Jurnal Inovasi Kesehatan Masyarakat http://ejournal.delihusada.ac.id/index.php/JIKM <div style="text-align: justify;"> <p>Jurnal Inovasi Kesehatan Masyarakat (JIKM) diterbitkan oleh Program Masgister Kesehatan Masyarakat Institut Kesehatan Deli Husada yang bertujuan memberikan ruang bagi akademisi, peneliti dan pengguna hasil penelitian dan pengabdian untuk mendiseminasikan, menginformasikan, mendiskusikan dan menggunakan hasil penelitian dan pengabdian sebagai upaya meningkatkan kualitas kebijakan di bidang kesehatan masyarakat yang berbasis ilmiah dan dapat dipertanggung jawabkan. Jurnal ini menyajikan artikel ilmiah di bidang inovasi teknologi, meteodologi, teori di bidang kesehatan masyarakat. Jurnal Inovasi Kesehatan Masyarakat (JIKM) bersifat independen, ilmiah, memberi kesempatan yang sama kepada akademisi dari berbagai jenjang dan asal pendidikan tinggi.</p> </div> Fakultas Kesehatan Masyarakat, Institut Kesehatan Deli Husada Deli Tua en-US Jurnal Inovasi Kesehatan Masyarakat 2716-1366 ANALISIS MUTU PELAYANAN DI PUSKESMAS GALANG BERDASARKAN INDIKATOR NASIONAL MUTU PELAYANAN KESEHATAN http://ejournal.delihusada.ac.id/index.php/JIKM/article/view/1248 <p><em>Puskesmas is the main door in implementing basic health efforts including planning, implementing, evaluating, recording, reporting, and as outlined in a system. Quality of service is one of the efforts to fulfill the desires of customers and the accuracy of delivery to match customer expectations. This study aims to analyze the Service Quality of the Puskesmas Galang based on the National Indicators of Health Service Quality by using a qualitative descriptive study conducted from November 2022 to March 2023. This study used the Exponential Non-Discriminative Snowball Sampling technique with 12 informants consisting of 2 representatives from the Community Health Efforts (UKM) Section for Individual Health Nursing (UKP), 2 representatives from the Public Health Efforts (UKM) Development section, 2 representatives from the Individual Health Efforts (UKP) Health Center Service Network section, 2 representatives from the Puskesmas Facilities Network (Puskesmas Auxiliary, Poskesdes and Village Maternity Polyclinic), 4 representatives from the community who came to the puskesmas to get health services at the Puskesmas Galang.</em></p> <p><em>The results of the analysis concluded that it is necessary to procure educational media for hand hygiene and the use of PPE in strategic areas and facilities for more adequate sputum examination so that sputum examination can be carried out at the puskesmas.</em></p> <p><em>It is suggested to the Puskesmas to carry out regular training and routine monitoring related to hand hygiene and the use of personal protective equipment, periodic training on the use of SITB and Cohort applications for TB officers and ANC services for pregnant women and the Health Service needs to provide medical technicians for routine monitoring and repair if found damaged Puskesmas advice and infrastructure.</em></p> prem punjabi ##submission.copyrightStatement## 2023-07-06 2023-07-06 4 1 1 8 10.36656/jikm.v4i1.1248 EVALUASI IMPLEMENTASI STANDAR PELAYANAN MINIMAL PADA UNIT GAWAT DARURAT RS PABATU PTPN IV KABUPATEN SERDANG BEDAGAI http://ejournal.delihusada.ac.id/index.php/JIKM/article/view/1260 <p><em>Improving service and quality in the emergency department does not only have implications for clinical aspects but must also rely on safety and service delivery aspects. Hospital management must develop a program aimed at improving the process of emergency service units, which refers to the Minister of Health Minimum Service Standards No. 47 of 2018. This research uses a descriptive observational study design with a qualitative approach, which aims to obtain successful implementation of Minimum Service Standards in Emergency departments. The main informants in the study were those in charge of the emergency room, doctors on duty, and nurses. The Pabatu Hospital Emergency Installation already has good readiness in terms of human resources, facilities, and infrastructure, as well as medical materials to support emergency services. In the service variable, the specialist doctor's service response