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All Journal Termometer: Jurnal Ilmiah Ilmu Kesehatan Dan Kedokteran Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Klinik: Jurnal Ilmiah Kedokteran dan Kesehatan
Eka Yoshida
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Pengaruh Faktor Sarana dan Prasarana terhadap Kinerja Perawat di Ruang Rawat Inap Rumah Sakit Ali Sibroh Malisi Jagakarsa Tahun 2025 Abdul Hakim; Eka Yoshida; Purwanti Aminingsih
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 4 (2025): Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran,
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i4.5558

Abstract

An empirical gap was identified in the initial survey, which revealed rooms with substandard lighting and temperature, and Google reviews indicated that some inpatient nurses performed poorly. The purpose of this study was to identify and analyze the influence of facilities and infrastructure on nurse performance. The research method used a mixed method with a sequential explanatory design, with a sample of 35 inpatient nurses and interviews with hospital management. Quantitative analysis using Chi-Square and Multivariate Logistic Regression and qualitative analysis with inpatient room observation and department interviews. The results of the study were obtained from the variables of lighting, temperature, work support equipment and technological support related to nurse performance (p-value <0.05). Logistic regression analysis showed that the lighting variable was 2.7 times greater (p-value 0.019), temperature 2.9 times greater (p-value 0.054), work support equipment 1.1 times greater (p-vaue 0.032) and technological support 1.5 times greater (p-value 0.040) on good nurse performance compared to poor nurse performance. Conclusion Lighting, temperature, work support equipment, and technological support significantly influence nurse performance, with temperature being the most dominant variable. Suggestions for improving facilities and infrastructure are recommended to further enhance nurse performance.
Analisis Determinan yang Mempengaruhi Persepsi Perawat terhadap Keselamatan Pasien di Rawat Inap RSKB Columbia Asia Pulomas Tahun 2025 Atika Kharisma; Eka Yoshida; Ahdun Trigono
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 4 (2025): Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran,
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i4.5559

Abstract

Patient safety is a primary concern for healthcare facilities. Nurses carry a crucial responsibility in safeguarding patient safety. This study aims to examine the determinants that influence nurses’ perceptions of patient safety in the inpatient wards of RSKB Columbia Asia Pulomas. The research employed a mixed-method sequential explanatory design, beginning with a quantitative study followed by a qualitative phase. The quantitative participants consisted of 64 inpatient nurses selected through total sampling, while the qualitative participants comprised 3 key informants chosen via purposive sampling. The quantitative instrument was a validated and reliable questionnaire, and the qualitative data were collected using a semi-structured interview guide. Quantitative data were analyzed using chi-square tests and multivariate logistic regression analysis. The chi-square results indicated that interpersonal communication (p=0.000), work motivation (p=0.000), attitude (p=0.000), scheduling (p=0.000), and handover processes (p=0.000) were significantly associated with patient safety. Meanwhile, the multivariate logistic regression revealed two statistically significant factors: handover (p=0.018), which increased the likelihood of good patient safety by 19.057 times, and attitude (p=0.039), which increased it by 16.6 times compared to poor patient safety. In contrast, interpersonal communication (p=0.913), motivation (p=0.782), and scheduling (p=0.998) were not significant after controlling for other variables. The qualitative findings reinforced the quantitative results. Based on this study, it is recommended to enhance the implementation of nurse handovers using the SBAR approach and to optimize positive nursing behaviors toward patient safety culture.
Faktor yang Memengaruhi Penerapan Electronic Medical Record terhadap Pendaftaran Pasien Rawat Jalan di Rumah Sakit Swasta Jakarta Utara Tahun 2025 Rhea Renata Anindita; Eka Yoshida; Tinon Ambarini
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 3 No. 4 (2025): Desember : Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebida
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v3i4.1939

