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Technostress among nurses during electronic medical record implementation: a systematic literature review AY Yanto; Muzakar Isa; Safari Wahyu Jatmiko
JHeS (Journal of Health Studies) Vol. 10 No. 1 (2026): Maret
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhes.4576

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The rapid implementation of Electronic Medical Records (EMR) has transformed healthcare documentation but has also introduced new psychological challenges among nurses. This study aims to identify and analyze the relationship between EMR implementation, technostress, and their impacts on nurses’ performance and service quality. Using the PRISMA approach, a systematic literature review was conducted through PubMed and Scopus databases, focusing on studies published between 2020 and 2024. Eight relevant articles met the inclusion criteria, encompassing quantitative, qualitative, and mixed-method designs. The synthesis revealed that EMR systems enhance documentation accuracy and patient safety but simultaneously increase administrative burden, workload, and digital complexity, leading to technostress symptoms such as fatigue, frustration, and decreased focus. These stressors contribute to reduced work efficiency, lower job satisfaction, and potential risks to patient care quality. The review also found that adequate training, organizational support, and user-friendly system design are critical to mitigating technostress and improving adaptation. This study highlights that digital transformation in healthcare requires balanced attention to both technological innovation and human well-being.
Safety Culture Intervention Strategies to Enhance Patient Incident Reporting: Systematic Literature Review : JEL Classification: I10, I18, M12, M14, O33 Amry Irsyada Yusuf; Safari Wahyu Jatmiko; Imronudin Imronudin
Journal La Bisecoman Vol. 6 No. 6 (2025): Journal La Bisecoman
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallabisecoman.v6i6.2859

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Improving patient safety incident reporting is essential to strengthen safety culture and prevent adverse events in hospitals. We aimed to identify safety culture intervention strategies to improve patient safety incident reporting. This study was conducted using a systematic data search following the PRISMA method through PubMed, Scopus, and Google Scholar databases to identify interventional studies published between 2015 and 2025. The main keywords included “patient safety, interventions, training, program, incident reporting, adverse event reporting, error reporting.” The findings were identified and organized through thematic categorization based on the Self-Protective Behavior Framework. The most prevalent and promising approach is multifaceted intervention. Key strategies, including education and training, feedback mechanisms, management support, and technology integration, showed consistent positive results with improved reporting rates. Improving incident reporting effectively requires a multifaceted strategy. Education and training must be reinforced by continuous feedback, strong leadership, and streamlined technology to build a sustainable and non-punitive reporting culture.
Correlations between Age and Hypertension on Diabetic Foot Ulcer Vitania Marsya; Iin Novita Nurhidayati Mahmuda; Nining Lestari; Safari Wahyu Jatmiko
Indonesian Journal of Medicine Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2023.8.2.622

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Background:  Diabetic foot ulcer is a wound located on the foot of a diabetic patient, which is related to peripheral neuropathy or arterial disease. Hypertension can be related to diabetic foot ulcer by its mechanism that caused peripheral artery disease. Age also can be the one of risk factors for diabetic foot ulcers, because aging occurs a reduction of insulin secretion, even insulin resistance. Insulin resistance occurs in macroangiopathy. The purpose of this study is to determine the correlation between age and hypertension with diabetic foot ulcers.Subjects and Method:  This was a cross-sectional study conducted at Arafah Islamic Hospital Rembang, Central Java. The dependent variable is diabetic ulcers. The independent variables were age and hypertension. A sample of diabetic patients using medical records from January 2022-June 2022. Data were collected using purposive sampling and analyzed using the Chi-Square test, and regression logistic test.Results:  Significant correlation was found between age (OR= 3.80; 95% CI= 1.38 to 10.57; p<0.001) and hypertension (OR= 8.12; 95% CI= 2.70 to 24.40; p<0.001) with a diabetic foot ulcer.Conclusion:  There is a significant correlation between age and hypertension with diabetic foot ulcers.Keywords:  age, hypertension, diabetes, diabetic foot ulcers.Correspondence:  Nining Lestari. Bachelor of Medicine, Muhammadiyah University of Surakarta. Jl. A. Yani, Mendungan, Pabelan, Kartasura, Sukoharjo 57162, Central Jawa, Indonesia. Email: nl209@ums.ac.id. Mobile: +62852-2939-0353Indonesian Journal of Medicine (2023), 08(02): 179-185https://doi.org/10.26911/theijmed.2023.08.02.07 
Peningkatan Pengetahuan tentang Diabetes Melitus, Sindrom Metabolik, dan Faktor Risikonya melalui Edukasi pada Remaja Sekolah Menengah Pertama di Surakarta Riandini Aisyah; Safari Wahyu Jatmiko; Rochmadina Suci Bestari; Aulida Azkia Kamila; Ilham Hafizha Maulana Anam; Zakia Novi Anggitaratri
Smart Society Empowerment Journal Vol 5, No 1 (2025): Maret
Publisher : Faculty of Medicine, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/ssej.v5i1.99814

