Publication Search

This study aims to design and develop an electrical installation panel by applying engineering safety principles in the water spray booth of a vehicle body painting system. Field observations indicate that electrical panels in painting rooms often do not meet safety standards, which can lead to short circuits and potential fire hazards. The research employed a Research and Development (R&D) method using a simplified Borg and Gall model consisting of nine stages, starting from problem identification to effectiveness testing. Expert validation results obtained a score of 87.5% (highly valid), practicality testing yielded 90% (very practical), and effectiveness tests showed an average current of 4.1 A, with both the MCB and emergency stop functioning optimally. The developed panel product is declared feasible to be used as a practical learning media for automotive electrical systems. Based on the test results, the panel product was declared suitable for use and can be used as a learning medium in automotive electrical practice, helping to increase understanding of the application of safety in electrical installations in the automotive industry.  

Response time refers to the speed of nurses in providing initial responses to patients, measured from the moment patients arrive at the hospital entrance until they receive medical attention from emergency room staff. Patient satisfaction is an important indicator of healthcare quality, reflecting the comparison between patient expectations and the services received. This study passed the ethical review process with approval number 66/EC-LPPM/UWHS/IV-2025 and used a quantitative correlational design with a cross-sectional approach. The sampling technique applied purposive sampling involving 197 respondents. Data were collected using a nurse response time observation sheet and a patient satisfaction questionnaire that had undergone validity and reliability testing. The validity test using the Pearson Product Moment method showed that the calculated r value was greater than the r table value of 0.361, indicating that all questionnaire items were valid. The reliability test using Cronbach’s alpha produced a coefficient value of 0.855, confirming that the instrument was reliable. Data analysis used univariate and bivariate analysis with the Spearman’s rho test. The results showed that nurse response time was categorized as fast (≤ 5 minutes) for 177 respondents (89.8%). Patient satisfaction levels showed that 177 respondents (89.8%) were very satisfied, 10 respondents (5.1%) were satisfied, and 10 respondents (5.1%) were moderately satisfied. The Spearman Rank test produced a p-value of 0.000 (<0.05) with a correlation coefficient of 0.893, indicating a strong and positive relationship between nurse response time and patient satisfaction in the Emergency Room of Charlie Hospital Kendal.

Health care facilities are places used for promotive, preventive, curative, and rehabilitative health services carried out by the government and the community. Calculating the germ count on door handles of healthcare facilities is very important, because patients are not aware that the door handles contain and transmit germs that cause infections. This study aims to determine the percentage of germ contamination on door handles of healthcare facilities at X Hospital and X Community Health Center. The type of research conducted is descriptive quantitative with an observational case report approach. This study is a frequency distribution in tabular form using a percentage formula. The number of samples used by the researchers was 8 samples, using 4 sampling points at the Hospital and 4 sampling points at the Community Health Center (Puskesmas): the Emergency Room, Main Door, Pharmacy Room, and Laboratory Room. Data collection by conducting laboratory tests on door handle swab samples was then examined using the ALT method. The results showed that the percentage of door handles that did not meet ALT standards was 3 samples (75%) at X Hospital. Meanwhile, on door handles at health facilities Puskesmas. The percentage of door handles at Puskesmas was obtained 4 samples (100%) at X  Puskesmas. Door handles at health facilities do not meet the standards of the Republic of Indonesia's Minister of Health Decree No. 1204 / MENKES / SK / X / 2004, the decision Ho was accepted H1 was rejected.

The purpose of this study was to determine the differences in routine blood in COVID-19 suspected patients who were confirmed positive and negative who were treated at the Emergency Room of Sultan Suriansyah Hospital Banjarmasin in the period January-June 2022. This study used naso-oropharyngeal swab samples for RT-PCR examination of COVID-19 and hematology analyzer for routine blood tests. This type of research is an analytic survey research with a comparative design. The population of this study were suspected patients admitted to the emergency room with a total sample size of 196 patients who performed RT-PCR tests and performed routine blood tests at the beginning of the treatment period using purposive sampling method. Routine blood results in positive patients mostly obtained leukocytes at normal limits 64.1%, neutrophilia 59.0%, lymphopenia 64.1% increased NLR 66.7% and platelets at normal limits 56.4%. While in negative patients, leukocytes were obtained at normal limits of 46.6%, neutrophilia 61.0%, lymphopenia 61.0% increased NLR 73.7% and platelets at normal limits 64.4.4%. Based on the results of the unpaired T-test statistical test, it is known that there are significant differences between positive and negative patients, namely in the parameters of leukocytes sig. 0.028, neutrophils sig. 0.043 and platelets sig. 0,005. From the results of the unpaired t-test statistical test on routine blood between positive and negative COVID-19 patients, it was found that there were significant differences in the parameters of leukocytes, neutrophils and platelets, while those that were not different were the parameters of lymphocytes and NLR.

