Publication Search

Dr. Hospital Soetomo Surabaya with minimum service standard data that must be met is customer satisfaction ≥ 90% and waiting time ≤ 60 minutes in accordance with Ministry of Health (Kemenkes) decree no. 129 of 2008. Therefore, the problems faced by the Outpatient Institution Children's Polyclinic include service time Administration takes too long and quality must be improved. The most critical slowness of services at the Children's Polyclinic is in the registration administration section, namely the number of double registrations, disruptions in facilities and nurses who are still lacking in discipline. Applying Lean Healthcare and Failure Mode and Effects Analysis to improve service quality and prevent failures, such as slow service and lack of facilities will help find recommendations for improving these problems, namely reducing double registration of patients by improving data management and registration, repairing and improving maintenance of computer facilities for reducing waiting time due to disturbances and tightening discipline according to SOP.

Patient safety is an absolute thing in the service of a hospital. Services that promote a sense of security and comfort are the hopes of every patient when receiving health services. However, the high number of unexpected events in health services at hospitals become an indication that the implementation of patient safety management, especially the seven steps towards patient safety, is not running well. The research method in this study was descriptive qualitative. The data collection techniques used were interviews, observation, and documentation study. From this study, it was found that the implementation of patient safety management on the seven steps towards patient safety has been carried out in hospitals, but there are still obstacles that resulted in the implementation that is not being maximized. Improvement efforts should be continued to implement the seven steps program towards patient safety optimally.

Workload is a description of the volume of work. In hospitals, the workload covers many aspects and this has an impact on compliance with the implementation of SOPs for new patient admissions which can be influenced by high workloads. The aim of this research is to determine "The relationship between emergency room nurse workload and compliance with standard operational procedures for accepting new patients." This research was conducted using a cross-sectional Descriptive Analytical research method, which emphasizes the time of measurement or observation and independent and dependent variables only once. The population in this study was 23 subjekts with a sampling technique using total sampling technique and the sample for this study was 23 subjekts. Data collection uses questionnaires and observation sheets. Analyzed using the chi square test. Based on the chi-square results, it can be seen that the p value is 0.026, which is smaller than p (α < 0.5), so it can be concluded that there is a relationship between the workload of emergency department nurses and compliance with the implementation of new patient admission procedures. The conclusion in this study is that there is a relationship between the workload of emergency department nurses and compliance with the implementation of new patient admission procedures at RSU GMIM Pancaran Kasih, Manado City. Suggestions to hospitals can pay more attention to the workload they experience so as to provide good service to patients.

Stress can worsen disease and reduce quality of life in patients with chronic diseases. This is because a chronic illness that is suffered for a long time will disrupt all aspects of life, including financial problems, career, role disorders, and including psychosocial problems. The aim of this community service is to increase the knowledge and abilities of chronic disease sufferers regarding stress management through training activities.The results of a preliminary study through interviews with cadres, residents and community health center officers show that mental health services are not yet optimal, especially for people with chronic illnesses. People, especially those suffering from chronic diseases, do not yet know about stress management techniques and there is no special program from the Community Health Center for health services for patients experiencing psychosocial problems. Health services are only provided to patients with serious mental disorders. The activity method used to overcome the problem is 1) Education through counseling to community groups suffering from chronic diseases and about psychosocial problems such as stress and ways to reduce and overcome it. 2) Training and Demonstration, after being given education through partner counseling, demonstrations of deep breathing and muscle relaxation are given. 3) Evaluation to determine the extent of the program's success and to ensure the sustainability of the program. Evaluation activities will be carried out using instruments to measure the partner's level of knowledge and skills. Activities continued with consolidation with the community health center and village government for the sustainability of the mental health service program, including the psychosocial early detection program.The results of the education were that participants' knowledge about stress management increased by almost 95%, participants were able to carry out deep breathing and progressive muscle relaxation techniques independently and stated their attitude that they would apply them at home.

