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Sri Lestari Ramadhani Nasution
Universitas Prima Indonesia
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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.
Analysis of the implementation of drug inventory control using the ABC-EOQ-ROP method at Sundari Hospital Medan Kaban, Lyta Imanti; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
Science Midwifery Vol 13 No 1 (2025): April: 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.v13i1.1907

Abstract

Pharmaceutical supplies are one of the resource elements that must be controlled in the operational management of a hospital to support hospital services in order to provide maximum health services. The study aims to analyze the Implementation of Drug Inventory Control with the ABC-EOQ-ROP method at Sundari Hospital, Medan. The research method used was descriptive qualitative which was carried out at Sundari Hospital, Medan in October-November 2024. Informants were the head of the pharmacy installation, pharmacy staff, and head of the room. Data were analyzed using interactive analysis. The results of the study showed that the availability of drugs before the implementation of the EOQ and ROP methods based on the type and quantity of drugs was not sufficient to meet the needs where there were still some drugs that could not be met in a timely manner. The availability of drugs after the implementation of the EOQ and ROP methods in the pharmacy warehouse when viewed based on the type and quantity of drugs was sufficient to meet the needs of the pharmacy installation in a timely manner. It is recommended that drug inventory control in this study only emphasizes the calculation of drug inventory control that requires greater management (category I) quantitatively.
Analysis of workforce needs in the medical records unit at Esthomihi Hospital Medan using the queuing theory approach Ginting, Sopianita Healthy; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
Science Midwifery Vol 13 No 2 (2025): June: 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.v13i2.1951

Abstract

Medical records are important records that contain all information related to services that have been provided to patients. The less than optimal process of implementing medical records can be due to a lack of human resources, training, or supporting facilities and infrastructure. This study aims to analyze the need for workers in the medical records department of the hospital with a theoretical approach (queueing theory) at Esthomihi Hospital Medan. This type of research is quantitative with an analytical observational approach. The research design used is cross sectional. This study was conducted at Esthomihi Hospital in December-January 2025. In this study were all health workers related to the implementation of medical records consisting of doctors, nurses, medical records officers and pharmacists at Esthomihi Hospital Medan as many as 252 people. The sample in this study were all doctors, nurses, medical records officers and pharmacists related to patient medical records at Esthomihi Hospital Medan as many as 252 people. Data analysis was carried out univariately, bivariate and multivariate. The results of the study indicate that there is an influence of the level of patient arrivals, the level of patient service, the number of patient servers, and the system capacity. The most influential variable on the need for manpower in hospital medical records affairs with a theoretical approach (queueing theory) at Esthomihi Hospital Medan is the variable number of patient servers with ap value of 0.000, OR = 125.571 (95% CI = 25.114-627.866) meaning that respondents who stated that the number of patient servers was lacking a 125.571 times less chance compared to respondents who stated that the number of patient servers was good n It is expected to be able to improve, expand, develop, experience and knowledge directly regarding the need for manpower in hospital medical records affairs with a theoretical approach (queueing theory) at Esthomihi Hospital Medan.
THE USE OF BPJS DIGITALIZATION PROGRAMS TO IMPROVE SERVICE QUALITY IN FACING THE INDUSTRIAL REVOLUTION 4.0 ERA Clinton Antony; Ermi Girsang; Sri Lestari Ramadhani Nasution
International Journal of Cultural and Social Science Vol. 6 No. 1 (2025): International Journal of Cultural and Social Science
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/ijcss.v6i1.997

Abstract

The Industrial Revolution 4.0 era demands digital transformation in various sectors, including the health sector. One form of innovation in health services is the digitalization of the BPJS Kesehatan program, which aims to improve the efficiency and quality of services in health facilities. This study aims to assess the effectiveness of the use of BPJS program digitalization to improve the quality of services in facing the industrial revolution 4.0 era at Royal Prima Medan Hospital, as well as to identify obstacles faced in its implementation. The research method used is a qualitative study, where data was obtained through interviews with the hospital director, the head of the BPJS primary benefit guarantee division, and six patients using BPJS services. The results of this paper indicate that the use of BPJS digitalization at Royal Prima Medan Hospital has been running in accordance with the Standard Operating Procedure (SOP) and has had a positive impact on the acceleration of the administrative process, queue efficiency, and patient data integration. However, there are still several obstacles, such as technical disruptions in the system, limited patient understanding of technology, and instability of the internet network, which can affect the effectiveness of services. To overcome these obstacles, the hospital has made various efforts, such as providing a help desk, improving digital infrastructure, and education for patients and medical personnel. Overall, the digitalization of the BPJS Kesehatan program at RSU Royal Prima Medan has proven effective in improving the quality of service, although further system optimization and innovation are still needed so that the implementation of this digitalization can run optimally in accordance with the demands of the Industrial Revolution 4.0.
The Influence Of Role, Supervision, Controlling And Motivation Health Personnel On Stunting Coverage In Health Center South Nias District Putri Satriani Dachi; Ermi Girsang; Sri Lestari Ramadhani Nasution
Jurnal Scientia Vol. 13 No. 02 (2024): Education and Sosial science, March - May 2024
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58471/scientia.v13i02.2976

