Articles
Pemberdayaan Kader Kesehatan Remaja (KKR) Dalam Mencegah Anemia di SMP 36 Muhammadiyah Jakarta
Awaliah Awaliah;
Idriani Idriani;
Erni Rita;
Eni Widiastuti;
Masmun Zuryati;
Erwan Setiyono;
Anisa Sekar Widhi
Jurnal Medika: Medika in progres
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai
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DOI: 10.31004/379k7w37
Anemia pada remaja putri, masih menjadi Pencegahan anemiamasalah kesehatan di Indonesia dengan prevalensi yang tinggi dan dampak multidimensional. Anemia pada remaja putri dapat dipengaruhi oleh kebutuhan zat besi yang meningkat seiring masa pertumbuhan dan menstruasi serta kebiasaan makan yang kurang seimbang dan gaya hidup yang tidak sehat. Upaya pemberdayaan kader kesehatan remaja (KKR) di lingkungan sekolah menjadi strategi penting untuk mencegah anemia melalui edukasi food habits dan gaya hidup sehat. Pengabdian kepada masyarakat (PkM) ini merupakan kegiatan yang dilaksanakan di SMP Muhammadiyah 36 Jakarta melalui pendekatan advokasi, bina suasana dan gerakan masyarakat, melibatkan 22 KKR. Metode pelaksanaan meliputi pre-test, edukasi, dan pelatihan serta post-test untuk mengukur peningkatan pengetahuan. Hasil menunjukkan terdapat peningkatan signifikan rata rata pengetahuan KKR tentang pencegahan anemia dari skor pre-test 78.64 menjadi 91.36 pada post-test (p=0.001). Temuan ini menegaskan bahwa pelatihan dan pemberdayaan KKR efektif meningkatkan pengetahuan dan potensi peran KKR sebagai agen perubahan dalam pencegahan anemia di sekolah. Pemberdayaan berkelanjutan dan integrasi program edukasi menjadi kunci pencegahan anemia remaja secara optimal.
The Effect of Strengthening Nurses' Clinical Roles on Service Quality in the Emergency Department
Frima Lestari Simanjuntak;
Harif Fadhillah;
Eni Widiastuti;
Muhammad Hadi
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP
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DOI: 10.37287/ijghr.v8i4.1929
The Emergency Department (ED) is a service unit that requires nurses to possess strong clinical competencies to make rapid, accurate, and safe decisions. Strengthening nurses' clinical roles is an important factor in improving service quality, particularly in work environments characterized by high complexity and intense pressure. This study aimed to determine the effect of strengthening nurses' clinical roles on service quality in the Emergency Department of Awal Bros Panam Hospital (RSAB Panam). This study employed a quasi-experimental design with control and intervention groups. The study was conducted in the Emergency Department of RSAB Panam. The sample consisted of 32 emergency nurses who were divided into control and intervention groups, as well as patients receiving nursing care in the ED as respondents for service quality assessment. Total sampling was used for nurse participants. The intervention involved strengthening nurses' clinical roles based on Patricia Benner's theory through structured training, supervision, and clinical evaluationService quality was measured using the SERVQUAL instrument, which has demonstrated good validity (content and construct) and high reliability with Cronbach’s Alpha values >0.80. The data were analyzed using the Generalized Linear Model Repeated Measure. The results showed a significant effect of strengthening nurses' clinical roles on improving service quality in the ED. The Greenhouse–Geisser test indicated a p-value of 0.000, demonstrating a statistically significant change in service quality over time. The tests of between-subjects effects revealed a significant difference in service quality between the control and intervention groups with a p-value of 0.000. Improvements in service quality were more consistent in the intervention group compared to the control group. In conclusion, strengthening nurses' clinical roles has a significant effect on improving service quality in the Emergency Department.
The Effectiveness Ihsan Culture Focus-Care through Intentional Rounds on Patient Satisfaction
Dian Nahdawati;
Eni Widiastuti;
Harif Fadhillah;
Muhammad Hadi
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP
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DOI: 10.37287/ijghr.v8i4.1930
One indicator of service quality at hospitals is patient satisfaction. Organizational culture and caring practices play a role in increasing patient satisfaction. At Permata Jonggol Hospital,. the results of patient complaints convey a lack of nurses visiting patients, interactions occur for routine activities. Permata Jonggol has an IHSAN (Integrity, Harmony, Solutif, Entushiasim, Value) organizational culture but its implementation is not yet visible. There needs to be an intervention through periodic visits and structured communication called Intentional rounds by integrating the organizational culture. The study purpose was to identify differences in patient satisfaction and to determine the effectiveness of implementing IHSAN culture-focused care through intentional rounds. The research design used a quasi-experimental design with a pre-post test design. The population was nurses and patients in the inpatient ward using total sampling. A total of 60 respondents were included in this study, consisting of 30 respondents in the intervention group and 30 respondents in the control group. The results showed no difference in patient satisfaction before implementation between the intervention and the control group (0.446 > 0.05) but there was a significant difference in patient satisfaction after implementation between the intervention and the control group (0.001 < 0.05). There was a significant difference before and after the implementation of care in the intervention group (0.011 < 0.05), while in the control group, there was no difference in patient satisfaction (0.855 > 0.05). This care showed positive effects, however, the pattern of improvement from week to week appeared to fluctuate so that the consistency of the effects over time could not be ascertained.
