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Karya Kesehatan Siwalima
Published by Universitas Kristen Indonesia Maluku
ISSN : 28288408     EISSN : 28288181     DOI : https://doi.org/10.54639/kks.v1i1
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Karya Kesehatan Siwalima merupakan jurnal yang dikelola oleh Fakultas Kesehatan Universitas Kristen Indonesia Maluku. Karya Kesehatan Siwalima merupakan jurnal yang menerbitkan artikel hasil dari kegiatan Pengabdian pada Masyarakat, atau kegiatan penelitian yang terintegrasi dengan Pengabdian pada Masyarakat. Tema Pengabdian pada Masyarakat dapat bersumber dari program kerja (pendidikan kesehatan, penyuluhan, sosialisasi), dampak suatu program pembangunan atau inovasi, hasil survei, dan eksperimen di bidang kesehatan.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 83 Documents
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Examining the Relationship Between Work Motivation and Job Satisfaction Among Nurses in Inpatient Care Units Octavelia, Anggi Tri; Indriani, Fatma
Karya Kesehatan Siwalima Vol. 5 No. 1 (2026): Maret (In Progress)
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v5i1.1729

Abstract

Job satisfaction reflects the alignment between individuals’ expectations and the rewards provided by their work; therefore, it is closely associated with work motivation theory. This study aimed to examine the relationship between work motivation and job satisfaction among nurses working in the inpatient ward of Sundari General Hospital. A quantitative approach with a cross-sectional design was employed, involving 56 respondents selected through a total sampling technique, whereby all members of the population were included as the study sample. Data were collected using a structured questionnaire and analyzed using Spearman’s rank correlation test. The results indicated a statistically significant relationship between work motivation and job satisfaction (p = 0.010), with a positive correlation of moderate strength. These findings suggest that higher levels of work motivation are associated with higher levels of job satisfaction among inpatient nurses. In conclusion, increasing nurses’ work motivation may contribute to enhanced job satisfaction. Therefore, hospital management is encouraged to implement strategies aimed at improving nurses’ work motivation to further enhance their job satisfaction.
Work Fatigue and Its Associated Factors Among Sewing Workers in the Garment Industry Batu Bara, Raisa Shabrina; Nurhayati
Karya Kesehatan Siwalima Vol. 5 No. 1 (2026): Maret (In Progress)
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v5i1.1734

Abstract

Work fatigue is a common occupational health problem in the garment (convection) industry, particularly among sewing workers. These workers are typically required to maintain static postures for prolonged periods, work long hours, and perform monotonous, repetitive tasks. This study aims to analyze the factors associated with work fatigue among sewing workers in garment businesses located on Jalan Amaliun, Medan Area District, Medan City. The study employed a quantitative design with a cross-sectional approach. The sample consisted of 30 respondents selected using a total sampling technique. Data were analyzed using univariate and bivariate methods, with the Chi-Square test applied at a significance level of α = 0.05. The results showed significant relationships between age and work fatigue (p-value = 0.01 < 0.05), gender and work fatigue (p-value = 0.028 < 0.05), length of employment and work fatigue (p-value = 0.027 < 0.05), as well as daily working hours and work fatigue (p-value = 0.00 < 0.05). Therefore, garment workers, especially those in the sewing section, are encouraged to maintain their physical condition to remain optimal during work. Meanwhile, business owners are advised to regulate working hours more effectively and provide adequate rest periods to reduce the risk of work fatigue.
Strengthening Hospital Care Quality through Patient Safety Education: Evidence from a Regional Hospital in Eastern Indonesia Manuhutu, Feby; Sumah, Dene Fries; Leutualy, Vanny; Tomasoa, Valensya Yeslin; Tubalawony, Syulce Luselya; Parinussa, Nenny; Jotlely, Hery; Talahatu, Olivia
Karya Kesehatan Siwalima Vol. 5 No. 1 (2026): Maret (In Progress)
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v5i1.1736