The Emergency Severity Index (ESI) is a triage method that determines the escalation of treatment for patients based on the severity of their emergency condition. In order to improve the level of satisfaction of individuals receiving health services, it is necessary to provide quality services that are responsive to the expectations and needs of patients. This study aims to explore the relationship between the ESI (Emergency Severity Index) level and patient satisfaction in the Emergency Room of Pertamedika Ummi Rosnati Hospital. The research design applied is analytical with a cross-sectional method. From a total population of 500 patients in December, 51 respondents were selected using purposive sampling. The instruments used included the ESI (Emergency Severity Index) Questionnaire and CSQ-8 (Client Satisfaction Questionnaire), with univariate and bivariate data analysis using the Chi-Square test. The results showed that in the high ESI index category, most participants (37 people or 92.5%) expressed satisfaction with the services received, while 3 people (7.5%) were dissatisfied. In the moderate ESI group, 9 respondents (90.0%) reported satisfaction, while only 1 respondent (10.0%) reported dissatisfaction. Conversely, in the mild ESI level, there were no patients who were satisfied (0%), and one patient (20.0%) was dissatisfied. Through analysis using the Chi-Square statistical test, a ρ value of 0.009 (≤ 0.05) was obtained, indicating a significant relationship between ESI levels and patient satisfaction. Based on these findings, it can be concluded that there is a correlation between ESI classification and the level of satisfaction of service users in the Emergency Department. The researchers recommend that patients gain a better understanding of the ESI stages, and the Emergency Department is expected to provide education, such as putting up informative banners related to ESI (Emergency Severity Index) to increase patient understanding of the triage process in the Emergency Department.

Errors in the pre-analytical phase are a dominant factor causing inaccurate laboratory test results, including blood serum cholesterol analysis. Pre-examination specimen handling is crucial to ensure the quality of measurement results. This study aimed to compare serum cholesterol levels in blood frozen before centrifugation with those immediately centrifuged. The research method was analytical using a cross-sectional design. A total of 35 respondents were involved, consisting of laboratory staff, emergency room staff, pharmacists, and administration at Sinar Kasih GKST Tentena Hospital. Blood samples were obtained via venipuncture after participants had fasted for 10–12 hours. Each sample was then separated into two groups: those immediately centrifuged and those frozen 20–30 minutes before centrifugation. Data collection was carried out by examining serum cholesterol levels using an Erba Mannheim Chem-7 photometer. The results showed that the average cholesterol level in frozen samples was higher (161.4 mg/dL) compared to samples immediately centrifuged (140.45 mg/dL). The Mann-Whitney statistical test yielded a p-value of 0.006 (p<0.05), indicating a significant difference between the two treatments. This confirms that pre-analytical handling of blood specimens significantly impacts the validity of cholesterol test results. Therefore, careful attention to the pre-analytical stage is essential to ensure the accuracy of laboratory results.

This study analyzes the potential use of solar cells as a renewable energy source on the MV SARI INDAH. With the increasing demand for energy and the negative environmental impacts of fossil fuels, solar cells provide a promising eco-friendly alternative. The research focuses on developing a prototype system to charge batteries using solar power, converting DC power into AC for ship operations. The methodology includes measuring sunlight intensity, current, and output voltage, while also calculating the battery capacity and the ship’s electrical load. Tests were conducted at various tilt angles, with data recorded hourly over two days to assess performance. The results show that a 75° tilt angle yields the highest voltage, current, and power output when compared to other angles. Based on these findings, the study recommends installing solar panels at a 75° angle on the compass deck. The system design utilizes two panels positioned opposite each other, forming a 150° angle to optimize energy capture. This setup is capable of supplying power to key areas on the ship, such as seven lamps in the E/R 2nd Deck, Control Room, Emergency Generator Room, and CO₂ Room. The system is designed to meet the total daily energy demand of approximately 1,400 Wh, which can be efficiently fulfilled by eight solar cells rated at 50 Wp each, providing a sustainable and efficient energy solution for the vessel.

