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Ignatius Erik Sapta Yanuar
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INDONESIA
Journal of Ageing And Family
Published by Universitas Respati Indonesia
ISSN : 30263409     EISSN : 28090373     DOI : https://doi.org/10.52643/joaf.v2i1
Core Subject : Health, Science,
Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health
Journal of Aging and Family mengeksplorasi hubungan yang kompleks dan dinamis antara Aging dan Kesehatan terkait isu keluarga. Menyajikan pandangan dan perspektif dari berbagai disiplin ilmu, antara lain Kesehatan, Demografi, Gizi, Psikologi, Kesehatan Masyarakat, Epidemiologi, Pelayanan Kesehatan, Sosiologi, Pertanian, Bisnis dan Teknolog
Arjuna Subject : Biokimia, Genetika dan Biologi Molekuler - Penuaan
Articles 72 Documents
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The Relationship Between Patient Safety Culture and Patient Safety Goals in the Internal Medicine Inpatient Ward at Wira Bhakti Army Hospital, Mataram Tampubolon, Sahat Ericson; Kridawati, Atik; Nugroho, Dedy; Yanuar, Ignatius Erik Sapta
Journal of Ageing And Family Vol 4, No 2 (2024): Journal of Ageing And Family
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/joaf.v4i2.7235

Abstract

Patient safety has been a universal reference in modern hospital practices. In Indonesia, efforts to prevent Patient Safety Incidents—such as Near Misses, Incidents, Adverse Events, and Unsafe Conditions—have been a priority in hospital safety systems. In Nusa Tenggara Barat (NTB), the incidence rate of Patient Safety Incidents is 4.8%. Army Hospital Wira Bhakti Mataram, a military hospital in NTB, plays a significant role in providing healthcare services. The hospital conducts patient safety surveys every six months to monitor and improve safety standards. This study aims to analyze the relationship between patient safety culture and patient safety incidents in the Internal Medicine Unit of Army Hospital Wira Bhakti Mataram. A quantitative analysis method with a cross-sectional approach was used. The study involved a total sample of 82 nurses, collected through in-depth interviews. The results indicate a significant relationship between patient safety culture and patient safety incidents, with a p-value of 0.003. These findings highlight the importance of fostering a strong patient safety culture to reduce incidents and improve overall healthcare quality.
Referral Acceptance System For Patients With Non-Communicable Diseases Of The Elderly In The Tough Doctor Program To Rsud Haji Abdoel Madjid Batoe Taqwin, Ahmad; Kidrawati, Atik; Nurhayati, Nurhayati; Marliana, Thika
Journal of Ageing And Family Vol 4, No 1 (2024): Journal of Ageing And Family
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/joaf.v4i1.7220

Abstract

Non-communicable diseases are chronic illnesses such as hypertension, diabetes mellitus, heart disease, and stroke. This study aims to analyze the challenges in the referral acceptance system for elderly NCD patients within the Tangguh Doctor Program at RSUD Haji Abdoel Madjid Batoe. This qualitative research was conducted at RSUD Haji Abdoel Madjid Batoe. The informants consisted of the Acting Head of the Batang Hari District Health Office, Sub-coordinator of Primary Health Services, representatives from BPJSKesehatan Batang Hari, representatives from RSUD Haji Abdoel Madjid Batoe, representatives from Bapperida of Batang Hari Regency, elderly NCD patients, Doctors (Tangguh Doctor Team), and staff of the TPPRJ at RSUD Haji Abdoel Madjid Batoe. Data collection used document review, in-depth interviews, and FGDs. The research findings indicate that each region has 1 Tangguh Doctor Team. The funding (Money) comes from APBD. Materials include stationery, medical devices, proof sheets and visit logbooks, visit registration books, and referral sheets. There is an existing SOP (Method). The equipment (Machine) includes a vehicle, but laptops/tablets and the Integrated Referral Information System (SISRUTE) are not yet available. The target (Market) is elderly patients with NCDs. The process involves the doctor determining the need for referral, the team taking the patient to the primary health center (puskesmas), and ensuring the patient receives care. The system's output issuboptimal, impacting efficiency and effectiveness. The primary cause is the team's lack of SISRUTE integration with P-Care for printing referrals. The main recommendation is the development of SISRUTE for Tangguh Doctors. Referral acceptance to RSUD Hamba is suboptimal due to the absence of SISRUTE- P-Care integration. It is suggested to develop a digital referral application to eliminate the need for patients to visit the primary health center for referral letters. This application should be connected with P-Care BPJS and SISRUTE.
The Influence of Workload, Work Environment, and Work Ethic on Service Quality at BaliMed Karangasem Hospital Dicky, Dicky; Nugraha, Susiana; Isabella, Karlina; Yanuar, Ignatius Erik Sapta
Journal of Ageing And Family Vol 4, No 2 (2024): Journal of Ageing And Family
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/joaf.v4i2.7230