Abstract

Electronic Medical Record (EMR) is an essential component of hospital digital transformation aimed at improving administrative efficiency and service quality. This study aims to analyze the factors influencing the implementation of EMR in outpatient registration at a private hospital in North Jakarta. A mixed-methods design was employed, combining quantitative data collected from questionnaires completed by 30 registration staff with qualitative data obtained through structured interviews and direct observation. The logistic regression analysis revealed that Training and Staff Competence (X2) had a significant positive effect on outpatient registration (OR 30.663; p=0.040), while System Integration and Data Security (X4) also showed a significant effect (OR 15.121; p=0.047). In contrast, Technological Infrastructure Readiness (X1) was positive but not significant (p=0.112), and Organizational Culture and Managerial Support (X3) was negative and not significant (p=0.954). Simultaneously, the model explained 72.1% of the variation in registration effectiveness (Nagelkerke R²=0.721) with a classification accuracy of 93.3%. Qualitative findings supported the quantitative results, highlighting insufficient staff training, persistent technical issues in BPJS system bridging, and difficulties faced by elderly patients in adapting to digital registration. Elderly patients still required staff assistance and simple educational media such as tutorial videos displayed in hospital waiting areas. This study concludes that staff competence and system integration are the key determinants of successful EMR implementation in outpatient registration. It is recommended that hospitals strengthen continuous training programs, improve network and server stability, and expand patient education initiatives to ensure effective, efficient, and patient-friendly digital services.
Analisis Waktu Tunggu Pasien Operasi Elektif di Instalasi Bedah Sentral (IBS) dengan Metode Root Cause Analysis (RCA) di RS Bhayangkara Ruwa Jurai Lampung Tahun 2025 Teguh Astanto; Apri Sunadi; Eka Yoshida
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 1 (2026): Januari: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i1.5532

Abstract

The Central Surgical Installation (CSI) plays a strategic role in ensuring the quality of hospital services, particularly in supporting the implementation of elective surgical procedures. Excessive waiting time beyond the established standards poses a serious challenge that may affect patient safety and service efficiency. This study aims to analyze the causes of delayed elective surgery waiting times at Bhayangkara Ruwa Jurai Hospital, Lampung, and to formulate solutions based on managerial and evidence-based approaches. This research employed a descriptive qualitative method using Root Cause Analysis (RCA) and the 5M factors (Man, Material, Machine, Method, Money). Data were collected through observation, interviews, and document reviews, and analyzed. The findings revealed that the average waiting time for elective surgery patients was 50 minutes, with some cases reaching up to 219 minutes. The delays were caused by a combination of factors, including a shortage of surgical and CSSD personnel, limited sterile linen, equipment failures such as operating lights and sterilization machines, non-standardized preoperative procedures, and suboptimal supervision and coordination among units. Furthermore, the work environment and limited number of operating rooms exacerbated the problem. RCA results indicated that comprehensive improvements could potentially reduce waiting times by 25–30%. This study recommends strengthening healthcare service aspects through staff training, procurement of additional equipment, establishment of standardized SOPs, and integration of inter-unit communication systems. Improvements in the work environment and data-driven planning are essential to enhance the quality of surgical services and significantly reduce delays.
Analisis Kebutuhan Tenaga Sterilisasi Berdasarkan Beban Kerja dengan Teknik Work Sampling Menggunakan Metode WISN di Unit CSSD di RS Bhayangkara Ruwa Jurai Bandar Lampung Tahun 2025 Rossalia Artasya; Apri Sunadi; Eka Yoshida
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 1 (2026): Januari: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v5i1.5533

Abstract

The Central Sterile Supply Department (CSSD) is a crucial support unit in hospital service quality, particularly in ensuring the availability of sterile medical instruments. An imbalance between workload and personnel capacity may result in delays, increased risk of infection, and reduced efficiency. This study aimed to analyze the staffing needs of the sterilization unit at Bhayangkara Hospital Level III Lampung in 2025 using a managerial and evidence-based approach. This study employed a descriptive quantitative design using the Workload Indicators of Staffing Need (WISN) method. Data were obtained from direct observations, document reviews, and interviews, and analyzed according to workload standards set by the Ministry of Health. The findings showed that the sterilization unit had 5 available staff, while the analysis indicated a requirement of 5-6 staff members. Factors contributing to the shortage included increasing demand for surgical procedures, limited shifts, and insufficient distribution of tasks. This study recommends the addition of at least 1 sterilization staff to achieve optimal service standards, along with periodic training and workload-based scheduling. Strengthening human resources in the CSSD is essential to improve efficiency, ensure patient safety, and support the overall quality of hospital services.
Co-Authors Ahdun Trigono Apri Sunadi Atika Kharisma Purwanti Aminingsih Rhea Renata Anindita Rossalia Artasya Teguh Astanto Tinon Ambarini