time of &gt; 10 minutes is still below the specified standard of &lt; 5 minutes with an achievement rate of 33.3%. This is due to the distance from the domicile surgeon who is quite far from the hospital, so it takes a slower travel time. The facilities and infrastructure variables have met the standards specified with a requirement level of 100%, except for the surgery room and stretcher storage room. From the results of the study, it was also obtained that the variable readiness of medical materials for the Emergency Room at Pabatu Hospital had met the standards specified with a 100% conformity level for each indicator. The Pabatu Hospital Emergency Room has also implemented the LASA and FIFO systems in managing drug supply. In the human resource variable at the Emergency Room at Pabatu Hospital, its only met a conformity level of 12.5% for the nurse indicator with emergency training certification. This is due to the management policy which will provide regular training. The observations found an increase in the number of visits by 50-70% on certain days which had an impact on a significant increase in the workload of emergency room workers.</em></p> Sabrina Indra ##submission.copyrightStatement## 2023-07-06 2023-07-06 4 1 9 18 10.36656/jikm.v4i1.1260 ANALISIS KARAKTERISTIK INDIVIDU DAN PEKERJAAN TERHADAP KINERJA TENAGA KESEHATAN DALAM KELENGKAPAN REKAM MEDIS DI RUMAH SAKIT LARAS KABUPATEN SIMALUNGUN http://ejournal.delihusada.ac.id/index.php/JIKM/article/view/1261 <p><em>Medical records are activities that must be carried out by every health facility, especially hospitals as a guideline for health services to patients. Health workers in completing medical records should have knowledge of completing patient medical record files.&nbsp; Laras Hospital is a type C hospital managed by PTPN IV's subsidiary, PT Prima Medica Nusantara (PMN), all indicators of completeness of medical records at Laras Hospital in several years are still unable to meet service quality standards. This means that the performance target of health workers in the completeness of medical records has not been able to be achieved. The type of ths research is quantitative, and the approachof this research is cross sectional approach, ordinal scale type (likert), non-parapmetric statistical test type, data analysis method using univariate and bivariate analysis using the Spearman Rank test using SPSS Version 25 software. The results of the study stated that each indicator of individual characteristics (interests, attitudes and abilities) and indicators of job characteristics (skill variety, task identity, task significance, autonomy and feedback) were positively and significantly related to health workers in the completeness of medical records at Laras Hospital. The most dominant factor related to the performance of health workers in the completeness of medical records at Laras Hospital is the individual characteristic variable is interest, while the job characteristic variable is the significance of the task.</em></p> Putri Sarah Zahrani ##submission.copyrightStatement## 2023-07-06 2023-07-06 4 1 19 32 10.36656/jikm.v4i1.1261 ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KELELAHAN KERJA PADA PERAWAT DI RUMAH SAKIT UMUM MADANI MEDAN TAHUN 2023 http://ejournal.delihusada.ac.id/index.php/JIKM/article/view/1274 <p>Abstract</p> <p>Work fatigue is a pattern that arises in a situation, which generally occurs in everyone, who is no longer able to carry out activities. Nurses who experience work fatigue will not perform optimally and will reduce the productivity of nurses in providing services. This study aims to analyze the factors related to work fatigue in nurses at Madani General Hospital in Medan in 2023.</p> <p>This type of research is an analytic survey with a cross-sectional explanatory research approach conducted in January with a total sample of 66 people with a total sampling method. The research data was obtained by filling out personal identity data sheets and measuring the level of work fatigue using the KAUPK2 questionnaire.