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All Journal Media Kesehatan Masyarakat Indonesia Jurnal Kesehatan Lingkungan indonesia JURNAL PROMOSI KESEHATAN INDONESIA Majalah Kedokteran Bandung Indonesian Journal of Urology JIMKesmas (Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat) The Indonesian Journal of Public Health The Indonesian Biomedical Journal BIOMA BIOLINK (Jurnal Biologi Lingkungan, Industri, Kesehatan) Journal Of Vocational Health Studies Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan Jurnal Penelitian Pendidikan IPA (JPPIPA) Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Kesehatan Komunitas Buletin Farmatera Jurnal Kesehatan Medika Saintika Jurnal Keperawatan Silampari Jurnal Keperawatan Muhammadiyah Journal of Health Science and Prevention SCIENTIA JOURNAL Jambura Journal of Health Sciences and Research Journal of Humanities and Social Studies Majalah Kedokteran Andalas Poltekita : Jurnal Ilmu Kesehatan JURNAL MUTIARA KESEHATAN MASYARAKAT Jurnal Kesmas Prima Indonesia Contagion: Scientific Periodical Journal of Public Health and Coastal Health Health Information : Jurnal Penelitian PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Prima Medika Sains Jurnal Ners An-Nadaa: Jurnal Kesehatan Masyarakat Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Science Midwifery INFOKUM Jurnal Penelitian Pendidikan, Psikologi Dan Kesehatan (J-P3K) Jurnal Scientia Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences JOURNAL LA MEDIHEALTICO PRIMER (Prima Medical Journal) Archives of The Medicine and Case Reports Jurnal EduHealth Jurnal Ekonomi INTERNATIONAL JOURNAL OF CULTURAL AND SOCIAL SCIENCE JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) Buletin Kedokteran dan Kesehatan Prima Indonesian Journal of Cancer International Journal of Health and Pharmaceutical (IJHP) Jurnal Ilmiah Ilmu Terapan Universitas Jambi Journal Research of Social Science, Economics, and Management Cerdika: Jurnal Ilmiah Indonesia Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara Eduvest - Journal of Universal Studies JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Haga Journal of Public Health (HJPH) The International Journal of Medical Science and Health Research Folia Medica Indonesiana
Sri Lestari Ramadhani Nasution
Universitas Prima Indonesia
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Journal : Jurnal Ners

 1 
An Analysis Of Factors Influencing Bpjs Patient Loyalty Based On Customer Satisfaction Theory At Bandung General Hospital Medan Arum Grahini Kusumadewi; Sri Lestari Ramadhani Nasution; Ermi Girsang; Ali Napiah Nasution
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.51016

Abstract

Patient loyalty is a critical factor in ensuring the sustainability and competitiveness of hospitals, particularly within health services under the National Health Insurance (JKN) program such as BPJS Kesehatan. According to the 2022 report by the Indonesian Hospital Association (PERSI), the patient retention rate in Indonesian hospitals is only 56%, while the remaining 44% switch to other health facilities due to dissatisfaction with service quality, costs, and accessibility. This phenomenon reflects relatively low patient loyalty, especially among BPJS participants. This study employed a quantitative approach with a cross-sectional design and was conducted at Bandung General Hospital Medan, involving 260 inpatients purposively selected from a total population of 341 patients. Data analysis was performed in three stages: univariate, bivariate using the Chi-Square test, and multivariate using multiple logistic regression. The results revealed four factors that significantly influenced BPJS patient loyalty: satisfaction drivers, emotional response, health worker performance, and relationship quality. Among these, satisfaction drivers emerged as the most dominant factor (OR = 7.611). In contrast, perceived value, expectations, service recovery, and brand image did not show a significant effect. These findings suggest that BPJS patient loyalty is more strongly shaped by direct experiences and emotional interactions during the service process than by external attributes such as brand image or initial expectations.
Young Doctors' Perception Of The Effectiveness Of The Clinical Learning System At Royal Prima Hospital Medan Restin Julianti Zebua; Ermi Girsang; Sri Lestari Ramadhani Nasution
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.51028

