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Hubungan Beban Kerja dan Stres Kerja dengan Kinerja Perawat di IGD RSUD Aloei Saboe Zulkifli Walangadi; Azharatul Jannah; Nurfalia Harfah; Andi Nurul Azizah
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 1 (2026): Februari 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i1.5749

Abstract

Nurse performance is a key indicator of healthcare quality and patient safety, particularly in Emergency Departments (ED) where workload demands are high. This study aimed to analyze the relationship between workload and job stress with nurse performance in the ED of Prof. Dr. H. Aloei Saboe Hospital. An analytical observational study with a cross-sectional design was conducted involving all 45 ED nurses selected through total sampling. Data were collected using structured questionnaires measuring workload, job stress, and nurse performance, and were analyzed using Spearman’s rank correlation test. Results showed that the majority of nurses experienced high workload (64.44%) and high job stress (53.33%). Statistical analysis revealed a significant negative correlation between workload and nurse performance (p = 0.002; r = -0.448) as well as between job stress and nurse performance (p = 0.001; r = -0.485), both with moderate correlation strength. These findings indicate that higher workload and stress levels are associated with lower nurse performance. The study highlights the need for comprehensive interventions, including optimizing nurse-patient ratios, improving workflow, providing psychosocial support, and implementing stress management programs to maintain nurse performance and service quality in high-pressure ED environments.
Generasi Remaja Bebas Diabetes melalui Edukasi Pola Hidup Sehat di Sekolah Zulkifli Walangadi; Jasmin Ambas; Nurul Anisa; Samsiana; Irwandi Rachman
Jurnal Pengabdian Masyarakat - PIMAS Vol. 5 No. 2 (2026): Mei
Publisher : LPPM Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/pimas.v5i2.2143

Abstract

Diabetes mellitus is a non-communicable disease with a continuously increasing prevalence and poses a significant public health challenge. Early prevention efforts, particularly among junior high school adolescents, are essential to reduce the risk of developing diabetes in adulthood. This community service activity aimed to improve students’ knowledge of diabetes prevention through the adoption of a healthy lifestyle. The activity was conducted among 23 ninth-grade students at SMP Negeri 3 Bontonompo Selatan Satap Salajo. A pre-experimental design using a one group pretest–posttest approach was applied. The intervention consisted of contextual and interactive health education delivered through lectures, discussions, and question-and-answer sessions. Students’ knowledge levels were assessed using a 10-item questionnaire administered before and after the educational intervention. The results demonstrated an improvement in students’ knowledge, indicated by an increased proportion of students categorized as having good knowledge and a rise in the mean knowledge score from 59.13 in the pretest to 70 in the posttest. These findings indicate that school-based health education is an effective promotive and preventive strategy for early diabetes mellitus prevention.
Analisis Komparatif Biaya Klaim Pasien Diabetes Melitus Berdasarkan Tingkat Keparahan: Studi Big Data Jaminan Kesehatan Nasional Zulkifli Walangadi; Siti Qomaria Usu; Marhawati Marhawati; Cici Nila Ardila; Luthfiana Nur
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.v5i2.7316

Abstract

Diabetes Mellitus (DM) poses a substantial financial burden on Indonesia’s National Health Insurance (JKN), particularly for inpatient services at Advanced Referral Health Facilities (FKRTL). The INA-CBGs payment system classifies cases by severity level to determine BPJS Kesehatan reimbursement. This study aimed to examine differences in BPJS Kesehatan claim costs according to DM severity levels among hospitalized patients. A quantitative comparative design was applied using the 2025 BPJS Kesehatan Sample Data. A total of 58,101 inpatient DM claims were analyzed using total sampling. The independent variable was INA-CBGs severity level, and the dependent variable was total BPJS Kesehatan claim cost. Data were analyzed descriptively and inferentially using the Kruskal–Wallis test followed by post-hoc Mann–Whitney U tests with Bonferroni correction. The results indicated a consistent increase in length of stay and median claim costs with higher severity levels. Median claim costs were IDR 4,038,200 for mild cases, IDR 5,748,650 for moderate cases, and IDR 8,627,650 for severe cases. Differences in claim costs across severity levels were statistically significant (p < 0.05). In conclusion, DM severity level is significantly associated with BPJS Kesehatan claim costs, indicating that the INA-CBGs system adequately differentiates reimbursement based on case complexity.