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All Journal Jurnal Rekam Medis dan Informasi Kesehatan Journal of Health Sciences Jurnal Kesehatan Poltekkes Kemenkes RI Pangkalpinang Jurnal Pengabdian Masyarakat Aufa (JPMA) Jurnal Abdi Mahosada Journal for Research in Public Health
Wardani, Silvia Intan
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Humanities Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Nursing Public Health

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Waiting Time for Pharmaceutical Installation Services on Outpatients Using Electronic Medical Records at RUMKIT TK II Udayana Denpasar Bali Sejati, Ambarwati Wardoyo; Wardani, Silvia Intan; Noviyanti, Ni Putu Ayu Wulan
Jurnal Rekam Medis dan Informasi Kesehatan Vol 7, No 2 (2024): OKTOBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v7i2.11965

Abstract

The waiting time for pharmaceutical services is an important indicator in assessing the quality of health services, including at Tk II Udayana Hospital, Denpasar Bali. Although the implementation of Electronic Medical Records (RME) has been implemented to improve efficiency, outpatients still often face quite long wait times. This study aims to analyze factors such as prescription type, destination poly, gender, and visit time that affect the waiting time of pharmaceutical services at the hospital's Pharmacy Installation. This study uses an observational analytical approach with a cross-sectional design, involving 205 outpatient data taken by Simple Random Sampling in June 2024. The collected data was then analyzed using the Chi-Square test to determine the relationship between independent and dependent variables. The results of the analysis showed that the type of prescription had a significant relationship with the waiting time for pharmaceutical services (p=0.001). Patients who received a concocted prescription experienced a longer wait time than patients who received a non-concocted prescription. However, other variables such as gender (p=0.099), visit time (p=0.091), and destination poly (p=0.084) did not show a significant relationship with waiting time. From the results of the study, the type of prescription proved to be the most influential factor on the waiting time for pharmaceutical services at Tk II Udayana Hospital. Therefore, efforts are needed to optimize the RME system and improve resource management, especially in handling concocted prescriptions, to reduce waiting times and increase patient satisfaction.
Determinants of Outpatient Waiting Time at Lawang Malang Hospital Widyawati, Ivana Kusuma; Wardani, Silvia Intan
Jurnal Rekam Medis dan Informasi Kesehatan Vol 7, No 2 (2024): OKTOBER 2024
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v7i2.12274

Abstract

Patient waiting time is the length of time it takes for patients to obtain health services from registration to entering the doctor's examination room. This study aims to identify the factors that affect the waiting time of outpatients at Lawang Malang Hospital. Using a quantitative design with a cross-sectional approach, the study involved 95 respondents from internal polyclinic patients who were selected through non-probability sampling techniques. Data were collected using questionnaires and analyzed by chi-square test and logistic regression analysis. The results showed that most patients experienced a waiting time of more than 60 minutes, exceeding the Minimum Service Standard (SPM). Of the variables studied, only residence had a significant relationship with waiting time (p-value = 0.0001, AOR = 1.93; 95% CI, 1.16-3.21). Other variables such as education, employment, visit days, and registration methods did not show a significant relationship. The conclusion of this study is that the majority of patients wait more than 60 minutes, and the place of residence has an effect on the waiting time. To remedy this situation, it is recommended that hospitals develop an online registration application that is integrated with doctors' schedules to reduce patient waiting times.
Peningkatan Kualitas Mutu Pelayanan Dengan Cara Pemberian Pelatihan Komunikasi Efektif di Rumah Sakit Tingkat II Udayana Kusuma Widyawati, Ivana; Wardani, Silvia Intan
Jurnal Pengabdian Masyarakat Aufa (JPMA) Vol. 6 No. 3 (2024): Vol. 6 No. 3 Desember 2024
Publisher : Universitas Aufa Royhan Di Kota Padangsidipuan

