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All Journal Manuju : Malahayati Nursing Journal Care : Jurnal Ilmiah Ilmu Kesehatan Indonesian Journal of Global Health research MAHESA : Malahayati Health Student Journal COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat International Journal of Medicine and Health Jurnal Abdimas Kesehatan Journal of Community Service for Health
Agusta Dian Ellina
Universitas Strada Indonesia
Humanities Dentistry Economics, Econometrics & Finance Education Health Professions Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Nursing Public Health Social Sciences Other

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Youth Empowerment Program Based on Digital Leaflet to Improve Help-Seeking Behavior Related to Mental Health Issues Among Students Agusta Dian Ellina; Muhammad Ali Sodik
Journal of Community Service for Health Vol. 7 No. 1 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jcsh.v7i1.1255

Abstract

Mental health problems among adolescents have become a growing global concern. This study aims to examine the effectiveness of a youth empowerment program using digital leaflets to improve help-seeking behavior related to mental health issues among students. Technological progression and digital media saturation in the lives of adolescents provide avenues for addressing these issues anew. Reaching adolescents (and other target groups) in their communities via digital media. This study focused on the ‘One Group Pretest-Post Test Design’ framework which employs a quantitative technique and uses a quasi-experimental design. This framework was able to determine whether or not there was any impact from the intervention. Using a pretest-posttest design with 312 students, statistical analysis showed a significant increase in help-seeking behavior after the digital leaflet intervention. The resulting significance level (p-value) was 0.000, which is significantly lower than the 0.05 significance level (α). This indicates that the difference in mean scores between the pretest and posttest did not occur by chance but is a real effect of the empowerment program. These findings suggest that digital media can be an effective tool for mental health education among adolescents.
The Influence of Patient Safety Competence on Patient Safety Activities and Nurse Performance Assessment at Mardi Waluyo Regional Hospital, Blitar City Yuda Dwi Prasetyo; Agusta Dian Ellina; Ratna Wardani
International Journal of Medicine and Health Vol. 4 No. 1 (2025): International Journal of Medicine and Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v4i1.5623

Abstract

Hospital is a health service place that provides services based on safety competency and safety activities that are evaluated using performance assessment. The purpose of this study was to determine the effect of patient safety competency on patient safety activities and nurse performance assessment. The independent variable in this study is patient safety competency, nurse performance assessment is the dependent variable while patient safety activity is the mediating variable. The study used an observational analytical design with a cross-sectional approach. Respondents in the study were some nurses at Mardi Waluyo Hospital, Blitar City who had a patient safety competency certificate totaling 159 respondents. The sampling technique used simple random sampling. The results of the regression analysis obtained a significant effect on patient safety competency on patient safety activities and nurse performance assessment with ap value = 0.01. The variable that has a dominant influence is safety competency with a standardized coefficient of 0.327 compared to safety activities in patients with a standardized coefficient of 0.312. The conclusion in this study is that there is an effect of patient safety competency on patient safety activities and nurse performance assessment. The results of the study are in line with previous research and theories which show that patient safety competency has a greater influence on nurse performance assessments directly compared to the presence of patient safety activities as a mediating variable, but it is possible that other factors play a role in the differences in the effects of influence between variables. Hospital policies, safety culture, and the level of awareness of the work team in implementing daily safety practices may play a role in the difference in influencing effects between variables. However, it is also possible that there are other factors such as the attitude and motivation to work of individuals who are considered not to meet the expectations of the leadership.
Edukasi Pra-Nikah untuk Mencegah Berat Badan Lahir Rendah (BBLR) Agusta Dian Ellina; Whaisna Switaningtyas; Susmini Susmini
Jurnal Abdimas Kesehatan (JAK) Vol. 8 No. 2 (2026): Juni
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v8i2.1132

