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Sri Lestari Ramadhani Nasution
Universitas Prima Indonesia
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A Cost Effectiveness Analysis Of Single Use And Reuse Dialyser Utilization In Hemodialysis Services For Kidney Failure Patients At Hospital X Stabat Maas Lubis; Ermi Girsang; Sri Lestari Ramadhani Nasution
JHSS (JOURNAL OF HUMANITIES AND SOCIAL STUDIES) Vol 8, No 3 (2024): JHSS (Journal of Humanities and Social Studies)
Publisher : UNIVERSITAS PAKUAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33751/jhss.v4i3.11222

Abstract

The prevalence of Chronic Kidney Disease sufferers globally, including Indonesia, has increased every year. According to the 2018 Basic Health Research data, the prevalence of Chronic Kidney Disease in Indonesia is 0.38% of the population of Indonesia or around 713,783 people. The Indonesian Nephrology Association said that the use of reuse dialyzers is permitted with a maximum limit of 7 times of use, Indonesian 2 Renal Registry data shows that reuse dialyzers are mostly used with a frequency of 1-5 times. Manual cleaning of single-use and reuse dialyzers can have an impact on several aspects, including: dialysis adequacy and risk of infection. Putri Bidadari Hospital, Stabat has a problem with changing the reuse dialyzer to single use because if you use reuse, the used equipment is washed again. So by switching to single use, it is hoped that the output of hemodialysis will be better. However, by switching to single use, there is a possibility of additional/reduced costs per patient for each hemodialysis. This study aims to analyze the Cost Effectiveness of Using Single Use and Reuse Dialyzers for Hemodialysis Services for Kidney Failure Patients at Putri Bidadari General Hospital, a cross-sectional quantitative research design with a prospective and retrospective approach, involving 160 patients in 2023. Data were analyzed using Cost Effectiveness Analysis (CEA). The results of the analysis show that the cost efficiency of the Reuse dialyzer is proven to be lower than the Single Use dialyzer. While in producing changes in the outcome of creatinine, urea, and hemoglobin, the single use dialyzer is more effective than the reuse dialyzer. Hospitals also need to conduct an evaluation of the environmental impact of using both types of dialyzers, including medical waste and energy consumption.
THE EFFECT OF THE GOVERNMENT'S FREE NUTRITIOUS FOOD PROGRAM ON CHANGES IN LEARNING CONCENTRATION AND NUTRITIONAL STATUS IN STUDENTS OF SDN NO. 075062 DOLI-DOLI MANDREHE DISTRICT, WEST NIAS REGENCY Ernawati Hondro; Ermi Girsang; Sri Lestari Ramadhani Nasution
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 4 (2026): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.21899749

Abstract

This study aims to analyze the effect of the Government’s Free Nutritious Food Program (MBG) on changes in learning concentration and nutritional status among students at SDN No. 075062 Doli-Doli, Mandrehe District, West Nias Regency. This research used a quantitative, quasi-experimental design with a pretest and posttest (no control group). The population consisted of 168 students, with a sample of 128 students selected using the Slovin formula and purposive sampling. Learning concentration was measured using a structured test, while nutritional status was assessed using Body Mass Index (BMI) based on anthropometric measurements. Data were analyzed using univariate methods and the Wilcoxon signed-rank test due to non-normal distributions. The results showed a significant increase in learning concentration (from pretest 30.19 to posttest 34.91; p < 0.001) and nutritional status (from pretest 15.33 to posttest 16.17; p < 0.001). These findings indicate that the MBG program significantly improves students' cognitive performance and nutritional status. The study concludes that school-based nutrition interventions are effective in supporting both health and educational outcomes, particularly in disadvantaged areas.
Peran Tenaga Kesehatan dalam Penanganan Penyakit Degeneratif pada Lansia di Puskesmas Negeri Lama: Sebuah Studi Kasus Dhyta Nurhasanah Janas; Ermi Girsang; Sri Lestari Ramadhani Nasution
The Indonesian Journal of General Medicine Vol. 33 No. 1 (2026): The Indonesian Journal of General Medicine
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/rew5sq66