Stroke is a major health problem for modern society today. According to WHO (World Health Organization) in 2016, 51% of stroke deaths worldwide were caused by high blood pressure. Based on data on the top 10 most common diseases in Indonesia in 2018, the prevalence of stroke cases in Indonesia based on health worker diagnosis was 10.9 per mille. Various problems that stroke patients may experience include paralysis, weakness, balance disorders, speech disorders, etc. so that these patients need help in meeting their daily needs. The family as a caregiver has a major role in providing primary support to individuals with stroke and is the first person to respond to changes in the patient's status during the course of the disease. The aim of this community service program is to maximize family assistance as caregivers in caring for stroke patients. The obstacles experienced by caregivers are financial and time problems in accompanying stroke families at Mardi Rahayu Kudus Hospital. Based on the results of interviews that have been conducted, almost all the feelings of families as caregivers in caring for stroke patients are sad, almost all participants answered that the service at Mardi Rahayu Hospital is good and fast, almost all participants' hopes for their husbands are that they can recover quickly, almost all The obstacles experienced by caregivers are financial and time problems. Therefore, assistance and providing motivation to families as caregivers for stroke patients is very important.

The problems that usually arise in people with HIV/AIDS (PLWHA) are that apart from physical problems, there is also stigma, namely the bad social reaction towards people with HIV/AIDS. Such complex problems in PLWHA are accompanied by loss of social support such as lack of attention from family and community. This reaction is a bad experience for PLWHA where when they need support there is no one to help them, so depression often occurs in PLWHA. Depression in HIV AIDS sufferers can increase the risk of non-adherence behavior towards treatment resulting in a high risk of shorter survival. Failure to recognize and treat depression in HIV/AIDS sufferers not only endangers the patient but also endangers society. Research related to depression in PLWHA at Cipto Mangunkusumo Hospital, Jakarta, found that more than half of the patients experienced depression, namely 51.1%. The general aim of providing this counseling is so that PLWHA are able to overcome the depression they are experiencing. The design used in this community service is counseling with communication, information and education methods. The targets of this community service activity are housewives with HIV/AIDS in Cirebon district. From the preliminary study carried out, it was found that data on the problems that arise among PLWHA in Cirebon district cannot be separated from the emergence of psychological problems, this occurs because of feelings of sadness, disappointment, shame, fear of being ostracized by friends and family and fear of being abandoned by their husbands.

Background: Hearing loss is one of the occupational diseases. A noisy work environment as one of the impacts of the industrial sector. This is the most common cause of hearing loss. The National Institute of Health in 2012 reports that about 15% of Americans aged 20-69 years experience hearing loss in connection with work activities, because noise can cause hearing loss, the government sets standards that regulate permissible noise exposure. Hearing loss due to noise occurs slowly, in a matter of months to years. This is often not realized by the sufferer, so that when the patient starts complaining of hearing loss, it is usually already in an irreversible stage. Such conditions will affect labor productivity which will ultimately cause a decrease in the health of the workforce. In certain cases, hearing loss due to noise begins for 6 to 10 years after exposure to loud noises. PT. Riau Graindo was established on January 17, 1997 located in Desa Sidomulyo Barat Kecamatan Tampan Kota Pekanbaru, a publishing company under of Riau Pos Group (RPG), based in Pekanbaru. Research Objectives: To determine corelations of work period with the incidence of hearing loss in employees of PT. Riau Graindo Pekanbaru in 2019. Research Methods: This study was an observational analytic study with a cross sectional approach. Research Results: Majority of PT. Pekanbaru Graindo Pekanbaru that is > 5 years as many as 21 people (70%). The majority of employees of PT. Riau Graindo Pekanbaru experiencing hearing loss as many as 18 people (60%). Chi square test results obtained Pvalue = 0.001, it can be concluded that there is a relationship between work period and the incidence of hearing loss in the employees of PT. Riau Graindo Pekanbaru in 2019. Conclusion: It can be concluded that there is a relationship between working period and the incidence of hearing loss in the employees of PT. Riau Graindo Pekanbaru in 2019 with Pvalue = 0.001 smaller than α (0.05).

HIS has a major role in managing health data and information applied through Electronic Medical Records (EMR). EMR facilitates the analysis of health data in patients, decision-making by health care providers, disease mapping, helps identify disease patterns, and maps the spread of the disease. HIS supports the creation of telemedicine services through the concept of telemedicine.  This study uses the Narrative Literature Review (NLR) method on the concepts of Health Information Systems (HIS) and Telemedicine. Integrating HIS and Telemedicine provides promising opportunities for healthcare improvement, offering data accessibility, and efficient remote consultation. However, addressing privacy, security, infrastructure, and regulatory challenges is critical to the successful implementation of such integrations. Collaborative efforts between healthcare providers, policymakers, and technology developers are critical to ensuring the ethical and effective implementation of integrated systems.