Abstract

Young doctors often have different perceptions of the effectiveness of clinical learning in medical professional education. Clinical learning is a crucial stage in shaping the competence of young doctors, in terms of knowledge, skills, and professionalism. This study aims to explore young doctors' perceptions of the effectiveness of the clinical learning system at Royal Prima General Hospital in Medan. This qualitative study with a phenomenological approach involved six informants (five young doctors and one clinic coordinator) who were selected purposively. Data were collected through in- depth interviews, focus group discussions, and observations. The results of the study revealed four main themes. First, the quality of clinical learning is influenced by the clarity of instructions, tutor involvement, patient availability, and rotation structure. Second, the learning environment is influenced by the relationship with the supervisor and the clinical work atmosphere. Third, the young doctors' self-competence includes self-confidence, readiness to face patients, and stress management strategies. Fourth, supporting factors (senior support, hospital facilities) and inhibiting factors (patient case variations, high workload, differences in tutor supervision styles) also influence the effectiveness of clinical learning. In conclusion, the effectiveness of clinical learning is influenced by the interaction of instructional, personal, environmental, and structural factors. Therefore, improvement efforts are needed in the form of strengthening tutor supervision skills, equalizing practice opportunities, and providing psychosocial support for young doctors in order to optimize the clinical learning system.
The Effect Evaluation Of Health Promotion Strategies In Reducing Stunting Incidence Based The Precede-Proceed Model At Upt. Puskesmas Terjun Medan City Astari Wardiah; Ermi Girsang; Sri Lestari Ramadhani Nasution
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.51652

Abstract

Pendahuluan: Stunting menjadi salah satu indikator penting dalam Sustainable Development Goals (SDGs). Prevalensi stunting di Provinsi Sumatera Utara tercatat sebesar 22% pada tahun 2024, meningkat 3,1% dibandingkan tahun sebelumnya. UPT. Puskesmas Terjun mencatatkan jumlah anak stunting tertinggi di Kota Medan dengan 23 balita pada Juni 2024. Tujuan: Mengevaluasi strategi promosi kesehatan dalam upaya penurunan kejadian stunting di UPT. Puskesmas Terjun Kota Medan berdasarkan PRECEDE-PROCEED Model. Metode: Penelitian kualitatif dengan metode Rapid Assessment Procedure (RAP). Data diperoleh melalui wawancara mendalam, observasi lapangan, dan telaah dokumen terhadap tujuh informan kunci yang terdiri dari kepala puskesmas, tenaga promosi kesehatan, tenaga gizi, kader posyandu, dan keluarga balita. Analisis data dilakukan secara tematik dengan triangulasi sumber dan metode. Hasil: Pada fase PRECEDE, faktor predisposisi seperti pengetahuan dan perilaku gizi keluarga masih menjadi tantangan utama. Faktor penguat berasal dari dukungan kader dan keluarga, sedangkan faktor pendukung meliputi dukungan pemerintah dan fasilitas kesehatan. Pada fase PROCEED, strategi promosi kesehatan telah dilaksanakan melalui penyuluhan, kunjungan rumah, dan media edukatif sederhana. Namun, keterbatasan sumber daya manusia dan koordinasi lintas sektor masih menjadi kendala. Kesimpulan: Hasil penelitian menunjukkan bahwa strategi promosi kesehatan di UPT. Puskesmas Terjun Kota Medan telah efektif dalam menurunkan angka stunting. Pengetahuan dan perilaku gizi keluarga yang masih terbatas menjadi tantangan utama, sementara dukungan dari kader, keluarga, dan fasilitas kesehatan menjadi kekuatan utama. Kegiatan seperti penyuluhan dan kunjungan rumah mampu meningkatkan kesadaran masyarakat meskipun terdapat keterbatasan sumber daya
The Effect of Health Promotion Strategies and Multisectoral Collaboration on the Effectiveness of Tuberculosis Control in the Puskesmas Helvetia Medan Area Cyintia Ginting; Ermi Girsang; Sri Lestari Ramadhani Nasution
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.51653

