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Background: Pulmonary tuberculosis (TB) is an infectious disease that requires long-term treatment and patient compliance so that the healing process can be achieved properly. One of the factors that plays an important role in the success of pulmonary TB treatment is family support. Families who are directly involved in care and motivation can increase the patient's enthusiasm to complete treatment. Therefore, empowering families in supporting pulmonary TB treatment is very important to reduce the number of failed treatments and prevent drug resistance. This community service aims to empower families in providing effective support to pulmonary TB patients so that patients can complete their treatment completely. The empowerment program carried out through counseling on the importance of adherence to TB treatment, as well as training on how to care for patients and reduce social stigma against TB, is expected to increase the active role of families in supporting patient treatment. This community service activity involves families of pulmonary TB patients, medical personnel, and the surrounding community, with an educational and collaborative approach. The results of this community service show an increase in family understanding of TB disease, the importance of adherence to treatment, and a reduction in stigma against TB patients. In addition, families feel more prepared and motivated to support patients in undergoing treatment. Family empowerment has been proven effective in increasing the completion rate of pulmonary TB treatment, which in turn can reduce transmission rates and drug resistance.

Background: Respiratory failure is a condition in which the respiratory system fails to perform the function of gas exchange, namely the entry of oxygen and the exit of carbon dioxide. Patients with respiratory failure are usually put on a ventilator. Patients who are put on a ventilator will experience a buildup of secretions, to overcome this, chest physiotherapy and suction will be performed. Chest physiotherapy is a procedure performed on patients who experience secretion retention and oxygenation disorders who require assistance to thin or remove secretions. While suction is the act of inserting a suction catheter tube through the mouth or nose or endotracheal tube (ETT) which aims to reduce sputum retention, free the airway and prevent lung infections. The purpose of this community service is to teach and understand changes in oxygen saturation levels in patients with respiratory failure in the ICU room of the Dr. Ario Wirawan Salatiga Lung Hospital after chest physiotherapy and suction interventions. The methods used are training, lectures and direct demonstrations. The number of patients in this community service is 4 patients. The results of this community service are the effect of increasing oxygen saturation after chest physiotherapy and suction. That is, before chest physiotherapy, the average oxygen saturation level was 93%, after chest physiotherapy for 3 days it became 97%. While before suction, the average saturation level was 95%, after suction for 3 days the 4th saturation became 100%. The conclusion is that there is an increase in oxygen saturation levels after chest physiotherapy and suction in patients with respiratory failure in the ICU Room of the Dr. Ario Wirawan Salatiga Lung Hospital.

Background: Patient safety is one of the dimensions of quality that is the center of attention of health practitioners on a national and international scale. Patient safety is a top priority that must be implemented by hospitals with an optimal role of nurses that can support the patient safety movement. A good safety culture creates an increase in service quality in its implementation, the culture of reporting incidents has not been widely practiced because officers think that reporting incidents can threaten the work of medical staff. The purpose of this study was to determine the description of the implementation of patient safety culture in nurses in the inpatient room at Sanjiwani Gianyar Hospital. Method: The method used in this study was quantitative with descriptive research design. The sampling technique used was Nonprobability Sampling type of total sampling of 94 respondents. The research instrument used was a patient safety culture questionnaire which amounted to 42 questions. Results: The results of this study indicate that the implementation of patient safety culture with the culture category is sufficient (57.4%). Conclusion: The conclusion of this study is that the implementation of a patient safety culture is categorized as a sufficient culture, meaning that nurses have implemented a safety culture but are not optimal in carrying out services according to the SKP.  It is expected for hospitals to further optimize and pay attention to the implementation of patient safety culture.

Background: Leadership is one of the crucial aspects in managing a health care unit, especially in nursing. A leadership style that focuses on attention and empathy, or known as Caring Leadership, has been shown to improve the quality of service and patient satisfaction. This community service aims to improve the understanding and ability of the head of the room in implementing the Caring Leadership style. Methods: This activity is carried out through a series of training and interactive discussions involving the head of the room in various hospitals. Educational materials include an introduction to the concept of Caring Leadership, effective communication techniques, and strategies in supporting the nursing team. Results: The results of this activity show an increase in participants' knowledge and skills in applying Caring Leadership in their work environment. The impact is expected to create a more harmonious work atmosphere and support the improvement of the quality of health services. Conclusion: This activity also contributes to improving the welfare of the nursing team and patient satisfaction.

