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All Journal Mitra Raflesia (Journal of Health Science) Archives of The Medicine and Case Reports
Hartian Pansori
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Health Professions Medicine & Pharmacology Nursing Public Health

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Analysis of Risk Factors for the Quality of Health Services in Primary Health Facilities: An Observational Study in North Bengkulu Regency, Indonesia Venasari; Yunita Theresiana; Hartian Pansori
Archives of The Medicine and Case Reports Vol. 5 No. 3 (2024): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v5i3.606

Abstract

Primary health care (PHC) is crucial for overall health system performance, particularly in developing nations. However, variations in the quality of PHC services in Indonesia, particularly in North Bengkulu Regency, raise concerns. This study aimed to identify and analyze risk factors associated with suboptimal quality of health services in these facilities. This observational, cross-sectional study was conducted in 20 primary health centers (PHCs) in North Bengkulu Regency. A multi-stage random sampling technique was used to select 400 patients and 80 healthcare providers. Data were collected using validated questionnaires assessing various dimensions of service quality (tangibles, reliability, responsiveness, assurance, and empathy), patient satisfaction, and potential risk factors (socio-demographic, facility-related, and provider-related). Descriptive statistics, bivariate analysis, and multivariate logistic regression were used for data analysis. The study found a significant association between perceived service quality and patient satisfaction. Socio-demographic factors (lower education and income), facility-related factors (inadequate staffing and lack of essential medicines), and provider-related factors (insufficient communication and perceived lack of empathy) were identified as risk factors for lower service quality. The quality of health services in North Bengkulu PHCs is influenced by a complex interplay of patient, facility, and provider factors. Interventions targeting these risk factors, such as community education, capacity building for providers, and improvements in resource allocation, may improve PHC service quality and patient satisfaction in this region.
PENGARUH TOTAL QUALITY SERVICE TERHADAP KEPUASAN PASIEN RAWAT INAP DI RUMAH SAKIT LAGITA KABUPATEN BENGKULU UTARA Normala Tarigan; Hartian Pansori; Yunita Theresiana; Susilawati; Daisy Novira
Mitra Raflesia (Journal of Health Science) Vol. 17 No. 1 (2025)
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/v867vd70

Abstract

ABSTRAK Tujuan Penelitian ini bertujuan untuk menganalisis pengaruh Total Quality Service (TQS) yang terdiri dari tujuh dimensi: infrastruktur, kualitas personil, proses perawatan klinis, prosedur administrasi, indikator keselamatan, keseluruhan pengalaman medis yang diterima, dan tanggung jawab sosial terhadap kepuasan pasien di RSUD Lagita, Bengkulu Utara. Metode Desain penelitian adalah kuantitatif asosiatif dengan pendekatan cross-sectional. Sampel sebanyak 97 pasien rawat inap dipilih secara purposive. Data dikumpulkan melalui kuesioner dan dianalisis menggunakan regresi linear berganda. Hasil Hasil menunjukkan bahwa semua variabel TQS berpengaruh signifikan terhadap kepuasan pasien secara simultan (R² = 90,3%). Secara parsial, kualitas personil, prosedur administrasi, indikator keselamatan, dan pengalaman medis paling dominan dalam memengaruhi kepuasan pasien.. Kesimpulan Rumah sakit disarankan meningkatkan kualitas pelayanan melalui pelatihan SDM, penyederhanaan prosedur, peningkatan keselamatan pasien, dan pendekatan berbasis pengalaman pasien.   Kata kunci: Total Quality Service, Kepuasan Pasien, RSUD, Kualitas Pelayanan, Bengkulu   Abstract This study aims to analyze the effect of Total Quality Service (TQS), consisting of seven dimensions—namely infrastructure, personnel quality, clinical care processes, administrative procedures, safety indicators, overall medical experience, and social responsibility—on inpatient satisfaction at RSUD Lagita, North Bengkulu Regency. The research employed a quantitative associative method with a cross-sectional approach. A total of 97 inpatients were selected using purposive sampling. Data were collected using structured questionnaires and analyzed through multiple linear regression. The results showed that all TQS dimensions simultaneously had a significant effect on patient satisfaction (R² = 90.3%). Partially, the most influential dimensions were personnel quality, administrative procedures, safety indicators, and overall medical experience. The findings suggest that hospital management should enhance service quality through human resource training, simplification of administrative processes, improvement of patient safety systems, and patient experience-based approaches. This study offers practical implications for improving hospital service quality, particularly in regional public hospitals with limited resources. Keywords: Total Quality Service, Patient Satisfaction, Public Hospital, Health Service Quality, Bengkulu
FAKTOR-FAKTOR YANG MEMPENGARUHI KINERJA PERAWAT DI RSUD LAGITA KABUPATEN BENGKULU UTARA Sinarilah; Hartian Pansori; Yunita Theresiana; Tuti Rohani; Firman Bintara M.H
Mitra Raflesia (Journal of Health Science) Vol. 17 No. 2 (2025): Volume 17 Nomor 2 Juli-Desember 2025
Publisher : LPPM STIKES BHAKTI HUSADA BENGKULU

