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Determinants of Health Workers Compliance in Implementing EMR in Regional Hospitals in Bali Sri Wahyuningsih, Luh Gde Nita; Susanti, Ni Luh Putu Dina
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.24532

Abstract

Electronic Medical Records (EMRs) refer to the digitization of medical documentation and associated processes, aimed at enhancing data completeness and accuracy. This study examined the compliance of health workers with EMR system implementation. The research was conducted at Klungkung Regency Hospital in Bali, involving 520 participants, including general practitioners, specialists, nurses, midwives, medical record officers, health analysts, pharmacists, nutritionists, and radiographers. Data were collected using a structured questionnaire distributed via Google Forms, employing a total sampling technique. The findings revealed that several factors, namely competence in information technology, system knowledge, perceived benefits and ease of use, as well as organizational support and training, were significantly associated with EMR implementation. Among these, system knowledge exerted the strongest influence, with an Adjusted Odds Ratio (AOR) of 3.549. This suggests that respondents with a high level of system knowledge were over three times more likely to implement EMRs effectively compared to those with limited understanding. Knowledge plays a pivotal role in preparing health workers for technological adaptation. Those with sufficient knowledge are better equipped to navigate system features and apply them in accordance with established standard operating procedures. Health workers who possess a strong understanding of EMRs tend to be more receptive to adopting the system, underscoring the importance of comprehensive training and education. Enhancing knowledge through targeted training, socialization, and continuous professional development is essential to ensure the successful implementation and optimal utilization of EMRs in healthcare settings Keywords: Electronic Medical Record, Health Worker Compliance
Health Education Using Health Belief Model for Early Mobilization and Pain Post-Cesarean: A Literature Review Ekabudiningsih, Vinda; Susanti, Ni Luh Putu Dina; Diyu, Ida Ayu Ningrat Pangruating; Sagitarini, Putu Noviana
Babali Nursing Research Vol. 7 No. 1 (2026): January
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2026.71531

Abstract

Introduction: Postoperative pain and delayed mobilization after cesarean section (CS) can prolong recovery, increase complication risks, and extend hospital length of stay. Preoperative education is a non-pharmacological strategy to improve readiness, and the Health Belief Model (HBM) offers a structured approach by targeting perceived susceptibility, severity, benefits, barriers, cues to action, and self-efficacy. This review examined how HBM-based preoperative health education influences postoperative pain and early mobilization among CS patients. Methods: A Systematic Literature Review (SLR) was conducted using Kitchenham’s stages (planning–implementation–reporting) and reported using PRISMA 2020. Searches were performed in ScienceDirect and PubMed using the terms “Health Belief Model,” “postoperative pain,” “early mobilization,” and “cesarean section.” Eligible studies were full-text articles (2020–2024), written in English or Indonesian, that applied or discussed HBM within health interventions. From 3,218 records, 17 studies met the inclusion criteria after screening. Results: Across studies, HBM-based education was associated with improved patient understanding, stronger self-efficacy, and reduced psychological barriers (e.g., fear of pain or wound disruption), which supported earlier rising and increased physical activity. Higher self-efficacy and fewer perceived barriers were consistently linked to lower discomfort and faster functional recovery. Several studies also indicated that multimedia-supported education enhanced engagement and message clarity, potentially strengthening cues to action. Conclusion: HBM-based preoperative education shows promise for supporting pain management and promoting early mobilization after CS, thereby facilitating recovery and improving care efficiency.
Program Edukasi Integrasi Perawatan Paliatif dan Perawatan Jangka Panjang dalam Meningkatkan Pengetahuan Pasien Gagal Ginjal Kronik Stadium Akhir Agustini, Ni Luh Putu Inca Buntari; I Putu Gede Darmayasa; I Nengah Agus Mega Aryawan; Ida Ayu Ketut Adi Setiawati; Ni Kadek Leni; Ni Made Wirantini; Ni Luh Tutik Hermi Wahyuni; Susanti, Ni Luh Putu Dina; Israfil, Israfil; I Gede Putu Darma Suyasa; Ni Luh Dwi Indrayani
Ahmar Metakarya: Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2026): Ahmar Metakarya: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amjpm.v5i2.765

