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All Journal Jurnal Ilmiah Keperawatan Imelda Benih : Journal of Midwifery
Sheila Hamdah Hanum Ritonga
Universitas Imelda Medan
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Factors Causing Delays in Sending Rl-4B Reports on the SIRS Online Application at RSIA Artha Mahinrus Medan in 2024 Abdul Malik Ritonga; Rahma Dwi Anggiani; Mei Sryendang Sitorus; Sarida Surya Manurung; Sheila Hamdah Hanum Ritonga
Benih : Journal of Midwifery Vol. 4 No. 01 (2025): Benih : Journal of Midwifery
Publisher : Cattleya Darmaya Fortuna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/benih.v4i01.328

Abstract

RL-4b adalah laporan standar untuk data keadaan morbiditas pasien rawat jalan yang merupakan laporan rekapitulasi dari jumlah kasus baru dan jumlah kunjungan yang terdapat pada unit rawat jalan rumah sakit untuk tahunan. Data RL-4b dikumpulkan dari tanggal 1 Januari sampai dengan 31 Desember setiap tahunnya. Tujuan dari penelitian ini adalah untuk mengetahui faktor - faktor penyebab keterlambatan pengiriman laporan RL-4b pada Aplikasi SIRS Online di RSIA Artha Mahinrus. Jenis penelitian yang digunakan adalah penelitian deskriptif dengam pendekatan kualitatif yaitu penelitian yang pengumpulan datanya dilakukan dengan maksud untuk menggambarkan atau mendeskripsikan tentang suatu keadaan secara objektif.Cara pengumpulan data yang dilakukan oleh peneliti yaitu dengan cara observasi langsung ke lokasi penelitian dan wawancara kepada subjek penelititan, wawancara yang dilakukan berupa daftar pertanyaan yang diajukan oleh peneliti kepada subjek penelitian. Subyek dari penelitian ini adalah 4 orang, yang terdiri dari 1 orang kepala rekam medis dan 3 orang petugas rekam medis.RSIA Artha Mahinrus perlu menyediakan dana supaya bisa mengirimkan petugas pelaporan untuk mengikuti sosialisasi atau pelatihan ke Dinas Kesehatan mengenai pengiriman laporan RL-4b Pada Aplikasi SIRS Online. RSIA Artha Mahinrus juga perlu membuat lebih detail lagi SOP pelaporan RL-4b terkait langkah- langkah untuk pengisian formulir RL-4b. RSIA Artha Mahinrus juga perlu untuk memperbaiki jaringan yang ada di RSIA Artha Mahinrus supaya disaat ingin mengirimkan laporan RL-4b ke Dinas Kesehatan tidak terjadi kendala.
KESIAPAN KELUARGA DALAM MERAWAT PASIEN PASCA STROKE UNTUK MENINGKATKAN FUNGSI KOGNITIF PASIEN PASCA STROKE DI RUMAH SAKIT UMUM IMLEDA PEKERJA INDONESIA MEDAN Sarida Surya Manurung; Enggel Dwi Suci Ramadhanti; Abdul Malik Ritonga; Jonni Sastra Manurung; Sheila Hamdah Hanum Ritonga
Jurnal Ilmiah Keperawatan IMELDA Vol. 12 No. 1 (2026): Jurnal Ilmiah Keperawatan IMELDA
Publisher : Program Studi S1/DIII-Keperawatan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikeperawatan.v12i1.2170

Abstract

Stroke is a neurological disease that can cause physical, emotional, and cognitive impairment in sufferers. Recovery of cognitive function in post-stroke patients requires an active role for the family as the primary caregiver in the rehabilitation process at home. This study aims to explore family readiness in caring for post-stroke patients. The research method used a qualitative approach with a phenomenological design. Data collection was conducted through in-depth interviews with five participants selected using a purposive sampling technique at the Imelda Buruh Indonesia General Hospital in Medan. Data analysis used thematic analysis through a process of coding, categorization, and theme determination. The results of the study identified five main themes, namely: (1) family knowledge about post-stroke patient care, (2) family skills in meeting the patient's basic needs, (3) family readiness in supporting cognitive function recovery, (4) utilization of health services, and (5) barriers to care, such as limited time and emotional burden. The findings indicate that families play an important role in the patient's recovery process, but still face limited knowledge and challenges in implementing optimal care. Therefore, ongoing education and support from health workers are needed to improve family readiness in caring for post-stroke patients at home.
Exploring Healthcare Workers' Experiences in Maintaining Consistent Medical Discharge Summaries within an Electronic Medical Record System: A Phenomenological Study Abdul Malik Ritonga; Windy Andini Sitinjak; Cosmas Samuel Daeli; Sarida Surya Manurung; Jonni Sastra Manurung; Sheila Hamdah Hanum Ritonga
Benih : Journal of Midwifery Vol. 5 No. 02 (2026): Benih : Journal of Midwifery
Publisher : Cattleya Darmaya Fortuna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/benih.v5i02.620

Abstract

Medical discharge summaries are essential documents in healthcare services that provide a comprehensive overview of a patient's clinical condition throughout hospitalization. The consistency of completing medical discharge summaries within an Electronic Medical Record (EMR) system plays a crucial role in ensuring documentation quality, patient safety, and the efficiency of administrative processes and health insurance claims. This study aimed to explore healthcare workers' experiences in maintaining consistent medical discharge summaries within the Electronic Medical Record system at Imelda Pekerja Indonesia General Hospital. A qualitative research design with a phenomenological approach was employed. The participants consisted of the Attending Physician (DPJP), the Head Nurse of the Emergency Department, medical record officers, Case Mix officers, and Hospital Information System (HIS) officers. Data were collected through in-depth interviews and analyzed using data reduction, data display, and conclusion drawing techniques. The findings revealed that the consistency of medical discharge summary documentation was influenced by three major factors: organizational support through training and socialization programs, healthcare workers' understanding of clinical documentation standards and Standard Operating Procedures (SOPs), and hospital policies supporting the implementation of Electronic Medical Records. In addition, workload, differences in perceptions regarding documentation completeness, and technical issues within the EMR system remained significant challenges affecting documentation consistency. The study concludes that strengthening healthcare workers' competencies, optimizing validation features within the Electronic Medical Record system, and implementing continuous monitoring and evaluation are necessary to improve the quality of medical documentation and hospital healthcare services.
Co-Authors Abdul Malik Ritonga Cosmas Samuel Daeli Enggel Dwi Suci Ramadhanti Jonni Sastra Manurung Mei Sryendang Sitorus Rahma Dwi Anggiani Sarida Surya Manurung Windy Andini Sitinjak