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All Journal Journal Of Nursing Practice Eduvest - Journal of Universal Studies
Ratna Wardani
Universitas STRADA Indonesia, Indonesia
Aerospace Engineering Computer Science & IT Health Professions Neuroscience Nursing Social Sciences

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Analysis of Human Resource Management Processes in the Procurement and Utilization of Community Health Center Employees as BLUDs at UPTD Community Health Centers in Bulungan Regency, North Kalimantan Province Sunardi; Ratna Wardani; Joko Prasetyo
Eduvest - Journal of Universal Studies Vol. 6 No. 3 (2026): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v6i3.52318

Abstract

This research aims to analyze the human resource management process in the procurement and utilization of employees at Community Health Centers (Puskesmas) with Regional Public Service Agency (BLUD) status in Bulungan Regency, North Kalimantan Province. The study uses a descriptive qualitative approach, with data collection techniques consisting of in-depth interviews, observation, and documentation involving the head of the community health center and related structural officials. The results show that human resource planning is carried out systematically to balance service needs with the availability of health workers through workload analysis and competency requirement projections. Human resource organization has been based on regulations from the Ministry of Health and the Health Office, with a clear division of authority through the organizational structure and job descriptions. Guidance is carried out with an emphasis on discipline, two-way communication, motivation, and performance-based incentives. HR control is implemented through monitoring and evaluation mechanisms that cover performance, discipline, and the application of rewards and sanctions. However, several obstacles were identified, such as limited human resources, high workloads, multiple job assignments, and limited technological infrastructure. Overall, the results of this study confirm that the HR management process at the Bulungan BLUD Community Health Centers has been carried out based on the principles of efficiency, accountability, and service quality improvement. However, it still requires strengthened coordination and greater utilization of information technology so that HR management becomes more adaptive and sustainable.
The Combination Effect of Motor Relearning Program and Positive Affirmation on Functional Abilities and Quality of Life in Post Stroke Patients at Ngudi Waluyo Wlingi Hospital Setyo Wahyudi; Yuly Peristiowati; Agusta Dian Ellina; Nurdina; Ratna Wardani
Journal Of Nursing Practice Vol. 8 No. 2 (2025): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i2.483

Abstract

Background: Stroke is a disease that causes chronic disability. It is hoped that the combination of Motor Relearning Program (MRP) and Positive Affirmation (PA) will be able to improve the functional abilities and quality of life (QoL) of post-stroke patients considering that there is no intervention that combines these two methods. Purpose: The purpose of this study was to analyze the effect of the combination of MRP and PA on the functional abilities and QoL of post-stroke patients at Ngudi Waluyo Wlingi Hospital. Methods: The research design used is quantitative research using the true experimental pre and post with controlled design. The sampling technique used was Simple Random Sampling with a sample of 7 people given a combination of MRP and PA (Group A), 7 people given MRP treatment (Group B), 6 people given PA treatment (Group C), and 7 people in the control group given conventional physiotherapy treatment (CPT) (Group D). The research was carried out for 4 weeks with 3 sessions. Functional ability was measured using Barthel Index and QoL was measured using Stroke Impact Scale. Paired sample t, ANOVA, Tukey post hoc, and Games-Howell post hoc tests was used to analyzed the data. Results: With the exception of the PA group, which had a p-value of 0.000 > 0.05 for functional ability, the results of the paired t-test showed that the p-value was 0.000 for both functional ability and QoL for all treatment groups. This suggests that functional abilities were unaffected by PA. ANOVA test results revealed a significance value of 0.000, below the 0.05 alpha threshold. This indicates that the pre-post test results for each treatment group differ significantly from those of the control group. Group C (PA) and Group A (a mix of MRP and PA) had the biggest mean difference, according to the Tukey test, with a value of 38.80. Additionally, the Games-Howell test's QoL scores showed. Conclusion: PA treatment has no effect on improving the patient's functional ability, but has an effect on patient’s QoL, so it is recommended to combine it with MRP treatment. The combination treatment of MRP and PA is recommended to be given simultaneously to improve the functional ability and QoL of post-stroke patients for maximum results.
Effect of ATNR (Asymetrical Tonic Neck Reflexs) Primitive Reflexs on Postural Control and Focus of Children Aged 5-8 Years at the Touch Care Mataram Physiotherapy Clinic Muji Murtiningsih; Yuly Peristiowati; Agusta Dian Ellina; Nurwijayanti; Ratna Wardani
Journal Of Nursing Practice Vol. 8 No. 2 (2025): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i2.733

Abstract

Background: Primitive reflexes affect emotional development, because in a healthy and well-developed brain, the baby will slowly integrate primitive reflexes naturally into a mature developed reflex pattern. In early childhood, children have begun to enter early childhood education, and the occurrence of postural disorders can occur due to the use of the wrong backpack, various types of movement behavior, physical activity and sports including genetic factors. Purpose: Analyze the effect of ATNR primitive reflex on postural control and focus of children aged 5-8 years at Touch Care physiotherapy clinic. Methods: Quantitative design with a cross sectional approach. This study was conducted at the Touchcare Mataram Physiotherapy clinic with a population of children aged 5-8 years who came to the TouchCare physiotherapy clinic to examine / consult. Sample determination using purposive sampling with the results of 102 children. Results: The results of the study based on hypothesis testing were 0.011 for postural control, which means that there is an effect of ATNR primitive reflexes on postural control in children aged 5-8 years. The focus variable has a significance level of 0.647, which means that the ATNR variable has no effect on the focus of children aged 5-8 years. The posture variable has a significance level of 0.155, which means that the ATNR primitive reflex variable has no effect on the posture of children aged 5-8 years. Conclusion: There is an influence between ATNR primitive reflex with postural control, posture and focus of children aged 5-8 years at Touchcare Mataram Physiotherapy clinic.
Co-Authors Agusta Dian Ellina Joko Prasetyo Muji Murtiningsih Nurdina Nurwijayanti Setyo Wahyudi Sunardi Yuly Peristiowati