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Nasution, Sri Lestari Ramadhani
Universitas Prima Indonesia
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Assessing the implementation of occupational safety and health management system in the hospital Kartika, Ferina; Nasution, Sri Lestari Ramadhani
Jurnal Prima Medika Sains Vol. 6 No. 2 (2024): December
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v6i2.6364

Abstract

The implementation of occupational health and safety programs in hospitals aims to improve access, affordability, and quality of safe health services in hospitals. While some hospitals have implemented Occupational Safety and Health Management Systems (OSHMS), their effectiveness varies. This study aimed to examine and evaluate the effectiveness of OSHMS implementation in Hospital X. This qualitative research used a case study design. A purposive sampling technique was used in this study. The research informants selected included an OSH Committee Team of three people and seven hospital employees. This study used a combination of observation, in-depth interviews, and documentation methods to obtain comprehensive data on the implementation of OSHMS. Data analysis was conducted through a series of systematic steps, starting with the transcription of observation and interview results in textual form. The coded data were analyzed to identify patterns, meanings, and relationships between themes. Themes were analyzed deductively, focusing on policy, responsibility, and authority to act, and the review and evaluation of OSHMS. The results of this analysis were interpreted by the researcher and linked to the research context and relevant theories, resulting in useful and meaningful findings. The results showed that the hospital demonstrated a commitment to OSH through comprehensive policies and implementation efforts. However, there are still some shortcomings in terms of the person in charge of the OSH in the work unit, as well as review and evaluation mechanisms. Improvements in these aspects can help to increase the effectiveness of OSHMS implementation in hospitals.
Analisis Pengaruh Peningkatan Kerja Perawat dalam Pencegahan dan Pengendalian Infeksi dengan Pendekatan Employee Engagement Amanda, Silvia Rizki; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
Journal of Telenursing (JOTING) Vol 6 No 2 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i2.12619

Abstract

The purpose of this study was to analyze the effect of increasing nurses' work in preventing and controlling infections with an employee engagement approach. The research method used a cross-sectional study. The study's results were that there was an effect of the employee engagement approach on the aspect of nurse capacity on improving the quality of nurse work in preventing and controlling infections in Medan City Private Hospitals with a p significance value of 0.000 <0.05. There was an effect of the employee engagement approach on nurse motivation in improving the quality of nurse work in preventing and controlling infections with a p-significance p-value of 0.000 <0.05. There was an effect of the employee engagement approach on nurse freedom in improving the quality of nurse work in preventing and controlling infections with a p-significance value of 0.000 <0.05. In conclusion, there was a significant influence between the capacity, motivation, and freedom of nurses on improving the quality of nurse work in preventing and controlling infections in Medan City Private Hospitals. Keywords: Infection, Nurse Work, Prevention, Control
Analisis determinan kualitas pelayanan terhadap kepuasan pasien Idariani, Idariani; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
Haga Journal of Public Health (HJPH) Vol. 2 No. 1 (2024): November 2024
Publisher : YAYASAN VICTORY HAGA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62290/hjph.v2i1.47

Abstract

Latar belakang: Kepuasan pasien merupakan salah satu cara mengukur kualitas pelayanan yang diberikan oleh tenaga kesehatan. Untuk meningkatkan keinginan pasien melakukan kunjungan ke Puskesmas sangat bergantung pada kualitas layanan yang diterima oleh pasien. Studi ini bertujuan untuk menganalisis pengaruh kualitas pelayanan terhadap kepuasan pasien.Metode: Desain penelitian yang digunakan adalah cross-sectional. Penelitian ini dilakukan di Puskesmas Sampoiniet Tahun 2023. Subjek penelitian ini adalah seluruh pasien yang berkunjung di Puskesmas Sampoiniet Tahun 2023. Sampel diperoleh sebanyak 100 orang dengan teknik purposive sampling. Pengumpulan data dilakukan dengan menyebarkan kuesioner kepada pasien. Analisis data penelitian menggunakan uji Chi Square dan regresi logistik.Hasil: Sebanyak 36% pasien tidak puas terhadap pelayanan yang diberikan oleh tenanga kesehatan. Kehandalan (p = <0,001), ketanggapan (p = <0,001), empati (p = <0,001) dan sarana prasarana (p = <0,001) signifikan terhadap kepuasan pasien. Sedangkan variabel jaminan tidak signifikan terhadap kepuasan pasien (0,594).Kesimpulan: Kehandalan, ketanggapan, empati dan sarana prasarana yang tidak baik signifikan terhadap kepuasan pasien
Factors Affecting The Hospital Management Information System In The Hospital Efarina Etaham Berastagi Ginting, Predy Roy Suranta; Ginting, Ermi; Ramadhani Nasution, Sri Lestari
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 4 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i4.18326

