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Analisis Mutu Pelayanan dengan Kepuasan Pasien Rawat Jalan di UPT Puskesmas Sangatta Utara (Studi : Potong Lintang) Noriah, Noriah; Adrianto, Ratno; Ramdan, Iwan Muhamad
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 4: November 2025
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v10i4.28333

Abstract

Background: Health service quality reflects how well services meet patient satisfaction as it affects patient trust and adherence while also demonstrating the accountability of primary health care facilities. This study aims to examine the impact of service quality on outpatient satisfaction at UPT Puskesmas Sangatta Utara.Methods: This study utilized an analytical survey with a cross-sectional design. The population included community members seeking care at the North Sangatta Health Centre. A total of 271 respondents were selected based on the Lemeshow formula, using purposive sampling as the sampling method. Data were collected through a structured questionnaire that included demographic characteristics and research variables. Data analysis was conducted using a combination of univariate, Chi-square, and multiple logistic regression methods to explore the relationships and effects among the variables.Result: The results showed that variables significantly associated with outpatient satisfaction were technical competence, facility accessibility, service effectiveness, continuity, safety, comfort, information, timeliness, and interpersonal relations (p < 0.05). Service efficiency was not significantly associated with patient satisfaction (p > 0.05). The most influential factor was interpersonal relations, with the highest odds ratio of 2.294 (95% CI: 1.381–3.809).Conclusion : This study demonstrated that outpatient satisfaction at the North Sangatta Health Centre was influenced by multiple service aspects, with interpersonal relations emerging as the most dominant factor. These findings emphasized the importance of improving healthcare workers’ communication and interaction with patients to enhance overall satisfaction.
THE NEIGHBORHOOD LEVEL SURVEY BY ADAPTING THE HEALTHY INDONESIA PROGRAM WITH FAMILY APPROACH'S (PIS-PK) INDICATORS Ifroh, Riza Hayati; Ramdan, Iwan Muhamad
Jambura Journal of Health Sciences and Research Vol 6, No 3 (2024): 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.v6i3.24389

Abstract

Some of the post-pandemic challenges in urban and rural areas are increasing efforts for clean and healthy living at the family level in tropical rainforest areas. The novelty of this research is that it conducted a household survey based on the indicators of the Healthy Indonesia Program with a Family Approach (PIS-PK). The study aims to identify the characteristics of the community in Samarinda City and measure differences in the practice of clean and healthy living behavior at the household level using the developed PIS-PK indicators. The research method uses a cross-sectional survey at the household level and determines specific locations in 2 household-level groups (RT) in Rawa Makmur Village. The purposive sampling included 100 respondents, and the research variables were respondent characteristics and 12 PIS-PK indicators. Data analysis was carried out univariately and bivariately through Chi-Square analysis. The research results showed a difference in the number of respondents who had babies in Community I and Community II with α0.05 (P-value = 0.022). Generally, there are no statistical differences in almost all healthy family indicators between communities I and II or P-value 0.05. This study concludes that the characteristics of people at the neighboring level tend to be the same in ethnic background, education, marital status, and employment. There is no difference between the 12 indicators of the Healthy Indonesia program and those of the family approach in Community I and Community II.
Penyuluhan tentang Safety Riding pada Siswa Sekolah Menengah Pertama Yayasan Pendidikan Samarinda (YPS) Setyowati, Dina Lusiana; Ramdan, Iwan Muhamad
E-Dimas: Jurnal Pengabdian kepada Masyarakat Vol 11, No 2 (2020): E-DIMAS
Publisher : Universitas PGRI Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26877/e-dimas.v11i2.3413

