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Evaluasi Penerapan Kualitas Sistem Informasi Manajemen Rumah Sakit Adelia, Adelia; Girsang, Ermi; Nasution, Ali Napiah
Journal of Telenursing (JOTING) Vol 6 No 2 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i2.13718

Abstract

The purpose of this study is to evaluate the quality of the management information system at the UPTD RSUD. This research method is quantitative with a cross-sectional study design. The benefits of this study are to be a reference for hospital management to improve the quality of the hospital management information system. The results show that there is a relationship between infrastructure and the quality of the hospital management information system, human resources and the quality of the hospital management information system, procedures and the quality of the hospital management information system. Conclusion: There is a significant relationship between infrastructure, human resources, procedures and the quality of hospital management information systems. Keywords: Infrastructure, Quality, Procedures, Human Resources, Hospital Management Information System
Analisis determinan kualitas pelayanan terhadap kepuasan pasien Idariani, Idariani; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
Haga Journal of Public Health (HJPH) Vol. 2 No. 1 (2024): November 2024
Publisher : YAYASAN VICTORY HAGA INDONESIA

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Abstract

Latar belakang: Kepuasan pasien merupakan salah satu cara mengukur kualitas pelayanan yang diberikan oleh tenaga kesehatan. Untuk meningkatkan keinginan pasien melakukan kunjungan ke Puskesmas sangat bergantung pada kualitas layanan yang diterima oleh pasien. Studi ini bertujuan untuk menganalisis pengaruh kualitas pelayanan terhadap kepuasan pasien.Metode: Desain penelitian yang digunakan adalah cross-sectional. Penelitian ini dilakukan di Puskesmas Sampoiniet Tahun 2023. Subjek penelitian ini adalah seluruh pasien yang berkunjung di Puskesmas Sampoiniet Tahun 2023. Sampel diperoleh sebanyak 100 orang dengan teknik purposive sampling. Pengumpulan data dilakukan dengan menyebarkan kuesioner kepada pasien. Analisis data penelitian menggunakan uji Chi Square dan regresi logistik.Hasil: Sebanyak 36% pasien tidak puas terhadap pelayanan yang diberikan oleh tenanga kesehatan. Kehandalan (p = <0,001), ketanggapan (p = <0,001), empati (p = <0,001) dan sarana prasarana (p = <0,001) signifikan terhadap kepuasan pasien. Sedangkan variabel jaminan tidak signifikan terhadap kepuasan pasien (0,594).Kesimpulan: Kehandalan, ketanggapan, empati dan sarana prasarana yang tidak baik signifikan terhadap kepuasan pasien
Factors Associated With Cessation of Exclusive Breastfeeding Among Working Women Kalimah, Kalimah; Girsang, Ermi; Manalu, Putranto
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 3 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.3.387-400

Abstract

Exclusive breastfeeding for the first six months are crucial for infant nutrition. The condition of mothers as workers is reported to be one of the factors that hinders exclusive breastfeeding, while the number of working mothers continues to increase every year. This study aimed to evaluate the level of exclusive breastfeeding and identify factors associated with the cessation of exclusive breastfeeding among working mothers. This research employed an analytical observational study. Data was collected from five health center areas in Langkat district, involving 165 working mothers. Samples were taken using a purposive sampling technique. Data analysis included univariate, bivariate (chi-square), and multivariate (logistic regression) analyses. This study reported low levels of exclusive breastfeeding among working mothers. Several factors were associated with breastfeeding, namely age (OR=2.13, 95% CI, 1.07-4.24); p=0.044), education (OR=2.40, 95% CI, 11.24-4.64; p = 0.009), knowledge (OR= 27.08, 95% CI, 10.88-67.37; p<0.001), attitude (OR=18.80, 95% CI,8.33-42.43; p<0.001) and husband's support (OR=8.14, CI 95%, 3.92-16.87; p<0.001). This study concluded that adequate knowledge, a positive attitude towards breastfeeding, and a husband's support are key factors for the success of exclusive breastfeeding for working mothers. Therefore, health workers must pay special attention to these aspects by providing education on the importance of breastfeeding for pregnant women and husbands by providing education of exclusive breastfeeding. It is suggested that future research design a model of public health education to increase the quality and quantity of exclusive breastfeeding among employed women.
Faktor Risiko dan Mortalitas pada Infeksi Eschericia coli Penghasil Extended-Spectrum Beta-Lactamases Juanda, Lidya Sari; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
eJournal Kedokteran Indonesia Vol. 12 No. 3 (2024): Vol. 12 No. 3 - Desember 2024
Publisher : Faculty of Medicine Universitas Indonesia