</p> <p>From the research results of nurse respondents, there is a relationship between workload and work fatigue in nurses at Madani General Hospital in 2023. with a value (p-value 0.001), working period (p-value 0.008), working duration (p-value 0.009), stress Work (p-value 0.002), work attitude (p-value 0.019), and work shift variables have no relationship with value (p-value 0.0602). after being analyzed based on ordinal logistic regression test for work fatigue factors of nurse respondents at Madani Public Hospital Medan The most dominant variable related to nurse fatigue is Workload (RP) 4.84; 95% CI (1.66-14.13) at Medan Madani General Hospital in 2023.</p> <p>&nbsp;</p> Fitri Dahlia ##submission.copyrightStatement## 2023-07-06 2023-07-06 4 1 33 44 10.36656/jikm.v4i1.1274 Analisis Keselamatan dan Kesehatan Kerja Rumah Sakit di Rumah Sakit Laras Simalungun Tahun 2023 http://ejournal.delihusada.ac.id/index.php/JIKM/article/view/1294 <p><em>A hospital is a facility for the delivery of comprehensive medical services to individuals, including inpatient, outpatient, and emergency care.. Hospitals have many things that have the potential to cause hazards that can have an impact or risk to Occupational Safety and Health. For this reason, hospitals need to implement Hospital Occupational Safety and Health. In This research uses a form of qualitative research with 5 (five) informants. Data is taken from the results of the checklist of SMK3 PP Application Form No.50 of 2012. From the data, it is obtained that Laras Hospital has implemented Occupational Safety and Health with a Good Implementation Level for K3 Policy Determination where officers responsible for disaster management have been determined but have not received training, Satisfactory Implementation Level for K3 Planning where Laras Hospital has implemented all criteria, Satisfactory Implementation Level for K3 Plan Implementation even though the K3 Document at Laras Hospital does not yet have an identity&nbsp; status, Satisfactory Implementation Level for K3 Monitoring and Evaluation, and Good Implementation Level for K3 Performance Review and Improvement where executive management members have not attended K3 training. That way Laras Hospital has implemented Hospital Occupational Safety and Health with a Satisfactory Implementation Rate. Laras Hospital should raise the standard of human resources. to executive management members to attend K3 trainings, Laras Hospital needs to prepare K3RS facilities and infrastructure related to disasters. </em></p> DAMAYANTI DAMAYANTI AFRIAWAN ##submission.copyrightStatement## 2023-07-06 2023-07-06 4 1 45 52 10.36656/jikm.v4i1.1294 PENERAPAN SISTEM MANAJEMEN KESELAMATAN DAN KESEHATAN KERJA (SMK3) DI RS TENTARA PEMATANGSIANTAR TAHUN 2023 http://ejournal.delihusada.ac.id/index.php/JIKM/article/view/1313 <p><em>In implementing SMK3 in a hospital, there are several SMK3 criteria consisting of OSH Policy Determination, OSH Planning, OSH Plan Implementation, OSH Performance Monitoring and Evaluation, and OSH Performance Review and Improvement. The approach used in this study is a mixed method. Mixed methods research design with the design used in this research is the exploratory sequential design. This research was conducted at the Pematang Siantar Army Hospital. The time for the research was from November 2022 to May 2023. The research informants consisted of 5 people, namely the Main Informants: Director of the Hospital, K3 Staff, Head of HR and K3 Committee. Triangulation informants: 1 infection prevention and control team (PPI). The OHS Management System that has been implemented at the Pematang Siantar Army Hospital based on the Regulation of the Minister of Health of the Republic of Indonesia No. 52 of 2018, namely the preparation of a K3 implementation decree, the preparation of written K3 plan documents in the form of an annual work plan, waste management, monthly reporting of work accident rates and disease rates work and the implementation of occupational health services and emergency response and which are not yet perfect at the Siantar Army Hospital, namely the unavailability of Antam's technical personnel. It is necessary to form an OHS team in accordance with the standards of the Minister of Health of the Republic of Indonesia No. 52 of 2018, carry out continuous training related to Hospital OHS for all employees at the Hospital, create a well-programmed B3 waste management program, so that the Hospital no longer uses 3rd parties and waste can be managed independently, making a commitment to make the implementation of K3 a priority program at the Pematang Siantar Army Hospital.