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All Journal Jurnal Ners Indonesian Journal of Global Health research Multidiciplinary Output Research for Actual and International Issue (Morfai Journal) International Journal of Medicine and Health Journal of Artificial Intelligence and Digital Business Innovative Approaches in Health Science Journal Jurnal Pengabdian Ilmu Kesehatan
Ratna WardanI
Universitas Strada Indonesia
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Electrical & Electronics Engineering Energy Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Sosialisasi Penyakit Diabetes Mellitus untuk Meningkatkan Pengetahuan Pasien Prima Dewi; Ratna Wardani; Ferawati Ferawati
Jurnal Pengabdian Ilmu Kesehatan Vol. 5 No. 3 (2025): November: Jurnal Pengabdian Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jpikes.v5i3.5929

Abstract

Diabetes mellitus (DM) is a non-communicable disease with a globally increasing prevalence, representing a major public health concern in the 21st century. This community service aimed to conduct a diabetes mellitus socialization program to enhance family members’ knowledge about the disease. Limited knowledge among the public often leads to delayed diagnosis, inadequate management, and higher risk of complications. A participatory approach and health education method were applied, emphasizing contextual, sustainable, evidence-based, and gender-sensitive principles. The program involved several stages, including stakeholder coordination, baseline surveys, needs assessment, development and delivery of training materials, and final evaluation. A total of 25 participants from families of diabetes patients at Dr. Sosodoro Djatikoesomo Bojonegoro Hospital took part in the program. Findings revealed that the intervention significantly improved participants’ knowledge, with an average score increase of 25.4 points or 52.7% from the pre-test (p < 0.001). Knowledge distribution shifted positively from a majority in the poor category (68%) to the fair-to-good category (92%). The greatest improvement was found in diabetes complications (36.4 points), followed by diabetes management (34.1 points), and diabetes symptoms (13.6 points). Participants’ satisfaction reached 100%, with 96% reporting being very satisfied. Interactive learning through discussion sessions proved effective in transferring knowledge and correcting misconceptions.
Analisis Kesiapan Perawatan dalam Melaksanakan Triase di Unit Intalasi Gawat Darurat Dirumah Sakit Tipe B Kota Palembang Tahun 2024 Indah Noer Jannah; Indra Frana Jaya KK; Rahmania Ambarika; Ratna Wardani
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.43519

Abstract

Instalasi gawat darurat merupakan salah satu unit pelayanan di rumah sakit yang memberikan pertolongan pertama dan sebagai jalan utama masuknya pasien dengan kondisi gawat darurat. Triage merupakan suatu kegiatan memilih dan memilah pasien yang akan masuk ke IGD, dari proses memilih dan memilah pasien yang masuk ke IGD akan dikategorikan kedalam pasien true emergency dan false emergency. Untuk mengetahui analisis kesiapan perawat dalam pelaksanaan Triage di unit Instalasi Gawat Darurat di RSUD Siti Fatimah Palembang tahun 2024 dan RSUD BARI Palembang. Penelitian ini menggunakan jenis kuantitatif dengan deskriptif menggunakan pendekatan cross-sectional. Pengumpulan data dimulai pada bulan November hingga desember 2024 di ruang instalasi unit gawatdarurat dengan sampel sebanyak 69 responden dengan menggunakan teknik total Sampling. Alat pengumpulan data menggunakan kuesioner dan dianalisis menggunakan uji chi-square. Memiliki hubungan antara tingkat pengetahuan dalam melaksanakan triase di instalasi gawat darurat dengan hasil P-Value 0.001 yang berarti kurang dari 0.05. sikap perawat dalam melaksanaka triase di instalasi gawat darurat dengan hasil P-Value 0.048 yang berarti kurang dari 0.05, dan tingkat stres perawat dalam melaksanakan triase di instalasi gawat darurat dengan hasil P-Value 0.000 yang berarti kurang dari 0.05. sehingga dapat disimpulkan bahwa tingkat pengetahuan, sikap, dan tingkat stres perawat memiliki hubungan dengan kesiapan perawat dalam melaksanakan triase di instalasi gawat darurat Rumah Sakit Tipe B di kota Palembang Tahun 2024
Analysis of Factors Influencing Laboratory Practices on Semester IV DIII Nursing Students at Aisyiyah Palembang Health College in 2024 Indah Noer Jannah; Rahmania Ambarika; Ratna Wardani
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.50103

