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Rusnoto Rusnoto
Universitas Muhammadiyah Kudus
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INOVASI PENGELOLAAN SAMPAH BERBASIS MASYARAKAT “BANK SAMPAH” DIDESA PRAMBATAN LOR KALIWUNGU KUDUS Noor Cholifah; Rusnoto Rusnoto; Rizka Himawan
Jurnal Abdimas Indonesia Vol 4, No 2 (2022): JURNAL ABDIMAS INDONESIA
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jai.v4i2.1712

Abstract

Sampah menjadi salah satu pokok permasalahan lingkungan bukan hanya di Indonesia yang membutuhkan pengelolaan yang penting dan serius. Pulau Jawa merupakan daerah yang memproduksi sampah perhari yang cukup tinggi. Desa Prambatan lor merupakan salah satu desa di Kabupaten Kudus, Jawa tengah yang masyarakatnya memiliki kebiasaan membakar atau menimbun sampah, belum dapat memisahkan sampah organik dan anorganik. Tujuan dilakukan kegiatan pengabdian ini adalah untuk meningkatkan pengetahuan, keterampilan dan nilai ekonomi melalui pengelolaan sampah. Metode pendekatan yang dilakukan yaitu membentuk kader, memberikan pendidikan kesehatan tentang pengelolaan sampah, dan pelatihan membuat bros dari sampah anorganik kepada para pemuda di wilayah desa. Hasil dari pelaksanaan pengabdian kepada masyarakat yang dilakukan didapatkan terbentuknya kader muda sebanyak 20 orang, peningkatan pengetahuan kader muda sebesar 80%, dan bros yang dapat dijual sebanyak 30 buah. Kesimpulan pengabdian kepada masyarakat di wilayah desa prambatan lor kaliwungu kudus yaitu kader yang terbentuk dapat mengetahui peran pemuda dan ibu ibu dalam pengelolaan sampah dan mengolah sampah menjadi memiliki nilai ekonomi.
Pengaruh Frekuensi Senam Aerobik Mix Impact Selama 40 Menit Teradap Penurunan Berat Badan pada Komunitas Senam di Desa Kumendung Rembang Lailatul Ulissyafa’ah; Rusnoto Rusnoto; Sri Siska Mardiana
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.v9i4.51254

Abstract

loss in the gymnastics community in Kumendung Village, Rembang. The research design used was a quasi-experiment with a pretest-posttest design in two groups. The number of samples was 20 respondents, divided into two groups with different frequencies of gymnastics. The research instrument was in the form of a weight observation sheet, while the data analysis used a paired t-test and an independent sample t-test. The results showed that in the first group there was an average weight decrease of 2.20 kg with a value of p = 0.001, while in the second group there was an average decrease of 4.50 kg with a value of p = 0.000. This proves that 40-minute mix-impact aerobic exercise has a significant effect on weight loss, although comparisons between the two groups show no significant difference. In conclusion, mixed impact aerobic gymnastics can be used as one of the effective methods in weight loss programs, if it is done regularly and accompanied by a healthy lifestyle.
Analisis Penanganan Komplain Pasien Oleh Tim Customer Service (Studi Kualitatif di Rumah Sakit X Kudus) Zia Ul Haq; Rusnoto Rusnoto; Fitriana Kartikasari
Journal of Innovative and Creativity (Joecy) Vol. 6 No. 2 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i2.12242

Abstract

Komplain adalah sebuah tindakan yang dilakukan oleh seseorang dengan tujuan mengkomunikasikan sesuatu yang negatif terhadap produk atau pelayanan yang dipasarkan. tujuan penelitian ini adalah untuk menganalisis proses penanganan komplain pasien serta menganalisis hambatan yang dihadapi saat penanganan komplain pasien. penelitian ini menggunakan desain penelitian kualitatif deskriptif. metode analisis data menggunakan model Miles, Huberman & Saldana yaitu berupa reduksi data, penyajian data, dan penarikan kesimpulan. Proses penanganan komplain di Rumah sakit X kudus menerapkan sistem penangan berjenjang mulai dari level customer service, eskalasi ke humas, wakil direktur hingga direktur rs. Ini menunjukkan Rumah Sakit X Kudus sudah matang dalam menangani komplain pasien. Adapun hambatan dalam penanganan komplain pasien berupa hambatan internal dan eksternal. Hambatan Internal yaitu keterbatasan sumber daya manusia, kurangnya kompetensi staff, miskomunikasi, hingga beban kerja yang tidak seimbang. Sedangkan untuk hambatan ekternal yaitu berupa emosi pasien tinggi, ancaman hukum dan viralisasi di media sosial serta penggunaan identitas anonim di platform digital. Saran dapat disampaikan kepada Rumah Sakit X Kudus yaitu melakukan upaya penambahan staff penanganan komplain, implementasi program pelatihan, memperbaiki sistem komunikasi antar unit serta pengembangan strategi pengelolaan media sosial dan komplain digital.
Legal Analysis of Patient and Family Consent as a Form of Agreement in the Implementation of Medical Procedures in Hospitals Muhammad Purnomo; Rusnoto Rusnoto; Achmad Jumeri Pamungkas
JURNAL AKTA Vol 13, No 2 (2026): June 2026
Publisher : Program Magister (S2) Kenotariatan, Fakultas Hukum, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/akta.v13i2.52333

