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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

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

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.
Profil Daya Hambat Ekstrak Lidah Buaya dan Bawang Putih Terhadap Bakteri Salmonella typhi, Pseudomonas aeruginosa dan Staphylococcus aureus Siska Jayanthi Putri; Ali Napiah Nasution; Sri Wahyuni Nasution
Ahmar Metastasis Health Journal Vol. 3 No. 3 (2023): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v3i3.217

Abstract

Beberapa bakteri seperti Salmonella typhi, Pseudomonas aeruginosa dan Staphylococcus aureus dapat menyebabkan infeksi pada manusia akibat penurunan kekebalan tubuh. Pemanfaatan tanaman herbal seperti lidah buaya dan bawang putih dalam pengobatan telah lama dilakukan, namun perlu dilakukan uji secara laboratorium untuk mendapatkan bukti sahih. Penelitian ini bertujuan untuk mengetahui daya hambat antibakteri ekstrak lidah buaya dan bawang putih terhadap bakteri Salmonella typhi, Pseudomonas aeruginosa dan Streptococcus pyogenes. Penelitian ini merupakan penelitian deskriptif yang menggunakan metode difusi dengan kertas cakram. Penelitian dilakukan di UPTD Balai Loboratorium Kesehatan Daerah Provinsi Lampung pada bulan Februari 2023. Sampel pada studi ini berjumlah 20 sampel yang ditentukan dengan menggunakan rumus Federer. Sampel dibagi ke dalam 6 kelompok yang diuji yang terdiri dari 4 kelompok perlakuan dan 2 kelompok kontrol. Tahapan penelitian ini terdiri dari pembuatan ekstrak, pembuatan media Mueller Hinton Agar (MHA), pembuatan suspensi bakteri, pembuatan larutan kontrol positif dan kontrol negatif, dan uji aktivitas antibakteri. Hasil penelitian menunjukkan ekstrak lidah buaya dan bawang putih (allium sativum) mempunyai efektivitas daya hambat terhadap bakteri Salmonella typhi, Pseudomonas aeruginosa dan Staphylococcus aureus. Berdasarkan klasifikasi zona hambat, ekstrak lidah buaya dan bawang putih mulai menghambat pertumbuhan bakteri Salmonella typhi, Pseudomonas aeruginosa dan Staphylococcus aureus pada konsentrasi 20% dengan respon daya hambat sedang. Berdasarkan klasifikasi zona hambat, ekstrak lidah buaya dan bawang putih paling efektif dalam menghambat pertumbuhan bakteri Salmonella typhi, Pseudomonas aeruginosa dan Staphylococcus aureus pada konsentrasi 100% dengan respon daya hambat kuat.
Potensi Antimikroba Ekstrak Daun Kemangi dan Daun Kelor Pada Bakteri Salmonella typhi Ali Napiah Nasution; Farida Meisari Harahap; Sri Wahyuni Nasution
Ahmar Metastasis Health Journal Vol. 3 No. 3 (2023): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v3i3.219

Abstract

Terapi farmakologi pada penyakit demam tifoid menghadapi tantangan besar seperti resistensi mikroba pada obat-obatan konvensional. Oleh karena itu, diperlukan pengembangan alternatif pengobatan agar menghasilkan pengobatan yang lebih efektif, efisien dan aman dalam menghambat pertumbuhan bakteri Salmonella typhi. Dengan banyaknya manfaat daun kelor dan daun kemangi, studi ini bertujuan membandingkan efektivitas daun kelor dan daun kemangi terhadap bakteri S. typhi. Penelitian ini merupakan penelitian deskriptif yang menggunakan metode difusi dengan kertas cakram. Penelitian dilaksanakan di laboratorium Mikrobiologi Fakultas Kedokteran Universitas Sumatera Utara, pada April-Mei 2023. Sampel yang digunakan dalam penelitian ini adalah ekstrak daun kemangi dan daun kelor. Uji efektivitas antibakteri ekstrak daun kelor terhadap S. typhi dilakukan dengan 5 konsentrasi, yaitu 15%, 30%, 45%, 60%, 75%, dengan chloramphenicol sebagai kontrol positif dan aquabidest sebagai kontrol negatif, dengan 3 kali pengulangan. Hasil penelitian menunjukkan ekstrak etanol daun kemangi efektif dalam menghambat pertumbuhan bakteri S. typhi sedangkan ekstrak etanol daun kelor kurang efektif terhadap bakteri S. typhi. Berdasarkan klasifikasi zona hambat, ekstrak etanol daun kemangi memiliki respon daya hambat yang kuat terhadap pertumbuhan S. typhi, konsentrasi terbaiknya adalah 15% dengan rata-rata diameter zona hambatnya 12,06 mm. Sedangkan pada ekstrak etanol daun kelor, konsentrasi terbaiknya adalah 15% dengan rata-rata diameter zona hambatnya 10,7 mm.
Analysis of the Relationship Between Nurses' Knowledge of Infusion Therapy with the Incidence of Phlebitis and Patient Comfort Sari, Intan Permata; Ginting , Chrismis Novalinda; Nasution , Sri Wahyuni
Journal La Medihealtico Vol. 5 No. 1 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i1.1069

