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INDONESIA
Jurnal Kesmas Prima Indonesia
Published by Universitas Prima Indonesia
ISSN : 2355164X     EISSN : 2721110X     DOI : https://doi.org/10.34012/jkpi
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal Kesmas Prima Indonesia merupakan jurnal yang diterbitkan oleh Fakultas Kesehatan Masyarakat dengan frekuensi penerbitan dua kali setahun, yaitu pada bulan Januari dan Juli. Jurnal ini memuat naskah penelitian dan naskah studi literatur di bidang Ilmu Kesehatan Masyarakat yang meliputi Epidemiologi, Keselamatan & Kesehatan Kerja, Gizi Kesehatan Masyarakat, Biostatistik, Kesehatan Lingkungan, Promosi Kesehatan & Ilmu Perilaku, Kesehatan Reproduksi, dan Administrasi & Kebijakan Kesehatan.
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Articles 35 Documents
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Search results for , issue "Vol. 9 No. 2 (2025): July Edition" : 35 Documents clear
The Relationship Between Field Clinical Practice Experience And Work Readiness Of Final Level Anesthesiology Nursing Students In Yogyakarta Wahyuaji, Gita Latifah; Handayani, Nia; Rohmah, Astika Nur
Jurnal Kesmas Prima Indonesia Vol. 9 No. 2 (2025): July Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v9i2.6821

Abstract

Field Clinical Practice (PKL) is an important stage in Anesthesiology Nursing education to equip students with technical skills and work readiness. Students are required to have competence in anesthesia management. However, students' work readiness after undergoing PKL is still a question, so this research needs to be carried out. This study aims to determine the relationship between PKL experience and work readiness of Anesthesiology Nursing students in Yogyakarta. This research uses quantitative methods with a correlational design and approach cross-sectional. The research population was final year Anesthesiology Nursing students at UNISA and the Yogyakarta Ministry of Health Polytechnic. The sampling technique uses stratified random sampling, with a total of 60 respondents. Data analysis was carried out using a correlation test Spearman Rank. Based on the results of statistical analysis, the results showed that 50 students (83.3%) had PKL experience in the good category, with 52 students (86.7%) in the ready category for work readiness. Correlation test results Spearman Rank The value obtained was 0.825** and the Sig (2-tailed) value between the PKL Experience and Work Readiness variables was 0.000 (p<0,05). There is a very strong relationship between PKL experience and job readiness of final year Anesthesiology Nursing students in Yogyakarta.
Relationship of Knowledge to SBAR Communication Attitude During Patient Handover in Recovery Room in Anesthesiology Nursing Students of Aisyiyah University Yogyakarta Azva, Zahara Febria; Murdiyanto, Joko; Rosidah, Istiqomah
Jurnal Kesmas Prima Indonesia Vol. 9 No. 2 (2025): July Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v9i2.7064

Abstract

Communication failure can lead to malpractice, misunderstanding, delayed diagnosis, service, additional costs, incomplete information, patient and family dissatisfaction and can even cause death, so effective communication with the SBAR method is needed during patient handover in the recovery room. This study aims to determine the relationship between the level of knowledge and the attitude of SBAR communication during patient handover in the recovery room in Anesthesiology Nursing students at 'Aisyiyah University of Yogyakarta. This research method uses quantitative correlation with a cross-sectional design. Sampling with random sampling totaling 67 respondents. Data were collected using a questionnaire with Spearman rank analysis. The results of the Spearman Rank correlation test obtained a p-value of 0.000 <0.005 and a correlation value of 0.758 (strong), meaning that there is a relationship between knowledge and the attitude of SBAR communication during patient handover in the recovery room in Anesthesiology Nursing students at 'Aisyiyah University of Yogyakarta. The majority of respondents had good knowledge of 35 respondents (52.5%) and good attitudes of 37 respondents (55.2%).
The Role of Technology in Primary Health Care Management Strategy : Literature Study Winanti, Sumi Fitri; Fadillah, Indah; Natasya, Dwi Fanny Amanda; Alwini, An'nisa; Hutagalung, Putri Adinda Ramadani; Raniah, Sofia; Harsana, Amanda Putri; Faiz, Muhammad Nabil; Wasyiem, Wasyiem
Jurnal Kesmas Prima Indonesia Vol. 9 No. 2 (2025): July Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

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Abstract

Primary health care is a very important first-level service in the health system, especially in remote and low-income areas. The development of digital technology has great potential to improve the effectiveness and efficiency of primary health care through integration in management strategies. This article is a literature study that aims to explore the role of technology in primary health care management strategies based on the results of recent research. Data were obtained from various national and international scientific journals between 2021 and 2025 through searches on databases such as Google Scholar, PubMed, Scopus, and ScienceDirect. The results of the analysis show that the use of technology such as electronic medical records, telemedicine, and mobile health applications can improve access, service quality, and managerial efficiency. However, challenges such as limited infrastructure, digital literacy, and human resource readiness are still major obstacles. This study recommends the need for contextual adaptive strategies to optimize the use of technology in primary health care, especially in developing countries like Indonesia.
Analysis of the Level of Service Satisfaction of BPJS Patients at the Primary Outpatient Clinic of UIN North Sumatra Using the Servqual Method Syahfitri, Dewi; Pulungan, Dea Rizka Ananda; Gurning, Fitriani Pramita
Jurnal Kesmas Prima Indonesia Vol. 9 No. 2 (2025): July Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v9i2.7210

