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All Journal e-CliniC Jurnal e-Biomedik JURNAL BIOMEDIK KESMAS Jurnal Vini Vidi Vici JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK Juiperdo The Indonesian Journal of Public Health Universa Medicina Jurnal Kesehatan Medika Saintika Journal Health & Science : Gorontalo Journal Health and Science Community PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Ners Jurnal Promotif Preventif Jurnal Kesehatan Tambusai MAHESA : Malahayati Health Student Journal Pancasakti Journal Of Public Health Science And Research INTERNATIONAL JOURNAL OF EDUCATION, INFORMATION TECHNOLOGY, AND OTHERS Jurnal Kedokteran Meditek Asian Journal of Social and Humanities Jurnal Info Kesehatan KREATIF: Jurnal Pengabdian Masyarakat Nusantara
Wariki, Windy M. V.
Bagian Ilmu Kedokteran Komunitas, Fakultas Kedokteran, Universitas Sam Ratulangi
Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Tantangan Ketersediaan Dokter Spesialis dan Dampaknya terhadap Efektivitas Sistem Rujukan di Rumah Sakit Tipe D: Studi Kualitatif di Indonesia Siwi, Imelda Maria; Wariki, Windy Mariane Virenia; Manoppo, Jonesius Eden; Kaunang, Wulan Pingkan Julia; Sumampouw, Oksfriani Jufri
Jurnal Promotif Preventif Vol 8 No 6 (2025): Desember 2025: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v8i6.2519

Abstract

Ketersediaan dokter spesialis merupakan determinan penting dalam menjamin mutu pelayanan kesehatan dan efektivitas sistem rujukan berjenjang, khususnya pada rumah sakit tipe D. Penelitian ini bertujuan menganalisis ketersediaan dokter spesialis, mengidentifikasi tantangan pemenuhannya, serta menilai dampak keterbatasan dokter spesialis terhadap efektivitas sistem rujukan pasien di RSU GMIM Tonsea Airmadidi, Kabupaten Minahasa Utara. Penelitian menggunakan pendekatan kualitatif dengan desain studi kasus. Informan dipilih secara purposive sampling dan melibatkan 7 informan, terdiri atas unsur manajemen rumah sakit, tenaga kesehatan (dokter umum, dokter spesialis, dan perawat), serta pasien rujukan. Pengumpulan data dilakukan melalui wawancara mendalam, observasi lapangan, dan telaah dokumen rumah sakit periode Januari–September 2025. Analisis data dilakukan secara tematik dengan menjaga validitas melalui triangulasi sumber dan metode, serta konfirmasi temuan utama (member checking). Hasil penelitian menunjukkan bahwa ketersediaan dokter spesialis masih terbatas dari sisi jumlah dan keragaman spesialisasi, sehingga mendorong rujukan dini, menurunkan kontinuitas pelayanan spesialistik, dan meningkatkan beban sosial ekonomi pasien. Studi ini menegaskan perlunya penguatan kebijakan rekrutmen dan retensi dokter spesialis serta optimalisasi sistem rujukan regional berbasis kebutuhan lokal.
Optimalisasi Big Data Tuberkulosis Untuk Memprediksi Jumlah Penderita Tuberkulosis di Provinsi Sulawesi Utara Tahun 2025-2030 Kevin Marvil Sumanti; Diana V. D. Doda; Windy M. V. Wariki
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.48320

