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Jurnal Kesehatan Amanah
Published by Universitas Muhammadiyah Manado
ISSN : 25804189     EISSN : 29626366     DOI : 10.52714
Core Subject : Health,
Nursing Public Health
Keperawatan Dasar, Keperawatan Anak, Keperawatan Maternitas, Keperawatan Medikal Bedah, Keperawatan Jiwa, Keperawatan Komunitas, Keperawatan keluarga, Keperawatan Gerontik, Keperawatan Gawat Darurat, Keperawatan Kritis, Manajemen Keperawatan, Ilmu Kebidanan, Ilmu Kefarmasian, Ilmu Kesehatan Masyarakat, Ilmu Gizi, dan Fisioteraphy
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 272 Documents
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Implementasi Rekam Medis Elektronik di Rumah Sakit Amelia Septi Ayuni; Fita Rusdian Ikawati; Anis Ansyori
Jurnal Kesehatan Amanah Vol. 8 No. 1 (2024): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v8i1.723

Abstract

Electronic Medical Records (EMRs) are a crucial element in advancing healthcare services, driven by technological and legal advancements, offering benefits such as efficiency, data accuracy, and enhanced patient safety. However, EMR implementation faces challenges, including differences in user perceptions and technical obstacles, necessitating effective strategies to optimize their use. This study aims to describe the challenges and benefits of implementing electronic medical records in hospitals. This study is a literature review using the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses) framework. It was found that the success of EMR implementation in hospitals is influenced by ease of use, benefits, human resource readiness, and infrastructure. However, challenges such as medical staff resistance, budget constraints, accessibility, and data security risks persist. Effective change management and cost management strategies are necessary to ensure system sustainability. The implementation of Electronic Medical Records (EMRs) enhances healthcare service efficiency, information access, and patient safety. However, it faces challenges such as low digital literacy, system limitations, and inadequate medical staff commitment. Effective strategies are required for optimal EMR implementation..
Identifikasi Keselamatan dan Kesehatan Kerja dengan Metode Job Safety Analysis (JSA) di Industri Bengkel Farisna, Semarang Ismi Elya Wirdati; Annisa Nur Utami; Lutfi Muzaqi; Izzatul Alifah Sifai
Jurnal Kesehatan Amanah Vol. 8 No. 1 (2024): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v8i1.724

Abstract

Hazard identification and risk assessment in the Farisna workshop are classified based on the work performed. The use of machinery, equipment, supporting materials, workshop environment, and mechanical work procedures can be a source of potential hazards for workers in the workshop, therefore it is necessary to evaluate health in the Farisna workshop to prevent the risk of harm. This study aims to determine the planning and evaluation of occupational health in the engineering sector in the Farisna workshop. This research method is descriptive qualitative. Using total sampling technique. Data collection by observation with research instruments using JSA or Job Safety forms. The results of this study indicate that of the 7 work activities in the workshop there are 5 activities with medium or medium risk, and there are 2 high risk or high. Medium risks such as being crushed and crushed by heat stress montors, heat disorders, slipping and skin irritation, skin blisters, scratches and punctures, back pain. While the high risk of work activities in the workshop is exposed to explosions, burns, skin irritation, and respiratory problems. Prevention to avoid the risk of work in the workshop should be when working using PPE, doing work carefully, and putting tools in place, and providing fire extinguishers to prevent accidents.
Karakteristik Determinan Kerusakan Fisik Arsip Rekam Medis Rawat Inap di Rumah Sakit Mitra Medika Medan Manisha Manisha; Khoirotun Najihah; Yuniati Yuniati
Jurnal Kesehatan Amanah Vol. 8 No. 1 (2024): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v8i1.726

Abstract

Medical records are essential documents that record healthcare service transactions. These files must be well-managed to maintain information accuracy and support service quality. The security and confidentiality of documents in the storage room are crucial, considering their value to the hospital. Proper management includes storage, security, and maintenance to prevent document damage. This study aims to identify factors influencing the physical deterioration of inpatient medical records at Mitra Medika Medan Hospital in 2024. The research method used is quantitative descriptive with observations and checklists on 98 samples determined through purposive sampling and calculations using Slovin's formula. The study was conducted from May 8, 2024, until completion, with data analysis using univariate tests. The study population consists of 5,271 medical record forms from January to December 2022. The results indicate that 76 documents were damaged, while 22 remained in good condition. Intrinsic factors include the lack of adhesive (92.9%), faded ink, and physical document damage. Extrinsic factors encompass dust, termites, direct sunlight exposure, and high humidity. Therefore, Mitra Medika Medan Hospital needs to enhance its document storage management to minimize determinant to record deterioration.
Efektivitas Pendaftaran Online Peserta Menggunakan Aplikasi Mobile- JKN dalam Pelayanan Pasien Rawat Jalan di RSU Mitra Medika Amplas Chintami Octavia; Eric Winarno
Jurnal Kesehatan Amanah Vol. 8 No. 1 (2024): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v8i1.727