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Pendahuluan: Remaja merupakan golongan usia yang sedang dalam masa pertumbuhan dan perkembangan yang sangat dipengaruhi oleh faktor internal seperti faktor hormonal maupun faktor eksternal seperti pola makan dan gaya hidup yang jika tidak dikelola dengan benar sejak dini maka berpotensi meningkatkan risiko terjadinya sindrom metabolik, salah satunya diabetes melitus. Tinggal di perkotaan lebih besar meningkatkan risiko terjadinya sindrom metabolik dengan kemudahan pemanfaatan teknologi, pemilihan jenis makanan, dan gaya hidup sedentair. Kegiatan ini bertujuan memberikan pengetahuan tentang sindrom metabolik dan faktor risikonya pada remaja Sekolah Menengah Pertama (SMP) di Surakarta sejak dini melalui edukasi.Metode: Kegiatan pengabdian masyarakat ini berupa edukasi kesehatan melalui presentasi materi tentang sindrom metabolik dan diabetes melitus, faktor risiko, dan strategi pencegahan sejak dini.  Pretest dan posttest diberikan untuk mengukur tingkat pengetahuan sebelum dan setelah edukasi pada siswa SMP Muhammadiyah Program Khusus Surakarta.Hasil dan pembahasan: Analisis data menggunakan uji Wilcoxon menunjukkan adanya perbedaan pengetahuan yang bermakna pada siswa sebelum dan setelah edukasi dengan nilai p<0,01.Kesimpulan: Terdapat peningkatan pengetahuan siswa SMP Muhammadiyah Program Khusus Surakarta tentang sindrom metabolik, diabetes melitus, faktor risiko dan pencegahannya setelah diberikan edukasi.
A Literature Review of The Influence of Competence and Incentives on Nurses' Performance through Motivation Dedhy Sastiyono; Anton Agus Setyawan; Safari Wahyu Jatmiko
Proceeding ISETH (International Summit on Science, Technology, and Humanity) 2025: Proceeding ISETH (International Summit on Science, Technology, and Humanity)
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Purpose: Hospital management prioritizes improving nursing staff performance to enhance patient satisfaction. This study aims to examine the effect of competence and incentives with motivation as a mediator variable on nurse performance.Methodology: a Systematic Literature Review (SLR) approach. Results: A total of 27 articles were selected from 1,204 articles searched between 2021 and 2025. The results showed that the majority of studies found that competence, incentives, and motivation had a positive and significant effect on nurses' performance, both partially and simultaneously. However, one study showed that professional competence did not have a significant effect on nursing performance, because nurses continued to carry out their duties in accordance with established standard operating procedures. Applications/Originality/Value: This study differs from previous studies because it analyzes the influence of four variables, namely the number of articles studied, accessibility in full text and pdf form.
Hospital Service Quality and Quality Achievement in Revisit Intention: A Systematic Literature Review Ramadhan, Variansa Sava; Ichsan, Burhanuddin; Jatmiko, Safari Wahyu
Proceeding ISETH (International Summit on Science, Technology, and Humanity) 2025: Proceeding ISETH (International Summit on Science, Technology, and Humanity)
Publisher : Universitas Muhammadiyah Surakarta