Abstract

Service quality is closely related to customer satisfaction because service quality can create a good relationship with the company and tell the company how to meet consumer needs. This study aims to determine the level of patient satisfaction with the services provided by the Primary Outpatient Clinic of UIN North Sumatra. The method in this study uses a quantitative approach, and the research design is carried out in a cross-sectional manner. The research sample of 50 respondents was selected through the purposive sampling method in accordance with the criteria of patients who received BPJS and had reading and writing skills. The results showed that all dimensions of SERVQUAL had a positive gap, with responsiveness as the highest dimension (0.49), followed by tangibles (0.36), assurance (0.35), reliability (0.32), and empathy (0.31). The CSI value of 82.61% indicates that patient satisfaction is in the very satisfied category. The conclusion of this study shows that the level of satisfaction of BPJS patients with the services at the Primary Outpatient Clinic of UIN North Sumatra is in the category of very satisfied. The responsiveness and tangibles dimensions received the highest ratings, while the empathy and a dimensions still needed improvement to be able to meet patient expectations more optimally and sustainably.
Analysis of Factors of Utilization of JKN Program Services in Pancur Batu District Salsabila, Rizka Fauziah; Adelia, Difa; Gurning, Fitriani Pramita
Jurnal Kesmas Prima Indonesia Vol. 9 No. 2 (2025): July Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v9i2.7214

Abstract

The JKN program in Pancur Batu District, Deli Serdang Regency, has not been running optimally, with a low number of participants utilizing health services. This is due to various factors, including access, service quality, and public understanding. This study aims to identify the relationship between factors that influence the utilization of health services in the area. The method used is a quantitative approach with a cross-sectional design, involving 97 respondents selected by simple random sampling. Data were collected through questionnaires and analyzed using chi-square analysis. The results showed a significant correlation between the use of JKN services and education level (p = 0.015), availability of facilities and infrastructure (p = 0.009), accessibility (p = 0.002), and complaints of illness (p = 0.011). In contrast, no significant correlation was found between employment status (p = 0.805) and salary (p = 0.622) with service utilization. The conclusion of this study is that increasing the utilization of the JKN program requires a holistic approach, which includes improving access to health facilities, improving service quality, and educating the public about the benefits of the JKN program.
Analysis of Increasing Trends in Hemodialysis Patients and Its Implications for National Health Financing Burden in Indonesia: Literature Study Fahny, Vira Zul; Rahma, Putri Aulia; Gurning, Fitriani Pramita
Jurnal Kesmas Prima Indonesia Vol. 9 No. 2 (2025): July Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v9i2.7232

Abstract

The number of chronic kidney disease (CKD) patients undergoing hemodialysis in Indonesia continues to increase, putting great pressure on the national health financing system, especially the National Health Insurance (JKN). This study is a literature review that analyzes five scientific articles published between 2021 and 2024. Articles were selected through targeted searches in Google Scholar and PubMed, then synthesized narratively to describe trends and financing implications. The synthesis results show a significant increase in the number of hemodialysis patients each year, with therapy costs reaching trillions of rupiah. Payment rates set in the INA-CBGs system are often not in accordance with real costs in hospitals, risking a deficit in health facilities and BPJS Kesehatan. The increasing trend of hemodialysis patients places a large economic burden on the national health system. Cost control strategies are needed through primary prevention, early detection of CKD, adjustment of INA-CBGs rates, and development of alternative therapies to maintain service sustainability.
Analysis Of Nursing Service Quality On Inpatient Satisfaction At Madani General Hospital, Medan Rustiani, Rustiani; Sitorus, Rotua Sumihar; Br Ginting Munthe, Novita
Jurnal Kesmas Prima Indonesia Vol. 9 No. 2 (2025): July Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

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Abstract

Patient satisfaction is one of the important indicators that must be considered in nursing services. Patient satisfaction is the result of patient assessment of nursing services by comparing what is expected with the reality of nursing services received in a hospital. The purpose of the study was to analyze the quality of nursing services on the satisfaction of inpatients at RSU. Madani Medan. The type of research used in this study is quantitative using an observational approach. The research design used is cross-sectional. The population in this study includes inpatients at RSU. Madani Medan in January 2025 to February 2025 as many as 300 people. The number of samples to be studied according to Slovin was 175 people. Data analysis was carried out using univariate, bivariate and multivariate analysis. The statistical tests used were the chi square test and logistic regression. The results of the chi square test showed a significant relationship between Direct Evidence, Reliability, Responsiveness, Assurance and Empathy of nursing services on inpatient satisfaction at RSU. Madani Medan, where the p-value = 0.000. From the results of the multivariate analysis, the most influential variables in this study were the Assurance variable with an OR value of 66.738, and the Empathy variable with an OR value of 22.142. Conclusion of the study; the majority of patients with respondent characteristics aged 27-38 years, female gender, high school education level, housewife occupation. The quality of nursing services Direct Evidence, Reliability, Responsiveness, Assurance and Empathy can be seen from the attitudes of nurses in providing nursing services carried out for the satisfaction of inpatients at RSU. Madani Medan.
Analysis of Factors Related to Nurse Performance in Inpatient Wards Citra Medika General Hospital Putri, Dwiana Kartika; Tampubolon, Ida Lestari
Jurnal Kesmas Prima Indonesia Vol. 9 No. 2 (2025): July Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v9i2.7373

