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All Journal Manuju : Malahayati Nursing Journal Jurnal EduHealth Multidisiplin Pengabdian Kepada Masyarakat (M-PKM) Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa)
Mira Novita
Universitas Nurul Hasanah Kutacane
Economics, Econometrics & Finance Education Engineering Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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The Relationship Between Access to Health Services and Service Quality in Realizing a Just and Sustainable Health System Yusnaini Yusnaini; Nandara Priyanti Elna; Mira Novita
Jurnal EduHealth Vol. 17 No. 01 (2026): Jurnal EduHealt, January-March 2026
Publisher : Sean Institute

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Abstract

Access to healthcare services is an important determinant in improving the quality of healthcare services, particularly in rural areas that still face geographical and digital limitations. Inequality in access has the potential to hinder the realization of an equitable and sustainable healthcare system. This study aims to analyze the relationship between access to healthcare services and the quality of healthcare services. The research employed a descriptive analytic correlational design with a cross-sectional approach. The sample consisted of 150 community respondents in rural areas of Southeast Aceh Regency selected through purposive sampling. Data were collected using a structured questionnaire measuring dimensions of access (availability, affordability, acceptability, and digital access) as well as the quality of healthcare services. Data analysis was conducted bivariately using statistical tests appropriate to the level of data measurement. The results showed that most respondents perceived access to healthcare services as still inadequate, particularly in terms of geographical affordability and digital access. The quality of healthcare services was categorized as fairly good, although weaknesses remained in infrastructure and facilities. Bivariate analysis indicated a significant relationship between access to healthcare services and the quality of healthcare services (ρ-value < 0.05). Therefore, it is expected that efforts will be made to improve access to healthcare services through strengthening infrastructure, equitable distribution of healthcare personnel, and optimization of digital-based services to support the realization of a fair and sustainable healthcare system.  
Hubungan Efikasi Diri dengan Perilaku Perawatan Diri Pada Pasien Diabetes di Desa Pulonas Kecamatan Babussalam Kabupaten Aceh Tenggara Dina Andriani Br Karo; Yusnaini Yusnaini; Mira Novita; Leny Marsyad
Malahayati Nursing Journal Vol 6, No 9 (2024): Volume 6 Nomor 9 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i9.15995

Abstract

ABSTRACT Diabetes is a chronic metabolic disease with increased blood sugar levels (hyperglycemia). Uncontrolled diabetes causes serious microvascular and macrovascular complications. Self-care behavior in diabetes treatment can maintain blood glucose levels, prevent complications, and increase patient life expectancy. Self-efficacy can be a strategy for stimulating self-care behavior in diabetes patients. This study aims to analyze the relationship between self-efficacy and self-care behavior in diabetes patients in Pulonas Village, Babussalam District, Southeast Aceh Regency. This research is a type of descriptive correlation research using a cross-sectional approach. The population of this study was all diabetes sufferers in Pulonas Village totaling 74 respondents using a sampling technique, namely total sampling that met the inclusion criteria. The results of data analysis using the chi-square test (x2) showed that there was a significant relationship between self-efficacy and self-care behavior in diabetes patients (p-value = 0.017). The conclusion from the results of this study is that high self-efficacy can lead to better self-care practices for diabetes patients. So it is recommended that health workers develop health education programs to increase patient self-efficacy in managing diabetes Keywords: Self-Efficacy, Self-Care Behavior, Diabetes  ABSTRAK Penyakit diabetes merupakan penyakit metabolik kronis dengan peningkatan kadar gula darah (hiperglikemia). Diabetes yang tidak terkontrol menyebabkan komplikasi  mikrovaskular dan makrovaskular yang serius. Perilaku perawatan diri dalam pengobatan diabetes dapat menjaga kadar glukosa darah, mencegah komplikasi dan meningkatkan harapan hidup pasien. Efikasi diri dapat menjadi  strategi dalam menstimulasi perilaku perawatan diri pada pasien diabetes. Penelitian ini bertujuan menganalisis hubungan  efikasi diri dengan perilaku perawatan diri pada pasien diabetes di Desa Pulonas Kecamatan Babussalam Kabupaten Aceh Tenggara. Penelitian ini merupakan jenis penelitian deskriptif korelasi dengan menggunakan pendekatan cross sectional. Populasi penelitian ini adalah semua penderita diabetes di Desa Pulonas berjumlah sebanyak 74 reponden dengan teknik pengambilan sampel yaitu total sampling yang memenuhi kriteria inklusi. Hasil analisis data melalui uji chi-square (x2) didapatkan bahwa ada hubungan yang signifikan antara efikasi diri dengan perilaku perawatan diri pasien diabetes ( p-value = 0,017). Kesimpulan dari hasil penelitian ini adalah efikasi diri yang tinggi dapat mengarahkan pada praktik perawatan diri pasien diabetes lebih baik. Maka disarankan bagi tenaga kesehatan mengembangkan program edukasi kesehatan dalam meningkatkan efikasi diri pasien dalam mengelola diabetes Kata Kunci: Efikasi Diri, Perilaku Perawatan Diri, Diabetes
Optimizing Interprofessional Teamwork Through SBAR and Clinical Communication Training to Improve the Quality of Healthcare Services at Nurul Hasanah Hospital, Kutacane Nandara Priyanti Elna; Yusnaini Yusnaini; Mira Novita; Safitri Rukiani
Multidisiplin Pengabdian Kepada Masyarakat Vol. 5 No. 02 (2026): Multidisiplin Pengabdian Kepada Masyarakat, April-July 2026
Publisher : Sean Institute

