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All Journal Jurnal Kesehatan Lingkungan indonesia MANDALA of Health Jurnal NERS Biomedika Journal of Health Promotion and Behavior Buletin Poltanesa Jurnal Neuroanestesi Indonesia Mandala of Health : A Scientific Journal Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Medical and Health Journal Linggamas: Jurnal Pengabdian Masyarakat Holistik Jurnal Kesehatan
Joko Mulyanto, Joko
Faculty of Medicine and Health Sciences Jenderal Soedirman University Jl Gumbreg no 1, Purwokerto 53146
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Education Environmental Science Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Changes in Community Behavior Regarding Cardiovascular Health and Hypertension After Participating in Prolanis Activities Literature Review Fajriana, Dina Rahmah; Aji, Budi; Mulyanto, Joko
Poltanesa Vol 26 No 1 (2025): June 2025
Publisher : P3KM Politeknik Pertanian Negeri Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51967/tanesa.v26i1.3299

Abstract

The Chronic Disease Prevention and Management Program (Prolanis) has become one of the main strategies in efforts to increase public awareness of cardiovascular health and reduce the prevalence of hypertension. This study aims to present a literature review regarding the impact of the Prolanis program on changing people's behavior regarding cardiovascular health and hypertension management. The literature search method was carried out through various online databases using relevant keywords. The results of literature analysis show that the Prolanis program has consistently proven effective in increasing public knowledge about cardiovascular risk factors, motivating changes in healthy behavior such as balanced eating patterns and increasing physical activity, as well as increasing compliance with treatment and monitoring of hypertension conditions. These findings highlight the important role of the Prolanis program in changing people's behavior towards a healthier lifestyle and better management of hypertension. The implications of the results of this literature include the need for wider development and implementation of the Prolanis program as well as ongoing evaluation to ensure its sustainability and effectiveness in overcoming cardiovascular health problems and hypertension at the community level.Systematic review research is a way in the research process to find the best results from previous research to search for literature systematically and then analyze and conclude using the data prism method flow from the results of literature data analysis to answer problems effectively and significantly. The data that has been collected from this data collection method is then processed and combined to obtain related explanationsThe impact of the Healthy Elderly Program (Prolanis) on changes in community behavior in relation to cardiovascular health and controlling hypertension.
Evaluation of HRM Strategies to Enhance Nurse Performance at RSU Muhammadiyah Cirebon Wahdah, Vina Nurdiana; Intiasari, Arih Diyaning; Mulyanto, Joko
Poltanesa Vol 26 No 1 (2025): June 2025
Publisher : P3KM Politeknik Pertanian Negeri Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51967/tanesa.v26i1.3349

Abstract

This study aims to evaluate human resource (HR) management strategies in enhancing nurse performance at the Muhammadiyah University of Cirebon General Hospital (RSU UMC). A qualitative research approach was employed, utilizing case study and phenomenological methods through in-depth interviews, observations, documentation reviews, and questionnaires. The findings reveal that HR strategies such as selective recruitment, continuous training, and performance evaluation have been implemented and have shown a positive impact on nursing competence and service delivery. However, several challenges remain that hinder the full effectiveness of these strategies. These include high workload pressures, training content that is not entirely relevant to daily practice, performance evaluations that focus mainly on quantitative measures, and an incentive system perceived as inequitable. Furthermore, poor interprofessional communication and uneven distribution of tasks further reduce job satisfaction and motivation among nurses, ultimately affecting the quality of patient care. These limitations indicate that the current HR strategy needs to be improved and made more responsive to the real needs faced in the field. Based on the results, this study recommends the development of a more integrated HR strategy that emphasizes needs-based and adaptive training, a comprehensive and balanced performance evaluation framework, and a fair reward system that values service quality over quantity. Such improvements are essential to foster a supportive and motivating work environment, leading to increased nurse performance, higher job satisfaction, and improved patient satisfaction. This research contributes valuable insights for hospital management in designing effective HR strategies in healthcare settings.
Upaya Pencegahan Retinopati Diabetika melalui Edukasi dan Deteksi Dini pada Pasien Diabetes Melitus Tipe 2 di Puskesmas Lumbir Nafiisah, Nafiisah; Setyanto, Muhamad Rifqy; Samodro, Pugud; Harini, Ika Murti; Gumilas, Nur Signa Aini; Mulyanto, Joko
Linggamas: Jurnal Pengabdian Masyarakat Vol 3 No 1 (2025): Linggamas: Jurnal Pengabdian Masyarakat
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.linggamas.2025.3.1.18010

