Journal of Evidence-based Nursing and Public Health
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Implementation of minimum health service standards on health service coverage for educational age the basis and its influence on student health status
Get PDFBackground: Minimum Service Standar Health for basic education age health services is one of the 12 minimum service standards in the health sector that must be provided by district/city governments to every citizen with a target of 100% achievement. Findings: However, in 2023, the achievement of the minimum service standar target has not been met for the Kupang City Government so that citizens aged 7-15 years have not fully received basic health services. The aim of this research is to find out how the implementation of Minimum Service Standar Health in primary education age health services in Kupang City and its relationship with students' health status. Methods: This research is a mixed method research with data collection techniques in the form of filling out questionnaires, interviews and desk reviews conducted at Penfui Health Center, Oepoi Health Center, Oebobo Health Center, Kupang City Health Center and Oesapa Health Center. The sample in the study was 45 people consisting of Heads of Community Health Centers, Community Health Center Health Workers, School Health Business/Usaha Kesehatan Sekolah (UKS) Managers and Teachers. Conclusion: The results of statistical tests show that there is a significant relationship between the variables communication (p=0.03), resources (p=0.018), disposition (p=0.020), bureaucratic structure (p=0.037) on Health Service Coverage at Primary Education Age. Meanwhile, the health service coverage variable for primary education age has no relationship with students' health status (p=0.167). Novelty/Originality of this article: So it is necessary to increase outreach activities from health workers to parents, families and the community in order to increase understanding and awareness about the importance of health checks at the primary education age so that activities can be carried out well and students benefit from these activities
Stability analysis of Monkeypox virus transmission dynamics using the SEIVR approach
Get PDFBackgorund: Monkeypox is a zoonotic infection caused by the monkeypox virus (MONKEYPOXV), which has the potential to be transmitted from animals to humans. This virus can be transmitted through direct contact with infected animals such as monkeys, rats, and squirrels. In 2023, the World Health Organization classified monkeypox as a global pandemic, prompting stricter prevention measures worldwide. Given the significant increase in the number of cases and the challenges in controlling the spread of the virus, this study aims to develop a SEIVR (Susceptible, Exposed, Infected, Vaccinated, Recovered) mathematical model that can describe the dynamics of the spread of the monkeypox virus in Indonesia. Methods: There are two cases of the SEIVR model that will be studied; those are disease-free and endemic cases. From the cases, the stability of the model will be found. The Routh-Hurwitz criterion will also be used to analyze the stability due to the complexity of the eigenvalues. Findings: In the study conducted, simulations indicated that the infected population would coexist or remain for a fairly long time. This phenomenon is caused by the stable nature of the model. The dynamics of the model can also be seen by considering the obtained reproductive number. Although the infected population persists for a long time, the numbers are quite low. Conclusion: Vaccination does not have a significant impact. Therefore, further research using a treatment compartment or virus transition in rodents needs to be conducted for further study. Novelty/Originality of this Article: The novelty of this research lies in the use of the SEIVR model to map the spread of monkeypox in Indonesia and analyze its stability using the Routh-Hurwitz criteria and numerical simulations. This approach provides an initial overview of case persistence and vaccination effectiveness
Effectiveness of co-amoxiclav antibiotic therapy in carbuncle patients with type II diabetes mellitus
No full textBackground: Carbuncle is a confluent folliculitis that is infection affecting multiple hair follicles leading to multiple sinuses discharging pus. Optimisation of co-morbidities such as diabetes, adequate hydration, and antibiotics and are mainstay of initial treatment. Surgical intervention in the form of debridement and desloughing followed by wound care is the next line of management. The aim of this study was to know the effectiveness of co-amoxiclav antibiotic therapy in carbuncle patients with type II diabetes mellitus at the Surgical Polyclinic of Sabu Raijua Regional Hospital. Methods: This type of research is quantitative research using a cross-sectional retrospective approach. The sample in this study was patient data collection through medical records from 2023 to 2024 who underwent co-amoxiclav therapy of 1000 mg every 8 hours orally for 10 days accompanied by incision drainage with local anesthesia of 2% lidocaine with a carbuncle size of >10 cm who were treated at the Surgical Polyclinic of Sabu Raijua Hospital, totaling 10 patients. Findings: The results of therapy with co-amoxiclav antibiotic 1000 mg every 8 hours orally for 10 days accompanied by incision drainage with local anesthesia lidocaine 2% with carbuncle size >10 cm who received treatment were 10 patients who successfully recovered with outpatient care, did not experience complications or readmissions. Conclusion: In early-stage carbuncle cases, treatment with oral co-amoxiclav antibiotics alone is possible and effective, although incision and drainage should still be performed as early as possible. Novelty/Originality of this Article: This study demonstrates the effectiveness of the combination of oral co-amoxiclav 1000 mg/8 hours for 10 days with incision-drainage in carbuncles >10 cm with type II DM, which can be successfully treated as an outpatient without complications or readmissions