Abstract

Patient safety is an essential component in improving the quality of healthcare services. The World Health Organization, through the Global Patient Safety Action Plan 2021–2030, emphasizes the importance of healthcare systems that prioritize patient safety. However, the implementation of patient safety practices in hospitals continues to face several challenges, including limited knowledge among healthcare workers and a low culture of incident reporting. This community service activity was conducted by nursing lecturers at a regional hospital and involved 60 nurses. The methods employed included interactive lectures, group discussions, and practical simulations based on the six International Patient Safety Goals. Evaluation was carried out using pre-tests and post-tests. The results demonstrated a significant improvement in knowledge, with the average score increasing from 56% to 87%. Patient safety education was proven to be effective in enhancing nurses’ understanding and awareness, thereby strengthening the culture of patient safety and improving the overall quality of healthcare services in hospitals.
Traffic Accident Risk Among Intercity Bus Drivers: Evidence from Eldivo Bus Services in Pematang Siantar Siregar, Yusuf Syahputra; Susilawati
Karya Kesehatan Siwalima Vol. 5 No. 1 (2026): Maret (In Progress)
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v5i1.1760

Abstract

Traffic accidents remain a significant issue in the transportation sector, particularly in public transport modes such as intercity buses. This study aimed to analyze accident risk among Eldivo intercity bus drivers in Pematang Siantar based on three key variables: driver knowledge, driving compliance, and vehicle roadworthiness. This study employed a quantitative approach with a descriptive-analytical design. The sample consisted of 60 drivers selected using a total sampling technique. Data were collected through structured questionnaires and observations and analyzed using univariate, bivariate (chi-square test), and multivariate (logistic regression) analyses. The univariate analysis showed that 45% of drivers had experienced traffic accidents. The bivariate analysis indicated that poor knowledge, low driving compliance, and unroadworthy vehicles were significantly associated with accident risk (p < 0.05). The multivariate logistic regression analysis revealed that poor knowledge increased accident risk by 14.205 times (p = 0.005), low driving compliance by 16.987 times (p = 0.002), and unroadworthy vehicles by 15.964 times (p = 0.012). The regression model also yielded a Nagelkerke R² value of 0.651, indicating that 65.1% of the variance in accident risk could be explained simultaneously by these three variables. In conclusion, driver knowledge, driving compliance, and vehicle roadworthiness significantly influence accident risk. Therefore, efforts to improve safety should include regular training programs for drivers, strengthened monitoring of driving compliance, and periodic technical vehicle inspections.
Evaluation of Dengue Control Program Implementation at Simalingkar Community Health Center Laoli, Ananda Nurmairani; Hasibuan, Rapotan
Karya Kesehatan Siwalima Vol. 5 No. 1 (2026): Maret (In Progress)
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v5i1.1789

Abstract

Dengue Hemorrhagic Fever (DHF) is an infectious disease that remains a health problem in Indonesia, including in the Simalingkar Community Health Center (Puskesmas) work area. Data shows an increase in cases from 87 cases in 2023 to 96 cases in 2024. This study aims to evaluate the implementation of the Dengue Fever Eradication Program (P2DBD) at the Simalingkar Community Health Center based on input, process, output, and outcome components. The research method used a descriptive qualitative approach with a purposive sampling technique with seven informants, including the head of the community health center, program manager, village official, neighborhood head, and jumantik cadres. Data were collected through in-depth interviews, observation, and documentation, then analyzed thematically. The results of the study indicate that from the input aspect, the availability of human resources, infrastructure, and funds is still limited, thus affecting program optimization. In the process, the implementation of PSN, larvasidization, fogging, counseling, epidemiological investigations, and larva examinations has not been consistent and the coverage is not evenly distributed. From the output, the achievement of activities has not met the ideal indicator such as Larvae Free Rate ?95%. In terms of outcomes, dengue fever case tracking has not been optimal, with some cases still not being reported promptly. The main inhibiting factors are minimal cross-sectoral coordination, low community participation, and logistical constraints.
Enhancing Occupational Safety through Safety Talk: Evidence from Palm Oil Processing Industry Salsabila, Fatma; Nurhayati
Karya Kesehatan Siwalima Vol. 5 No. 1 (2026): Maret (In Progress)
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v5i1.1795

