Claim Missing Document
Check
Articles

Factors Influencing the Quality of Services at the Pharmacy Installation of Pagar Jati Public Health Center Badriani, Nurainun; Barita Aritonang; Abdi Lestari Sitepu
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/ays36v19

Abstract

The quality of pharmaceutical services plays a vital role in supporting effective healthcare delivery at the primary care level. High quality pharmacy services contribute to patient safety, treatment effectiveness, and overall satisfaction with healthcare experiences. This study aims to analyze the factors influencing the quality of pharmacy services at the Pharmacy Installation of Puskesmas Pagar Jati, specifically examining human resources, infrastructure, drug management, and patient satisfaction.This research applied a quantitative approach with a cross-sectional design. A total of 96 respondents were selected using purposive sampling. Data were collected using a closed-ended Likert-scale questionnaire and analyzed through multiple linear regression and logistic regression tests.The results show that drug management has the most dominant influence on service quality (p = 0.002; OR = 15.984), followed by human resources (p = 0.036; OR = 3.767). Patient satisfaction showed a nearly significant influence (p = 0.058), while infrastructure did not show a statistically significant effect (p = 0.728). The study concludes that the improvement of pharmacy service quality is more determined by process-related aspects, particularly drug management systems and the competency of pharmacy personnel
The analysis of the factors influencing the awareness of post-operative neurosurgery patients in the ICU of a hospital Karo-Karo, Julyenni; Barita Aritonang; Desideria Yosepha Ginting
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/p371wr57

Abstract

Background: Nurses' caring behavior significantly affects the quality of service and patient satisfaction. However, in Indonesia, the quality of nurses' caring behavior is still relatively low. High workloads and low work motivation can affect the quality of nurses' caring behavior. This study aims to analyze the relationship between work motivation and workload on nurses' caring behavior at Puskesmas Tigalingga in 2025.Objective: This study aims to determine the relationship between work motivation and workload on nurses' caring behavior at Puskesmas Tigalingga in 2025. Research Method: This study uses a quantitative design with a non-experimental descriptive correlation approach. The study was conducted at Puskesmas Tigalingga with a population of 57 nurses and midwives. The sampling technique used was Total Sampling. Data were collected using questionnaires and analyzed using Chi-Square tests and multiple logistic regression. Results: The results of the study indicate a significant relationship between work motivation and caring behavior (p-value = 0.003), as well as between workload and caring behavior (p-value = 0.003). Logistic regression analysis showed that workload has the greatest impact on caring behavior, with an Odds Ratio (OR) = 12.49. Conclusion: Managing workload effectively and increasing work motivation are crucial for improving nurses' caring behavior. Both factors play an important role in improving the quality of nursing services and patient satisfaction at Puskesmas Tigalingga.
Formulation and Evaluation of Body Lotion Preparation from Ethanol Extract of Avocado Leaves (Persea americana Mill.) as Antioxidant with DPPH Method Simanjuntak, Putri Nuraimun; Herlina , Herlina; Aritonang, Barita; Harahap, Hasni Yaturramadhan
Jurnal FARMASIMED (JFM) Vol 8 No 1 (2025): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/hf00qs72

Abstract

Skin damage is a common problem that can affect appearance and health. Excessive exposure to free radicals from UV rays is one of the main causes of skin damage, the use of body lotions containing natural antioxidant compounds is very important to protect the skin from these effects. Avocado leaves (Persea americana Mill.) have been known to contain antioxidant chemicals that are good for skin protection, one of which is flavonoids. The purpose of this study was to determine whether avocado leaf body lotion preparations can function as antioxidants and to develop body lotion preparations that meet the evaluation test requirements. The research stages included the preparation of simple drugs, the preparation of avocado leaf extract, the test of antioxidant functional groups with UV-Vis and FTIR spectroscopy, the preparation of avocado leaf ethanol extract body lotion, the evaluation of body lotion preparations, and the testing of antioxidant activity of body lotions using the DPPH method. The results of the phytochemical analysis revealed the presence of tannins, alkaloids, saponins, and flavonoids. Avocado leaf extract body lotion was formulated in four concentration variations (0%, 2%, 4%, and 6%). All formulas meet SNI, with a pH of 7 and a spreadability of between 5-7 cm. Antioxidant activity tests showed a decreasing IC50 value with increasing extract concentration: 12.4643 µg/mL (2%), 4.6300 µg/mL (4%), and 1.1065 µg/mL (6%), which are categorized as very strong. The formulation with a concentration of 6% showed stronger activity. The conclusion of this study indicates that lotion made from avocado leaf extract has the potential as a skin care product with very strong antioxidant capabilities.
The Effect of a Combination of Activated Carbon and Bentonite on Reducing COD, BOD, and TSS Levels in Tofu Industry Wastewater Aritonang, Barita; Ritonga, Ahmad Hafizullah; Harefa, Karnirius; Dicky Yuswardi Wiratma; herlina, herlina
Jurnal FARMASIMED (JFM) Vol 8 No 1 (2025): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/cbxjb379