</em></p> Sri Suci Rahayu Barus ##submission.copyrightStatement## 2023-07-06 2023-07-06 4 1 53 63 10.36656/jikm.v4i1.1313 HUBUNGAN RASIONALITAS PEMBERIAN ANTIBIOTIK DENGAN INFEKSI LUKA OPERASI PASIEN PASCA BEDAH LAPAROTOMI DI RUMAH SAKIT PABATU TAHUN 2022 http://ejournal.delihusada.ac.id/index.php/JIKM/article/view/1330 <p><em>Surgical site infection (SSI) is one of the most common postoperative infections in hospitals, with a 14-16% percentage range. This study aims to determine the relationship between the rationality of antibiotics and surgical wound infections in post-laparotomy patients at Pabatu Hospital in 2022. This study used a cross-sectional design carried out at the Pabatu Hospital Medical Records Installation from February 2021 – January 2023. Samples were collected using a consecutive sampling technique. Data analysis was performed using the Chi-square test with a 95% Confidence Interval (α=0.05) and logistic regression analysis. From the ninety-six samples, 16 patients experienced ILO. The results of the bivariate analysis showed a relationship between the correct dosage of antibiotics, duration of antibiotic use, use of prophylactic antibiotics, the timing of antibiotics, type of surgery and wound care to surgical site infection. The final analysis using logistic regression showed that the use of prophylactic antibiotics (p 0,041, RP: 4,07; CI = 95%) was the variable that had the strongest association with SSI.</em></p> Beby Amelia Rangkuti ##submission.copyrightStatement## 2023-07-06 2023-07-06 4 1 64 73 10.36656/jikm.v4i1.1330 REZA KARINA HUBUNGAN MUTU PELAYANAN ANTENATAL CARE DENGAN KEPUASAN IBU HAMIL DI PUSKESMAS PANTAI CERMIN KECAMATAN TANJUNG PURA TAHUN 2023 http://ejournal.delihusada.ac.id/index.php/JIKM/article/view/1386 <p><strong><em>ABSTRACT</em></strong></p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <em>Quality health services are </em><em>health services that must pay attention to four main elements. The four main elements are input, environment, process, and output. Based on a survey conducted at the Pantai Cermin Health Center, out of 10 pregnant women, 4 people said the services provided by midwives were appropriate and 6 people said the services provided by midwives were not appropriate. To assess the satisfaction of pregnant women, it is necessary to analyze the quality of antenatal care services with the satisfaction of pregnant women including reliability, responsiveness, assurance, empathy and physical</em> <em>evidence. This study aims to determine the relationship between the quality of antenatal care services and the satisfaction of pregnant women at the Pantai Cermin Public Health Center, Tanjung Pura District, in 2023. This research was a quantitative research that’s an analytic survey with a cross sectional design. Sampling was done by perposive sampling technique. The total sample in this research were 64 respondents. The data analysis used Chi-Square test and the Logistic Regression test. The results of the bivariate analysis showed that there was a relationship between the quality of antenatal care services, namely reliability with a value of p = 0.002, responsiveness with a value of p = 0.022, assurance with a value of p = 0.005, empathy with a value of p = 0.012 and physical evidence with a value of p = 0.022 with maternal satisfaction pregnant. The multivariate analysis showed that the factor most related to the satisfaction of pregnant women was the physical state variable with a value of p = 0.010. It is suggested that the employees of the Pantai Cermin Health Center are motivated to further improve service quality by holding regular meetings with implementing staff and as a reference for further researchers in the form of qualitative research both from quality assessment, satisfaction and also service delivery.</em></p> REZA KARINA ##submission.copyrightStatement## 2023-07-06 2023-07-06 4 1 74 77 10.36656/jikm.v4i1.1386