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All Journal HAYATI Journal of Biosciences Media Kesehatan Masyarakat Indonesia Jurnal Kesehatan Lingkungan indonesia JURNAL PROMOSI KESEHATAN INDONESIA Jurnal Kedokteran Brawijaya Majalah Kedokteran Bandung Indonesian Journal of Urology Prosiding Pendidikan Sains Berkala Ilmu Kesehatan Kulit dan Kelamin Biology, Medicine, & Natural Product Chemistry JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) JIMKesmas (Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat) Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Jurnal Penelitian Pendidikan IPA (JPPIPA) Syntax Literate: Jurnal Ilmiah Indonesia Buletin Farmatera Jurnal Kesehatan Medika Saintika Window of Health : Jurnal Kesehatan SCIENTIA JOURNAL Jambura Journal of Health Sciences and Research Journal of Humanities and Social Studies Jurnal Kesehatan Medical Technology and Public Health Journal Poltekita : Jurnal Ilmu Kesehatan JURNAL MUTIARA KESEHATAN MASYARAKAT Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Contagion: Scientific Periodical Journal of Public Health and Coastal Health Health Information : Jurnal Penelitian PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Prima Medika Sains Jurnal Doppler Jurnal Ners Indonesian Journal of Pharmaceutical and Clinical Research Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Science Midwifery Babali Nursing Research Jurnal Penelitian Pendidikan, Psikologi Dan Kesehatan (J-P3K) Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences Jurnal Abdimas Ilmiah Citra Bakti (JAICB) JOURNAL LA MEDIHEALTICO MAHESA : Malahayati Health Student Journal Jurnal Kesehatan Saintika Meditory INTERNATIONAL JOURNAL OF CULTURAL AND SOCIAL SCIENCE International Journal of Islamic Education, Research and Multiculturalism (IJIERM) JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Buletin Kedokteran dan Kesehatan Prima eJournal Kedokteran Indonesia Pharmaceutical Sciences and Research (PSR) International Journal of Health and Pharmaceutical (IJHP) Jurnal Ilmu Kesehatan Masyarakat Cerdika: Jurnal Ilmiah Indonesia Eduvest - Journal of Universal Studies Jurnal Mahasiswa Ilmu Kesehatan Haga Journal of Public Health (HJPH) Media Penelitian dan Pengembangan Kesehatan Malahayati International Journal of Nursing and Health Science Holistik Jurnal Kesehatan Jurnal Info Kesehatan
Girsang, Ermi
Faculty of Public Health, University of Prima Indonesia
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Journal : Jurnal Ners

 1 
Evaluation Of The Hospital Billing System's Implementation In Recording Outpatient And Inpatient Payments Using The Pieces Method Sitohang, Widya Yanti; Sihombing, Ronel Polin; Girsang, Ermi
Jurnal Ners Vol. 9 No. 1 (2025): JANUARI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i1.31892

Abstract

Electronic billing simplifies and speeds up patient billing. This study will evaluate the system's performance, information, economics, control/security, efficiency, and service (PIECES) using the analytical model. This study examines RSU Royal Prima Medan's PIECES hospital billing system's outpatient and inpatient payment recording. A mixed-methodologies study uses quantitative and qualitative methods. This study sampled 200 patients quantitatively and seven informants qualitatively. Quantitative data analysis employed univariate analysis, while qualitative used triangulation. This study found that RSU Royal Prima Medan's hospital billing system for outpatient and inpatient payments performed well in performance, information, economics, control, efficiency, and service. The challenges include rare network problems. This study found that RSU Royal Prima Medan's PIECES hospital billing system for outpatient and inpatient payments is working well. RSU Royal Prima Medan should develop the system to properly use it in the future by training officers, evaluating them, and supervising them to reduce errors and maximize patient care.
Analysis of the Relationship between Smoking, Stress, Alcohol, Obesity, Dyslipidemia and Hypertension in the Elderly Suci, Tri; Hasibuan, Muhammad Anugerah Ramadhan; Girsang, Ermi; Nasution, Sri Lestari
Jurnal Ners Vol. 9 No. 1 (2025): JANUARI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i1.33235