Abstract

The quality of service in hospitals is one of the important factors that influences patient satisfaction and hospital operational efficiency. Workload, work environment, and work ethic are factors that can influence the quality of services provided by health workers. Excessive workload can cause stress and fatigue, while a supportive work environment and good work ethic can increase employee motivation and performance. This study aims to analyze the influence of workload, work environment, and work ethic on the quality of service at BaliMed Karangasem Hospital. The method used was analysis using primary data obtained through questionnaires distributed to 122 respondents, consisting of nurses and midwives. The analysis used includes univariate, bivariate, and multivariate analysis. The research results showed that the majority of respondents had a high workload (78.7%), a good work environment (75.4%), a good work ethic (86.1%), and good service quality (76.2%). In multivariate analysis, workload (AOR=7.271, p=0.006) and work ethic (AOR=7.243, p=0.002) were found to have a significant influence on service quality, while work environment did not have a significant influence. The results of this research suggest that hospitals pay attention to managing workloads in a more balanced manner and support increasing work ethics to improve the quality of services provided to patients. Future research is recommended to explore other factors that can influence service quality, such as management support and skills training.
Analysis Of Factors Affecting Nurse Performance At Moh Ridwan Meuraksa Hospital, Jakarta Putro, Ardhestiro Harnindyo; Kodyat, Alih Germas; Ulfa, Laila; Yanuar, Ignatius Erik Sapta
Journal of Ageing And Family Vol 4, No 1 (2024): Journal of Ageing And Family
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/joaf.v4i1.7224

Abstract

Nurse performance plays a crucial role in improving hospital service quality. Level II Hospital Moh Ridwan Meuraksa faces challenges in ensuring optimal nurse performance, including aspects of leadership, job satisfaction, organizational commitment, and recognition and rewards. This study aims to analyze the influence of transformational leadership style, job satisfaction, organizational commitment, and recognition and rewards on nurse performance at the hospital. The method used is a quantitative approach with a cross-sectional design. Data were collected through a questionnaire completed by 180 respondents and analyzed using chi-square tests and multiple logistic regression. The results showed that job satisfaction (p = 0.000, OR = 5.57) and recognition (p = 0.000, OR = 6.00) had a significant relationship with nursing performance. Meanwhile, leadership style (p = 0.006, OR = 2.67) and organizational commitment (p = 0.000, OR = 4.76) were also significantly related but were not included in the final model. In the multivariate analysis, rewards (OR = 7.270) and job satisfaction (OR = 6.78) were found to be significant, with rewards as the dominant factor. The Hosmer and Lemeshow test indicated good model fit (p = 0.702). In conclusion, nurse performance is significantly influenced by rewards and job satisfaction. Therefore, hospitals are advised to optimize performance-based reward systems and improve job satisfaction to enhance the quality of healthcare services.
Analysis of Factors Influencing Compliance with Electronic Medical Record Documentation by Nurses and Midwives in the Inpatient Department of Siloam Hospital Bangka Winardi, Novia; Sumijatun, Sumijatun; Nugroho, Dedy; Marliana, Thika
Journal of Ageing And Family Vol 4, No 2 (2024): Journal of Ageing And Family
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/joaf.v4i2.7234