The higher the awareness regarding health, the higher the human need for health services. As a health service center, hospitals have the task of providing complete individual health services, providing inpatient, outpatient and emergency services. Social security provided by the Indonesian state is implemented by the Social Security Administering Body (BPJS) to ensure the certainty of equitable health services. This research is a quantitative descriptive study with an observational method to determine the description of satisfaction of BPJS outpatients regarding pharmaceutical services at Bekasi Hospital using Proportional Random Sampling sampling techniques with sample criteria of BPJS patients aged 17 - 65 years, who receive pharmaceutical services from the Pharmacy Installation Hospital at least 2 times. Based on the data provided, the highest overall satisfaction category is "Satisfied" while the lowest category is "Not Satisfied". These results show that the majority of patients feel a very high level of satisfaction with the services they receive. Based on the results of research conducted at the Bekasi Hospital Pharmacy Installation with 3 hospitals as research objects, it can be concluded that 51% of respondents feel satisfied with the pharmacy services at the hospital.

This study aims to analyze the effect of waiting time on patient satisfaction undergoing ultrasound examinations at Kertha Usada Buleleng General Hospital. A quantitative survey method was employed, involving 50 respondents. Data were collected using a questionnaire measuring waiting time and patient satisfaction levels. The results indicate that the average waiting time is 90 minutes, and there is a significant negative correlation between waiting time and patient satisfaction (r = -0.58, p < 0.05). Approximately 80% of patients reported being satisfied or sufficiently satisfied, while 20% expressed dissatisfaction. The study concludes that improved management of waiting times and enhanced service quality are essential for increasing patient satisfaction. Recommendations for the hospital include developing a more efficient waiting time management system and improving communication with patients.

In the word legal theory is a foundation, opinion, understanding related to reality by describing the hypotheses studied. Theory provides an explanatory understanding by organizing the problems being faced, the purpose of methodological deepening in the background in order to obtain better and broader knowledge to solve related issues. In the world of health, theory is very necessary before carrying out field practice that directly involves dealing directly with patients to provide good health services. The application of legal theory in the world of health provides an understanding in studying the law that is clearer about legal materials and systematic views on legal statements. In this case, it is also inseparable from legal theory in medical practice, because in providing health services, doctors in the profession know their rights and obligations.

Background: The JKN program is here to provide benefits to Indonesian citizens in the form of comprehensive individual health services. The number of JKN participant referrals from FKTP to FKRTL has increased. Therefore, it is necessary to conduct research on strengthening basic health services to minimize the increase in health service costs borne by BPJS. Method: This study is a descriptive type of research because it is to describe how to optimize primary care. Data collection uses literature studies. Results: Based on a review of the four studies above from various countries, strengthening primary care is important to do by means such as integrating client-centered health services at the health center level, increasing community involvement when sick for treatment, optimizing the role of the government, implementing the Family Health Team approach, and routinely conducting socialization of JKN benefits in primary care. Conclusion: JKN provides benefits to improve public health so that strengthening primary health services is needed to help reduce inefficiencies in health service costs while increasing access to comprehensive and patient-centered health services.

The management of service centers at the Indonesian Rede Cross (PMI) in East Jakarta is still conducted manually, which slows down service processes and increases the likelihood of data processing erorrs. This research aims to design a Java-based application to automate patient registration, admission, handling, emergency services, available ambulance data, and the preparation of reports as quickly as possible. The application was developed using the Java programming language with a prototype model approach in software development. Testing results indicate that this application successfully enhances the efficiency and accuracy of PMI East Jakarta’s operations, particularly in managing data related to patients, actions, personnel, and ambulance availability. It is hoped that this application can be integrated with other PMI regions to establish a more structured and connected service management system.

The implementation of the Hospital Information Management System (SIMRS) plays a crucial role in enhancing the quality of public healthcare services in Indonesia. With the country's vast geographical landscape and significant disparities in healthcare access between urban and rural areas, SIMRS offers an integrated digital solution to streamline hospital operations and improve service delivery. This study explores the impact of SIMRS on the efficiency of hospital management, particularly in administrative processes such as patient registration, medical records, and resource allocation. Additionally, SIMRS contributes to improving healthcare accessibility by enabling seamless data exchange between healthcare facilities, ensuring that patients in remote areas can access timely and appropriate care. Despite its benefits, the implementation of SIMRS faces challenges, such as limited infrastructure, high implementation costs, and a lack of trained personnel. To overcome these obstacles, it is essential for the government, healthcare institutions, and other stakeholders to collaborate in providing adequate training, improving infrastructure, and ensuring sustainable implementation of SIMRS. This study concludes that SIMRS has the potential to significantly improve healthcare services in Indonesia, provided that the challenges are addressed and adequate support is given for its expansion across the country.