Patient satisfaction is still an important issue in relation to administrative services as an indicator of improving the quality of service to patients. Therefore, the quality of administrative services needs to be paid attention to in order to have a positive impact on patient perceptions and experiences. This study aims to determine the level of satisfaction with several indicators of the relationship between the quality of administrative services, namely physical evidence (tangible), reliability, responsiveness, assurance, sympathy (empathy) with patient satisfaction in the Piru Health Center Working Area, Seram Regency. West Region. The type of research used was analytical observational with a cross sectional design with a sample size of 44 people. Data collection was carried out through primary data, namely data taken from the results of patient questionnaire answers and secondary data, namely data taken from initial research data collection. Data were analyzed univariately and bivariately using the chi square statistical test. The univariate test results of this research show that several indicators of the quality of administrative services are classified as quite good. Meanwhile, the results of the bivariate test of the relationship between the quality of administrative services and patient satisfaction prove a significant result, namely with a value (p < a = 0.05). each indicator of the quality of administrative services with patient satisfaction, each indicator of physical evidence (tangible) with a p value = 0.000, reliability indicators with a p value = 0.000, responsiveness indicators with a p value result = 0.000, assurance with a p value = 0.000, empathy with a p value = 0.000. The conclusion of this research is that there is a very significant relationship between the quality of administrative services and patient satisfaction in the Piru Health Center Working Area, West Seram Regency. It is hoped that the Telaga Village Pustu will pay more attention to administrative services to patients so that the services provided can meet the level of patient satisfaction better in the future.

The lack of public knowledge about hypertension and information about drugs is an obstacle to success in the healing process. In line with this, Gebriet et al. (2017) explained that the level of knowledge and understanding of hypertensive patients regarding their disease can support the success of therapy so that the patient's blood pressure can be well controlled. The more patients understand their disease, the more aware patients will be in maintaining a lifestyle, regularly taking medication, and the level of patient compliance will also increase. Before conducting counseling, participants were given a pre-test to find out how much knowledge the community had about hypertension. During the implementation of the activity, participants paid attention enthusiastically and actively. This can be seen from the many questions from the participants and the right answers to questions from the community service team. At the end of the activity, participants conducted an evaluation. The results of the evaluation conducted from 10 participants showed that the pre-test results were 45% good, 55% fair value, the post-test results showed that 85% good 15% fair. So there has been an increase in knowledge from before and after counseling.

Health services which is execllent is able to refer to prime levels that are implemented on basis of service and code of ethics. Those will create a satisfaction for each patient. To measure the quality of service, there are several references, including; tangibles, reliability, empathy, assurance, and responsiveness. This study investigated the correlation between service quality and outpatient satisfaction at Manguharjo Lung Hospital (RS Paru Mangunharjo), Madiun, East Java. All the specimens in this research were outpatients where purposive sampling is used to determine the research sample. Data Accomodation technique is carried out by questionnaire. The  output of the research, from 80 respondents asked about the relation between service quality and outpatient satisfaction at Manguharjo Lung Hospital, it can be concluded that there are dealings among Reliability, Assurance Tangibles, Empathy, and Responsiveness. The outcome of this research is ecpected to contribute theoritically such escalating quality development especially in public institutions, namely hospitals. Practically, It can be a consideration in arranging the policies that relate about hospital service particularly for outpatient service cases.

Breast cancer occurs due to abnormal, uncontrolled, and irregular cellular growth in the breast. The management of breast cancer includes surgery, chemotherapy, radiation therapy, hormonal therapy, immunotherapy, and bone marrow manipulation. The physical impacts of chemotherapy include sleeping problems and fatigue. The non-pharmacological efforts to relieve this fatigue include progressive muscle relaxation (PMR). The research objective was to determine the effect of Progressive Muscle Relaxation (PMR) on the level of fatigue in breast cancer patients undergoing chemotherapy. The research design was a pre-experimental one group pre-posttest design. The population is breast cancer patients undergoing chemotherapy as many as 35 patients. The number of respondents is 35 respondents. The sampling technique used is total sampling. The research instrument used is the Fatigue Assessment Scale (FAS). The test used is the Wilcoxon test. The results showed that there was an effect of Progressive Muscle Relaxation (PMR) on the level of fatigue in breast cancer patients undergoing chemotherapy with a p value = 0.000 (<0.05). The research recommendation is Progressive Muscle relaxation (PMR) intervention as a non-pharmacological intervention to reduce the fatigue level of breast cancer patients undergoing chemotherapy in health services.

