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All Journal Jurnal Keperawatan Health Notions Jurnal Kesehatan Mesencephalon Jurnal Informasi Kesehatan Indonesia (JIKI) Manuju : Malahayati Nursing Journal Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Bali Medika Jurnal Jurnal Keperawatan Malang (JKM) Journal of Borneo Holistic Health MAHESA : Malahayati Health Student Journal Jurnal Ilmiah Kesehatan (JIKA) Jurnal Pendidikan Kesehatan (e-Journal) Health Gate Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Health Access Journal Jurnal Keperawatan Terapan
Agus Khoirul Anam, Agus Khoirul
Poltekkes Kemenkes Malang
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Determinants of Health Worker Performance at West Sidoarjo Regional Hospital Hary Indah Fibriany; Sentot Imam; Yuly Peristiowati; Agus Khoirul Anam; Andi Andi Hayyun Abiddin
Journal of Ners and Midwifery Vol 13 No 1 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i1.ART.p064-073

Abstract

Recently, health workers who have poor performance or fall below expectations have been targeted, especially health workers. One of the causes is the level of discipline of health workers, which is still lacking. The objective of this study was to analyze the influence of work discipline, compensation, employee status, and organizational commitment on the performance of health workers at West Sidoarjo Regional Hospital. This study was quantitative research with independent variables consisting of work discipline, compensation, health worker status, organizational commitment, and health worker performance as the dependent variable. The population in this study was health workers at Sidoarjo Barat Regional Hospital, totaling 289 people. Through a simple random sampling technique, a sample of 168 respondents was obtained. This research was conducted from February to April 2025 at Sidoarjo Barat Regional Hospital, East Java, Indonesia. A questionnaire was used to collect data. Data were analyzed using multiple linear regression. This study showed the influence of work discipline on the performance of health workers, obtaining a t-count value of 5.828 with a significant value of 0.004 < 0.05. On the other hand, the influence of compensation on the performance of health workers obtained a t-count value of 131.529 with a significant value of 0.000 < 0.05. However, the influence of employee status on the performance of health workers obtained a t-count value of -0.766 with a significant value of 0.445 < 0.05, and the influence of organizational commitment on the performance of health workers obtained a t-count value of 4.865 with a significant value of 0.003 < 0.05. Work discipline, compensation, employee status, and organizational commitment are combined simultaneously; they will affect the performance of health workers, but if the variables are separated one by one and then linked to the influence on the performance of health workers, then there is one variable that statistically does not affect.
Design of Hyacinth Dressings as an Alternative to Sterile Wound Covers in Diabetes Mellitus Wounds Desyta Dwiyana Aviyanti; Tri Cahyo Sepdianto; Agus Khoirul Anam
Health Gate Vol 3, No 4 (2025): October 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3406

Abstract

Diabetic Wounds are a complication of diabetes that requires optimal care in a hospital and can cause serious complications and require significant costs. The method used in this study is Research and Development, the research procedure uses the ADDIE model which consists of 5 stages including Analysis, Design, Development, Implementation. The number of participants was 14 people consisting of 2 diabetic wound patients, 10 nurses from the Mitra Medika Clinic, 2 expert validators, namely doctors from the Mitra Medika Clinic and a supervisor of a diploma three Nursing lecturer in Blitar. Based on the results of the research conducted in stages, in the final stage the expert validator assessor stated that the product was suitable for use with a criterion value of 81%-100%. So that the product resulting from this study can be an Alternative Sterile Wound Cover for Diabetic Wounds so as to accelerate wound healing that is easily available, affordable and environmentally friendly.
Manajemen Penanganan Klaim Pending Rawat Inap Jaminan Kesehatan Nasional Dyah Indira Sari; Sentot Imum; Joko Prasetyo; Agus Khoirul Anam; Andi Hayyun Abiddin
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21039

