Ermi Girsang
Lecturer Master of Public Health Study Program Faculty of Medicine, Dentistry and Health Sciences Universitas Prima Indonesia Medan, North Sumatera, Indonesia

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Implementation Analysis Of Clinical Pathway At Royal Prima Hospital Yessica Putri H; Ermi Girsang; Maya Sari Mutia
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.v3i2.146

Abstract

Clinical pathways are an important part of documents and tools in realizing good clinical governance in hospitals. In Indonesia, this document is also one of the requirements that must be met in the KARS version of the Hospital Accreditation Standard. However, the process of implementing this Clinical Pathway itself also has various problems. Things that might hinder the implementation of this clinical pathway could come from the staff and hospital members themselves because they have not adapted to this Clinical Pathway. This study aims to analyze the implementation of the Clinical Pathway at the Royal Prima Hospital in Medan. This study uses a quantitative design with a cross sectional approach. The research sample was all doctors, nurses, nutritionists, pharmacists at the Royal Prima Hospital Medan who filled the Clinical Pathway as many as 83 people. The results of the Fisher's Exact test showed that there was a significant effect between regulation (p=0.000), compliance (p=0.004), supporting factors (p=0.025), and inhibiting factors (p=0.002). By using the t-test at a significance level of 0.05, the results obtained that regulation is the variable that has the main influence on the implementation of the Clinical Pathway at Royal Prima Hospital Medan (Sig.0.001). Suggestions to hospitals are expected to strengthen policies regarding the implementation of Clinical Pathway to improve health services in hospitals. Caregivers are expected to maintain compliance with the implementation of the Clinical Pathway to improve health services in hospitals.
Analysis Of Factors Affecting Nurse Anxiety Levels In Covid-19 Patients At RSU Royal Prima Medan Naomi Grace Rezeki; Ermi Girsang; Putranto Manalu
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.v3i2.149

Abstract

Since the emergence of the first confirmed case of Covid19 in Wuhan at the end of 2019, much attention has been focused on how the patient's health care system to the development of vaccines. However, the discussion about how the struggle of health workers, especially nurses, seems to have received less attention. Therefore, this study was conducted to find out how the anxiety level of nurses for Covid-19 patients is in terms of the influence of organizational support, social support, workload and personal resilience. The results showed that workload and personal resilience had a positive and significant effect on anxiety levels (p < 0.005) but organizational support and social support had no significant effect on anxiety levels (p > 0.005). From the results of the multivariate test, it was found that the p value was 0.000 (p < 0.005) which stated that together or simultaneously, the independent variables in this study had a significant influence on the dependent variable, namely the level of anxiety.