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All Journal Jurnal Keperawatan dan Fisioterapi (JKF) Jurnal Kesmas dan Gizi (JKG) Jurnal Pengmas Kestra (JPK)
Ika Nur Saputri
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Journal : Jurnal Kesmas dan Gizi (JKG)

 1 
Implementation Of Patient Safety Culture By Nurses Sri Rahayu Saragi; Balqis Wasliati; Ika Nur Saputri
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/4pn82x61

Abstract

Background: Patient safety in hospitals involves the participation of all health workers, especially nurses. Not only implemented by nurses, but also support from all parties involved either directly or indirectly towards the patient. Objective: This study aims to describe the implementation of patient safety culture at Wira Husada General Hospital. Research method: The research method uses qualitative descriptive. The subjects in the study consisted of main informants and triangulation informants. The main informant is 1 person from the hospital management, 5 technical implementers in the implementation of patient safety (IT 1-5). Then the triangulation informants are 3 patients (IT 6-8). Research results: Efforts made in the implementation of patient safety culture Based on Patient Identification at Wira Husada General Hospital have been running well. The implementation of a program policy will run smoothly when supported by the availability of resources, both human resources, facilities and financial resources (funds). However, on the contrary, if there is a lack of resources in a program policy, its implementation will tend to be ineffective. Conclusion: Efforts made in implementing patient safety culture Based on Effective Communication at Wira Husada General Hospital have been implemented well, the safety of High Alert drugs, based on the risk of infection, based on the risk of patient falls at Wira Husada General Hospital has been implemented well. Therefore, improvements are still needed from the Hospital to be able to optimize resources in services, especially human resources.
Factors Influencing Preparation for Integration of Primary Health Services in the Work Area of ​​the Asahan District Health Office Lumban Gaol, Nourma Yenthi; Balqis Wasliati; Ika Nur Saputri
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/6m7z6t05

Abstract

The Government of Indonesia is currently undertaking a health systemtransformation through the Integration of Primary Health Care Services (ILP) to improve access, quality, and efficiency of services at the Puskesmas (community health center) level. However, the readiness for ILP implementation still faces various challenges, particularly in the working area of the Asahan District Health Office. This study aims to analyze the factors influencing the readiness for ILP implementation in three Puskesmas in Asahan Regency: Puskesmas Rawang Pasar IV, Puskesmas Meranti, and Puskesmas Binjai Serbangan. This research used a quantitative approach with a cross-sectional design. A total of 105 respondents were selected using a stratified random sampling technique. Data were collected through questionnaires and analyzed using chi-square tests and logistic regression. Bivariate analysis showed that human resources (p=0.016).and digital information systems (p=0.004) significantly influenced ILP readiness. Meanwhile, facilities and medical equipment (p=1.000) and stakeholder involvement (p=0.495) did not have a significant effect. Multivariate analysis revealed that the digital information system was the most dominant factor (Exp(B)=6.893), followed by human resources (Exp(B)=3.888). Human resources and digital information systems significantly influence ILP readiness. Therefore, enhancing the competence of health personnel and strengthening digital information systems are strategic priorities to support the successful implementation of ILP at the Puskesmas level.
Evaluation of the Implementation of Occupational Health and Safety Management System at Lima Puluh Public Health Center, Batu Bara Regency, in 2025 Purba, Lisdauli; Rambey, Harris; Ika Nur Saputri
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/c1ftq750

Abstract

The Occupational Health and Safety Management System (OHSMS) is a critical component in ensuring a safe and healthy work environment, especially in healthcare service facilities such as community health centers (Puskesmas). This study aims to evaluate the implementation of OHSMS at Lima Puluh Public Health Center in Batu Bara Regency, focusing on three key components: policy establishment, planning, and implementation of OHS plans. A qualitative method with a case study approach was used, and data were collected through in-depth interviews, focus group discussions, observations, and documentation involving 10 informants from the District Health Office and the Puskesmas staff. The results show that although OHS policies have been formally established through official decrees, their implementation remains weak. Most team members were unaware of the decree, had not received OHS training, and lacked written work plans. Risk identification was informal and undocumented, and there was no systematic OHS planning document. The implementation of OHS activities was reactive and relied heavily on staff habits or personal initiatives. Out of 11 OHS standards for healthcare facilities, six had not yet been implemented, including hazard identification and risk control, application of ergonomic principles, periodic health examinations, immunization, management of facilities and infrastructure from an OHS perspective, and emergency or disaster preparedness. The study recommends strengthening management commitment, improving human resource capacity through training, and allocating specific budgets for OHS programs to optimize OHSMS implementation. The Batu Bara District Health and Family Planning Office, as the supervisor of OHSMS implementation, is expected to conduct continuous monitoring and evaluation to ensure sustainable improvement in OHS performance.
Co-Authors Anggi Isnani Paranduri Balqis Wasliati Balqis Wasliati Christina Octavia Delita Br Panjaitan Felix Kasim Hariati, Mayang Citra Harris Rambey Hasibuan, Isma Eliza Henri Gudmen Sihite Irma Nurianti Irmayani Irmayani Jon Piter Sinaga Kuat Sitepu Lisyah Syaharani Nasution Lumban Gaol, Nourma Yenthi Marice Simarmata Mayang Sari Nasution, Lisyah Syaharani Nurianti, Irma Pasaribu, Yoma Yopa Malem Ate Purba, Lisdauli Raisha Octavariny Rambey, Harris Sri Melda Bangun Sri Rahayu Saragi