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Understanding User Acceptance of Electronic Medical Records: A Mixed method Study Listiowati, Ekorini; Pratama, Dewanto Dika; Pramayanti, Yuyun; Samsudin, Mohammad Agus; Arini, Merita; Kurniawan, Nurcholid Umam
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 9: SEPTEMBER 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i9.7581

Abstract

Introduction: The advancement of information and communication technology has transformed healthcare delivery into digital systems, notably through the use of Electronic Medical Records (EMRs). The implementation of EMR faces challenges, such as limited human resources, technology adaptation, and slow recording processes. This study aims to evaluate users' acceptance of EMRs and to explore the supporting and inhibiting factors affecting their implementation in a private teaching hospital in Yogyakarta. Methods: A mixed method study with a parallel convergent approach using a cross-sectional (quantitative) and descriptive exploratory (qualitative) design. The quantitative sample was determined by proportionate stratified random sampling. The survey was conducted using a questionnaire based on the Technology Acceptance Model. Qualitative informants were determined purposively and focus group discussions and in-depth interviews were conducted. Quantitative data processing used IBM SPSS version 20 and SmartPLS, while qualitative data processing used thematic analysis, then integrated to obtain a comprehensive understanding. Results: Perceived usefulness scored very good (85%), perceived ease of use was categorized as good (82%), and behavioral intention to use was also good (84%). Structural modeling showed that perceived usefulness and ease of use significantly influenced behavioral intention (p = 0.000; R² = 0.538). Qualitative findings reinforced these results, highlighting key benefits such as improved data accessibility and work efficiency. However, implementation challenges included system security, ethical concerns, and document legality. Conclusion: This study offers methodological, contextual, and conceptual novelty by emphasizing a user-driven adoption process of EMRs. Users actively influenced system design and functionality, rather than relying solely on managerial or vendor decisions. Despite challenges, EMRs have reduced administrative burdens, enhanced operational efficiency, and strengthened clinical documentation. Continuous improvement should prioritize usability, legal compliance, and responsive technical support to optimize the benefits of EMR systems.
Prevalence and Risk Factors of Urinary Tract Infections in Hospitals in Yogyakarta Kusbaryanto, Kusbaryanto; Gobel, Fatmah Afrianty; Listiowati, Ekorini; Rosyida, Aisyah
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 11, No 1 (2024): April 2024
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v11i1.8972

Abstract

Urinary tract infection is an infectious disease that is common in society and brings many disadvantages, including longer treatment and more expensive treatment costs. This study aimed to analyze the prevalence and risk factors for Urinary Tract Infections (UTI) at Hospital, Yogyakarta. The research design is an analytical observational study using a cross-sectional design. The samples in this study were patients diagnosed with Urinary Tract Infection at the hospital. Sample selection method Sampling was carried out by consecutive sampling. Retrieval of data from patient data stored in medical records. Ethics permit from PKU Muhammadiyah Gamping Hospital with number: 053/KEP-PKU/III/2023. The prevalence of UTI during the 2 years of data collection was 65 people, with details of 16 men and 49 women. There is a relationship between length of stay and the incidence of UTI with p = 0.019 and OR = 2.56, there is a relationship between age and UTI with p = 0.001 and OR = 7.113 and there is a relationship between gender and UTI with p = 0.001 and OR = 4,136. The effect of length of treatment, age, and gender on the incidence of UTI was 31.4%. The incidence of UTI was 65 cases. Factors that influence the incidence of UTI are length of stay, age, and gender with a p-value of 31.4%. The study concluded that length of stay, age, and gender significantly influence the incidence of Urinary Tract Infections at Hospital, Yogyakarta, with these factors accounting for 31.4% of the variance in UTI cases.
Creating A Safe Environment: The Role of Safeguarding Workshops In Protecting Vulnerable Groups Listiowati, Ekorini; Rahmasari, Farindira; Wulandari, Yuanita; Nurjuman, Husnan; Pramayanti, Yuyun; Samsudin, Agus; Soularto, Dirwan
International Journal Of Community Service Vol. 5 No. 4 (2025): November 2025 ( Indonesia - Thailand - Malaysia - Timor Leste - Philippines )
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijcs.v5i4.898