Abstract

Patient and family decision-making regarding medical procedures is a crucial process in health care that requires conscious and voluntary consent, known asinformed consentThis process is influenced by various multidimensional factors that are not yet fully understood, especially in private hospitals in Central Java. Objective:This study aims to identify and analyze factors that influence patient and/or family decision-making regarding medical procedures performed by doctors. Method: This quantitative research uses an approachanalytical descriptivewith designcross-sectional.A sample of 120 respondents was selected using the techniquepurposive samplingfrom six private hospitals in Kudus, Demak, and Jepara Regencies. Data were collected using a structured questionnaire that had been tested for validity and reliability, and analyzed using a multivariate analysis.Pearson Correlation And simple linear regression. Results:There is a significant relationship between knowledge (r=0.304; p=0.001), psychological (r=0.323; p=0.001), cultural-religious (r=0.336; p=0.001), economic conditions (r=0.925; p=0.001), and trust in medical personnel (r=0.334; p=0.001) factors with medical decision-making. Multivariate analysis shows thateconomic conditionsis the most dominant factor influencing patient decisions (R²=0.864; p=0.001).Conclusion:Patient and family decision-making regarding medical procedures is influenced by various factors, primarily economic conditions, followed by cultural-religious and psychological aspects. Interventions that strengthen psychological support, are sensitive to cultural values, and improve financial access are key to improving the process.informed consentwhich is more effective.
Effectiveness of Coping Through Audio Visual Education of J. Watson's Caring Concept Model on Reducing Anxiety Pre Percutaneous Coronary Intervention (PCI) of Cad Patients in the Hospital Endah Tri Rahayuningrum; Tri Ismu Pujianto; Rusnoto Rusnoto
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6888

Abstract

Coronary Heart Disease (CHD) is the leading cause of death globally, including in Indonesia. One of the procedures to treat CHD is Percutaneous Coronary Intervention (PCI), but this action often causes significant anxiety in patients. Unmanaged anxiety can worsen the physical and mental condition of patients. This study aims to analyze the effectiveness of audio-visual education based on the Caring Jean Watson concept in reducing anxiety in pre-PCI patients at Dr. Loekmonohadi Hospital, Kudus. The study design was a quasi-experiment with a "nonequivalent control group design", involving 40 patients divided into two groups: intervention (Watson's audio-visual caring education) and control (conventional education). Anxiety levels were measured using the Hospital Anxiety and Depression Scale (HADS) before and after the intervention. The data obtained before being analyzed was tested using the Shapiro-Wilk test to ensure that the data was normally distributed, then a parametric paired T-test was carried out to see the difference in anxiety between before and after being given education. The results showed a significant decrease in anxiety in the intervention group, where 45% of patients reached normal anxiety levels and only 10% still experienced severe anxiety. In contrast, in the control group, 70% of patients remained at severe anxiety levels. The paired T-test statistical test produced a p-value of 0.000 (p < 0.05 ), indicating a significant difference before and after education. Caring-based audio-visual education has been shown to be effective in reducing pre-PCI patient anxiety.
Application of Jean Watson's Theory of Human Caring Towards the Independence of HIV/AIDS Patients in Hospitals: A Systematic Review Edi Susanto; Rusnoto Rusnoto; Fery Agusman Motuho Mendrofa
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): 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.v8i1.288

