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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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Breastfeeding, Blood Pressure Control, and Maternal Outcomes in Postpartum Women with Preeclampsia: A Prospective Cohort Yenny Puspitasari; Reni Yuli Astutik; Agusta Dian Ellina; Astri Yunita
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.v14i2.8620

Abstract

Preeclampsia remains a major contributor to maternal morbidity and mortality, particularly during the postpartum period. Effective blood pressure control and optimal breastfeeding practices may play important roles in maternal recovery, yet evidence on their combined effects remains limited. This study aimed to examine the association between breastfeeding practices and blood pressure control with maternal outcomes among postpartum women with preeclampsia. A prospective cohort study was conducted among 120 postpartum women diagnosed with preeclampsia in selected hospitals in Kediri Regency, Indonesia, between July and December 2024. Participants were selected using simple random sampling from a population of 185 eligible women. Data collection was performed at baseline (?48 hours postpartum) and follow-up visits at weeks 1, 2, 4, and 6 postpartum. Breastfeeding practices were assessed using a structured questionnaire, while blood pressure was measured using standardized procedures. Maternal outcomes included recovery status, persistence of hypertension, complications, and hospital readmission. Multivariable logistic regression analysis was conducted using SPSS. Blood pressure decreased significantly over the postpartum follow-up period. Women with good breastfeeding practices at 6 weeks postpartum had significantly higher odds of favorable maternal outcomes compared to those with suboptimal practices (AOR = 2.41; 95% CI: 1.12–5.18; p = 0.024). Controlled blood pressure was the strongest predictor of favorable outcomes (AOR = 3.76; 95% CI: 1.65–8.54; p = 0.002). Severity of preeclampsia was also significantly associated with maternal outcomes (AOR = 2.89; 95% CI: 1.31–6.39; p = 0.008). Breastfeeding practices and effective blood pressure control are important factors associated with improved maternal outcomes among postpartum women with preeclampsia. Strengthening integrated postpartum care, including continuous monitoring and breastfeeding support, is essential to optimize maternal recovery and reduce complications
Analysis of The Efficiency of Double E-Barcode Stickers on the Cost and Time of Sterilization at Soedono Hospital Sarbani Sarbani; Ratna Wardhani; Agusta Dian Ellina; Karina Nur Ramadhaningtyas
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21084

Abstract

ABSTRACT Surgical procedures and invasive procedures in hospitals require the availability of sterile medical instruments and materials in varying quantities and types. However, the trend of increasing healthcare-associated infections (HAIs) remains a major challenge in healthcare facilities. In order to improve the efficiency and quality of service, dr. Soedono Hospital, East Java Province developed the use of a double e-barcode sticker outer indicator as a new labeling system in the sterilization process of medical devices. This study aims to evaluate the influence of the labeling system on the cost and time aspects of sterilization. The research was carried out quantitatively with a comparative design, utilizing secondary data of 200 samples obtained from the sterilization process from 2023 to 2024. The sample consisted of surgical instruments and consumable medical materials sterilized using steam and plasma methods. Data analysis was carried out using Mann-Whitney non-parametric statistical tests to test the difference between the old method and the e-barcode method. The results showed that the application of the double outer indicator of e-barcode stickers did not have a significant impact on sterilization costs (p=0.138), but it was proven to significantly accelerate the sterilization process time (p=0.000). These findings conclude that although costs have not changed much, the time efficiency gained supports improved operational performance, reduced staff workload, and improved patient safety through better tracking and documentation.Keywords: E-Barcode, External Indicator, Sterilization, Cost, Time.
Optimalisasi Penerapan Patient Safety Risiko Jatuh Pada Pasien Geriatrik di Unit Gawat Darurat RSUP Prof. Dr. R.D. Kandou Manado Agusta Dian Ellina; Yenny Kuron
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 6 No. 3 (2026): COMSERVA: Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/comserva.v6i3.3606

Abstract

Penerapan keselamatan pasien merupakan salah satu indikator utama dalam meningkatkan mutu pelayanan kesehatan di rumah sakit, khususnya di Instalasi Gawat Darurat (IGD) yang memiliki karakteristik pelayanan cepat, kompleks, dan berisiko tinggi terhadap terjadinya insiden keselamatan pasien. Salah satu kejadian yang sering terjadi adalah risiko jatuh pada pasien geriatri akibat penurunan fungsi fisik, kognitif, dan keseimbangan yang dapat menimbulkan cedera, memperpanjang masa perawatan, bahkan meningkatkan angka morbiditas. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk mengoptimalkan penerapan keselamatan pasien terkait pencegahan risiko jatuh pada pasien geriatri di IGD RSUP Prof. Dr. RD Kandou Manado melalui penyuluhan, simulasi, dan praktik. Metode yang digunakan berupa pendekatan edukatif dengan desain pre-test dan post-test yang melibatkan 25 perawat IGD sebagai peserta. Kegiatan diawali dengan pemberian materi mengenai konsep keselamatan pasien , asesmen risiko jatuh menggunakan instrumen yang berlaku, strategi pencegahan, serta penerapan standar operasional prosedur (SOP). Selanjutnya dilakukan simulasi dan praktik untuk meningkatkan keterampilan peserta dalam mengidentifikasi serta menangani pasien geriatri yang berisiko jatuh. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan dan keterampilan perawat dalam melakukan asesmen, mengidentifikasi faktor risiko, serta penerapan tindakan pencegahan risiko jatuh sesuai standar yang berlaku. Selain itu, pasien dan keluarga juga mengalami peningkatan pemahaman mengenai pentingnya peran mereka dalam mencegah kejadian jatuh selama proses perawatan di IGD. Kegiatan ini membuktikan bahwa penyuluhan, simulasi, dan praktik merupakan metode yang efektif dalam meningkatkan implementasi keselamatan pasien risiko jatuh pada pasien geriatri. Program ini diharapkan dapat menjadi dasar pengembangan pelatihan berkelanjutan, evaluasi rutin, serta penguatan budaya keselamatan pasien guna mewujudkan pelayanan kesehatan yang aman, berkualitas, dan berorientasi pada keselamatan pasien.
Faktor Determinan Waiting Time di IGD Hospital Nasional Guido Valadares Noelio Auxilio Pedro Martins; Prima Dewi Kusumawati; Agusta Dian Ellina
Malahayati Nursing Journal Vol 8, No 7 (2026): Volume 8 Nomor 7 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i7.25384