Abstract

Safeguarding is a critical component of healthcare services, particularly as it relates to protecting vulnerable populations. It aims to shield individuals from violence, exploitation, sexual abuse, and neglect. The concept of safeguarding goes beyond physical protection, encompassing psychological, social, and legal dimensions that uphold individual rights—especially for vulnerable groups such as children, women, persons with disabilities, and those with limited access to safe healthcare services. This community engagement initiative aimed to raise awareness and understanding of safeguarding and risk mitigation in healthcare services. The safeguarding workshop involved participants from Muhammadiyah organizations and utilized group discussions, case studies, role-plays, and scenario-based simulations. Pre- and post-training evaluations were conducted to assess the increase in participant understanding. The results indicated an improvement in safeguarding knowledge and led to the drafting of the initial Safeguarding Guidelines for Health Council of Muhammadiyah Central Board. These guidelines encompass safeguarding definitions, core principles, preventive strategies, case-handling procedures for violence, exploitation, and sexual abuse (VESA), and reporting mechanisms tailored to Muhammadiyah’s context. iven the novelty of safeguarding as a concept, some participants found it challenging to identify forms of VESA or understand preventive measures. Thus, continued efforts through advanced training and broader policy dissemination are necessary to deepen understanding and enhance implementation. Safeguarding is a critical component of healthcare services, particularly as it relates to protecting vulnerable populations. It aims to shield individuals from violence, exploitation, sexual abuse, and neglect. The concept of safeguarding goes beyond physical protection, encompassing psychological, social, and legal dimensions that uphold individual rights—especially for vulnerable groups such as children, women, persons with disabilities, and those with limited access to safe healthcare services. This community engagement initiative aimed to raise awareness and understanding of safeguarding and risk mitigation in healthcare services. The safeguarding workshop involved participants from Muhammadiyah organizations and utilized group discussions, case studies, role-plays, and scenario-based simulations. Pre- and post-training evaluations were conducted to assess the increase in participant understanding. The results indicated an improvement in safeguarding knowledge and led to the drafting of the initial Safeguarding Guidelines for Health Council of Muhammadiyah Central Board. These guidelines encompass safeguarding definitions, core principles, preventive strategies, case-handling procedures for violence, exploitation, and sexual abuse (VESA), and reporting mechanisms tailored to Muhammadiyah’s context. iven the novelty of safeguarding as a concept, some participants found it challenging to identify forms of VESA or understand preventive measures. Thus, continued efforts through advanced training and broader policy dissemination are necessary to deepen understanding and enhance implementation.
An Overview of Monitoring Patient Safety in Nurses: A Comparative Analysis of Demographic Characteristics Sekar Amalia, Amira; Listiowati, Ekorini; Muliati Abdullah, Sri
Jurnal Pendidikan Indonesia Vol. 6 No. 11 (2025): Jurnal Pendidikan Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/japendi.v6i11.8767

Abstract

Harmful events in the handling of patients in hospitals can be prevented by the principle of patient safety. Nurses as part of the health workforce have an important role in the implementation of patient safety, as well as nurses who become clinical educators who assist nursing students in carrying out studies in teaching hospitals. The success of achieving goals, the high quality of patient safety, is half determined by the plan that has been set and the other half functions by supervision or monitoring. This study aims to analyze the picture of monitoring patient safety in nurses. This research method uses a quantitative research with analytic observational methods and cross sectional approaches. In this study, it was found that the monitoring of patient safety by nurses to nursing students was well implemented and obtained a high implementation score. There are no differences in monitoring patient safety carried out by nurses between age groups, gender, last education, or length of work.