Abstract

Hypertension causes the deaths of 8 million people every year, of which 1.5 million deaths occur in Southeast Asia. Overall, the prevalence of hypertension is around 30-45% in adults and the prevalence increases progressively to >60% at ages >60 years. Hypertension is one of the main causes of mortality and morbidity in Indonesia, so it is needed at various levels of health care facilities in an effort to reduce the prevalence and incidence of cardiocerebrovascular disease. The aim of this research is to analyze the relationship between smoking, stress, alcohol, obesity, dysplidemia and hypertension in the elderly at Pustu Desa Deli Tua Dusun IV in 2024. This type of research is analytical quantitative research using a cross sectional approach. The population in this study are elderly people who experience hypertension at Pustu Desa Deli Tua IV in 2024, totaling 95 elderly people. Sampling used total sampling with a total sample of 95 elderly people. The data analysis used in this research is univariate, bivariate and multivariate analysis. The results of the research show that there is a relationship between smoking, stress, obesity and dysplidemia on hypertension in the elderly at the Deli Tua Village Dusun IV Pustu in 2024, but there is no relationship between alcohol and hypertension in the elderly at the Deli Tua Village Dusun IV Pustu in 2024. The variables included The most related to hypertension in the elderly at Pustu Desa Deli Tua Dusun IV in 2024 is the obesity variable (X4). From the results of the research that has been carried out, the suggestions that can be given to elderly hypertensive sufferers are to better maintain their lifestyle by reducing stress, reducing smoking for elderly people who still smoke, maintaining their diet for elderly people who are obese and it is also recommended that they do light exercise with as regular as walking in the morning.
An Analysis Of Factors Influencing Bpjs Patient Loyalty Based On Customer Satisfaction Theory At Bandung General Hospital Medan Kusumadewi, Arum Grahini; Nasution, Sri Lestari Ramadhani; Girsang, Ermi; Nasution, Ali Napiah
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.51016

Abstract

Patient loyalty is a critical factor in ensuring the sustainability and competitiveness of hospitals, particularly within health services under the National Health Insurance (JKN) program such as BPJS Kesehatan. According to the 2022 report by the Indonesian Hospital Association (PERSI), the patient retention rate in Indonesian hospitals is only 56%, while the remaining 44% switch to other health facilities due to dissatisfaction with service quality, costs, and accessibility. This phenomenon reflects relatively low patient loyalty, especially among BPJS participants. This study employed a quantitative approach with a cross-sectional design and was conducted at Bandung General Hospital Medan, involving 260 inpatients purposively selected from a total population of 341 patients. Data analysis was performed in three stages: univariate, bivariate using the Chi-Square test, and multivariate using multiple logistic regression. The results revealed four factors that significantly influenced BPJS patient loyalty: satisfaction drivers, emotional response, health worker performance, and relationship quality. Among these, satisfaction drivers emerged as the most dominant factor (OR = 7.611). In contrast, perceived value, expectations, service recovery, and brand image did not show a significant effect. These findings suggest that BPJS patient loyalty is more strongly shaped by direct experiences and emotional interactions during the service process than by external attributes such as brand image or initial expectations.
Young Doctors' Perception Of The Effectiveness Of The Clinical Learning System At Royal Prima Hospital Medan Zebua, Restin Julianti; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.51028

Abstract

Young doctors often have different perceptions of the effectiveness of clinical learning in medical professional education. Clinical learning is a crucial stage in shaping the competence of young doctors, in terms of knowledge, skills, and professionalism. This study aims to explore young doctors' perceptions of the effectiveness of the clinical learning system at Royal Prima General Hospital in Medan. This qualitative study with a phenomenological approach involved six informants (five young doctors and one clinic coordinator) who were selected purposively. Data were collected through in- depth interviews, focus group discussions, and observations. The results of the study revealed four main themes. First, the quality of clinical learning is influenced by the clarity of instructions, tutor involvement, patient availability, and rotation structure. Second, the learning environment is influenced by the relationship with the supervisor and the clinical work atmosphere. Third, the young doctors' self-competence includes self-confidence, readiness to face patients, and stress management strategies. Fourth, supporting factors (senior support, hospital facilities) and inhibiting factors (patient case variations, high workload, differences in tutor supervision styles) also influence the effectiveness of clinical learning. In conclusion, the effectiveness of clinical learning is influenced by the interaction of instructional, personal, environmental, and structural factors. Therefore, improvement efforts are needed in the form of strengthening tutor supervision skills, equalizing practice opportunities, and providing psychosocial support for young doctors in order to optimize the clinical learning system.
The Role Of The Medical Committee In Improving The Quality Of Health Services Ar Dr. Pringadi Hospital Medan City Tandungan, Helga Kurniawati; Girsang, Ermi; Pratama, Irza Haicha
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.51100

