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Journal of Innovative and Creativity
Published by Universitas Pahlawan Tuanku Tambusai
ISSN : 2962570X     EISSN : 2776771X     DOI : https://doi.org/10.31004/joecy
Core Subject : Education, Social,
Education Languange, Linguistic, Communication & Media Mathematics Social Sciences Other
Journal of Innovative and Creatifity (JOECY) publishes research articles in the field of education which report empirical research on topics that are significant across educational contexts, in terms of design and findings. The topic could be in curriculum, teaching learning, evaluation, quality education, management, and education technology. Papers which contain in-depth critical literature reviews of research on specific educational topics are also welcomed.
Arjuna Subject : Ilmu Sosial - Pendidikan
Articles 6,612 Documents
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Analysis of Factors Affecting Medication Adherence in Tuberculosis Patients at Puskesmas Medan Area Selatan Widia Astuti Tanjung; Ristika Julianty Singarimbun
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

Background: Tuberculosis (TB) remains a major public health challenge in Indonesia, with approximately 1,090,000 cases reported annually. Achieving the national TB elimination target by 2030 requires optimal treatment adherence; however, medication non-adherence continues to hinder treatment success and disease control. This study aimed to identify factors influencing medication adherence among pulmonary TB patients at Puskesmas Medan Area Selatan. Methods: A cross-sectional analytic study was conducted from January to March 2025 involving pulmonary TB patients registered under the Directly Observed Treatment Short-course (DOTS) program. A total of 87 respondents were recruited using consecutive sampling based on the following inclusion criteria: confirmed pulmonary TB diagnosis, undergoing at least one month of treatment, and willingness to participate. Data were collected using structured questionnaires assessing six independent variables: patient knowledge, family support, healthcare service quality, drug side effects, the role of treatment supervisors (PMO), and socioeconomic status. Medication adherence was measured using the Morisky Medication Adherence Scale-8 (MMAS-8). Binary logistic regression analysis was performed using SPSS version 26.0. Results: Among the respondents, 62.1% demonstrated good medication adherence. Bivariate analysis revealed significant associations between adherence and patient knowledge (p = 0.001; OR = 4.87; 95% CI: 1.89–12.53), family support (p = 0.003; OR = 3.94; 95% CI: 1.56–9.94), healthcare service quality (p = 0.021; OR = 2.87; 95% CI: 1.17–7.03), and drug side effects (p = 0.038; OR = 2.41; 95% CI: 1.05–5.51). Multivariate logistic regression identified patient knowledge as the most dominant factor influencing adherence (Adjusted OR = 5.12; 95% CI: 1.91–13.70; p = 0.001), followed by family support (AOR = 3.78; 95% CI: 1.43–9.98; p = 0.007). Conclusion: Patient knowledge is the strongest determinant of medication adherence among TB patients at Puskesmas Medan Area Selatan. Strengthening structured health education interventions and promoting family-centered support strategies are essential to enhance treatment adherence and accelerate progress toward Indonesia’s TB elimination target by 2030.
Evaluation of Hospital Management Information System (HMIS) Implementation on Administrative Service Efficiency Violent Andary; Dwi Ris Hasanah SI
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

