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Factors Associated with Nurses’ Discharge Planning Implementation in Hospital Inpatient Wards Ika Cahyaningrum; Neni Maemunah; Katarina Kondo Winingsi
Jurnal Ilmiah STIKES Yarsi Mataram Vol. 16 No. 1 (2026): Jurnal Ilmiah STIKES Yarsi Mataram
Publisher : Institut Kesehatan YARSI Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57267/jisym.v16i1.517

Abstract

Discharge planning is an important component of the nursing process, which affects continuity of care, patient compliance, and prevention of readmission to hospital. However, its implementation in inpatient wards has not been optimal. This study investigates factors related to nurses’ implementation of discharge planning in hospital inpatient wards. This study employed a cross-sectional correlational design. The research population consisted of all 78 nurses in the inpatient wards of Hospital X, with a sample of 39 nurses selected using simple random sampling. The study was conducted at Hospital X in Malang Regency from November 2024 to January 2025. Data on ward supervisor supervision and nurses’ discharge planning implementation were collected using questionnaires and analyzed with Spearman’s rank correlation. The results showed no significant relationship between nurses’ education level or length of service and discharge planning implementation (p-value > 0.05). However, there was a moderate relationship between ward supervisor supervision and nurses’ discharge planning implementation, with a correlation coefficient of 0.479 and p = 0.002. Hospital management is advised to regularly oversee supervision and plan ward head supervision to improve nurses’ performance, particularly in implementing discharge planning.
Comparative Analysis of Perceived Service Quality among Prolanis Participants in Urban and Rural Primary Health Centers in the Malang Region Ika Cahyaningrum; Arifen Leihu Pajojang; Karolus Sandiwan Canggang
Jurnal Ilmiah STIKES Yarsi Mataram Vol. 16 No. 2 (2026): Jurnal Ilmiah STIKES Yarsi Mataram
Publisher : Institut Kesehatan YARSI Mataram

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Abstract

Non-communicable diseases (NCDs), particularly hypertension and diabetes mellitus, remain a significant public health problem in Indonesia. The Chronic Disease Management Program (Prolanis) was developed to improve participants’ health status through continuous care at Primary Health Care (PHC). The quality of care is one of the factors influencing participants’ perceptions of Prolanis services. However, differences in regional characteristics, social conditions, and resource availability between urban and rural community health centers (Puskesmas) have the potential to influence participants’ perceptions of service quality. Therefore, this study aims to analyze differences in Prolanis participants’ perceptions of service quality between urban and rural Puskesmas in the Malang region. This study employed a comparative design with a cross-sectional approach, conducted at one urban community health center and one rural community health center. The study sample consisted of 145 Prolanis participants (73 from the urban community health center and 72 from the rural community health center), selected using consecutive sampling (adjust to the correct method if consecutive sampling was not used). The research instrument used the SERVQUAL questionnaire, which covers five dimensions: tangibles, reliability, responsiveness, assurance, and empathy. Data were analyzed using the Mann–Whitney test because the data distribution was not normal. The results of the study indicate that there is a difference in perceptions of service quality between Prolanis participants at urban and rural community health centers (p<0.001; effect size (r)=0.58). Participants at rural community health centers had a higher perception of service quality compared to participants in urban areas. Significant differences were found in the dimensions of tangibles, responsiveness, assurance, and empathy, while the reliability dimension did not show any significant differences.