Manisha Manisha
Institut Kesehatan Helvetia

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Factors Affecting Filling of the Initial Assessment in Inpatience At Putri Hijau Hospital Medan Muhammad Adiul Ilham; Dilla Fitria; Julita Arnis; Manisha Manisha; Muhammad Gilang Irsandi
International Journal Of Health Science Vol. 5 No. 3 (2025): November : International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v5i3.6064

Abstract

The issue of improving the quality of health services is a major focus for hospitals in their efforts to provide effective, efficient, and patient-safety-oriented services. One important indicator in improving the quality of nursing services is the process of completing the initial patient assessment, as this stage forms the basis for planning and implementing further nursing actions. This study aims to identify and analyze the factors that influence the initial assessment process at Putri Hijau Hospital in Medan in 2022. The research method used was quantitative with an analytical survey approach and a cross-sectional design. The research population included 135 nurses working in the inpatient ward, while the research sample consisted of 57 nurses selected using incidental sampling techniques. Data collection was carried out using a structured questionnaire that measured the variables of nurses' abilities, skills, attitudes, and motivation. The data were analyzed using univariate and bivariate analyses with the Chi-Square statistical test to determine the relationship between variables. The results showed that the factors of competence and skills (p = 0.002), attitude (p = 0.000), and motivation (p = 0.013) had a significant effect on the completeness and accuracy of the initial assessment of inpatients. These findings illustrate that nurses with high technical competence, positive attitudes, and strong motivation are better able to carry out initial assessments quickly and accurately. Based on these results, it is recommended that hospital management improve continuing education programs, conduct regular supervision, and provide performance-based rewards to strengthen nurses' motivation and professionalism in carrying out optimal initial assessments of patients.
Karakteristik Determinan Kerusakan Fisik Arsip Rekam Medis Rawat Inap di Rumah Sakit Mitra Medika Medan Manisha Manisha; Khoirotun Najihah; Yuniati Yuniati
Jurnal Kesehatan Amanah Vol. 8 No. 1 (2024): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v8i1.726

Abstract

Medical records are essential documents that record healthcare service transactions. These files must be well-managed to maintain information accuracy and support service quality. The security and confidentiality of documents in the storage room are crucial, considering their value to the hospital. Proper management includes storage, security, and maintenance to prevent document damage. This study aims to identify factors influencing the physical deterioration of inpatient medical records at Mitra Medika Medan Hospital in 2024. The research method used is quantitative descriptive with observations and checklists on 98 samples determined through purposive sampling and calculations using Slovin's formula. The study was conducted from May 8, 2024, until completion, with data analysis using univariate tests. The study population consists of 5,271 medical record forms from January to December 2022. The results indicate that 76 documents were damaged, while 22 remained in good condition. Intrinsic factors include the lack of adhesive (92.9%), faded ink, and physical document damage. Extrinsic factors encompass dust, termites, direct sunlight exposure, and high humidity. Therefore, Mitra Medika Medan Hospital needs to enhance its document storage management to minimize determinant to record deterioration.