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Abstract

Komunikasi efektif merupakan sasaran kedua dalam 6 sasaran keselamatan pasien. Setiap rumah sakit wajib untuk memberikan pelatihan komunikasi efektif bagi professional pemberi asuhan. Perawat sebagai salah satu pemberi asuhan pada pasien wajib untuk melakukan komunikasi efektif dalam proses perawatan pasien. Tujuan kegiatan pengabdian pada masyarakat ini adalah meningkatkan kemampuan dan pengetahuan karyawan dalam menerapkan komunikasi efektif. Kegiatan ini dilakukan di Rumkit TK II Udayana, dengan jumlah peserta yaitu 100 karyawan. Bentuk kegiatan yang dilakukan adalah ceramah, diskusi dan pemutaran video roleplay tentang penerapan komunikasi terapeutik, komunikasi efektif, komunikasi pada geriatri, dan komunikasi pada ibu dengan baby blues syndrome. Materi tentang komunikasi efektif terdiri dari komunikasi efektif dalam pemberian asuhan, komunikasi efektif dalam keselamatan pasien, handling complain dan service excellent. Kegiatan dilakukan dengan metode terbuka. Perawat mengikuti kegiatan ini dengan antusias. Hasil dari kegiatan ini adalah peningkatan pengetahuan perawat dimana nilai pre-test rata-rata adalah 5 dan nilai post-test rata-rata 8. Hal ini menunjukkan bahwa pelatihan yang dilakukan efektif untuk meningkatkan pengetahuan perawat. Pemberian pelatihan secara berkelanjutan bagi perawat dapat dilakukan untuk meningkatkan pengetahuan perawat sehingga dapat menjadi dasar bagi perawat untuk dapat memberikan pelayan yang baik bagi pasien.
The Effect of Motivation, Competence and Work Environment on Employee Performance in Brawijaya Hospital Lawang Malang Wardani, Silvia Intan; Peristiowati, Yuly; Nurwijayanti
Journal for Research in Public Health Vol. 2 No. 1 (2020): July
Publisher : Master of Public Health Program Universitas STRADA Indonesia

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Abstract

A hospital is a part of a health facility where the community obtains health services. One of the staff in the hospital who has a great influence on the quality of hospital services is the employee with his service. This study aims to determine the effect of motivation, competence and work environment on employee performance in Brawijaya Lawang-Malang Hospital. The sample in this study were all employees who worked as employees at Brawijya Lawang Malang Hospital as many as 102 people. The data analysis method used is linear regression. The results of the study show that motivation, competence and work environment together influence employee performance (n = 67,120; p = 0,000). While partially there is an influence between motivation on employee performance (n = 9.710; p = 0.023), between competency against employee performance (n = 5.894; p = 0,000), and between work environment on employee performance (n = 5.237; p = 0.000 ) Whereas the regression equation is Y = 1,721 + 0,518X1 + 1,072X2 + 0,137X3, where Y is performance, X1 is motivation, X2 is competence and X3 is work environment. While the value of Adjusted R Square 0.783 means that the variables of motivation, competence and work environment affect employee performance by 78.3% while the remaining 21.7% is influenced by other variables not included in this study. Management of Brawijya Lawang Malang Hospital needs to do tips to increase motivation, competence and pay attention to the work environment that can improve employee performance. Improving nurse performance can have an impact on improving the quality of hospital services
Hubungan Kualitas Pelayanan Kesehatan dengan Kepuasan Pasien Rawat Jalan di Puskesmas Kuta Utara Wardani, Silvia Intan; Yudhawati, Ni Luh Putu Suardini; Widyawati, Ivana Kusuma
Jurnal Rekam Medis dan Informasi Kesehatan Vol 8, No 1 (2025): MARET 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrmik.v8i1.12563

Abstract

Kepuasan pasien merupakan indikator penting dalam menilai kualitas layanan kesehatan yang ditawarkan. Penelitian ini bertujuan untuk menganalisis hubungan antara kualitas pelayanan berdasarkan dimensi tangible (bukti langsung), reliability (kehandalan), responsiveness (daya tanggap), assurance (jaminan), dan empathy (kepedulian) terhadap kepuasan pasien rawat jalan di Puskesmas Kuta Utara. Metode penelitian yang digunakan adalah kuantitatif dengan desain cross-sectional, melibatkan 99 responden yang dipilih menggunakan metode accidental sampling. Data dikumpulkan melalui kuesioner tertutup dengan skala Likert. Hasil penelitian menunjukkan bahwa mayoritas responden merasa kurang puas terhadap aspek tangible (69,2%) dan empathy (69,7%), sementara dimensi reliability (60,6%) dan assurance (56,6%) dianggap baik. Analisis bivariat menunjukkan hubungan signifikan antara kepuasan pasien dengan dimensi responsiveness (p=0,024) dan empathy (p=0,034). Temuan ini menggarisbawahi pentingnya peningkatan kualitas layanan dalam dimensi yang berpengaruh langsung terhadap kepuasan pasien.
Postural Balance among Elderly with Diabetes Mellitus: A Descriptive Study in the Geriatric Polyclinic of Level II Udayana Hospital Dewi, Triyana Puspa; Serinadi, Desak Made; Wardani, Silvia Intan; Wisnawa, I Nyoman Dharma; Astawa, I Gede Satria
JURNAL KESEHATAN POLTEKKES KEMENKES RI PANGKALPINANG Vol 13, No 1 (2025): JKP JUNI 2025
Publisher : Poltekkes Kemenkes Pangkalpinang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32922/jkp.v13i1.1119

