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Journal : Science Midwifery

Analysis of the Implementation of Total Quality Management (Tqm) on Nurse Performance at Mother and Child Hospital (Rsia) Eria Bunda Pekanbaru Nurafni Marissa; Budi Hartono; Lita; Doni Jepisah; Arnawilis
Science Midwifery Vol 10 No 4 (2022): October: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i4.799

Abstract

Total Quality Management (TQM) is an approach that is widely used by companies in improving quality with the aim of improving performance in quality, productivity and probability. That study aims to determine the application of TQM to the performance of nurse at RSIA Eria Bunda Pekanbaru in 2021. This study includes a quantitative study with a cross sectional design. The number of samples was carried out using a total sampling technique, namely 37 people. The analysis used chi square test, fisher exact test, multiple logistic regression and importance performance analysis (IPA) methods. The result showed that the focus on customers (OR:7.583 95%Cl=1.737-33.089), obsession with quality (OR:1500 95%Cl=0.220-10.218), scientific approach (OR:5.818 95%Cl=1.032-32.793 ), long term commitment (OR:5.993 95%Cl=1.337-25.226), teamwork (OR:7. 585 95Cl%Cl=1738-33.089), continuous improvement (OR:5.893 95%Cl=1.337-25.226), training education (OR: 3.405 95%Cl=0.879-13.188), freedom of control (OR:7500 95%Cl =1.715-32.796), unity of purpose (OR:0.941 95%Cl=0.118-7.499), involvement and empowerment (OR:10.625 95%Cl=1.874-60.246). The conclusion is that there is an influence between TQM focus on customers, scientific approach, long term commitment, teamwork, continuous improvement, education training, freedom of control and involvement and empowerment
Factors Related to the Implementation of the Covid-19 Vaccine in the Indonesian Army in District-City, Riau Province Yalesvitri Yalesvitri; Ennimay Ennimay; Aldiga Rienarti Abidin; Budi Hartono; Hetty Ismainar
Science Midwifery Vol 10 No 4 (2022): October: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i4.804

Abstract

The Indonesian Armed Forces synergizes with the government to accelerate the implementation of the COVID-19 vaccination. Objectives, knowing the factors related to the achievement of the implementation of the COVID-19 vaccine invasion of the Indonesian Army.Method, using a quantitative method with a cross-sectional study approach. The sampling method was accidental sampling. The number of respondents was 96 community respondents and 16 respondents from the vaccination team. Data was collected using questionnaires and observations. Data were analyzed using Chi Square test statistical software. Result,there is a relationship between knowledge and public perception < 0.05, the value of = 0.009, not good with the achievement of vaccine 1 (20%), vaccine 2 (14.5%), vaccine 3 (65.5%). The unrelated factors are the knowledge and skills of the vaccination implementation team > 0.05, the value of = 0.006, the type of vaccine available > 0.05, the value of = 0.585), the COVID-19 vaccine distribution system > 0.05, the value of = 0.359 and facilities and infrastructure > 0.05 the value of = 0.854. The relationship between incentive motivation of the vaccination team and the achievement of vaccine implementation was not good (43.8%) and good (56.3%). Vaccination achievements in the four Military District with good category 70.8%, quite good 17.7% and not good 11.5%. Conclusion, the related factors are knowledge and public perception about the COVID-19 vaccine with the achievement of the implementation of the incursion COVID-19 vaccine. The Army while unrelated factors include the knowledge and skills of the vaccination team, the types of vaccines available, the COVID-19 vaccine distribution system and facilities and infrastructure.
Factors Affecting Inpatient Patient Satisfaction of Social Security Agency of Health (BPJS) Participants at Bangkinang Hospital Mahmudah; Hetty Ismainar; Budi Hartono; Doni Jepisah
Science Midwifery Vol 10 No 5 (2022): December: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i5.1091

Abstract

Bangkinang Hospital is the main referral hospital for the people of Kampar, especially Social Security Agency of Health (BPJS) patients. Inpatient satisfaction at Bangkinang Hospital in 2021 is 76%. The standard according to the Ministry of Health is ≥90%. The BOR value has decreased in the last three years, namely 2019 by 57%, 2020 by 52% and 2021 by 43%. One of the causes is the Covid-19 pandemic that has occurred in the last two years. The standard BOR value is 60-85%. The purpose of this study was to look at the factors that influence inpatient satisfaction of Social Security Agency of Health (BPJS) participants at Bangkinang Hospital. The research was conducted in the inpatient room of Bangkinang Hospital, August 2022 with a total sample of 96. This type of research is an analytic study with a cross-sectional design. The data analysis used was univariate, bivariate and multivariate. Bivariate analysis showed that the variables that influenced patient satisfaction were empathy (p = 0.011), responsiveness (p = 0.009), reliability (p = 0.014) and patient experience (p = 0.007). Variables that have no effect are assurance (p = 0.238) and tangible (p = 0.073). Multivariate analysis obtained two confounding variables, namely assurance and tangible. The variable that has the dominant influence is the patient's experience with a POR value of 7,495. The conclusion of this study is that there are four variables that influence patient satisfaction and two confounding variables. The suggestion of this research is that it is necessary for homes to complete facilities in inpatient rooms, especially call bells, provide training to improve the competence of officers, and ESQ training.