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The Effect of Motivation, Workload, Subjective Norms, and Skills of the Accuracy of Triage Implementation to IGD Nurses in Karo Regency Sahat Tua Naiboha, Beres; Novita Ana Anggraini; Kusumawati, Prima Dewi
STRADA : Jurnal Ilmiah Kesehatan Vol. 14 No. 2 (2025): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v14i2.1179

Abstract

Priority of patient handling can be done by using triage. The triage system greatly influences the success rate of assistance when the patient experiences an emergency . The aim of the study was to analyze influence between motivation, burden work, and subjective norms to accuracy implementation triage to IGD nurses in karo district. The research design used was analysis descriptive with approach cross sectional. Population study all Emergency Nurses in Karo Regency. The research sample was 101 using the Stratified Sampling technique. The research was conducted in May 2024. Data analysis used multiple linear regression statistical tests . The results of the study show motivation of 0,000, the load Work of 0.022, subjective norm of 0.015 and triage skills of 0.000.
Giving Extension Effect On Landslide Disaster Preparedness of Householder’s Knowledge And Attitude Anggraini, Novita Ana; Sutrisno, Sutrisno; Hasanah, Weni Uswatun
Journal Of Nursing Practice Vol. 2 No. 1 (2018): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v2i1.45

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Background: The high number of disasters in Indonesia pushed against the need for vigilance on the disaster. preparations to be made by civil society organizations, especially scouts, TAGANA or SAR've pretty much done, but preparedness at the family level and the individual is still a lot of efforts increase efforts to improve the preparedness of the family in the face of disaster requires an effort to educate more people, especially in terms of disaster mitigation. Purpose : The aim of this study was to determine the effect of education on disaster preparedness landslides on knowledge and attitude of the head of the family in the hamlet village Jethi Blimbing Mojo Subdistrict Kediri. Methods : This research design is pre-experimental with approach to one group pre-post test, the data obtained using questionnaire. The number of samples taken in this research were 78 respondents, by purposive sampling. Result : Of the total 78 respondents surveyed after being given counseling, 37 respondents (47.4%) had knowledge of preparedness landslides in enough categories and 47 respondents (60.3%) had the attitude of preparedness landslides in the positive category. The analysis in this research for the knowledge using wilcoxon sign rank test statistics obtained p = 0,000<0,05 then H0 is rejected and H1 accepted. Whereas for the attitude using Mc.Nemar statistic test obtained p = 0.001 <0.05 then H0 is rejected and H1 accepted Conclusion : By giving periodic counseling and provision of information continuously, it can affect respondents' knowledge about disaster preparedness landslides, because it can affect the stimulus and understand the information provided
Social Demographic Factor on Early Detection Ability of Acute Coronary Syndrome in Blitar Regency Indonesia Anggraini, Novita Ana; Faridah Moh Said; Nur Syazana Umar; Rahmania Ambarika; Reni Nurhidayah
Journal Of Nursing Practice Vol. 6 No. 2 (2023): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v6i2.368

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Background: The prevalence of ACS in Indonesia is high, at least 2 million people in Indonesia are diagnosed with ACS. It is one of the main causes of death among adults in many countries around the world, including Indonesia with prevalence of heart disease in Indonesia is estimated at 2 million ACS cases. One of the causes of the high ACS mortality rate is a prehospital delay. Decision time delay refers to the length of time the patient takes for early detection or to make a decision to seek help. This study will focus on the influence of social demographic factors on the ability of early detection of ACS. Purpose: This study aims to explain the relationship between treatment-seeking behavior, transportation, and socio-demographic factors (age, gender, socio-economic, educational status, health insurance). Methods: A prospective cross-sectional study was conducted in this study. The samples will be obtained in Blitar regency with 22 public health center sub-districts with sample 126 respondents. The correlation among variables was analyzed using chi-squared (?2), and for determining the dominant factors, multiple logistic regression with the enter method was used. A p value <0.05 was considered significant. Results: The study found that the age, health insurance status, education level, and employment status of the patients were significant factors for early detection. Delay to early detection increased with the increase in age of the patients, although it was not significant by logistic regression. Conclusions:  This study reveals that several sociodemographic factors that can affect early detection abilities are education, employment status, and health insurance.
Health Education for Increasing Knowledge and Skills of Caring Family in Post Stroke at Poncokusumo Community Health Center, Malang Rahmania Ambarika; Novita Ana Anggraini; Agus Santosa; Herman Adhi Wijaya
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.1008