Background: Hospital Management Information Systems (HMIS) are increasingly recognized as essential tools for improving administrative efficiency in healthcare settings. Rumah Sakit Islam Malahayati (RSI Malahayati) in Medan, Indonesia adopted an integrated HMIS to streamline its administrative processes; however, the extent to which the system has effectively improved service delivery efficiency remains inadequately evaluated. This study aimed to evaluate the implementation of HMIS on administrative service efficiency at RSI Malahayati, Medan, in 2026. Methods: A qualitative study employing a phenomenological approach guided by the Colaizzi method was conducted from September to December 2025. The study was set at RSI Malahayati, a 150-bed Islamic private hospital in Medan, North Sumatra. Purposive sampling was applied to recruit 18 participants, including hospital administrators, information technology staff, medical records officers, and front-line administrative personnel. Inclusion criteria required direct engagement with HMIS for a minimum of six months. In-depth, semi-structured interviews were conducted face-to-face, averaging 55 minutes per session. Interviews were audio-recorded, transcribed verbatim, and analyzed using NVivo 12 software. Data saturation was confirmed at the 16th interview. Trustworthiness was ensured through triangulation, member checking, and peer debriefing, in conformity with COREQ standards. Results: Four major themes emerged from data analysis: (1) Enhanced administrative workflow integration, characterized by reduced manual data entry and inter-departmental communication delays; (2) Barriers to optimal system utilization, encompassing inadequate technical training, system downtime incidents, and user resistance; (3) Impact on patient service responsiveness, reflecting shorter waiting times and improved patient registration accuracy; and (4) Organizational and cultural factors shaping HMIS adoption, including leadership support and Islamic institutional values influencing staff acceptance. Participants consistently acknowledged improvements in data accuracy and reporting efficiency, though persistent technical and human resource challenges limited system performance. Conclusion: HMIS implementation at RSI Malahayati has demonstrably improved administrative service efficiency through enhanced workflow integration and data management. However, sustainable efficiency gains require addressing identified barriers through comprehensive staff training, technical infrastructure reinforcement, and culturally responsive change management strategies tailored to Islamic hospital settings.
Efektivitas Edukasi Keluarga dalam Kepatuhan Perawatan Luka Diabetes Melitus Tipe 2 di Wilayah Kerja Puskesmas Medan Johor Martaulina Sinaga; Rian Febriko Ginting; Memo Nababan; Imelda Br Ginting
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i1.8490

Abstract

Latar Belakang: Diabetes melitus (DM) merupakan masalah kesehatan global dengan prevalensi yang terus meningkat. Luka diabetik atau diabetic foot ulcer (DFU) menjadi komplikasi serius yang memerlukan kepatuhan tinggi terhadap protokol perawatan. Keterlibatan keluarga sebagai caregiver informal berpotensi meningkatkan kepatuhan pasien, namun penelitian terkait masih terbatas di Indonesia. Tujuan: Penelitian ini bertujuan menganalisis efektivitas edukasi keluarga terstruktur dalam meningkatkan kepatuhan perawatan luka pada penderita DM tipe 2. Metode: Penelitian quasi-experimental dengan desain pre-test and post-test with control group dilakukan di Puskesmas Medan Johor periode Januari-Juni 2026. Total 140 responden dibagi menjadi kelompok intervensi (n=70) yang mendapat edukasi keluarga terstruktur selama 4 sesi dan kelompok kontrol (n=70) yang mendapat perawatan standar. Instrumen yang digunakan adalah Diabetic Foot Ulcer Self-Care Adherence Scale (20 item, α=0,89). Data dianalisis menggunakan paired t-test dan independent t-test dengan SPSS 26.0. Hasil: Karakteristik responden homogen pada kedua kelompok (p>0,05). Kelompok intervensi menunjukkan peningkatan skor kepatuhan yang sangat signifikan dari 52,3±8,4 menjadi 79,6±7,2 (Δ=27,3 poin), sedangkan kelompok kontrol hanya meningkat dari 51,8±8,1 menjadi 58,4±7,8 (Δ=6,6 poin). Terdapat perbedaan bermakna delta score antara kedua kelompok (p=0,000) dengan effect size yang besar (Cohen’s d=4,32). Simpulan: Program edukasi keluarga terstruktur efektif dalam meningkatkan kepatuhan perawatan luka pada penderita DM tipe 2, dengan dampak yang sangat besar secara klinis. Program ini dapat diintegrasikan ke dalam layanan kesehatan primer sebagai strategi preventif untuk menurunkan komplikasi luka diabetik.
The Effect of Family Support on Functional Recovery of Post-Stroke Patients at Haji General Hospital Medan in 2026 Ira Maulani Lubis; Julaiha Siregar
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