Abstract

Pendahuluan: Tuberkulosis (TBC) tetap menjadi tantangan besar dalam bidang kesehatan masyarakat global, termasuk di Indonesia. Pengendalian TBC yang efektif memerlukan tidak hanya intervensi medis, tetapi juga strategi promosi kesehatan yang kuat dan kolaborasi multisektor. Tujuan: Penelitian ini bertujuan untuk menganalisis dampak strategi promosi kesehatan dan kolaborasi multisektor terhadap efektivitas pengendalian TBC di Medan, khususnya di wilayah Puskesmas Helvetia. Metode: Penelitian ini menggunakan desain penelitian kuantitatif dengan pendekatan survei potong lintang. Data dikumpulkan dari 135 responden, termasuk pasien TBC, petugas kesehatan, dan pemangku kepentingan yang terlibat dalam program pengendalian TBC. Kuesioner terstruktur digunakan untuk mengumpulkan data mengenai strategi promosi kesehatan, kolaborasi multisektor, dan efektivitas pengendalian TBC. Hasil: Penelitian ini menemukan bahwa strategi promosi kesehatan, terutama pesan kesehatan yang jelas dan relevan secara budaya, secara signifikan meningkatkan kepatuhan pengobatan dan kesadaran masyarakat. Kolaborasi multisektor, terutama keterlibatan sektor pemerintah dan komunitas, sangat penting dalam meningkatkan hasil pengendalian TBC. Efektivitas pengendalian TBC berhubungan positif dengan promosi kesehatan dan kolaborasi multisektor. Kesimpulan: Promosi kesehatan dan kolaborasi multisektor merupakan komponen vital dalam pengendalian TBC yang efektif. Pendekatan terintegrasi yang menggabungkan kedua elemen ini dapat secara signifikan meningkatkan keberhasilan program TBC, yang mengarah pada hasil pasien yang lebih baik dan penghapusan penyakit jangka panjang.
Co-Authors Achmad Noerkhaerin Putra Adnan, Maco Chan Adrian Adrian Agnes Yohana Kristino Ahmad Affandi Akbarinda, Zsizsi Alexander Angkasa Ali Napiah Nasution Amanda, Silvia Rizki Anggita, Nindi Dwi Anggraini, Tri Lidya Anita Merry Cisca Anjasari, Melati Salsabila Arie - Vonikartika Arum Grahini Kusumadewi Astari Wardiah Aulia, Dinda Rahmah Awanis Awanis Ayu Anggraini Bangun Binarwan Halim Br Pintubatu, Christina Delina Butar-Butar, Erika Fatrecia Marsaulina Buulolo, Netralman T.N Chrismis N. Ginting Chrismis Novalinda Ginting Chrismis Novalinda Ginting Christine Christine Christine Wijaya Christine Yennyanti Clinton Antony Clinton Antony Crismis Novalinda Ginting Cyintia Ginting Daulay, Ayu Sasmita Dessy Angraeni Siregar Dewi Purwanti Dewi Sartika Dhyta Nurhasanah Janas Diaz Farrasizdihar Dicca Brentazzoly Br Tarigan Disti Amanda Putri Duha, Kristin Berlianta Dzul Akbar Insani Erawati, Suci Erda, Roza Erisman Hondro Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ervineco Limestan Farhan Fachrizal Farrasizdihar, Diaz Febrianty, Novita Dwi Ferdinan, Klaus