Abstract

Low Birth Weight (LBW) is an important indicator of infant health and remains a major public health problem, particularly in developing countries. Infants with LBW are at higher risk of neonatal complications, growth and developmental delays, infections, and non-communicable diseases later in life. Therefore, LBW reflects not only maternal and child health conditions but also preconception health readiness. Prevention efforts should not be limited to pregnancy but also focus on preconception factors influencing pregnancy outcomes. This community service activity aimed to improve knowledge and preconception health readiness among prospective couples. The activity was conducted at Wagir Primary Health Center, Malang Regency, Indonesia, from January 5 to 17, 2026. The target participants were prospective brides and grooms receiving pre-marital health services. Methods included health education, individual and small-group counseling based on health screening results, and interactive discussions. Educational media consisted of leaflets, posters, and simple presentation materials. Data were collected through observation, discussion feedback, and counseling interactions, then analyzed descriptively. The results showed an increase in participants’ understanding of preconception risk factors associated with LBW, including anemia, chronic energy deficiency, obesity, and diabetes mellitus. Participants also demonstrated improved awareness of the importance of maintaining nutritional status and health before pregnancy. Pre-marital education based on individual health risk screening is effective in improving knowledge and preconception readiness among prospective couples and has the potential as a preventive strategy to reduce LBW incidence in primary health care settings.
The Relationship Between Blood Glucose Levels and Sleep Quality in Patients with Diabetes Mellitus Dian Anggrainy; Sentot Imam; Agusta Dian Ellina
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.v7i2.5681

Abstract

IGD patients’ dissatisfaction can occur if the service received does not meet patients’ expectations. Communication style and response time from medical and non-medical personnel are factors that can affect patients’ satisfaction. Objective: The objectives of this study are: 1) to determine the response time carried out by all officers in the Emergency Installation (IGD) at the Tugu Koja Regional General Hospital (RSUD) North Jakarta. 2) to determine the classification of response time of all officers in the Emergency Installation (IGD) at the RSUD Tugu Koja North Jakarta. 3) to find out the correlation of response time and patients’ satisfaction level in IGD at RSUD Tugu Koja North Jakarta. 4) to find out the communication style or method of all officers in IGD at RSUD North Jakarta. 5) to find out the correlation of the communication style of all officers in IGD and patients’ satisfaction level at RSUD Tugu Koja North Jakarta. Method: The subjects for this research are 175 IGD patients at RSUD Tugu Koja, North Jakarta. The sampling technique used is simple random sampling. The data collection method used is a questionnaire method aimed at IGD patients and medical and non-medical personnel. The validity test shows that all questionnaire items (Statements 1–4) have a sig. (2-tailed) value < 0.05, confirming their validity. The reliability test yields a Cronbach’s Alpha of 1.000, indicating excellent consistency. The data analysis technique used is Rank Spearman correlation. Results; Based on the results of the Spearman Rank test, it is found that there is a correlation between Response Time (X1) and Patients’ Satisfaction Level (Y). This is known from the sig. (2- tailed) value of 0.000 less than 0.05. However, Communication Style (X2) has no correlation with Patients’ Satisfaction Level (Y). This is known from the sig. (2-tailed) value of 0.222 which is more than 0.005. Conclusion: The study concludes that Response Time (X1) is significantly correlated with Patients' Satisfaction Level (Y), while Communication Style (X2) is not.
Analysis of Readiness for Primary Service Integration Using the Hot-Fit Method at the Public Health Center Muhammad Rohani; Ratna Wardani; Agusta Dian Ellina
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.v7i2.5688

Abstract

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.
Evaluation of Health Insurance Patient Satisfaction in Participating in the Referral Back Program for Hypertension Cases at the Community Health Center Meiningsih Meiningsih; Indasah Indasah; Agusta Dian Ellina
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.v7i2.5706