Abstract

Abstrak Pelayanan keperawatan yang berkualitas memerlukan pengambilan keputusan klinis yang tepat dan berbasis bukti. Namun, masih banyak perawat di layanan primer yang mengandalkan intuisi daripada pendekatan ilmiah. Penelitian ini bertujuan untuk mengevaluasi efektivitas pelatihan evidence-based nursing (EBN) terhadap kemampuan pengambilan keputusan klinis perawat. Metode yang digunakan adalah quasi-experimental dengan desain pretest-posttest control group. Sebanyak 30 perawat dibagi menjadi dua kelompok: intervensi dan kontrol. Intervensi berupa pelatihan EBN selama dua hari. Hasil penelitian menunjukkan bahwa terjadi peningkatan skor signifikan pada kelompok intervensi (rerata 88,4) dibandingkan kelompok kontrol (rerata 74,2) dengan nilai p < 0,05. Perubahan ini juga terlihat pada perilaku profesional seperti keterampilan berpikir kritis dan penggunaan sumber ilmiah. Penelitian ini menyimpulkan bahwa pelatihan EBN secara signifikan meningkatkan kemampuan pengambilan keputusan klinis perawat dan dapat dijadikan strategi peningkatan mutu pelayanan keperawatan. Kata Kunci: evidence-based nursing, pengambilan keputusan klinis, pelatihan, perawat, mutu pelayanan Abstract Quality nursing care requires accurate and evidence-based clinical decision-making. However, many nurses in primary care still rely on intuition rather than scientific approaches. This study aimed to evaluate the effectiveness of evidence-based nursing (EBN) training on nurses’ clinical decision-making abilities. A quasi-experimental design with a pretest-posttest control group was used. A total of 30 nurses were divided into intervention and control groups. The intervention consisted of a two-day EBN training. The results showed a significant increase in the intervention group's posttest scores (mean 88.4) compared to the control group (mean 74.2), with p < 0.05. Improvements were also observed in professional behavior, including critical thinking and the use of scientific sources. This study concludes that EBN training significantly enhances nurses’ clinical decision-making skills and may serve as a strategic approach to improving the quality of nursing services. Keywords: evidence-based nursing, clinical decision-making, training, nurses, service quality
Evaluasi Implementasi Tata Kelola Mutu Dalam Pencapaian Indikator Nasional Mutu Pada Dinas Kesehatan Kota Manado Tahun 2021-2024 Yati Suriani Wangean; Jeannette I. Ch. Manoppo; Windy Mariane Virenia Wariki; Dina Victoria Rombot; Harsali Fransiscus Lampus
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.v9i4.50466

Abstract

Penelitian ini bertujuan untuk mengevaluasi implementasi tata kelola mutu dalam pencapaian Indikator Nasional Mutu (INM) pada Dinas Kesehatan Kota Manado periode 2021–2024. Latar belakang penelitian ini berangkat dari rendahnya capaian beberapa indikator utama, khususnya keberhasilan pengobatan tuberkulosis (TB) dan cakupan antenatal care (ANC) sesuai standar, yang masih jauh dari target nasional meskipun kebijakan, regulasi, dan sistem informasi telah tersedia. Penelitian ini menggunakan pendekatan kualitatif dengan desain studi kasus. Informan terdiri dari enam pihak kunci, yaitu Kepala Dinas, Sekretaris Dinas, Kepala Bidang Pelayanan Kesehatan, Kepala Bidang Kesehatan Masyarakat, Kepala Bidang Pencegahan dan Pengendalian Penyakit, dan Kepala Puskesmas. Data dikumpulkan melalui wawancara mendalam, observasi, dan dokumentasi, kemudian dianalisis dengan metode analisis tematik. Hasil penelitian menunjukkan bahwa aspek input berupa kebijakan dan pembiayaan sudah tersedia, tetapi keterbatasan anggaran dan distribusi SDM masih menjadi kendala. Pada aspek proses, indikator kebersihan tangan, penggunaan APD, identifikasi pasien, dan kepuasan pasien relatif berhasil dicapai, sementara capaian indikator TB (57–85%) dan ANC (15–45%) konsisten tidak memenuhi target. Aspek output memperlihatkan adanya peningkatan jumlah Puskesmas yang melaporkan capaian, tetapi kualitas capaian belum merata. Penelitian ini menyimpulkan bahwa hambatan terbesar implementasi tata kelola mutu bukan hanya bersifat teknis, melainkan juga dipengaruhi faktor sosial-budaya masyarakat. Penelitian ini merekomendasikan penguatan SDM, integrasi sistem informasi kesehatan, intervensi berbasis komunitas, serta kampanye kesehatan berbasis budaya lokal untuk meningkatkan pencapaian INM di Kota Manado.
Meta-Analysis Study of Correlation Between Olfactory Dysfunction and Cognitive Impairment in Parkinson's Disease Sie, Juliana; Pertiwi, Junita Maja; Tumewah, Rizal; Momole, Ansye; Jehosua, Seilly; Wariki, Windy
JURNAL INFO KESEHATAN Vol 24 No 1 (2026): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol24.Iss1.2319