Determinants of Improving Service Quality Based on the Kolcaba Comfort Model in the Emergency Department
Zelyu Fitri;
Harif Fadhillah;
Eni Widiastuti;
Muhammad Hadi;
Silvia Nora Anggraini
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP
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DOI: 10.37287/ijghr.v8i4.1931
Kolcaba's Comfort Theory emphasizes holistic nursing care by fulfilling patients' comfort needs in four contexts: physical, psychospiritual, sociocultural, and environmental. The Emergency Department (ED) is a high-pressure healthcare setting that requires not only rapid and accurate clinical interventions but also comfort-based nursing services. This study aimed to analyze the determinants of Kolcaba Comfort Theory–based nursing care in the Emergency Department of PMC Hospital, Pekanbaru. This study employed a quantitative method with a cross-sectional design. A total of 96 respondents were selected using purposive sampling. Data were collected using a questionnaire. The questionnaire was tested for validity and reliability before data collection. All items were declared valid based on the Pearson correlation test, and the instrument was reliable with a Cronbach’s alpha value > 0.70. Analyzed using chi-square test for bivariate analysis and multiple logistic regression for multivariate analysis. The bivariate analysis showed significant associations between age (p=0.027), educational level (p=0.001), effective nurse communication (p=0.001), and service environment (p=0.001) with Kolcaba Comfort Theory–based nursing care. However, multivariate analysis revealed that only educational level (p=0.000; OR=31.889; 95% CI=6.395–159.014) and service environment (p=0.024; OR=0.155; 95% CI=0.031–0.785) remained statistically significant. Educational level was identified as the most dominant determinant. The final model showed a Nagelkerke R Square value of 0.707 and an overall classification accuracy of 90.6%. Conclusion: Kolcaba Comfort Theory–based nursing care in the Emergency Department of PMC Hospital, Pekanbaru is significantly influenced by patients’ educational level and the service environment, which contribute to achieving holistic patient comfort.
The Effect of Implementing SBAR Handover on the Continuity of Nursing Care in Inpatient Wards
Otrina Otrina;
Harif Fadhillah;
Eni Widiastuti;
Muhammad Hadi;
Awaliyah Ulfah Ayudytha Ezdha
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP
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DOI: 10.37287/ijghr.v8i4.1953
Continuity of nursing care is an important indicator of hospital service quality and is strongly influenced by the effectiveness of communication among nurses, particularly during handover. One communication method recommended to enhance patient safety is SBAR (Situation, Background, Assessment, Recommendation). Integrating the SBAR method with Jean Watson's caring theory is expected to strengthen clinical communication in a more humanistic and holistic manner. This study aimed to analyze the effect of SBAR handover implementation on the continuity of nursing care in the inpatient wards of Pekanbaru Medical Center Hospital. This study employed a quasi-experimental design with control and experimental groups.This study used a total sampling technique involving 30 inpatient nurses, who were divided into an experimental group (n = 15) and a control group (n = 15). Data were collected by measuring continuity of nursing care scores before and after the intervention. Data analysis was conducted using the Generalized Linear Model Repeated Measures to assess changes in scores over time and differences between groups. The results showed that before the intervention, the mean continuity of nursing care scores were 37.27 ± 5.92 in the control group and 35.67 ± 4.37 in the experimental group. Following the implementation of SBAR handover, scores increased in both groups; however, the improvement was greater in the experimental group, with a mean score of 50.93 ± 1.10 compared to 41.80 ± 3.45 in the control group. The control group showed a statistically significant improvement (p = 0.020), whereas the experimental group demonstrated a highly significant increase (p = 0.000). Between-group analysis revealed a significant difference (F = 9.414; p = 0.005), as well as significant time effects and time × group interaction effects (p = 0.000). In conclusion, the implementation of SBAR handover was effective in improving the continuity of nursing care in inpatient wards.
