Muhammad Ryman Napirah
Program Studi Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Tadulako, Palu

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HUBUNGAN KOMUNIKASI DOKTER DENGAN KEPUASAN PASIEN DI RUANG RAWAT INAP RUMAH SAKIT UMUM (RSU) ANUTAPURA PALU Napirah, Muhammad Ryman; Herawanto, Herawanto; Windasari, Yuditha Apriliana
Preventif: Jurnal Kesehatan Masyarakat Vol 7, No 2 (2016)
Publisher : Tadulako University

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Abstract

Komunikasi kesehatan antara dokter dan pasien adalah proses komunikasi yang melibatkan pesan kesehatan, unsur-unsur atau peserta komunikasi yang menunjang kepuasan pasien. Tujuan penelitian ini untuk mengetahui hubungan komunikasi dokter dengan kepuasan pasien di ruang rawat inap Rumah Sakit Umum (RSU) Anutapura Palu. Jenis penelitian yang digunakan adalah survey analitik dengan pendekatan cross sectional studi. Jumlah sampel yaitu 97 responden dengan teknik pengambilan sampel menggunakan Proportional Stratified Random Sampling. Analisis yang digunakan pada penelitian ini adalah analisis univariat dan bivariat. Hasil penelitian bahwa ada hubungan antara komunikasi verbal dokter dengan kepuasan pasien (ρ = 0,004), dan tidak ada hubungan antara komunikasi nonverbal dokter dengan kepuasan pasien (ρ = 0,365). Sebaiknya dokter dapat memperhatikan ucapan yang jelas, intonasi suara, dan perbendaharaan kata agar dapat dipahami oleh pasienKata Kunci:  Komunikasi Verbal, Nonverbal Dokter, Kepuasan Pasien
Factors Associated with Occupational Accidents to Nurses in Emergency Room of Anutapura General Hospital Palu City Salmawati, Lusia; Rasul, Muh.; Napirah, Muhammad Ryman
Preventif: Jurnal Kesehatan Masyarakat Vol 10, No 2 (2019): Desember
Publisher : Tadulako University

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Abstract

The IGD room is a unit that deals directly with the patient for 24 hours a day. Workload and high stress levels in the face of critical conditions require nurses to work quickly and appropriately. Based on data from the preliminary study of the researchers, nurses working in the Emergency Installation Room (IGD) Anutapura Palu General Hospital are 31 nurses, aged between 23-45 years with an average work period of 7 years and the majority male. The data of accidents cases were 81 cases in bracket within 3 months (January-March 2016), and most cases were found in room of IUG Anutapura Palu RSU with 19 cases. The purpose of research to determine the factors associated with the incidence of occupational accidents in nurses in the Emergency Room of Anutapura Palu General Hospital. This research is a kind of quantitative analytic research with Cross Sectional design. Population in this research is all nurses who work in Emergency Room of Anutapura Palu General Hospital that amount 31 people, sampling with technique Total Sampling. The results of the study were age (p = 0,002), sex (p = 0,019), use of APD (p = 0,007), regulation (p = 0,006), training (p = 0,007), supervision (p = 0,006) . However there is no working period relationship (p = 0,083) with Work Accident. It is expected that the management of the hospital to improve the quality of training and supervision and reinforce the rules that have been made by giving heavy sanctions to workers who get violated the rules.
Evaluation Of Patient Safety Policy To Nurse In Anutapura General Hospital Palu City Napirah, Muhammad Ryman; Salmawati, Lusia; Rahmi, Andi
Preventif: Jurnal Kesehatan Masyarakat Vol 10, No 2 (2019): Desember
Publisher : Tadulako University