Abstract

Documentation using Electronic Medical Records (EMR) significantly improves the quality of patient medical record completion. Siloam Hospital Bangka has implemented EMR; however, several challenges have arisen in its application within the inpatient department. This study aims to analyze the factors influencing compliance with EMR documentation among nurses and midwives in the inpatient department, focusing on aspects of knowledge, motivation, supervision, and infrastructure availability. This study employs a quantitative approach with a cross-sectional design. The sample consists of 33 nurses and midwives in the inpatient department, selected using a total sampling technique. Data were collected through questionnaires and an audit observation checklist of inpatient medical records during the period from January 15 to January 22, 2025. Fisher’s exact test and multiple logistic regression were used to determine the dominant variables influencing documentation compliance. The research results indicate a significant relationship between knowledge (p-value = 0.000; OR = 184.000) and supervision (p-value = 0.000; OR = 46.000) with nurses and midwifes compliance in documentation. However, no significant relationship was found between motivation or infrastructure availability and documentation compliance. This study concludes that documentation compliance is influenced by knowledge and supervision, with knowledge being the most dominant factor. Since documentation compliance in electronic medical records supports the quality of healthcare services at Siloam Hospital Bangka, the hospital is recommended to implement regular training programs on the use of electronic medical records.
The Effect of Lean Six Sigma Implementation, Information Technology Utilization, and Bed Capacity on Length of Inpatient Stay at Karya Medika Hospital, Bantar Gebang, Bekasi, in 2025 Gunardi, Astri; Kridawati, Atik; Herawati, Herawati; Marliana, Thika
Journal of Ageing And Family Vol 4, No 2 (2024): Journal of Ageing And Family
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/joaf.v4i2.7229

Abstract

The Length of stay is a crucial indicator in hospital service systems. This study aims to analyze the influence of Lean Six Sigma implementation, the use of information technology, and bed capacity on the length of stay at RS Karya Medika Bantar Gebang. The research method used is a quantitative approach with a descriptive analytical design. Data were collected through questionnaires and analyzed using univariate, bivariate, and multivariate tests. The univariate analysis results show that the majority of respondents are aged 20-35 years (59.00%), female (64.10%), and work as nurses (56.40%). Bivariate analysis using Pearson correlation test shows that Lean Six Sigma implementation has a strong relationship with length of stay (r = 0.855, p = 0.000), the use of information technology has a very strong relationship (r = 0.906, p = 0.000), and bed capacity also has a strong relationship (r = 0.838, p = 0.000). Multivariate analysis results using multiple linear regression indicate that Lean Six Sigma implementation (β = 1.583, p = 0.000) and the use of information technology (β = 0.954, p = 0.043) significantly affect the length of stay, while bed capacity (β = 0.505, p = 0.243) does not have a significant effect. The regression model used has an R value of 0.944 and an R Square value of 0.892, indicating that 89.2% of variations in length of stay can be explained by the three independent variables. The conclusion of this study is that Lean Six Sigma implementation and the use of information technology significantly contribute to reducing the length of stay, while bed capacity does not have a direct impact. Therefore, hospitals are advised to further optimize the implementation of Lean Six Sigma and information technology to improve service efficiency.
Analysis Of Electronic Medical Record Implementation To Improve Service Quality At Uki General Hospital Hardyanti, Ilyana Prasetya; Rahardjo, Tri Budi W; Hutapea, Fresley; Agustin, Dinni
Journal of Ageing And Family Vol 4, No 1 (2024): Journal of Ageing And Family
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/joaf.v4i1.7223

Abstract

Background: The development of information technology in the health sector encourages the implementation of Electronic Medical Records (EMR) to improve the efficiency and quality of hospital services. UKI General Hospital has implemented EMR, but still faces technical and operational challenges that hinder system optimization. Objective: This study aims to analyze the implementation of EMR at UKI General Hospital and evaluate its impact on the quality of hospital services. Method: The study used a mixed-method approach with data collection techniques through questionnaires, interviews, and quantitative and qualitative data analysis. The sample consisted of health workers and administrative staff involved in the use of EMR. Results: The results of the study indicate that the implementation of EMR has increased efficiency in patient data management, but there are still obstacles such as limited infrastructure, lack of HR training, and difficulties in adapting to technology. Conclusion: The implementation of EMR contributes to improving the quality of hospital services, but improvements are still needed in technical aspects and HR readiness. Suggestion: Improvements in infrastructure, medical personnel training, and strategic policies are needed to support more effective implementation of EMR.
Determinants Related to the Performance of Inpatient Nurses at Permata Cibubur Hospital Retno K.M, Henrika; Satar, Yuli Prapanca; Aminingsih, Purwanti; Dachlan, Mira Roziati; Widayati, Titik
Journal of Ageing And Family Vol 4, No 2 (2024): Journal of Ageing And Family
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/joaf.v4i2.7233

