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Evaluation Of The Implementation Of Primary Care (P-Care) Application At Puskesmas Onolalu Nias Selatan In 2022 Laia, Ohito; Lestari Nasution, Sri; Ginting, Johanes
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 4 (2023): November 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v3i4.224

Primary Care (P-Care) is a patient information service using the internet and computer-based provided by BPJS Health for primary health facilities to provide easy access to data to the BPJS server for both registration and medical services. The purpose of this study was to evaluate the implementation of the Primary Care (P-Care) application at the Onolalu Health Center UPTD South Nias Regency in 2022. This research is qualitative research with a phenomenological approach. The informants in this study were all officers holding the P-Care application, totaling 5 officers. The data analysis method used in this research is descriptive qualitative with the stages of data reduction, data display, and conclusion or verification. The results of the study show that the production implementation of the p-care application makes all processes from registration to the referral process easier, the efficiency implementation of the p-care application makes all patient handling to get health services much easier and saves time and the implementation of the satisfaction of the p-care application making officers, patients and the puskesmas itself very satisfied. Based on the research results, it is hoped that the puskesmas will always improve the quality of services related to the use of p-care applications such as strengthening the internet network, so that each patient visit data can be input on time, as well as increasing the workforce of graduates from D-III Medical Records so that the application of primary care ( p-care) to be more optimal.

Analysis Of Determinant Factors Affecting The Leadership Style Of Chief Of Room In The Inpatient Room At Royal Prima Medan General Hospital Ramadhan Chairun, Ryeo; Isabela Silalahi, Marlinang; Lestari Nasution, Sri
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.v4i1.260

The head of the room is managing all the resources in the care unit to produce quality services. The head of the room is responsible for carrying out the supervision of nursing services to patients in the treatment room he leads. The head nurse of the room is responsible for leading and organizing the activities of servants and nursing care. The role of nurse leadership style has a large influence on nurses' work motivation. This is because the leadership of a good head nurse room will increase nurse job satisfaction, so that if leadership is not good it will reduce the level of nurse job satisfaction. Some previous studies suggested that leadership is one of the main factors that influence performance because leadership is the driving force for all resources within an organization. In leadership itself there are several parts of leadership that affect performance such as leadership style, leadership traits, type of leadership, work motivation, empowerment, work environment, organizational culture, leadership quality, and organizational commitment Research conducted aims to determine the analysis of influence factors leadership style on the performance of nurses in class 3 inpatient rooms Royal Prima Hospital in 2022. This research is a type of quantitative research with a cross sectional approach. The sample in the study was 110 room nurses. Data collection techniques in research using questionnaires. The results of this study found a significant relationship between communication factors (p = 0.001), planning (p = 0,000), direction (p = 0,000), and work discipline (p = 0,002) with the performance of nurses in class 3 Royal Prima Hosptal inpatient care. The conclusion of this study is that of the four variables studied, there was one of the most dominant variables influencing nurses' work motivation in class 3 inpatient rooms of Royal Prima Hospital in 2022, namely directing work by the head of the room.

The Effect Of Health Service Quality Dimensions On Outpatient Satisfaction At Plenary Accredited Hospitals Nazar Syahputri, Iskandar; Wienaldi, Wienaldi; Lestari Nasution, Sri
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.v4i1.281

Measuring patient perceptions of healthcare service quality as an important element in assessing service quality has attracted much post-covid-19 attention in recent years. Therefore, this research was conducted to determine the quality of clinical services at accredited hospitals in Medan and Binjai. This cross-sectional study was conducted from May to August 2022, and 190 patients were randomly selected from two hospitals. Data was collected using a questionnaire whose validity and reliability had been confirmed in previous studies. T-test, ANOVA, and Pearson correlation coefficients were calculated using SPSS to analyze the data. The bivariate test results showed a relationship between service quality dimensions and patient satisfaction at RSUD Dr. Pringadi and Dr. R.M. Djoelham. Multivariate testsfound that the dominant factors influencing patient satisfaction at RSUD Dr. Pirngadi Medan are l evidence, reliability, responsiveness, assurance, and empathy. And for Dr. General Hospital. RM Djoelham Binjai is a tangible factor, reliability, responsiveness, and empathy. So that it can be concluded that to increase patient satisfaction, speed support is needed in services such as providing a fast response to every patient complaint, as well as providing short and responsive service to patient needs, bearing in mind that patient needs are urgent needs that must be met immediately.