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Abstract

Patient safety in the hospital is a system where the hospital makes the nurture of the patients safer which includes risk assessment, identification and management of patient-related risks. Patient safety problems in general in Anutapura Palu General Hospital are the occurrence of mismanagement by officers, including errors in discipline, communication, to technical errors.This research aimed to evaluate the implementation of patient safety policies for nurses at Anutapura Public Hospital at Palu. This research was quantitative in nature, as many as 72 respondents by using the Slovin formula. The results showed that the variable results in this research were input with value frequency of ≥50 % respondents who stated the good input. Process variables in this research were obtained from the value that in the process it was quite good seen from the value the frequency of ≥50 % respondents who stated that the process was good. The results of the analysis of variable output with value frequency of≥50 % respondents who stated that the output was good. The conclusion that can be drawn is that the results of the evaluation of the implementation of patient safety policies have been applied in Anutapura Public Hospital at Palu. It is expected that the hospital performs performance evaluation and monitoring complaints as well as satisfaction of service users on a regular basis in order todevelop the satisfaction of service users and the community.   
ANALYSIS OF INA-CBG'S FARE AND GOVERNOR REGULATION FAREON SURGERY AT INPATIENT ROOM OF UNDATA REGIONAL PUBLIC HOSPITAL IN PALU Napirah, Muhammad Ryman; Nurul, Rasyika; Anggraeni, Riru Dwi
Public Health of Indonesia Vol. 2 No. 1 (2016): January - March
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (233.884 KB) | DOI: 10.36685/phi.v2i1.19

Abstract

Aim: In order to determine the fares of surgery, there are two types of fares used by hospitals namely Indonesian Case Based Groups fare (INA-CBG s) and Governor Regulation fare. This study aimed to identify and analyze both types of fares in orthopedic surgery, general, eyes, midwifery, mouth, ENT, urology at inpatient room of Undata Regional Public Hospital in Palu during year 2014.Method: This was a quantitative study with descriptive approach with 46 cases as the number of surgery. Data were collected through observation and analysis of secondary data were gotten from medical record, pharmaceutical installation of IBS/IDR, inpatient therapy room (Matahari, Aster, and Teratai pavilions) and cashier of inpatient room in form of cost details and patient data from January to December 2014. Data Presentation was formed on tables, where the existing fares are grouped based on the component of each cost then summed and calculated the deviation between the two types of fares.Results: This study indicated that orthopedic surgery with deviation of Rp 11.311.365, general surgery with deviation of Rp 6.438.409, eyes surgery with deviation of Rp 45.173.741, midwifery surgery with deviation of Rp 6.645.765, oral surgery with deviation of Rp 6.105.659, and urological surgery with deviation of Rp. 3.809.959.Conclusion: It can be concluded that INA-CBG's fares are higher than Governor Regulation fares except orthopedic surgery, where the Governor Regulation faresare higher than INA-CBG's fares. Key Words :INA-CBG's Fares, Governor Regulation Fares,Surgery
THE RELATIONSHIP BETWEEN MARKETING MIX AND PATIENT LOYALTY IN INTENSIVE CARE UNIT, ANUTAPURA PUBLIC HOSPITAL PALU Napirah, Muhammad Ryman; Rau, Muh. Jusman; jah, Hadi
Public Health of Indonesia Vol. 2 No. 3 (2016): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (301.129 KB) | DOI: 10.36685/phi.v2i3.81

Abstract

Background: The problem generally faced by hospital is unable to provide something really needed by the customers. One of the main factors is the poor marketing mix of hospital that impacts to low quality and influences the patients loyality.Objective: The research aims to investigate the relationship between marketing mix and patient loyalty in intensive care unit at Anutapura Public Hospital Palu.Methods: This was a cross sectional study involving 97 persons who were randomly selected without considering the level of population. The data were analyzed thought univariat and bivariat on the significance level 95% (p<0,05). The marketing mix concept of 7P (product, price, place, promotion, people, process, dan physical evidence). Was used to guide this study.Results: The result of chi-square test indicated that there was a relationship of marketing mix product (p= 0,01), price (p= 0,00), promotion (p= 0,04), people (p= 0,00); and no relationship of marketing mix place (p= 0,21), process (p= 1,00), dan physical evidence (p= 1,00) with patient loyalty.Conclusion: It is expected tht the hospital of Anutapura Palu could increase the strategy of marketing mix for the sake of keeping the patients loyalty as the profit value of the hospital, especially for marketing place, process, and physical evidence. 
IMPLEMENTATION OF POLICY ON BPJS HEALTH SERVICES: A PRELIMINARY QUALITATIVE STUDY IN OUTPATIENT UNIT OF THE GENERAL HOSPITAL OF ANUTAPURA, PALU Napirah, Muhammad Ryman; Salmawati, Lusia; Rivai, Dian Rahmayanti
Public Health of Indonesia Vol. 3 No. 1 (2017): January - March
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (179.448 KB) | DOI: 10.36685/phi.v3i1.107

