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Fitriani, Arifah Devi
Institut Kesehatan Helvetia, Medan
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PENGARUH BEBAN KERJA TERHADAP KINERJA PERAWAT DENGAN MODEL SWAT (SUBJECTIVE WORKLOAD ASSESSMENT TECHNIQUE) DI RUANG RAWAT INAP RUMAH SAKIT UMUM DELIMA MEDAN TAHUN 2019. Muttaqin Al Ridha; Arifah Devi Fitriani; Megawati .
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 6, No 2 (2020): OKTOBER 2020
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v6i2.1093

Abstract

 Abstark - Peneliti memiliki harapan yang besar bahwa dengan Model Seperti SWAT (Subjective Workload Assessment Technique) di Ruang Rawat Inap Rumah Sakit Delima Medan (2019). Penelitian ini di harapkan dapat memberikan masukan tentang pengaruh faktor keseimbangan beban kerja yang dipersepsi subjektif oleh perawat rawat inap, memberikan perbaikan pada hasil Kinerja yang terpengaruhi secara optimal.Penelitian ini adalah penelitian survey bersifat analitik eksploratory dengan menggunakan rancangan cross sectional yang berciri khas yaitu menemukan data primer yang sedang dialami responden pada waktu wawancara dilaksanakan. Penelitian ini dilakukan di RSU Delima Jl KL Yos Soedarso KM 13,6 Simpang Martubung Medan.Populasi dalam penelitian ini adalah 64 orang.  Responden yang terpilih atau tersisihkan melalui proses adalah yang sudah berpengalaman lebih dari 3 bulan masa percobaan perawat. Sampel dalam penelitian ini adalah 64 orang perawat rawat inap.Hasil Penelitian menunjukkan ada hubungan antara 4 subvariabel biodata dengan kinerja, berkorelasi signifikan (α <0,05), memiliki korelasi rendah s/d tinggi (p => 0,115 s/d 0,817), kecuali oleh subvariabel kelompok umur. Nilai kinerja diukur secara dikotomi dari nilai 1 – 16 pencapaian kriteria CARE.  Penilaian akhir menunjukkan hasil perumusan regresi logistik dari kriteria kinerja responden :  Y = - 11.309 + 1.125 Rasio Beban Mental. Dengan sederhana ditunjukkan bahwa RBM (Beban Mental) adalah variabel yang berkaitan signifikan dengan kinerja / karakteristik CARE pada keperawatan. Kesimpulan dalampenelitian ini menunjukkan adanya peningkatan pencapaian kinerja dengan indikator kenaikan BOR ke 75% di unit rawat inap.  Hal tersebut terkait dengan kualitas CARE pada petugas yang dievaluasi dengan karakteristik CARE. Hal tersebut telah diungkapkan dengan regresi logistik. Saran. Lanjutkan pengembangan mutu petugas keperawatan dengan : a). memelihara kenyamanan mentalitas;  b) terus melengkapi fasilitas serta c) melaksanakan pelatihan kerja yang cukup dan konsisten  
FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN STRES KERJA PADA PERAWAT ICU DI RSUD Dr. R.M. DJOELHAM BINJAI TAHUN 2020 Yose Dodi Pratama; Arifah Devi Fitriani; Juliandi Harahap
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 6, No 2 (2020): OKTOBER 2020
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v6i2.1176

Abstract

Stres kerja dapat disebabkan karena tuntutan pekerjaan yang diberikan tidak sesuai dengan kemampuan pekerja dan kurang terjaminnya kesejahteraan pekerja. Berdasarkan survei pendahuluan dengan menggunakan kuesioner yang dilakukan pada 8 orang perawat ICU didapatkan informasi bahwa perawat yang bekerja di ruang ICU RSUD Dr. R.M. Djoelham Kota Binjai sering mengeluh adanya kelelahan dan kewalahan saat menghadapi pasien dengan keadaan kritis. Tujuan penelitian ini yaitu untuk mengetahui faktor yang berhubungan dengan kejadian stres kerja pada perawat ICU di RSUD Dr. R.M. Djoelham Binjai Tahun 2020.Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian kuantitatif dan kualitatif (mixed method), pengambilan data secara kuantitatif dengan menggunakan kuesioner, kemudian pengambilan data kualitatif melalui wawancara untuk melihat temuan dilapangan yang dilakukan secara terpisah.Hasil penelitian kuantitatif menunjukkan beban kerja = 0,009, tanggung jawab, = 0,030, keamanan kerja = 0,032, menunjukkan adanya hubungan terhadap kejadian stres kerja pada perawat ICU. Sedangkan umur p = 0,670, jenis kelamin = 0,396, masa kerja = 0,695, status pernikahan = 0,331, hubungan interpersonal = 1,000, menunjukkan tidak ada hubungan terhadap kejadian stres kerja pada perawat ICU.Kesimpulan dalam penelitian ini adanya hubungan beban kerja, tanggung jawab, keamanan kerja terhadap stres kerja pada perawat ICU, sedangkan umur, jenis kelamin, masa kerja, status pernikahan tidak ada hubungan terhadap stres kerja pada perawat ICU. Dengan hasil penelitian ini diharapkan pihak rumah sakit memberikan kebijakan yang dapat meningkatkan kinerja perawat. Kata kunci                 : Stres Kerja, Perawat ICUDaftar Pustaka          : 22 Buku + 68 Jurnal 
The Effect of Service Quality on Patient's Family Satisfaction in the Nicu Care of the Public Hospital in Datu Beru Takengon Region Kusnatalia Kusnatalia; Arifah Devi Fitriani; Asriwati Amirah
Journal La Medihealtico Vol. 1 No. 5 (2020): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v1i5.120