The digestive system plays a role in processing food into nutrients so that they can be absorbed and utilized by the body, but it is often found that the digestive system experiences disorders that can be caused by various factors such as infection, inflammation, motility disorders, or even neoplasms (Suryati et al., 2025).One of the diseases caused by digestive system disorders is ileus obstruction, which is a disorder of the digestive system that occurs due to a mechanical blockage in the intestine and is often found in patients with intestinal obstruction. One of the diseases resulting from digestive system disorders isileus obstruction, which is a disorder of the digestive system caused by a mechanical obstruction in the intestines and is commonly found in patients who visit the emergency room. It is estimated that approximately 2-8% and 15% of patients require treatment in the surgical unit (Andi Nailah et al., 2024). Obstructive ileus occurs in the small intestine and can be caused by incarcerated hernia, intussusception, intestinal adhesions or adhesions, ascariasis, volvulus, tumors, or gallstones entering the ileum (Su’un, Gani, & Purnama, 2024). The purpose of this writing is to understand and provide nursing intervention  for Mrs. T with a digestive system disorders: a case of ileus obstruction in Mawar 2 ward dr. Soeselo Regional General Hospital, Tegal Regency. The method used in this writing is a descriptive method. From the case review, it was found that the patient's main complaint was pain in the lower right abdomen. Three diagnoses emerged: acute pain, anxiety, and knowledge deficit. Interventions were developed based on SDKI, SLKI, and SIKI, which can be implemented.

Electronic Medical Records (EMR) are medical records compiled and stored through an electronic system used to support the provision of healthcare services. The implementation of EMR facilitates faster, more practical, and integrated patient data recording. Electronic Medical Records (EMR) are designed to improve the efficiency, accessibility, and accuracy of patient information within healthcare institutions. This study used a qualitative descriptive approach with a case study design through interviews to assess the readiness of EMR implementation in terms of the 5M management aspects (Man, Money, Material, Machine, Method) at Muhammadiyah General Hospital, Ponorogo Regency. The study sample consisted of 27 healthcare workers selected using a purposive sampling technique. The case study design allowed researchers to capture in-depth insights from healthcare workers directly involved in EMR implementation. The results showed that from the Man element, most healthcare workers were ready to use EMR, as indicated by their comfort and skills in operating the application. In the Money element, there is a system maintenance budget and support for EMR development in the inpatient unit and the Emergency Room. The Material element indicates the availability of adequate software, while the Machine element includes computer devices, internet connections, and a stable server to support users. These technological resources ensure a user-friendly and reliable system. The final element, Method, is demonstrated by the existence of clear SOPs and workflows, enabling healthcare workers to understand and effectively follow the EMR implementation process. Overall, the findings indicate that the hospital is institutionally prepared for EMR adoption.    

Nurses need to improve the quality of their responses and complaint handling in serving patients, so that the quality of nursing services can be considered good and patients feel satisfied. In conditions of response time, healthcare personnel, especially nurses, are required to provide quick, accurate, and holistic handling immediately. The objective of this study is to determine the relationship between nurses' response time and family complaint handling in the Emergency Room of RSUD Maria Walanda Maramis. The research uses a cross-sectional design. The sample in this study consisted of 68 respondents using the purposive sampling technique. Data collection on response time and complaint handling was conducted using observation sheets and questionnaires, and analyzed using the chi-square statistical test. The research results showed that the most common response time was the quick response time category, with 61 respondents (89.7%), and the most common complaint handling was in the good category, with 59 respondents (86.8%). The result of the chi-square test obtained a p-value of 0.004 where < α 0.05. Conclusion: There is a relationship between the nurses' response time and the handling of family complaints in the Emergency Room of RSUD Maria Walanda Maramis. Patient families are expected to provide constructive feedback regarding the emergency department services so that the hospital can continue to improve the quality of its services.

The emergency department (ED) is the frontline of the hospital that provides health care tp patients the hospital that provides health care to patients who experience emergency conditions. The principle of service in the emergency room is fast and timely, but the increase in the the number of patients visiting the emergency room and the availability of inadequate resources can result in patient waiting time. This study is known to know the relationship between the availability of facilities and human resources with patient waiting time in the emergency department installation. This study is an observational analytic study with a cross sectional study research design. Data collection using SAP and questionnaire sheets. For the analysis test using chi-square with a level of significance (a <0.05). The chi-square statistical test obtained a value ≤ p +(a <0.005). From this study, there is a relationship between the availability of facilities and human resources with patient waiting time in the emergency room.