Abstract

Hypertension is one of the factors contributing to non-communicable diseases that can have a negative impact on an individual's social, economic, and psychological aspects. Therefore, it has been designated as one of the diseases that requires a referral-back program. However, adherence to the referral-back program still needs to be evaluated. This study aims to evaluate the satisfaction of health insurance patients participating in the referral-back program for hypertension cases at Kumpai Batu Atas Health Center. A qualitative descriptive research was applied in phenomenology approach by interviewing 17 primary informants and 2 triangulation informants from the hospital and health center. Data collection includes in-depth interviews, triangulation, and patient medical records. Interviews are interactive and flexible, using probing techniques to explore participants’ experiences. Triangulation with health center staff, physicians, and specialists ensures validity. Data analysis follows reduction, presentation, and conclusion drawing, refining key themes, structuring findings, and verifying conclusions for accuracy. The thematic analysis yielded 4 themes: 1) the situation of referral-back program participants (diagnosed based on signs, symptoms, and predisposing factors. Some dropped out after 2-6 months due to uncertainty about the availability of medication); 2) satisfaction with the quality of service (satisfactory due to fast and accurate service. Professional attitudes were expressed appropriately and in accordance with needs. Clinical competence was displayed with quality and empathy was expressed with a humble attitude); 3) satisfaction with the value referral-back program facilitates access and fast service. Certainty and innovation are the main values for patients); and 4) perceptions of the best desired service (certainty of medication availability, easy administration, and friendly communication are highly desired).
Operational Risk Assessment Towards the Integration of Primary Health Care Services at Sungai Rangit Community Health Center using the ISO 31000 (2018) Perspective Iwan Setyo Lesmana; Agusta Dian Ellina; 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.v7i2.5713

Abstract

Primary Healthcare Service Integration (PHSI) at Community Health Centers aims to integrate primary healthcare services at Community Health Centers, Sub-Centers, and Integrated service posts for a more comprehensive and integrated approach. Sungai Rangit Community Health Center in West Kotawaringin Regency is planned to implement PHSI in 2024. However, a preliminary study has shown several issues that need to be anticipated, especially in terms of planning and budgeting, organizational governance, and staff assignment. This study aims to explore the operational risks faced by Sungai Rangit Community Health Center so that the implementation of PHSI can run smoothly. This research uses a qualitative descriptive approach. Data was collected through Focus Group Discussions (FGD) involving 59 employees of Sungai Rangit Community Health Center and triangulated interviews with health department employees and qualified risk management experts. The study collected qualitative data through FGDs and document analysis, involving health center employees and policy documents. Triangulation with district officials and risk management experts ensured validity. Data were refined, categorized, and analyzed iteratively, leading to a prioritized risk assessment for healthcare integration while maintaining ethical considerations. The study identified 5 main operational risks that need to be anticipated, namely: 1) risk of unavailable budget; 2) risk of invalid health data; 3) risk of sub-standard work plan preparation; 4) risk of internet connection down; and 5) risk of employee demotivation. Village governments need to allocate budgets for the needs of cadres to conduct household data collection. Cluster Heads need to assist cadres in conducting data collection and filling out the LOCAL AREA MONITORING dashboard. WiFi access in the Community Health Center environment needs to be improved to support internet-based community health center operations.
Analysis of Individual and Organizational Factors on Nurses' Perception in Reporting Patient Safety Incidents Dewi Fadilatul; Indasah Indasah; Agusta Dian Ellina
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.v7i2.5715

Abstract

Patient safety is a situation where patients are protected from all risks of injury that should not occur during health services, one effort is by reporting incidents. The aim of this research is to analyze individual and organizational factors regarding nurses' perceptions in reporting patient safety incidents. Quantitative research method survey method with a cross sectional approach. Samples were collected using purposive sampling technique, totaling 243 respondents. The data collection technique uses a questionnaire. Validity is tested using Pearson’s correlation, with items valid if the coefficient exceeds the critical r-value at 5% significance. Reliability is assessed with Cronbach’s Alpha, where a coefficient above 0.600 indicates acceptable consistency. The data analysis technique uses multiple linear regression. The research results show that the factors that have an influence on nurses' perceptions are motivation indicators, reward/punishment and hospital policy, this is because the sig value. < 0.05. Meanwhile, the indicators that have no effect are the knowledge, training and leadership indicators, this is because the sig value. > 0.05. It was concluded that individual and organizational factors, namely indicators of motivation, reward/punishment and hospital policy, had an influence on nurses' perceptions, while the results that had no influence were indicators of knowledge, training and leadership
Evaluation of the Implementation of Electronic Medical Records (EMR) using the HOT-Fit Method Diah Prameswari; Ratna Wardani; Agusta Dian Ellina
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.v7i3.5983