Potential of bioactive compounds in Indonesian endemic Nutmeg (Myristica fragrans and Myristica argentea) and their applications in health: An overview
Get PDFBackground: Nutmeg (Myristica fragrans and Myristica argentea), an Indonesian endemic plant from the Maluku Islands, has long been used in traditional medicine to treat digestive disorders, joint pain, and infections. While Myristica fragrans has been widely studied, research on M. argentea remains limited, despite both species containing bioactive compounds such as phenylpropanoids (e.g., myristicin), terpenoids, and flavonoids, which exhibit antioxidant, antimicrobial, and anti-inflammatory properties. Key challenges include optimizing eco-friendly extraction methods and exploring untapped therapeutic potential. This review consolidates the latest scientific evidence on nutmeg’s bioactive compounds and their health benefits, including anticancer, antidiabetic, and neuroprotective effects, as well as their prospects for sustainable therapeutic development. Methods: The study was conducted by searching PubMed, Scopus, and Google Scholar using keywords related to nutmeg’s bioactive compounds and medicinal properties. Findings: Findings reveal that both M. fragrans and M. argentea possess significant antidiabetic, antioxidant, anticancer, anti-inflammatory, and neuroprotective activities. Extraction methods range from conventional techniques like hydrodistillation and organic solvents to modern approaches such as Supercritical Fluid Extraction (SFE) and Ultrasound-Assisted Extraction (UAE). Additionally, nutmeg shows promise as an antimicrobial and cardioprotective agent, though its psychoactive compounds warrant caution. Conclusion: Potential applications include nutraceuticals, cosmetics, and pharmaceuticals, with waste utilization enhancing sustainability. Novelty/Originality of this article: The novelty of this review lies in its comprehensive comparison of both nutmeg species, emphasis on sustainable extraction techniques, and exploration of understudied therapeutic potentials, offering new insights for future research and industrial applications
The relationship between work life balance and mental workload in female nurses in the inpatient unit of Hospital X: A quantitative study
Get PDFBackground: Mental workload in healthcare workers, especially female nurses, is a critical factor influencing job performance and well-being. Previous studies have suggested that work life balance significantly affects mental workload. This study aims to explore the relationship between work life balance and mental workload among female nurses in the inpatient unit of Hospital X. The findings could provide insights into how work-life balance interventions could reduce mental workload in healthcare settings. Methods: This quantitative study utilized a cross-sectional design, with data collected through questionnaires from 100 female nurses. The study employed chi-square tests to analyze the relationship between work life balance and mental workload, as well as logistic regression to identify dominant factors influencing mental workload. Statistical significance was determined at p < 0.05. Findings: The results revealed a significant relationship between work life balance and mental workload (p-value = 0.001). Nurses with higher education levels (S1 Ners) exhibited a stronger correlation with high mental workload (p-value = 0.018). The most dominant factor influencing mental workload was the education level (p-value = 0.004), with job satisfaction, employment status, and work experience serving as confounding variables. Conclusion: The study concludes that better work life balance, particularly through education, is crucial in mitigating mental workload in female nurses. Implementing work-life balance programs can improve the mental health and productivity of healthcare workers. Novelty/Originality of this article: This study contributes new insights into the relationship between work life balance and mental workload in the nursing profession, particularly in inpatient settings. It highlights the impact of education on mental workload, which has been less explored in previous studies.
Evaluating delays in non-compounded prescription services under health coverage
Get PDFBackground: Hospital pharmaceutical services are critical to achieving high-quality healthcare. Waiting time for outpatient prescription services is a key performance indicator and a major concern for patients, particularly in Indonesia’s BPJS Kesehatan (National Health Insurance) program. At Hermina Bekasi Hospital, long prescription wait times have led to patient dissatisfaction, prompting this study to evaluate the waiting time for non-compounded prescriptions to assess compliance with national standards. Methods: This study employed a mixed methods design with an explanatory sequential approach. The quantitative phase involved observing 100 non-compounded outpatient prescriptions in March 2023 to measure waiting times. Data were analyzed for average durations and compliance with the ≤30-minute standard set by the Ministry of Health. The qualitative phase included in-depth interviews with five pharmacy staff, using an input-process-output framework to identify underlying causes of delay. Findings: Only 2% of prescriptions met the 30-minute standard; the average waiting time was 1 hour and 50 minutes, with a maximum of 3 hours and 32 minutes. The verification stage was the most time-consuming. Factors contributing to delays included inadequate human resources, insufficient facilities and infrastructure, SOP implementation gaps, overlapping doctor practice hours, and distant medication storage. These delays caused patient complaints and risked non-compliance with hospital accreditation benchmarks. Conclusion: The waiting time for non-compounded outpatient prescription services at Hermina Bekasi Hospital fails to meet national standards. Improvements are urgently needed in human resources allocation, doctor scheduling, infrastructure, and process efficiency to reduce delays and enhance service quality. Novelty/Originality of this article: This study offers a comprehensive evaluation using a mixed-methods framework to diagnose systemic inefficiencies in prescription services within a BPJS healthcare setting. The integration of both quantitative and qualitative insights provides actionable recommendations, such as layout redesign and warehousing solutions, which are often overlooked in similar studies