Abstract

Pendahuluan: Populasi lansia di Indonesia meningkat pesat, diikuti oleh peningkatan prevalensi penyakit degeneratif. Puskesmas sebagai fasilitas kesehatan primer memiliki peran krusial, namun seringkali menghadapi keterbatasan sumber daya, terutama di daerah terpencil seperti Puskesmas Negeri Lama, Kabupaten Labuhanbatu. Penelitian ini bertujuan untuk menganalisis secara mendalam peran tenaga kesehatan serta tantangan dan dampaknya dalam penanganan penyakit degeneratif pada lansia. Metode: Penelitian kualitatif dengan desain studi kasus ini dilakukan pada September-Desember 2025. Tujuh informan dipilih secara purposive sampling, terdiri dari petugas rekam medis, petugas klaster lansia (perawat dan dokter), apoteker, dan ahli gizi. Data dikumpulkan melalui wawancara mendalam semi-terstruktur, observasi, dan triangulasi. Analisis data menggunakan model analisis tematik. Hasil Penelitian: Tenaga kesehatan menjalankan peran kuratif terintegrasi (anamnesis, pemeriksaan KGD/tekanan darah, pemberian obat seperti amlodipin dan metformin) dan peran preventif (skrining rutin via aplikasi E-pus/P-care, penyuluhan pola hidup sehat, konseling gizi). Tantangan utama meliputi karakteristik lansia (susah komunikasi, rendahnya pemahaman), hambatan struktural (jalan rusak, banjir, jarak tempuh jauh, kekosongan obat dari Dinkes), dan keterbatasan fasilitas. Pola komunikasi yang digunakan adalah komunikasi terapeutik dengan adaptasi bahasa sederhana, kesabaran, dan pelibatan keluarga. Dampak positif terlihat pada pengendalian penyakit dan dukungan sosial-emosional, namun terhambat oleh diskontinuitas pengobatan dan keterbatasan akses. Kesimpulan: Peran tenaga kesehatan di Puskesmas Negeri Lama bersifat komprehensif namun menghadapi tantangan signifikan. Diperlukan penguatan sistem logistik obat, pelatihan geriatri berkelanjutan, dan inovasi layanan seperti kunjungan rumah terstruktur untuk mengatasi hambatan geografis dan meningkatkan kualitas hidup lansia.
Pengaruh Gaya Kepemimpinan Transaksional, Transformasional, Kepuasan Kerja, dan Beban Kerja terhadap Kinerja serta Intensi Pindah Kerja Perawat di RSUD Sabang Ariyani Ariyani; Sri Lestari Ramadhani Nasution; Ermi Girsang
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 2 (2026): Mei 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i2.7572

Abstract

Nurse performance and turnover intention are critical issues in hospital human resource management, influenced by leadership style, job satisfaction, and workload. Objective: This study aimed to analyze the effects of transactional and transformational leadership styles, job satisfaction, and workload on nurse performance and turnover intention at Sabang Regional General Hospital (RSUD Kota Sabang). Methods: A quantitative analytic design with a cross-sectional approach was employed. The study population and sample comprised all staff nurses in the inpatient units of RSUD Kota Sabang using total sampling (n=120). Data were collected using standardized Likert scale questionnaires (1–5), adapted from the Multifactor Leadership Questionnaire (MLQ) by Bass & Avolio, the Job Descriptive Index (JDI), and a validated turnover intention instrument. Multiple linear regression analysis was performed following normality, linearity, and multicollinearity testing. Results: Simultaneously, all four independent variables significantly influenced nurse performance (Sig.=0.037; R²=3.8%) and turnover intention (Sig.=0.032; R²=2.8%). In partial analysis, transformational leadership demonstrated the strongest positive effect on performance (B=0.211; Sig.=0.002) and the strongest negative effect on turnover intention (B=-0.111; Sig.=0.030). Workload was the most dominant predictor of performance decline (B=-0.186; Sig.=0.035), while job satisfaction was the most significant predictor of nurse retention (B=-0.110; Sig.=0.014). Conclusion: Transformational leadership and workload management represent priority interventions for improving nurse performance and reducing turnover intention. The low R² values indicate the need for further research integrating organizational culture, remuneration systems, and individual factors into the explanatory model.
An Analysis Of Effect Job Demand Control-Support And Protection Motivation On Compliance In Filling Inpatient Care Medical Record Files At RSU. ESHMUN Medan Sri Lestari Ramadhani Nasution; Muhammad Maulidin; Ermi Girsang
International Journal of Health and Pharmaceutical (IJHP) Vol. 4 No. 2 (2024): May 2024
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v4i2.268