Abstract

Disturbance in olfactory perception is commonly identified as a non motor manifestation in Parkinson’s disease and is often interpreted as an early biological signal reflecting ongoing degeneration of neural structures. This study was specifically formulated to conduct an in depth evaluation of the association between reduced smell performance and impaired cognitive functioning in Parkinson’s disease by applying systematic numerical aggregation techniques that adhere to internationally accepted research protocols. A broad and methodologically organized literature exploration was conducted using PubMed Wiley and ScienceDirect to identify empirical studies examining the association linking smell processing ability with mental functioning measures in individuals diagnosed with Parkinson’s disease. The screening process was carried out in accordance with clearly defined inclusion requirements. Assessment of smell function relied on the olfactory recognition assessment developed by the University of Pennsylvania Test UPSIT while evaluation of cognitive condition employed the MMSE alongside the MoCA cognitive screening tools. Pooled odds ratio values along with 95% confidence interval ranges were calculated using a random effects modeling framework. Overall 3 eligible studies comprising 773 individuals conducted in populations from America, Korea, and Britain met the established inclusion standards. Quantitative synthesis revealed a statistically meaningful relationship between impaired olfactory ability and reduced cognitive performance in Parkinson’s disease, with individuals experiencing hyposmia or anosmia showing a markedly increased probability of cognitive impairment compared with participants exhibiting intact smell perception OR 2.57 95% CI 1.15 to 5.74. The results of this analysis suggest a strong and statistically significant relationship between diminished olfactory capacity and cognitive impairment in Parkinson’s disease, highlighting its potential role as an early detectable clinical indicator of progressive cognitive deterioration. Despite the presence of variability among included studies and a relatively small pool of eligible research, the meta analytic evidence supports the usefulness of olfactory assessment as a non invasive and economically efficient approach for identifying cognitive risk in Parkinson’s disease. Additional large scale investigations employing uniform evaluation protocols are necessary to confirm these outcomes and enhance their relevance in clinical practice.             
Co-Authors Aaltje E Manampiring Aaltje E Manampiring Aaltje E. Manampiring Aaltje E. Manampiring Aaltje E. Manampiring Abram Babakal Abram Babakal Adam, Avelia Gustia Anastasya Adrian Jonathan Angir Adrian Umboh Ai Hori Alan Hopni Sasube Ari Astram B H. R. Kairupan Billy Karundeng Bogar, Bryan D. Bolang, Alexander Budi Setiawan Christof Toreh Daichi Suzuki Dalema, Anggreani Sintia Dewi Indra Purwanti Dhanny E. P. Lagarense Diana V. D. Doda Dina Rombot Dina Victoria Rombot Djony E. Tjandra Doda, Diana V.D. Eko Arianto Erika Ota Fidya Lestari Putri Abubakar Fitriya Adam Frelly Kuhon Frelly V. Kuhon Frendy Wihono Goni, Angelina Grace D. Kandou Grace Korompis Gustaaf A. E. Ratag Gustaaf Ratag Harsali F. Lampus Harsali Fransiscus Lampus Henry M. F. Palandeng Herlyani Khosama Hessyani Raranta Idris Sudin Iftitah M. P. Sonda Ishak Halim Octawijaya Ishak Halim Octawijaya Jeannette I. Ch. Manoppo Jehosua S. V. Sinolungan Jehosua, Seilly Jehosua, Seilly Yunita Jimmy Posangi Jimmy Posangi John Johannes Ezechiel Wantania Jonesius Eden Manopo Karel Pandelaki Kevin Marvil Sumanti Kondoj, Srikandy Inri Korompis, Grace Esther Caroline Lamandasa, Ghervin Imanuel Olanis Lotulung, Cindy Celine Lucyana Leonita Pongoh Manampiring, Aaltje E Manoppo, Firginia M Manoppo, Jeannete I Ch Masao Ichikawa Mercy Taroreh Moh Yudawan Prasetya Momole, Ansye Momole, Ansye Grace Nancy Mukhran Mokodompit Nathaniel Pali Nelwan, Ester Jeini Ngantung, Denny Nico Lumintang Nova Hellen Kapantow Novie H. Rampengan Novita Tombokan Paskah Thalia Lengkong Pasla, Gersom Figo Chrystianto Paulus Oroh Pertiwi, Junita Maja Porajow, Zwingly C. J. G. Porajow, Zwingly Christian Jefferson Gerard Repi, Noviano B. Rianna J Sumampouw Richard Sumangkut Rizal Tumewah Ronald I. Ottay Ruitan, Lidia S. Sapulete, Margareth Rosalinda Siagian, Iyone Esra Tiurma Sie, Juliana Sigit Wicaksono Silaban, Natalina Simangunsong, Natasya Glory Meicharisty Siwi, Imelda Maria Stivan Manopo Supit, Injilia Chintami Surotinoyo, Celline Vanessa Laurina Suryadi Nicolaas Napoleon Tatura Tandililing, Sherly Tangkudung, Yesika Merzy Indah Tommy Suharso Torondek, Julia Tumboimbela, Melke Vemy Tamaledu Veronika Maria Barbara Aryesam Warouw, Finny William William Wiradarma, Elbert Wulan P. J. Kaunang Wulan Pingkan Julia Kaunang Wullur, Raetasya Rachelea Rinda Wurangian, Prisilia Karina Yati Suriani Wangean Yuansun Khosama Zeinevaltines Tampian Zwingly Christian Porajow