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Abstract

Eschericia coli penghasil extended-spectrum beta-lactamase (ESBL) memiliki tingkat resistensi tertinggi terhadap sebagian besar agen antimikroba dan menjadi penyebab utama kematian terkait resistensi bakteri teerhadap antibiotik. Tujuan penelitian ini ialah menganalisis faktor risiko dan mortalitas kasus infeksi E. coli  penghasil ESBL. Penelitian ini menggunakan desain analitik kasus-kontrol dan  dilakukan di RS Murni Teguh Medan. Sampel penelitian meliputi 174  spesimen pasien rawat inap dengan isolat E. coli pada tahun 2022, yang dibagi menjadi kelompok penghasil ESBL (135 spesimen, 77,6%) dan bukan penghasil ESBL (39 spesimen, 22,4%). Data dianalisis  dengan uji chi-square dan regresi logistik. Hasil regresi logistik menunjukkan perbedaan bermakna pada riwayat penggunaan antibiotik (p=0,003; OR=3,9) sebagai faktor risiko kejadian infeksi E. coli  penghasil ESBL. Selain itu, komorbiditas  merupakan variabel paling bermakna sebagai penyebab mortalitas pada kejadian infeksi E. coli (p=0,007; OR=8,2). Terdapat perbedaan bermakna pada mortalitas antara ESBL dan non-ESBL (p=0,028;=OR 5,9). Infeksi E. coli penghasil ESBL memiliki risiko yang bermakna terkait riwayat penggunaan antibiotik dan komorbiditas, dengan mortalitas yang jauh lebih tinggi dibandingkan kelompok non-ESBL. Hasil tersebut menegaskan pentingnya penguatan program penatagunaan antibiotik di rumah sakit untuk mencegah dan mengendalikan resistensi antimikroba.
Internal and External Factors that Affect Employee Motivation at Materna Medan Hospital Wijaya, Joshua Andre; Girsang, Ermi; Nasution, Ali Napiah
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 4 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i4.15956

Abstract

Employees are the main capital in a company or organization including hospitals. Good health services are produced by hospital employees who have great motivation in working. Motivation is influenced by basic human needs including physiological needs, a sense of belonging, a sense of security, self-actualization, and appreciation. This study aims to determine and assess external and internal factors that affect employee motivation at Materna Hospital Medan. This research is quantitative research with a cross-sectional approach. The population of all employees working at Materna Hospital Medan amounted to 137 people and all of them were sampled. Data collection techniques through questionnaire dissemination, documentation, and literature study. The analysis method uses univariate, multivariate, and bivariate analysis using multiple linear regression equations. Research findings show that internal factors in the form of recognition affect employee motivation at Materna Medan Hospital while internal factors in the form of responsibility and work itself do not influence. External factors in the form of compensation, supervisors, and relationships with colleagues affect the motivation of employees at Materna Medan Hospital while external factors in the form of working conditions do not influence. Internal and external factors that predominantly influence motivation are internal factors in the form of recognition. It is recommended to hospital management/leaders give statements of recognition to employees according to their performance, and compensate accordingly and supervisors should understand the nature and characteristics of employees who are subordinates to be able to provide appropriate motivation.Keywords : Internal Factors, External Factors, Work Motivation, Hospital Employees
Analysis Of Training, Provision Of Welfare And Implementation Of Position Promotions On Employee Performance At Rsu Royal Prima Medan Girsang, Ermi; Fieterson, Kriahan Joel; Nasution, Ali Napiah
JHSS (JOURNAL OF HUMANITIES AND SOCIAL STUDIES) Vol 8, No 3 (2024): JHSS (Journal of Humanities and Social Studies)
Publisher : UNIVERSITAS PAKUAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33751/jhss.v8i3..10876

Abstract

Hospitals play a crucial role in providing health services, and human resources are essential for their success. To ensure good human resources, organizations must assess employee performance and provide training, welfare, and job promotions. A study using systematic sampling and Proportional Random Sampling with 240 samples found that the majority of respondents were aged 31-40 years, female, with a bachelor's degree, and had worked less than five years. The study found a significant relationship between training, welfare provision, and job promotion implementation at RSU Royal Prima Medan. The most influential factor on employee performance was the implementation of job promotions. The research suggests that RSU Royal Prima Medan should provide periodic training to employees, provide welfare in line with their duties and responsibilities, and ensure transparent and compliant job promotion implementation. In the future, RSU Royal Prima Medan should focus on providing training to employees, providing welfare in line with their duties and responsibilities, and ensuring job promotions are carried out transparently and in accordance with applicable provisions.
Analysis Of The Effect Of The Process Of Issuing Health Personnel Licenses Using The Sipandu Medan Application On Health Worker Satisfaction In Dpmptsp Medan City Nurunnisa, Syarifah; Girsang, Ermi; Lestari Ramadhani Nasution, Sri
International Journal of Health and Pharmaceutical (IJHP) Vol. 4 No. 4 (2024): November 2024
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v4i4.238