Abstract

The World Health Organization (WHO) infant mortality rate is the first indicator in determining a child's health status, 3.6 million of the 120 million newborns experience asphyxia, and nearly 1 million babies die. Meanwhile, the prevalence of patients treated at the NICU at the Datu Beru Takengon Hospital from 2016 to 2019 continues to decline every year. The purpose of this study was to determine and analyze the effect of technical competence, efficiency and patient safety on patient family satisfaction. The research design used an analytic survey with a cross-sectional design. The data that had been collected were processed using univariate and bivariate and multivariate analysis. The population of all parents of babies who were treated in the NICU Care Room at Datu Beru Takengon Hospital was 329 people. The sampling technique used accidental sampling. The number of samples that will be studied is 67 people. The results of the research on technical competence variables obtained p-value = 0,000, efficiency 0,000, and patient safety 0,000 <α 0.05, meaning that there is an influence between technical competence, efficiency and patient safety on family satisfaction, from the results of multivariate analysis, the most influential variables are found. in this study is the technical competency variable with an Exp B value of 1.003. The conclusion is that there is an influence between technical competence, efficiency and patient safety while the multivariate analysis shows that the most dominant factor is the variable of technical competence on family satisfaction. It is recommended that the hospital be able to improve the technical competence of nurses in the NICU room by holding training and workshops both internal and external training.
The Effect of Quality of Nursing Service to Patients Satisfaction Level in Hospitality of Partial Reliance and Total Hospital of Sundari General Hospital Mhd. Fadli; Arifah Devi fitriani; Asriwati Amirah
Journal La Medihealtico Vol. 1 No. 4 (2020): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v1i4.138

Abstract

The quality of health services is one of the basic needs that everyone needs. The low quality of nursing services is in line with the low level of patient satisfaction so it is necessary to improve the quality of nursing services in order to increase patient satisfaction. This study aims to determine the effect of the quality of nursing services of the level satisfaction of partial and total dependence inpatient midwifery in Sundari General Hospital in 2020. The type of research is a descriptive-analytic survey with cross-sectional research. The population in the study were all partial and total dependence inpatient midwifery RSU Sundari Medan and the sample of 72 people. Methods of data analysis by means of univariate analysis, bivariate analysis, and multivariate analysis with multiple logistic regression tests. The results of the study statistically showed safety, hygiene of body care, comfort, and anxiety affect the level satisfaction of partial and total dependence inpatient midwifery (p <0.05). The results of multiple logistic regression tests found variables that the most influence patient satisfaction is safety and comfort. Safety is the most dominant factor in influencing patient satisfaction. It can be concluded that there is an effect of safety, hygiene of body care, comfort, and anxiety of the level satisfaction of partial and total dependence inpatient midwifery. Suggested by the hospital, it is necessary to increased training in safety during postnatal care through providing actions to patients so that safety measures provide satisfaction. Training needs to be provided to provide relaxation techniques that are appropriate for nursing instructions so feel comfortable.
Analysis of Factors Affecting the Skills of Nurses in Installation of Infuses at Mitra Medika Amplas Hospital Nurlaila Qodrianti Siregar; Arifah Devi Fitriani; Asriwati Amirah
Journal La Medihealtico Vol. 1 No. 4 (2020): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v1i4.141