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Background: Hospital service quality and achievement of quality standards are important factors that determine patient repeat visit intention. Patients tend to choose healthcare facilities that can provide a positive, safe, and quality experience. This article aims to review the relationship between service quality, hospital quality achievement, and patient revisit intention through a literature review.Method: This study uses a systematic literature review method by examining scientific articles from the PubMed, Scopus, and Google Scholar databases in the period 2020–2024. Keywords used include "healthcare quality", "hospital service quality", "patient satisfaction", "revisit intention", and "quality achievement".Results: The systematic literature review shows a positive relationship between service quality, quality achievement, and revisit intention. The main influencing factors are the SERVQUAL dimension (tangible, reliability, responsiveness, assurance, and empathy), hospital accreditation, and the implementation of patient safety standards.Conclusion: Service quality and quality achievement are proven to have a significant contribution to repeat visit intention. Hospitals need to improve their quality management system and service quality continuously to maintain patient loyalty.
Electronic Word-of-Mouth and Patient Satisfaction in Hospital Services: A Systematic Literature Review and Bibliometric Analysis Emawan Noor Fikri; Safari Wahyu Jatmiko; Anton Agus Setyawan
Jurnal Manajemen Bisnis dan Kewirausahaan Vol. 6 No. 1 (2026): MARCH
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jamanika.v6i1.42778

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This study aims to identify the factors influencing electronic word-of-mouth (e-WOM) and assess its impact on healthcare services. This systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, along with a bibliometric analysis to develop research on electronic word-of-mouth and satisfaction with hospital services. Article searches were conducted in the PubMed and Lens databases for the years 2015–2024 using the SPICE strategy. Out of 443 articles found, n =112 met the criteria for further analysis. At the beginning of 2015, the publication trend was 6 documents, peaking in 2022 with 44 documents. Based on the VOSviewer analysis, the keyword “humans” appeared most frequently, 41 times, followed by “social media” 23 times. “Male” and “female” each appeared 19 times. The frequency of keyword occurrences in previous research is reflected in 34 articles published during the 2000–2019 period, while the effect size of e-WOM in hospitals shows that the Assurance dimension of SERVQUAL has the highest negative impact (58.3%), followed by Responsiveness (34.2%). The theoretical implication of this article is that e-WOM has a positive impact on satisfaction, image, service choice decisions, and patient loyalty, suggesting that hospitals should manage it effectively and adjust strategies based on patient demographics. The managerial implication is that hospitals need to leverage e-WOM to improve service quality and patient engagement by promoting positive experiences, implementing loyalty programs, pursuing continuous service improvement, using AI-based digital innovations, and analyzing social media to enhance communication and build a supportive patient community. In conclusion, these findings provide strategic insights for hospital managers on strengthening patient loyalty through e-WOM optimization.
AKTIVITAS OTOT EKSTERMITAS ATAS PADA TEKNIK SERANGAN DALAM OLAH RAGA ANGGAR Dewa Made Krisna Viandara; Yuli Kusumawati; Safari Wahyu Jatmiko; Mahendra Wahyu Dewangga
Indonesian Journal of Physiotherapy Vol 5 No 2 (2025): Indonesian Journal of Physiotherapy
Publisher : Prodi Fisioterapi, Fikes, Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52019/ijpt.v5i2.11038

Abstract

Background : Fencing is a combat sport that requires upper limb strength, speed, and coordination, especially during attack techniques. Muscle activity of the infraspinatus, anterior deltoid, and triceps brachii plays a crucial role in producing quick, accurate, and stable movements during offensive actions. Methods : This study used an observational design with a cross-sectional approach. A total of 36 fencing athletes were divided into three age categories: cadet (13–17 years), junior (17–20 years), and senior (>20 years). Muscle activity was measured using electromyography (EMG) on the selected muscles. Data analysis was performed using One Way ANOVA. Results : The results showed significant differences (p < 0.05) in the activity of the three muscles across age groups. The senior group demonstrated the highest muscle activity, followed by junior and cadet groups. Conclusion : There is a significant difference in upper limb muscle activity during fencing attack techniques based on age category. Specific training programs tailored to the athlete's muscle development stage are needed to improve performance and prevent injuries.
Hubungan Hipoglikemia dan Anemia dengan Kejadian Stroke Iskemik Nastiti Farasvita Putri; Dwi Kusumaningsih; S Sulistyani; Safari Wahyu Jatmiko
Proceeding Book Call for Papers Fakultas Kedokteran Universitas Muhammadiyah Surakarta 2024: Proceeding Book Call for Papers Fakultas Kedokteran Universitas Muhammadiyah Surakarta (Thalam
Publisher : Universitas Muhammadiyah Surakarta