Abstract

Health sector reform aims to enhance access and effectiveness of medical services for all communities. This study evaluates the impact of online registration via Mobile-JKN on outpatient services at RSU Mitra Medika Amplas in 2024. The research employs a quantitative approach with an analytical survey using a cross-sectional design. Respondents consist of 91 outpatients, selected through Purposive Sampling. Data analysis was conducted using Logistic Regression. Logistic regression analysis reveals that the OTP code plays a crucial role in the effectiveness of BPJS online registration, with an Odds Ratio (OR) of 15.221, meaning that patients who understand how to use the OTP code have 15.221 times higher chances of successful registration. In conclusion, user knowledge, internet network, and OTP code significantly affect patient services. RSU Mitra Medika is recommended to expand education and promotion of Mobile-JKN, optimize its utilization, and reduce queues at BPJS offices to improve service efficiency.
Tantangan Implementasi Rekam Medis Elektronik di Puskesmas Hammam Abror Asminoto; Achmad Jaelani Rusdi; Anis Ansyori
Jurnal Kesehatan Amanah Vol. 8 No. 1 (2024): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v8i1.728

Abstract

This study aims to identify the extent to which the Health Center is ready for the implementation of Electronic Medical Records. The methodology applied in this study is Literature Review. The data sources used are secondary data collected from various literature sources available on the internet. The journal used is a reputable publication and focuses on the theme of readiness to implement electronic medical records at the Health Center. The collection of journals was carried out with inclusion criteria that included Population, Intervention, Comparator, Results, Time, Study Design, and Language, so that the total journals analyzed in this study reached 10 Journals. The readiness in the implementation of electronic medical records seen from the aspect of human resources in the Puskesmas shows that they are not fully prepared, because there are still several challenges such as the shortage of medical personnel responsible for medical records and the mismatch between the educational background of employees and the tasks carried out. In terms of cost, the Puskesmas is quite ready for the implementation of electronic medical records and no obstacles were found in terms of funding. In terms of materials, the Puskesmas is not fully prepared, because there are still several problems faced, such as the lack of computers, network problems that are often unstable, and system disruptions that cause errors. In the mechanical aspect, the health center showed quite good readiness, with the results of the study showing that the health center developed more electronic medical record systems using the waterfall approach. However, there are no health centers that implement an electronic system for RME developed by the Ministry of Health in this study. In terms of methodology, the Puskesmas is quite ready, which can be evidenced by the existence of Standard Operating Procedures (SOP) for the implementation of Electronic Medical Records in several Puskesmas.  
Analisis Beban Kerja Petugas Rekam Medis RSUD DR. R. Soedarsono Pasuruan Tatsbita Sabrina; Lilik Afifah; Fita Rusdian Ikawati
Jurnal Kesehatan Amanah Vol. 8 No. 1 (2024): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v8i1.729

Abstract

Medical records are a hospital service that stores patient identity data and plays a role in making medical decisions. Analysis of the workload of medical records officers is needed to ensure efficiency and effectiveness in implementation. This study aims to identify and evaluate the workload of medical records officers at RSUD dr. R. Soedarsono Pasuruan using the Health Workload Analysis (ABK-KES) method. This study is quantitative descriptive in nature with data collection methods in the form of observation, interviews, questionnaires, and document review. Research findings reveal that there is inequality in the distribution of workload in various medical records units, which can impact the quality of hospital services. Therefore, researchers suggest that the workforce with D3 and D4 qualifications still needs to be increased to support higher quality services and it is necessary to optimize the number of workers and make the workload distribution more balanced. Hospital management is also advised to recruit D3 and D4 staff to be more competent in medical record management and training to increase the effectiveness of services at the hospital. Optimizing the workforce by ABK-KES, medical services are expected to operate more effectively so a strategy for optimizing the number and distribution of the workforce is needed to increase service efficiency.
Faktor Penentu Loyalitas Pasien Terhadap Layanan Rawat Inap di RSUD Dr. RM. Djoelham Binjai Eric Winarno; Chintami Octavia
Jurnal Kesehatan Amanah Vol. 8 No. 1 (2024): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v8i1.731