Abstract

Wastewater produced from tofu manufacturing typically contains substantial amounts of organic substances and suspended particles. The concentrations of Biochemical Oxygen Demand (BOD), Chemical Oxygen Demand (COD), and Total Suspended Solids (TSS) frequently surpass the permissible thresholds established in the Regulation of the Minister of Environment and Forestry (Permen LHK) No. P.16 of 2019. Such high levels of pollutants may degrade water quality and pose risks to both aquatic ecosystems and public health in nearby areas. This study investigates the efficiency of combining activated carbon and bentonite, in both raw and activated forms, for reducing BOD, COD, and TSS concentrations in wastewater originating from tofu industries. The BOD test was performed using a five-day incubation at 24 °C, COD was analysed via the closed reflux method, and TSS was quantified using the gravimetric approach. Adsorbent characteristics were examined in accordance with the Indonesian National Standard (SNI), supported by functional group analysis using Fourier Transform Infrared (FT-IR) spectroscopy and morphological observation with Scanning Electron Microscopy (SEM). The results demonstrated that activation enhanced pore development and improved the adsorption capability of both materials. The combined activated carbon and bentonite effectively decreased BOD from 3,600 mg/L to 140 mg/L, COD from 1,500 mg/L to 185 mg/L, and TSS from 320 mg/L to 270 mg/L. All treated parameters met the regulatory quality standards, indicating that the activated mixture of these adsorbents provides an efficient and environmentally sound method for treating tofu processing wastewater.
PELATIHAN PEMBUATAN DETERJEN DI SMKN 3 MEDAN Gultom, Erdiana; Aritonang, Barita
Jurnal Abdimas Mutiara Vol. 1 No. 1 (2020): JURNAL ABDIMAS MUTIARA
Publisher : Universitas Sari Mutiara Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Sekolah Menengah Kejuruan merupakan wadah yang sangat berperan penting dalam melahirkan generasi-generasi yang terampil dan punya keahlian khusus untuk siap terjun dalam dunia kerja. Dalam hal ini khususnya jurusan kimia industri. Lulusan jurusan ini diharapkan dapat menciptakan lapangan kerja sendiri. Tentu saja mereka mampu untuk membuka usaha berdasarkan ilmu pengetahuan yang telah mereka terima. Deterjen merupakan bagian yang sangat diperlukan dalam kehidupan sehari-hari. Untuk menghemat pengeluaran rumah tangga pada umumnya dan meningkatkan taraf ekonomi pada khususnya, maka sebagai lulusan SMK jurusan kimia industry sudah sepantasnya terlatih dan terampil dalam pembuatan deterjen sendiri Adapun tahapan yang dilakukan dalam pelaksanaan pengabdian ini adalah: (a) tahap Persiapan, (b) tahap Pembinaan/penyampaian materi yang akan dibekalkan kepada peserta adalah materi pelatihan dalam bentuk teori dan penjelasan bahan-bahan dan alat-alat dan (c) tahap Pelaksanaan Evaluasi. Dapat disimpulkan bahwa siswa-siswi jurusan kimia indutri yang mengikuti pelatihan sudah dapat membuat deterjen cair dengan benar
The Influence of Nano Bentonite Filler Material and Cyclic Natural Rubber Grafted Oleic Acid as a Compatibilizer on the Blend of Cyclic Natural Rubber/Polyamide Aritonang, Barita; Ritonga, Ahmad Hafizullah; Harefa, Karnirius
Formosa Journal of Sustainable Research Vol. 3 No. 2 (2024): February, 2024
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/fjsr.v3i2.8134