Abstract

Implementing Electronic Medical Records (EMR) is a strategic step in improving the efficiency and quality of health services in hospitals. So it is necessary to evaluate the implementation of EMR using the HOT Fit method as a complete solution that best suits the difficulties or limitations currently existing at the Aminah Blitar Islamic Hospital. This research aims to analyze the influence of each variable on the implementation of EMR at the Aminah Blitar Islamic Hospital. The design of this research is a quantitative observational analytic type with a cross-sectional approach. The population of this study is 151 profesional pemberi asuhan (PPA) using EMR. This research uses a proportional random sampling technique. The sample size was determined using the Krejcie and Morgan table and a sample of 108 profesional pemberi asuhan (PPA) using EMR was obtained. The research results show that Service Quality has an effect on User Satisfaction with a significance value of <0.05, namely 0.000. Service Quality influences the Environment with a significance value of <0.05, namely 0.000. User satisfaction does not affect net benefit, with a significance value of> 0.05, 0.357. Environment influences Net-Benefit with a significance value of <0.05, namely 0.000. Service Quality mediated by User Satisfaction has no effect on Net-Benefit with a significance value of > 0.05, namely 0.325. Service Quality with environmental mediation has an effect on Net-Benefit with a significance value of > 0.05, namely 0.0000000. So it can be concluded that the presence of professional and reliable IT personnel supported by government and hospital policies influences the optimal implementation of EMR at the Aminah Blitar Islamic Hospital.
Analysis of the Effect of Speech Therapy Services on Post-Stroke Patients' Quality of Life Through the Role of Family in Medical Rehabilitation Zulva Rahma Laili; Joko Prasetyo; Agusta Dian Ellina
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.v7i3.6093

Abstract

Stroke is a neurological condition that often leads to brain dysfunction, resulting in paralysis, speech impairments, and a significant decline in patients' quality of life. Speech therapy is one of the critical rehabilitation methods to restore communication abilities in post-stroke patients, which subsequently improves their quality of life. Furthermore, family support plays a vital role in the success of rehabilitation, contributing emotionally, socially, and instrumentally. This study aims to analyze the effect of speech therapy services on the quality of life of post-stroke patients, with family involvement as a mediating variable. A quantitative research method with a cross-sectional design was employed. A total of 100 post-stroke patients undergoing medical rehabilitation were selected using purposive sampling. Data were collected through questionnaires. This study confirms the validity and reliability of the measurement scale, with all variables meeting convergent validity and composite reliability criteria. The data analyzed using path analysis to evaluate direct and indirect relationships between variables. The results revealed that speech therapy services significantly and positively impact patients' quality of life (p < 0.05). Family involvement was also found to have a significant impact, both directly on patients' quality of life and as a mediator that enhances the effectiveness of speech therapy services. The study concludes that optimal speech therapy services, combined with active family involvement, can significantly improve the quality of life of post-stroke patients. This study recommends increasing the number of speech therapists and actively involving families in rehabilitation programs for stroke patients at Ngudi Waluyo General Hospital.
Co-Authors Astri Yunita Dewi Fadilatul Diah Prameswari Dian Anggrainy Indasah Iwan Setyo Lesmana Joko Prasetyo Karina Nur Ramadhaningtyas Meiningsih Meiningsih Muhammad Ali Sodik Muhammad Rohani Noelio Auxilio Pedro Martins Prima Dewi Kusumawati Ratna WardanI Ratna Wardhani Reni Yuli Astutik Sarbani Sarbani Sentot Imam Susmini Susmini Whaisna Switaningtyas Yenny Kuron Yenny Puspitasari Yuda Dwi Prasetyo Zulva Rahma Laili