Determinants of Discharge Planning Implementation
Ellis Siti Suhartini;
Harif Fadhillah;
Eni Widiastuti;
Muhammad Hadi
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP
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DOI: 10.37287/ijghr.v8i4.2036
Discharge planning a day prior to discharge is vital for care continuity. TThis study aims to analyze the determinants of nursing service quality, including nurse competence, knowledge, motivation, and role perception. A descriptive correlational study with a cross-sectional design was conducted involving 110 associate nurses in the inpatient ward using a total sampling technique. Data were collected using structured questionnaires and observation checklists. Prior to data collection, the instruments were tested for validity and reliability. The validity test results indicated that all questionnaire items were valid, while the reliability test showed good internal consistency with Cronbach’s alpha values greater than 0.70 for each variable. Data were analyzed using multiple linear regression to determine the influence of nurse competence, knowledge, motivation, and role perception on the quality of nursing services.. The observation results showed a very high compliance rate (90.9 percent). The analysis proved that competence, knowledge, and nurse roles were not significant. Nurse motivation was proven to be the only dominant factor influencing the compliance level. In conclusion, intrinsic motivation determines nurse performance amidst competence and procedural homogeneity.
Analysis of Factors that Have A Role in Improving Quality of Nursing Services in Inpatient Care
Neti Rusmilaningrum;
Harif Fadhillah;
Eni Widiastuti;
Muhammad Hadi
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP
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DOI: 10.37287/ijghr.v8i4.2081
The quality of nursing care is a crucial aspect of the global health system, as nurses comprise the largest health workforce and are on the front lines of patient care. The quality of nursing care in hospitals is also influenced by several factors, such as leadership, organizational culture, burnout, and work motivation..This research aims to identify factors (leadership, organizational culture, burnout and motivation) that play a role in improving the quality of nursing services in the Inpatient Ward of Jakarta Harbor Hospital. The method used was a quantitative analytical research design with a cross-sectional approach. The research sample consisted of 100 health workers selected using total sampling techniques. The research sample consisted of 100 health workers selected using a total sampling technique. The dependent variable was the quality of nursing services, while the independent variables were leadership, organizational culture, burnout, and motivation. The research instruments used in this study had been tested for validity and reliability prior to data collection. The validity test results showed that all questionnaire items were valid, while the reliability test demonstrated good internal consistency with Cronbach’s alpha values greater than 0.70 for all variables..Data analysis was carried out bivariately using the chi-square test and multivariately using multiple logistic regression. The results of multiple logistic regression showed that the most dominant factor was the leadership variable with a p-value of 0.000 and an OR value of 153.415. The conclusion is that there is a relationship between leadership and motivation variables and the quality of nursing services in inpatient care at Pelabuhan Jakarta Hospital.
Efektifitas edukasi kesehatan reproduksi dengan mengunakan video terhadap pengetahuan remaja : The effectiveness of reproductive health education using video on adolescents' knowledge
Idriani;
Ernirita;
Awaliah;
Eni Widiastuti;
Masmun Zuryati;
Erwan Setiyono;
Siti Rochanah;
Febi Sukma
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 12 No. 1 (2026): JiKep | Februari 2026
Publisher : UPPM STIKES Pemkab Jombang
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DOI: 10.33023/jikep.v12i1.3145
remaja adalah seks bebas, kehamilan diluar nikah, aborsi, persalinan dini, penyakit menular seksual seperti HIV/AIDS. Upaya yang tepat dilakukan dalam menangani kesehatan reproduksi remaja yaitu dengan cara edukasi kesehatan karena dapat meningkatkan kontrol diri dan memperbaiki kesehatan reproduksi. Penelitian ini bertujuan untuk mengetahui efektivitas edukasi kesehatan reproduksi dengan penggunaan media video terhadap pengetahuan kesehatan reproduksi remaja. Penelitian dilaksanakan di SMPN Muhammadiyah 36 Jakarta Selatan menggunakan metode kuantitatif dengan pendekatan quasy eksperimen NonEquivalent Control Group Design Pretest and Posttest. Responden penelitian ini berjumlah 136 responden dipilih dengan teknik random sampling. Hasil penelitian ini menunjukkan rerata pengetahuan sebelum diberikan edukasi kesehatan reproduksi sremaja mengalami peningkatan, Hasil uji statistik didapatkan nilai P Value 0,000, dapat disimpulkan ada perbedaan yang siqnifikan antara pengetahuan sebelum dan sesudah diberikan edukasi kesehatan reproduksi remaja dengan media video di SMP Muhammadiyah 36 Jakarta Selatan. Pada remaja di sekolah atau di masyarakat melalui edukasi dengan media video agar terhindar dari perilaku negatif kesehatan reproduksi antara lain pergaulan atau seks bebas, narkoba, kehamilan di luar nikah, aborsi, pernikahan usia dini, HIV/ AIDS.