Abstract

Gagal ginjal kronik (GGK) stadium akhir merupakan kondisi kronis progresif yang memerlukan terapi pengganti ginjal jangka panjang dan menimbulkan beban multidimensional bagi pasien serta keluarga. Selain keluhan fisik, pasien sering mengalami tekanan psikologis, keterbatasan sosial, dan penurunan kualitas hidup. Namun, edukasi terstruktur mengenai perawatan paliatif dan perawatan jangka panjang masih terbatas, sementara pelayanan kesehatan cenderung berfokus pada aspek teknis dan kuratif hemodialisis. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan pengetahuan pasien dan keluarga mengenai GGK stadium akhir, perawatan paliatif, perawatan jangka panjang, serta strategi pengelolaan kecemasan melalui program edukasi terintegrasi. Kegiatan diikuti oleh 30 peserta yang terdiri dari pasien GGK stadium akhir dan anggota keluarga pendamping dengan latar belakang sosial dan pendidikan yang beragam. Sebagian besar peserta belum pernah memperoleh edukasi terstruktur mengenai asuhan holistik sebelumnya. Intervensi dilakukan melalui penyuluhan kesehatan, diskusi interaktif, serta pemberian media edukasi berupa leaflet dan materi presentasi. Pelaksanaan program menggunakan pendekatan manajemen POAC (Planning, Organizing, Actuating, dan Controlling). Evaluasi dilakukan menggunakan kuesioner pretest dan posttest yang mencakup empat aspek pengetahuan. Terjadi peningkatan pada seluruh aspek yang dinilai. Pemahaman tentang GGK stadium akhir meningkat dari 80% menjadi 92%. Pemahaman perawatan paliatif meningkat dari 82% menjadi 94%, perawatan jangka panjang dari 84% menjadi 93%, dan strategi pengelolaan kecemasan dari 85% menjadi 95%. Rata-rata skor keseluruhan meningkat dari 83% pada pretest menjadi 93% pada posttest. Program edukasi integrasi perawatan paliatif dan perawatan jangka panjang efektif dalam meningkatkan pengetahuan pasien dan keluarga mengenai asuhan holistik GGK stadium akhir. Program ini berpotensi memperkuat kesiapan pasien dan keluarga dalam menghadapi kondisi kronis secara berkelanjutan.
Co-Authors Agustini, Ni Komang Tri Anak Agung Istri Wulan Krisnandari D Anggaraeni, Komang Rossa Tri Aries Susanti, Ni Putu Aryasa, Jiyestha Aji Dharma Astawa, I Gede Satria Asthadi Mahendra Bhandesa, Asthadi Mahendra Darmayanti, Ni Nengah Intan Diyu, Ida Ayu Ningrat Pangruating Ekabudiningsih, Vinda Gusti Ayu Dian Aryanjani Gusti Ayu Dwina Mastryagung I GEDE PUTU DARMA SUYASA I Kadek Nuryanto I KetutSwarjana, I KetutSwarjana I Nengah Agus Mega Aryawan I Putu Gede Darmayasa Ida Ayu Ary Widnyani, Ida Ayu Ary Ida Ayu Gede Tina KomalaDewi Ida Ayu Ketut Adi Setiawati Ida Ayu Putri Wulandari Idah Ayu Wulandari Israfil, Israfil J Sastamidhyani Jiyestha Aji Dharma Aryasa KomalaDewi, Ida Ayu Gede Tina Komang Ayu Purnama Dewi Komang Ayu Purnama Dewi Krisnandari D, Anak Agung Istri Wulan Kusuma, I Gusti Agung Ari Lewar, Emanuel Iileatan Made Rismawan Negara, I Gusti Ngurah Made Kusuma Ni Kadek Leni Ni Kadek Sutini Ni Komang Desiani Ni Komang Surya Ariani Ni Luh Dwi Indrayani Ni Luh Putu Inca Buntari Agustini Ni Luh Tutik Hermi Wahyuni Ni Made Cempaka Ningrum Ni Made Ratih Comala Dewi Ni Made Sri Rahyanti Ni Made Wida Prastini Ni Made Wirantini Ni Made Yeshika Armiandeni Ni Nyoman Nuartini Ni Putu Kamaryati Ni Putu Lilik Wahyuningsih Ni Putu Sri Haryati Ni Wayan Manik Parwati Ni Wayan Manik Parwati Nita S Nita S Nita Sri Wahyuni Nova Dwigita Andini, Dewa Ayu Made Parwati, Putu Atika Ratih Comala Dewi, Ni Made Rittiruang, Amonwan Sastamidhyani, J Sri Wahyuningsih, Luh Gde Nita Sri Wahyuningsih, Luh Gde Nita Susilayasa, I Komang Alit Tekayana, I Wayan Pasek valentina wulansari Wahyu, I Made Yudi Wahyuni, Nita Sri Wahyunigsih, Luh Gde Nita Sri Wahyuningsih, Luh Gde Nita Sri wulansari, valentina Yudi Wahyu, I Made