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All Journal International Journal of Public Health Science (IJPHS) Jurnal Kesehatan Lingkungan indonesia Disease Prevention and Public Health Journal Jurnal Kesehatan Masyarakat PROSIDING SEMINAR KIMIA The Indonesian Journal of Occupational Safety and Health E-Dimas: Jurnal Pengabdian kepada Masyarakat Public Health of Indonesia Jurnal Abdimas BSI: Jurnal Pengabdian Kepada Masyarakat Jurnal Keperawatan Padjadjaran Sebatik Jurnal Epidemiologi Kesehatan Komunitas Jambura Journal of Health Sciences and Research Faletehan Health Journal Jurnal Ners Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Jurnal Kesmas Untika Luwuk: Public Health Journal Indonesian Journal of Global Health research Jurnal Penelitian TROPHICO: Tropical Public Health Journal Periodicals of Occupational Safety and Health Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Proceeding Mulawarman International Conference on Tropical Public Health Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) National Journal of Occupational Health and Safety Preventif : Jurnal Kesehatan Masyarakat
Iwan Muhamad Ramdan
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Biochemistry, Genetics & Molecular Biology Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Faktor-faktor yang Berhubungan Dengan Kinerja Pegawai Puskesmas dalam Meningkatkan Pelayanan Kesehatan di Puskesmas X Samarinda Tistania, Nurul Rizkiana; Ramdan, Iwan Muhamad; Sedionoto, Blego; Rohmah, Nur; Ningsih, Riyan; Adrianto, Ratno
Jurnal Ners Vol. 10 No. 1 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.51316

Abstract

Kinerja pegawai di Puskesmas X merupakan elemen strategis dalam menjamin mutu layanan kesehatan primer, sehingga perlu ditingkatkan melalui pendekatan sistematis terhadap faktor-faktor internal pegawai. Penelitian ini bertujuan untuk menganalisis faktor-faktor apa saja yang berhubungan dengan kinerja. pegawai dalam meningkatkan pelayanan kesehatan di Puskesmas X Samarinda pada tahun 2025. Penelitian ini merupakan penelitian metode kuantitatif dengan pendekatan cross-sectional dengan teknik pengambilan sample yaitu Total Sampling dan jumlah 54 responden, penelitian dilakukan di Puskesmas X dengan pengumpulan data primer melalui kuesioner. Analisis data menggunakan uji Chi-Square sedangkan analisis multivariat menggunakan Analisis Regresi Logistik Hasil penelitian menunjukkan hubungan signifikan antara tekanan kerja (p=0,016), kepuasan kerja (p = 0,034) , dan loyalitas ( p = 0,007) terhadap kinerja pegawai Puskesmas X. Namun, tidak ditemukan hubungan antara kemampuan (p= (0,651) dan rekan kerja (0,313) dengan kinerja pegawai. Variabel yang paling dominan berpengaruh terhadap kinerja pegawai adalah loyalitas (Exp (B) = 4,714 yang mengindikasikan bahwa pegawai dengan loyalitas yang cukup memiliki peluang 4,7 kali lebih besar untuk menunjukkan kinerja yang baik dibandingkan dengan pegawai yang loyalitas nya kurang mendukung. Disarankan Puskesmas mengadakan pelatihan dan pengembangan kompetensi secara berkala menciptakan lingkungan kerja yang kondusif dengan menanamkan nilai-nilai budaya organisasi yang positif agar tercipta kinerja yang baik.
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 Syahrir, Agung; Ramdan, Iwan Muhamad; Sultan, Muhammad
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 Ambarwaty, Susiana; Ramdan, Iwan Muhamad; Lestari, Ayu Indira Dwika
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 Said, Andi Farhan; Ramdan, Iwan Muhamad; Lestari, Ida Ayu Indira Dwika
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; Ramdan, Iwan muhamad; Lestari, Ida ayu indira dwika
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.
