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Prof. Diah Ayu Maharani, DDS, PhD
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Makara Journal of Health Research
Published by Universitas Indonesia
ISSN : 23563664     EISSN : 23563656     DOI : https://doi.org/10.7454/msk
Core Subject :
Makara Journal of Health Research (MJHR) is a peer-reviewed and scientific journal published by Universitas Indonesia. Starting from 2019 onwards, MJHR is redirecting its scope, focusing on publishing research articles relevant to non-communicable diseases (NCDs) addressing issues of surveillance, disease management and health policy in the Asia Pacific and Mediterranean countries. Relevant academic articles regarding NCDs analyzed from an integrated perspective including individual and population level, experimental and clinical approaches, epidemiology, public health, disease prevention and health promotion, diagnosis, treatment, prognosis and palliative care are welcome.
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Articles 270 Documents
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Perception of Lean Adoption among Emergency Department Personnel in Public Hospitals in Selangor, Malaysia Mohamad Jamil, Azizul Rahman; Abdul Manaf, Mohd Rizal; Wan Puteh, Sharifa Ezat; Balakrishnan, Kiran Ganesh
Makara Journal of Health Research Vol. 28, No. 1
Publisher : UI Scholars Hub

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Abstract

Background: This research aims to assess the perceptions of the staff working in emergency departments in Selangor, Malaysia, regarding the adoption of lean management and identify the factors that affect their perceptions. Methods: A cross-sectional study using the Lean in Healthcare Questionnaire was conducted with 251 respondents, which consisted of doctors, nurses and medical assistants employed in three selected hospitals. Results: One-way analysis of variance (ANOVA) showed a significant difference in every domain score in accordance with the occupation category. For the domain process, a significant negative correlation was found between age and domain score (r = –0.195, p = 0.002). In particular, nurses had better perceptions of lean adoption compared with others (odds ratio [OR] = 2.44, p < 0.004). The odds of having a better perception decreased by 6.3% as the age increased (p < 0.008). Conclusions: The findings revealed that age and occupation appeared to be determinants of lean adoption perceptions among emergency department personnel. Specifically, older employees tend to have negative perceptions, while nurses have more positive perceptions. However, further research is needed to understand perceptions of lean adoption better and develop guidelines for implementing lean principles in healthcare settings.
Healthcare Provider Engagement and Its Effects on Patient Rereferral: Insights from Indonesia Setiawan, Felicia
Makara Journal of Health Research Vol. 28, No. 1
Publisher : UI Scholars Hub

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Abstract

Background: In the highly competitive landscape of healthcare, nurturing strong relationships between referring healthcare providers and healthcare facilities is essential for maintaining patient loyalty. This study explores the factors influencing referring health care provider engagement and its subsequent impact on the willingness to rerefer to healthcare facilities. Methods: A cross-sectional quantitative survey was conducted with 181 healthcare providers who regularly refer patients to a private hospital in Jakarta. Data were collected through an online structured questionnaire consisting of 29 questions. The following dimensions were covered: specialist characteristics, practice characteristics, healthcare provider–specialist interaction, patient–specialist interaction, returning referral, training opportunity, healthcare provider engagement, and willingness to rerefer to hospital. Results: The study yielded significant findings, with five out of the six antecedents associated with healthcare provider engagement demonstrating statistical significance (p < 0.05). The most significant coefficient value pertaining to healthcare provider engagement was observed in patient–specialist interaction (β = 0.287, p < 0.05). Furthermore, the analysis indicated a substantial and positive correlation between health care provider engagement and willingness to rerefer to the healthcare provider (p < 0.05). Conclusions: Healthcare providers who demonstrate engagement with the hospital are likely willing to rerefer their patients to the hospital. Therefore, to increase the willingness to rerefer patients to the hospital, hospital management should prioritize fostering engagement with healthcare providers, particularly by improving patient and specialist interaction experiences.
Factors Predicting Work Ability among Community Healthcare Providers in Yangon, Myanmar Wai, Phyu Nyein; Clara, Naw
Makara Journal of Health Research Vol. 28, No. 1
Publisher : UI Scholars Hub

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Abstract

Background: In healthcare organizations, a high level of work ability is necessary for workers to perform their tasks under different working conditions. This study aimed to describe the quality of work life, work environment, and work ability and examine predictors of the work ability of community healthcare providers. Methods: A cross-sectional descriptive study was conducted from May 2020 to July 2020. The study enrolled 284 registered nurses and midwives from 38 public health departments in Yangon, Myanmar. Data were collected using the work-related quality of life scale (WRQoL) 2, work environment impact scale (WEIS-SR), and work ability index (WAI). The multiple regression method was used to analyze predictors of work ability. Results: Overall, 71.13% of the participants were between 26 and 45 years old, and 99.30% were female. High WEIS-SR (61.98 ± 6.38), average WRQoL (106.10 ± 15.63), and good WAI (39.29 ± 4.99) scores were found (p = 0.05). WRQoL was found to be a predictor of the WAI of community healthcare providers (R2 = 0.140, B = 0.124) (p = 0.05). Conclusions: Improving the quality of work life of community healthcare providers will also motivate them to perform their jobs better and thus satisfy their clients.
Barriers and Facilitators of Pharmacists’ Roles During the Pandemic in Malaysia Palani Velu, Thanushiri; Islahudin, Farida; Chong, Wei Wen
Makara Journal of Health Research Vol. 28, No. 1
Publisher : UI Scholars Hub