Abstract

Kecelakaan lalu lintas merupakan salah satu penyebab kematian pada usia remaja dan penyebab kesakitan terbanyak di dunia terutama di negara berkembang seperti di Indonesia. Penyuluhan ini bertujuan untuk meningkatkan pengetahuan, pemahaman dan kesadaran keselamatan berkendara. Sasaran pengabdian ini adalah siswa sekolah menengah atas (SMP) Yayasan Pendidikan Samarinda (YPS) sebanyak 52 siswa. Siswa diberikan edukasi berkaitan dengan keselamatan berkendara melalui penyuluhan, serta diskusi langsung dengan kelompok siswa. Penyuluhan diberikan setelah sebelumnya siswa diberikan pretest kemudian setelah penyuluhan dan diskusi selesai siswa diberikan post-test untuk mengetahui tingkat pengetahuan dan sikap sebelum dan sesudah penyuluhan. Data dianalisis menggunakan uji statistik paired sample t-tests α = 0.05. Hasil analisis didapatkan bahwa p = 0.239 yang artinya tidak ada perbedaan pengetahuan dan perilaku sebelum dan sesudah dilakukan penyuluhan tentang keselamatan berkendara. Hal ini terjadi karena perubahan perilaku tidak akan dapat terjadi dalam waktu singkat. Untuk melihat adanya perubahan perilaku membutuhkan waktu dan pengulangan pemberian intervensi yang rutin dan berkelanjutan. 
Faktor yang Berhubungan dengan Keluhan Heat Strain pada Pekerja Overhaul Tangki di PT. X Kota Balikpapan Chilwindwi, Bratarini Hassya; Ramdan, Iwan Muhamad; Hardianti, Dewi Novita; Sultan, Muhammad; Lestari, Ida Ayu Indira Dwika
National Journal of Occupational Health and Safety Vol. 6, No. 1
Publisher : UI Scholars Hub

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Abstract

Heat strain is a physiological reaction of the body that functions to release excess heat through sweat output, increased body temperature, heart rate, blood pressure, and weight loss. PT X is a company that operates in the oil and gas sector. The results of the study found that the workload was not appropriate and the incidence of work accidents that occurred due to fatigue. This study was conducted to see the heat strain complaints experienced by tank overhaul workers in the Oil Refinery Area of PT. X Balikpapan City and the associated factors. This research applied quantitative method with analytical approach and cross-sectional design and the research sample amounted to 80 workers (total sampling). The results showed that heat strain complaints among tank overhaul workers at PT X Balikpapan City are included in the danger zone as many as 39 workers (48.8%). It is concluded that heat strain complaints among workers fall into the danger zone or red zone, there is a relationship between drinking water consumption (r=0.030), physical workload (r=0.039), indoor work climate (r=0.001), and outdoor work climate (r=0.018) with heat strain complaints, and there is no relationship between age (r=0.145) and length of work (r=0.539) with heat strain complaints. The company is advised to provide education on the importance of consuming drinking water to all workers, adjust the amount of work or workload according to the ability of workers, and carry out engineering controls by installing vents.
Faktor-faktor yang Berhubungan dengan Kecelakaan Kerja pada Operator Dump Truck di PT. X Kabupaten Kutai Timur Kirana, Anindya Sashi; Sultan, Muhammad; Lestari, Ida; Ramdan, Iwan Muhamad; Hardianti, Dewi Novita
National Journal of Occupational Health and Safety Vol. 6, No. 1
Publisher : UI Scholars Hub

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Abstract

Coal mining is one of the industries that has a high level of danger and risk of work accidents. In 2023, in PT X department Z there were 36 work accidents with the most units occurring in the dump truck unit. The purpose of this study was to determine the factors associated with work accidents in dump truck operators at PT X East Kutai Regency in 2025. This study used a cross sectional study design with 78 respondents who were dump truck operators taken by stratified random sampling. Data collection using questionnaires and CMR (Compliance Monitoring Report) observation sheets that apply at PT.X. Measurement of variables using the Guttman scale based on K3 theory and adaptation of previous research. Data analysis using Spearman rank correlation analysis, the dependent variable is work accidents, and the independent variables include OHS knowledge, OHS training, compliance with SOPs, length of service, work shifts. In this study, 30.8% of workers had experienced work accidents. The results of the bivariate test showed that there was a significant relationship between OHS knowledge (pvalue=0.000), OHS training (p value=0.015), compliance with SOP (p value=0.003) with the incidence of work accidents in dump truck operators. Meanwhile, there was no relationship between the variables of length of service (p value=0.619) and work shift (p value=0.213) with the incidence of work accidents among dump truck operators.
TRP, The Magister student Analysis of Factors Related to Job Satisfaction and Its Relationship with Community Satisfaction Paramita, Tri Ratna; Adrianto, Ratno; Ramdan, Iwan Muhamad
Preventif : Jurnal Kesehatan Masyarakat Vol. 16 No. 2 (2025): VOLUME 16 NO.2 TAHUN 2025
Publisher : Tadulako University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/preventif.v16i2.2057

