction and competence. The quality of the instructor and the relevance of the material are the main factors that affect participant satisfaction. Strengthening of practice aspects and curriculum adjustments is recommended to ensure the sustainability of BTCLS training. This research will be carried out at the Mataram Health Agency in 2025. Keywords: Participant satisfaction; BTCLS; Blended Learning; Quality of Instructors; Quality of Organizers
Faktor Determinan yang berhubungan dengan Penanganan Program Tuberkulosis (TB) di Lombok Tengah Saimi Saimi; Nanang Kosim; Lalu Abdul Khalik; Dita Retno Pratiwi
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49438

Abstract

Introduction: Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis, mainly attacking the lungs, but can affect other organs. The disease remains a significant global and national health problem, including one of the world's top 10 causes of death and the deadliest infectious disease. TB cases in Central Lombok in 2022–2024 fluctuated, rising from 1,220 to 1,538 and then dropping to 1,467 cases. Pediatric TB increased significantly, the success of therapy increased, but the rate of dropouts, failed treatment was high, and mortality also increased. The main potential barriers include low knowledge, stigma, poor access to services, and limited facilities, these conditions underscore the urgency of research on national TB elimination strategies. Purpose: to analyze determinant factors related to the Handling of the Tuberculosis (TB) Program in Central Lombok. Result: It was found that patient knowledge, access to TB services, social stigma, and medication adherence had a significant effect on the success of TB treatment (p < 0.005). Patients with low knowledge were at risk of 3.97 times of barriers, of difficulty of access increased risk 7.23 times, of stigma 8.13 times, and of low adherence 4.54 times. These findings underscore the need for TB control strategies that prioritize patient education, improved access to services, reduced social stigma, and support for ongoing treatment adherence to improve the success of TB programs. Conclusion: This study shows that successful TB treatment is significantly influenced by patient knowledge, access to services, social stigma, and medication adherence. The risk of treatment barriers increased nearly four times in low-knowledge patients, more than seven times in difficult access, and eight times in high-stigma. Low drug adherence also has a significant impact. TB control strategies must prioritize education, increased access, stigma reduction, and patient compliance assistance on an ongoing basis.
Eksplorasi Kualitas Layanan Antenatal (ANC) Pada Ibu Hamil: Studi Kasus DI Puskesmas Kuta Lombok Tengah Baiq Hikma Rahmatien; Menap Menap; Sismulyanto Sismulyanto; Dita Retno Pratiwi; Saimi Saimi
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.49767

Abstract

Pelayanan antenatal care (ANC) merupakan intervensi penting untuk menurunkan angka kematian ibu dan bayi melalui deteksi dini risiko kehamilan, pemantauan kesehatan ibu, serta pemberian edukasi. Penelitian ini bertujuan mengeksplorasi kualitas pelayanan ANC di Puskesmas dengan pendekatan kualitatif desain studi kasus. Informan terdiri dari tenaga kesehatan (dokter, bidan, pimpinan Puskesmas) dan ibu hamil yang pernah menerima layanan. Data diperoleh melalui wawancara mendalam, observasi, dan telaah dokumen, kemudian dianalisis dengan metode tematik. Hasil penelitian menunjukkan bahwa kualitas layanan ANC masih menghadapi keterbatasan, terutama terkait ketersediaan tenaga bidan yang kompetensinya belum sesuai rasio kebutuhan. Sarana pemeriksaan seperti Doppler dan USG tidak dikalibrasi berdampak tidak akurasi, serta ruang periksa belum memenuhi standar pelayanan. Selain itu, faktor non-teknis juga memengaruhi mutu layanan, antara lain sikap petugas yang kurang ramah, minimnya edukasi kepada ibu hamil, serta lamanya waktu tunggu yang menimbulkan ketidakpuasan pasien. Kesimpulan menekankan pentingnya penguatan sumber daya, peningkatan kompetensi, dan perbaikan sistem pelayanan untuk mengoptimalkan kualitas ANC di Puskesmas.
Determinasi Kejadian Hipertensi pada Usia Produktif Berdasarkan Status Gizi, Riwayat Keluarga, Pengetahuan, Pola Makan, dan Pola Tidur di Wilayah Kerja Puskesmas Kabupaten Lombok Utara: Studi Cross-Sectional Okta Santika Iriani; Saimi Saimi; Sastrawan Sastrawan
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.54355