Abstract

ABSTRACT Inpatient claims under the National Health Insurance (JKN) submitted to BPJS Health are not always fully approved for payment; some require further confirmation by the hospital (pending). The purpose of this study is to describe the pending inpatient claims, identify the contributing factors, and assess how Human Resource Management, Standard Operating Procedures, and Information Technology availability are applied in handling pending inpatient claims at Sidoarjo Barat Regional Public Hospital. This research uses a qualitative case study approach. The sampling technique applied was purposive sampling, involving 11 informants. Data were collected through interviews, observation, and document analysis. The findings indicated that pending inpatient claims at Sidoarjo Barat Hospital during 2024 and January 2025 accounted for 10% of the total inpatient claims submitted to BPJS Health. The causes of pending claims were predominantly due to coding issues (76%), followed by medical and administrative aspects (each 12%). Effective handling of pending claims requires complete and accurate medical record documentation, effective coordination between the Casemix Team and the Patient’s Attending Physician, enhancement of Casemix Team competencies, development and dissemination of inpatient claim management standard operating procedures, implementation of electronic medical records, alignment of understanding with BPJS Health, and optimization of SIMRS integration with the INA-CBGs e-claim system. Keywords: Pending Claims, Inpatient Care, Human Resources, Standard Operating Procedures, Information Technology.  ABSTRAK Klaim rawat inap Jaminan Kesehatan Nasional yang diajukan ke BPJS Kesehatan tidak sepenuhnya layak terbayar, sebagian masih perlu dikonfirmasi lebih lanjut oleh rumah sakit (pending). Tujuan dari penelitian adalah untuk mengetahui bagaimana gambaran klaim pending rawat inap, mengidentifikasi faktor penyebabnya dan mengetahui bagaimana manajemen Sumber Daya Manusia, Standar Prosedur Operasional dan ketersediaan teknologi informasi dalam menangani klaim pending rawat inap di RSUD Sidoaro Barat. Desain penelitian kualitatif dengan menggunaka pendekatan studi kasus. Teknik sampling yang digunakan adalah teknik purposive sampling sebanyak 11 informan. Pengumpulan data melalui wawancara, observasi dan studi dokumentasi. Hasil penelitian menunjukkan bahwa jumlah kasus klaim pending rawat inap di RSUD Sidoarjo Barat selama tahun 2024 dan Januari 2025 sebesar 10% dari jumlah kasus rawat inap yang diajukan ke BPJS Kesehatan. Faktor penyebab klaim pending disebabkan oleh aspek koding sebesar 76% sedangkan aspek medis dan aspek administrasi masing - masing sebanyak 12%. Penanganan klaim pending diperlukan pendokumentasian rekam medis yang lengkap dan akurat, koordinasi efektif Tim Casemix dengan Dokter Penanggung Jawab Pasien, peningkatan kompetensi Tim Casemix, penyusunan dan sosialisasi standar prosedur operasional pengelolaan klaim rawat inap, implementasi rekam medik elektronik, penyamaan persepsi dengan BPJS Kesehatan, dan optimalisasi bridging SIMRS dengan e-klaim INA CBGs. Kata Kunci: Klaim Pending, Rawat Inap, Sumber Daya Manusia, Standar Prosedur Operasional, Teknologi Informasi.
Stimulasi Kognitif Berbasis Permainan Puzzle Anak Usia Pra Sekolah dengan Stunting terhadap Tugas Perkembangan Andi Hayyun Abiddin; Agus Khoirul Anam
MAHESA : Malahayati Health Student Journal Vol 6, No 5 (2026): Volume 6 Nomor 5 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i5.19055