Abstract

Inpatient services are a form of healthcare provided by hospitals, where patients receive intensive care in specialized facilities. These services encompass integrated medical and non-medical aspects. This study aims to analyze the factors correlated with patients' decisions to reselect inpatient services at Dr. RM. Djoelham Regional General Hospital, Binjai in 2024. The research employs a quantitative approach with a cross-sectional design, involving 871 inpatients from January to March 2024. A sample of 90 patients was selected using purposive sampling. Data analysis was conducted univariately and bivariately using the chi-square test The results revealed significant relationships between several factors and patients' decisions to reuse inpatient services, namely service quality (p = 0.000), healthcare facilities (p = 0.027), and customer loyalty (p = 0.013). It is concluded that these factors play an important role in patient decisions. To enhance patient satisfaction and loyalty, the hospital is advised to focus on maintaining and improving facilities, as the availability and quality of facilities significantly affect patient satisfaction. Continuous service improvement can support the hospital's development in providing optimal care. This translation maintains the technical accuracy of the original text, including the proper representation of the hospital's name and the statistical terminology used in the study
Aromaterapi Sebagai Intervensi Non-Farmakologis Untuk Insomnia Pada Lansia: Studi di Rumah Sakit Mitra Medika Tanjung Mulia Lia Effi Noviri; Yuniati Yuniati
Jurnal Kesehatan Amanah Vol. 8 No. 1 (2024): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v8i1.732

Abstract

As individuals age, physiological changes and cognitive patterns can affect sleep quality, often leading to insomnia in older adults. This condition impacts quality of life and can be managed through pharmacological and non-pharmacological therapies. One proven non-pharmacological method is aromatherapy, which stimulates the nervous system to induce a relaxing effect. This study aims to evaluate the effectiveness of aromatherapy in reducing insomnia among older adults, using a quasi-experimental design with a pre- and post-test approach without a control group. The sample consisted of 30 elderly patients at Mitra Medika Tanjung Mulia Hospital. Data analysis revealed a significant difference (p = 0.001) before and after the intervention, confirming that aromatherapy effectively improves sleep quality in older adults. Therefore, this therapy can serve as an alternative method for managing insomnia in this age group.
Pengaruh Behavioral Relaxation Training terhadap Nyeri Kanulasi (Av-Shunt) pada Pasien Ginjal Kronik yang Menjalani Hemodialisis di Rumah Sakit TK.II Dr. Soedjono Magelang Endro Haksara; Ainnur Rahmanti; Dian Pratama; Yesi Puspitasari
Jurnal Kesehatan Amanah Vol. 8 No. 2 (2024): Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v8i2.733

Abstract

Cannulation pain during hemodialysis procedures is a common complaint among patients with chronic kidney failure. Behavioral Relaxation Training (BRT) can be a non-pharmacological intervention to manage this pain. The objective of this study is to analyze the effect of BRT on cannulation pain levels in hemodialysis patients. Method: This study is quasi-experimental with a pre-post test design involving 60 patients divided into intervention and control groups. Pain measurement was performed using the Numerical Rating Scale (NRS). Results: Statistical tests showed a significant reduction in cannulation pain in the intervention group compared to the control group (p<0.05).Conclusion: Behavioral Relaxation Training is effective in reducing cannulation pain in chronic kidney failure patients undergoing hemodialysis.
Evaluasi Peresepan Antibiotik pada Pasien ISPA Pediatri Metode ATC/DDD Anak Agung Pradnya Paramitha Vidiani; Livania Indri Aswara; Madyo Adrianto; Anisa Devi Kharisma Wibowo
Jurnal Kesehatan Amanah Vol. 7 No. 2 (2023): Oktober: Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v7i2.735

Abstract

Acute Respiratory Infections (ARI) are infectious diseases that cause the highest mortality rate in children. Antibiotics are administered to ARI patients if the infection is caused by bacteria. Excessive use of antibiotics increases the risk of resistance and irrational antibiotic use. Efforts to prevent antibiotic resistance and irrational use include evaluating antibiotic utilization based on WHO recommendations, specifically using ATC/DDD classification system and the DU90% method. This study aims to determine the antibiotic utilization profile, DDD/1000 patient-days, and DU90% among pediatric ARI from January 2022 to December 2023. This study employs a quantitative research method with retrospective data collection. The results indicate that the highest antibiotic class used was penicillin (98%), with Amoxicillin 500 mg being the most commonly prescribed antibiotic (98%). The most prevalent ARI diagnosis was Acute Pharyngitis (J.02) (66.1%). The most frequently used dosage form was syrup (54.7%), and the average duration of therapy was 3–5 days. The total antibiotic consumption was 137.4 DDD/1000 patient-days, with antibiotics included in the DU90% segment being Amoxicillin 500 mg (102.3 DDD/1000 patient-days) and Amoxicillin 250 mg (21.6 DDD/1000 patient-days). This study highlights that the most widely used antibiotic in terms of quantity was Amoxicillin 500 mg (102.3 DDD/1000 patient-days).

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