Abstract

Phlebitis is a complication of infusion therapy. The aspect that affects the incidence of phlebitis and comfort is the nurse's skill of infusion therapy in inserting needles in the right location, right fluid, and right standard operating procedure. Nurses' skills in the infusion insertion were influenced mainly by knowledge. The research objective was to determine the relationship the nurse's knowledge of infusion therapy with the incidence of phlebitis and comfort. This type of research-correlational analytic with cross-sectional approach. The number of samples was 60 nurses who worked in inpatients ward and 60 patients who received infusion by a nurse. The results found that 51.7% of respondents had poor knowledge, the incidence of phlebitis was 46%.7, and as much as 48.3% of respondents felt comfortable with the insertion of an infusion done by the nurse. The results of further analysis showed that there is a significant relationship between knowledge of nurses about infusion therapy with incidence of phlebitis (p = 0.000), and there is a significant association between knowledge of the nurses and patients' comfort (p = 0.000). It was recommended for nurses to improve knowledge and skills so that the infusion complications and discomfort may be prevented.
Comparative Analysis Of Service Quality On Patient Satisfaction Levels In Government And Private Hospitals In Medan City In 2022 Ayura, Bebie; Wahyuni Nasution, Sri; Ginting, Rapael
International Journal of Health and Pharmaceutical (IJHP) Vol. 4 No. 1 (2024): February 2024
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v4i1.251

Abstract

This study compares service quality to patient satisfaction in government and private hospitals in Medan City in 2022. This study used a survey method using a questionnaire as a data collection instrument. The research respondents were patients who used government and private hospital services. The data collected includes service quality dimensions, such as tangibles, reliability, responsiveness, assurance, and empathy. In addition, the data also consists of the level of patient satisfaction with the services provided by the hospital. Comparative analysis of service quality and patient satisfaction levels was carried out using appropriate statistical techniques, such as testing the difference between two groups of hospitals (government vs. private) using appropriate statistical tests. The results of this analysis will provide an understanding of the differences in service quality between government and private hospitals, as well as the related level of patient satisfaction. This research is expected to contribute to the development and improvement of health services in hospitals, especially in the city of Medan. The results of this study can also be input for hospital management to improve service quality and patient satisfaction. Thus, hospitals can provide better services and meet patient expectations to enhance the reputation and competitiveness of both government and private hospitals in Medan City. Especially in the city of Medan. The results of this study can also be input for hospital management to improve service quality and patient satisfaction. Thus, hospitals can provide better services and meet patient expectations to enhance the reputation and competitiveness of both government and private hospitals in Medan City. Especially in the city of Medan. The results of this study can also be input for hospital management to improve service quality and patient satisfaction. Thus, hospitals can provide better services and meet patient expectations to enhance the reputation and competitiveness of both government and private hospitals in Medan City.
The Relationship of The Nurse's Handover Process With Implementation of Patient Safety Targets in The Surgery Room and Icu Nathania Pamphila; Chrismis Novalinda Ginting; Sri Wahyuni Nasution
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 1 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i1.18337