Whole-Body Vibration Exposure Among Heavy Equipment Operators at PT X, West Kutai, East Kalimantan Sudjana, Putra Eka; Ramdan, Iwan Muhamad; Sultan, Muhammad; Lestari, Ida Ayu Indira Dwika
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

Coal mining activities represent one of the industrial sectors with intensive use of heavy equipment, operating at large scales and for prolonged durations. The operation of these machines generates mechanical vibrations, which are significant physical risk factors in the working environment. Vibrations transmitted to the body of operators can not only cause discomfort but also have detrimental effects on health, such as circulatory disturbances, reduced visual focus, nerve problems, and musculoskeletal disorders. The incidence of occupational accidents and work-related diseases in mining sector continues to increase, highlighting the importance of managing ergonomic risk factors, especially whole body vibration, in the implementation of occupational safety and health programs. To protect workers, the government through the Ministry of Manpower Regulation No. 5 of 2018 To assess the whole-body vibration exposure among heavy equipment operators at PT X, West Kutai, East Kalimantan, and evaluate its compliance with the occupational exposure limits as regulated by the Minister of Manpower Regulation No. 5 of 2018 Measurements were conducted on 18 units of heavy equipment at PT X Kutai Barat using a Human Vibration Meter Svantek SV 106, following SNI 7186:2021. The results showed that 11 units exceeded the exposure limit of 0.8661 m/s² for an 8-hour work period, with the dominant vibration direction occurring along the vertical axis. The highest vibration levels were recorded in the Service Truck (1.7765 m/s²) and Dump Truck (1.8203 m/s²). It is recommended that control measures be implemented through adjustments to exposure duration, and vibration damping modifications to prevent musculoskeletal health risks among operators.
Effect of Provideing Ergonomic Method Video to the Porters at Samarinda Pasar Pagi’s Dock Al Khairi, Rifani Amar; Ramdan, Iwan Muhamad; Setyowati, Dina Lusiana
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 : According to the 2018 RISKESDAS data, the prevalence of musculoskeletal disorders in East Kalimantan was 8.12%, with the highest rates observed among farmers/laborers (9.9%), civil servants (7.5%), and fishermen (7.4%). Knowledge is one of the key factors influencing ergonomic posture. The use of interactive media, such as educational videos, can enhance the effectiveness of information delivery, thereby improving comprehension, knowledge, and attitudes toward ergonomic practices. Objective : Determine the effect of providing an ergonomic method video on the knowledge and work posture of porters at the Samarinda Pasar Pagi's Dock Research Methods/ Implementation Methods : This research is using quasi-experimental. Total of 30 respondents were involved as the research sample. Musculoskeletal complaints were measured using the Nordic Body Map instrument, while knowledgment & body posture was analyzed using questionnaire & Rapid Entire Body Assessment. Results : The experimental group showed a significant increase in knowledge (p = 0.003), indicating that the ergonomic lifting and carrying video effectively improved knowledge. However, there was no significant effect on reducing work posture risk on experimental group (p = 0.180). Conclusion/Lesson Learned : Based on the results and discussion, several conclusions can be drawn from the study : a. There was a significant increase in knowledge before and after the ergonomic lifting-and-carrying video intervention in the experimental group. b. There was no significant reduction in work posture risk in the experimental group after the intervention.
Implementation of Hospital Occupational Health and Safety Programs in Indonesia: A Scoping Review Agustina, Putri; Ramdan, Iwan Muhamad; Lestari, Ida Ayu Indira Dwika
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 : Hospitals expose employees to various occupational hazards, including biological, chemical, ergonomic, and psychosocial risks. Although Indonesia has regulations such as Minister of Health Regulation No. 66/2016 on Hospital OHS (K3RS) and the 2024 Hospital Accreditation Standards (KMK No. 1596/2024), OHS program implementation remains inconsistent. Understanding their execution is crucial to enhancing worker and patient safety. Objective : This scoping review aims to map existing evidence on the implementation of hospital occupational health and safety programs (K3RS) in Indonesia, focusing on governance, risk management, program domains, monitoring indicators, enablers, and barriers. Research Methods/ Implementation Methods : The review followed the Joanna Briggs Institute (JBI) framework and PRISMA-ScR guidelines. Literature published between 2015 and 2025 was identified from PubMed, Google Scholar, GARUDA, and DOAJ using keywords related to “K3RS,” “hospital,” “implementation,” and “Indonesia.” Eligible studies included empirical research, reports, and policy analyses focusing on K3RS implementation. Data were charted and synthesized thematically. Results : Hospitals expose employees to various occupational hazards, including biological, chemical, ergonomic, and psychosocial risks. Although Indonesia has regulations such as Minister of Health Regulation No. 66/2016 on Hospital OHS (K3RS) and the 2024 Hospital Accreditation Standards (KMK No. 1596/2024), OHS program implementation remains inconsistent. Understanding their execution is crucial to enhancing worker and patient safety. Conclusion/Lesson Learned : Implementation of hospital OHS programs in Indonesia is progressing but uneven. Strengthening governance, standardizing indicators, and embedding risk-based monitoring are essential for achieving safer hospital work environments.
