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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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Abstract

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.
Pemberdayaan Masyarakat Dalam Early Recovery Pascabencana Melalui Home-Based Livestock dan Gardening Dalam Penguatan Gizi dan Kesejahteraan Masyarakat Menuju Desa Tangguh Bencana di Desa Simpur Jaya Yusnaini; Devi Annisa Marpaung; Muasir Pagan; Nandara Priyanti Elna; Wirda Hayati; Eva Zulisa; Rhosa Pariana; Illis Khairunnisa
JURPIKAT Vol 7 No 2 (2026)
Publisher : Politeknik Piksi Ganesha Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37339/jurpikat.v7i2.3153

Abstract

ABSTRACT: The flood that hit one of the areas in Ketambe District, Southeast Aceh Regency in 2025, namely Simpur Jaya Village, was an event that not only left physical damage, but also shook the social and economic foundations of the community. In this situation, the community faced various limitations including access to basic needs. Carrying out community service activities as a form of real response through student programs that have an impact with a community empowerment approach in assisting post-disaster recovery through home-based livestock and gardening. The purpose of the activity was to increase student awareness of the conditions and needs of disaster-affected communities, support efforts to strengthen community capacity, strengthen the role of student organizations in community empowerment and realize the application of science, technology and innovation according to the needs and potential of the community. The activity was carried out for 20 days. The community service were 3 lecturers from various study programs and 50 students, target partners (farmer groups, livestock breeders and family nutrition groups), and cooperation partners. The method of implementing the activity used the Participatory Action Research method. The results of the activity showed the achievement of the availability of livestock land, chicken and duck coops made from local materials, the availability of vegetable gardens with various types of vegetables such as salad, mustard greens, cayenne pepper and tomatoes, the availability of digital showcases and product promotions in wide reach, as well as ongoing commitment by farmer and livestock groups to achieve results from the development of home-based livestock and home gardening in realizing strengthening nutrition and community welfare.
Optimizing Interprofessional Teamwork Through SBAR and Clinical Communication Training to Improve the Quality of Healthcare Services at Nurul Hasanah Hospital, Kutacane Nandara Priyanti Elna; Yusnaini Yusnaini; Mira Novita; Safitri Rukiani
Multidisiplin Pengabdian Kepada Masyarakat Vol. 5 No. 02 (2026): Multidisiplin Pengabdian Kepada Masyarakat, April-July 2026
Publisher : Sean Institute

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Abstract

Clinical communication errors are one of the main causes of patient safety incidents in hospitals. This community service aims to strengthen interprofessional teamwork and improve the quality of patient care through patient handover training based on the SBAR (Situation, Background, Assessment, Recommendation) method and effective clinical communication at Nurul Hasanah Kutacane Hospital. This activity was carried out by involving 40 health workers consisting of general practitioners, nurses, midwives, pharmacists, and nutritionists who work in the inpatient ward. The method of implementing this community service includes three stages including; (1) Planning Stage (coordination, situation analysis, and pre-assessment); (2) Implementation Stage (dissemination of SBAR materials, identification of communication obstacles, simulation of clinical case collaboration, transfer of patient information, and identification of service quality data), and (3) Evaluation Stage (process evaluation, pre-post competency test, and direct observation of SBAR compliance during shift transfer). The results of this activity showed an increase in theoretical knowledge of clinical communication, where the average score increased from 55.2 (pre-test) to 87.8 (post-test). Evaluation of practice compliance showed that before training, complete SBAR implementation was only 42.5%, increasing to 85.0% after clinical mentoring. Well-documented interprofessional collaboration directly contributes to minimizing the risk of miscommunication and improving patient satisfaction. This program is recommended for integration into the Standard Operating Procedures (SOP) for clinical communication at Nurul Hasanah Kutacane Hospital to maintain sustainable healthcare quality.
The Relationship Between Interprofessional Collaboration and the Quality of Health Services at Nurul Hasanah Hospital, Kutacane Nandara Priyanti Elna; Yusnaini Yusnaini; Mira Novita; Safitri Rukiani
Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa) Vol. 4 No. 02 (2026): JUK-Medifa (Jurnal Kesehatan, Rekam Medis dan Farmasi) 2026
Publisher : SEAN Institute

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Abstract

Interprofessional coordination (collaboration among doctors, nurses, pharmacists, and other healthcare professionals) is an important pillar in achieving quality medical care and patient safety in hospitals. High-quality healthcare services in the modern era cannot be achieved individually, but rather through structured synergy among healthcare professionals. This study aims to analyze the relationship between interprofessional collaboration and healthcare service quality at Nurul Hasanah Hospital, Kutacane. This study employed a descriptive-analytic correlational design with a cross-sectional approach. The study sample consisted of 300 respondents in the inpatient wards of Nurul Hasanah Hospital, Kutacane, with the interprofessional coordination variable measured based on the perspectives of healthcare professionals (N=150) and the healthcare service quality variable measured based on the perspectives of patients (N=150) treated by the healthcare team. The data were analyzed using univariate and bivariate analyzes with the Chi-Square test at a significance levelα= 0.05. The results showed that interprofessional collaboration was categorized as good in 56.7% of respondents, while healthcare service quality was rated as good by 53.3% of patients. The bivariate analysis demonstrated a significant relationship between interprofessional collaboration and healthcare service quality, with a p-value of 0.001 (p < 0.05). The dimensions of open communication and shared goals were crucial factors closely associated with the reliability and assurance of healthcare services. Therefore, the management of Nurul Hasanah Hospital, Kutacane, is expected to continuously improve interprofessional collaboration training programs and foster a collaborative work environment to promote excellent and sustainable healthcare service quality.