Abstract

This study analyzes factors influencing laboratory practice performance among fourth-semester D3 Nursing students at STIKES Aisyiyah Palembang in 2024. Using a cross-sectional design with random sampling, 131 students participated by completing structured questionnaires. Data were analyzed with simple linear regression to determine the effects of motivation, interest, and learning intensity on laboratory outcomes. Results showed that 64.9% of students had positive motivation, 66.4% expressed strong interest, and only 13.7% demonstrated high learning intensity. Overall, 94.7% of students passed laboratory practice. Cross-tabulation revealed that students with positive motivation (97.6%), strong interest (97.7%), and high learning intensity (100%) had the highest pass rates. Regression analysis confirmed that motivation (p = 0.000), interest (p = 0.000), and learning intensity (p = 0.035) significantly influenced laboratory performance, while the learning environment and facilities showed no statistical impact. These findings highlight that intrinsic factors—particularly motivation and interest—are stronger predictors of success compared to external conditions. Therefore, nursing educators should prioritize strategies that foster student motivation, maintain engagement, and encourage consistent learning intensity to optimize laboratory outcomes.
THE EFFECT OF ORGANIZATIONAL CULTURE AND WORK DISCIPLINE ON THE PERFORMANCE OF HEALTH WORKERS AT MUSLIMAT MOTHER AND CHILD HOSPITAL, JOMBANG Kusumaningdiah Sekar Jatiningrum; Ratna Wardani; Joko Prasetyo
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 3 (2026): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.20320502

Abstract

The performance of health workers reflects employees’ work outcomes in terms of both quantity and quality. A decline in health workers’ performance, or failure to meet hospital expectations, may negatively affect the quality of hospital services. Organizational culture adopted by an institution plays a crucial role in determining performance quality. In addition to organizational culture, work discipline is also a factor that influences performance. High work discipline is associated with improved performance. This study aimed to analyze the effect of organizational culture and work discipline on the performance of health workers at Muslimat Mother and Child Hospital, Jombang. This study employed a quantitative research design with a cross-sectional approach. The independent variables were organizational culture and work discipline, while the dependent variable was the performance of health workers. The population consisted of all health workers at Muslimat Mother and Child Hospital, Jombang, totaling 132 individuals. Using proportional random sampling, a sample of 100 respondents was obtained. Data were analyzed using logistic regression analysis. The results showed that organizational culture had a significant effect on the performance of health workers at Muslimat Mother and Child Hospital, Jombang (p = 0.000). Work discipline also had a significant effect on health workers’ performance (p = 0.000). Furthermore, organizational culture demonstrated a statistically significant influence on health workers’ performance (p = 0.004; OR = 0.023; 95% CI = 0.002–0.290), with a Nagelkerke’s R Square value of 0.934. Organizational culture plays an important role in influencing the quality of health workers’ performance, as it shapes values, norms, and collective behaviors, creates an environment that encourages collaboration, innovation, and work comfort, and indirectly enhances discipline and motivation, leading to improved performance.
Analysis of the Effect of Min–Max Stock Level (MMSL) Implementation on the Efficiency of Slow-Moving Drug Management: Min–Max Stock Levels in Slow-Moving Drug Control Amellia Ahmed; Ratna Wardani; Joko Prasetyo
Innovative Approaches in Health Science Journal Vol. 3 No. 1 (2026): Innovative Approaches in Health Science Journal
Publisher : CV. Paperhome Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64871/qswze655

Abstract

Background: The management of slow moving drugs in hospital pharmacy installations often faces problems in the form of overstock, high inventory values, increased risk of expiration, and low inventory turnover. This study aims to analyze the effect of the application of Min-Max Stock Level (MMSL) on the efficiency of slow moving drug management in the Pharmaceutical Installation of General Hospital Muslimat Ponorogo which is measured through inventory value, expiration rate, storage cost, and inventory turnover. Methods: Quantitative research design of the case control approach. MMSL implementation independent variables (before and after implementation). Dependent variables are inventory value, drug expiration value, storage cost, and turnover ratio (TOR). Data analysis was carried out descriptively and inferentially using the Mann-Whitney U test for variables that are not normally distributed and independent t-test for the TOR variable that is normally distributed. Result: The results of the analysis showed that in the inventory value variable, Mann-Whitney U = 90,000, Z = –0.933, and p = 0.351 (>0.05), so that there was no significant effect of the application of MMSL on the inventory value. In the storage cost variable, identical results were obtained (U = 90,000; Z = –0.933; p = 0.351), which also showed no significant differences between groups. Meanwhile, the expiration value variable showed a very significant difference with U = 17,500, Z = –4,015, and p < 0.001, which means that there is a significant influence of the application of MMSL on the decrease in the value of losses due to expired drugs. For the variable turnover ratio (TOR), the results of the independent t-test showed p = 0.136 (>0.05), so there was no significant effect of the application of MMSL on TOR. Conclusion: The implementation of MMSL significantly reduces losses due to expired drugs but does not significantly affect inventory value, storage costs, or turnover ratio.
The Influence of Patient Safety Competence on Patient Safety Activities and Nurse Performance Assessment at Mardi Waluyo Regional Hospital, Blitar City Yuda Dwi Prasetyo; Agusta Dian Ellina; Ratna Wardani
International Journal of Medicine and Health Vol. 4 No. 1 (2025): International Journal of Medicine and Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v4i1.5623

