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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

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

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.

Analysis of the Readiness of Posyandu Cadres in Providing Basic Health Services Towards the Implementation of Primary Service Integration in Posyandu Misrani Misrani; Sentot Imam Suprapto; Indasah Indasah
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.v7i2.5836

The low achievement of health sector SPM in 2022 has driven the transformation of health services by optimizing the role of cadres in providing basic health services towards the integration of primary health care. Trials in various regions of Indonesia have shown positive results, but there is no clear picture of the readiness of cadres to implement integrated primary health care in Kotawaringin Barat. This study was conducted to explore the readiness of Posyandu cadres in providing basic health services in terms of appropriateness, change efficacy, management support, and personal benefit. This qualitative descriptive study was conducted in Posyandu located in the working area of Kumai Health Center, Kotawaringin Barat Regency, from September to November 2024. The research informants were 23 Posyandu cadres who met the criteria from the entire Kumai area. The main data was obtained from interviews, and additional data was obtained from cadre activity documents and observations of cadre performance in Posyandu implementation. Data analysis involves three main steps: data reduction, data presentation, and conclusion drawing. Data analysis successfully described findings from 5 themes and 20 sub-themes, including: cadre insight (sub-themes 1 and 2); appropriateness (sub-themes 3 to 5); change efficacy (sub-themes 6 to 12); management support (sub-themes 13 to 19); and personal benefit (sub-theme 20). Servant leadership needs to be developed to increase the internal motivation of cadres by optimizing the role of community leaders.

Analysis of Influence Service Quality, Facilities and Level of Satisfaction in Returning Treatment Tartilah Nur Amani; Sentot Imam Suprapto; Yuly Peristiowati
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.6024

Increasing the quality of service and supporting facilities will provide patient satisfaction. If patients are satisfied with the health services received, if the patient needs health services they will tend to be interested in making repeat visits to seek treatment at the Watukenongo Health Center. This study aims to analyze the effect of service quality, facilities and satisfaction levels on repeat visit interest at the Watukenongo Community Health Center. The research method uses a cross-sectional study design. This study was conducted at the Watukenongo Health Center outpatient clinic starting from January-February 2025. The sample in the study was 165 patients, namely new patients, general patients and patients who were in the Watukenongo Health Center area and received services. The sampling technique was simple random sampling. The data analysis method used was univariate analysis, chi square and multiple logistic regression tests. The results of the chi square test were that service quality (p value 0.0371 <0.05) had a significant effect on interest in visiting the Watukenongo Health Center, facilities (p value 0.009 <0.05) had a significant effect on interest in repeat visits, satisfaction (p value 0.005 <0.05) had a significant effect on interest in visiting the Watukenongo Health Center. From the results of the logistic regression test, namely, satisfaction with a p-value of 0.0043 and OR/ (Exp(B))= 2.217, facilities with a p-value of 0.0015 and OR/ (Exp(B))= 3.942, quality of health services with a p-value of 0.0016 and OR/ (Exp(B))= 4.436. The conclusion is that the quality of service, facilities and level of satisfaction affect the interest in revisiting the Watukenongo Health Center. However, for patients who feel satisfied, it is 4.436 times more influential in attracting interest in revisiting the Watukenongo Health Center.

The Implementation of Electronic Medical Records on Performance through Nurses' Workload and Completeness of Nursing Care Documentation Danar Rudiantoro; Sentot Imam Suprapto; Agustin Agustin
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.6091

Effective nursing care services are an indicator of healthcare service quality. The use of electronic medical records (EMRs) plays a crucial role in improving the quality of nursing care services. Complete and accurate nursing care documentation has significant implications for the quality of nursing care provided. Objective: This study aims to analyze the impact of implementing electronic medical records on nurses' performance through nurses' workload and the completeness of nursing care documentation. Method: This study employed a quantitative research design with a cross-sectional approach. A total sampling technique is applied involving 85 respondents as the sample. Data analysis was conducted using path analysis to determine the relationships between research variables. Results: Statistical regression tests (Model 1 and Model 2) showed that the implementation of electronic medical records significantly affects nurses' workload, the completeness of nursing care documentation, and nurses' performance. Path analysis results indicated that electronic medical records have a direct impact on nurses' performance (0.225). Additionally, the effect of electronic medical records on nurses' performance through workload was 0.178, while its effect on performance through the completeness of nursing care documentation was 0.108. Conclusions: The study concludes that there is no significant indirect effect of electronic medical record implementation on nurses' performance through workload and completeness of nursing care documentation.