Abstract

This study aims to analyze the role of the Medical Committee in improving the quality of health services at Dr. Pirngadi Hospital, Medan City. The Medical Committee plays an important role in maintaining the professionalism of medical personnel and ensuring quality medical services through medical audits, continuing education, scientific meetings, and mentoring new medical personnel. Using a qualitative descriptive method with an in-depth interview approach to informants consisting of medical staff, doctors, patients, and nurses. This study shows that the role of the Medical Committee at Dr. Pirngadi Hospital has been carried out well, especially in medical audits, although there are obstacles in implementing follow-up audit results due to limited time and facilities. The role of the Medical Committee in organizing scientific meetings and continuing education is still limited and not made a routine program, while the mentoring process (proctoring) for new medical personnel has not been well structured. Through this study, it is clear that although the Medical Committee has played a role in improving the quality of services through medical audits, there is still room for improvement, especially in terms of continuing education and proctoring new medical personnel.
Co-Authors ., Saprilliani AA Sudharmawan, AA Achmad Noerkhaerin Putra Adelia Adelia, Adelia Adnan, Maco Chan Adrian Adrian Adrisya Lubis, Putri Anggie Agatha, Callista Della Agung Abadi Kiswandono Ahmad Affandi Ahmad Nasir Pulungan Akbarinda, Zsizsi Albert Albert Amanda, Silvia Rizki Anggraini, Tri Lidya Angie, Evelyn Arianti, Rahmi Aris, Anita Armansyah, Adek Aulia, Dinda Rahmah Azzahra, Siti Khumairah Binarwan Halim Boas, Richie Ray Barry Br Pelawi, Riri Sri Hagana Br Pintubatu, Christina Delina BT Hasan, Riyani Susan Bu'ulolo, Christian Siuwandy Butar-Butar, Erika Fatrecia Marsaulina Cahya, Septian Dwi Candra Rukmana Dalimunthe Carles, Carles Cenggono, Melise Chiuman, Linda Damanik, Marco Frans Hernandes Daulay, Ayu Sasmita Dedek Sucahyo Devi Arista Dwi Siswanta Edlin, Edlin Edy Fachrial Elis Anggeria Elisabeth, Mariska Elizabeth, Riana Elvira, Cut Eprina Intami Erda, Roza Farrasizdihar, Diaz Fatmasari Bangun, Nita Fieterson, Kriahan Joel Fioni, Fioni Fitrianto, Rahmad Fitrisia, Rina Geeta, Ginting, Chrismis Novalinda Ginting, Crismis Novalinda Ginting, Gabby Gabriela Ginting, Liani Ginting, Rafael Ginting, Rapael Ginting, Rapael Ginting, Sopianita Healthy Gracela, Ira Gultom, Yosephine Octaviana Gusnawati, Gusnawati Hadiprasetyo, Dhanar Septyawan Hafizah, Nandani Zakia Haicha Pratama, Irza Halima, Piyanto Hamdi, Sintiya HAMSI, QURATUL AINI Handayani, Rr. Anisa Siwianti Harahap, S. Shelly Hazlina Harahap, Vinnie Hazriah Harjanti, Mathelda Weni Hartantio, Agnes Haryanti, Mathelda Weni Hasibuan, Muhammad Anugerah Ramadhan Hati Harefa, Lurusan Hermansyah Aziz Hilal, Zaimah Hutagalung, Caroline Febrina Idariani, Idariani