Background: Stroke remains a leading cause of long-term disability worldwide, significantly impairing patients' functional independence. Family support has been recognized as a critical psychosocial factor that may influence rehabilitation outcomes; however, empirical evidence from Indonesian hospital settings, particularly in North Sumatra, remains limited. The purpose of this study was to analyze the effect of family support on the functional recovery of post-stroke patients at Haji General Hospital Medan in 2026. Methods: A descriptive correlational cross-sectional design was employed. Participants were 87 post-stroke patients recruited through purposive sampling between September and December 2025. Inclusion criteria required patients to have been diagnosed with stroke at least one month prior, be aged 18 years or older, and have a primary family caregiver. Data on family support were collected using the adapted Hensarling Diabetes Family Support Scale (HDFSS), and functional recovery was assessed using the Barthel Index (BI). Ethical clearance was obtained from the institutional review board. Data were analyzed using SPSS version 26, with Spearman's rank correlation coefficient applied to test the hypotheses (alpha = 0.05). Results: Of 87 participants, 52.9% reported high family support and 55.2% demonstrated good functional recovery (Barthel Index score ≥ 61). Spearman's rank correlation analysis revealed a statistically significant moderate positive relationship between overall family support and functional recovery (r = 0.541; p = 0.001). All four sub-dimensions of family support (informational, emotional, instrumental, and appraisal) were significantly correlated with functional recovery (p < 0.05). Conclusion: Family support exerts a significant positive effect on the functional recovery of post-stroke patients. Healthcare providers and hospital management should develop structured family-centered care programs to optimize rehabilitation outcomes for post-stroke patients
Implementation of Educational Leaflets in Improving Fluid Restriction Noncompliance in Hemodialysis Patients: A Case Study Lestari Harefa; Lia Natalia
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i1.8492

Abstract

Hipertensi merupakan penyakit kronis yang memerlukan pengobatan jangka panjang dan kepatuhan minum obat untuk mencegah terjadinya komplikasi. Salah satu faktor yang memengaruhi kepatuhan pasien hipertensi adalah dukungan dan peran keluarga. Edukasi kesehatan berbasis keluarga dipandang sebagai strategi efektif untuk meningkatkan kepatuhan minum obat pada pasien hipertensi. Penelitian ini bertujuan untuk mengetahui pengaruh edukasi kesehatan berbasis keluarga terhadap kepatuhan minum obat pada pasien hipertensi di wilayah kerja Puskesmas Rejosari Kota Pekanbaru. Penelitian ini menggunakan desain kuantitatif dengan metode quasi eksperimen melalui pendekatan one group pretest–posttest without control. Sampel penelitian berjumlah 30 pasien hipertensi yang dipilih menggunakan teknik purposive sampling. Instrumen yang digunakan adalah kuesioner Morisky Medication Adherence Scale (MMAS-8). Intervensi berupa edukasi kesehatan berbasis keluarga diberikan menggunakan media video edukasi. Analisis data dilakukan menggunakan uji Paired t-test. Hasil penelitian menunjukkan adanya peningkatan rerata nilai kepatuhan minum obat setelah diberikan edukasi kesehatan berbasis keluarga, dari nilai rata-rata pretest sebesar 3,60 menjadi 5,36 pada posttest. Hasil uji statistik menunjukkan nilai p value = 0,000 (p < 0,05), yang berarti terdapat pengaruh pemberian edukasi kesehatan berbasis keluarga terhadap kepatuhan minum obat pasien hipertensi. Penelitian ini dapat direkomendasikan sebagai intervensi di pelayanan kesehatan primer.
Analysis of JKN Policy Implementation in Improving Access and Equity of Community Health Services in North Sumatra, Medan Karsana Karsana; Cahya Aisyah Daulay
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