Abstract

ABSTRACT Stunting causes physical development to be hampered but also threatens cognitive development which has an impact on decreasing children's productivity in adulthood. One effort that can be made is to provide cognitive stimulation to children. To determine the cognitive stimulation based on puzzle games on the learning achievement of preschool children with stunting according to the developmental stage in areas prone to volcanic disasters. This quantitative study uses a one group pretest-posttest design. The population in this study were all preschool children in disaster-prone areas in Kepanjenkidul sub-district, 42 people who were diagnosed with stunting by the Kepanjenkidul Health Center UPT, Blitar City. The number of samples was 30 people, and the sampling technique used was proportional stratified random sampling with the following sample criteria: (1) children who are categorized as stunting based on BMI results according to height/age and weight/age measurements, (2) willing to be respondents, (3) physically and mentally healthy. This study used observation sheets for preschool children's developmental tasks covering social emotions, physical motor skills, cognitive skills, and language skills with criteria of very well developed (BSB) with a score of 4, developing according to expectations (BSH) with a score of 3, starting to develop (MB) with a score of 2, and not yet developed (BB) with a score of 1. Observations were conducted twice (pre and post test); (1) giving puzzles to respondents and observing them according to developmental tasks; (2) providing education related to puzzle games that include developmental tasks; (3) asking respondents to play the puzzle again and observe it. After the data was collected, the data was analyzed using the Wilcoxon test (p0.05). The results of the study showed that there were changes in developmental tasks between before and after being given cognitive stimulation based on puzzle games which included social emotional development tasks (p-value = 0.001), physical motor (p-value = 0.002), cognitive (p-value = 0.001) and language (p-value = 0.000). .Stunting can interfere with children's cognitive development, which causes a decrease in cognitive abilities. Puzzle games can affect the development of fine and gross motor skills in preschool children. Health services should increase interventions to stimulate the cognitive abilities of preschool children with stunting and conduct regular observations. Keywords: Stunting, Education, Puzzle, Disaster.   ABSTRAK Stunting menyebabkan terhambatnya perkembangan fisik tetapi juga mengancam perkembangan kognitif yangberdampak pada penurunan produktivitas anak di masa dewasa. Salah satu upaya yang dapat dilakukan adalah memberikan stimulasi kognitif pada anak. Mengetahui stimulasi kognitif berbasis permainan puzzle pada prestasibelajar anak usia pra sekolah dengan stunting sesuai dengan tahap perkembangan di kawasan rawan bencana gunungberapi.Penelitian kuantitatif ini menggunakan one group pretest-posttest design. Populasi dalam penelitian ini adalahseluruh anak usia pra sekolah di kawasan rawan bencana di kecamatan Kepanjenkidul 42 orang yang terdiagnosa stunting oleh UPT Puskesmas Kepanjenkidul Kota Blitar. Jumlah sampel sebanyak 30 orang, dan teknik pengambilansampel yang digunakan adalah proportional stratified random sampling dengan kriteria sampel sebagai berikut: (1)anak  yang masuk kategori stunting berdasarkan hasil BMI menurut pengukuran tinggi badan/umur dan beratbadan/umur, (2) bersedia menjadi responden, (3) sehat jasmani dan rohani. Penelitian ini menggunakan lembar observasi tugas perkembangan anak usia pra sekolah yang meliputi sosial emosi, fisik motorik, kognitif, dan bahasa dengan kriteria berkembang sangat baik (BSB) skor 4, berkembang sesuai harapan (BSH) skor 3, mulai berkembang (MB) skor 2 dan belum berkembang (BB) skor 1. Observasi dilakukan sebanyak dua kali (pre dan post test); (1) memberikan puzzle pada responden dan diobservasi sesuai dengan tugas perkembangan;  (2) memberikan edukasi terkait permainan puzzle yang mencakup tugas perkembangan; (3) meminta responden untuk memainkan kembali puzle tersebut dan mengobservasinya. Setelah data terkumpul, data dianalisis menggunakanWilcoxon test (p0.05). Hasil penelitian menunjukkan bahwa terdapat perubahan tugas perkembangan antara sebelum dan diberikan stimulasi kognitif berbasis permainan puzzle yang meliputi tugas perkembangan sosial emosi (p-value = 0,001), fisik motorik (p-value = 0,002), kognitif (p-value = 0,001) dan bahasa (p-value = 0,000). Stunting dapat mengganggu perkembangan kognitif anak, yang menyebabkan penurunan kemampuan kognitif. Permainan puzzle dapat mempengaruhi perkembangan keterampilan motorik halus dan kasar anak prasekolah. Pelayanan kesehatan sebaiknya meningkatkan intervensi untuk menstimulasi kemampuan kognitif anak prasekolah dengan stunting dan melakukan observasi secara berkala. Kata Kunci: Stunting, Edukasi, Puzzle, Bencana.
Co-Authors Abiddin, Andi Hayyun Amalia, Dewi Riska Andi Andi Hayyun Abiddin Andi Hayyun Abiddin Andriani, Sylvia Rosi Andriani, Sylvia Rosi Anggraini Khodijahturrohmah Anggraini Khodijahturrohmah Anggraini Khodijaturrohmah Antik Wijayanti ariesy, chrysha hayu Arif Mulyadi Balbly, Zahra Dewi Azhari Budi Susatya Budi Susatya, Budi Desyta Dwiyana Aviyanti Devi Widyawati Sagar Devi Widyawati Sagar, Devi Widyawati Dewi Rachmawati Dyah Indira Sari Hary Indah Fibriany Herya Putra Dharma Ilus Ilus Ilus Ilus, Ilus Iva Firdayanti Joko Prasetyo Karinawati, Sindy Kundarti, Finta Isti Kurniawan, Bayu Puguh Dwi Lestari, Jihan Mercado, Myrna Mujito . Mujito Mujito Mujito Mujito, Mujito Najah, Zian Lukluin Niken Ayu Widhayanti Nohan Nohan Nohan, Nohan Rahajeng Siti Nur Rahmawati Rahayu, Lutfi Dwi Ratna Wardani Rizal An Akhiruna Rizal An Akhiruna, Rizal An S.Pd. M Kes I Ketut Sudiana . Saputro, Risky Gusher Sentot Imam Sentot Imum Siska Ayu Setya Ningrum Sri Mugianti Sri Winarni Sri Winarni Sri Winarni Sylvia Rosi Andriani Tri Cahyo Sepdianto Ulum, Mochamad Miftahul Wiwin Martiningsih Yuly Peristiowati Zian Lukluin Najah