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All Journal Jurnal EduHealth Prisma Sains: Jurnal Pengkajian Ilmu dan Pembelajaran Matematika dan IPA IKIP Mataram Abdimas Paspama
Nandara Priyanti Elna
Universitas Nurul Hasanah Kutacane
Biochemistry, Genetics & Molecular Biology Computer Science & IT Earth & Planetary Sciences Economics, Econometrics & Finance Education Electrical & Electronics Engineering Energy Engineering Environmental Science Health Professions Mathematics Physics Public Health Veterinary Other

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The Relationship Between Access to Health Services and Service Quality in Realizing a Just and Sustainable Health System Yusnaini Yusnaini; Nandara Priyanti Elna; Mira Novita
Jurnal EduHealth Vol. 17 No. 01 (2026): Jurnal EduHealt, January-March 2026
Publisher : Sean Institute

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Abstract

Access to healthcare services is an important determinant in improving the quality of healthcare services, particularly in rural areas that still face geographical and digital limitations. Inequality in access has the potential to hinder the realization of an equitable and sustainable healthcare system. This study aims to analyze the relationship between access to healthcare services and the quality of healthcare services. The research employed a descriptive analytic correlational design with a cross-sectional approach. The sample consisted of 150 community respondents in rural areas of Southeast Aceh Regency selected through purposive sampling. Data were collected using a structured questionnaire measuring dimensions of access (availability, affordability, acceptability, and digital access) as well as the quality of healthcare services. Data analysis was conducted bivariately using statistical tests appropriate to the level of data measurement. The results showed that most respondents perceived access to healthcare services as still inadequate, particularly in terms of geographical affordability and digital access. The quality of healthcare services was categorized as fairly good, although weaknesses remained in infrastructure and facilities. Bivariate analysis indicated a significant relationship between access to healthcare services and the quality of healthcare services (ρ-value < 0.05). Therefore, it is expected that efforts will be made to improve access to healthcare services through strengthening infrastructure, equitable distribution of healthcare personnel, and optimization of digital-based services to support the realization of a fair and sustainable healthcare system.  
Empowerment Nurse as Leader Responsive Homecare Services to Diversity Culture at Nurul Hasanah Kutacane Hospital Yusnaini Yusnaini; Dina Andriani Br Karo; Yessy Syahradesi; Nandara Priyanti Elna
Abdimas Paspama Vol. 2 No. 02 (2024): Abdimas Paspama, June 2024
Publisher : Abdimas Paspama

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Culturally responsive nursing care has become a critical need in home care services, particularly in multicultural regions such as Aceh Tenggara District. Nurses are required not only to be clinically competent but also to lead nursing practices that are sensitive to patients' cultural backgrounds. This community service initiative aims to empower nurses at Nurul Hasanah Kutacane Hospital to become effective leaders in home care services that are adaptive to cultural diversity. The program included clinical leadership training, cultural competency workshops, and case-based mentoring. Evaluation results showed a significant improvement in nurses' knowledge and skills, with an average pre-test score of 55.8 and a post-test score of 84.4. The greatest improvement was observed in nurses' awareness of their role as leaders in homecare services, with an increase of 58.18%. In conclusion, this empowerment program contributed to enhancing nurses' capacity as humanistic and contextually responsive leaders in culturally sensitive homecare services.
Competence and Performance of Clinical Instructors during the Implementation of Group E-Mentoring for the Optimization of Student Guidance Yusnaini Yusnaini; Dina Andriani Br. Karo; Muasir Pagan; Nandara Priyanti Elna; Tri Ratnaningsih
Prisma Sains : Jurnal Pengkajian Ilmu dan Pembelajaran Matematika dan IPA IKIP Mataram Vol. 13 No. 3: July 2025
Publisher : Universitas Pendidikan Mandalika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33394/j-ps.v13i3.15760

Abstract

Competency-based nursing education requires students to master clinical skills critical to workforce readiness; however, challenges persist in the field practicum due to limited structured guidance. This study addresses the lack of research on the effectiveness of structured digital e-mentoring programs in Indonesian clinical settings. The purpose was to evaluate the impact of group e-mentoring on the competence and performance of clinical instructors in supporting nursing student guidance at Nurul Hasanah Hospital, Kutacane. A quantitative quasi-experimental design with a pre- and post-test (without control group) was used. Total sampling based on inclusion criteria resulted in 60 respondents, including clinical instructors and nursing students. Competence was measured using the Mentor Competencies Instrument (MCI), and performance was assessed with the Nurse Mentor Performance Assessment tool. Data analysis employed the Wilcoxon signed-rank test to compare pre- and post-intervention scores. Results demonstrated statistically significant improvements in competence (mean increased from 115.2 to 148.3) and performance (mean increased from 55.8 to 66.2), with p-values of 0.000 and 0.001 respectively, indicating a positive effect of preceptorship and mentorship training integrated within the group e-mentoring program. These findings suggest that structured digital e-mentoring enhances clinical instructors' ability to provide effective student guidance, optimizing clinical education in resource-limited settings.
Co-Authors Dina Andriani Br Karo Dina Andriani Br. Karo Mira Novita Muasir Pagan Tri Ratnaningsih Yessy Syahradesi Yusnaini Yusnaini