Abstract

Abstrak Hipertensi merupakan masalah kesehatan masyarakat signifikan pada usia produktif, berdampak pada produktivitas, kualitas hidup, dan beban ekonomi. Metode, menggunakan desain kuantitatif observasional analitik cross-sectional pada 140 responden usia 20-50 tahun dengan proportional random sampling. Data dikumpulkan melalui kuesioner, pengukuran Indeks Massa Tubuh, dan tekanan darah. Hasil, analisis univariat menggambarkan karakteristik responden, bivariat (chi-square) menilai hubungan antarvariabel, dan multivariat (regresi logistik) mengidentifikasi faktor dominan hipertensi (p<0,05; CI 95%). Hasil menunjukkan semua variabel signifikan, dengan pengetahuan rendah paling dominan (Exp(B)=15,835), diikuti riwayat keluarga, pola makan tidak sehat, pola tidur tidak adekuat, dan status gizi. Simpulan, menegaskan interaksi determinan biologis dan perilaku, menekankan perlunya intervensi edukatif terintegrasi untuk pencegahan hipertensi pada usia produktif. Kata Kunci: Hipertensi; Usia Produktif; Status Gizi; Pola Makan dan Pola Tidur; Studi Cross-Sectional Abstract Hypertension is a significant public health problem at the productive age, impacting productivity, quality of life, and economic burden. The method used a cross-sectional analytical observational quantitative design on 140 respondents aged 20–50 years with proportional random sampling. Data was collected through questionnaires, Body Mass Index measurements, and blood pressure. The method used a cross-sectional analytical observational quantitative design on 140 respondents aged 20-50 years with proportional random sampling. Data was collected through questionnaires, Body Mass Index measurements, and blood pressure. The conclusion, emphasizing the interaction of biological and behavioral determinants, emphasizes the need for integrated educational interventions for the prevention of hypertension in productive age. Keywords: hypertension; Productive Age; nutritional status; Diet and Sleep Patterns; Cross-Sectional Studies.
Analysis of Acceptance of Mobile JKN Usage using the Utaut Method in the Working Area of BPJS Kesehatan Branch Mataram I Made Adi Putra Asmara; Saimi Saimi
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5817

Abstract

The low adoption rate of the Mobile JKN application in the operational area of BPJS Kesehatan Mataram Branch represents a major obstacle. The application was developed to improve accessibility and efficiency in digital health services, yet its usage remains low.Objective: This study aims to analyze the factors influencing user acceptance of the Mobile JKN application using the Unified Theory of Acceptance and Use of Technology (UTAUT) framework.Methods:This quantitative study employed a cross-sectional study design. The study population included all users of the Mobile JKN application within the BPJS Kesehatan Mataram Branch operational area, with a sample of 399 respondents selected through simple random sampling. Primary data was gathered using structured questionnaires, while secondary data was sourced from BPJS Kesehatan records. The questionnaire was validated with a significance level (p-value < 0.05) and reliability tested with Cronbach’s Alpha (≥ 0.7). Data analysis was conducted using the Chi-square test for bivariate analysis and regression analysis for multivariate analysis.Results: The results revealed significant relationships between user behavior (use behavior) and performance expectancy (p < 0.001), effort expectancy (p < 0.001), facilitating conditions (p < 0.001), hedonic motivation (p < 0.001), and price value (p < 0.001). However, social influence (p = 0.361) and habit (p = 0.628) were not significantly associated. The results of the multinomial logistic regression test identify that effort expectancy is the dominant factor influencing user behavior.Conclusion: This study concludes that perceived economic value, ease of use, and infrastructure support are critical for enhancing the adoption rate of Mobile JKN. Policymakers need to strengthen user education, simplify the application interface, and enhance technological infrastructure as well as integration with information systems in healthcare facilities to promote broader utilization.
Analysis of the Implementation of Health Worker Competency Development Hery Pranoto; Saimi Saimi; Sismulyanto Sismulyanto
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.160