Abstract

Hospital is a health service place that provides services based on safety competency and safety activities that are evaluated using performance assessment. The purpose of this study was to determine the effect of patient safety competency on patient safety activities and nurse performance assessment. The independent variable in this study is patient safety competency, nurse performance assessment is the dependent variable while patient safety activity is the mediating variable. The study used an observational analytical design with a cross-sectional approach. Respondents in the study were some nurses at Mardi Waluyo Hospital, Blitar City who had a patient safety competency certificate totaling 159 respondents. The sampling technique used simple random sampling. The results of the regression analysis obtained a significant effect on patient safety competency on patient safety activities and nurse performance assessment with ap value = 0.01. The variable that has a dominant influence is safety competency with a standardized coefficient of 0.327 compared to safety activities in patients with a standardized coefficient of 0.312. The conclusion in this study is that there is an effect of patient safety competency on patient safety activities and nurse performance assessment. The results of the study are in line with previous research and theories which show that patient safety competency has a greater influence on nurse performance assessments directly compared to the presence of patient safety activities as a mediating variable, but it is possible that other factors play a role in the differences in the effects of influence between variables. Hospital policies, safety culture, and the level of awareness of the work team in implementing daily safety practices may play a role in the difference in influencing effects between variables. However, it is also possible that there are other factors such as the attitude and motivation to work of individuals who are considered not to meet the expectations of the leadership.
The Influence of Self-Efficacy And Motivation on Interest in Reporting National Quality Indicators Through Healthcare Facility Registration Interest Siti Lailatus Zahro; Indasah Indasah; Ratna Wardani
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5683

Abstract

The lack of interest of independent medical practice healthcare facilities and independent dentist practice healthcare facilities in registering health facilities and reporting national quality indicators (national quality indicators) as a condition for accreditation will affect the quality of health facilities so that self-efficacy and motivation are really needed to increase this interest. The aim of this research is to analyze the influence of self efficacy and motivation on national quality indicators reporting interest through health facility registration interest as an intervening variable (study on independent medical practice healthcare facilities and independent dentist practice healthcare facilities in the kediri regency area). The research design used was analytical observational with a "cross sectional" approach. The sampling technique used was proportionate random sampling with a sample of 158 health facilities. Data were collected from 158 healthcare facilities in Kediri Regency using a structured questionnaire with a Likert scale (1–5). The questionnaire was distributed via WhatsApp and Google Forms, ensuring efficient and accessible data collection. The data analysis technique uses test path analysis. The research results show that in hypotheses 1,2,3,4,5 the significance value is <0.05 so that there is an influence of self-efficacy and motivation on interest in registering health service facilities, there is an influence of self-efficacy and motivation on interest in reporting national quality indicators , there is an influence of interest in registering health service facilities on interest in reporting national quality indicators , whereas in hypotheses 6 and 7 the significance result is >0.05 so it cannot prove that there is an influence of self-efficacy and motivation on interest in reporting national quality indicators through interest in registering service facilities. Health. The importance of awareness of health facilities, especially for independent medical practice healthcare facilities and independent dentist practice healthcare facilities, to carry out a series of accreditation steps to improve the quality of health facilities needs to receive more attention from the health service and independent medical practice healthcare facilities and independent dentist practice healthcare facilities as health service providers.
Analysis of Readiness for Primary Service Integration Using the Hot-Fit Method at the Public Health Center Muhammad Rohani; Ratna Wardani; Agusta Dian Ellina
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5688

Abstract

Strengthening primary health care services is essential to improve the achievement of minimum health service standards. Primary Care Integration aims to reorganize existing primary health care services, enabling them to serve the entire Indonesian population with comprehensive and quality services by coordinating primary health care services based on the life cycle and no longer on programs. This study aims to explore the readiness of human resources, organization and governance, and technology in health centers to implement PCI. This descriptive study was conducted using a qualitative approach with 15 respondents from various job backgrounds. The research was conducted at Ipuh Bangun Jaya Health Center from August to October 2024. In-depth interview results were processed and validated through field observations, resulting in 18 sub-themes. Sub-themes 1-3 are about understanding PCI; sub-themes 4-8 are about human resource readiness; sub-themes 9-14 are about organizational and governance readiness; and sub-themes 15-18 are about technology readiness. Data analysis involved data reduction, data presentation and conclusion and verification. The research findings show that Human Resources at Ipuh Bangun Jaya Health Center have good efficacy and individual attributes to support the implementation of primary care integration at the Health Center. The organization and governance of Ipuh Bangun Jaya Health Center show the existence of management support as one form of good principal support to move towards the implementation of primary care integration at the Health Center. The information technology available at Ipuh Bangun Jaya Health Center is adequate for the implementation of primary care integration at the Health Center as one of the available principal supports. Although the valence of change is not yet very strong, the efficacy of change and the situation of change have been felt and expressed by employees in their daily activities. Things that need to be improved to encourage change include: widespread socialization to all employees according to clusters, structured socialization of policy products, and adequate internet access. The study concludes that Ipuh Bangun Jaya Health Center has strong human resources, governance, and IT support for primary care integration. However, improvements in socialization and internet access are needed for successful implementation.
Analysis of Readiness for Primary Service Integration Using the Hot-Fit Method at the Public Health Center Yohanes Adi Agus Suwono; Sentot Imam Suprapto; Ratna Wardani
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5689