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Abstract

Background: The coronavirus disease 2019 (COVID-19) left a devastating impact on healthcare systems worldwide. The crisis initially emerged as a supply disruption issue but eventually evolved into a myriad of additional challenges, which were attributed mainly to the extensive scale of the pandemic. This study aimed to explore the barriers to the role of hospital pharmacists and related facilitators encountered during the COVID-19 pandemic. Methods: Pharmacists in Malaysia participated in a cross-sectional online questionnaire-based survey. The participants were recruited using convenient sampling. Cronbach alpha of the questionnaire was analyzed. Results: The study successfully enrolled 367 pharmacists. The major barrier in terms of knowledge and skills was the difficulty in investigating the trend and usage pattern of COVID-19 medicines (N = 183; 49.9%). A global shortage of medicines (N = 314; 85.6%) occupied the highest barrier in the supply chain. The clinical barriers cited by most of the respondents comprised conducting clinical trials in the search for effective treatments (N = 282; 76.8%), and the largest departmental barrier was the difficulty of predicting usage based on previous data (N = 262; 71.4%). Almost all respondents agreed that a course or module on COVID-19 treatments (N = 354; 96.5%) served as a facilitator, enhancing their awareness and preparedness to respond to the pandemic. Conclusions: The empowerment of pharmacists with the crucial resources, skills, and support that will enable them to effectively fulfill their roles and responsibilities can be instrumental in the transformation of our approach to addressing future pandemics.
Most Common Symptoms of Prediabetic and Insulin Resistance in Adults in Saudi Arabia Bukhari, Hassan Mazzhar; Albuqami, Fatoon Mohammed; Asiri, Alanoud Mohammed; Yatim, Ghadeer Othman; Alshareef, Jomana Abdullah; Alzahrani, Ruba Saeed
Makara Journal of Health Research Vol. 28, No. 1
Publisher : UI Scholars Hub

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Background: The prediabetic stage exhibits common symptoms; hence, the risk of developing diabetes can be reduced by identifying these symptoms in the most affected population. This study aimed to examine the prevalence of the main symptoms of insulin resistance in healthy adults aged 18 years and above. Methods: A cross-sectional study was conducted on 1,514 Saudi adults using an online questionnaire collected from 13th November 2020 to 23rd March 2021. Data on personal, lifestyle, and common symptoms were gathered, and the main symptoms were presented as frequencies with percentages. Association with insulin resistance was evaluated using the Chi-square test and other variables by logistic regression models. Results: The four most commonly presented symptoms at a frequency of 23% were tiredness after eating, tiredness all day, frequent urination, and thirst even after drinking. When gender and income levels were considered together with insulin resistance levels in the logistic models, only thirst remained a substantial symptom. Conclusions: In the prediabetic stage, tiredness, urinating more than usual, excessive eating, and thirst were the common symptoms. Implementing public health campaigns and drawing attention to these symptoms for healthcare providers would improve the diagnosis and treatment of diabetes.
Assessment of Sociodemographic Status, Self-awareness, and Risk Factors Affecting Patients with Prediabetes in Bangladesh: Cross-sectional Study Sultana, Farhana; Islam, Muhammed Mohibul; Das, Aparajita; Rahman, Md Hasan Shahriar; Pia, Nandita Islam; Mahmud, Md Kayes; Mostaq, Md. Saqline; Saadullah, Saadullah; Hossain, Md. Saddam; Fakir, Saikat; Amin, Mohammad Nurul
Makara Journal of Health Research Vol. 28, No. 1
Publisher : UI Scholars Hub

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Abstract

Background: Poor glycemic control and high diabetes and prediabetes incidence are influenced by socioeconomic disparity. Raising awareness and ensuring that people with prediabetes are receiving medication, maintaining their glycemic control, and getting the proper care they need despite their socioeconomic situation are crucial in the fight against diabetes. This study aims to assess the sociodemographic status, self-awareness, and risk factors associated with prediabetes in Bangladesh. Methods: A cross-sectional survey was carried out among 500 participants aged >18 years to evaluate and summarize their demographic data, socioeconomic status, and responses to various questionnaires about their conditions related to prediabetes and their awareness of this condition. Results: Analysis of factors revealed that 41% and 39% of the participants had first- and second-degree relatives with diabetes, respectively. Meanwhile, 36% of the participants maintain physical activities, 30% prefer sweetened beverages, and 29% have high blood pressure. The participants were aware of different statements related to diabetes, such as how lifestyle modification and awareness can help people with prediabetes. Conclusions: This study provided insights into the underlying factors related to prediabetes and enabled us to identify the prediabetes conditions unknown to people in Bangladesh.
Determinant of Unintended Pregnancy in Indonesia Lubis, Pika Novriani; Djuwita, Ratna; Adisasmita, Asri C.; Ronoatmodjo, Sudarto; Gayatri, Maria
Makara Journal of Health Research Vol. 28, No. 1
Publisher : UI Scholars Hub