Abstract

Retinopati Diabetika (RD) merupakan komplikasi mikrovaskular akibat Diabetes Melitus (DM) yang dapat menyebabkan kebutaan permanen. Di Kecamatan Lumbir, Kabupaten Banyumas, rendahnya pengetahuan masyarakat, keterbatasan akses pelayanan kesehatan, dan kurangnya tenaga medis terlatih menjadi kendala utama dalam pencegahan RD. Kegiatan ini bertujuan meningkatkan pengetahuan pasien DM tipe 2 tentang faktor risiko RD dan melaksanakan deteksi dini di Puskesmas Lumbir melalui edukasi, diskusi, dan pemeriksaan mata. Evaluasi dilakukan dengan pre-test dan post-test, menunjukkan peningkatan sebesar 325 dalam pemahaman peserta mengenai RD dan pentingnya pemeriksaan mata rutin. Hasil pengamatan menunjukkan peningkatan kesadaran peserta tentang RD dan pentingnya pemeriksaan mata rutin.
Sosialisasi Peningkatan Pengetahuan, Praktik Pencegahan dan Penanggulangan Covid-19 di Kelurahan Purwokerto Lor Wibowo, Yudhi; Roestijawati, Nendyah; Mulyanto, Joko; Krisnansari, Diah; Munfiah, Siti; Rahman, Fadel; Aryadenta, Ivory Benaziria; Budiyanto, Budiyanto
Linggamas: Jurnal Pengabdian Masyarakat Vol 1 No 1 (2023): Linggamas: Jurnal Pengabdian Masyarakat
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.linggamas.2023.1.1.9360

Abstract

Per tanggal 3 Oktober 2021, pandemi covid-19 telah menyebar ke 219 negara, tercatat 234.551.981 kasus dan 4.796.171 kematian. Di Indonesia tercatat 4.220.206 kasus dan 142.261 kematian. Di Jawa Tengah tercatat 482.353 kasus dan 32.050 kematian. Sedangkan menurut Dinas Kesehatan Kabupaten (DKK) Banyumas, tercatat 34.474 kasus dan 1.920 kasus kematian. Kepatuhan memakai masker 91-100%, namun kepatuhan menjaga jarak hanya 61-75%. Di Kelurahan Purwokerto Lor, sejak pandemi covid-19, tercatat 442 kasus terkonfirmasi dan 19 kematian covid-19, sementara itu kepatuhan memakai masker dan manjaga jarak berstatus merah atau < 60%. Pengetahuan dan sikap masyarakat sangat mempengaruhi kepatuhan terhadap upaya pencegahan dan pengendalian covid-19. Tujuan kegiatan ini adalah meningkatkan pengetahun dan praktik pencegahan dan penangulangan covid-19. Metode dengan penyuluhan, simulasi dan praktik menggunakan masker dan cuci tangan menggunakan hand sanitizer yang benar sesuai ketentuan. Hasil uji Friedman tidak didapatkan perbedaan rerata skor peningkatan pengetahuan sebelum dan setelah penyuluhan, evaluasi 1 dan 2 (p=0,147). Untuk sikap tidak berbeda signifikan secara statistik sebelum penyuluhan dengan setelah penyuluhan, evaluasi 1 dan 2 (p=0,088) dengan uji Repeated Anova. Implikasinya bahwa penyuluhan tetap bermanfaat menginformasikan pengetahuan terkini tentang covid-19. Simpulan bahwa masyarakat perlu diberi informasi terkini dan role model disiplin protokol kesehatan.
Sosialisasi Peningkatan Ketahanan Kesehatan di Era Transisi Pandemi Ke Endemi Covid-19 Melalui Revitalisasi Posbindu “Mugi Waras” Kelurahan Rejasari Kecamatan Purwokerto Barat Wibowo, Yudhi; Roestijawati, Nendyah; Mulyanto, Joko; Krisnansari, Diah; Munfiah, Siti; Saraswati, Metta
Linggamas: Jurnal Pengabdian Masyarakat Vol 1 No 2 (2024): Linggamas: Jurnal Pengabdian Masyarakat
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.linggamas.2024.1.2.10283

Abstract

Meskipun status telah menjadi endemik, namun covid-19 masih ada dan akan tetap menjadi risiko tinggi bagi masyarakat yang memiliki komorbid. Kelompok paling rentan adalah kelompok usia lanjut dan penderita penyakit komorbid seperti hipertensi, kanker, diabetes dan penyakit paru kronik yang merupakan penyakit tidak menular (PTM). Pandemi covid-19 telah menyebabkan 159.379 kematian dan 83% yang meninggal berusia >45 tahun dan komorbid per tanggal 21 November 2022. Pos Pembinaan Terpadu (Posbindu) PTM merupakan bentuk peran serta masyarakat dalam upaya pengendalian faktor risiko secara mandiri dan berkesinambungan. Metode palaksanaan dengan penyuluhan dan dilakukan pre dan pos tes. Rerata usia peserta pengabdian adalah 42 tahun, 72,7% berjenis kelamin perempuan dan 63,6% merupakan kader. Uji Wilcoxon menunjukkan nilai p = 0,038 artinya terdapat perbedaan signifikan secara statistik antara rerata skor pengetahuan sebelum dan setelah penyuluhan dan menunjukkan nilai p = 0,004 artinya terdapat perbedaan signifikan secara statistik antara rerata skor sikap sebelum dan setelah penyuluhan. Penyuluhan terbukti meningkatkan pengetahuan tentang program posbindu dan sikap positif untuk melakukan upaya pencegahan dengan deteksi dini.
Peningkatan kualitas pelayanan rawat jalan di rumah sakit indonesia melalui manajemen lean healthcare: A systematic review Priladiantika, Berta Ivana; Intiasari, Arih Diyaning; Mulyanto, Joko
Holistik Jurnal Kesehatan Vol. 19 No. 9 (2025): Volume 19 Nomor 9
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i9.1542