This study examines the application of speech acts in communication between doctors and patients at the Pratama Haji Medan-Pancing Clinic, focusing on the use of various types of speech acts, such as expressive, representative, directive, and commissive in medical interactions. Speech acts are understood as the smallest unit of speech activity that has a specific function, and in the medical context, this includes providing information, instructions, as well as expressions of empathy and emotional support. According to the findings from observations and interviews, effective communication between doctors and patients plays a crucial role in building trust and increasing patient satisfaction with healthcare services. According to the findings from observations and interviews, effective communication between doctors and patients plays a crucial role in building trust and increasing patient satisfaction with healthcare services. The use of appropriate speech acts, such as giving instructions on healthy lifestyles, showing empathy, and expressing care and support, plays a major role in reducing patient anxiety and improving social-emotional relationships in the hospital environment. Politeness in communication is a key element in improving the quality of health services. Therefore, the development of communication skills for medical personnel is essential to create a better experience for patients and be responsive to their needs.

 The implementation of Hospital Management Information System (SIMRS) in Indonesian government hospitals has had a significant impact on improving the efficiency and quality of health services. However, the implementation process of SIMRS faces various challenges, including limited technological infrastructure, resistance to change from staff, and a lack of professionals in the field of information technology (IT). This study aims to identify the challenges faced in the implementation of SIMRS in Indonesian government hospitals, as well as the solutions implemented to overcome them, with case studies in Dr. Sardjito General Hospital, Dr. Soetomo General Hospital, and Sanglah General Hospital. The findings show that the main challenges related to infrastructure, such as outdated hardware and limited internet connectivity, affect the smooth implementation of SIMRS. The solutions implemented include improving IT infrastructure, intensive training for staff, and recruiting IT experts to support the system. In addition, other solutions such as strengthening data security protocols to protect patient information are also important to maintain public trust. Despite the significant challenges, these hospitals have successfully overcome these obstacles and provide examples of successful SIMRS implementation. This success can improve the efficiency, transparency, and quality of health services which in turn strengthen public trust in government health services.

The implementation of electronic medical records at Hidayah Boyolali Hospital from January 2023 until now is not free from risks. The risks that generally occur are incomplete filling out of electronic medical records due to doctors' indiscipline in filling out patient treatment histories, inappropriate access to medical record information due to errors in patient identification, and errors in coding patient diagnoses which cause difficulties in claims and inappropriate service financing. The aim of PkM is to increase the knowledge and skills of medical record officers regarding hybrid medical record risk management. The PkM stages are: (1) preparation and licensing, (2) presentation of material and case studies, and (3) evaluation. The results of PkM are increased knowledge and ability to identify risks, assess risks, and treat risks in hybrid medical records. Implementation of risk management is carried out in the patient registration unit, patient data processing unit, patient data storage unit, and medical information release unit.

Until now, most people think that surgery is a scary experience. There are many problems that may occur during the operation process or after the operation, this can trigger fear in the patient where the patient is afraid that the operation they are undergoing will fail or even result in death. The aim of the research was to determine the relationship between family support and anxiety levels in pre-operative patients at Pertamedika Ummi Rosnati Hospital, Banda Aceh. This research method uses an analytical design with a cross sectional approach with a sample size of 93 preoperative patients, the sampling technique is Consecutive Sampling, univariate and bivariate analysis using the chi square test. The results of the study showed that the majority experienced anxiety in the severe category, 38 respondents (40.9%) and the majority of family support was in the moderate category, 51 respondents (54.8%), with p value = 0.024. The conclusion is that there is a relationship between family support and anxiety in preoperative patients. It is hoped that the research site will improve health services, especially for pre-operative patients, by providing support and motivation so that patients do not experience excessive anxiety.

Active Cycle Breathing Exercise (ACBE) is an effective therapeutic method for managing asthma symptoms, particularly in improving lung function and reducing the frequency of attacks. The role of physiotherapists as parental companions in implementing ACBE is crucial, especially at Medan Selayang Community Health Center. This study aims to analyze the contribution of physiotherapists in assisting parents of children with asthma to perform ACBE correctly and consistently. A descriptive research method was used, collecting data through interviews, observations, and questionnaires administered to parents and physiotherapists. The results indicate that physiotherapist involvement not only enhances parents' understanding of ACBE techniques but also improves adherence to regular practice at home. Furthermore, there was a significant reduction in asthma symptoms among children following consistent therapy. The physiotherapists' roles include education, demonstration, supervision, and evaluation of patient progress. Through this assistance, parents gain confidence in helping their children manage asthma, leading to an overall improvement in the quality of life for both children and families. This study recommends strengthening training programs for parents and integrating ACBE into physiotherapy services at the community health center level to ensure sustainable therapy.