Analysis Of Factors Influencing Patient Safety Incidents at Royal Prima Medan General Hospital in 2021 Rahmadana, Rizka; Ginting, Rafael; Lestari Nasution, Sri; Girsang, Ermi
International Journal of Health and Pharmaceutical (IJHP) Vol. 4 No. 2 (2024): May 2024
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v4i2.283

Incident safety patients must be minimized to avoid undesirable danger during maintenance in the hospital. Perception of health workers reporting patient safety incidents at the Royal Prima Medan General Hospital still needs to be higher. Low perception of health workers in writing incident Patient safety is related to individual and organizational factors. The study aims to identify the influence factor on patients' personal and corporate incident safety in the inpatient room of royal prima hospital medan. The type of research used is a method survey with a cross-sectional approach. The population in the study of health workers at the Royal Prima General Hospital in Medan was 259 people, and the sample was 119. Collection data with primary, secondary, and tertiary data was analyzed with multiple logistic regression statistical tests with a level of trust of 95%. Results study show bring individual factors (knowledge with p-value = 0.021 and experience with p-value=0.021) effect-on-patient safety incident reporting and organizational factors (organizational environment with p-value = 0.038 and power with p-value=0.014) effect on reporting incident safety patient, individual characteristics (motivation with p-value = 0.557) have no impact on writing incident safety patient And factor organization (organizational culture with p-value =0.535) has no effect to reporting incident patient safety and most influence reporting incident patient safety in Royal Prima General Hospital Medan is a knowledge variable (OR=155.6). They are recommended for a hospital for-develop system information integration related to writing incident patient safety and officer health to increase the perception of officer health through improvement, knowledge, and experience of officer health.

Analysis Head Nurses' Leadership Styles to Staff Inpatient Nurses' Job Performance Royal Prima Hospital Ramadhan Chairun, Ryeo; Isabela Silalahi, Marlinang; Lestari Nasution, Sri
International Journal of Health and Pharmaceutical (IJHP) Vol. 4 No. 4 (2024): November 2024
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v4i4.226

lack of research in knowing the relationship between nurse leadership styles and nurse performance. Data collection by interviews, questionnaires and observations on inpatient nurses at Rotal Prima Hospital Medan. This study tries to examine the influence of the Job Performance Nurse dimension which is influenced by the dimensions of the Transactional Leadership Style and the Transformational Leadership Style of Head Nurses. This research is associative, with a quantitative method approach, using a descriptive correlational research design. The research was validated using SPSS-26 with data analysis techniques using multiple linear regression analysis. The results showed that the Transactional Leadership Style and Transformational Leadership Style had a positive and significant effect on Nurse Job Performance. The results of this study, we found that nurse leaders must have a good transformational leadership style so that leaders can help and encourage their subordinates in providing training and achieving their work goals properly. Nurse leaders are more likely to adopt a transformational leadership style. The results of this study also show that transactional leadership can affect nurse performance, although it is even better if the head nurse performs transformational leadership.

Evaluation Of the Cost of Pulmonary TB and Pneumonia Therapy Based On INA-CBGS Lise Hanna, Jessica; Bastira Ginting, Johannes; Lestari Nasution, Sri
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 3 (2023): August 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v3i3.183

Tuberculosis as a disease caused by Mycobacterium tuberculosis. Tuberculosis can attack the lungs and can attack all parts of the body. Just as Pneumonia is a respiratory infection that most often causes death in infants and toddlers. The purpose of this study was to evaluate the cost of Pulmonary TB and Pneumonia therapy for the period July 2020 to July 2021 Based on INA-CBGs at RSU Royal Prima Medan. This type of research is descriptive with a qualitative approach. The sample in this study were informants consisting of officers in the INA-CBGs tariff coding section, pulmonary specialists, administrative management staff/staff and patients who were treating pulmonary tuberculosis and pneumonia. The determination of informants was carried out by purposive sampling. Analysis of research data using source triangulation, method triangulation and time triangulation. The results of the study show that the direct costs of patients for pulmonary TB therapy are based on the INA-CBGs rates, these costs are distributed into several costs such as registration fees, consultation fees, laboratory fees, drug costs and X-ray fees. Indirect costs incurred for pulmonary TB therapy patients and indirect costs incurred for pneumonia therapy patients who undergo therapy at RSU Royal Prima Medan. This fee is the sum of transportation costs, food costs, losses due to leave, patient care costs, and drug costs that are not available at the hospital. The duration of therapy for pulmonary TB patients at RSU Royal Prima Medan was in the majority > 5 days in 23 (65.7%) patients, and 1-5 days in 12 (34.3%) patients. The majority of Pneumonia patients at RSU Royal Prima Medan spent 1-5 days in 24 (68.6%) patients, and > 5 days in 11 (31.4%) patients.