The Physical and Psychosocial Risk Factors of WRMSDs AmongNurses in Hospital: A Systematic Review Prayogi, Wahyu Tri; Ramdan, Iwan Muhamad; Lestari, Ida Ayu Indira Dwika
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 : Nurses are one of the professions most vulnerable to musculoskeletal pain due to their physically demanding clinical work, which involves prolonged standing, walking, heavy lifting (e.g., carrying patients, medical equipment), and repetitive movements. Objective : The aim of this study was to investigate the prevalence of musculoskeletal disorders at body region on nurses and its associated physical and psychosocial factors in the workplace. Research Methods/ Implementation Methods : This study is a systematic review of the prevalence of WRMSDs and their association with physical and psychosocial factors in nurses. The study was designed using reporting methods based on the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines. Results : A review shows that the prevalence of WRMSDs in nurses is very high, ranging from 77%– 97%, with the most frequently affected locations being the lower back, neck, and shoulders. The most frequently reported physical factors are significantly associated with: awkward postures, lifting or moving patients, lack of assistive devices, long work hours and inadequate rest, and understaffing. Psychosocial factors have a significant direct or indirect influence on WRMSDs in many studies: job stress and high psychological demands, lack of social support, work-family conflict, poor leadership, and anxiety or burnout. Conclusion/Lesson Learned : WRMSDs are the most common occupational health problem among nurses. Physical and psychosocial factors contribute significantly, both independently and mutually reinforcing. Effective prevention must include multidimensional interventions, including: Improved work ergonomics (assistive devices, work positions, task rotation), workload management and shift schedules, increased social support and positive leadership, and stress management and psychological well-being programs.
Co-Authors Adrianto, Ratno Al Khairi, Rifani Amar Ambarwaty, Susiana Astuti - Azizah Azahra Bahtiar, Rahmat Berliana Devianti Putri Blego Sedionoto, Blego Chilwindwi, Bratarini Hassya Dedy Cahyadi, Dedy Dewi Novita Hardianti DEWI SARTIKA Dina Lusiana Setyowati Djoko Setyadi Dyyka Indah Wijayanti Firdaus, Ade Rahmat Gita Nurhikma Harmawati Hasanah, Dewi Transmiatun Haviluddin Haviluddin HERNANI - Ida Lestari Ifroh, Riza Hayati Ilmiah, Siti Hikmatul Indah Fitri Astuti, Indah Fitri Indira Dwika Lestari, Ida Ayu Irfansyah Baharuddin Pakki Iriyani Kamaruddin, Iriyani Isnaniah Saputri, Annisa Khoirunnita, Aulia Kirana, Anindya Sashi Krishna Purnawan Candra Lestari, Ayu Indira Dwika Lestari, Ida Ayu Indira Dwika Lumingkewas, Meilanie Geofanni Muhammad Sultan Muhammad Sultan, Muhammad Noriah, Noriah Nur Rohmah Nur Septia Handayani Paramita, Tri Ratna Prayogi, Wahyu Tri Purwanto, Herry Putri Agustina Riyan Ningsih Sahil, Muhammad Sadik Said, Andi Farhan Salsabil, Tarissa Zahrina Setianingtyas, Endah Dwi Sudarmiyati, Nunuk Sudjana, Putra Eka Sumarianto, Arif Syahrir, Agung Tistania, Nurul Rizkiana Tiyanpri Bayu Laksmono Tiyanpri Bayu Laksmono Wahyudi, Ayu Huwaidah Wijayanti, Dyyka Indah