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Background: The lack of knowledge and skills among family members in caring for post-stroke patients can make prolong recovery time and increase the risk of complications. Health education is essential to enhance understanding and optimize caregiver skills. Purpose: This study aims to examine the effect of health education on family knowledge and skills in post stroke care at Poncokusumo Community health center in Malang regency. Methods: This research employs pra experimental with one group pre-post test design with a total population of 35  family with the post stroke patients in Poncokusumo Community Health Center , from which 32 participants were selected using purposive sampling. The research instrument consists of a questionnaire, and data were analyzed using the Wilcoxon test. Results: The results show that before the health education intervention, half of the participants had a moderate level of knowledge (16 people, 50.0%). After the intervention, nearly all participants demonstrated good knowledge (28 people, 87.5%). In terms of skills, before the intervention, the majority of participants had poor caregiving skills (19 people, 59.4%). After the intervention, most participants improved to a moderate skill level (19 people, 59.4%). There was a significant effect of health education on family knowledge regarding post-stroke care at Poncokusumo Community Health Center, with a p-value of 0.000 (<0.05). Conclusion: Health education is effective in improving family knowledge and skills in caring for post-stroke patients. With structured education, families understand how to care for patients, from mobilization, prevention of complications, to psychosocial support. Direct training and educational media help them apply skills with more confidence. This increased understanding contributes to better quality of care, accelerates patient recovery, and reduces the risk of complications.
SOSIALISASI METODE PENUGASAN TIM DI RS X DI TANGERANG Rosakawati; Agustin Widyowati; Novita Ana Anggraini
Jurnal Abdimas Mutiara Vol. 7 No. 1 (2026): JURNAL ABDIMAS MUTIARA
Publisher : Universitas Sari Mutiara Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jam.v7i1.6925

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Latar belakang: Pelayanan keperawatan di rumah sakit X di Tangerang memerlukan koordinasi tim yang kompleks dan terintegrasi untuk memberikan asuhan yang optimal. RS X sebagai rumah sakit swasta menghadapi tantangan dalam mengoptimalkan sistem penugasan tim yang efektif Tujuan: Meningkatkan pemahaman dan kemampuan tenaga kesehatan dalam mengimplementasikan metode penugasan tim yang efektif untuk optimalisasi pelayanan kesehatan bagi pasien. Metode: Kegiatan pengabdian masyarakat dilakukan dengan pendekatan partisipatif dan andragogi melalui metode ceramah interaktif, diskusi kelompok, demonstrasi, simulasi, dan workshop praktik. Peserta terdiri dari 17 tenaga keperawatan dari 4 unit rawat inap. Evaluasi dilakukan melalui pre-post test dan kuesioner kepuasan. Hasil: Tingkat partisipasi mencapai 85% dengan peningkatan pengetahuan sebesar 34,3% (dari skor 59,4 menjadi 79,8). Kepuasan peserta mencapai 4,2/5,0 dengan 94,1% peserta akan merekomendasikan program ini. Follow-up 1 bulan menunjukkan 75% unit telah memulai implementasi, waktu handover berkurang dari 43 menjadi 35 menit, kepuasan pasien meningkat dari 75% menjadi 81%, dan patient safety incidents turun 25%. Kesimpulan: Program sosialisasi berhasil meningkatkan pengetahuan dan kemampuan tenaga keperawatan dalam implementasi metode penugasan tim, dengan dampak positif terhadap kualitas pelayanan keperawatan.
ANALYSIS OF DIGITALIZATION OF OUTPATIENT SERVICES FOR BPJS HEALTH PATIENTS AT JOMBANG REGIONAL PUBLIC HOSPITAL Sangidu; Peristiowati, Yuly; Anggraini, Novita Ana
International Journal of Cultural and Social Science Vol. 7 No. 2 (2026): International Journal of Cultural and Social Science
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/ijcss.v7i2.1303