Abstract

The suboptimal competency development program for healthcare workers in regional general hospitals affects the fulfillment of professional competency requirements and integration as a superior, international-class referral hospital chosen by the community with excellent and comprehensive services. This study aims to explore the implementation of the healthcare worker competency development program through input, process, and output, as well as identifying problems encountered and solutions to overcome them at the NTB Provincial Hospital. This study uses a Qualitative Descriptive approach using the Donabedian framework (input, process, and output) with in-depth interviews, observation, and document analysis methods. The informants numbered 14 people, determined by purposive sampling, namely selecting several health workers who have experience, strategic positions, or perspectives that are considered capable of providing in-depth insights regarding training needs. Data analysis used the interactive model of Miles and Huberman involving data collection, data reduction, data presentation, and drawing conclusions. This study found that the implementation of healthcare worker competency development has been running normatively, but there are problems with the lack of number and type of competency development and its uneven distribution. The large number of employees, types of health workers and the many varied service units demand a very important need in the development of health worker competencies, problems with the Training Needs Assessment (TNA) have not been carried out properly, implementing personnel or training organizers who have not been trained, lack of infrastructure for certain specific training and limited budgets, and there is no binding policy to implement SPM 20JP. The development of health worker competencies at the NTB Provincial Hospital has not reached an optimal level due to limited budget allocations, the large number of personnel accompanied by the diversity of types of services that require must be a priority agenda because of the importance of equitable and planned competency development to ensure the quality, effectiveness, and sustainability of health services.
Hard drug in self-medication practices: A qualitative study Zulrahamatulhuda Zulrahamatulhuda; saimi saimi; Lalu Abdul Khalik
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 1 (2025): Volume 8 Number 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i1.742

Abstract

Background: Self-medication is an act of self-medication without medical consultation, the practice of self-medication in the people of West Nusa Tenggara reaches 66.62% and the community in Bima City is indicated to be 60.44%. This practice risks causing serious side effects and drug resistance. Purpose: To explore why the practice of hard drug self-medication is high in the community of Bima City. Method: Employing a descriptive qualitative approach with an emphasis on exploratory research. Conducted in Bima City starting in August 2024, it involved a total sampling method, selecting 10 participants who served as key informants from the National Agency of Drug and Food Control. Data collection was carried out through triangulation, integrating multiple sources, methods, and theories to enhance result validity. In-depth interviews were used as the primary data collection technique, and the data were analyzed using thematic analysis to extract key insights and interpret the underlying meaning of the findings. Results: Self-medication practices, such as buying antibiotics without a prescription, risk causing drug resistance and side effects. Monitoring drug distribution, especially online purchases, is a challenge for the Health Office and National Agency of Drug and Food Control. People choose practical and cost-effective ways, while pharmacists face pressure in selling drugs without a prescription. Collaboration and education are needed to ensure safe and rational drug use. Conclusion: The high cost of medicine and queues at health facilities encourage self-medication, exacerbated by poor Social Security Administration services. 24-hour pharmacies and online purchasing make it easier to access drugs without a prescription, with weak distribution oversight. Lack of accurate information and distrust of formal health services increase the risk of side effects and drug abuse.
Enhancing patient safety outcomes through SBAR communication: A systematic review Nanang Kosim; Saimi Saimi
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.1046

Abstract

Background: SBAR (Situation, Background, Assessment, Recommendation) is a structured communication framework designed to facilitate the logical and efficient transfer of information among healthcare professionals. This method supports the identification, assessment, and management of patient risks. Ineffective communication is a leading contributor to patient safety incidents; therefore, implementing structured communication like SBAR is essential for enhancing the quality and safety of healthcare delivery. Purpose: To explore and analyze the impact of SBAR communication on improving the effectiveness of patient safety within healthcare settings. Method: A systematic review approach in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A thorough search was conducted across multiple scholarly databases—Scopus, PubMed, ScienceDirect, and Google Scholar—using the keywords: "SBAR AND communication AND healthcare AND facilities." Results: The implementation of SBAR enhances healthcare workers’ communication competencies, fosters a safer and more reassuring environment for patients, and contributes positively to the overall quality of care. Conclusion: SBAR is a communication tool that promotes timely, accurate, complete, and clear information exchange, thereby supporting the effectiveness of patient safety practices in healthcare services.