Fitrianto, Rahmad Friska SR Ginting, Chrismis Novalinda Ginting, Crismis Novalinda Ginting, Ermi Ginting, Predy Roy Suranta Ginting, Sopianita Healthy Girsang, Ermi Girsang, Ermi Girsang, Erni Gontana, Tiffany Gunawan, Herry Gusbakti Gusbakti Hafizah, Nandani Zakia HAMSI, QURATUL AINI Harahap, S. Shelly Hazlina Harahap, Vinnie Hazriah Hasibuan, Amalia HILMAN TADJOEDIN, HILMAN Hulu, Welpin Hutabarat, Yohana Candra Andini Ibnu Rushd Idariani, Idariani Insani, Dzul Akbar irza Haicha Pratama Ismar, Elza Fahliza Johannes Bastira Ginting John Handy Mendrofa Juanda, Lidya Sari Juwita Hotmida Sitorus Kaban, Lyta Imanti Kangga, Elizabeth Kartika, Ferina Kenny Halim Kezia Debora Khainir Akbar Kristino, Agnes Yohana Leli Khairani Liani Br Ginting Liena, Liena Liester, I Nyoman Ehrich Lister, I Nyoman Ehrich Lubis, Maas Lubis, Nurul Sri Finna M. Ridho Fitra Alamsya Mangatas Silaen Manurung, Charles Mare A, Fauzan Maria Seri Arihta Maulidin, Muhammad Maulina, Febby Meliala, Yose Marselius A.P. Melysa, Melysa Mendrofa, Trisman Basri Mendrofa, Tuho Konsultasi Milka Rositi Sianipar Molek, Molek Morgan, Julian Muhammad Ari Pratama Muhammad Faridz Syahrian Muhammad Insan Andika Muhammad Maulidin Muhammad Maulidin Muhammad Maulidin Muhammad Rinaldy Muryadi, Elvaro Islami Nadia Zenni Andari Nadratul Ulya Nasution, Ahmad Fuadi Nasution, Ali Napiah Nasution, Muhammad Andriady Saidi Natali, Oliviti Nerseri Barus Njoto, Lina Noni Rokaya Pasaribu Oliviti Natali Padma Sekar Ayu Putri Prahasta Pane, Reybka Cindy Sitorus Parapat, Winny G I Paulina, Elsa Piety Kristiani Wau Primanita Novi Andriati Purba, Amelia Salsabila Putranto Manalu Putri Satriani Dachi Putri, Monica Putri, Nadya Nazimuddin Rapael Ginting Reh Malem br Karo Restin Julianti Zebua Revina, Monica Rezeki, Naomi Grace Ria Hartaty Rushe, Rhesiwenny S. Shelly Hazlina Hararap Santy, Darnedy Fatwa Mely Saud Parulian Harianja Sawato Zebua Setia Budi Simbolon, Boyke Marthin Sinaga, Ade Sindy Zelvia Sinta Ayu Setiawan Sintiya Hamdi Siregar, Fitria Desiana Siregar, Hafiz Hawari SITI AMINAH Sitompul, Fernades Stiven Elsafarindo Suci Erawati Suhartina Suhartina Suhartina Suhartina, Suhartina Sulistijanto, Eddy Suryana, Kresna Dharma Suyono, Tan Syahputra, Ari Denggan Syahrian, Muhammad Faridz Tamarin, Tamarin Tan Suyono Tan Suyono Tarigan, Gracia Hosanna Evelyn Tarigan, Setia Budi Thomson Parluhutan Nadapdap, Thomson Parluhutan Tiorismasni Zai Tommy Adhi Wijaya Tuho Konsultasi Mendrofa Ummi Kalsum Vonikartika, Arie - Waoziduhu Ndruru Wau, Reynel Putri Pratiwi Widya Yanti Sihotang Wienaldi, Wienaldi Wika Hanida, Wika Winda Tri Mutia Winvi, Feli Clarisa Yeni Puspawani Yuke Armika Yuliani Yuliani Yuliani, Riski Yurlina Zai Zai, Yurlina Zebua, Sawato Zelvia, Sindy Zendrato, Arisman