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The digitalization of healthcare services is a key strategy to improve service quality, efficiency, and accessibility, particularly for patients covered by Indonesia's National Health Insurance (BPJS Kesehatan). Jombang Regional General Hospital (RSUD Jombang) has implemented digital systems in outpatient services; however, various challenges hinder optimal service delivery. This study aims to analyze the implementation of digitalization, identify technical and non-technical barriers, and explore the expectations of healthcare staff and patients regarding its development. This study employed a qualitative approach with a case study design. Data were collected through in-depth interviews with registration staff, healthcare providers in cardiology and general surgery outpatient clinics, and BPJS Kesehatan patients at RSUD Jombang. Data analysis was conducted using NVivo 12 software, utilizing thematic analysis and source triangulation. The implementation of digitalization includes online registration, digital queuing systems, integration between the Hospital Management Information System (SIMRS) and BPJS Kesehatan, and the use of Electronic Medical Records (EMR), contributing to improved time efficiency and ease of access. However, technical barriers such as unstable network connectivity and limited infrastructure were identified, along with non-technical barriers including disparities in digital literacy among staff and patients (especially the elderly). Both healthcare providers and patients expressed expectations for more stable systems, more supportive features, and more user-friendly designs.
Analisis faktor yang mempengaruhi golden periode stroke di Ruang IGD RSD Nganjuk Sigit Hari Saputro; Novita Ana Anggraini; Prima Dewi
Jurnal Penelitian Keperawatan Kontemporer Vol 6 No 2 (2026): Vol. 6 No. 2 (2026): April 2026
Publisher : Program Studi S1 Ilmu Keperawatan dan Ners IKBIS Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59894/jpkk.v6i2.1334

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Abstrak Pendahuluan: Stroke merupakan penyebab kematian kedua dan kecacatan ketiga di dunia. Keberhasilan terapi stroke sangat dipengaruhi oleh golden periode (3–4,5 jam pasca onset). Namun, sebagian besar pasien datang ke rumah sakit melebihi periode emas ini, sehingga menimbulkan kecacatan permanen dan peningkatan mortalitas. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi pencapaian golden periode stroke di IGD RSD Nganjuk. Metode: Penelitian ini menggunakan desain kuantitatif korelasional dengan analisis regresi linier. Variabel bebas meliputi pengetahuan, persepsi, dan pengalaman keluarga pasien, sedangkan variabel terikat adalah pencapaian golden periode stroke. Data dikumpulkan melalui kuesioner dan telaah rekam medis pasien stroke. Uji F digunakan untuk melihat pengaruh simultan, sedangkan uji t digunakan untuk melihat pengaruh parsial masing-masing variabel. Hasil: Hasil analisis menunjukkan bahwa pengetahuan, persepsi, dan pengalaman secara simultan berpengaruh signifikan terhadap pencapaian golden periode. Namun secara parsial, hanya pengetahuan yang berpengaruh signifikan (p=0,000), sedangkan persepsi (p=0,346) dan pengalaman (p=0,267) tidak signifikan. Model regresi menjelaskan 31,8% variasi pencapaian golden periode, sedangkan 68,2% dipengaruhi faktor lain di luar model. Kesimpulan: Pengetahuan keluarga berperan penting dalam pencapaian golden periode stroke karena membantu mengenali gejala awal dan segera membawa pasien ke IGD. Kurangnya pengetahuan sering menyebabkan keterlambatan penanganan sehingga melewati periode emas. Oleh karena itu, diperlukan edukasi dan promosi kesehatan agar keluarga lebih sigap mengambil tindakan cepat demi meningkatkan peluang kesembuhan pasien.
Analisis Patient Safety Ditinjau dari Perilaku Caring Perawat pada Pasien Dengan Resiko Jatuh Ambarika, Rahmania; Anggraini, Novita Ana
Journal Center of Research Publication in Midwifery and Nursing Vol 5 No 1 (2021): Journal Center of Research Publication in Midwifery and Nursing
Publisher : STIKES Bina Usada Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36474/caring.v5i1.187

