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Hutapea, Dwight Mahaputera Marulitua
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Journal : Oshada

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Telemedicine in Nursing Practice: Effectiveness and Challenges in Telehealth Hutapea, Dwight Mahaputera Marulitua
Oshada Vol. 2 No. 1 (2025): Oshada Journal - February
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/fvqr4d28

Abstract

Technological advancements in healthcare, particularly through telemedicine, have significantly changed nursing practice. Telemedicine allows nursing personnel to provide consultation, monitoring, and health education remotely, increasing the accessibility of services, and reducing the burden on health facilities. Studies show that telemedicine contributes to improved service efficiency and patient adherence to treatment. However, its implementation still faces challenges, especially in infrastructure readiness, regulations, and ethical and legal aspects. Barriers such as inequality in digital access, limitations in virtual clinical assessment, and digital literacy gaps also affect the effectiveness of this service. This study used a descriptive qualitative approach with thematic analysis method to explore the benefits and challenges of telemedicine in nursing. Data were obtained from 30 nurses experienced in telemedicine services through semi-structured interviews, participatory observation, and policy document analysis. The results showed that although telemedicine improves efficiency and access to health services, challenges such as communication reliability, patient data security, and nursing personnel welfare need further attention. Therefore, an adaptive strategy is needed that includes strengthening policies, developing equitable digital infrastructure, and training health workers so that telemedicine services can be implemented optimally, ethically, and sustainably.
The Impact of Shift Work on Nurses' Mental and Physical Health: A Review of Recent Literature Hutapea, Kimberley Maharani Maulibulung; Hutapea, Dwight Mahaputera Marulitua
Oshada Vol. 2 No. 1 (2025): Oshada Journal - February
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/bvf6gj60

Abstract

Irregular work shifts in the health care system can have a significant impact on the physical and mental health of nurses. This study uses a descriptive qualitative approach to explore the experience of nurses in facing the challenges of shift work. A total of 30 nurses with at least two years of experience in night and rotation shifts were selected as participants. Data were collected through semi-structured interviews, participatory observations, and document analysis. The results showed that changes in circadian rhythm due to shift work had an impact on sleep quality, increasing the risk of fatigue, cognitive impairment, and work errors. In addition, nurses with poor sleep patterns are more prone to metabolic problems such as obesity and diabetes, as well as psychological disorders such as stress and depression. High workloads and a lack of balance between work time and rest contribute to increased burnout rates, which ultimately decreases job satisfaction as well as the quality of health care. Nurses develop individual coping strategies, such as sleep pattern setting, relaxation techniques, and healthy eating, and rely on social support from colleagues and family. Adaptive institutional policies, such as more humane shift rotation and shift duration restrictions, are needed to maintain a balance between nurses' work and personal lives. With a more flexible and healthy work system, the welfare of health workers can be improved, so that the quality of service to patients remains optimal.
Effectiveness of Mobile Health (mHealth) Use in Monitoring Patients with Chronic Diseases: A SWOT Analysis Hutapea, Lyna M. N.; Hutapea, Dwight Mahaputera Marulitua
Oshada Vol. 2 No. 1 (2025): Oshada Journal - February
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/j0qvwm49

Abstract

Chronic diseases, such as diabetes mellitus, hypertension, heart failure and COPD, are the leading causes of morbidity and mortality in Indonesia, putting a strain on the health system and patients' quality of life. Continuous monitoring and effective management are essential, but are often constrained by limited access to healthcare services. Mobile-based health technology, or Mobile Health (mHealth), offers an innovative solution to improve monitoring of patients with chronic diseases, allowing patients to self-monitor their conditions and interact with medical personnel virtually. Despite its great potential, the implementation of mHealth faces challenges such as limited digital infrastructure, access gaps, as well as low digital literacy of patients, especially the elderly and those with low education. To address these challenges, a SWOT analysis was used to identify the strengths, weaknesses, opportunities and threats faced by this technology. The strengths of mHealth lie in real-time monitoring efficiency and accessibility, while the weaknesses lie in infrastructure dependency and potential inequality of access. Opportunities for mHealth development are promising, but face threats such as weak regulations and data misuse. The implementation of mHealth requires comprehensive policies, strict regulations, and continuous education to be effective in improving the quality of chronic disease monitoring in Indonesia
Adherence Trends in the Use of Innovative Drugs for Diabetes: Evaluation of Their Effectiveness and Safety Hutapea, Dwight Mahaputera Marulitua
Oshada Vol. 2 No. 2 (2025): Oshada Journal - April
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/7474ys44

Abstract

Type 2 diabetes mellitus continues to show increasing global and national prevalence, driving the need for more effective and personalized management approaches. Innovative therapies such as SGLT2 inhibitors and GLP1 receptor agonists present as pharmacological solutions with promising cardiovascular and renoprotective benefits. However, the effectiveness of these therapies in clinical practice is determined not only by drug efficacy, but also by patient adherence and health system readiness. This study used a qualitative approach based on literature review to evaluate the challenges of adherence as well as the effectiveness and safety of innovative therapies in type 2 diabetes. The results of the analysis showed that although innovative drugs have been proven effective in clinical studies, response variability and side effects in real practice require realworld evidence (RWE)based monitoring. Obstacles such as high costs, unequal access, and low patient understanding are major barriers to widespread implementation of therapy. Adherenceenhancing strategies, technologybased education, and inclusive financing policies are needed to optimize the benefits of therapy. Thus, successful diabetes management through innovative therapies requires an integration of scientific approaches, public policies, and active patient participation in a fair and responsive health care system.
Co-Authors Afeus Halawa Br Kaban, Karmila Debora, Trionyta Dewi Sartika Munthe Ginting, Yesa Alokita Guk, Adi Loy Raja Guk Halawa, Susi Susanti Holandari, Herdy Hutapea , Lyna M. N. Hutapea, Kimberley Maharani Maulibulung Hutapea, Kimberley Maharani Maulibung Hutapea, Lyna M. N. Robin Ferdiansyah Sitopu Silalahi, Kristina L Siregar, Ryskina Fatimah Tarigan, Dewi Sartika Br Togatorop, Sioni Rut Novianna