Abstract

Nurses are one of the most decisive factors in achieving optimal health services with quality nursing care. The quality of good health services can be seen from the facilities, technology, physical appearance, and behaviour of employees which must reflect high professionalism and commitment. Patient complaints related to the infusion by nurses at Mitra Medika Amplas Hospital are still common. The research objective was to analyze the factors affecting the skills of nurses in the infusion set up at Mitra Medika Hospital Amplas. The research design used an analytic survey with a cross-sectional design. The study population of all nurses who work in outpatient and inpatient rooms were 190 people. The sampling technique used cluster random sampling. The number of samples to be studied was 100 respondents. Data analysis was performed by univariate, bivariate, and multivariate analyses. The results of the research variable knowledge obtained p-value = .04, attitude 1.0, leadership .53, work design structure .209, experience .166, and 1.0 career path. The p-value of knowledge <.05 means that the influence between knowledge and skills of nurses in infusion found. The variable attitude, leadership, work design structure, experience, and career path p-value >.05 means the influence between the knowledge and skills of nurses in infusion not found. Based on 6 variables tested, only the knowledge factor that had an influence on the skills of nurses in the infusion. It is recommended for health workers to always carry out nursing care based on the applicable SPO, for further researchers it is recommended to examine other factors.
Analysis of the Effect of Motivation and Training on the Performance of Nurses in Datu Beru Takengon Public Hospital Vina Rezeki; Arifah Devi Fitriani; Iman Muhammad; Lucia Lastiur
Journal La Medihealtico Vol. 1 No. 5 (2020): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v1i5.160

Abstract

Nurses who work in emergency room must have more skills, which is implied for every nurse who works in the emergency room to have a good performance. The study aims to analyze the influence of motivation and training on the performance of nurses in the emergency room at Datu Beru Takengon General Hospital in 2018.The design used a quantitative analytic survey. The population were all nurses in the emergency room of Datu Beru Hospital in Takengon by totalling 32 nurses and all were taken as the sample by using total population technique. Data analysis was performed by univariate, bivariate and multivariate analyses.The results showed that out of 15 respondents who had less motivation had a poor performance in the category of less than 9 people (60%) and of the 17 respondents who were motivated, motivation with nurse performance with Chi-Square statistical test obtained p-value =.032 <α .05, which means that there is an influence between training and nurse performance .001 <α .05, which means there is an influence between training and nurse performance.The conclusion is that there is an influence between motivation and training on the performance of nurses in the emergency room. It is recommended that the hospital management pay attention to the performance of the nurses, by giving riward to nurses who have good performance and giving sanctions to nurses who break the rules.
Analysis of Participants Waiting Payment of JKN Mandiri Premium in the Working Area of the Helvetia Community Health Center Asnila Dewi Harahap; Arifah Devi Fitriani; Deli Teo
Journal La Medihealtico Vol. 2 No. 1 (2021): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v2i1.292

Abstract

The Mandiri National Health Insurance (JKN) is a national social security system where the premium is paid by participants. In 2018, data on premium arrears for Mandiri participants in Indonesia reached Rp. 5.7 Trillion, in Medan City, the highest premium arrears are in Medan Helvetia Subdistrict, amounting to IDR 4,215,379,613. The results of the initial survey indicate the cause of arrears is due to insufficient income. Green's theory explains that people's behavior in the health sector is formed due to a combination of predisposing, supporting and driving factors. This study aims to determine and analyze the influence of economic factors, knowledge, age, occupation and attitudes towards regulations in arrears of JKN Mandiri premium payments in the working area of Puskesmas Helvetia, Medan City. The research design used a quantitative analytic survey with a cross sectional approach. The study population was all JKN Mandiri participants in the work area of the Helvetia Health Center, Medan City who were in arrears, namely 8260 participants with a sample of 98 people. This research was conducted in the area of Helvetia Health Center, Medan City. Data were analyzed by univariate, bivariate and multivariate with multiple linear regression. The results showed that economic factors, knowledge and work have an influence in arrears of JKN Mandiri premium payments. Multivariate analysis shows that economic factors, knowledge, age, occupation and attitudes towards regulation only contribute to premium arrears of 19.7%. There is an influence of economic factors, knowledge and work in arrears to pay the JKN Mandiri premium, while the age factor, attitudes towards regulation have no effect. It is recommended for Puskesmas to always socialize JKN regulations and together with the local government to find solutions so that the community's economy will be better so that they can pay the JKN Mandiri premium.
The Effect of Evaluation by the Chairman on The Performance of Nurses in Investigations in Medan Haji General Hospital Rian Alfian; Arifah Devi Fitriani; Beni Satria
Journal La Medihealtico Vol. 2 No. 2 (2021): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v2i2.336