Abstract

Hospital management requires fast and accurate data management to create quality services. This study aims to evaluate the Hospital Management Information System (SIMRS) at Efarina Etaham Berastagi Hospital. The design of this research is quantitative research with a cross sectional approach. This research was conducted at the Efarina Etaham Berastagi Hospital, Karo Regency, North Sumatra Province. The time of the research was carried out from July 2022 to February 2023. The population in this study were all employees who used the Hospital Management Information System (SIMRS) in their work at the Efarina Etaham Berastagi Hospital in 2022 totaling 110 people consisting of department employees medical department. The number of samples taken in this research was 110 people. The variable measurements used are system use, user satisfaction, structure, environment, system quality, information quality, service quality, net benefits. Research data collection instruments are primary, secondary and tertiary. The data analysis used is univariate, bivariate and multivariate analysis. From the research results, it is known that there is a relationship between system use and SIMRS performance, there is a relationship between user satisfaction and SIMRS performance, there is a relationship between structure and SIMRS performance, there is a relationship between the environment and SIMRS performance, there is a relationship between system quality and SIMRS performance, there is a relationship between information and SIMRS performance, there is relationship between service quality and SIMRS performance. The suggestion in the research is that it is necessary to carry out preventive maintenance/maintenance regularly and periodically as well as monitoring maintenance on SIMRS regarding hardware and software in related units. Hospital management needs to pay attention to factors that encourage or hinder the adoption of SIMRS as a reference in SIMRS development, such as network improvements and also improving computer facilities for users.Keyword : Hospital, Hospital Management Information System, Quality
A Cost Effectiveness Analysis Of Single Use And Reuse Dialyser Utilization In Hemodialysis Services For Kidney Failure Patients At Hospital X Stabat Lubis, Maas; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
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.
Analysis of the quality health services on patient satisfaction at the Vina Estetica General Hospital Medan City Tarigan, Gracia Hosanna Evelyn; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
Science Midwifery Vol 12 No 6 (2025): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i6.1836

Abstract

Quality of health care refers to service excellence in meeting patient expectations and providing satisfaction. Quality service is essential because it is every customer's right and allows healthcare providers to compete. The quality of service and the value provided directly impact customer satisfaction. The quality of service they receive influences customer satisfaction, which affects the hospital's reputation and competitiveness. This study aims to analyze the quality of health services and their effect on patient satisfaction at RSU Vina Estetica. This study was conducted at RSU Vina Estetica, Medan City. The study population was all patients at RSU Vina Estetica, Medan City. The sampling technique was accidental sampling with a sample size of 306 respondents. The research method used was quantitative. This study is based on primary data obtained through questionnaires. The data analysis techniques used in this study are univariate, bivariate, and multivariate analysis using SPSS. Based on the study's results, it is known that reliability, responsiveness, and empathy influence patient satisfaction. The variables of physical evidence and assurance do not affect patient satisfaction. The most dominant factor influencing patient satisfaction is the variable of reliability.
The Influence Of Leadership, Motivation, Work Environment On Employee Performance And Quality Services At Royal Prima Hospital Medan 2024 Aulia, Dinda Rahmah; Nasution, Sri Lestari Ramadhani; Girsang, Ermi
JHSS (JOURNAL OF HUMANITIES AND SOCIAL STUDIES) Vol 1, No 2 (2017): Journal of Humanities and Social Studies
Publisher : UNIVERSITAS PAKUAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33751/jhss.v8i3.11587

Abstract

In implementing quality improvement, there are things that need to be considered so that it can run according to the desired results, such as leadership, work motivation, and work environment which will have an impact on employee performance and will be closely related to the quality of service provided to the public. The purpose of this study is to analyze the influence of leadership, motivation, and work environment on employee performance and service quality at RSU Royal Prima Medan in 2024. This type of research is quantitative and analytical using a cross-sectional research design. The population in this study were employees at RSU Royal Prima Medan consisting of 762 medical and non-medical employees. The sampling technique in this study used Proportional Random Sampling with a sample size of 248. Data analysis used SEM with univariate, bivariate and multivariate analysis. The results showed that the variables of leadership, motivation and work environment influenced employee performance at RSU Royal Prima Medan in 2024 with the most influential variable being the leadership variable (X1). Leadership, motivation and work environment variables influence the quality of service at Royal Prima Medan Hospital in 2024 with the most influential variable being the leadership variable (X1).
PENGARUH DAUN BAYAM MERAH (Amaranthus tricolor) TERHADAP PERTUMBUHAN TULANG PADA TIKUS YANG MENGALAMI FRAKTUR FEMUR: THE EFFECT OF RED SPINACH LEAVES (Amaranthus Tricolor) ON BONE GROWTH IN RATS WITH FEMUR FRACTURES Pane, Reybka Cindy Sitorus; Nasution, Sri Lestari Ramadhani; Syahrian, Muhammad Faridz
Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara Vol. 24 No. 2 (2025): Juli 2025
Publisher : Faculty of Medicine Universitas Islam Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/ibnusina.v24i2.864