Priapism is a urological emergency that can cause permanent disability so it requires fast and precise treatment by a doctor, we recently treated a man with intermittent idiopathic ischemic priapism with oral gabapentin 300 mg and dutasteride 0.5 mg, Before we decided on pharmacological therapy as an effort to prevent recurrent episodes of erection, we had planned invasive therapy as a first-line therapy option, namely aspiration, irrigation, inter cavernosal therapy with winter procedure, but before we had time to do the procedure the penis had detumescence so we canceled the procedure considering that massive bleeding occurred and there was no clinical benefit if the procedure was continued, the treatment immediately showed results after administration with a decrease in the frequency and duration of erections. In the second week the patient came back to our hospital emergency room, we planned the same action winter procedure but before we could do it the penis had detumescence, we gave additional pharmacological therapy Dutasteride 1x0.5 mg, After giving a combination of gabapentin and dutasteride for 2 weeks and we noted no reports of recurrent erectile episodes after and after stopping the drugs there were no reports of recurrent erectile episodes. Gabapentin and Dutasteride may be the main safe choice for the management of intermittent idiopathic ischemic priapism.

The Emergency Department is one of the busiest hospital units dealing with patients with various medical conditions, including high-risk patient cases requiring intensive care. This requires competent health workers. However, a stressful work environment can lead to high levels of job stress and burnout, which negatively impacts job satisfaction. This study aims to examine the effect of competence, job stress, and burnout on job satisfaction of health workers, especially doctors and nurses in the emergency room of Tzu Chi Hospital. This study used a quantitative approach with a questionnaire involving 38 respondents, analyzed using the Structural Equation Modeling (SEM) Partial Least Squares (PLS) technique through the SmartPLS application. The results showed that competence significantly affects job satisfaction, indicating that increasing competence increases job satisfaction. and competence also has a positive effect on burnout where the higher the competence, the lower the risk of burnout. In contrast, job stress and burnout have a negative influence on job satisfaction; the higher the stress and burnout, the lower the level of job satisfaction. These findings emphasize the importance of competency development as a strategic measure to reduce stress and burnout and increase job satisfaction. These results provide guidance for hospital management in designing effective competency improvement and stress management programs.

Patient safety is an important aspect of care standards that must be considered by all healthcare providers. Risk assessment, identification and management of hazards, documentation, analysis, and follow-up of accidents, and recovery provisions to reduce risks and prevent injuries are part of patient safety. The objective of this study is to determine the relationship between nurse workload and the implementation of patient safety in the Emergency Department (IGD) of Maria Walanda Maramis Regional General Hospital. The research uses a cross-sectional design. The sample in this study consisted of 22 respondents using the purposive sampling technique. Data collection on workload and the implementation of patient safety was conducted using a questionnaire, and analyzed using the Spearman rho statistical test. The research results majority of the workload was found to be in the light category, with 15 respondents (68.2%). The application of patient safety in the least category was poor, with 6 respondents (27.3%), while the most was in the good category, with 16 respondents (72.7%). The results of the Spearman rho test obtained a p-value of 0.032 where < α 0.05. Conclusion: There is a relationship between the nurses' workload and the implementation of patient safety in the Emergency Room (IGD) of Maria Walanda Maramis Regional General Hospital. It is recommended that nurses become more aware of the importance of fatigue management and effective coping strategies to maintain the quality of patient care.

The success of implementing patient safety in the emergency department cannot be separated from various factors that influence it, one of which is the workload of medical staff.The availability of facilities also plays a significant role in the implementation of patient safety.The objective of this study is to determine the relationship between nurse workload and the availability of facilities with the implementation of patient safety in the Emergency Department of RSUD ODSK, North Sulawesi Province.The research uses a cross-sectional design.The sample in this study consisted of 30 respondents using the purposive sampling technique.Data collection on workload, facilities, and patient safety was conducted using a questionnaire and analyzed using the chi-square statistical test.The research results showed that the highest workload was the light workload category, with 21 respondents (70%).The most available facilities and infrastructure were found, with 21 respondents (70%).The most common implementation of patient safety was the implementation of patient safety in the good category, with 22 respondents (73.3%).The chi-square test results obtained p values of 0.003 and 0.032, where < α 0.05.Conclusion: There is a relationship between nurse workload and the availability of facilities with the implementation of patient safety in the Emergency Room of RSUD ODSK, North Sulawesi Province.