This comprehensive review synthesizes findings from various journals on the management of quality and service in laboratory units within the healthcare context. The synthesis reveals the importance of service quality and its impact on patient satisfaction and service effectiveness. Key findings include the positive influence of service quality dimensions such as reliability, physical evidence, and friendliness on patient satisfaction. Additionally, the interconnection between service quality and adherence to health standards and regulations is emphasized, underlining the significance of compliance for service improvement. External factors, such as government regulations and health policies, are identified as potential influencers of service quality, adding complexity to quality management. Practical implications for healthcare policies and practices are highlighted, suggesting improvements in human resource training, service processes, and infrastructure. Recommendations include strengthening human resource training through regular and ongoing programs, optimizing service processes by thorough workflow evaluations, and ensuring strict compliance with health standards. Furthermore, the integration of technological innovations is proposed as a progressive step toward enhancing service efficiency and result accuracy. The implementation of laboratory information systems, modern equipment, and related applications is suggested to advance service quality. The establishment of a regular monitoring and evaluation system, including internal audits, routine performance reviews, and patient feedback collection, is crucial for continuous improvement. Collaboration with external entities, such as health oversight agencies and laboratory professional associations, is advocated for robust guidance and support. Encouraging research and innovation in quality management and laboratory service is recommended to enhance understanding of new technology applications, quality maintenance strategies, and policy impact evaluation. By implementing these suggestions, laboratory units are expected to continually enhance service quality and ensure optimal patient satisfaction.

Providing nursing services based on nurses' caring behavior can improve the quality of health services. Nurses' caring behavior is not only able to increase patient satisfaction, but can also generate profits for the hospital. The aim of this research was to determine the relationship between nurses' caring behavior and the level of patient satisfaction in the Inpatient Room at Tanjungpura Regional Hospital. The research design used is a correlational design with a cross sectional approach. The sampling technique used was purposive sampling, namely 80 patients. Data analysis used the Spearman Rank Test with a Sig value of 0.001, where the value is < (0.05), which means that H0 is rejected and Ha is accepted. The correlation value shows 0.025, which means there is a strong relationship. It is recommended that nurses continue to develop caring behavioral abilities towards patients and improve skills and knowledge by increasing their education level and participating in training.

Hospitals as providers of health services for the wider community are required to provide health services with good quality health services. The quality of hospital services can be achieved one of them with SBAR communication, so that the information conveyed can be informative and well received which will improve the handover process so that patient safety can be realized. The purpose of this study was to determine the relationship between effective SBAR communication and the quality of handover implementation in the Inpatient Room of JIH Solo Hospital. The sampling technique used is total sampling. The number of respondents was 90 respondents divided into 72 nurses and 18 midwives who were given observation sheets using the SBAR communication method and observation sheets for the quality of handover implementation. Variable correlation assessment using the chi-square test. The results of the analysis of the relationship between variables are significant with a sig value of 0.000 (p=0.05). Then, the value of the correlation coefficient between variables is very strong, namely 0.979. The use of effective SBAR communication resulted in the majority of respondents namely 79 people or 85.7% being categorized as qualified. In its implementation, the majority of respondents with a total of 87 people (196.7%) were categorized as qualified.

