Claim Missing Document
Check
Articles

Found 12 Documents
Search

The Presence of Posyandu as an Approach in Improving Health Development in the Community Andiko Nugraha Kusuma
Jurnal EduHealth Vol. 13 No. 01 (2022): Jurnal EduHealth, April - September 2022
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (241.571 KB)

Abstract

Posyandu is a form of community-based health effort that is managed and organized from, by, for and with the community in the implementation of health development, in order to empower the community and provide convenience to the community in obtaining basic health services, especially to accelerate the reduction of maternal and infant mortality. . This research is a type of qualitative research, using descriptive method. While the notion of qualitative research can be understood as a research procedure that utilizes data and has the aim of describing and analyzing events, social dynamics, phenomena and attitudes of individual and group perceptions of something, the results of this study explain that community independence in health services is needed to improve visits to posyandu, but in general posyandu visits will decrease if posyandu is not managed properly, the management of posyandu is very dependent on the activity of health cadres and agencies that foster it, because posyandu is a form of Community Based Health Efforts (UKBM) which is managed from, by , for, and with the community, in order to empower the community and provide convenience to the community in obtaining basic health services. On the other hand, the presence of posyandu cadres acts as a health motivator, health educator and health service provider through the posyandu program. Because community empowerment is created from motivational factors to improve family and community health, the ability to identify health service needs and barriers, and understand available resources.
Impact of Shift Work on Nurse Fatigue and Productivity in an Indonesian Inpatient Ward: A Cross-Sectional Study Sri Rahayu; Andiko Nugraha Kusuma
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.24073

Abstract

Shift work, particularly night shifts, is known to affect the health and productivity of healthcare workers. However, there is limited research on how shift work impacts nurses in low-resource settings, such as secondary hospitals in Indonesia. This study aims to explore the effects of different shift types on nurse fatigue and productivity in Indonesia, filling a critical gap in the literature. A cross-sectional study was conducted with 150 nurses from Rumah Sakit Umum Daerah Deli Serdang (RSUDDS) in Medan, Indonesia. Participants were selected using stratified random sampling based on their shift types (morning, evening, night). Fatigue was measured using the Nurse Fatigue Scale (NFS) and Pittsburgh Sleep Quality Index (PSQI), while productivity was assessed through both self-reports and objective task completion data. Statistical analyses included one-way ANOVA, multiple regression, and effect size calculations (Cohen's d). Night shift nurses reported significantly higher fatigue levels (mean NFS = 32.4) and lower productivity (mean self-reported productivity = 6.1) compared to morning (NFS = 28.3; productivity = 7.2) and evening shift nurses (NFS = 30.1; productivity = 6.9). The differences were statistically significant (p < 0.01). Cohen's d for the comparison of fatigue between night and morning shifts was 0.68, indicating a moderate effect. Multiple regression analysis revealed that fatigue (β = -0.48, p < 0.001), shift type (β = -0.29, p < 0.01), and work environment factors (β = -0.35, p < 0.05) were significant predictors of nurse productivity. Night shifts were strongly associated with higher fatigue and lower productivity among nurses. To mitigate these effects, hospitals should consider implementing policies such as limiting consecutive night shifts and providing structured rest breaks. Further research, particularly longitudinal studies, is needed to explore causal relationships and test scheduling interventions to optimize nurse well-being and performance. Keywords: Shift work, Occupational health, Nurse productivity, Fatigue