User satisfaction in a health system is defined as the way the person perceived the service and its judgements about the care received. In Indonesia, health provider who could give dental treatments are Dentist, Dental Specialist, and Dental Co-ass Students under the supervision of Dentist in Charge of Service (DPJP) and under applicable laws and regulations. The objective of this research was to analyze whether there was a significant difference between patient’s satisfaction towards dental and oral treatment by dental co-ass students and dentist practitioner on RSGMP Jendreral Soedirman University, and measured using the Patient Satisfaction Questionnaire-18 (PSQ-18) that was modified according to field condition. Hypothesis of this research was there was a significant difference between patient satisfaction who received dental and oral treatment by co-ass students and dentist practitioner on RSGMP Jenderal Soedirman University. Result show that patient received treatment from general dentist showed higher level of satisfaction compared to patient received treatment from dental co-ass. The management of RSGMP Universitas jenderal Soedirman as a service provider needs to evaluate aspects which are still lacking in order to improve the quality of health services. Further research is needed to compare between patient satisfaction at RSGMP Universitas Jenderal Soedirman and patient satisfaction at other hospitals.

Increasingly tight hospital competition forces hospital management to continue to improve the quality of service, inpatient installation is a facility used by patients for more than 24 hours, so it will greatly affect patient satisfaction, therefore it is important for hospitals to ensure that nurse competence, and Nurse Quality who get work motivation can help hospitals to improve the quality of service. This study aims to analyze the effect of competence, work motivation and Nurse Quality partially and simultaneously on the quality of service. This study uses a quantitative analysis method conducted on 74 nurses at the Inpatient Installation of Advent Hospital Bandung in September 2024, data was collected using a questionnaire that had been tested for validity and reliability which was then processed using SPSS software. The results of this study indicate that partially and simultaneously nurse competence, work motivation and Nurse Quality have a significant and positive effect on the quality of service at the Inpatient Installation of Advent Hospital Bandung.      

The development of information technology has a significant impact on data management in the health sector, including clinics. This study aims to analyse the benefits of implementing a health information system in patient data processing in a clinic. The method used was literature review by collecting national research articles published between 2016 and 2024 and relevant to the topic under study. The results showed that the application of information systems in clinics can improve the efficiency of the patient registration process, accuracy and security of data storage, and improve the quality of health services. The system also facilitates report generation and data analysis that supports managerial decision-making and minimises errors in data processing. Thus, the implementation of an integrated information system can improve service quality and patient satisfaction at the clinic.

Background: Workplace stress affects 20% of nurses at RSUD Pringsewu, even though nurses are medical professionals who have continuous direct contact with patients. Perception of workload, perceived urgency, poor supervision, toxic work environment, lack of authority, conflict, and value differences between management and staff are all factors that can cause workplace stress. Of the fifteen nurses surveyed for the preliminary study at RSUD Pringsewu, seventy-three percent said they were bored and tired of their daily routines. Of the fifteen nurses surveyed, 66.7% said that mental burdens such as punctuality were a result of the hospital's work culture. In addition, more than three-quarters of these nurses have been working in the field for at least ten years. Knowing what makes nurses at RSUD Pringsewu anxious in their work in 2024 is the main driving force behind this research. Research method: Research method: quantitative research with a cross-sectional design. A total of 219 individuals, including all nurses working in the inpatient wards of RSUD Pringsewu, formed the population used for this study. The purposive sampling technique was used to select 156 respondents. Surveys were used to collect data, which were then analyzed using bivariate (chi-square test) and univariate methods. (frequency distribution). Research results: Research results: Nursing stress at Pringsewu Regional General Hospital in 2024 correlates with factors such as workload (p-value = 0.000), organizational culture (p-value = 0.010), length of service (p-value = 0.000), and relationship with superiors (p-value = 0.010). On the other hand, dual roles do not correlate with nursing stress at Pringsewu Regional General Hospital in 2024 (p-value = 0.941). The issue of nurses being overworked should be addressed by upper management, who should recruit more nurses or improve the hospital's infrastructure and facilities.

Incidents and patient safety in hospitals are very important things in the service system. Based on data from the World Health Organization (WHO), in 2020, every year there were 134 million reports related to patient safety incidents and caused 2.6 million patient deaths in hospitals. This study aims to determine the relationship between patient safety standards and patient safety incidents at the Pertamedika Ummi Rosnati Hospital, Banda Aceh. This type of research is a descriptive analytical research with a cross sectional study design. The population used in this study were all nurses, totaling 138 nurses. Sampling in this study was carried out by random sampling (random probability) with a purposive sampling technique with a total of 58 respondents. For patient safety standards, 43 people (74.1%) stated that patient safety standards had been implemented in accordance with hospital operational service standards, and only 15 people (25.9%) said they had not. 38 people (65.5%) stated that patient safety incidents were a standard priority for the hospital and only 20 people (34.5%) stated that this did not mean that patient safety incidents were less of a priority for nurses. The results of the bivariate test prove that there is a significant relationship between patient safety standards and patient safety incidents with a P-value = 0.019. The conclusion is that there is a relationship between patient safety standards and patient safety incidents.