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Abstract

Latar Belakang : Stroke iskemik adalah jenis stroke yang disebabkan oleh tersumbatnya arteri serebral, arteri vertebral, atau vena serebral sehingga terjadi kematian jaringan otak. Stroke masih menjadi salah satu penyebab kematian dan disabilitas utama di banyak negara dengan lebih dari 7,6 juta kasus baru tiap tahunnya. Patologi utama stroke iskemik adalah adanya aterosklerosis pembuluh darah besar yang dapat menyebabkan infark. Plak aterosklerotik dapat menyebabkan penyempitan lumen pembuluh darah, iskemi jaringan, dan perubahan metabolik pada jaringan yang divaskularisasi. Kejadian stroke dipengaruhi oleh berbagai faktor risiko, diantaranya faktor yang dapat dimodifikasi dan tidak dapat dimodifikasi. Kadar gula darah dan hemoglobin termasuk ke dalam faktor yang dapat dimodifikasi. Pencegahan stroke dapat dilakukan dengan mengendalikan faktor risiko yang dapat dimodifikasi. Penelitian pra-klinis menunjukkan adanya hubungan potensial antara risiko kejadian penyakit kardio/serebrovaskular pada pasien hipoglikemia melalui peningkatan katekolamin. Namun, premis ini belum didukung dengan studi klinis yang baik sehingga diperlukan penelitian lebih lanjut. Penelitian lain juga menunjukkan bahwa anemia termasuk salah satu faktor risiko terjadinya stroke iskemik. Anemia menyebabkan hiperdinamik sirkulasi darah sehingga terjadi peningkatan ekspresi molekul adhesi pada endotel vaskuler. Beberapa penelitian masih menunjukkan hasil yang kurang konsisten. Tujuan : Penelitian ini bertujuan untuk menganalisis hubungan hipoglikemia dan anemia dengan kejadian stroke iskemik. Metode : Penelitian dilakukan dengan metode cross sectional. Teknik pengambilan sampel dilakukan dengan consecutive sampling. Data yang telah didapatkan dianalisis dengan analisis univariat dan bivariat. Analisis bivariat dilakukan dengan uji chisquare dan uji Fisher. Hasil : Analisis bivariat menunjukkan nilai p value hubungan hipoglikemia dengan stroke iskemik adalah 1,0, sedangkan nilai p value hubungan hipoglikemia dengan stroke iskemik adalah 0,57. Kesimpulan : Hasil penelitian menunjukkan tidak terdapat hubungan antara hipoglikemia dan anemia dengan kejadian stroke iskemik.
Tinjauan Komprehensif Trauma Akustik Favian Arriella Shabri Ikmal Fauzi; Yohannes Adhie Wijaya; Sabna Ayu Sagita Berliana; Fiqih Habib Marwa; Safari Wahyu Jatmiko
JURNAL IMPLEMENTA HUSADA Vol 6, No 1 (2025)
Publisher : UMSU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/jih.v6i1.21439

