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All Journal Journal of Biomedicine and Translational Research The Indonesian Biomedical Journal Jurnal Kesehatan Komunitas JURNAL PENDIDIKAN TAMBUSAI Jurnal Keperawatan dan Fisioterapi (JKF) JURNAL KEBIDANAN KESTRA (JKK) Jurnal Kesmas dan Gizi (JKG) NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN Jurnal Kebidanan Harapan Ibu Pekalongan Jurnal Aisyah : Jurnal Ilmu Kesehatan JURNAL PENELITIAN KEBIDANAN & KESPRO JURNAL PENELITIAN KEPERAWATAN MEDIK Jurnal Pengmas Kestra (JPK)
Rahmad Gurusinga
Institut Kesehatan Medistra Lubuk Pakam
Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Promotion Mix Strategy to Increase Inpatient Visits at F.L. Tobing General Hospital, Sibolga in 2025 Ade Afifah Aliyah; Rahmad Gurusinga; Sri Melda Bangun; Rahmadani Sitepu; Raisha Octavariny
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/m2crmb33

Abstract

The implementation of hospital promotion strategies through public relations and brand management at F.L. Tobing General Hospital, Sibolga, is influenced by various inhibiting and supporting factors. The main inhibiting factors include limited marketing budgets, a lack of competent human resources in public relations and brand management, suboptimal use of digital media, intense competition from more aggressive private hospitals, and weak promotional effectiveness evaluation mechanisms. Meanwhile, supporting factors include F.L. Tobing General Hospital's status as a government referral hospital, support from local government policies, opportunities for collaboration with various institutions, and increasing management awareness of the importance of promotion and strengthening brand image to increase hospital competitiveness. This study used a descriptive qualitative approach with triangulation of data sources within the F.L. Tobing General Hospital's work area, involving one key informant and 11 triangulation informants, and data collection techniques through observation, interviews, and documentation. The results showed that the advertising strategy was still dominated by internal media such as banners, posters, and brochures. Inpatient sales promotion is conducted through non-tariff promotions due to regulations, including simplified BPJS and insurance administration, service package information, and supporting facilities. Personal selling through empathetic interactions with healthcare workers, oriented toward patient-centered care, is the most influential strategy in building trust and inpatient care decisions. Direct digital marketing through WhatsApp and a reservation system supports rapid information access and increases patient satisfaction and loyalty. Public relations strategies play a crucial role in building image, encouraging positive word of mouth, and increasing inpatient visits. Continuous improvement of interpersonal communication skills, optimization of digital media, and contextual health education for patients' families are recommended.
The Influence of Emergency Service Management Policies on Response Time and Service Quality at RSUD Bangun Purba, Deli Serdang Regency, in 2026 Rieska Ariza; Rahmad Gurusinga; Tati Murni Karokaro
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/xgr2w111

Abstract

Emergency services represent the frontline of hospital care and require optimal response time and high-quality service delivery, with response time and service quality serving as key performance indicators. The achievement of these indicators is strongly influenced by the implementation of effective emergency service management policies. This study aimed to analyze the effect of emergency service management policies on response time and service quality at Bangun Purba Regional General Hospital, Deli Serdang Regency, in 2025. This study employed a quantitative analytical design, with the study population consisting of patients and/or patients’ families who received services at the Emergency Department of Bangun Purba Regional General Hospital. Data were collected through questionnaires and observation, and analyzed using univariate analysis to describe the distribution of study variables and bivariate analysis to examine the relationships between variables. The univariate analysis indicated that emergency service management policies were generally perceived as moderate to good, while response time performance had not fully met the minimum service standards. Bivariate analysis revealed a statistically significant relationship between emergency service management policies and response time (p < 0.05), as well as between management policies and service quality (p < 0.05). Response time was also significantly associated with service quality (p < 0.05), indicating that faster response time was associated with better perceived service quality. In conclusion, emergency service management policies play a crucial role in improving response time and service quality in the emergency department, highlighting the need for strengthened policy implementation, improved adherence to standard operating procedures, and continuous evaluation to enhance service quality and patient safety.
Evaluation of Nurses’ Readiness at the Puskesbun Clinic of PTPN IV Langkat in Managing Medical Emergencies among Plantation Workers Ridwanul Hakim Harsya; Rahmad Gurusinga; Basyariah Lubis
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/1j5n8w64

Abstract

Medical emergencies represent a significant occupational health risk frequently encountered by plantation workers due to the physically demanding nature of their work, the use of work equipment, and exposure to specific environmental conditions. Nurses’ readiness in managing emergency situations is strongly influenced by their level of knowledge, first aid skills, and the availability of healthcare service support. Therefore, this study aimed to examine the readiness of nurses in plantation clinics in dealing with medical emergencies by considering the existing clinical service support.  This study employed a qualitative design with a thematic approach and was conducted at the Puskesbun Clinic of PTPN IV Langkat. The research informants consisted of plantation workers, clinic healthcare personnel, and clinic managers selected through purposive sampling. Data were collected through in-depth interviews, field observations, and document reviews. Data analysis was carried out using thematic analysis, which included data reduction, data display, and conclusion drawing.  The findings indicated that most nurses in plantation clinics possess basic readiness in identifying medical emergency conditions; however, their first aid skills remain limited. Clinical service support plays a significant role in enhancing nurses’ readiness, particularly through the availability of healthcare personnel, initial emergency care services, and medical referral systems. The identified challenges include limited emergency training for nurses, inadequate facilities and infrastructure, and long distances and travel time to referral healthcare facilities.  In conclusion, the readiness of nurses in plantation clinics to manage medical emergencies is not yet optimal and requires further improvement through continuous training, enhancement of clinical facilities, and the development of more effective referral coordination systems.
The Role of Drug Swallowing Supervisors (PMO) in the Success of Pulmonary Tuberculosis Treatment in the Work Area of ​​Community Health Center X Rahmad Gurusinga
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/zn0fzw42