A medical record folder is a thick paper cover that unites all of a patient's sheets so that they become one complete history, protects the medical record files inside so that they are not easily damaged and makes it easier to store, search and transfer medical record files (Heltiani, 2020). Designing a medical record folder has physical aspects, anatomical aspects and content aspects. The physical aspect consists of materials: Ivory paper, the shape resembles a rectangular book, there are folds to increase the capacity to store medical record forms accompanied by color coding. Anatomical aspects include the Header, which contains the logo, name, address and telephone number, Introduction, Instructions, which contains confidential information from the medical record folder, Body contains the Name and Medical Record Number. Register Number and Year of Visit, Font using Time New Roman, form title size 40, patient identity and year of visit size 12, while Arial font size 14 is used for instructions, Ruler has a ruler on the medical record folder to limit the heading and body of the map, Border there is a border in the medical record folder. Content aspects include the identity of the health service facility, the identity of the name of the health service facility, the patient's name, the medical record number, the year of the last visit and the row available in the year of the last visit in the medical record folder. Socialization is given to medical record officers using discussion, lecture and question and answer methods. It is hoped that the results of this socialization will be for the Bestari Community Health Center to redesign the medical record folder which refers to three aspects, namely: anatomical aspects, physical aspects and content aspects so that the medical record forms are not damaged or scattered.

Setabelan, a neighbourhood in the Banjarsari sub-district, houses a popular healthcare centre called Puskesmas Setabelan. Recent data shows that hypertension is the second most common reason for visits to the centre, with a total of 273 visits and eight patients daily. To address this issue, educational activities were organized to increase awareness and knowledge of physical exercise, particularly brisk walking, and the control of salt consumption among individuals with hypertension. These activities included distributing leaflets, presenting material, demonstrating exercises, and engaging in question and answer sessions with prolanis participants in Taman Banjarsari, Surakarta. The programme led to a significant increase in understanding, as evidenced by the pre-test average score of 2.18 and the post-test average score of 4.48, indicating an improvement of 2.30. The hope is that this community service initiative will empower participants with hypertension to independently manage their blood pressure effectively, ensuring the sustainability of the programme.  

Medical records are files that contain records of documents regarding patient identity, examinations, treatment, actions and other services provided to patients. Medical records contain written or recorded information containing identity, anamnesis, support, diagnosis, services and medical actions that will be given to patients and treatment whether inpatient, outpatient or receiving emergency services (Permenkes RI No. 269 of 2008) . Increasing the effectiveness of recording medical record data accurately and quickly can take advantage of current technological advances through Electronic Medical Records (RME). Electronic Medical Records are Medical Records created using an electronic system intended for the maintenance of Medical Records

An effective leader is a prerequisite for determining safe treatment. The factor that affects the performance of nurses in the implementation of patient safety is leadership. The leadership role in improving patient safety in particular encourages and guarantees the implementation of patient safety programs in an integrated manner. Objective: To know the leadership functions of the chief of the room with the performance of nurses in the application of patient safety in the hospital room at RSU GMIM Pancaran Kasih Manado. Type of research: using descriptive analytical research methods with cross sectional approaches. The population of this research taken 115 population, The sample were 35 peoples using random sampling technique. Using the Chi-Square Statistical Test with a level of prosperity α ≤ 0,05. Result: Obtained a p=0,000 (α ≤ 0.05) ) that means there is a relationship between the function of the head of the chamber and the performance of nurses in the implementation of patient safety in the hospital's nursing room.The conclusion in this is that there is a link between the leadership function on the chief of the room and the performance of nurses in the application of patient safety in the Hospital Room of the RSU GMIM Pancaran Kasih Manado. The advice is expected to be the evaluation material for the future in order to create quality of nursing services.

Diabetes Mellitus (DM) is a metabolic disorder characterized by increased blood sugar levels due to insufficient insulin function. Patients with diabetes mellitus often experience other health problems such as obesity, heart disease and kidney disease which further exacerbate their health problems, especially if they are exposed to Covid 19 which can eventually lead to death. The need for information that strengthens and refreshes the knowledge possessed is urgently needed so that while living life during this pandemic, you can stay healthy. The method used in community service activities is carried out by counseling and discussion methods. This activity was carried out face-to-face, the total number of activity participants was 45 people, although initially it was targeted to be 100 people. The results of this activity, the people of Taeno Hamlet said that 80% felt very satisfied and 20% were satisfied with this counseling activity. These results were obtained through a questionnaire after this activity took place. This can be seen by the enthusiasm of the participants to ask about a healthy lifestyle. Patients with diabetes mellitus must have a healthy behavior and exercise diligently in order to maintain body stamina and follow the treatment that has been carried out so far. Counseling activities for patients with co-morbidities not only diabetes mellitus are urgently needed to provide information, strengthen understanding and provide updated information regarding how Covid 19 can affect patients, especially those with comorbidities.