Pengaruh mutu terhadap kepuasan pasien pada pelayanan rawat jalan RSUD Prof. Dr. W.Z. Johannes Kupang
Get PDFoai:ojs2.journal-iasssf.com:article/371The quality of health services is the perfection of health services in meeting patient needs and demands; the better the quality of service, the more it will influence patient satisfaction. Survey results show that there are still many patients who are dissatisfied with hospital services. This study aims to determine the partial effect of quality from five qualities on patient satisfaction in outpatient services at RSUD, Prof. Dr. W.Z. Johannes Kupang. The research method is quantitative research with a descriptive approach, with the population in this study including all patients visiting the outpatient clinic at Prof. Hospital. Dr. W.Z. Johannes Kupang. The sampling technique used in this research is simple random sampling. The data in this study was taken using a questionnaire distributed to polyclinic outpatient patients at Prof. Hospital. Dr. W.Z. Johannes Kupang was numbered 94. The data was analysed using the multiple linear regression test, showing that the responsiveness and empathy variables had a significant effect on the reliability of patient satisfaction with a sig value. p = 0.00 and p = 0.021 (p<0.05), while the variables tangle (0.398), reliability (0.893), and assurance (0.822) are not significantly related to patient satisfaction because the p value is> 0.05. So it is necessary to improve the quality of hospital services for better service
Strategic approaches in disaster management: Analyzing the roles of public health professionals from emergency response to post-disaster recovery
Get PDFDisaster management presents a global challenge requiring the coordinated efforts of various sectors, especially public health professionals. The COVID-19 pandemic, declared by WHO in March 2020, marked a paradigm shift in disaster management and public health responses. This study examines the role of public health professionals during different disaster management phases, with a focus on Indonesia and global examples. Findings from Siti Marlina et al. (2022) and O. Olu (2017) highlight the critical role of community health centers and resilient health systems. The research also explores the Lombok earthquake response (Xu et al., 2018; Skinner, 2018; Kunugita et al., 2018; Brun & Pakenham-Walsh, 2018) and the broader implications of disaster management trends in Spain (Arcos González et al., 2023) and nuclear event concerns (Dallas, 2022). The study underscores the importance of mental health support (Peppou et al., 2021; Raesi et al., 2020) and offers recommendations for improving disaster management, including enhancing training, integrating public health into planning, and leveraging technology
Penanganan masalah stress kerja pada kasus kesehatan kerja dan penyakit akibat kerja
Get PDFJob stress is a problem that often occurs in the modern workplace. This is caused by several factors, such as high work demands, an imbalance between work and personal life, a lack of social support, and job uncertainty. Work stress can have a negative impact on employees' physical and mental well-being, causing various kinds of health problems and decreased productivity. Therefore, it is important for companies and individuals to manage work stress appropriately. One of the causes of work stress is psychosocial danger in the workplace, which includes interactions between work tasks, work design, and the organizational environment, which can influence the physical, psychological, and behavioral conditions of employees. For this reason, work stress management strategies can be implemented by determining healthy working hours, promoting social support in the workplace, and providing stress management training for employees. With proper management, it is hoped that a healthier and more productive work environment can be created
Pengaruh penundaan pemeriksaan terhadap laju endap darah pada sampel darah EDTA
No full textIntroduction: Blood is an essential component of living organisms, ranging from primitive animals to humans. Under physiological conditions, blood always remains within blood vessels to carry out its functions (Bakta, 2020). The Erythrocyte Sedimentation Rate (ESR), also known as blood sedimentation rate, is an examination to determine the rate at which erythrocytes settle in non-coagulated blood (blood containing anticoagulants) in a vertical tube over a specific period. The Westergren method for ESR measurement is the most satisfactory method currently used in hospitals and clinics. This study aims to determine the difference in Erythrocyte Sedimentation Rate values between EDTA blood samples examined immediately and those delayed for 3 hours at room temperature. Method: This analytical descriptive research compares the results of Erythrocyte Sedimentation Rate examinations conducted immediately and those delayed for 3 hours using the Westergren method at room temperature. The study involved 30 samples obtained from outpatient and inpatient patients by venous blood collection. Findings: The statistical analysis using Paired t-Test showed that the P Value was 0.00 (P < 0.05), indicating a significant difference between immediate and delayed examinations for 3 hours at room temperature using the Westergren method. Conclusion: Based on the research findings, it is recommended to conduct Erythrocyte Sedimentation Rate examinations with EDTA blood samples immediately as it is more effective