Kwashiorkor is a form of protein energy malnutrition (MEP). Malnourished toddlers have short and long term effects, in the form of impaired growth and development, including impaired cognitive function, morbidity, risk of degenerative diseases in later life and death. The male patient aged 1 year and 2 months was brought by his parents to the emergency room of Cut Meutia Hospital on Tuesday, June 4, 2024 at 20:07 WIB with complaints of swelling on both backs of legs and hands and face. On the antopometric examination on the first day of treatment, the patient's nutritional status was found to be poor. Patients are given malnutrition management which is divided into 3 phases, namely stabilization, transition and rehabilitation.   Kata kunci: Antropometri, Kwashiorkor, Malnutrisi Energi Protein

Admission services in the emergency department (IGD) are an important part of hospital operations that require effective management to support health services. Optimal medical record management requires human resource planning according to actual workload. This research was conducted to analyze the need for admission registration at the Duren Sawit Regional Special Hospital (RSKD) with a quantitative approach using descriptive methods. The research results show that RSKD Duren Sawit has Standard Operational Procedures (SPO) which refer to Minister of Health Regulation No. 33 of 2015 in planning health human resource needs (HRK). Health workload analysis indicates that the ideal requirement is seven admissions officers, while currently only five officers are available, so there is a shortage of two officers. Factors that influence the workload of admission registration include: Man, namely the limited number of officers in the medical records unit, Machine, namely the BPJS server down and power outages, Material, namely the mixed admissions work room with the cashier so the medical record files are still in one room, Method, namely the HR application process at RSKD Duren Sawit found no obstacles, Money, namely there is no budget planning for additional officers in the medical records unit.

Patients who come to the emergency room will be triaged. Categorization of patients based on triage often causes anxiety in the patient's family. Anxiety is a psychological condition of a person with fear accompanied by physical complaints. The purpose of this study was to determine the relationship between the level of patient emergency with the level of anxiety of the patient's family in the emergency room of RSI sultan agung Semarang. This study is a type of quantitative research with correlational research design and cross sectional method. Data collection was done with a questionnaire with a total of 300 respondents with accidental sampling technique. The data obtained is statistically processed using the sommers test. Based on the analysis obtained, 41 respondents in ATS 2 experienced very severe anxiety, 63 respondents in ATS 3 experienced severe anxiety, 47 respondents in ATS 4 experienced moderate anxiety, 10 respondents in ATS 5 experienced mild anxiety. The results of the sommers test showed a p value of 0.00, meaning that there was a relationship between the level of emergency of the patient and the level of anxiety of the patient's family in the emergency room of RSI sultan agung Semarang.

Bronchopneumonia is a type of pneumonia that affects the bronchi and alveoli, usually starting in the terminal bronchioles. The terminal bronchioles become blocked with mucopurulent exudate forming patches of consolidation in adjacent lobules. 95% of pneumonia cases in children occur in developing countries. According to WHO estimates, the infant mortality rate due to pneumonia in developing countries is 40 out of 1000 live births or around 15-20% per year. A 5-year-old boy was brought to the Emergency Room of Cut Meutia Hospital with complaints of shortness of breath since 3 days before admission accompanied by a cough with phlegm and fever. The results of a physical examination of the thorax found nasal flaring breathing, chest wall retraction, and rhonchi (+/+). Based on laboratory tests, there was an increase in leukocytes, then a chest X-ray showed an impression of infiltration in the perihilar and paracardial. Based on history, physical examination, and supporting examinations, the patient was diagnosed with Bronchopneumonia. Non-medical management is done through bed rest, balanced nutrition, and adequate fluid balance. Then the patient's medical management is in the form of Cefotaxime injection 500 mg/12 hours, symptomatic management and supportive management for the bronchopneumonia..

Labor pain is a complex experience, with 65-80% of mothers in Indonesia experiencing severe pain during childbirth, requiring effective management. The SP6 (Sanyinjiao) acupressure technique offers a non-pharmacological, easy-to-apply, and safe alternative with minimal side effects for reducing labor pain. This study aimed to evaluate the effect of SP6 acupressure on labor pain in mothers giving birth at the Obstetrics Emergency Room of Tidore Islands City Hospital. A quasi-experimental design with a pre-test and post-test approach was used. The sample included 30 mothers in the active phase of labor (4-7 cm dilation), with singleton pregnancies and gestational ages of 37-42 weeks, selected through purposive sampling. The intervention involved applying acupressure at the SP6 point for 20 minutes with moderate pressure. Pain intensity was measured before and after the intervention using a Numeric Rating Scale (NRS) from 0-10. The Wilcoxon Signed Rank Test showed a significant decrease in pain intensity (p = 0.000), with 50% of participants reporting moderate pain post-intervention, and no participants experiencing uncontrolled severe pain. In conclusion, SP6 acupressure significantly reduced labor pain intensity and can be recommended as an effective, safe, and easy-to-apply method for managing labor pain.