Abstract

The purpose of this study is to determine the effect of evaluation by the head of the room on the performance of nurses in the inpatient room of RSU Hajj Medan in 2020. This study used a quantitative method with a cross sectional design. The results of the study found that the effect of behavior evaluation on nurse performance showed a significance value of 0.000 (p <0.05). The effect of the evaluation of professional abilities on the performance of nurses shows a significance value of 0.417 (p> 0.05). The effect of the evaluation of the nursing process on the performance of nurses shows a significance value of 0.006 (p <0.05). The conclusion of this study is that there is an effect of behavior evaluation and nursing process by the head of the room on the performance of nurses in the inpatient room of RSU Hajj Medan in 2020. Evaluation of professional abilities does not have a significant effect on the performance of nurses. The most influential variable is the behavior with the highest coefficient value, amounting to 0.512 with a positive value. The head of the room is expected to optimize his role in evaluating programmed, scheduled, and in accordance with the standards and principles of implementation.
Perception Analysis of Installation Services Quality on Patient Satisfaction at Bhayangkara Hospital Level II Medan Gisna hartini; Arifah Devi Fitriani; Iman Muhammad
Journal La Medihealtico Vol. 2 No. 3 (2021): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v2i3.345

Abstract

The purpose of this research is to analyze the influence of patient perception about professionalism, efficiency, patient safety and access of service to patient satisfaction at Inpatient Bhayangkara TK II Hospital Medan. The type of research used in this study is an analytical survey (explanatory research) with Cross-Sectional Study study design. The number of samples in this study were 54 patients who got service at the inpatient installation. Sampling technique by Accidental Sampling. The result of this research shows that the result of bivariate analysis to select multivariate analysis modeling candidate is statistically tested by using chi square test found that from the four variables all entered as multivariate modeling candidate. Then from the result of multivariate statistic test, it was found that p value (Sig) of professional variable (p = 0,024), efficiency (p = 0,025), access (p = 0,022) and patient safety (p = 0,048) which is significant to patient satisfaction at Inpatient Installation of Bhayangkara TK II Hospital Medan. The conclusion of the research shows that there is influence of service quality of inpatient installation which consist of profession, efficiency, access to service and patient safety to patient satisfaction. It is hoped that this research can make an actual input for health workers and the hospital. It is recommended that health workers carry out their duties according to the work SOP. Improve internal communication so that cooperation between health partners can run well in improving service quality and patient satisfaction.
Analysis of the Implementation of Patient Safety Culture with the AHRQ Model at Mitra Medika Hospital Tanjung Mulia Medan Naeni Juliani; Arifah Devi Fitriani; Deli Theo
Journal La Medihealtico Vol. 2 No. 5 (2021): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v2i5.411