Faktor Individu, Organisasi, dan Sistem Teknologi terhadap Persepsi Perlindungan Hukum Tenaga Keperawatan dalam Implementasi Dokumentasi Asuhan Keperawatan Elektronik Uneri Uneri; Sentot Imam Suprapto; Novita Ana Anggraini
Journal of Telenursing (JOTING) Vol. 8 No. 2 (2026): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/v3v16441

This study aims to analyze the influence of individual, organizational, and technological system factors on the perception of legal protection for nursing staff in the use of electronic nursing care documentation. This research method used a quantitative analytical design with a cross-sectional design and a correlational approach. The results showed that partially, individual factors (t=2.260; p=0.026), organizational factors (t=2.327; p=0.022), and technological systems (t=2.422; p=0.018) significantly influenced perceptions of legal protection. Simultaneously, these three factors contributed 40.9% to the perception of legal protection for nursing staff. This indicates that the safety of the nursing profession is highly dependent on the synergy between individual competence, organizational support, and the reliability of technological systems. In conclusion, improvements to hospital management information systems (SIMRS), strengthening standard operating procedures (SOPs), and ongoing training are needed to ensure patient safety and legal protection for nursing staff in the digital era. Keywords: Electronic Documentation, Individual Factors, Organization, Legal Protection, Technological Systems

Penerapan Media Edukasi dalam Meningkatkan Kesadaran dan Kesiapsiagaan Menghadapi Kegawatdaruratan Medis Rio Herwanto; Sentot Imam Suprapto
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 6 No 2 (2026): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v6i2.852

Introduction: Medical emergencies require rapid, accurate, and coordinated responses to prevent disability and mortality. Family members in the Emergency Department (ED) hold a crucial role as potential first responders within the chain of survival; however, their level of knowledge and preparedness is often inadequate. Objective: This emergency nursing residency project aimed to enhance the awareness and preparedness of patient families in responding to medical emergencies through a strucred educational intervention at RS Dik Pusdikkes Puskesad Jakarta in 2025. Method: A pre-post educational intervention design wa employed with a total of 120 ED patient family members, selected through lectures, instructional videos, and demonstrations of Basic Life Support (BLS), recovery position, and activation of the 119 emergency system. Data were collected using pre-post test tests and a preparedness questionnaire. Analysis included descriptive statistics and problem mapping using Fishbone, USG (Urgency-Seriousness-Growth), and SWOT. Result: Pre-test results indicated low baseline knowledge, with an average score of 42.5%, particularly in BLS (37%), recovery position (32%), and activation of the 119 emergency service (40%). Following the intervention, knowledge significantly increased to 86.3% (an improvement of 43.8%). The greatest improvement was observed in the activation of 119 (+51%) and the recovery position (+50%). Additionally, 87% of participants reported increased confidence in responding to emergencies, and 98% expressed high satisfaction with the program. Conclusion: The educational intervention effectively improved the knowledge, preparedness, and emergency response capability of patient families. This program is recommended to be implemented as a routine ED activity supported by standardized operating procedures, digital learning media, and facilitator training for ED nurses. These findings highlight that empowering patient families can contribute significantly to patient safety and srengthening hospital emergency system.

Implementasi Sosialisasi Basic Life Support Melalui Media Berbasis Qr Code untuk Meningkatkan Profesionalitas Perawat di Ruang IGD RSKGM Provinsi Sumatera Selatan Indra Pratama; Sentot Imam Suprapto
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 6 No 4 (2026): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v6i4.982

Introduction: Basic Life Support (BLS) competency is essential for emergency nurses to ensure prompt and appropriate management of life-threatening conditions. A situational assessment conducted at the Emergency Department of the South Sumatra Provincial Dental Hospital revealed that BLS education was still delivered using conventional methods, limiting opportunities for continuous learning and competency retention. Therefore, an innovative digital learning approach utilizing QR Code technology was introduced to support sustainable professional development. Objective: The purpose of this community service was to improve the professionalism of emergency nurses through the implementation of QR Code-based Basic Life Support education. Method: This community service employed a participatory approach involving 11 emergency nurses. Problem identification was conducted using Fishbone analysis, followed by problem prioritization through the Urgency, Seriousness, and Growth (USG) method and strategic planning using SWOT analysis. The intervention consisted of health education, interactive discussions, demonstrations, and the implementation of QR Code-based learning media containing BLS modules, algorithms, standard operating procedures, instructional videos, and self-learning materials. Program effectiveness was evaluated using pre-test and post-test assessments, with data analyzed using the Paired Samples t-test. Result: The program successfully developed and implemented QR Code-based educational media that facilitated continuous and independent learning. The mean pre-test score increased from 8.00 ± 1.265 to 9.64 ± 0.809 after the intervention, with a mean improvement of 1.64 points. Statistical analysis demonstrated a significant difference between pre-test and post-test scores (t = -6.708; p < 0.001), indicating that the intervention effectively improved nurses' knowledge and preparedness in Basic Life Support. Conclusion: QR Code-based Basic Life Support education is an effective and innovative strategy for strengthening nurses' knowledge, supporting continuous professional development, and improving professionalism, emergency care quality, and patient safety.

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