Background: The National Health Insurance program (Jaminan Kesehatan Nasional/JKN), launched in January 2014 under the Social Security Administering Body (BPJS Kesehatan), represents Indonesia's most ambitious universal health coverage initiative. Despite over a decade of implementation, significant disparities in healthcare access and quality persist, particularly in North Sumatra, where socioeconomic heterogeneity, geographic diversity, and administrative complexities create unique challenges to equitable health service delivery. Methods: This study employed a qualitative phenomenological approach using the Colaizzi method to explore lived experiences of JKN implementation stakeholders. Data were collected from September to December 2025 in Medan, North Sumatra, through in-depth interviews and focus group discussions with 32 purposively selected participants including BPJS Kesehatan administrators (n=6), primary healthcare center (Puskesmas) staff (n=10), JKN beneficiaries (n=12), and health policymakers (n=4). Data saturation was achieved at the 28th participant. Thematic analysis was supported by NVivo 12 software, and trustworthiness was ensured through triangulation, member checking, and peer debriefing. Results: Three core themes emerged: (1) Structural and Administrative Barriers to Access, encompassing bureaucratic complexity, referral system bottlenecks, and digital literacy gaps among rural populations; (2) Equity Gaps in Service Distribution, reflecting disparities between urban Medan and peri-urban districts in specialist availability and facility quality; and (3) Stakeholder Perceptions of JKN Efficacy, revealing mixed experiences among beneficiaries with financial protection acknowledged but service quality concerns prominent. Conclusion: While JKN has achieved substantial coverage expansion in Medan, structural inequities, administrative bottlenecks, and geographic disparities continue to undermine equitable health service access. Targeted policy reforms addressing referral system efficiency, healthcare workforce distribution, and digital health integration are urgently needed to realize the program's universal health coverage objectives
Aktivitas Fisik Terstruktur Dan Fungsi Kognitif Pada Lansia : Literature Review Rizky Gumilang Pahlawan
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i1.8494

Abstract

Penuaan adalah proses alami yang terkait erat dengan penurunan fungsi saraf, seperti kemampuan otak untuk mengirimkan sinyal dan berkomunikasi. Seiring bertambahnya usia, terjadi perubahan fisik dan fungsional pada otak. Penelitian ini bertujuan untuk mengetahui gambaran efektifitas aktifitas fisik dan fungsi kognitif pada lansia. Metode penelitian yang digunakan adalah tinjauan sistematis terhadap artikel ulasan dengan sumber jurnal Google Scholar rentang waktu 2021-2025. Berdasarkan hasil pencarian ketujuh literture melalui Google Scholar disimpulkan bahwa aktifitas fisik mempengaruhi fungsi kognitif pada lansia. Hasil rata-rata dari ketujuh artikel tersebut menunjukkan peningkatan hasil kognitif pada lansia setelah intervensi seperti senam otak, latihan aerobik, dan jalan santai. Semua aktivitas fisik yang dilakukan dalam penelitian ini merangsang produksi protein di otak.
Penyelesaian Sengketa Tanah Melalui Mediasi Yang Dilakukan Oleh Bhabinkamtibmas Terkait Penyerobotan Tanah Di Perumahan Lansano Permai Kabupaten Agam Annisa Belva Prima; Syuryani Syuryani
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

Penelitian ini mengkaji mengenai penyelesaian sengketa tanah terkait kasus penyerobotan lahan di Perumahan Lansano Permai, Kabupaten Agam. Masalah utama dalam penelitian ini adalah adanya tindakan warga yang membangun pagar permanen di atas tanah milik Adrian Taufik tanpa izin, yang mengakibatkan kerugian materiil sebesar Rp100.000.000 dan terhambatnya proses pembangunan perumahan. Tujuan penelitian ini adalah untuk menganalisis proses mediasi yang dilakukan oleh Bhabinkamtibmas serta mengidentifikasi faktor-faktor yang mempengaruhi jalannya mediasi tersebut. Metode penelitian yang digunakan adalah hukum empiris dengan pendekatan sosiologis. Data dikumpulkan melalui wawancara semi-terstruktur dengan kuasa hukum pihak pelapor, observasi lapangan, serta studi dokumen. Analisis data dilakukan secara kualitatif untuk mendapatkan gambaran komprehensif mengenai fenomena hukum yang terjadi di masyarakat. Hasil penelitian menunjukkan bahwa proses mediasi yang dipimpin oleh Bhabinkamtibmas, Aiptu Winerson, S.H., berhasil mencapai kesepakatan damai (win-win solution). Setelah dilakukan pengukuran ulang oleh BPN Kabupaten Agam yang membuktikan adanya penyerobotan lahan, para pihak sepakat untuk membongkar pagar permanen tersebut dan membangun kembali pembatas di batas tanah yang sah. Namun, proses ini menghadapi beberapa hambatan, baik faktor internal seperti temperamen emosional para pihak, tingkat pendidikan yang rendah, dan ketidakjelasan batas tanah, maupun faktor eksternal berupa campur tangan pihak keluarga. Penelitian ini menyimpulkan bahwa mediasi melalui peran Bhabinkamtibmas efektif dalam meredam konflik sosial dan memberikan kepastian hukum yang cepat tanpa melalui jalur litigasi yang mahal dan lama.
Developing an Accreditation Intelligence Dashboard as a Decision Support System for Continuous KARS Compliance in Hospitals Diah Karlina
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