Abstract

Abstrak: Trauma akustik adalah suatu kondisi patologis pada sistem auditori yang diakibatkan oleh paparan akustik intensitas tinggi dalam jangka waktu tertentu. Tinjauan komprehensif ini menganalisis aspek etiologi, patofisiologi, diagnosis, dan tata laksana trauma akustik berdasarkan literatur terkini. Sumber kebisingan modern, seperti transportasi, aktivitas rekreasional, dan perangkat audio personal, berkontribusi signifikan terhadap peningkatan insidensi gangguan pendengaran. Status sosio-ekonomi dan usia teridentifikasi sebagai faktor yang mempengaruhi tingkat keparahan dampak trauma akustik. Manifestasi klinis trauma akustik mencakup spektrum gejala luas, dari kehilangan pendengaran hingga tinitus dan vertigo. Temuan terbaru dalam neurofisiologi auditori mengungkap peran penting sinaps pita sel rambut cochlea dan proses pematangan molekulernya. Kerusakan pada stereosilia sel rambut luar akibat paparan suara impulsif dapat menyebabkan "hidden hearing loss". Trauma akustik tetap menjadi tantangan kesehatan global yang memerlukan pendekatan multidisipliner. Penelitian lanjutan diperlukan untuk mengembangkan strategi pencegahan dan pengobatan yang lebih efektif, serta kebijakan komprehensif guna meminimalkan dampaknya terhadap kualitas hidup.
Co-Authors Adam Nur Rahman Affifah, Fathiyya Noor Agus Widodo Agustina, Dinda Dwi Ahmad Alrizaldi Alfajri, Asri Alim, Fika Nurul Amry Irsyada Yusuf Anam, Ilham Hafizha Maulana Anggitaratri, Zakia Novi Anika Candrasari Annas Syahirul Nugraha Annas Syahirul Nugraha, Annas Syahirul Annisa Maulidia Anton Agus Setyawan Aprida Putri Aqmarina, Nadia Wdihi Arif Pristianto Arkan Adi Widiya Arkan Adi Widiya, Arkan Adi Arsya Sakti Yudha Aryanto Asfarina, Fatin Aulia Hanif Aulida Azkia Kamila AY Yanto Azenta, Moch. Tabriz Azhim Rahmawati Azhim Rahmawati, Azhim Brilliantama, Fandy Akbar Budi Rahayu, Ummi Dadang Nugroho Dedhy Sastiyono Devi Usdiana Rosyidah Dewa Made Krisna Viandara Dewangga, Mahendra Wahyu Dewi, Asri Seftika Dewi, Listiana Masyita Dila Septianing Nugrahanifa Dodik Nursanto Dwi Kusumaningsih Dwi Rosella Komala Sari Edi Dharmana Em Sutrisna Emawan Noor Fikri Erika Diana Risanti Fadhil Emdian Nugraha Faizah, Ishmah Nur Farita Adhynda Amithya Fauzi, Favian Arriella Shabri Ikmal Favian Arriella Shabri Ikmal Fauzi Faza Ovita Balqis Fiqih Habib Marwa Fitka Romanda Fitri, Alifah Aulia Graffico Eryza Oldiara Haliza, Sheli Nur Hanif, Aulia Hasna Zahro Iftikhonsa Ichsan, Burhanuddin Iin Novita Nurhidayati Mahmuda Ilham Hafizha Maulana Anam Imronudin Imronudin Kamila, Aulida Azkia Kania, Yulia Intan Komalasari, Dwi Rosella Kumala, Aswa Arsa Lestari, Nining Listiana Masyita Dewi Lisyani Suromo, Lisyani Luthfi Primadani Kusuma Mapa, Anna Rochim Maulida, Amira Hasna Metana Puspitasari Muhammad Adha Muhammad Alim Abdulmajid Hidayatulloh Muhammad Yusuf Muzakar Isa Nadia Wdihi Aqmarina Nastiti Farasvita Putri Nida Faradisa Fauziyah Nining Lestari Nining Lestari Noor Hafida Widyastuti Nur Mahmudah Nur Mahmudah Nurhaliza, Sheli Pambudi, Nasrurrofiq Risvana Bayu Pintakasari Widyaningtyas Prasetyo, Andri Sugeng Putri, Aprida Rafif Ryandra Izdhihar Ramadhan, Variansa Sava Retno Sintowati Retno Siryaningsih Retno Siryaningsih, Retno Riandini Aisyah Rochmadina Suci Bestari Rohman, Raihan Fadzlur Sabna Ayu Sagita Berliana Salsabiela, Salwa Salsabila, Nabila Mutia Sholeh, Muhammad Dzikru Irfan Sigit Widyatmoko Sri Wahyuni Sulistiyo, Azka Hafiy Sulistyani Sulistyani Supraba, Intan Pratiwi Suryani, Latifah Syahida, Safira Tara , Irmanawati Audhina Nirmala Tri Agustina, Tri Utami, Aurelia Ratna Utami, Indari Vemas Rifki Pradana Vitania Marsya Wafiq, Muhammad Azzim Waseso, Wahyu Wibowo, Haryo Kunto Widyaningtyas, Pintakasari Yohannes Adhie Wijaya Yuli Kusumawati Yunitama, Alifa Agil Dhillu Zahro Iftikhonsa, Hasna Zakia Novi Anggitaratri Zulfah, Khairina Zulfiona Dianes