Abstract

Strengthening primary health care services is essential to improve the achievement of minimum health service standards. Primary Care Integration aims to reorganize existing primary health care services, enabling them to serve the entire Indonesian population with comprehensive and quality services by coordinating primary health care services based on the life cycle and no longer on programs. This study aims to explore the readiness of human resources, organization and governance, and technology in health centers to implement PCI. This descriptive study was conducted using a qualitative approach with 15 respondents from various job backgrounds. The research was conducted at Ipuh Bangun Jaya Health Center from August to October 2024. In-depth interview results were processed and validated through field observations, resulting in 18 sub-themes. Sub-themes 1-3 are about understanding PCI; sub-themes 4-8 are about human resource readiness; sub-themes 9-14 are about organizational and governance readiness; and sub-themes 15-18 are about technology readiness. Data analysis involved data reduction, data presentation, and conclusion and verification. The research findings show that Human Resources at Ipuh Bangun Jaya Health Center have good efficacy and individual attributes to support the implementation of primary care integration at the Health Center. The organization and governance of Ipuh Bangun Jaya Health Center show the existence of management support as one form of good principal support to move towards the implementation of primary care integration at the Health Center. The information technology available at Ipuh Bangun Jaya Health Center is adequate for the implementation of primary care integration at the Health Center as one of the available principal supports. Although the valence of change is not yet very strong, the efficacy of change and the situation of change have been felt and expressed by employees in their daily activities. Things that need to be improved to encourage change include: widespread socialization to all employees according to clusters, structured socialization of policy products, and adequate internet access. The study concludes that Ipuh Bangun Jaya Health Center has strong human resources, governance, and IT support for primary care integration. However, improvements in socialization and internet access are needed for successful implementation.
Analysis of the Implementation of Electronic Medical Records in Community Health Centers Ade Feryansyah; Sentot Imam Suprapto; Ratna Wardani
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5695

Abstract

The implementation of Electronic Medical Records (EMR) in Community health centers is a strategic step in improving the efficiency and quality of health services. This study aims to analyze the implementation of RME in the West Kotawaringin Regency Health Center with a qualitative descriptive method. This study aims to analyze the application of EMR in the West Kotawaringin Regency Health Center with a qualitative descriptive approach. The research was carried out on three health centers that have implemented EMR, namely the Arsel, Mendawai, and Kumpai Batu Atas Health Centers, in the April-June 2024 period. Data was collected through in-depth interviews and documentation, including aspects of patient registration, data distribution, filling in clinical information, data processing, financing claims, data storage, quality assurance, and EMR content transfer. The 15 respondents consisted of medical personnel and community health centers administration. Data analysis involves three key steps: data reduction, data presentation, and conclusion and verification. The results showed that although the majority of respondents understood the benefits of RME, they faced various obstacles, such as limited technology infrastructure, lack of training for healthcare workers, and system integration problems. The use of EMR has accelerated the service process, but there is still a reliance on manual methods in several stages. In addition, data reporting is often constrained by technical issues and coordination between units. The study findings indicate that while most respondents recognize the benefits of electronic medical records , several challenges hinder optimal implementation. Key obstacles include limited technological infrastructure, insufficient training for healthcare workers, and difficulties in system integration.
Co-Authors Ade Feryansyah Agusta Dian Ellina Amellia Ahmed Byba Melda Suhita Diah Prameswari Erna Rosiyawati Maruapey Ferawati Ferawati Indah Noer Jannah Indasah Indra Frana Jaya KK Joko Prasetyo Joko Prasetyo Kusumaningdiah Sekar Jatiningrum Muhammad Rohani Prima Dewi Rahmania Ambarika Sentot Imam Suprapto Siti Lailatus Zahro William Abraham Wadesong Yohanes Adi Agus Suwono Yohanis Lero Yuda Dwi Prasetyo