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Abstract

Background:Hospital accreditation is a key mechanism for ensuring quality and patient safety, yet in many hospitals accreditation compliance remains episodic and weakly embedded in routine governance. In Indonesia, compliance with the Hospital Accreditation Commission (KARS) standards is often managed retrospectively, limiting the role of accreditation as a continuous quality improvement instrument. Digital decision-support approaches are therefore needed to strengthen continuous accreditation governance. Methods:This study employed a mixed-methods design with a design science research approach in a private general hospital in Indonesia. Data were collected through document analysis of KARS standards and hospital performance reports, semi-structured interviews with hospital managers and accreditation team members, and non-participant observation of accreditation-related workflows. Qualitative data were analyzed thematically, while accreditation indicators were systematically mapped to existing hospital information systems to inform the development of an Accreditation Intelligence Dashboard. Results:The findings indicate that although accreditation-related data are widely available, they are fragmented across multiple systems and primarily used for survey preparation rather than continuous monitoring. The proposed Accreditation Intelligence Dashboard integrates key KARS indicators with operational hospital data using a business intelligence framework. This integration enables real-time visualization, trend analysis, and managerial decision support, enhancing situational awareness and internal accountability. The effectiveness of the dashboard is influenced by leadership engagement and organizational readiness for data-driven management. Conclusion:The study demonstrates that an Accreditation Intelligence Dashboard can support continuous KARS compliance by transforming fragmented accreditation data into actionable managerial intelligence. This approach strengthens hospital quality governance and has potential to support the quality objectives of Universal Health Coverage.
Hubungan Beban Kerja dengan Stress Kerja pada Karyawan Departemen Sewing PT Harindotama Mandiri Sukoharjo Sunardi Sunardi; Yudied Agung Mirasa
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i1.8497

Abstract

Industri garmen memiliki tuntutan pekerjaan tinggi (Target Hasil, Qualitas Produk, waktu penyelesaian singkat) menjadikan pekerja mengalami beban kerja tinggi. Hasil pengujian Psikologi kerja yang pernah dilakukan Oleh Balai Keselamatan Kerja Provinsi Jawa Tengah tahun 2020 didapati 60 % Karyawan Departemen Administrasi PT Harindotama Mandiri mengalami stress kerja dengan kategori berat dan 40 % kategori stress sedang. Tujuan penelitian ini untuk menganaliasis hubungan beban kerja dan stress kerja pada department sewing PT Harindotama Mandiri sukoharjo. Penelitian ini menggunakan desain kuantitatif dengan pendekatan observasional Cross Sectional. Sampel penelitian sebanyak 73 responden dipilih dari total populasi 269 karyawan menggunakan teknik random sampling. Beban kerj diukur dengan pulseoximeter dengaan perhitungan danyut nadi, sedangkan stress kerja diukur mnggunakan kuesioner health and safety executive (hse). Analisis data menggunakan Uji Korelasi rank Spearman. Hasil penelitian berdasarkan data univariate beban kerja kategori sedang sebanyak 72,6 % (53 orang), stress kerja kategori sedang sebanyak 75,6 % (55 orang) dan hasil uji korelasi rank spearmen menunjukkan p-value = 0,000 (sig < 0,05) dengan kekuatan korelasi positif yang sangat kuat (0,897). Semakin tinggi beban kerja, semakin tinggi pula tingkat stress kerjayang dialami karyawan.

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