Abstract

Introduction:A hospital is a health service organization that is very important for the community. One of the most important resources in determining the success of hospital services is the health workforce. Nurses are one of the professional health workers who provide nursing care to patients whose performance greatly affects the quality of services provided. The performance of a health worker is greatly influenced by several factors that influence a person to continue to improve, direct and maintain their behavior both directly and indirectly with the work environment. Purpose: This study aims to analyze factors related to nurse performance. Method: This research method is quantitative withThe analytical survey research design uses a cross-sectional approach, namely research that tries to explore how and why the phenomenon occurs and then carries out a dynamic analysis of the correlation between the phenomena, both between the independent variables and the dependent variables., the population was 53 nurses in the inpatient room and the sample used was a total sampling of 53 nurses in the inpatient room. The data collection technique used a measuring instrument in the form of a questionnaire. Results: The results of the study showed that the variables of job promotion with a ρ value (0.033), the work itself with a ρ value (0.030) and awards with a ρ value (0.005) had a relationship with nurse performance because the valueρ value< 0.05. Conclusion: Promotion, the work itself, and rewards are related to nurse performance at Citra Medika Hospital.
Prevalence and Associated Risk Factors of Dehydration Among Construction Workers Rizki, Kartika Sari; Siregar, Santy Deasy; Akasna, Ezra Tri Mutiara; Aulia, Annisa
Jurnal Kesmas Prima Indonesia Vol. 9 No. 2 (2025): July Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v9i2.7374

Abstract

Dehydration poses a significant health risk to construction workers due to heavy physical work and exposure to hot working conditions. This study aimed to determine the prevalence of dehydration and identify associated risk factors among construction workers. A cross-section study was conducted involving 32 construction workers in a construction project for the construction of a wheat flour and soybean mill owned by PT. Agri First which operates at KIM 2 Medan. Data were collected using questionnaires, fingertip pulse oximeters, urine refractometers, and observation sheets. Dehydration is categorized based on the level of urine specific gravity (ultrasound). The data was statistically tested using the Fisher Exact test (α=0.05). The majority of workers (75%) were dehydrated. There was no significant relationship between dehydration and age. However, workers with more than 3 years of experience were more likely to be dehydrated compared to workers with less than 3 years of experience (OR = 8,333, 95% CI: 1,392-49,872). Workers with moderate workloads were also more likely to be dehydrated compared to workers with light workloads (OR = 18,333). There was a significant association between water intake and dehydration (p = 0.000). All workers who did not drink enough water were dehydrated, while only 66.7% of those who drank enough water were dehydrated. Workers with more than 3 years of experience, moderate workload, and inadequate water intake have a higher risk of becoming dehydrated. Interventions to improve hydration among construction workers are urgently needed.
Effect of Chest Physiotherapy on Respiratory Effectiveness in Children with Pneumonia Lubis, Lisnawati; Siregar, Patimah Sari; Basri, Basri; Sucahyo, Dedek; Nurhayati, Evalatifah
Jurnal Kesmas Prima Indonesia Vol. 9 No. 2 (2025): July Edition
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v9i2.7419

Abstract

Pneumonia remains a leading cause of morbidity and mortality in children, especially those with weakened immunity due to factors such as insufficient breast milk, malnutrition, HIV or measles infection, premature birth, or incomplete immunizations. Environmental exposures—including dust, cigarette smoke, and air pollution further elevate the risk. This study aimed to systematically review literature (2019–2024) on the effectiveness of chest physiotherapy in improving clinical outcomes, specifically respiratory rate, oxygen saturation, length of hospital stay, and symptomatic recovery in children with pneumonia. We conducted electronic searches on Google Scholar, NCBI, and accredited Indonesian journals using the keywords “chest physiotherapy” and “pneumonia in children.” From approximately 60 initially identified articles, eight met our inclusion criteria and were reviewed in full. Most studies were quasi‑experimental; one was a randomized controlled trial. Study populations ranged from infants (0–5 years) to older children (6–12 years). Interventions comprised postural drainage, clapping, vibration, percussion, deep‑breathing exercises, and effective coughing techniques. Results from eight studies indicated modest improvements in oxygen saturation and reductions in respiratory rate in some small trials. However, findings were inconsistent, with substantial heterogeneity in methodology, intervention protocols, and outcome reporting. Overall evidence quality was low to moderate. Chest physiotherapy may offer potential benefits in terms of oxygenation and respiratory rate in pediatric pneumonia patients. Nevertheless, current evidence remains limited and heterogeneous. High‑quality randomized controlled trials using standardized protocols are needed to establish stronger recommendations

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