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Latar Belakang: Pasien dengan resiko jatuh merupakan salah satu resiko insiden yang tidak diinginkan dalam lingkup rumah sakit. Resiko pasien jatuh hingga terjadi insiden mempunyai dampak merugikan bagi pasien, salah satu dampak yang merugikan adalah dampak cidera fisik yang mencakup luka lecet, luka robek, luka memar, bahkan dalam beberapa kasus berat jatuh dapat berakibat fraktur, perdarahan, dan cidera kepala. Tujuan Penelitian: Tujuan mengetahui hubungan perilaku caring perawat dengan Patient safety resiko jatuh. Metedologi: Metode penelitian yang digunakan dalam penelitian adalah Cross sectional. Populasi adalah Semua pasien pasien resiko jatuh. Besar sampel adalah 67 responden dengan menggunakan teknik Purposive sampling. Variabel Independen penelitian adalah Perilaku Caring. Variabel dependen adalah Patient safety resiko jatuh. Data dikumpulkan dengan menggunakan kuesioner, kemudian data dianalisis menggunakan uji Spearman Rho. Hasil: Hasil penelitian didapatkan bahwa peraku caring perawat cukup baik sebanyak 35 responden (52,2%), Patient safety resiko jatuh yaitu cukup sebanyak 30 responden (4,8%). Hasil penelitian didapatkan bahwa p=0,000 terdapat hubungan perilaku caring perawat dengan Patient safety risiko jatuh. Kesimpulan: Perilaku caring perawat dengan Patient safety risiko jatuh memiliki hubungan yang signifikan, karena perilaku caring memberikan perawatan langsung, dan berespon terhadap setiap kondisi pasien.
An Integrated Model of Motivation, Workload, Subjective Norms, and Skills Predicting Triage Accuracy Among Emergency Nurses Novita Ana Anggraini; Beres Sehat Tua Naibaho; Rahmania Ambarika; Sri Haryuni
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 2 (2026): EDITION JULY 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i2.8841

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Accurate triage is fundamental to emergency nursing because it determines patient prioritization and influences clinical outcomes. Although previous studies have identified motivation, workload, subjective norms, and clinical competence as factors associated with triage performance, these determinants have largely been investigated independently. Evidence regarding their combined influence on triage accuracy remains limited. This study aimed to develop and evaluate an integrated model examining the effects of work motivation, workload, subjective norms, and clinical competence on triage accuracy among emergency nurses. A cross-sectional analytic study was conducted among 101 emergency nurses from three hospitals in Karo District, Indonesia. Participants were selected using stratified sampling. Data were collected using validated questionnaires to measure work motivation, workload, and subjective norms, while clinical competence and triage accuracy were assessed through structured observation. Multiple linear regression analysis was performed using SPSS to determine the relative contribution of each predictor to triage accuracy. The integrated regression model significantly explained 76.3% of the variance in triage accuracy (R² = 0.763; F = 34.395; p = 0.003). Work motivation (B = 0.619; p 0.001), workload (B = 0.455; p = 0.022), subjective norms (B = 0.776; p = 0.015), and clinical competence (B = 0.256; p 0.001) were all significant predictors of triage accuracy. Overall, nurses with higher motivation, stronger subjective norms, and better clinical competence demonstrated greater triage accuracy, whereas excessive workload was associated with poorer performance.Conclusion: Triage accuracy is influenced by the combined effects of behavioral, organizational, social, and competency-related factors. These findings support the implementation of integrated interventions, including competency-based training, supportive leadership, motivation enhancement, and effective workload management, to strengthen emergency nurses' triage performance and improve patient safety.
Analysis of Waiting Time, Quality of Care, and Accessibility of Services on Pregnant Women’s Satisfaction with Midwife Services at the Candi Community Health Center Sidoarjo Regency Fadilatus Siriah; Novita Ana Anggraini; Indasah; Sentot Imam Suprapto; Atik Setiawan W
Jurnal Ragam Pengabdian Vol. 3 No. 2 (2026): Mei-Agustus, Sustainable Development Goals (SDGs): Multidisciplinary Perspectiv
Publisher : Lembaga Teewan Journal Solutions