Abstract

Cyclic natural rubber (CNR) and polyamide (PA) cannot blend homogeneously due to their differing polarities. CNR is nonpolar with low surface tension, while PA is polar with high surface tension. To achieve a homogeneous and compatible CNR/PA blend, a CNR-g-OA compatibilizer is required. This study aims to investigate the influence of CNR-g-OA and nano bentonite on the physical and chemical properties of the PA/CNR mixture. The research findings indicate successful grafting of OA onto CNR, resulting in CNR-g-OA formation. Based on electron microscope structural analysis, the CNR/PA mixture yields a homogeneous and compatible blend. In conclusion, CNR-g-OA and nano bentonite can enhance the quality of the PA/CNR blend by producing a homogeneous and compatible mixture
Factors Associated with the Utilization of the National Health Insurance Mobile Information System Virta Filantropi Zebua; Rahmad Gurusinga; Barita Aritonang
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/43zrp107

Abstract

Mobile JKN is a digital application developed by BPJS Kesehatan to facilitate participants in accessing various administrative services and information related to the National Health Insurance program, such as participant registration, updating membership data, and obtaining information on healthcare services at primary healthcare facilities and referral hospitals. Although the application was designed to improve access to healthcare services, its utilization among participants remains relatively low. This study aimed to analyze factors associated with the utilization of the Mobile JKN information system among National Health Insurance participants at Grandmed Hospital. This study used a quantitative approach with a cross-sectional design. The study population consisted of 100.040 National Health Insurance participants registered at Grandmed Hospital, and a sample of 100 respondents was determined using the Lemeshow formula. Data were analyzed using univariate analysis, bivariate analysis with the Chi-square test, and multivariate analysis using multiple logistic regression. The results show that the majority of respondents (60%) have not utilized the Mobile JKN application. Bivariate analysis shows significant associations between the utilization of Mobile JKN and system quality, information quality, service quality, frequency of use, and net benefits (p < 0.05). Multivariate analysis shows that information quality is the most dominant factor associated with the utilization of Mobile JKN after controlling for system quality and service quality. These findings indicate that improving the quality of information within the applicati on and strengthening outreach to participants are necessary to enhance the utilization of Mobile JKN and improve access to healthcare services.
Analysis of the Relationship between Risk Management of Laboratory Test Errors and the Quality of Laboratory Personnel Services at GrandMed Lubuk Pakam Hospital manullang, Selda; Aritonang, Barita; Pranata, Chandra
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/753ef675

Abstract

Risk management is an essential component of a laboratory quality system to prevent errors in examination results and to improve service quality. This study aimed to analyze the relationship between risk management of laboratory result errors and the service quality of laboratory personnel at GrandMed Hospital Lubuk Pakam. This study employed a quantitative method with a cross-sectional design. A total of 30 respondents were recruited using a total sampling technique. Data were collected using questionnaires and analyzed using the Spearman Rank correlation test. The results show that the type of error is significantly associated with service quality (r = 0.389; p = 0.034), risk identification has a very strong and significant association (r = 0.752; p = 0.000), and risk analysis is significantly associated with service quality (r = 0.382; p = 0.037). However, risk control is not significantly associated (r = 0.156; p = 0.410), and user satisfaction is also not significantly associated (r = 0.052; p = 0.784). Overall, risk management of laboratory errors shows a very strong positive correlation with the service quality of laboratory personnel (r = 0.823; p = 0.000). In conclusion, risk identification and risk analysis are the main factors associated with improving the service quality of laboratory personnel. Therefore, strengthening standard
Analysis of Factors Influencing Laboratory Turnaround Time (TAT) at Grandmed Hospital Lubuk Pakam Ningrum, Dian Hastari; Aritonang, Barita; Siregar, Sa'adah
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/62hphc52

Abstract

Turnaround Time (TAT) is an important indicator of laboratory service quality that supports accurate diagnosis and clinical decision-making. Delays in laboratory results may be influenced by pre-analytical, analytical, and post-analytical phases. This study aimed to analyze the factors influencing laboratory Turnaround Time (TAT) at Grandmed Hospital Lubuk Pakam. This study used a quantitative approach with an analytical observational design and a cross-sectional method. The population consisted of 32 clinical laboratory personnel selected using total sampling. Data were collected through validated and reliable questionnaires and secondary data from laboratory information system records. Data were analyzed using univariate and bivariate analysis with Spearman’s rank correlation test at a 95% confidence level. The results showed that most TAT values met the standard (87.5%). The average TAT for emergency services was 87 minutes, outpatient services 118 minutes, and inpatient services 130 minutes, all within the minimum service standard (≤140 minutes). Pre-analytical factors (r = 0.604; p = 0.000) and analytical factors (r = 0.545; p = 0.001) had significant effects on TAT, while post-analytical factors were not significant (r = -0.098; p = 0.595). In conclusion, pre-analytical and analytical factors are the main determinants of TAT, indicating the need to improve these stages to enhance laboratory service quality.
Analisis Fasilitas Pelayanan Kegawatdaruratan Obstetri Neonatal Emergensi Komprehensif (PONEK) di RSUD Sultan Sulaiman Tahun 2026 rianta, Rianta; Barita Aritonang; Novita Br Ginting
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/s95b3z36