Abstract

An important indicator to determine the quality of service in a hospital is about the completeness of the hospital's medical record files. There are many problems arise due to incomplete medical record files and do not recorded neatly and regularly. The incident is due to lack of medical team awareness in recording all information or actions that would be given to the patient. The aim of this study is to analyse the effect of Job Demand-Control-Support and Protection Motivation on compliance in filling out Medical Record files at RSU ESHMUN Medan 2023. This study uses quantitative research method which is analytical in nature. The total sampling of this study is 115 active nurses at RSU ESHMUN Medan. The result of the study informs that there are very strong and significant effect among Job Demand-Control-Support and Protection Motivation on compliance in filling out Medical Record files at RSU ESHMUN Medan 2023. The variable that has the most influence on Obedience with filling in inpatient medical record files at RSU ESHMUN in 2023 is the Protection Motivation variable. It is recommended to RSU ESHMUN Medan to improve the administration pattern in order to all of nurses have the same job demands and receive the same support.
Determinants of Antenatal Care Visit Compliance among Pregnant Women in Kualuh Hulu District, North Labuhanbatu Regency Nova Larysca Manik; Ermi Girsang; Sri Lestari Ramadhani Nasution
PROFESSIONAL HEALTH JOURNAL Vol. 8 No. 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v8i1.1473

Abstract

Background: Antenatal care (ANC) is a core strategy for reducing maternal and neonatal mortality through early detection and management of pregnancy complications. However, ANC coverage in Kualuh Hulu District, North Labuhanbatu Regency, remains suboptimal, with fluctuating maternal and infant death rates signaling persistent service gaps. Identifying the local determinants of ANC compliance is essential for designing targeted interventions. Methods: A cross-sectional study was conducted among 153 second- and third-trimester pregnant women recruited through total sampling from four public health centers in Kualuh Hulu District. Data were collected using a structured, validated questionnaire. Analysis included univariate description, bivariate analysis using Chi-square tests, and multivariate binary logistic regression to identify independent determinants. Results: High ANC compliance was observed in 65.4% of participants. Bivariate analysis showed significant associations with six factors: knowledge (p<0.001; OR=4.97), attitude (p<0.001; OR=7.52), decision-making autonomy (p<0.001; OR=6.01), perceived service quality (p=0.002; OR=3.89), availability of staff and facilities (p=0.014; OR=2.90), and transportation and examination costs (p=0.006; OR=2.36). After multivariate adjustment, only knowledge (AOR=5.25; 95% CI: 2.17–12.68), attitude (AOR=4.38; 95% CI: 1.72–11.12), and decision-making autonomy (AOR=4.57; 95% CI: 1.87–11.16) remained significant independent predictors. Conclusions: Knowledge, attitude, and decision-making autonomy are the dominant determinants of ANC compliance in this rural setting. Interventions should prioritize continuous health education, awareness-building counseling, and empowerment of women in health-related decisions, while service quality improvements and cost support serve as essential enabling factors.
The Influence of Quality of Work Life (QWL) Performance on Employee Performance Through Organizational Citizenship Behavior (OCB) at Royal Prima Hospital in 2025 Darnedy Fatwa Mely Santy; Ermi Girsang; Sri Lestari Ramadhani Nasution; Irza Haicha Pratama
Jurnal Penelitian Pendidikan, Psikologi Dan Kesehatan (J-P3K) Vol 6, No 4 (2025): J-P3K
Publisher : Yayasan Mata Pena Madani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51849/j-p3k.v6i4.861

Abstract

Voluntary work behavior that goes beyond formal employee responsibilities (OCB) cannot develop optimally without attention to Quality of Work Life (QWL). QWL reflects the organization's efforts in creating a work environment that supports the physical, psychological, and social well-being of employees, which ultimately impacts on improving individual and organizational performance. The formulation of the problem of this research is how does Quality of Work Life (QWL) influence employee performance through Organizational Citizenship Behavior (OCB) at Royal Prima Hospital in 2025? This study uses a quantitative approach. The results of the study There is no significant influence between the variable of tenure and performance at Royal Prima Hospital Medan. There is a significant influence between the variable of Quality of Work Life (QWL) and performance at Royal Prima Hospital Medan. There is a significant influence between the variable of Organizational Citizenship Behavior (OCB) and performance at Royal Prima Hospital Medan. There is a significant influence between the variable of Leadership and performance at Royal Prima Hospital Medan. There is a significant influence between the variable of Satisfaction and performance at Royal Prima Hospital Medan. There is a significant influence between the variable of encouragement and performance at Royal Prima Hospital Medan. The most dominant variable with the greatest influence on performance is motivation because it has an Exp B value of 7.348.
Influence of Leadership Behavior and Management Process on Immunization Program Implementation Christina Delina Br Pintubatu; Ermi Girsang; Sri Lestari Ramadhani Nasution
Jurnal Promosi Kesehatan Indonesia Volume 17 No.2 Agustus 2022
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.17.2.101-108