Abstract

HIV/AIDS is a global health problem that remains a major challenge, particularly regarding quality of life, stigma, and patient independence in long-term care. Jean Watson's Human Caring Theory offers a holistic approach that focuses on therapeutic relationships, respect for human dignity, and emotional and social support, potentially increasing the independence of HIV/AIDS patients in the hospital. This study aims to identify, synthesize, and analyze scientific evidence regarding the application of Jean Watson's Theory of Human Caring to increasing the independence of HIV/AIDS patients in hospitals. This study used a Systematic Review method with PRISMA guidelines. Literature sources were searched through Google Scholar, Semantic Scholar, ProQuest, and ScienceDirect for the years 2015–2025. The keywords used were human caring, Jean Watson, independence, PLWHA, HIV/AIDS, hospital. Of the 1,099 articles found, 8 articles met the inclusion criteria for further analysis. The review showed that the implementation of Human Caring improved communication, motivation, social interaction, medication adherence, and quality of life in HIV/AIDS patients. Factors such as family support, employment status, clinical condition, and psychosocial support were shown to influence patients' levels of independence. The caring approach also reduced stigma, strengthened self-confidence, and encouraged active patient involvement in care. Jean Watson's Theory of Human Caring has been shown to contribute significantly to increasing the independence of HIV/AIDS patients in hospitals through a holistic and multidimensional approach. Future research is recommended to develop a caring-based intervention model with more measurable effectiveness tests using experimental or quasi-experimental designs and incorporating independence as the primary indicator.
Implementation of Surgical Site Bundles in Reducing the Incident of Surgical Site Infections in Hospitals: A Systematic Review Aris Mulyanto; Rusnoto Rusnoto; Blacius Dedi
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): 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.v8i1.289

Abstract

Surgical Site Infection (SSI) is a post-surgical complication that significantly contributes to increased morbidity, mortality, and hospital costs. The prevalence of SSI in Indonesia is reported to reach 2.3–18.3 % and is an important indicator of service quality. One effective prevention strategy is the implementation of a surgical site bundle, a collection of evidence-based interventions that must be implemented consistently. This article aims to systematically review empirical evidence regarding the effectiveness of implementing bundled surgical sites in reducing the incidence of SSI in hospitals. This study is a systematic review using the PRISMA protocol. Article searches were conducted through Google Scholar, Semantic Scholar, ProQuest, and ScienceDirect with publications spanning 2015–2025, Keywords used Surgical Site Bundle, Surgical Site Infection, compliance, hospital. Of the 1,285 articles found, eight articles met the inclusion criteria for analysis, covering quantitative, qualitative, and program evaluation designs related to the implementation of SSI bundles in hospitals. The review showed that bundle implementation was proven to reduce SSI rates. Studies in the United States reported a 30% reduction in SSIs in colorectal surgery, while in gynecologic oncology the incidence of SSIs decreased from 6% to 1.1%. Studies in Indonesia showed that bundle compliance was negatively associated with SSI rates (r = -0.502; p < 0.05 ) and that its implementation was able to shorten patient lengths of stay. However, the effectiveness of bundles is highly dependent on full compliance by healthcare workers and support from hospital management functions. Implementation of the surgical site bundle is effective in reducing SSI rates in hospitals, but its success is determined by consistent implementation, full adherence to the bundle elements, and management oversight. Efforts to improve education, audits, feedback, and patient engagement need to be strengthened to ensure sustainable implementation.
Diterminant Factors of Hemodialysis Compliance in CKD Patients in the Hospital: A Systematic Review Edy Wiyono; Rusnoto Rusnoto; Fery Agusman Motuho Mendrofa
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): 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.v8i1.290

Abstract

hronic kidney disease (CKD) is a global health problem with increasing prevalence, particularly in end-stage patients requiring renal replacement therapy in the form of hemodialysis. The success of hemodialysis is greatly influenced by patient adherence to the treatment regimen, including dialysis attendance, fluid restriction, diet, and medication use. However, patient adherence remains variable and tends to be low, particularly with regard to diet and fluid restriction. This study aims to identify and analyze the determinant factors that influence the compliance of CKD patients in undergoing hemodialysis in hospital. This study used a systematic review with PRISMA guidelines. A literature search was conducted through electronic databases covering the period 2015–2025. Literature searches were obtained from Google Scholar, Semantic Scholar Proquest, and ScienceDirect . The keywords used were CKD, hemodialysis , determinant factors, adherence, hospital . Of the 1,145 articles obtained, 10 met the inclusion criteria and were subjected to further analysis. The results of the study showed that the dominant factors influencing patient compliance were economic factors (p = 0.009) , patient knowledge and education (p = 0.001) , and family support (p = 0.000) . In addition, the factor Occupation (p = 0.026) , duration of hemodialysis (p = 0.000) , and psychological aspects such as sleep quality (OR = 3.36 ) and depression also significantly contribute to patient compliance. These factors play a multidimensional role and interact with each other in influencing patient compliance. Adherence to hemodialysis in CKD patients is influenced by a combination of economic factors, knowledge, family support, sociodemographic factors, and psychological conditions. Interventions that emphasize financial support, increased health literacy, and active family involvement are crucial for increasing adherence, improving quality of life, and producing better clinical outcomes in hospitalized CKD patients.
Hubungan Obesitas, Pola Makan, dan Usia dengan Kejadian Diabetes Mellitus Aricca Azza Najikha; Rusnoto Rusnoto; Anny Rosiana Masithoh
Jurnal Penelitian Perawat Profesional Vol. 7 No. 5 (2025): Oktober 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i5.709