Abstract

Workplace accidents are unexpected events occurring in occupational settings that may result in physical injury, material loss, or even death. In a palm oil mill in East Kalimantan, Indonesia, accidents are primarily associated with worker negligence, inadequate use of personal protective equipment (PPE), and unsafe working conditions. One preventive strategy implemented is the occupational health and safety (OHS) management approach through safety talk, which aims to promote safe work behavior and strengthen a safety culture. This study aims to analyze the implementation of safety talk in a palm oil mill in East Kalimantan, Indonesia. A qualitative research design with a case study approach was employed, involving key informants including the chief machinist, processing assistant, foreman, deputy foreman, and seven operators from each processing station. The findings indicate that the regular implementation of safety talk has a positive impact on improving workplace safety, enhancing OHS awareness, and reducing the incidence of occupational accidents. However, several challenges remain, including limited communication between management and workers, as well as suboptimal worker awareness. The effectiveness of the program is supported by strong managerial commitment, adequate facilities, and continuous training, as reflected in improved worker discipline and a decline in accident rates. Therefore, enhancing the quality of safety talk, strengthening OHS training, implementing reward systems, and encouraging active worker participation and accountability are strongly recommended.
Formulation and Antibacterial Activity Testing of Acne Patch Containing Mangrove Leaf Extract (Sonneratia alba) Against Staphylococcus aureus Silfia, Dwi Azziatus; Ittiqo, Dzun Haryadi; Hati, Melati Permata; Fitriani, Yuli
Karya Kesehatan Siwalima Vol. 5 No. 1 (2026): Maret (In Progress)
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v5i1.1797

Abstract

Indonesia has significant potential in the utilization of biological natural resources, including mangrove plants known to contain bioactive compounds with pharmacological value. One mangrove species, Sonneratia alba, contains flavonoids, alkaloids, and steroids that exhibit potential as natural antibacterial agents. This study aimed to develop an acne patch formulation based on Sonneratia alba leaf extract and to evaluate its physical characteristics and antibacterial activity against Staphylococcus aureus. The study employed an experimental laboratory design with extract concentrations of 5% (F1), 7.5% (F2), and 10% (F3), along with a negative control (F0) and a positive control (pure extract). Physical evaluations included organoleptic properties, pH, weight uniformity, thickness, folding endurance, elongation, and moisture content. Antibacterial activity was assessed using the agar diffusion method. The results showed that all formulations met the required physical quality parameters, and formulation F3 (10%) produced the largest inhibition zone against Staphylococcus aureus, measuring 18.5 ± 0.58 mm, which is categorized as strong antibacterial activity. In conclusion, Sonneratia alba leaf extract demonstrates potential as a natural active ingredient in topical acne patch formulations. Further studies are recommended, including stability testing, skin irritation assessment, and quantitative analysis of active compounds using analytical techniques such as HPLC to ensure the safety and efficacy of the formulation.
Factors Associated with the Implementation of Early Breastfeeding Initiation in Rokan Hilir Regency Vanda, Medina Elly; Gurning, Fitriani Pramita
Karya Kesehatan Siwalima Vol. 5 No. 1 (2026): Maret (In Progress)
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v5i1.1798