Pengaruh Diabetes Self Management Education (DSME) terhadap peningkatan pengetahuan pasien diabetes melitus tipe 2 : The effect of Diabetes Self Management Education (DSME) on improving knowledge of type 2 diabetes mellitus patients
Masmun Zuryati;
Ernirita;
Eni Widiastuti;
Awaliah;
Idriani;
Erwan Setiyono;
Siti Rahayu
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 12 No. 1 (2026): JiKep | Februari 2026
Publisher : UPPM STIKES Pemkab Jombang
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DOI: 10.33023/jikep.v12i1.3146
Beberapa Manajemen diri yang efektif pada pasien diabetes merupakan hal yang penting untuk meningkatkan pencapaian tujuan dalam penatalaksanaan DM. Keberhasilan manajemen diri diabetes bergantung pada aktivitas perawatan diri individu untuk mengontrol gejala diabetes. Salah satu pendidikan kesehatan yang dapat dilakukan untuk klien DM tipe 2 adalah dengan Diabetes SelfManagement Education and Support (DSME). Penelitian ini bertujuan untuk mengetahui pengaruh DSME terhadap peningkatan pengetahuan manajemen mandiri pasien DM tipe 2. Penelitian ini dilaksanakan di RS Islam Jakarta cempaka Putih, Penelitian ini menggunakan rancangan Quasi-Eksperimental NonEquivalent Control Group Design Pretest and Posttest. Sempel diambil menggunakan tehnik pengambilan sampel dengan total sampling dengan jumlah sampel 25 orang. Data dianalisis dengan menggunakan uji Paired sample t-test. Hasil Penelitian didapatkan rata-rata pengetahuan siswa sebelum intervensi adalah 42,64 setelah intervensi 67,80 dengan P Value 0,000. Terdapat Ada hubungan yang siqnifikan sebelum dan sesudah DSME. Kesimpulan dari penelitian ini adalah terdapat pengaruh Diabetes Self Management Education (DSME) terhadap peningkatan pengetahuan pasien Diabetes tipe 2. DSME disarankan untuk diterapkan sebagai program edukasi rutin bagi pasien DM tipe 2 guna meningkatkan pengetahuan dan mencegah komplikasi. Bagi tenaga kesehatan, perlu meningkatkan peran aktif dalam memberikan edukasi manajemen mandiri diabetes secara berkelanjutan.
Hubungan pengorganisasian asuhan keperawatan tim terhadap penerapan asuhan keperawatan berfokus pasien (patient centered care): The relationship between the organization of team nursing care and the Implementation of patient-centered nursing care
Eni Widiastuti;
Masmum Zuryati;
Ernirita;
Awaliah Awaliah;
Idriani Idriani;
Erwan Setiyono;
Mas Asep Sunandar
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 12 No. 2 (2026): JiKep | Juni 2026
Publisher : UPPM STIKES Pemkab Jombang
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DOI: 10.33023/jikep.v12i2.3195
Patient centered care atau asuhan berfokus pasien merupakan asuhan yang terintegrasi yang membutuhkan kolaborasi intra dan interprofesional. Tantangan yang dihadapi kolaborasi interprofesional belum dilaksanakan dengan baik. Apalagi pengorganisasian asuhan keperawatan tim murni yang digunakan dalam mengorganisir asuhan keperawatan belum mengakomodir adanya perawat penaggung jawab asuhan selama pasien dirawat. Kondisi ini menjadikan sulitnya kolaborasi interprofesional dilakukan dengan baik. Tujuan dari penelitian ini untuk mengetahui hubungan pengorganisasian asuhan keperawatan Tim dengan pelaksanaan patient centered care. Metode penelitian kwantitatip, desain deskriptif analitik dengan pendekatan crossectional. Jumlah sample sebanyak 47 perawat ruang rawat inap. Analisis bivariate menggunakan spearmen’s rank. Hasil terdapat hubungan antara pengorganisasian Tim dengan pelaksanaan patient centerd care. Dari hasil uji didapatkan tingkat kekuatan korelasi/ hubungannya sangat kuat dengan arah hubungan positif. Semakin pengorganisasian Tim baik maka penerapan patient centerd care akan semakin baik. Hendaknya pengorganisasian tim dioptimalkan dengan modifikasi Ketua Tim sebagai Perawat Penaggung Jawab Asuhan yang berperan sebagai care coordinator dan clinical leader yang bertanggung jawab secara komprehensif terhadap seluruh proses asuhan keperawatan agar kolaborasi intra dan interprofesional bisa dilaksanakan dengan baik sehingga pelaksanaan asuhan berfokus pasien lebih optimal.