Abstract

Every year, millions of patients suffer injuries or die because of unsafe and Not Good-quality health care. Many medical practices and healthcare-related risks have emerged as major challenges to patient safety and contribute significantly to the burden of harm from unsafe care. The aim of this research is to determine the relationship between the nurse handover process and the implementation of patient safety targets in the surgical ward and ICU of the Royal Prime Hospital Medan 2022. This research is a type of quantitative research with a pre-experimental design method type one group pretest-posttest (single group initial test-final test), with a population of all nurses working in the surgical ward (26 nurses) and ICU (26 nurses). 25 nurses) Royal Prime Hospital Medan, totaling 51 people. Research sample collection techniques are primary data, secondary data and tertiary data. The instrument used is a questionnaire. Research data analysis is univariate analysis and bivariate analysis. The results of the research showed that there was a significant increase in the implementation of the nurse handover process before the treatment was 24.75 and it increased after the treatment to 39.22. Shows that there was a significant increase in the implementation of patient safety targets before treatment, amounting to 27.65 and an increase after treatment to 43.39. And showing a p value (0.005) < 0.05, it shows that there is a significant relationship between the handover process and the implementation of patient safety targets at the RSU. Royal Prima Medan in 2022.Keyword : Handover, Hospital, Patient Safety
The Influence Of Supervison, Workload and Work Stress to The Performance Of Inpatient Installation Nurses at Murni Teguh Memorial Hospital Medan Nasution, Sri Wahyuni; Girsang, Ermi; Panduwinata, Widya
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 4 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i4.15957

Abstract

The many demands of the community with nursing services and the emergence of competition in many health service facilities urge hospital management to always improve nursing services through improving nurse performance. This is because nurses are the largest number of health workers and are on duty for 24 hours to serve patients, especially nurses who are in charge of providing nursing services in inpatient installations. This research is a quantitativ research with a cross sectional approach. This study aims to analyze the effect of supervision, workload and work stress on the performance of inpatient installation nurses at Murni Teguh Memorial Hospital Medan. The population is all health workers (nurses) on duty in the Inpatient Installation totaling 224 people and all of them are sampled. Data collection techniques through questionnaire dissemination, documentation and literature study. The analysis method uses univariate, bivariate and multivariate analysis using multiple linear regression equations. The results showed that supervision, workload and work stress affected nurse performance and the dominant supervision variables influenced. The conclusion of the study was that supervision, workload and work stress affect the performance of Inpatient Installation nurses at Murni Teguh Memorial Hospital Medan. It is recommended that the head of the room should provide regular supervision in an effort to guide and direct nurses so that they have good competence in carrying out nursing service duties more effectively and efficiently.Keywords: Nurse Performance, Head Of Space, Supervision, Workload, Work Stress.
The Relationship Between Single and Mixed Worm Infections and the Nutritional Status of Students at SDN 060824 Medan City Edwin Sani Erico Simaremare; Sri Wahyuni Nasution; Qori Fadillah
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 4 No. 8 (2024): COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/comserva.v4i8.2716

Abstract

Worm infections are a significant health issue among children, especially in areas with inadequate sanitation. This study aims to identify the results of fecal examinations for worm infections in children at SDN 060824, Medan City, and examine the relationship between single and mixed worm infections and their nutritional status. This research uses an observational analytic method with a cross-sectional approach. The sample consists of 50 students selected randomly, with data collected through fecal examination and nutritional status measurement. The results indicate that 4% of students tested positive for worm infections, while 96% were uninfected. Statistical analysis revealed no significant relationship between worm infections and students' nutritional status (p>0.05). This study concludes that worm infections among students in the study location do not directly impact their nutritional status. These findings provide a basis for the government and health agencies to focus on broader preventive programs for worm infections to support the overall health of children.
Keberhasilan Peningkatan Pengetahuan Masyarakat tentang Skabies Melalui Edukasi Kesehatan Menggunakan Buku Saku Gerakan Membasmi Skabies Sena Oktarida; Chrismis Novalinda Ginting; Sri Wahyuni Nasution
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 15, No 3 (2024): Juli-September 2024
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf15332