Abstract

Pelayanan Kegawatdaruratan Obstetri Neonatal Emergensi Komprehensif (PONEK) di rumah sakit merupakan ujung tombak dalam upaya penurunan Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB). Sebagai rumah sakit rujukan di Kabupaten Serdang Bedagai, RSUD Sultan Sulaiman wajib menyelenggarakan pelayanan PONEK 24 jam yang didukung oleh fasilitas yang memadai sesuai dengan standar nasional guna menangani kasus kegawatdaruratan secara cepat dan tepat. Penelitian ini bertujuan untuk menganalisis fasilitas pelayanan PONEK di RSUD Sultan Sulaiman Tahun 2025, yang mencakup ketersediaan, kelengkapan, dan kelayakan sarana dan prasarana dalam mendukung pelayanan kegawatdaruratan obstetri dan neonatal. Penelitian ini merupakan penelitian kualitatif dengan pendekatan deskriptif. Data dikumpulkan melalui wawancara mendalam kepada informan utama dan informan triangulasi, observasi lapangan, serta telaah dokumen. Analisis data dilakukan dengan teknik analisis isi untuk mengevaluasi kesesuaian antara kondisi fasilitas di lapangan dengan standar dan regulasi yang berlaku. Hasil penelitian menunjukkan bahwa fasilitas PONEK di RSUD Sultan Sulaiman secara umum telah tersedia dan mendukung pelayanan, namun masih terdapat beberapa keterbatasan. Ketersediaan alat kesehatan, bahan medis, serta dukungan fasilitas penunjang seperti laboratorium dan bank darah 24 jam menjadi faktor krusial dalam menunjang pelayanan. Selain itu, masih diperlukan peningkatan dalam pemenuhan standar fasilitas dan pemeliharaan sarana prasarana agar pelayanan PONEK dapat berjalan secara optimal.
Co-Authors Abdi Lestari Sitepu Ahmad Hafizullah Ritonga Amelia Putri Eflynia Amelia, Fatma Asvia Rahayu Badriani, Nurainun Chatarina Umbul Wahyuni Cut Masyitah Thaib Cut masyithah Debi Meilani Desideria Yosepha Ginting Dicky Yuswardi Wiratma Eka Margareta Sinaga Eka Margareth Erawati, Suci Erdiana Gultom Erdiana Gultom Erdiana Gultom Gultom, Erdiana Harahap, Hasni Yaturramadhan Hasni Yaturramadhan Harahap Hendri Faisal Herlina Herlina , Herlina Herlina . Herlina H Herlina Herlina Hermansyah Aziz Hestina . Hestina Hestina Hestina, Hestina Imel Santika Irmayani Irmayani Karnirius Harefa Karo-Karo, Julyenni Khairiah, Khairiah Lasmaryna Sirumapea Lenny Novita Liver Iman Putra Zai manullang, Selda Melda Astrika Sianipar Munthe, Novita Br Ginting Ningrum, Dian Hastari Nova Florentina Nova Florentina Nova Florentina Ambarwati Novesar Jamarun Novita Br Ginting Nur Mala Sari Panjaitan, Delita Pitriani, Pitriani Pranata, Chandra Purba, Kristin Eliana Putri, Gusliani Eka Rahmad Gurusinga Rahmad Gurusinga RAMAWATI, NURVITA rianta, Rianta Rima Anggeraini Riri Safitri Rotua Sumihar Sitorus Salomo Sijabat Saragih, Eriani Senaya Siagian, Ernita Siahaan, Enzo W.B Sijabat, Salomo Simanjuntak, Putri Nuraimun Sinaga, Eka M Sinaga, Evi Yuni Sintia Sinaga, Sri Lestari Siregar, Sa'adah Sitepu, Rahmadani Sitorus, Elly Sri Melda Bangun Sri Ulina Sri Wulan, Sri Suarnikan Hulu Suci Wulandari Supartiningsih - - Syarifuddin, Shofian Syukri Arief Tamrin Tamrin Virta Filantropi Zebua Widyaningsih, Fadlilah Yanti, Rahma Yaturramadhan Harahap, Hasni Yosi Darmirani Yossy Silalahi Yulidar Laila Safitri Yunita Sari