Abstract

Backgound: BPJS Health is a National health insurance to to administer health care benefits for all Indonesian people. Understanding the implementation of the policy on BPJS health is necessary.Objective: This study aims to explore the implementation of BPJS health policy in the outpatient unit of the general hospital of Anutapura Palu.Methods: This was a preliminary qualitative study. The informants consisted of Director of Hospital Services, Clinical nurses, BPJS staffs, and BPJS patients. Content analysis was used to analyze the data. Data were collected between March and April 2015Results: Findings of this study were described in several themes, namely no local regulation on BPJS implementation, lack of communication, inadequate human resource, good disposition, and good bureucracy structure.Conclusion: There were strengths and weaknesses in the implementation of Policy on BPJS health. It is suggested that the General Hospital of Anutapura Palu needs to propose the local regulation on BPJS, manage and facilitate good communication, and develop human resource management strategy.
RISK FACTORS IN ROAD TRAFFIC ACCIDENT IN THE CITY OF PALU, INDONESIA Arifuddin, Adhar; Napirah, Muhammad Ryman; Asfin H.S, Nur
Public Health of Indonesia Vol. 3 No. 1 (2017): January - March
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (188.511 KB) | DOI: 10.36685/phi.v3i1.108

Abstract

Background: Traffic accidents are unpredictable events when they occurred. Thus, understanding the risk factors in road traffic injuries is needed.Objective: This study aims to analyze the risk factors in road traffic accidents in the city of Palu.Methods: This was an observational analytic study using case-control approach with sample of 182 respondents consisting of 91 cases and 91 controls. Purposive sampling was used based on a certain considerations made by the researchers themselves. Data were tested with Odds Ratio and analyzed by univariate and bivariate with a confidence level of 95%.Results: The results showed that the scatterbrained factor (OR = 3.180 95% CI 1.669 to 6.059), undisciplined behavior (OR = 11.990 at 95% CI 5.956 to 24.138), exceeding speed limit (OR = 4.230 95% CI 2.204 to 8.118 ), and no driving license (OR = 10.455 at 95% CI 5.274 to 20.722).Conclusion: This study concludes that the scatterbrained factor, undisciplined behavior, exceeding the speed limit, and no driving license are the risk factors for road traffic accidents in the city of Palu. It is recommended that all parties to cooperate with the good for the sake of safety and driving safety as well as prevention of road traffic accidents.  
FACTORS RELATED TO THE SUCCESS OF THE TREATMENT PROGRAM OF MULTIDRUG-RESISTANT TUBERCULOSIS IN POLYCLINIC OF MDR-TB OF THE GENERAL HOSPITAL OF UNDATA PALU, INDONESIA Napirah, Muhammad Ryman; Wandira, Bertin Ayu; Aulia, Ana
Public Health of Indonesia Vol. 3 No. 4 (2017): October - December
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (184.761 KB) | DOI: 10.36685/phi.v3i4.144

