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Hutapea, Dwight Mahaputera Marulitua
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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.
Edukasi Pasien tentang Pemeriksaan Fisik untuk Menurunkan Stress pada Pasien di MCU RSU Royal Prima Medan Debora, Trionyta; Tarigan, Dewi Sartika Br; Hutapea, Dwight Mahaputera Marulitua; Kaban, Karmila Br
Jurnal Mitra Prima Vol. 7 No. 1 (2025): JURNAL MITRA PRIMA
Publisher : Mitra prima

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

Abstract

Stres merupakan respons terhadap ketidakseimbangan antara tuntutan lingkungan dan kemampuan individu untuk mengatasinya, yang dapat berdampak negatif secara kognitif, emosional, dan perilaku, serta memengaruhi kualitas tidur melalui gangguan hormonal seperti peningkatan adrenalin dan kortisol yang menghambat fase tidur penting (REM dan gelombang lambat). Salah satu upaya untuk menurunkan stres adalah dengan meningkatkan pemahaman pasien terhadap prosedur pemeriksaan fisik, dan mendorong keterlibatan aktif dalam menjaga kesehatan. Pemeriksaan fisik mencakup inspeksi, palpasi, perkusi, dan auskultasi bertujuan mengidentifikasi kondisi tubuh sebagai dasar diagnosis medis. Pasien di MCU RSU Royal Prima Medan menunjukkan kesadarang yang baik tentang pentingnya pemeriksaan fisik dalam mengelola stres. Oleh karena itu, diperlukan program penyuluhan melalui edukasi, pendidikan, dan pemberdayaan pasien, didukung pemanfaatan teknologi informasi dan kolaborasi dengan berbagai pihak. Kegiatan ini diharapkan mampu meningkatkan kesadaran pasien tentang pentingnya pemeriksaan fisik sebagai strategi efektif untuk menurunkan stres dan meningkatkan kualitas kesehatan.
Facebook Addiction, Game online, Physical Health Among Indonesian Students Hutapea, Dwight Mahaputera Marulitua; Sitopu, Robin Ferdiansyah; Silalahi, Kristina L; Halawa, Afeus; Munthe, Dewi Sartika; Siregar, Ryskina Fatimah
Jurnal Keperawatan Priority Vol. 7 No. 1 (2024)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v7i1.4732

Abstract

This study is essential for students to know about Facebook addiction, Game online, and physical health. The study aims to describe the level of Facebook addiction, play online, and physical health and examine their relationship. The total sample was 206 people selected using the purposive sampling method. The research design was correlational; two hundred-six participants joined this study. Each participant filled out all of the questionnaires (demographic data, the Bergen Facebook Addiction (BFAS), Game Addiction (GAS), and Physical Questionnaire (PHQ). All questionnaires were taken from the previous research and validated; the reliability test was high. Based on the Pearson correlation tests, relationships were shown between Facebook addiction, games online, and physical health. There is a significant positive correlation between Facebook addiction and physical health and games online and physical health. Facebook addiction has a positive impact on physical health. Facebook addiction will impact a student's physical health. This study findings that Facebook addiction is low level, game online moderate level, and moderate level of physical fitness. The best way to prevent students from Facebook addiction is to make them busy with school activities. Games online also have a positive impact on physical health. The longer we play the Game online, the more physical health problems we will have. Say no to Facebook addiction and games online.
Social Media and It’s Implication in Health Care: A Literature Review Hutapea, Dwight Mahaputera Marulitua; Hutapea, Kimberley Maharani Maulibung
Jurnal Keperawatan Priority Vol. 7 No. 2 (2024)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v7i2.5252

Abstract

Social media is a platform to be shared with the public and identify different effects on patients. For example, their autonomy by complementing the information provided by health care to provide psychosocial support, and improve service delivery. Social media have effects on both patients and the wider health care system. Therefore, it is important to identify its implications for the healthcare system. This paper reviews the literature and briefs about social media and its implications in health care. This literature review is synthesized based on empirical evidence derived from the research literature from 2017-2023 and consists of 14 relevant articles from various online databases such as ScienceDirect, PUBMED, CINAHL, and Allied Health Literature. Social media is spreading across healthcare it increases patient awareness and satisfaction, which helps in improving the effectiveness of communication and satisfaction. Social media is mainly for social support, emotional support, esteem support, and network support. The implication of social media use by patients was also to affect the healthcare and patient's relationships by stimulating equal communication between the patient and healthcare, shorter relationships, increased switching healthcare, harmonious relationship, and suboptimal interaction between the patient and healthcare.
SOCIAL MOVEMENT FOR HEALTH: AN INNOVATIVE MODEL OF COMMUNITY SERVICE IN THE DIGITAL AGE Hutapea, Dwight Mahaputera Marulitua; Hutapea , Lyna M. N.
MSJ : Majority Science Journal Vol. 3 No. 4 (2025): MSJ-November
Publisher : PT. Hafasy Dwi Nawasena

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61942/msj.v3i4.492

Abstract

Abstract This article analyzes how digital transformation reshapes social movements for health in Indonesia by introducing innovative community engagement models supported by online platforms and participatory technologies. Using a mixed-method approach that integrates conceptual analysis with secondary data from digital adoption surveys and public health reports, the study identifies key digital mechanisms including micro-campaigns, digital volunteerism networks, telehealth collaborations, crowdfunding ecosystems, and digital health literacy programs. These models expand community participation, accelerate information dissemination, and enhance public responsiveness during health crises. The findings also highlight structural challenges, including inequitable digital access, misinformation, sustainability gaps, and limited institutional coordination. To address these constraints, the article proposes a strategic framework emphasizing inclusive digital infrastructure, strengthened health literacy, multi-stakeholder collaboration, ethical data governance, and continuous research-based innovation. Overall, the study contributes a comprehensive understanding of how digital ecosystems can support sustainable, citizen-driven health engagement and improve public health outcomes in the digital era
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