Abstract

The quality of services at RSUD Taman Husada has not met the expected standards, partly due to disparities in employment status affecting compensation and career development. Assessing employee job satisfaction is crucial, as it directly influences service effectiveness and patient satisfaction. This study aimed to describe job satisfaction and community satisfaction at RSUD Taman Husada and to analyze the factors associated with job satisfaction and its relationship to community satisfaction. This study employed a cross-sectional design involving 250 employees at Taman Husada Regional Hospital. Data were collected using a structured questionnaire to assess job satisfaction and community satisfaction. Statistical analyses, including Spearman's rank correlation and logistic regression, were conducted to identify significant factors associated with job satisfaction and its relationship to public satisfaction. The results showed that job satisfaction was categorized as high (78.42), while the community satisfaction index was very good (89.59). Significant factors influencing job satisfaction included achievement, recognition, responsibility, advancement, work itself, compensation, job security, working conditions, organizational policies, technical supervision, and interpersonal relationships (p < 0.005). The most dominant factor was work itself (OR = 16.89). No significant relationship was found between job satisfaction and community satisfaction in the aspect of employee behavior (p = 0.715). It was concluded that intrinsic and extrinsic factors significantly affect job satisfaction. However, a direct relationship with community satisfaction has not been established.
Job Safety Analysis of Forklift Loading and Unloading Activities at PTUnited Tractors Balikpapan Agung Syahrir; Iwan Muhamad Ramdan; Muhammad Sultan
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Work in the industrial sector has a high potential for occupational accidents, especially in material handling activities using heavy equipment such as forklifts. Unsafe actions, unsafe conditions, and lack of operator competence can increase the risk of accidents. Therefore, identifying and controlling workplace hazards is essential to improve occupational safety performance Objective : This study aims to identify potential hazards and assess the level of risk during forklift loading and unloading operations at PT United Tractors Balikpapan using the Job Safety Analysis (JSA) method. Research Methods/ Implementation Methods : This is a descriptive qualitative study conducted through field observation, interviews with three informants (supervisor, forklift operator, and HSE officer), and documentation review. Data were analyzed using Job Safety Analysis (JSA) to determine potential hazards, probability, severity, and control measures. Results : The study identified 15 potential hazards in 8 work stages, including risks of electric shock, falling objects, pinching, and non-ergonomic posture injuries. The main contributing factors were human error, equipment condition, and work environment. Preventive measures include certified operator training, regular equipment maintenance, and consistent use of personal protective equipment (PPE). Conclusion/Lesson Learned : The application of Job Safety Analysis effectively helps identify workplace hazards and improves safety management in forklift operations. Continuous training, supervision, and hazard monitoring are recommended to minimize accident risks.
WORK RELATED HYPERTENSION : Mapping Occupational,Environmental, and Psychosocial Risk Factors from Global andIndonesian Studies Susiana Ambarwaty; Iwan Muhamad Ramdan; Ayu Indira Dwika Lestari
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Hypertension is a major global public health problem and a leading contributor to cardiovascular morbidity and mortality. In occupational settings, exposure to multifactorial risks including work organization, environmental hazards, and lifestyle behaviors would makes workers particularly vulnerable to elevated blood pressure. Objective : This study aims to explore current evidence on the determinants of hypertension among workers, focusing on physiological, occupational, environmental, and psychosocial risk factors. Research Methods/ IA literature review were obtained using electronic databases (PubMed, Scopus, ScienceDirect, Google Scholar) with inclusion criteria encompassing studies published in the last five years.. Eligible studies assessed risk factors associated with blood pressure among workers. mplementation Methods : Results : Fifteen studies that met inclusion criteria were analyzed. Findings were grouped into four main determinants: demographic/physiological, work characteristics, environmental exposures, and lifestyle as a psychosocial factors. Age and male sex consistently increased hypertension risk. Shift work, night shifts, and long working hours disrupted circadian rhythm and were associated with higher blood pressure. Physical workload contributed to increased cardiovascular strain. Noise