Abstract

Fraktur femur merupakan cedera traumatis serius yang memerlukan proses penyembuhan optimal. Penggunaan bahan-bahan alami dapat digunakan sebagai terapi komplementer dalam penyembuhan tulang. Salah satunya adalah daun bayam merah (Amaranthus tricolor) yang diketahui memiliki kandungan sejumlah senyawa bioaktif yang dapat mendukung regenerasi tulang. Penelitian ini bertujuan mengevaluasi pengaruh pemberian ekstrak daun bayam merah terhadap jumlah osteoblast pada proses penyembuhan fraktur femur tikus galur Wistar. Penelitian eksperimental dengan desain post-test only control group ini menggunakan 12 tikus Wistar yang dibagi menjadi empat kelompok secara acak, yaitu kontrol negatif, kontrol positif, kelompok perlakuan dosis rendah (35,5 mg/150g BB), dan kelompok dosis tinggi (70,8 mg/150g BB). Analisis data menggunakan One-way ANOVA dan uji Post-Hoc Tukey. Kelompok dosis tinggi ekstrak bayam merah (P2) menunjukkan jumlah osteoblast tertinggi (41,0 ± 6,24) dibandingkan kelompok lainnya, dengan perbedaan signifikan (p<0,05). Ekstrak etanol daun bayam merah terbukti signifikan meningkatkan jumlah osteoblast pada proses penyembuhan fraktur femur tikus, dengan dosis 70,8 mg/150g BB sebagai dosis paling efektif.
Tingkat Kepuasan Pasien Terhadap Pelayanan Kesehatan di Rumah Sakit Mata Prima Paulina, Elsa; Syahrian, Muhammad Faridz; Nasution, Sri Lestari Ramadhani
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i1.54973

Abstract

Kepuasan pasien merupakan indikator penting dalam mengevaluasi mutu pelayanan kesehatan di rumah sakit. Penelitian ini bertujuan untuk mengetahui hubungan antara kualitas pelayanan kesehatan dan tingkat kepuasan pasien di Rumah Sakit Mata Prima. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cross-sectional. Data dikumpulkan dari 50 pasien menggunakan kuesioner yang mengukur kualitas pelayanan berdasarkan lima dimensi SERVQUAL (responsiveness, assurance, tangibles, empathy, dan reliability) serta tingkat kepuasan pasien. Analisis dilakukan dengan uji korelasi Spearman untuk mengetahui hubungan antara pelayanan kesehatan dan kepuasan pasien. Hasil penelitian menunjukkan adanya hubungan signifikan antara kualitas pelayanan kesehatan dan kepuasan pasien dengan nilai korelasi sebesar 0.357 dan signifikansi 0.011, yang menunjukkan bahwa semakin baik pelayanan yang diberikan, semakin tinggi tingkat kepuasan pasien. Meskipun kekuatan hubungan tergolong sedang, aspek-aspek seperti kecepatan respons tenaga medis, keramahan, kebersihan fasilitas, dan jaminan rasa aman berperan penting dalam membentuk kepuasan pasien. Kesimpulannya, kualitas pelayanan kesehatan di Rumah Sakit Mata Prima berkontribusi positif terhadap kepuasan pasien.
A COMPARATIVE STUDY OF PHYSIOTHERAPY OUTCOMES BETWEEN INFRARED-TENS COMBINATION AND PNF THERAPIES IN NPH PATIENTS Nasution, Sri Lestari Ramadhani; Ermi Girsang; Siti Aminah
Journal of Vocational Health Studies Vol. 8 No. 3 (2025): March 2025 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V8.I3.2025.191-199