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Abstract

Clinical communication errors are one of the main causes of patient safety incidents in hospitals. This community service aims to strengthen interprofessional teamwork and improve the quality of patient care through patient handover training based on the SBAR (Situation, Background, Assessment, Recommendation) method and effective clinical communication at Nurul Hasanah Kutacane Hospital. This activity was carried out by involving 40 health workers consisting of general practitioners, nurses, midwives, pharmacists, and nutritionists who work in the inpatient ward. The method of implementing this community service includes three stages including; (1) Planning Stage (coordination, situation analysis, and pre-assessment); (2) Implementation Stage (dissemination of SBAR materials, identification of communication obstacles, simulation of clinical case collaboration, transfer of patient information, and identification of service quality data), and (3) Evaluation Stage (process evaluation, pre-post competency test, and direct observation of SBAR compliance during shift transfer). The results of this activity showed an increase in theoretical knowledge of clinical communication, where the average score increased from 55.2 (pre-test) to 87.8 (post-test). Evaluation of practice compliance showed that before training, complete SBAR implementation was only 42.5%, increasing to 85.0% after clinical mentoring. Well-documented interprofessional collaboration directly contributes to minimizing the risk of miscommunication and improving patient satisfaction. This program is recommended for integration into the Standard Operating Procedures (SOP) for clinical communication at Nurul Hasanah Kutacane Hospital to maintain sustainable healthcare quality.
The Relationship Between Interprofessional Collaboration and the Quality of Health Services at Nurul Hasanah Hospital, Kutacane Nandara Priyanti Elna; Yusnaini Yusnaini; Mira Novita; Safitri Rukiani
Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa) Vol. 4 No. 02 (2026): JUK-Medifa (Jurnal Kesehatan, Rekam Medis dan Farmasi) 2026
Publisher : SEAN Institute

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Abstract

Interprofessional coordination (collaboration among doctors, nurses, pharmacists, and other healthcare professionals) is an important pillar in achieving quality medical care and patient safety in hospitals. High-quality healthcare services in the modern era cannot be achieved individually, but rather through structured synergy among healthcare professionals. This study aims to analyze the relationship between interprofessional collaboration and healthcare service quality at Nurul Hasanah Hospital, Kutacane. This study employed a descriptive-analytic correlational design with a cross-sectional approach. The study sample consisted of 300 respondents in the inpatient wards of Nurul Hasanah Hospital, Kutacane, with the interprofessional coordination variable measured based on the perspectives of healthcare professionals (N=150) and the healthcare service quality variable measured based on the perspectives of patients (N=150) treated by the healthcare team. The data were analyzed using univariate and bivariate analyzes with the Chi-Square test at a significance levelα= 0.05. The results showed that interprofessional collaboration was categorized as good in 56.7% of respondents, while healthcare service quality was rated as good by 53.3% of patients. The bivariate analysis demonstrated a significant relationship between interprofessional collaboration and healthcare service quality, with a p-value of 0.001 (p < 0.05). The dimensions of open communication and shared goals were crucial factors closely associated with the reliability and assurance of healthcare services. Therefore, the management of Nurul Hasanah Hospital, Kutacane, is expected to continuously improve interprofessional collaboration training programs and foster a collaborative work environment to promote excellent and sustainable healthcare service quality.
Co-Authors Dina Andriani Br Karo Leny Marsyad Nandara Priyanti Elna Safitri Rukiani Yusnaini Yusnaini