exposure and benzene toluene xylene (BTX) chemicals were associated with hypertension through oxidative stress and endothelial dysfunction. Metabolic indicators such as obesity, lipid accumulation product (LAP), and visceral adiposity index (VAI) were strong predictors. Psychosocial stress and burnout also elevated risk, whereas smoking showed inconsistent associations across studies. Conclusion/Lesson Learned : Hypertension in workers is driven by interacting occupational, environmental, physiological, and psychosocial risk factors. Effective control requires targeted workplace interventions addressing exposure control, shift and workload management, psychosocial support, and metabolic health screening. A lack of longitudinal and intervention studies represents a significant research gap.
Association Between Safety Behaviour, Compliance with Personal Protective Equipment, and Occupational Health and Safety Performance among Dump Truck Drivers at PT. X, Samarinda Andi Farhan Said; Iwan Muhamad Ramdan; Ida Ayu Indira Dwika Lestari
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Occupational Health and Safety (OHS) implementation in mining operations aims to minimize accidents and occupational diseases. Among dump truck drivers, Behavior toward safety and compliance with personal protective equipment (PPE) use are critical behavioral determinants of OHS performance. However, these factors are often influenced by routine, work pressure, and organizational culture. This study aimed to analyze the relationship between workers’ attitude and compliance with PPE use and OHS performance among dump truck drivers at PT. X Samarinda. Objective : To analyze the relationship between safety behavior and compliance with personal protective equipment (PPE) toward occupational health and safety (OHS) performance among dump truck drivers at PT. X Samarinda. Research Methods/ Implementation Methods : A quantitative study using a cross-sectional design was conducted among 39 dump truck drivers selected through total sampling. Data were collected through validated questionnaires and analyzed using the Spearman Rank correlation test to determine the relationship between safety behavior, PPE compliance, and OHS performance. Results : The majority of respondents were male and aged 30–39 years. Most demonstrated a high level of PPE compliance (82.1%) but a moderate level of safety behavior. The analysis revealed a significant positive relationship between both safety behavior (p < 0.05) and PPE compliance (p < 0.05) with OHS performance. Workers who exhibited a positive safety behavior and consistently used PPE demonstrated better safety performance outcomes. Conclusion/Lesson Learned : Safety behavior and PPE compliance are key behavioral components that significantly affect OHS performance. To enhance sustainable safety behavior, it is recommended that the company apply Behaviour-Based Safety (BBS) strategies such as regular observation of safe and unsafe acts, peer feedback, reinforcement of positive safety behaviors, and participatory safety talks to strengthen workers’ internal motivation and safety culture.
Protecting Nurses from Musculoskeletal Disorders: A Decade Reviewof Ergonomic Practices Hernani Hernani; Iwan muhamad Ramdan; Ida ayu indira dwika Lestari
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Nursing is a physically demanding profession, exposing nurses to high risks of workrelated musculoskeletal disorders (MSDs). Ergonomic interventions are considered essential for preventing these disorders and improving occupational health. Objective : This literature review aims to examine the role of ergonomics in nursing practice and evaluate its effectiveness in reducing MSD prevalence, improving posture, reducing fatigue, and enhancing job performance. Research Methods/ Implementation Methods : A narrative literature review was conducted on 10 peer-reviewed articles published between 2015 and 2025, focusing on ergonomic interventions for nurses in hospital and clinical settings. Data on study objectives, interventions, outcomes, and key findings were extracted and synthesized narratively. Results : The reviewed studies consistently show that ergonomic interventions, including educational programs, posture regulation training, participatory ergonomics, assistive devices, and multifaceted workplace strategies, effectively reduce MSD risks, improve posture, decrease fatigue, and enhance work performance. However, hospital-level policies alone, such as safe patient handling legislation, did not always lead to improved nurse-level outcomes, highlighting a gap between policy, equipment availability, and actual practice. Conclusion/Lesson Learned : Ergonomic strategies are crucial for protecting nurses from MSDs and improving occupational health. Effective interventions combine knowledge, practical application, continuous training, and supportive organizational policies to bridge the gap between institutional programs and daily nursing practices, ultimately promoting safer, healthier, and more productive work environments.