Abstract

Safety Culture is a collaborative environment where clinical staff treat one another with respect by involving or empowering patients and families so that each Professional provides patient-focused care. The purpose of this study was to determine the implementation of a patient safety culture with the AHRQ model in Mitra Medika Tanjung Mulia General Hospital Medan. This research uses a mix of methods, namely qualitative and quantitative. The population of this study were all staff on duty in each hospital unit associated with 450 patients at MItra Medika Hospital, so the sample was 75 people using simple random sampling technique. The main research informants were one officer each in each installation.Unit Mitra Medika Tanjung Mulia General Hospital Medan, namely 10 people, one key informant, and one triangulation informant.The results of the study show that the description of expectations and managerial actions of patient safety is 68%, organizational learning is 100%, cooperation in units is 76%, communication open by 80%, feedback about the error of 75%, the dimension of non-punitive response to errors is 55%,Staffing 51%, management support for patient safety efforts by 77%, cooperation between units of 61%, handsoff work and changing patients was 71%,the overall perception of hospital staff about patient safety was 63%, reporting frequency was 63%. With the research results, it is expected that Mitra Media Tanjung Mulia General Hospital Medan is expected to be able to initiate, maintain, and develop an ongoing patient safety program and implement the existing safety culture.
Co-Authors ., Eddi Abdul Hamid Lubis Achmad Rifai Afriani, Miskah Afrianty, Miskah Agnes HM Rajagukguk Agustiawan aida fitria Akbar Hidayat Albert Jeo alfiany sahry Alisha, Nori Angela Christina Anggraini, Indah Anita Sahputri Annisa Nurrachmawati Aristya Maulida Safuranti Asmarani Yusnita Ida Sirait Asnila Dewi Harahap Asriwati Asriwati Amirah Asriwati Amirah Asriwati Amirah Asriwati Asriwati Asriwati, Asriwati Asrul Asrul ASTIKA HANDAYANI Asyiah Simanjorang Asyiah Simanjorang Asyiah Simanjorang Asyiah Simanjorang Awaludin, Aceng Ali Ayu Shilvira Bahari, Samsul Beni Satria Beni Satria Carolina Hanna Carryn Carryn Casia Reski Chairul Syah Putra Chairuna Amalia Daniati, Wella Dea Tansy Ardelia Deby Deanda Deli Teo Deli Theo Deli Theo Deli Theo Desy, Rara Jaka Dewi Martina Dian Maya Sari Siregar Efendi, Ismail Elsa Ambarwati Lestari Emi Ramadhaini Endang Maryanti Erawati, Susina Fadhilah Setyorini Fadhilla Qudsi Ramadhani Fakhryan Rakhman Farachdiba, Farachdiba Febri Gustianda Ginanti Siregar Fhitriana, Suzan Friskila Hotnaria Gisna hartini Gunawan, Roni Hadi, Anto J. Hana Dhini Julia Pohan Hanidi, Hanidi Hanjaya Hanjaya Harahap, Juliandi Hasanah Hali, Nurul Husna Hariani Idawati Idawati Iman Muhammad Iman Muhammad Indra Lutfi Irinne Masyitah Irwandi Irwandi Irwansyah Ahmad Syeh Ali Ismail Efendi Ismail Efendy Isnaini, Nadya Ivan Agus yanto Gea J Jamaluddin J. Hadi, Anto Jamaluddin . Jamaluddin Jamal Jamaluddin Jamaluddin Jamaluddin Jamaluddin Jamaluddin Jamaluddin Jayanti Pardede, Merly Jitasari Tarigan Sibero Joyce Yulianti Silalahi Juliandi Harahap Juliandi Harahap Ketut Suarayasa Kusnatalia Kusnatalia Lucia Lastiur M. Fahriza Winaldha Nasution M.Rizky Priyanka Asepty Mahmud Ar Rasyid Ridho Siregar Mandasari, Trilia Manisha, Manisha Mappeaty Nyorong Mappeaty Nyorong Mappeaty Nyorong Maretalinia, Maretalinia Mariana, Dessy Marshall Jeremia Nadapdap Maryanti, Endang Masnelly Lubis Masnelly Lubis Masnelly Lubis Masnelly Lubis Mayang Sari Megawati Megawati - Megawati . Megawati Megawati Meppeaty Nyorong Meriahta Sitepu Merly Jayanti Pardede Mhd. Aulia Rahman4 Mhd. Fadli Miskah Afriany Muchti Yuda Pratama Muhammad Adji Wibisono Muhammad Irsyad Muhammad Mahadi Hasibuan Muttaqin Al Ridha Muzauwir Muzauwir N NIRMAYATI Nada Salsabila Nadapdap, Thomson. P. Naeni Juliani Novitalia, Anak Agung Sagung Dewi Nur Aini Nur'aini Nur'aini Nuraini Nuraini Nuraini Nuraini Nurbaiziah Nurbaiziah Nurbaya Mentari Rambe Nurlaila Qodrianti Siregar Nurliawati wati Nurul Hasanah Hali Nur’ani Nur’ani Pohan, Hana Dhini Julia Purwoko, Agus Rahma Dona Rahmadhani, Putri Ramadhani Syafitri Nasution Ramadhani, Kiki Mirna Razia Begum Suroyo Razia Begum Suroyo Razia Begum Suroyo Rian Alfian Rizki Kamalia Sabang, Novrizal Safwaliza Safwaliza Samsider Sitorus Samsul Bahri Sari Safitri5 Sarifin Usman Kombih Seprianti, Monica Eprita Silaen, Mangatas Simanjorang, Asyiah Siregar, Dahrul Siregar, Dian Maya Sari Siregar, Herianto Sitompul, Anita Julistika Sari Sofina Lusia Harahap Sonataelina Togatorop Suci Sofiyanti Mochtar Sudiro Sudiro Sudiro Sudiro Sudiro, Nuraini, Sugito - Suharto, Teguh Suhena, Isabella SUROYO, RAZIA BEGUM Syafitri, Ramadhani Syamsul, Darwin Teguh Suharto Teguh Suharto Teguh Suharto Theo, Deli Theresia Hutasoit Thomson P. Nadapdap Usman Kombih, Sarifin Utami, Tri Niswati Vina Rezeki Wella Daniati widia zalvi Wina Augustine Yose Dodi Pratama Yuniati Yuniati Yuniati Yuniati Zendrato, Bryan Ifolala Zuraidah Nasution