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62710/1j99mf44

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Antenatal care (ANC) has an essential role in enhancing maternal health and lowering the maternal mortality rate (MMR) through the early identification of pregnancy-related risks. This study was conducted to examine the effects of waiting time, quality of care, and service accessibility on maternal satisfaction. A descriptive analytical study with a cross-sectional design was applied. The study involved 124 pregnant women who were randomly selected from a total population of 178 respondents. The research instrument consisted of a questionnaire, and data were analysed using bivariate tests and multivariate ordinal regression. The majority of respondents perceived waiting times as short (66.9%), service quality as good (70.2%), and service accessibility as high (68.5%). The level of satisfaction among pregnant women was predominantly in the ‘satisfied’ category (44.4%). The results of the multivariate ordinal regression analysis indicate that waiting time (p=0.000), quality of service (p=0.000) and accessibility of service (p=0.001) have a significant effect on the satisfaction of pregnant women (p < 0.05). Waiting time was the most dominant factor with a Wald value of 36.186. The efficiency of waiting time plays a crucial role in enhancing satisfaction as it relates to comfort and the perception of service quality. Good service quality and high accessibility also contribute to positive experiences for pregnant women, thereby encouraging the continued use of ANC services.
Co-Authors Agus Jatmiko Agus Santosa Agustin Widyowati Aladdin Eko Purkuncoro Alfian Fawzi Alfian Fawzi Andi Suryanto Andin Irsadi Andriono Angga Ladzi Syafroni Annisa Ary Saifutri Ans Syafrie Amroyan Aprin Rusmawati Apriyani Puji Hastuti Ardhianata Putra, Irwan Nur Asna Mufidah Asrori, Riswan Atik Setiawan W Atik Setiawan Wahyuningsih Beres Sehat Tua Naibaho Byba Melda Suhita Chatarina Umbul Wahyuni Danang Surono Putro Dedi Saifulah Dedi Saifullah Dedy Mochtar Setiaji Diyah Ayu Purnaningtyas Fadilatus Siriah Faridah Moh Said Fazrin, Intan Fitria Nur Agustina Hadi Suprayetno, Eko Dian Hakim, Andi Lukman Halimatus Sa’diyah Hamid, Zainudin Hariyono Hariyono Hariyono Haryani, Mukti Sri Hasanah, Weni Uswatun Hasanah, Weni Uswatun Heriyanto Heriyanto Herman Adhi Wijaya Hidayat, Mokhammad Arif Ikke Winar Rachmawaty Ikke Winar Rachmawaty Indah Jayani Indasah Indasah , Indasah Intan Fazrin Irma Sartika Permatasari Irwan Nur Ardhianata Putra Korbaffo Anita Restu Kursani, Elmia Kusumaningrum, Ruly Widya Lado, Maria Efrida Teda Lestarjo, Agustinus Nugroho Pudji Lingga Kusuma Wardani Listyawan, Haris Lutfiana Ulfa Luthfiani, Ulfa Maria Efrida Teda Lado Melda Suhita , Byba Mohammad Saifulaman Mokhammad Arif Hidayat Mordekai Rangkoratat, Melinda Mufidah, Asna Natalia Ningsi Katupu Nency Natalia Tho Nur Syazana Umar Nur Yeny Hidajaturrokmah Nurma Afiani Nurwijayanti Pandelima, Maksum Perdana Sulistyoning Suharto, Idola Permana, Arief Candra Permatasari, Irma Sartika Prasetya, Joko Prasiwi, Wardani Fahry Prima Dewi Prima Dewi Kusumawati Purnaningtyas, Diyah Ayu Putri Mayasari Putro, Danang Surono Qurotul Aini Rahmania Ambarika Rahmania Ambarika Ratna Indriyani Ratna Wardani Reni Nurhidayah Retno Sri Iswari Rosakawati Ruly Widya Kusumaningrum Sahat Tua Naiboha, Beres Salsabiila Tita Fauziyah Sangidu Saputra, Joko Hendra Saragih, Hartaulina Selvi Marcellia Sentot Imam Suprapto Sigit Hari Saputro solehah, eka Sri Haryuni Sri Haryuni Suci Wulandari Suci Wulandari Sulistiono, Priyo Suryanto, Andi Sutrisno Sutrisno Syahril Wahyu Ramadhan Ulfa Luthfiani Wahid, Abdurahman Wardah Fauziah Wardani Fahry Prasiwi Wening Palupi Dewi Yenny Puspitasari Yulia Nurfatna Yuly Peristiowati Yuly Peristiowati Zainul Arifin Zainul Arifin