Abstract

Diabetes mellitus (DM) merupakan salah satu penyakit kronis yang pemicunya banyak dipengaruhi oleh faktor keturunan serta kebiasaan hidup sehari-hari. Tren peningkatan jumlah penderita DM yang terus terjadi dari waktu ke waktu menandakan bahwa penyakit ini bukan sekadar persoalan individu, melainkan masalah kesehatan masyarakat yang perlu mendapat perhatian serius. Penelitian ini bertujuan menganalisis keterkaitan antara faktor obesitas, pola konsumsi makanan, dan kelompok usia dengan kejadian diabetes mellitus pada masyarakat yang menjadi wilayah kerja Puskesmas Margoyoso II. Pendekatan penelitian yang digunakan bersifat analitik dengan rancangan cross-sectional. Populasi dalam penelitian ini adalah seluruh penderita diabetes sebanyak 33 orang. Jumlah sampel dihitung dengan rumus slovin didapatkan jumlah sampel sebanyak 30. Instrumen penelitian berupa lembar kuesioner pola makan, rekam medis, dan pengukuran fisik. Uji validitas kuesioner pola makan diatas 0,349 dan reliabilitas sebesar 0,712 dinyatakan valid dan reliabel. Uji statistik menggunakan uji Chi- Square. Hasil penelitian ini disimpulkan bahwa ada hubungan obesitas (0,010), pola makan (0,023), dan usia (0,042) dengan kadar gula darah penderita diabetes di wilayah puskesmas Margoyoso II.
Hubungan Sikap Perawat dan Ketersediaan Fasilitas dengan Kepuasan Pasien Dian Ayu Lestari; Rusnoto Rusnoto; Umi Faridah
Jurnal Penelitian Perawat Profesional Vol. 8 No. 1 (2026): Februari 2026, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v8i1.1465

Abstract

Kepuasan pasien merupakan salah satu indikator kualitas pelayanan rumah sakit yang penting untuk dievaluasi secara berkelanjutan. Beberapa keluhan pasien berkaitan dengan waktu tunggu pelayanan, keterlambatan dalam pemenuhan kebutuhan dasar, serta kenyamanan ruang perawatan yang dianggap masih kurang optimal. Penelitian ini bertujuan untuk mengetahui hubungan antara sikap perawat dan ketersediaan fasilitas dengan tingkat kepuasan pasien di ruang rawat inap RS Sarkies ’Aisyiyah Kudus. Penelitian ini menggunakan desain penelitian analitik korelasional dengan pendekatan cross-sectional. Populasi penelitian adalah seluruh pasien rawat inap sebanyak 200 orang kemudian dihitung dengan rumus slovin ditetapkan 133 pasien yang diambil dengan teknik accidental sampling sesuai kriteria inklusi. Instrumen penelitian berupa kuesioner sikap perawat, ketersediaan fasilitas, dan kepuasan pasien yang telah diuji validitas dan reliabilitasnya. Analisis data dilakukan menggunakan uji rank spearman.  Hasil Penelitian menyimpulkan ada hubungan antara sikap perawat (0,000) dan ketersediaan fasilitas (0,000) dengan tingkat kepuasan pasien di ruang rawat inap RS Sarkies Aisyiyah Kudus.
Co-Authors Achmad Jumeri Pamungkas Ahmad Farid Ahmad Farouk Anis Lailatul Qudriyah Anny Rosiana Masithoh Anny Rosiana Masyitoh Aricca Azza Najikha Arief Adi Saputro Arina Lis Sa’adah Aris Mulyanto Ashri Maulida Rahmawati Aurora Sinta Sabila Blacius Dedi Ckancer Bela Romantis Dewi Murti Sari Diah Andriani Kusumastuti Dian Ayu Lestari Diana Tri Lestari Dwi Rizqi Roniawati Edi Susanto Edy Wiyono Endah Tri Rahayuningrum Fery Agusman Motuho Mendrofa Fitriana Kartikasari Indanah Ingrid Novi Aryani Ingrid Novi Aryani Kartika Sari Kiki Afonita Lailatul Ulissyafa’ah Lasmini Lasmini Mardiana, Sri Siska Muhamad Jauhar Muhammad Purnomo Noor Cholifah Noor Cholifah Noor Hidayah Noor Hidayah Nurlaily Prasetyawati Rika Barotut Taqiyah Rizka Himawan Rizki Ana Santi Salsabella Wahyuning Tyas Septina Rahmawati Sri Siska Sri Wahyuningati Sukesih Sukesih Syahid Fatah Cokropranoto Tafta Ghazi Tities Kusuma Pratama Tri Ismu Pujianto Tri Puji Utomo Tri Suwarto Umi Faridah Yunita Febrianti Zaenal Fanani Zia Ul Haq