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All Journal Babali Nursing Research International Journal of Contemporary Sciences (IJCS)
Aryawan
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Religion Humanities Decision Sciences, Operations Research & Management Education Nursing

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Analysis of Factors Affecting Response Time in the Management of Heart Attacks Based on Pecalang (Buleleng Skilled Ambulance Officers) Made Martini; Aryawan
Babali Nursing Research Vol. 6 No. 4 (2025): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2025.64524

Abstract

Background: A heart attack is commonly caused by acute coronary syndrome, which may be asymptomatic yet lead to sudden cardiac arrest, particularly outside a hospital setting. Ambulance personnel serve as frontline responders in delivering lifesaving interventions. This study analyzed the factors influencing ambulance response time in heart attack cases in Buleleng. Methods: A mixed-method design was applied in Buleleng Regency, simultaneously integrating quantitative and qualitative strands. This study involved 110 ambulance officers selected purposively from hospitals and community health centers across Buleleng. The qualitative strands involved 10 key informants. Quantitative variables included personnel experience, training, travel time, type of ambulance, and communication delay. Data were collected using structured questionnaires and complemented by interviews and FGDs for qualitative insights. Quantitative data were analyzed using correlation and regression tests, while qualitative data were thematically analyzed. Results: Personnel experience (r = –0.197; p = 0.039) significantly reduced response times, highlighting the importance of clinical competence acquired in the field. Training (r = 0.104; p = 0.278) enhanced service quality but showed limited direct impact without continuous practice and operational support. Travel time (r = 0.672; p < 0.001) emerged as the primary delay factor, influenced by distance, traffic, and road conditions. Type of ambulance (r = –0.235; p = 0.014) also affected mobilization efficiency, while communication barriers (r = 0.844; p < 0.001; OR = 0.002) were the strongest determinant of delays. Conclusion: Reducing ambulance response times requires systemic improvements in communication, fleet readiness, operational management, and infrastructure, beyond individual competence alone.
Analysis of Trust and Quality of Service on Patient Satisfaction at Barito Selatan Hospital in Central Kalimantan Aryawan
International Journal of Contemporary Sciences (IJCS) Vol. 1 No. 6 (2024): April 2024
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/ijcs.v2i4.8799

Abstract

This research in the field of services marketing aims to determine and analyze the influence of service quality dimensions of tangible, reliability, responsiveness, assurance and empathy partially and simultaneously on patient satisfaction at the South Barito Regency hospital in Central Kalimantan Province. The research method used in this research is a quantitative method with the type of research, namely field research and analyzed using partial study statistics (PLS). The sample in this research was selected using non-probability sampling techniques. The number of samples used was 200 patients as respondents. The results of this research show that: tangible service quality has a significant effect on the patient satisfaction variable, the service quality dimension of reliability has a significant effect on the patient satisfaction variable, the service quality dimension of responsiveness has a significant effect on the patient satisfaction variable, the service quality dimension of assurance has a significant effect on the variable patient satisfaction, the service quality dimension of empathy has a significant effect on the patient satisfaction variable
Co-Authors Made Martini