Abstract

Background: Indonesia is still ranked 4th in the world for having low DPT3 immunization coverage among children. Complete basic immunization coverage is targeted at 95% according to the strategic plan of Indonesian Ministry of Health, but it still achieves at 91.1%. This study aims to analyze leader behavior and health center management on immunization program implementation.Method: Quantitative research using a cross-sectional design was conducted at the Puskesmas Biru-Biru Deli Primary Healthcare Center, Serdang District. The research population and samples consist of 122 respondents which include all 121 midwives in 17 villages and one person in charge of immunization services. The survey data were analyzed using the chi-square test and logistic regression test.Results: The chi-square test showed an influence of leadership behavior and management process on immunization program implementation (p = 0.000). In the last stage of logistic regression analysis, one variable that most dominantly affected the program implementation is management process (p = 0.0000; OR = 25,497; 95% CI = 6.475-100.406). The primary healthcare center needs to improve leader’s behavior and management process.
OPTIMALISASI PENGETAHUAN PASIEN TERKAIT DENGAN SURAT IZIN OPERASI DI RUMAH SAKIT NATAMA TEBING TINGGI Muhammad Chairul; Chrismis Novalinda Ginting; Sri Lestari Ramadhani Nasution
JOURNAL OF SCIENCE AND SOCIAL RESEARCH Vol. 9 No. 2 (2026): April 2026
Publisher : Smart Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54314/jssr.v9i2.6178

Abstract

Patient understanding of the Surgical Consent Letter (SIO) is a crucial aspect in ensuring patient safety, rights, and involvement in medical procedures. However, limited patient knowledge remains, potentially leading to misunderstandings and legal and ethical risks in hospitals. This study aims to optimize patient knowledge regarding the Surgical Consent Letter through a systematic educational approach. The method used is descriptive quantitative, with data collected through questionnaires from patients undergoing surgery. Analysis was conducted by comparing the level of patient knowledge before and after the education. The results showed a significant increase in patient knowledge after the educational intervention, with most patients previously in the low to moderate knowledge category improving to the good category. Direct education provided using communicative media has proven effective in improving patient understanding. Thus, optimizing patient knowledge regarding the Surgical Consent Letter can be achieved through planned and ongoing education, thereby supporting patient safety and strengthening the principle of informed consent in healthcare.
HUBUNGAN KETERSEDIAAN OBAT BPH DAN KUALITAS PELAYANAN FARMASI TERHADAP KEPUASAN PASIEN DI RS NATAMA TEBING TINGGI Doli Catur Utomo; Ermi Girsang; Sri Lestari Ramadhani Nasution
JOURNAL OF SCIENCE AND SOCIAL RESEARCH Vol. 9 No. 2 (2026): April 2026
Publisher : Smart Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54314/jssr.v9i2.6179