Abstract

In the era of global reform and information, public services by government officials today still have many weaknesses so that they have not been able to meet the quality expected by the community. This is indicated by the existence of various public complaints submitted through the mass media and social networks as well as the results of a community satisfaction survey which stated that the permit issuance process took a long time, the information conveyed was not clear and not transparent.The purpose of this study was to analyze the effect of the process of issuing health worker permits using the Medan Sipandu Application on Community Satisfaction in Dpmptsp Medan City. This type of research is Quantitative Analytical research, namely the method in the form of numeric data using a cross sectional approach, with a sample of 200 people. The results of this study are that the variable that has the most influence on the satisfaction of health workers regarding the use of the Sipandu Medan Application is complaint handling. statistical test resultsearned valuep significance is 0.000 <0.05. So it can be concluded that there is an effect of handling complaints on the satisfaction of health workers regarding the use of the Sipandu Medan Application.SIPANDU is here to make it easier for the public to submit related complaints.
Analysis Of Nurse Performance Using The Balance Scorecard Method At South Nias Hospital Telaumbanua, O'ozisokhi; Haicha Pratama, Irza; Girsang, Ermi
International Journal of Health and Pharmaceutical (IJHP) Vol. 4 No. 4 (2024): November 2024
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v3i4.254

Abstract

Performance measurement is needed to assess the accountability of an organization in producing better and right on target services and performance. The Balanced Score Card was created to overcome a problem in the organization regarding weaknesses in an executive performance measurement system. The purpose of this study was to analyze the performance of nurses using the balanced scorecard method at South Nias Hospital. This type of research is descriptive analytic with a quantitative approach with a crosssectional design. The sampling technique in this study was Arikunto's formula, based on this formula, the number of samples in this study became 31 people. The results of the study explain that there is a relationship between financial, consumer, innovative and perspective with the performance of nurses in South Nias Hospital. This research can be used as basic information and data for improving the quality of services at South Nias Hospital.
Factors Influencing Cognitive Status in Type-2 Diabetes Mellitus Patients at Royal Prima General Hospital Medan Arianti, Rahmi; Girsang, Ermi; Sari Mutia, Maya
Babali Nursing Research Vol 5 No 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54422

Abstract

Introduction: Type 2 Diabetes Mellitus (DM) is a significant global health concern. In Type 2 DM, hyperglycemia results from inadequate insulin production and the body’s reduced ability to respond to insulin, a condition known as insulin resistance. Diabetes Mellitus is often associated with cognitive decline, as observed in many patients with Type 2 DM. This study aims to analyze factors influencing cognitive status in Type 2 Diabetes Mellitus patients at Royal Prima General Hospital Medan. Methods: This descriptive quantitative study used a cross-sectional design. The study population consisted of 754 patients with Type 2 DM, with a sample of 150 selected. A mini-mental state exam was used to check the cognitive status. Data were analyzed using univariate, bivariate, and multivariate methods. Results: The findings indicate that gender, education level, blood glucose status, and duration of DM significantly influenced cognitive status in Type 2 DM patients at Royal Prima General Hospital Medan, with a p-value < 0.05 for each variable. In contrast, occupational status did not show a significant influence (p-value > 0.05). Collectively, gender, education level, occupational status, blood glucose status, and DM duration impacted cognitive status in these patients (p-value < 0.05). Conclusion: Among the variables studied, the duration of Type 2 DM was the most influential factor affecting cognitive status in patients at Royal Prima General Hospital Medan.
Correlation Study on Personal Factors of General and Specialist Dentists Regarding Emergency Management of Traumatic Dental Injuries Adrisya Lubis, Putri Anggie; Girsang, Ermi; Sihotang, Widya Yanti
Jurnal Kesehatan Vol 15 No 2 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i2.4495