Abstract

ABSTRACT Waiting time is an important indicator in assessing the quality of services in the Emergency Department (ED). Excessive waiting time may lead to delays in patient treatment, reduced patient satisfaction, and increased risk to patient safety. Several factors may influence waiting time in emergency services, including the availability of facilities and infrastructure, administrative processing time, and laboratory examination time. Hospital Nacional Guido Valadares, as a national referral hospital, also faces challenges in managing patient waiting times in the Emergency Department. This study aimed to analyze the influence of facilities and infrastructure, administrative processing time, and laboratory examination time on patient waiting time in the Emergency Department of Hospital Nacional Guido Valadares. This research employed a quantitative research design with a cross-sectional approach. The population consisted of patients receiving services in the Emergency Department, with a total sample of 115 respondents selected using purposive sampling. Data were collected using structured questionnaires and analyzed using logistic regression statistical analysis to determine the influence of each independent variable on patient waiting time. The results showed that most respondents perceived the availability of facilities and infrastructure and the administrative process as generally adequate, although several service constraints still contributed to delays in patient care. Logistic regression analysis indicated that facilities and infrastructure did not have a statistically significant effect on waiting time (p = 0.365). Similarly, administrative processing time did not show a statistically significant influence (p = 0.100; Exp(B) = 4.582), although patients experiencing slower administrative processes tended to have a higher probability of longer waiting times. In contrast, laboratory examination time showed a statistically significant effect on patient waiting time (p 0.05), indicating that it is the dominant factor influencing waiting time in the Emergency Department. In conclusion, improving the efficiency of laboratory examination services is a key strategy to reduce patient waiting time in the Emergency Department of Hospital Nacional Guido Valadares. Strengthening administrative service systems, optimizing laboratory workflow, and enhancing coordination among hospital units are essential to improve the quality of emergency healthcare services. Keywords: Waiting Time, Facilities and Infrastructure, Administrative Processing Time, Laboratory Turnaround Time, Emergency Department.ABSTRAK Waiting time atau waktu tunggu pasien merupakan salah satu indikator penting dalam menilai mutu pelayanan di Instalasi Gawat Darurat (IGD). Waktu tunggu yang terlalu lama dapat berdampak pada keterlambatan penanganan pasien, menurunkan kepuasan pasien, serta berpotensi meningkatkan risiko keselamatan pasien. Berbagai faktor dapat memengaruhi waiting time di IGD, di antaranya sarana dan prasarana pelayanan, waktu administrasi, serta waktu pemeriksaan laboratorium. Hospital Nacional Guido Valadares sebagai rumah sakit rujukan nasional juga menghadapi tantangan dalam pengelolaan waktu tunggu pasien di IGD. Penelitian ini bertujuan untuk menganalisis pengaruh sarana dan prasarana, waktu administrasi, serta waktu laboratorium terhadap waiting time pasien di IGD Hospital Nacional Guido Valadares. Penelitian ini menggunakan desain penelitian kuantitatif dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah pasien yang mendapatkan pelayanan di IGD, dengan jumlah sampel sebanyak 115 responden yang dipilih menggunakan teknik purposive sampling. Pengumpulan data dilakukan menggunakan kuesioner terstruktur dan dianalisis menggunakan analisis statistik regresi logistik untuk mengetahui pengaruh masing-masing variabel terhadap waiting time pasien. Hasil penelitian menunjukkan bahwa sebagian besar responden menilai sarana dan prasarana serta proses administrasi berada pada kategori cukup baik, namun masih terdapat beberapa kendala yang menyebabkan keterlambatan pelayanan. Hasil analisis regresi logistik menunjukkan bahwa variabel sarana dan prasarana tidak berpengaruh signifikan terhadap waiting time (p = 0,365), sedangkan waktu administrasi juga tidak menunjukkan pengaruh yang signifikan secara statistik (p = 0,100; Exp(B) = 4,582). Sementara itu, waktu pemeriksaan laboratorium menunjukkan pengaruh yang signifikan terhadap waiting time pasien di IGD (p 0,05), sehingga menjadi faktor dominan yang memengaruhi lamanya waktu tunggu pasien. Berdasarkan hasil penelitian tersebut dapat disimpulkan bahwa percepatan proses pemeriksaan laboratorium menjadi faktor penting dalam upaya menurunkan waiting time pasien di IGD Hospital Nacional Guido Valadares. Oleh karena itu, diperlukan upaya peningkatan efisiensi pelayanan laboratorium, optimalisasi sistem pelayanan administrasi, serta penguatan koordinasi antar unit pelayanan untuk meningkatkan mutu pelayanan kegawatdaruratan di rumah sakit. Kata Kunci: Waiting Time, Sarana dan Prasarana, Waktu Administrasi, Waktu Laboratorium, Instalasi Gawat Darurat.
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