Abstract

This study examines the relationship between the availability of Benign Prostatic Hyperplasia (BPH) medication and the quality of pharmaceutical services on patient satisfaction at Natama Tebing Tinggi Hospital. BPH is a common disease in elderly men and can reduce quality of life, requiring ongoing therapy and good pharmaceutical support. This study used a quantitative method with an observational analytical design and a cross-sectional approach in outpatients with BPH. Data were collected through questionnaires and statistically analyzed to determine the relationship between variables. The results showed that adequate medication availability and optimal pharmaceutical service quality were positively associated with patient satisfaction. Therefore, improving medication management and the quality of pharmaceutical services needs to be a priority for hospitals to increase patient satisfaction.
Co-Authors Achmad Noerkhaerin Putra Adrian Adrian Agnes Yohana Kristino Ahmad Affandi Ahmad Fuadi Nasution Akbarinda, Zsizsi Akhyar Al Fauzi Lubis Alexander Angkasa Ali Napiah Nasution Amalia Hasibuan Amanda, Silvia Rizki Angela Elisabeth Anggita, Nindi Dwi Anggraini, Tri Lidya Anita Merry Cisca Anjasari, Melati Salsabila Antje Irmella Tarigan Ari Putra Simatupang Arie - Vonikartika Ariyani Ariyani Arum Grahini Kusumadewi Astari Wardiah Aulia, Dinda Rahmah Awanis Awanis Ayu Anggraini Bangun Binarwan Halim Butar-Butar, Erika Fatrecia Marsaulina Buulolo, Netralman T.N Chrismis N. Ginting Chrismis Novalinda Ginting Chrismis Novalinda Ginting Chrismis Novalinda Ginting Christina Delina Br Pintubatu Christine Christine Christine Wijaya Christine Yennyanti Clinton Antony Clinton Antony Crismis Novalinda Ginting Cyintia Ginting Darnedy Fatwa Mely Santy Daulay, Ayu Sasmita Dessy Angraeni Siregar Dewi Purwanti Dewi Sartika Dhyta Nurhasanah Janas Diaz Farrasizdihar Dicca Brentazzoly Br Tarigan Disti Amanda Putri Doli Catur Utomo Duha, Kristin Berlianta Dzul Akbar Insani Erawati, Suci Erisman Hondro Ermi Ginting Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ernawati Hondro Ervineco Limestan Farhan Fachrizal Farrasizdihar, Diaz Febby Maulina Febrianty, Novita Dwi Ferdinan, Klaus Fitri Nelda Friska SR Ginting, Chrismis Novalinda Ginting, Crismis Novalinda Ginting, Sopianita Healthy Girsang, Ermi Girsang, Erni Gontana, Tiffany Gusbakti Gusbakti Hafiz Hawari Siregar Hafizah, Nandani Zakia HAMSI, QURATUL AINI Harahap, S. Shelly Hazlina Harahap, Vinnie Hazriah Hesti Despita Siregar HILMAN TADJOEDIN, HILMAN Hulu, Welpin Ibnu Rushd Idariani, Idariani Insani, Dzul Akbar irza Haicha Pratama Ismar, Elza Fahliza Jennifer Tiosanna 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 Lisa Yunita Marnas Lister, I Nyoman Ehrich Lubis, Nurul Sri Finna M. Ridho Fitra Alamsya Maas Lubis Maco Chan Adnan Mangatas Silaen Manurung, Charles Mare A, Fauzan Maria Seri Arihta Maulidin, Muhammad Meliala, Yose Marselius A.P. Melysa, Melysa Mendrofa, Trisman Basri Mendrofa, Tuho Konsultasi Milka Rositi Sianipar Molek, Molek Morgan, Julian Muhammad Ari Pratama Muhammad Chairul Muhammad Faridz Syahrian Muhammad Insan Andika Muhammad Maulidin Muhammad Maulidin Muhammad Rinaldy Muryadi, Elvaro Islami Nadia Zenni Andari Nadratul Ulya Nasution, Ali Napiah Nasution, Muhammad Andriady Saidi Natali, Oliviti Nerseri Barus Nova Larysca Manik Nurhafizah Nurhafizah Oliviti Natali Ongky Harianto Ongky Harianto Padma Sekar Ayu Putri Prahasta Pane, Reybka Cindy Sitorus Parapat, Winny G I Paulina, Elsa Piety Kristiani Wau Predy Roy Suranta Ginting Primanita Novi Andriati Purba, Amelia Salsabila Putranto Manalu Putri Satriani Dachi Putri, Monica Putri, Nadya Nazimuddin Rahmad Fitrianto Rapael Ginting Reh Malem br Karo Restin Julianti Zebua Revina, Monica Reynel Putri Pratiwi Wau Rezeki, Naomi Grace Ria Hartaty Roza Erda Rushe, Rhesiwenny S. Shelly Hazlina Hararap Saud Parulian Harianja Sawato Zebua Setia Budi Simbolon, Boyke Marthin Sinaga, Ade Sindy Zelvia Sinta Ayu Setiawan Sintiya Hamdi SITI AMINAH Sitompul, Fernades Stiven Elsafarindo Suci Erawati Suhartina Suhartina 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 Vonikartika, Arie - Waoziduhu Ndruru Widya Yanti Sihotang Wienaldi, Wienaldi Wika Hanida Winda Tri Mutia Winvi, Feli Clarisa Yeni Puspawani Yohana Candra Andini Hutabarat Yuke Armika Yuliani Yuliani Yuliani, Riski Yurlina Zai Zai, Yurlina Zebua, Sawato Zelvia, Sindy Zendrato, Arisman