IKHTIARI, REFI Irwan, Mulia Johannes Bastira Ginting Juanda, Lidya Sari Juniva Laila Sihombing, Juniva Laila Kaban, Lyta Imanti Kalimah, Kalimah Kesuma, Farah Shyfa Khoironissa, Analita Kosasih, Putri Peggy Yanti Kusumadewi, Arum Grahini Kusumaningrum, Tri Siwi Leli Khairani Lestari Nasution, Sri Lestari Ramadhani Nasution, Sri Lie, Sukirman Liena, Liena Liester, I Nyoman Ehrich Lingga, Imelda Lister, I Nyoman Ehrich Lister, I Nyoman Ehrich Lister, I. Nyoman Ehrich Lister, Nyoman Ehrich Lubis, Maas Lubis, Nurul Sri Finna Maler, Tangge Mare A, Fauzan Margareta Pratiwi Marisca Evalina Gondokesumo, Marisca Evalina Maulidin, Muhammad Maulina, Febby Mawarni, Evi Meliala, Juli Elisabet Mayen br Mendrofa, Trisman Basri Mendrofa, Tuho Konsultasi Michael Michael Muhammad Maulidin Mukti, Ade Indra Mutia, Maya Sari Naibaho, Iren Theresia Melati Br Napiah Nasution, Ali Napiah, Ali Nasuition, Ali Napiah Nasution, Ali N. Nasution, Ali Napiah Nasution, Muhammad Andriady Saidi Nasution, Sri Lestari Nasution, Sri Lestari Ramadhani Nasyushan, Sri Lestari Ramadhani Natali, Oliviti Natalia Desvalentina Lase Nindya, Faradhina Salfa Njoto, Lina Noviana, Amelia Nst, Sri Wahyuni Nurul Hidayat Aprilita Nurunnisa, Syarifah Oktaviani, Emma Parapat, Winny G I Patriana, Dhona Poernomo, Dwi Hery Pratama, Irza Haicha Putranto Manalu Putri, Dara Maulidya Putri, Nadya Nazimuddin Putri, Riri Virzan Rachmi Yuana, Syafrina Rahmadana, Rizka RAHMAT, DENI Rahmiana Zein Rahmini, Elsi Raif, M. Rahmad Ramadhani, Sri Lestari Rehulina Br Purba, Farida Resmalita, Nelli Adelia Resmi Pangaribuan Rushe, Rhesiwenny Saharman Gea Sahputra, Fajar Salovetian, Marcelino Samosir, Frans Judea Santy Deasy Siregar Sari Mutia, Maya Sari, Diah Sekar Saufa, Zahra Qisthi Sembiring , Intan Permata Sari br. Sembiring , Jessyca Siahaan, Cory Oriensia Sihombing, Ronel Polin Silaen, Mangatas Silalahi, Marlinang I. Simanjorang, Delpini Sinaga, Megasilvia Siregar, Hafiz Hawari Siregar, Lidya Siregar, Lusyana Siregar, Novalina Sitanggang, Rido Aliberto Sitepu, Enda Menaisa Sitohang, Widya Yanti Sitompul, Fernades Sri Juari Santosa Stephan, Weldy Subang Aini Nasution Subrata, Mariany Puspita Suci, Tri Suhartina Suhartina Suhartina, Suhartina Sumiati Sumiati Suyono, Tan Suyono, Tan Syahputri, Nurul Apla Wizaya Takasenserang, Oktaviana Takashi Hayashita Tambunan, Gempita Cahaya Aulia Tambunan, Ridhona Tandungan, Helga Kurniawati Tarigan, Almina Rospitaria Tarigan, Gracia Hosanna Evelyn Tarigan, Muliate Telaumbanua, O'ozisokhi Teresa Liliana Wargasetia Tio, Susanthy Triharsiwi, Dwi Nur Tua, Vridian Mangara Turnip, Modesto Lam Ulido Putra Ummi Kalsum VERONICA VERONICA Vonikartika, Arie - WAHYU WIDOWATI Wau, Herberd Wibowo, Satrio Haryo Benowo Widodo, Wahyu Setia Widya Yanti Sihotang Wienaldi, Wienaldi Wijaya, Cindy Eka Wijaya, Joshua Andre Yuliansyah, Jeri Yulidar Yulidar Yusuf, Lydia Zahiroh, Fadhilah Haifa Zebua, Restin Julianti Zebua, Sawato Zulkarnain Chaidir