Abstract

Early Breastfeeding Initiation (EBI) is a critical intervention for improving neonatal survival and overall infant health. However, its implementation in several healthcare settings remains suboptimal, as coverage has yet to achieve the expected 100% target. This study aimed to examine the factors influencing the implementation of EBI at a community health center in Rokan Hilir Regency. A quantitative approach was employed using an analytical survey method with a cross-sectional design. The study included 62 midwives selected through total sampling. Data were collected using structured questionnaires and analyzed using chi-square tests and binary logistic regression. The bivariate analysis revealed significant associations between the implementation of EBI and several factors, including midwives’ understanding of EBI policies, clinical skills, healthcare service support, support from other healthcare personnel, perceived family support, and midwives’ attitudes (p < 0.05). Multivariate analysis indicated that midwives’ understanding (p = 0.002, OR = 586.401), clinical skills (p = 0.005, OR = 102.429), and attitudes (p = 0.004, OR = 79.976) were the most influential determinants of EBI implementation. These findings highlight the importance of strengthening midwives’ professional competencies and attitudes to improve the quality of EBI services. Continuous training programs and comprehensive mentoring strategies are recommended to enhance implementation outcomes.
Determinants of Adolescent Posyandu Utilization in Stabat Primary Health Care, Indonesia Syahadah, Rahmah Fadlilatu; Gurning, Fitriani Pramita
Karya Kesehatan Siwalima Vol. 5 No. 1 (2026): Maret (In Progress)
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v5i1.1799

Abstract

The Adolescent Posyandu Program is a government initiative aimed at improving adolescent health status. However, the utilization of adolescent posyandu services in the working area of the Stabat Public Health Center, Langkat Regency, remains low and has not yet reached the national target of 80%. This study aimed to analyze the factors influencing the utilization of adolescent posyandu services in this area. This study employed a quantitative approach with a cross-sectional design. A total of 94 adolescent respondents were selected using a stratified random sampling technique. Data were analyzed using the Chi-square test for bivariate analysis and logistic regression for multivariate analysis. The results showed that only 39 respondents (41.5%) utilized adolescent posyandu services. Bivariate analysis indicated significant associations between knowledge, attitudes, the role of health cadres, family support, and peer support with the utilization of adolescent posyandu services (p < 0.05). Multivariate analysis revealed that knowledge (p = 0.003), attitudes (p = 0.006), and peer support (p = 0.018) had a significant influence on utilization (p < 0.05). Among these variables, attitude was identified as the most dominant factor (Exp(B) = 25.047), indicating that adolescents with positive attitudes were significantly more likely to utilize posyandu services. In conclusion, attitudes, knowledge, and peer support play significant roles in influencing adolescent participation in posyandu programs, with attitude emerging as the strongest predictor. Strengthening health promotion strategies that focus on improving adolescents’ attitudes is essential to increase service utilization.
Analysis of Physical Environmental Quality and Airborne Bacterial Counts in the Inpatient Wards of Dr. Pirngadi General Hospital, Medan Nathasya, Diva Aulia; Nanda, Meutia
Karya Kesehatan Siwalima Vol. 5 No. 1 (2026): Maret (In Progress)
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v5i1.1806

Abstract

Air quality in hospital inpatient rooms plays a crucial role in preventing nosocomial infections. Air contaminated with microorganisms can act as a medium for disease transmission when bacterial counts exceed established quality standards. This study aimed to analyze the relationship between environmental physical factors—temperature, humidity, lighting, and sanitation—and airborne bacterial counts in inpatient rooms at Dr. Pirngadi General Hospital, Medan. This research employed an observational analytic design with a cross-sectional approach. The sample consisted of 12 inpatient rooms selected through purposive sampling based on specific criteria. Data were collected through direct measurements of environmental physical conditions and laboratory examination of airborne bacterial counts. The results showed that temperature was significantly and negatively correlated with airborne bacterial counts (r = -0.744; p = 0.006), indicating that lower temperatures tended to be associated with higher bacterial counts. Humidity was significantly and positively correlated (r = 0.748; p = 0.005), suggesting that higher humidity levels increased bacterial counts. Meanwhile, sanitation (r = -0.411; p = 0.184) and lighting (r = -0.552; p = 0.063) did not show a statistically significant relationship with airborne bacterial counts. In conclusion, temperature and humidity are the primary determinants that should be considered in controlling air quality in inpatient rooms. However, sanitation and lighting remain important factors in preventing cross-contamination.

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