Abstract

Traumatic dental injuries are increasingly recognized as a significant dental health issue, particularly among children and adolescents. These injuries commonly result from falls, motorbike accidents, sports injuries, or violence. Both general dentists and specialists are responsible for providing emergency care for these injuries, making it essential for them to have sufficient knowledge and experience in managing such cases. This study aims to assess the personal factors influencing the emergency management of traumatic dental injuries among general dentists and specialists in Medan City. A quantitative, cross-sectional design was used, involving a total sample of 300 general and specialist dentists. Data analysis included univariate, bivariate, and multivariate methods. The results showed a significant correlation between knowledge, perception, experience, and work length in managing traumatic dental injuries (p<0.00). However, no correlation was found between age and gender with the ability to manage these injuries (p>0.00). Among the variables, knowledge was identified as the most influential factor. The study concludes that while knowledge, perception, experience, and work duration play a critical role in emergency management, age and gender do not. It is recommended that dentists in Medan continuously enhance their knowledge in this area to ensure effective treatment, reduce patient anxiety, and improve patient satisfaction.
Co-Authors ., Saprilliani AA Sudharmawan, AA Achmad Noerkhaerin Putra Adelia Adelia, Adelia Adrian Adrian Adrisya Lubis, Putri Anggie Agatha, Callista Della Agung Abadi Kiswandono Ahmad Nasir Pulungan Akbarinda, Zsizsi Amanda, Silvia Rizki Anggraini, Tri Lidya Arianti, Rahmi Armansyah, Adek Aulia, Dinda Rahmah Azzahra, Siti Khumairah Binarwan Halim Boas, Richie Ray Barry 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 Chiuman, Linda Damanik, Marco Frans Hernandes Daulay, Ayu Sasmita Dedek Sucahyo Dwi Siswanta Edlin, Edlin Edy Fachrial Elis Anggeria Elisabeth, Mariska Elizabeth, Riana Elvira, Cut Erda, Roza Farrasizdihar, Diaz Fieterson, Kriahan Joel Fitrianto, Rahmad Geeta, Ginting, Chrismis Novalinda Ginting, Crismis Novalinda Ginting, Gabby Gabriela Ginting, Liani Ginting, Rafael Ginting, Rapael Ginting, Rapael Ginting, Sopianita Healthy Gultom, Yosephine Octaviana Gusnawati, Gusnawati Hadiprasetyo, Dhanar Septyawan Hafizah, Nandani Zakia Haicha Pratama, Irza 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 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 Liester, 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 Marisca Evalina Gondokesumo, Marisca Evalina Mawarni, Evi Mendrofa, Trisman Basri Mendrofa, Tuho Konsultasi Michael Michael Muhammad Maulidin Mukti, Ade Indra Mutia, Maya Sari Naibaho, Iren Theresia Melati Br Nasuition, Ali Napiah Nasution, Ali N. Nasution, Ali Napiah Nasution, Sri Lestari Nasution, Sri Lestari Ramadhani Natali, Oliviti Natalia Desvalentina Lase Nindya, Faradhina Salfa 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 Raif, M. Rahmad Ramadhani, Sri Lestari Rehulina Br Purba, Farida Resmi Pangaribuan Rushe, Rhesiwenny Saharman Gea Salovetian, Marcelino Samosir, Frans Judea Sari Mutia, Maya Sari, Diah Sekar Saufa, Zahra Qisthi Sembiring , Intan Permata Sari br. Sembiring , Jessyca Sihombing, Ronel Polin Silaen, Mangatas Silalahi, Marlinang I. Simanjorang, Delpini Sitanggang, Rido Aliberto Sitepu, Enda Menaisa Sitohang, Widya Yanti Sri Juari Santosa Stephan, Weldy Subang Aini Nasution Subrata, Mariany Puspita Suci, Tri Suhartina Suhartina Suhartina, Suhartina Sumiati Sumiati Suyono, Tan Suyono, Tan Takasenserang, Oktaviana Takashi Hayashita Tambunan, Gempita Cahaya Aulia Tambunan, Ridhona Tandungan, Helga Kurniawati Tarigan, Almina Rospitaria Tarigan, Gracia Hosanna Evelyn Telaumbanua, O'ozisokhi Teresa Liliana Wargasetia Triharsiwi, Dwi Nur Tua, Vridian Mangara Turnip, Modesto Lam Ulido Putra Ummi Kalsum Vonikartika, Arie - WAHYU WIDOWATI Wibowo, Satrio Haryo Benowo Widodo, Wahyu Setia Widya Yanti Sihotang Wienaldi, Wienaldi Wijaya, Cindy Eka Wijaya, Joshua Andre Yulidar Yulidar Yusuf, Lydia Zahiroh, Fadhilah Haifa Zebua, Restin Julianti Zebua, Sawato Zulkarnain Chaidir