Comparisonal Of Treatment Length And Laboratory Examination Comorbid And Non-Combid Disease On Covid 19 Patients At Hospital Royal Prima Terin Ibrena Sembiring, Nanda; Tan Suyono; Lestari Nasution, Sri
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 2 (2022): May 2022
Publisher : CV. Inara

Covid-19 is an infectious disease caused by a new type of coronavirus with symptoms of acute respiratory distress such as fever, cough, and shortness of breath. The type of research is comparative research with secondary data collection of as many as 280 comorbid patients and 280 non-comorbid patients in the month of august 2021 – January 2022. Data were analyzed univariately, bivariate with test Mann Withney. The results of this study are: Based on the mean length of stay for comorbid patients was 12.22 higher than that of non-comorbid patients, which was 5.28. The results of the laboratory examination of leukocytes in comorbid patients were higher at 13.17 than in non-comorbid patients, namely 10.07. In contrast, platelets were smaller, namely 268.87 than non-comorbid patients, namely 278.91. Neutrophils in comorbid patients were 76.28 higher than non-comorbid patients, namely 61.13. The lymphocyte of comorbid patients was 13.28 smaller than that of non-comorbid patients, which was 25.93. The D-dimer of comorbid patients was not too much different, namely 1259.85 than that of non-comorbid patients, namely 557.16. The conclusion in this study is that there is a significant difference between length of stay and laboratory tests (leukocytes, platelets, neutrophils, lymphocytes, D-dimer) for comorbid and non-comorbid diseases in Covid-19 patients at Royal Prima Hospital Medan.

The Effect Of Risk Factors And Clinical Symptoms On Comorbid And Non-Comorbid Disease In Covid-19 Patients At Royal Prima General Hospital Medan Gly De La Glory Ginting, Putri; Isabela Silalahi, Marlinang; Lestari Nasution, Sri
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 2 (2022): May 2022
Publisher : CV. Inara

Covid-19 is a disease caused by infection with SARS-CoV-2 and causes a variety of clinical symptoms ranging from asymptomatic to critical symptoms, depending on various risk factors. The purpose of this research is to analyze the effect of risk factors (age, gender, occupation) and clinical symptoms (asymptomatic, mild, moderate, severe, critical) on comorbid and non-comorbid diseases in Covid-19 patients at General Hospital Royal Prima Medan. This Paper research used is quantitative research with secondary data collection in April-June 2021. The number of research samples was 308 comorbid patients and 308 non-comorbid patients. Data were analyzed univariately to see a descriptive picture, bivariate using chi-square test, and multivariate using binary logistic regression test. The results of this study are: based on age risk factors, the highest age group is 46-65 years (40.1%). The conclusions in this study are there is an influence of risk factors for age, gender, and mild, moderate, and severe clinical symptoms on comorbid and non-comorbid diseases in Covid-19 patients at Royal Prima Hospital Medan.

Evaluation Of Waste Implementation Flow Of Polyclinic Outpatient Service With Blueprint Service At Royal Prima General Hospital, Medan Husni Lubis, Muhammad; Eliza Putri Lubis, Yolanda; Lestari Nasution, Sri
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 3 (2023): August 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v3i3.179

Waiting time for services at the hospital is a measure of the quality of services that concern the patient's rights in a service. Long waiting times are felt by patients so that dissatisfaction arises in the service. This study aims to evaluate the waste of polyclinic outpatient services by using a service blueprint to reduce waiting time for services at RSU Royal Prima Medan. This research is descriptive qualitative research involving 89 people consisting of medical staff, non-medical staff, and patients. Sample selection for officers was carried out using purposive sampling, while for patients using accidental sampling. The data in this study were collected through questionnaires, observations and interviews. The validity test of the questionnaire was carried out using Pearson while the reliability test was carried out using Cronbach's Alpha. The results of this study found that the majority of time spent by patients was included in the old category. Researchers also get three types of waste, namely waiting, unappropriate processing, and transportation. Recommendations for efforts to increase waiting time for services that can be done are: rescheduling for doctors, calculating the workload for services that are still managed by 1 officer, planning E-medical records and centralizing them for storing patient files, simplifying providing information to patients, carry out segregation at the poly if it has not been done, and maintain cleanliness and routine maintenance at each supporting facility.

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