Abstract

Indonesia is a country with a tropical climate, with one of the problems being the prevalence of scabies. Scabies transmission occurs through direct contact with sufferers or contaminated objects such as clothing. The purpose of this study was to analyze the effectiveness of the GEMAS Pocket Book to improve public knowledge about scabies. This study was an experimental study with a pre-test and post-test design without a control group. This study involved 54 respondents selected using a purposive sampling technique. Data on the level of knowledge were collected by filling out questionnaires in the phases before and after education using the GEMAS Pocket Book. Furthermore, a comparative test of knowledge between the two phases was carried out using the Wilcoxon test. The results of the analysis showed that in the pre-test phase, the level of knowledge in the good category was zero; while in the post-test phase, the level of knowledge in the good category was the majority (74.1%). The p-value from the Wilcoxon test results was <0.001, so it was interpreted that there was a significant difference in the level of knowledge between before and after education using the GEMAS Pocket Book. Thus, based on the research results, it can be concluded that public knowledge about scabies can be significantly increased through education using the GEMAS Pocket Book.Keywords: scabies; health education; knowledge; pocket book; scabies eradication movement ABSTRAK Indonesia merupakan negara dengan iklim tropis, dengan salah satu masalah yakni prevalensi skabies. Penularan skabies terjadi karena kontak langsung dengan penderita atau benda yang terkontaminasi seperti pakaian. Tujuan penelitian ini adalah untuk menganalisis efektivitas Buku Saku GEMAS untuk meningkatkan pengetahuan masyarakat tentang skabies. Penelitian ini adalah studi eksperimental dengan rancangan pre-test dan post-test tanpa kelompok kontrol. Penelitian ini melibatkan 54 responden yang dipilih dengan teknik purposive sampling. Data tentang tingkat pengetahuan dikumpulkan melalui pengisian kuesioner pada fase sebelum dan sesudah diberikan edukasi menggunakan Buku Saku GEMAS. Selanjutnya dilakukan uji perbandingan pengetahuan  antara kedua fase menggunakan uji Wilcoxon. Hasil analisis menunjukkan bahwa pada fase pre-test, tingkat pengetahuan dalam kategori baik adalah nihil; sementara itu pada fase post-test, tingkat pengetahuan dalam kategori baik adalah mayoritas (74,1%). Nilai p dari hasil uji Wilcoxon adalah <0,001, sehingga diinterpretasikan bahwa ada perbedaan tingkat pengetahuan secara signifikan antara sebelum dan sesudah edukasi menggunakan Buku Saku GEMAS. Berdasarkan hasil penelitian bisa disimpulkan bahwa pengetahuan masyarakat tentang skabies dapat ditingkatkan secara signifikan melalui edukasi menggunakan Buku Saku GEMAS.Kata kunci: skabies; penyuluhan kesehatan; pengetahuan; buku saku;  gerakan membasmi skabies
Measuring Stress Level Among Medical Students Timotius Girsang, Ronaldo; Napiah Nasution, Ali; Manalu, Putranto; Wahyuni Nasution, Sri
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 3 (2022): August 2022
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (150.627 KB) | DOI: 10.51601/ijhp.v2i3.68

Abstract

Measurement of stress levels is important considering the long and stressful study period that medical students have to go through. This study aims to measure the difference in stress levels of the first year and third-year medical education students. The approach used in this study is a one-time unpaired numerical comparative analysis of two groups with a cross-sectional design. The study was conducted at the Faculty of Medicine, Dentistry and Health Sciences, Universitas Prima Indonesia for 2 (months) starting from February 2022–March 2022. A total of 76 subjects were involved, and each group consisted of 38 subjects. Determination of research subjects was carried out by purposive sampling technique with inclusion criteria in the form of the first-year and third-year preclinical students. In collecting data, the researcher used The Kessler Psychological Distress-10 (K-10) questionnaire. The collected data was then analyzed using an unpaired t-test. Furthermore, the results of the analysis are presented in tabular form along with interpretations. From the results of the study, it can be seen that many first-year and third-year students experience stress, and there is no significant difference between the two groups. Furthermore, the results of the study showed that there was no significant difference in the K-10 scores for first-year and third-year students based on place of residence, ethnicity, and area of ​​origin. The phenomenon of stress in medical students needs attention from the university. Preventing an academic environment by designing a curriculum that promotes collaboration rather than competition as well as providing counseling services is recommended as a preventive measure.