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51712/frvmmp62

Abstract

Abstrak Latar Belakang: Kinerja perawat adalah pencapaian hasil kerja seorang perawat dalam melaksanakan seluruh tugasnya sesuai standar yang ditetapkan. Kinerja perawat berperan penting dalam menentukan mutu pelayanan rumah sakit, sehingga faktor-faktor yang memengaruhinya perlu dievaluasi. Penelitian ini menganalisis faktor-faktor yang berpengaruh terhadap kinerja perawat di RSUD Lagita, sebuah rumah sakit kelas D di Kabupaten Bengkulu Utara, yang pada tahun 2024 memiliki 50 perawat aktif. Metode: Penelitian menggunakan desain potong lintang (cross-sectional). Populasi sekaligus sampel adalah total 50 orang perawat di RSUD Lagita (total sampling). Data dikumpulkan melalui kuesioner terstruktur mengenai karakteristik responden dan faktor-faktor internal serta eksternal perawat, meliputi: tingkat pengetahuan, sikap, kerjasama tim, hubungan interpersonal, dan kompetensi. Kinerja perawat dikategorikan menjadi kinerja baik dan kurang baik. Analisis data menggunakan uji chi-square dan regresi logistik. Hasil: Sebagian besar perawat (68%) memiliki kinerja baik. Uji bivariat menunjukkan hubungan signifikan antara pengetahuan (p=0,048), sikap (p=0,013), dan kompetensi (p=0,030) dengan kinerja perawat. Sikap merupakan faktor paling dominan yang memengaruhi kinerja perawat (OR=9,419; 95%CI 3,170–118,969). Kesimpulan: Terdapat pengaruh signifikan dari faktor pengetahuan, sikap, dan kompetensi terhadap kinerja perawat. Tidak ditemukan pengaruh bermakna dari kerjasama tim dan hubungan interpersonal. Temuan ini menekankan pentingnya peningkatan sikap profesional, pengetahuan, dan kompetensi perawat melalui pelatihan dan pendidikan berkelanjutan. Kata kunci: kinerja perawat, pengetahuan, sikap, kompetensi, RSUD Lagita Abstract Background: Nurse performance refers to the outcomes achieved by nurses in carrying out their duties according to set standards. It plays a critical role in determining the quality of hospital services, thus its influencing factors need to be assessed. This study analyzes the factors influencing nurse performance at RSUD Lagita, a class D hospital in North Bengkulu Regency, which had 50 active nurses in 2024. Methods: A cross-sectional design was applied. The population and sample included all 50 nurses (total sampling). Data were collected using structured questionnaires that assessed respondent characteristics and both internal and external factors, including knowledge, attitude, teamwork, interpersonal relations, and competence. Nurse performance was categorized as good or poor. Data analysis employed chi-square tests and logistic regression. Results: Most nurses (68%) had good performance. Bivariate analysis revealed significant associations between knowledge (p=0.048), attitude (p=0.013), and competence (p=0.030) with performance. Attitude emerged as the most dominant factor (OR=9.419; 95%CI 3.170–118.969). Conclusion: Knowledge, attitude, and competence significantly influence nurse performance. Teamwork and interpersonal relations showed no significant effect. These findings highlight the importance of enhancing professional attitudes, knowledge, and competence through continuous training and education. Keywords: nurse performance, knowledge, attitude, competence, RSUD Lagita
Co-Authors Daisy Novira Firman Bintara M.H Normala Tarigan Sinarilah Susilawati Theresiana, Yunita Tuti Rohani, Tuti Venasari