Abstract

Background: The pain experienced by Nucleus Pulposus Herniation (NPH) patients can have an impact on productivity and may lead to disability. Therefore, non-pharmacological therapies can serve as alternatives in reducing pain levels for Grade I and Grade II NPH patients. Purpose: To compare the difference in effectiveness between Infrared-Transcutaneous Electrical Nerve Stimulation (IR-TENS) combination and Proprioceptive Neuromuscular Facilitation (PNF) therapies in reducing pain among NPH patients. Method: This research employed a quasi-experimental design with a two group before and after intervention conducted at the Physical Medicine and Rehabilitation Unit of Royal Prima Hospital in Medan. A total of 20 NPH patients were provided with interventions, consisting of a combination of IR and TENS therapies for 10 patients, and PNF therapy for the other 10 patients, administered eight times for one month. Pain measurement was conducted using a Visual Analogue Scale (VAS) questionnaire before and after the interventions. The statistical analysis employed an Independent Sample T test, with a significance level (α) set at 0.05. Result: There was a reduction in moderate and severe pain scales in both groups, and no subjects were experiencing severe pain anymore. However, the reduction in moderate pain scale was higher in the group receiving the combination of infrared and TENS therapies (80%) compared to the PNF therapy (70%). The Independent T test showed that there was no significant difference between the effectiveness of the combination of IR-TENS therapies and PNF therapy on pain in NPH patients (p-value = 0.075). Conclusion: Both groups of patients experienced a reduction in pain scale after the interventions, although there was no significant difference in the outcome between the two treatment groups. This implies that both therapies are equally effective in suppressing pain in NPH patients.
Co-Authors Achmad Noerkhaerin Putra Adnan, Maco Chan Adrian Adrian Agnes Yohana Kristino Ahmad Affandi Akbarinda, Zsizsi Alexander Angkasa Amanda, Silvia Rizki Aulia, Dinda Rahmah Awanis Awanis Ayu Anggraini Bangun Binarwan Halim Br Pintubatu, Christina Delina Butar-Butar, Erika Fatrecia Marsaulina Buulolo, Netralman T.N Chrismis Novalinda Ginting Christine Christine Clinton Antony Crismis Novalinda Ginting Daulay, Ayu Sasmita Dessy Angraeni Siregar Dewi Purwanti Dewi Sartika Duha, Kristin Berlianta Erawati, Suci Erda, Roza Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Ervineco Limestan Farhan Fachrizal Farrasizdihar, Diaz Ferdinan, Klaus Fitrianto, Rahmad Friska SR Ginting, Chrismis Novalinda Ginting, Crismis Novalinda Ginting, Cyintia Ginting, Ermi Ginting, Predy Roy Suranta Ginting, Sopianita Healthy Girsang, Ermi Girsang, Ermi Girsang, Erni Gontana, Tiffany Gunawan, Herry Hafizah, Nandani Zakia HAMSI, QURATUL AINI Harahap, S. Shelly Hazlina Harahap, Vinnie Hazriah Hasibuan, Amalia Hulu, Welpin Hutabarat, Yohana Candra Andini Idariani, Idariani Insani, Dzul Akbar 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 Kusumadewi, Arum Grahini Leli Khairani Liester, I Nyoman Ehrich Lister, I Nyoman Ehrich Lubis, Maas Lubis, Nurul Sri Finna Mangatas Silaen Manurung, Charles Mare A, Fauzan Maulidin, Muhammad Maulina, Febby Melysa, Melysa Mendrofa, Trisman Basri Mendrofa, Tuho Konsultasi Molek, Molek Morgan, Julian Muhammad Maulidin Muhammad Maulidin Muhammad Maulidin Muhammad Rinaldy Muryadi, Elvaro Islami Nasution, Ahmad Fuadi Nasution, Ali Napiah Nasution, Muhammad Andriady Saidi Natali, Oliviti Nerseri Barus Njoto, Lina Oliviti Natali Padma Sekar Ayu Putri Prahasta Pane, Reybka Cindy Sitorus Parapat, Winny G I Paulina, Elsa Putranto Manalu Putri, Monica Rapael Ginting Reh Malem br Karo Revina, Monica Rushe, Rhesiwenny Saud Parulian Harianja Sawato Zebua Setia Budi Simbolon, Boyke Marthin Sinaga, Ade Sintiya Hamdi Siregar, Hafiz Hawari SITI AMINAH Sitompul, Fernades Stiven Elsafarindo Suhartina Suhartina Suhartina Suhartina, Suhartina Suyono, Tan Syahrian, Muhammad Faridz Tan Suyono Tarigan, Gracia Hosanna Evelyn Tarigan, Setia Budi Tiorismasni Zai Tuho Konsultasi Mendrofa Ummi Kalsum Vonikartika, Arie - Wau, Reynel Putri Pratiwi Wienaldi, Wienaldi Wika Hanida, Wika Yeni Puspawani Yuke Armika Yuliani, Riski Yurlina Zai Zai, Yurlina Zebua, Restin Julianti Zebua, Sawato Zendrato, Arisman