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Ermi Girsang
Universitas Prima Indonesia Medan, North Sumatera, Indonesia

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AN INFLUENCE OF SUPERVISION, WORKLOAD AND WORK STRESS TO PERFORMANCE INPATIENT INSTALLATION NURSES AT MURNI TEGUH MEMORIAL HOSPITAL MEDAN Widya Panduwinata; Ermi Girsang; Sri Wahyuni Nasution
Jurnal Scientia Vol. 12 No. 04 (2023): Education, Sosial science and Planning technique, 2023, Edition September-Nov
Publisher : Sean Institute

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The large number of public demands for nursing services and the emergence of competition in many health service facilities urge hospital management to always improve nursing services by increasing nurse performance. This is because nurses are the health workers with the largest number and are on duty 24 hours a day to serve patients, especially nurses who are tasked with providing nursing services in inpatient installations. There are many previous studies that examine factors that influence nurses' performance in nursing services. In this research, we want to know the influence of supervision, workload and work stress on the performance of inpatient installation nurses at Murni Teguh Memorial Hospital Medan. This research is a quantitative research with a cross sectional approach. The population is all 224 health workers (nurses) who work in inpatient installations and all of them were used as samples. Data collection techniques include distributing questionnaires, documentation and literature study. The analysis method uses univariate, bivariate and multivariate analysis using multiple linear regression equations. The results of the research show that supervision, workload and work stress influence nurse performance and the supervision variable is the dominant influence. The research conclusion is that supervision, workload and work stress influence the performance of inpatient installation nurses at Murni Teguh Memorial Hospital Medan. It is recommended that the head of the room should provide routine supervision in an effort to guide and direct nurses so that they have good competence in carrying out nursing service tasks more effectively and efficiently.
Analysis of the reliability referral program for patient DM type 2 health centre Sei Suka Batubara Daffa Jihan Azmi Rambe; Sri Lestari Ramadhani Nasution; Ermi Girsang; Tan Suyono
Jurnal Scientia Vol. 13 No. 02 (2024): Education and Sosial science, March - May 2024
Publisher : Sean Institute

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The Referral Back Program encounters various challenges in its implementation. According to BPJS Health data for the year 2017, there is a notable increase in cases of Advanced Outpatient Level (RJTL) in CMG-Q (Ambulatory Group Episodic), with a significant rise of 4.9 million cases compared to 2016. This has led to suboptimal Primary Health Care (FKTP) and an increased cost of IDR 789 billion in 2016. Stable patients tend to prefer seeking treatment at hospitals rather than returning to FKTP, and FKTPs are not fully equipped to provide pharmaceutical drug services. In terms of methodology, this research adopts a descriptive approach with a qualitative method to gain a clear and in-depth understanding of the implementation of the Type 2 Diabetes Mellitus (DM) Patient Referral Program at the Sei Suka Batubara Community Health Center. The results of the research indicate that the expected outcomes of the Disease Referral Registry (DRR) are being achieved, and there is a continuous effort to enhance service excellence. The readiness of officers implementing the referral program at Sei Suka Batubara Health Center appears to be effective, as demonstrated by the efficiency of the service process and its output. Overall, the information gathered suggests that the implementation of the Health Service Referral Program for Type 2 DM Patients is effective.