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Abstract

Background: Unintended pregnancy is a global health problem. The number of unintended pregnancies globally is still high, accounting for 1 in 4 pregnancies. In Indonesia, it occupies 15% of total pregnancies. However, studies discussing the determinants of unintended pregnancies in Indonesia were conducted on a small scale. Methods: This cross-sectional research utilized the data of 15,316 respondents of the 2017 Indonesia Demographic and Health Survey. Results: The prevalence of unintended pregnancies in women with live births in the last 3–5 years was approximately 16%. The highest risk of unintended pregnancies was recorded for those with the youngest age, living in urban, and were grand multipara and for the couples who did not know each other’s preferences. Conclusions: Strengthening communication, information, and education in family planning programs, particularly for young women and grand multipara and promoting men’s involvement can help prevent unintended pregnancies.
Suicidal Ideation in Malaysian Young Adults: The Role of Depressive Symptoms and Perceived Problem-Solving Ability Wu, Shin Ling; Sin, Yong Chy
Makara Journal of Health Research Vol. 28, No. 1
Publisher : UI Scholars Hub

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Background: The escalating suicide rates among young adults, including those in Malaysia, necessitate a deeper understanding of the factors contributing to suicidal ideation. This study investigates the relationship between depressive symptoms and perceived problem-solving ability, including problem-solving confidence, approach-avoidance style, personal control of emotion, and suicidal ideation among Malaysian young adults. Methods: A total of 231 Malaysian young adults aged 18 to 25 years (Mean = 21.1; SD = 1.38) participated in a cross-sectional survey study. The sample was primarily composed of participants of Chinese ethnicity. Using an online survey, participants completed measures including the Depression, Anxiety, and Stress Scale (DASS-21) depression subscale, Problem-Solving Inventory, and Yatt Suicide Attitude Scale (YSAS). Results: Pearson correlation analysis revealed significant relationships between depressive symptoms, perceived problem-solving ability (specifically problem-solving confidence, approach-avoidance style, and personal control of emotion), and suicidal ideation. Further analysis through logistic regression revealed that young adults with suicidal ideation exhibited a higher likelihood of experiencing depressive symptoms and lower confidence in problem-solving compared to those without suicidal ideation. Conclusions: These findings highlight the importance of addressing depression and promoting effective problem-solving skills as significant strategies to reduce suicidal risk among young adults. Suicide prevention initiatives should prioritize interventions aimed at improving mental well-being and bolstering problem-solving ability in this vulnerable population.
Disaster Response Self-Efficacy of Students in the Nursing Department: A Cross-Sectional Study Yılmaz, Dilek; Buran, Gonca
Makara Journal of Health Research Vol. 28, No. 1
Publisher : UI Scholars Hub

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Background: Nurses take on important roles in disasters. In this regard, the disaster response self-efficacy of nursing students must be evaluated. The study aimed to determine the self-efficacy of nursing students in disaster response. Methods: In this descriptive cross-sectional study, the study sample consisted of 207 nursing students who were in their third or fourth year attending the nursing department of a state university in the Marmara region of Türkiye between October and December 2023. Data were collected using a student description form and the disaster response self-efficacy scale. Results: The mean age of the study participants was 22.05 ± 2.23 years, 73.4% were female, 50.2% were in their third year of study, 90.3% felt a need for education on disaster nursing, and 76.8% stated that they did not have sufficient knowledge and skills relating to disasters. The students’ mean total score on the disaster response self-efficacy scale was 3.23 ± 0.68. In addition, the disaster response self-efficacy levels of students who stated they had sufficient knowledge and skills concerning disaster response were significantly higher than those of other students (p < 0.05). Conclusions: Students demonstrated a medium level of disaster response self-efficacy.
Investigating Nursing Students’ Levels of Knowledge about Alzheimer’s Disease Kondakci, Dilek Doruk; Mandiracioğlu, Aliye
Makara Journal of Health Research Vol. 28, No. 1
Publisher : UI Scholars Hub

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Background: Given that Alzheimer’s disease (AD) has become a major public health problem, this study aimed to investigate the AD knowledge level of nursing students who are health professional candidates. Methods: The population of this cross-sectional study consisted of 346 nursing students taking up a 4-year program. They were asked to fill out a sociodemographic information form and answer questions from the Alzheimer’s Disease Knowledge Scale (ADKS). Results: Among the participants, 67.6% were female and 98.8% were single. The mean age of the students was 20.55 ± 2.05 years. Their general knowledge about AD was low, with a mean ADKS score of 17.6 ± 2.85. The scores of the 4th year students (p = 0.035) and those who received education about the disease beforehand (p = 0.015) were statistically significantly higher than those of the other participants (p < 0.05). No significant relationship with ADKS score was observed for the factors of gender, whether they had elderly relatives, and whether they visited nursing homes. Conclusions: The participating students had a low level of knowledge about AD. Increasing disease-specific education and practices for nursing students and including discussions on AD in compulsory courses is necessary to fill in the knowledge gaps.

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