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Ermi Girsang
Magister Public Health, Faculty of Medicine, Universitas Prima Indonesia
Nursing Public Health

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The Effect Of Characteristic, Psychological And Organizational Factors On Nurse Performance At Royal Prima Hospital Abrianus Sarumaha; Ermi Girsang; Yolanda Eliza Putri Lubis; Sri Wahyuni Nasution
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 2 (2023): May 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v3i2.116

Abstract

Nurse performance is a determining factor in the success of achieving hospital goals in nursing services. Various studies on the performance of nurses in Indonesia show that the performance of nurses is still relatively low between 47.6% - 53.4%. Nurse performance is thought to be influenced by 3 factors, namely individual factors, psychological factors and organizational factors. The purpose of this study was to analyze the effect of characteristic, psychological, and organizational factors on nurse performance. This research is a quantitative research with a cross sectional study approach. The research was conducted at the Royal Prima Hospital, Medan. The research population was 367 people, the sample obtained was 115 people. Sampling by purposive sampling. Data analysis was univariate, bivariate with chi-square test, and multivariate with multiple logistic regression at 95% confidence level ( a=0.05). The results showed that the factors that influence the performance of nurses at the Royal Prima General Hospital Medan are psychological factors (job satisfaction) (p=0.011), organizational factors (leadership and organizational culture) respectively p = 0.004 and p = 0.002. Individual characteristic factors had no effect, namely age (p=1,000), gender (p=0.661), education (p=0.454), and years of service (p=0.090). The most dominant variable influencing the nurse's performance is the leadership variable, Exp(B)/OR = 6.633, meaning that the nurse who states leadership is in a good category has a 6.6 times higher chance of having a good performance than the nurse who states that leadership is not good. It is recommended that the leadership of the Royal Prima General Hospital Medan to provide guaranteed incentives to all nurses so as to increase satisfaction. Head of the room to demonstrate leadership that is acceptable to all parties. Hospitals should maintain and improve the organizational culture that has been good so far.
Cost And Utilization Analysis In Increasing Cost Recovery Rate (CRR) In Rsu Royal Prima Medan 2022 Franks Wijaya; Ermi Girsang; Tan Suyono
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 3 (2023): August 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v3i3.186

Abstract

Cost Recovery Rateat the Royal Prima Medan Hospital, there was a surplus every year below 5% and even decreased in 2018 to less than 100%. The CRR surplus is still below 5% and the CRR decline is related to costs, tariffs and utilization. This study aims to analyze tariffs, costs and utilization in increasing the Cost Recovery Rate (CRR) at RSU Royal Prima Medan. This type of research is quantitative and qualitative research is descriptive analytic. The population and sample were the Director, Director of Medical Services, Head of Finance Subdivision, Head of Accounting and Marketing Subdivision at RSU Royal Prima Medan, totaling 5 informants. Data collection with primary and secondary data and data analyzed by data reduction, data display and data verification. The results of the study show that there is a change in the Cost Recovery Rate (CRR) every year, how to determine service product rates at RSU Royal Prima Medan and compare them to rates at competing hospitals in Medan, the number of sick people totaling 4222 people was only about 53 people who came out dead for various reasons, not because of the disease they suffered when they entered and the strategy carried out by RSU Royal Prima Medan in increasing CRR is to carry out promotions for several superior service products. It is recommended that because this research is limited to using only quantitative descriptive methods with a qualitative approach, the authors suggest that the leadership can re-examine the success of this research by opening other researchers using different methodologies and employees need to increase motivation and quality of service from year to year so as to make RSU Royal Prima Medan is indeed a hope for the wider community.
The Effect Of Cognitive Behavioral Therapy (CBT) Application On Lifestyle In Hypertension Patients At Royal Prima Marelan Hospital 2022 Abdi Kurniawan Purba; Ermi Girsang; Mangatas Silaen
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 3 (2023): August 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v3i3.187

Abstract

Hypertension is still a health problem in the elderly group. As a result of rapid development and a prosperous standard of living and health services can increase life expectancy, so that the number of elderly people increases every year. This increase in age is often followed by an increase in degenerative diseases and other health problems in this group. Psychological interventions are believed to be able to change a person's behavior towards a better direction in disease control and prevention. This study measures the impact of cognitive behavioral therapy (CBT) interventions on self-care management of hypertensive patients.This type of research is a quasi-experimental design with a pretest-posttest and control group design. The research subjects were divided into two groups, namely the intervention group (35 people) and the intervention group (35 people). control group (35 people). The research was conducted at the Royal Prima Marelan Hospital in 2022. Data were analyzed using the t-dependent test (α = 0.05).The results showed that in the intervention group there were differences in self-care management of hypertensive patients before and after being given CBT which included diet (p <0.001; 95% CI -6.663-(-4.796)), physical activity (p<0.001; 95 %CI -5.344-(-4.370)), and attitude (p=<0.001; 95%CI -13.086-(-10.115)). In the control group, there was no difference in self-care management of hypertensive patients, including diet n (p= 0.083; 95% CI -0.183-0.012), physical activity (p= 0.058; 95% CI- 0.291-0.005), and attitude T2DM patients (p = 0.094; 95% CI -0.225-0.003). This means that CBT is effective in improving self-care management of Hypertension patients.It is suggested to the Management of Royal Prima Marelan Hospital to implement routine physical activities such as hypertension gymnastics in order to prevent hypertension among young people.
Co-Authors Abdi Kurniawan Purba Abrianus Sarumaha Franks Wijaya Mangatas Silaen Tan Suyono Yolanda Eliza Putri Lubis