Abstract

Background: Lean management, part of the Toyota Production System, is now applied across various industries to improve service quality. The implementation of lean in hospitals aims to enhance efficiency, reduce the length of hospital stays, and minimize medical errors, although the outcomes vary depending on factors such as leadership, training, and staff engagement. Purpose: To examine the improvement of the quality of outpatient services in Indonesian hospitals through lean healthcare management. Method: This article uses a PICO approach and follows the PRISMA guidelines, starting with a database search that yielded 256 articles. These were then screened based on inclusion and exclusion criteria, resulting in 12 relevant articles. The selection process included the removal of duplicate articles, screening of titles and abstracts, and full-text evaluation. Results: The implementation of lean management in Indonesian hospitals was carried out by observing and recording service flow from registration to payment, then analyzing service time based on Value-Added and Non-Value-Added Activities using Visual Stream Mapping or spaghetti diagrams, and discussing solutions through the 5 Whys and Fishbone Analysis methods. Conclusion: Lean management has been proven effective and suitable for application in hospital outpatient services to improve efficiency by eliminating waste and optimizing systems.   Keywords: Healthcare; Hospital; Lean Management; Outpatient.   Pendahuluan: Manajemen Lean, bagian dari Toyota Production System, kini diterapkan di berbagai industri untuk meningkatkan kualitas layanan. Implementasi manajemen lean di rumah sakit bertujuan untuk meningkatkan efisiensi, mengurangi lama pelayanan, dan meminimalkan kesalahan medis, meskipun hasilnya bervariasi tergantung pada faktor-faktor seperti kepemimpinan, pelatihan, dan keterlibatan staf. Tujuan: Untuk mengkaji peningkatan kualitas pelayanan rawat jalan di rumah sakit Indonesia melalui manajemen lean healthcare. Metode: Artikel ini menggunakan pendekatan PICO dan mengikuti pedoman PRISMA, dimulai dengan pencarian database yang menghasilkan 256 artikel. Artikel-artikel ini kemudian disaring berdasarkan kriteria inklusi dan eksklusi, menghasilkan 12 artikel yang relevan. Proses seleksi mencakup penghapusan artikel duplikat, penyaringan judul dan abstrak, serta evaluasi fulltext. Hasil: Implementasi manajemen lean di rumah sakit Indonesia dilakukan dengan mengamati dan mencatat alur layanan dari pendaftaran hingga pembayaran, kemudian menganalisis waktu layanan berdasarkan Aktivitas Bernilai Tambah (Value-Added) dan Aktivitas Tidak Bernilai Tambah (Non-Value-Added) menggunakan Visual Stream Mapping atau diagram spageti, dan mendiskusikan solusi melalui metode 5 Whys dan Analisis Fishbone. Simpulan: Manajemen lean terbukti efektif dan cocok untuk diterapkan di layanan rawat jalan rumah sakit untuk meningkatkan efisiensi dengan menghilangkan pemborosan (waste) dan mengoptimalkan sistem.   Kata Kunci: Healthcare; Manajemen Lean; Rawat Jalan; Rumah Sakit.
Co-Authors Agung Saprasetya Dwi Laksana, Agung Saprasetya Dwi Anton B Darmawan, Anton B Arih Diyaning Intiasari Aryadenta, Ivory Benaziria Budi Aji, Budi Budiyanto Budiyanto Desy Destriana, Desy Diah Krisnansari Diyah Woro Dwi Lestari Fajriana, Dina Rahmah Fitranto Arjadi Fitriana Rahmawati Gumilas, Nur Signa Aini Harini, Ika Murti Indah Pusparini Indah Rahmawati Kogoya, Neger Lantip Rujito Muhammad Nur Hanief, Muhammad Nur Nafiisah, Nafiisah Nendyah Roestijawati Nendyah Roestijawati Paulus Gozali, Paulus Pratama, Radya Putra Priladiantika, Berta Ivana Rahman, Fadel Rosy, Freshyama Daniar Samodro, Pugud Saraswati, Metta Setyanto, Muhamad Rifqy Siswandari, VM Wahyu Siti Munfiah Wahdah, Vina Nurdiana Yudhi Wibowo, Yudhi