Abstract

According to the Indonesian Ministry of Health, there are several factors that cause stunting in children, including mothers not having access to healthy and nutritious food such as high protein foods, which causes their children to also lack nutrition. The incidence of stunting has decreased between 2020 and 2021, the prevalence of stunting globally has decreased from 32.6 percent to 22.2 percent, the number of children affected by stunting has decreased from 198 million to 151 million. The aim of this research is to determine whether there is an influence between the role, supervision, control and motivation of health workers on stunting coverage in the South Nias District Health Center. The type of research used is quantitative analytics. The research design is a cross-sectional study. The sampling technique in this research is the total population, that is, the entire population is used as the research sample, so the total sample in the research is 360 employees. The results of the research explain that there is an influence between the role, supervision, control and motivation of health workers on stunting coverage in the South Nias District Health Center. It is hoped that this research can have a positive impact on the coverage of stunting in the South Nias Regency Health Center.
Hubungan kualitas pelayanan tenaga kesehatan terhadap kepuasan pasien: studi cross-sectional Harahap, Vinnie Hazriah; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
Haga Journal of Public Health (HJPH) Vol. 2 No. 3 (2025): Juli 2025
Publisher : YAYASAN VICTORY HAGA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62290/hjph.v2i3.55

Abstract

Latar belakang: Mutu pelayanan merupakan faktor determinan utama yang memengaruhi tingkat kepuasan pasien di institusi pelayanan kesehatan. Kualitas pelayanan tidak hanya ditentukan oleh aspek fisik, seperti ketersediaan fasilitas dan kelengkapan sarana, tetapi juga mencakup aspek non-fisik yang mencerminkan kualitas interaksi antara tenaga kesehatan dan pasien. Penelitian ini bertujuan untuk mengetahui hubungan antara kualitas pelayanan tenaga kesehatan dan kepuasan pasien.   Metode: Penelitian ini menggunakan desain cross-sectional yang dilaksanakan di wilayah kerja Puskesmas Cikampak, Kabupaten Labuhanbatu Selatan. Populasi penelitian mencakup seluruh pasien yang berkunjung ke Puskesmas Cikampak sepanjang tahun 2024, dengan total 200 orang. Seluruh populasi dijadikan sampel melalui penerapan teknik total sampling. Data dikumpulkan menggunakan kuesioner yang disebarkan kepada responden. Untuk menganalisis data, digunakan uji statistik Chi-Square untuk menguji hubungan antarvariabel yang diteliti. Hasil: Hasil penelitian menunjukkan bahwa tidak terdapat hubungan yang signifikan antara dimensi bukti fisik dan tingkat kepuasan pasien (p = 0,155). Sebaliknya, dimensi keandalan, daya tanggap, empati, dan jaminan memiliki hubungan yang signifikan dengan kepuasan pasien, dengan nilai signifikansi p < 0,001. Kesimpulan: Keandalan, daya tanggap, kepedulian, dan jaminan yang optimal memiliki pengaruh signifikan terhadap tingkat kepuasan pasien.
Evaluasi efektivitas penggunaan metode anjungan pendaftaran mandiri: studi kualitatif Harahap, S. Shelly Hazlina; Girsang, Ermi; Nasution, Sri Lestari Ramadhani
Haga Journal of Public Health (HJPH) Vol. 2 No. 3 (2025): Juli 2025
Publisher : YAYASAN VICTORY HAGA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62290/hjph.v2i3.57

Abstract

Latar belakang: Anjungan Pendaftaran Mandiri (APM), yang berbasis aplikasi, merupakan sebuah platform digital berbasis web yang dirancang untuk membantu pasien rawat jalan dalam melakukan pendaftaran secara mandiri tanpa melalui loket pendaftaran. Penelitian ini bertujuan untuk mengevaluasi efektivitas penggunaan metode APM di Puskesmas Batugana, Kabupaten Padang Lawas Utara. Metode: Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi, yang dilaksanakan di Puskesmas Batugana pada periode September 2022–Desember 2023. Informan penelitian berjumlah empat orang yang terdiri atas Kepala Puskesmas, Kepala Bidang Pendaftaran Mandiri, petugas rawat jalan, dan seorang pasien, dengan teknik pengambilan sampel purposive sampling. Data dikumpulkan melalui wawancara mendalam dan observasi terhadap pasien yang memanfaatkan metode APM. Hasil: Penerapan APM di Puskesmas Batugana dinilai efektif dalam mengurangi antrean pendaftaran serta meningkatkan efisiensi layanan. Keberhasilan penerapannya dipengaruhi oleh faktor pendukung, seperti kompetensi SDM, ketersediaan SOP, serta sarana dan prasarana yang memadai. Kesimpulan: Efektivitas penerapan APM sangat bergantung pada kualitas sumber daya manusia, keberadaan standar operasional prosedur, dan ketersediaan sarana serta prasarana di Puskesmas Batugana.
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