Abstract

Tuberculosis (TB) is an infectious disease that remains a global health problem, with treatment success heavily influenced by patient compliance in taking medication. One effort to improve compliance is through the role of Drug Supervisors (PMOs). This study aims to determine the relationship between the role of PMOs and the success of TB treatment. This study used an analytical design with a cross-sectional approach. The sample size was 43 respondents who were TB patients. Data were collected using observation sheets and analyzed using the chi-square test. The results showed that most respondents with a good PMO role had a treatment success rate of 88.0%, while those with a sufficient PMO role had a treatment success rate of 50.0% and those with a poor PMO role had a treatment success rate of 33.3%. Overall, the treatment success rate reached 69.8%. The statistical test results showed a p-value of 0.007 (p < 0.05), indicating a significant relationship between the role of PMOs and the success of TB treatment. The conclusion of this study is that the role of PMOs is significantly related to the success of TB treatment. Therefore, improving the quality of the PMO role is essential to support patient compliance and improve the success of TB therapy.
Education on Social Stigma Toward Pulmonary Tuberculosis Patients to Enhance Environmental Support Rahmad Gurusinga
JURNAL PENGMAS KESTRA (JPK) Vol. 6 No. 1 (2026): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/r1n8r377

Abstract

Pulmonary tuberculosis (TB) remains a public health problem in Indonesia that requires comprehensive treatment. In addition to medical factors, social stigma against TB sufferers is a major obstacle in disease control efforts. Stigma can hinder early detection, decrease treatment adherence, and reduce support from the surrounding community. This community service activity aims to increase public knowledge and reduce stigma through health education to strengthen support for TB sufferers. The methods used were interactive lectures, discussions, and leaflet distribution to 18 participants consisting of patient families, health cadres, and the general public in the Sialang Buah Community Health Center (Puskesmas) working area. Evaluation was conducted using pre-tests and post-tests to measure changes in knowledge levels. The results showed an increase in the average knowledge score from 62 before the intervention to 84 after the intervention. The percentage of participants with good knowledge increased from 22% to 72%, while the percentage with poor knowledge decreased from 28% to 6%. Furthermore, there was a change in participants' attitudes, becoming more positive, empathetic, and supportive of TB sufferers. This demonstrates the important role of health education in increasing understanding and reducing social stigma in the community. In conclusion, health education is an effective strategy to support TB control by increasing public knowledge and changing attitudes. Ongoing community-based education is recommended to maintain the achieved results.
Co-Authors Adang Bachtiar Ade Afifah Aliyah Ade Muliani Afrizal Afrizal Ahmad Hafizullah Ritonga Aisiyah Hasibuan Anita Sri Gandaria Purba Anita Sri Gandaria Purba Aprilius Simanjuntak Arfah May Syara Arfah May Syara Arif Sujatmiko Aritonang, Barita Beny Irawan, Beny Bunga Br Saragih Chandra Pranata Dewi Ramayani Eka Yustina Elsaria Br Sembiring Erlina Burhan Fadlilah Widyaningsih Felix Kasim Firdawati Firdawati Fredy Kalvin Tarigan Ginting, Desideria Yosepha Herlina Barus Herlina Herlina Herlina J. EL- Matury Ika Nur Saputri Indah Pratiwi Irmayani Irmayani Iskandar Markus Iskandar Markus Sembiring Jendrius Jendrius Kardina Hayati Karnirius Harefa Karokaro, Tati Murni Kuat Sitepu Latifatul Robbaniyah Lubis, Basyariah Marudin, Mangapoh Ferry Megawati Sinambela Melani, Hafzah Mila Gustia Munthe, Novita Br Ginting Nababan, Saroha Ingot Hatoguan Nemas Adelina Lubis Novita Br Ginting Nurmailaini Friska Putra, Tomy Rahmadani Sitepu Raisha Octavariny Ridwanul Hakim Harsya Rieska Ariza Rima Semiarty Riri Safitri Risky Yulanda Rizanda Machmud Ruth Margaretha Sitanggang Samran, Samran Samsinar Sari Desi Esta Ulina Sitepu Sari Desi Esta Ulina Sitepu Sarmana . Sarmana Sarmana Sembiring, Hedni Febrianty Shintya Handayani Sirait, Reni Aprinawaty Sitepu, Abdi Lestari Sri Melda Bangun Sri Wulan Sri Wulan, Sri Syafrida Eriyanti Syatriawati Suhaimi Syatriawati Syatriawati Tarigan, Koko Prananda Virta Filantropi Zebua Widya . Winda Ardyana Hutagaol Yunus, Albrianto