Abstract

Background: Incidence of Multi Drug Resistant Tuberculosis remains high in Indonesia. Thus, understanding the factors related to the success of the Government Program on the treatment of Multidrug-resistant is necessity. Objective: This study aims to determine the factors related to the success of government programs on the treatment of MDR-TB patients in Polyclinic of MDR-TB of Undata Palu Hospital.Methods: This was a correlational study with cross-sectional design conducted in the polyclinic of MDR-TB of the General Hospital of Undata Palu from October 2016 to November 2016. There were 46 patients recruited by total sampling. Chi-square was used for data analysis.Results: Findings showed that there were statistically significant correlations between knowledge (p = 0.002), the regularity of treatment (p = 0.000), the role of drug control (p = 0.010), drug side effects (p = 0.000) and quality of service of health workers (p = 0.001) with the success of multidrug-resistant tuberculosis program. There was no correlation between distance to health facilities (p = 0.315) and the success of the treatment.Conclusion: There were significant relationships between knowledge, regularity of treatment, drug control, drug side effects, quality of health staffs and the success of multidrug-resistant tuberculosis program. These factors could be considered important for the government to the success of multidrug-resistant tuberculosis program, especially in the polyclinic of MDR-TB of the General Hospital of Undata Palu.
Factors Related to the Retention of Contract Employee Health Workers at Ulunambo Public Health Centre, Morowali Regency Muhammad Ryman Napirah; Nurdin Rahman; Marsia Laida; Miftahul Haerati Sulaiman; Stefiani Bengan Laba
Journal of Health and Nutrition Research Vol. 2 No. 2 (2023)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v2i2.139

Abstract

The retention of health workers at the public health center is influenced by various factors, including work design, employee relations, career opportunities, and leadership. The decline in the number of contract employee health workers at Ulunambo Public Health Centre is evident from the data on the number of health workers. In 2014, there were 2 people; in 2015, there were 2 people; in 2016, there was 1 person, and in 2017, it dropped to 2 people. The purpose of this research is to investigate the relationship between work design, employee relations, career opportunities, and perceptions of leadership with the retention of health workers at Ulunambo Public Health Centre, Morowali Regency. The research employed an analytical survey approach with a cross-sectional study design. The sample size consisted of 33 respondents. Data were analyzed using univariate and bivariate methods at a confidence level of 95% (p < 0.05). The results of the chi-square test indicate a significant relationship between work design, employee relations, career opportunities, perceptions of leadership, and the retention of health workers (p < 0.05). It is recommended that Ulunambo Public Health Centre regularly provides training, information, and opportunities for employees seeking career development. Additionally, improving communication between management and employees through regular interactions is crucial. Furthermore, conducting regular supervision of employees' work performance is also advised.
Community-Based Intervention: A Case Study of Pantoloan Boya Village Community Through the Rehabilitation Field Program of National Narcotics Agency, Palu City Arwan Arwan; Sadli Syam; Rasyika Nurul Fadjriah; Sulfiyanti Sulfiyanti; Muhammad Ryman Napirah
Journal of Health and Nutrition Research Vol. 2 No. 2 (2023)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v2i2.140

Abstract

Drug abuse is becoming more of a threat and garnering global attention, particularly in parts of Southeast Asia. The drug issue in Indonesia is urgent and multifaceted. In 2019, Central Sulawesi ranked fourth in Indonesia for the highest rate of drug abuse, with 3.30% of the population, or the equivalent of 61,857 drug users. According to research, Palu City has the highest rate of drug abuse in Central Sulawesi province. The purpose of this research was to find out how the Community-Based Intervention (CBI) Program is being implemented in the Rehabilitation Sector of BNN Kota Palu in Pantoloan Boya Village. The method used in this study was qualitative. This study used a purposive sample strategy to select 7 informants. The results showed that the mapping was carried out by RW (Hamlet)/RT (Neighbourhood)-based Recovery Agents (RA) with minimal Human Resources (HR) and clients who participated in limited interventions. Outreach is the delivery of information and approaches to the community, families, and drug users. This study's recommendations include mapping to expand HR capacity, in this case, RAs and clients, so that the program works more efficiently. Increase client compliance in group and individual meetings as part of outreach. Recovery services are being provided by pushing for the continuation of CBI's activities in Pantoloan Boya Village