Abstract

Background: Advancing age is often accompanied by physical decline in the elderly, including impaired balance. One of the most serious consequences of this impairment is the risk of falling. Diabetes mellitus is suspected to be a contributing factor to postural imbalance in older adults.Objective: This study aims to analyze postural balance among elderly individuals with diabetes mellitus at the Geriatric Polyclinic, Level II Udayana Hospital.Method: This quantitative study employed a cross-sectional design and involved 94 elderly patients diagnosed with diabetes mellitus at the Geriatric Polyclinic of Level II Udayana Hospital, Denpasar. Data were collected through direct observation using the Berg Balance Scale to assess postural balance. Descriptive univariate analysis was used for data interpretation.Results: Demographically, 68 respondents (72.34%) were aged 60–74, 54 (57.45%) were male, and 38 (40.42%) had completed senior high school. A majority, 62 respondents (65.96%), had lived with diabetes for more than five years. In terms of balance, 60 respondents (63.83%) were classified as independent, while 32 (34.04%) required walking assistance. The mean Berg Balance Scale score was 31.3, indicating the need for walking assistance.Conclusion: Elderly individuals with diabetes mellitus are at increased risk of postural imbalance due to aging and disease-related factors. These findings highlight the importance of early detection and may inform the development of targeted fall-prevention interventions for this population. Keywords: Elderly; Postural Balance; Diabetes Mellitus; Postural Imbalance; Berg Balance Scale.
PENINGKATAN KUALITAS MANAJEMEN SUMBER DAYA MANUSIA DI PUSKESMAS KUTA UTARA MELALUI PELATIHAN APLIKASI SOFTWARE WORKLOAD INDICATOR OF STAFFING NEED Wardani, Silvia Intan
Jurnal Abdi Mahosada Vol 3 No 2 (2025): Jurnal Pengabdian Kepada Masyarakat 2025
Publisher : STIKES Advaita Medika Tabanan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54107/abdimahosada.v3i2.408

Abstract

Puskesmas as the vanguard of health services in Indonesia face complex human resource (HR) challenges, including quantity, quality, and distribution. Suboptimal human resource planning is one of the factors that cause the inadequacy of health human resources. Training and development of employees at the Puskesmas is crucial to increase the competence and potential of individuals as valuable assets of the organization. This community service activity aims to improve the quality of human resource management at the Puskesmas Kuta Utara, involving 25 participants. The methods used include pre-test, providing material on workload calculation and HR management, simulating the use of WSN software, training sessions with case studies from participating health centers, and interactive discussions. The evaluation was carried out through a post-test with the same questions as the pre-test to measure the improvement of participants' understanding. The results of the activity are expected to make a positive contribution to improving the quality of human resource management and the effectiveness of health services at the Puskesmas Kuta Utara.
The Correlation between Stress and Mental-Emotional Disorders in Older Adults at the Geriatric Polyclinic of Udayana Level II Hospital, Denpasar Puspa Dewi, Triyana; Yudhawati, Ni Luh Putu Suardini; Wardani, Silvia Intan; Serinadi, Desak Made; Madulara Martin, Neil
Jurnal Ilmiah Kesehatan Vol 18 No 03 (2025): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v18i03.6213

Abstract

Mental-emotional disorder in older adults may arise as a result of stress that is not adequately managed. This study analyzes the correlation between stress and mental-emotional disorders in older people at the Geriatric Polyclinic of Udayana Level II Hospital, Denpasar. It used a quantitative method with a cross-sectional approach. The population consisted of 337 older adult patients receiving treatment at the Geriatric Polyclinic of Udayana Level II Hospital, with a sample size of 183 individuals. The sampling technique was purposive sampling. The Perceived Stress Scale (PSS-10) was an instrument to measure stress, and the Self Rating Questionnaire (SRQ-20) for mental-emotional disorders. The univariate analysis described the characteristics of the respondents, and the bivariate analysis evaluated the correlation between both variables using Spearman's rank correlation. Almost half of the respondents were 65-74 years old, 78 respondents (42.6%). Half of them were female, 99 respondents (54%). In addition, 62 or 33.88% of respondents graduated from a Senior High School. Most respondents experienced a moderate stress level of 134 respondents (88.5%) and mental-emotional disorders of 158 respondents (86.3%). Most respondents with moderate stress levels experienced mental-emotional disorder (66.12%). The Spearman's Rank Correlation obtained p=0.036 (p<0.05), indicating a significant correlation between stress levels and mental-emotional disorder in older people. Stress levels correlate with mental and emotional disorders in older people at the Geriatric Polyclinic of Udayana Level II Hospital, Denpasar. Efforts to recognize stress early, especially in older adults, are essential.
Co-Authors Astawa, I Gede Satria Dewi, Triyana Puspa Kusuma Widyawati, Ivana Madulara Martin, Neil Noviyanti, Ni Putu Ayu Wulan Nurwijayanti Puspa Dewi, Triyana Sejati, Ambarwati Wardoyo Serinadi, Desak Made Widyawati, Ivana Kusuma Wisnawa, I Nyoman Dharma Yudhawati, Ni Luh Putu Suardini Yuly Peristiowati