Abstract

In improving the quality of hospital health services, one important role is to focus on the quality of human resources, namely nursing services. The contribution of nursing services is assessed in the performance of nurses. There are several factors that can affect worker performance, such as motivation, work environment and the ability of the worker. This reseacrh aims to determine the determinant factors that are related to the performance of inpatient nurses at Permata Cibubur Hospital. Research Method: This research uses a quantitative with a cross-sectional design. The analysis in this study was used to determine the effect of each variable on the performance of inpatient nurses at Permata Cibubur Hospital. The number of samples needed in this study is 58 samples. Data analysis in this study uses logistic regression analysis Research Results: The results of the analysis show that nurses with good abilities have a tendency for good performance of 4.922 times higher than nurses with poor performance after being controlled by motivation and work environment variables. Then nurses with good motivation have a tendency for good performance of 4.269 times higher than nurses with poor performance after being controlled by nurse abilities and nurse environment. The most dominant nurse ability factor is related to nurse performance because it has the highest risk. Ability and motivation have an influence on improving the performance of inpatient nurses. Inadequate levels of work ability have a higher risk of having a negative impact on work. Worker motivation needs to be improved to prevent a decline in nurse performance.
Analysis Of The Effect Of Digital Marketing In Increasing Public Interest In The Urology Polyclinic Of Al-Muchtar Islamic Hospital, Karawang Putra, Ade; Garnida, Aliefety Putu; Santosa, Yaya Aria; Saratiana, Rasyiqah; Agustin, Dinni
Journal of Ageing And Family Vol 4, No 2 (2024): Journal of Ageing And Family
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/joaf.v4i2.7228

Abstract

Background: Al-Muchtar Islamic Hospital Karawang faces challenges in increasing public interest in its urology clinic, which recently reopened after a temporary closure. Amid intense competition, high service quality demands, and technological advancements, digital marketing becomes a crucial strategy to restore public trust, boost visits, and ensure the sustainability of quality urology services. Method: This quantitative study uses a cross-sectional approach, analyzed with simple logistic regression for bivariate and multiple logistic regression for multivariate analysis. Data were collected through written questionnaires and literature studies during December 2024–January 2025, with a sample of 90 respondents. Results: There is a significant influence of gender on interest in the urology clinic (p-value = 0.017), content (p-value = 0.032), accessibility (p-value = 0.016), and customer engagement (p-value = 0.033) at Al-Muchtar Islamic Hospital Karawang. Gender has a minor influence on interest in the urology clinic (OR: 0.227; 95% CI: 0.067–0.766). Content (OR: 12.726; 95% CI: 1.239–130.701) and accessibility (OR: 8.772; 95% CI: 1.487–51.752) significantly increase interest, while customer engagement (OR: 0.019; 95% CI: 0.001–0.729) has a smaller influence. Conclusion and Sugestion: Gender, content, accessibility, and customer engagement significantly influence interest in the urology clinic at Al-Muchtar Islamic Hospital Karawang, with content and accessibility being the primary factors. Improving digital marketing requires strengthening teams, training, providing necessary tools, ensuring accessibility, implementing follower growth strategies, and coordinated promotion efforts.
The Influence of Lean Management on Worker Safety and Patient Safety Culture at Bhayangkara Brimob Kelapadua Hospital, Depok Nugroho, Priyo; Jak, Yanuar; Sunadi, Apri; Ariestanti, Yenni
Journal of Ageing And Family Vol 4, No 1 (2024): Journal of Ageing And Family
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM Universitas Respati Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/joaf.v4i1.7222

Abstract

In the modern era, hospitals are required to enhance worker safety and patient safety culture to provide optimal healthcare services. One approach used is Lean Management, which aims to reduce waste and improve efficiency in healthcare service processes. However, the implementation of Lean Management in hospitals still faces various challenges, particularly regarding its impact on worker safety and patient safety culture.This study aims to analyze the effect of Lean Management on worker safety and patient safety culture at Bhayangkara Brimob Kelapadua Depok Hospital. This research employs a quantitative method with an analytical survey design and a cross-sectional approach. Data were collected from healthcare workers in the inpatient unit using a validated and reliable questionnaire. Data analysis was conducted using linear regression to examine the relationships between variables. The results indicate that Lean Management has a positive and significant effect on worker safety (p = 0.000) and patient safety culture (p = 0.000). Additionally, worker safety acts as a mediator in the relationship between Lean Management and patient safety culture. These findings confirm that effective implementation of Lean Management can improve worker safety, which ultimately contributes to enhancing the patient safety culture. This study provides insights for hospital management on optimizing Lean Management implementation to create a safer work environment and improve healthcare service quality. It is recommended that hospitals strengthen training and safety policies to support more effective Lean Management implementation.

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