Royal Prima Medan Hospital Research Articles

The Effect Of Communication And Work Environment On Employee Performance With Motivation As Intervening Variable At Royal Prima Medan Hospital

This study aims to determine whether communication and work environment affect employee performance through job satisfaction as an intervening variable at Royal Prima Hospital Medan. The study was conducted on 105 non-medical employees of Royal Prima Hospital Medan using saturated sampling technique. The data collection technique used is primary data in the form of questionnaires and secondary data obtained through documentation studies. The data analysis technique uses quantitative data which is processed with SPSS version 25 program, namely t test, coefficient of determination (R2) and path analysis. The results obtained in this study indicate 1) there is a significant influence between communication on motivation, 2) there is a significant influence between work environment variables on motivation, 3) there is a significant but not significant effect between motivational variables on performance, 4) there is a significant but not significant effect between communication variables on performance, 5) there is a significant influence between work environment variables on performance, 6) motivation variables can affect communication variables on performance, 7) motivational variables can affect work environment variables on performance. The ability of communication variables, work environment and motivation in explaining employee performance at Royal Prima Hospital Medan is 72.9%, while the remaining 27.1% is explained by other variables not included in this research model.

Implementation Analysis Of Clinical Pathway At Royal Prima Hospital

Clinical pathways are an important part of documents and tools in realizing good clinical governance in hospitals. In Indonesia, this document is also one of the requirements that must be met in the KARS version of the Hospital Accreditation Standard. However, the process of implementing this Clinical Pathway itself also has various problems. Things that might hinder the implementation of this clinical pathway could come from the staff and hospital members themselves because they have not adapted to this Clinical Pathway. This study aims to analyze the implementation of the Clinical Pathway at the Royal Prima Hospital in Medan. This study uses a quantitative design with a cross sectional approach. The research sample was all doctors, nurses, nutritionists, pharmacists at the Royal Prima Hospital Medan who filled the Clinical Pathway as many as 83 people. The results of the Fisher's Exact test showed that there was a significant effect between regulation (p=0.000), compliance (p=0.004), supporting factors (p=0.025), and inhibiting factors (p=0.002). By using the t-test at a significance level of 0.05, the results obtained that regulation is the variable that has the main influence on the implementation of the Clinical Pathway at Royal Prima Hospital Medan (Sig.0.001). Suggestions to hospitals are expected to strengthen policies regarding the implementation of Clinical Pathway to improve health services in hospitals. Caregivers are expected to maintain compliance with the implementation of the Clinical Pathway to improve health services in hospitals.

Analysis of Diseases in the Elderly Affecting Covid-19

Covid-19 virus began in December 2019, and the coronavirus (COVID-19) has impacted several countries, affecting more than 90,000 patients and making it a global pandemic. Where health workers include doctors, nurses, and other health workers, play a role in treating infected patients and become the vanguard in the handling of coronavirus. Based on data Indonesia positive cases of Covid-19 as many as 3,872,738 people and patients recovered 3,381,884 people and patients who died as many as 118,883 people and 48.3% of the cases of COVID-19 patients in Indonesia are elderly. The actual SARS-CoV-2 outbreak caused a highly transmissible disease with a tremendous impact on elderly people. This study focused on very elderly patients (over 80 years old) was created with the aim of analyzing the relationship of some diseases in the elderly that affect covid-19 at Royal Prima Hospital Medan in 2020, And the conclusion of this study based statistically shows that there is no link between DM, heart and kidney diseases in the elderly that affect covid-19, as well as the presence of hypertensive disease and ARI in the elderly that affects covid-19.

The Influence of Facility Infrastructure and Personal Contact on Inpatient’s Trust

Trust is one of the most important aspects of the relationship between patients and medical staff. Patients are free to choose hospitals based on their confidence, leading to competition among hospitals. This is a challenge for hospital management to improve impact trust and patient retention. The purpose of this study was to analyze the impact of facility infrastructure and personal contacts on the confidence of inpatients at Royal Prima Medan Hospital through an interpretive survey study. The study was conducted between July 2019 and August 2019 with a total of 98 participants using a proportional random sampling technique. The results showed that a facility’s infrastructure and personal contacts statistically influenced patient trust. The most important factor influencing patient confidence was facility infrastructure (p-value = 0.002 and odds ratio = 5.27). These results suggest that improving the quality of facilities and personal contact increases trust in patients.

Factors Affecting The Implementation Of Occupational Safety And Health At Royal Prima Medan General Hospital In 2021

Cases of Occupational Accidents (KAK) and Occupational Diseases (PAK) at Royal Prima Hospital Medan in 2017-2020 showed a significant increase, especially in 2020. This condition was due to Royal Prima Hospital receiving/serving Covid-19 patients so that they were overwhelmed in handling The surge in patients impacting the workforce is experiencing fatigue and illness. The purpose of this study is to analyze the factors that influence the implementation of Occupational Safety and Health (K3). This research is a quantitative analytic study with a cross-sectional approach. The research was conducted at Royal Prima Hospital Medan. The research population was 915 people and the sample was 100 people. Sampling by the Hsystematic way (systematic sampling). Data analysis used univariate, bivariate with chi-square test, and multivariate with multiple logistic regression at 95% confidence level (α=0.05). The results showed that the factors that influenced the implementation of Occupational Safety and Health (K3) at Royal Prima Hospital Medan were action (p=0.045), policy (p=0.010), standard operating procedures (p=0.011), and leadership (p=0.011). = 0.020). Variables that had no effect were education (p=0.461), belief (p=0.538), perception (p=0.235), knowledge (p=0.578) and attitudes (p=0.730). The most dominant variable influencing the implementation of K3 at Royal Prima Hospital Medan is policy. Implementing officers who declare hospital policies are good, have a 5.5 times higher chance of implementing K3 well than those who state policies are not good.

Risk Factor Analysis Of Nurse’s Depression Level Using The Beck Depression Inventory Method In The Isolation Room For Covid-19 Patients Royal Prima Medan In 2022

This Corona Virus has been named SARS-CoV 2 and this virus moves from human to human through direct contact and has symptoms ranging from mild to severe. Nurses can experience psychological disorders in the form of depression because they are directly involved in treating Covid-19 patients. The purpose of this study was to analyze risk factors (working time, risk of exposure, workload, stigma, and social support) on the level of depression of nurses using the Beck Depression Inventory method in the isolation room for Covid-19 patients at Royal Prima Hospital Medan in 2022. The type of research used is an analytical study with a cross-sectional approach with primary and secondary data collection in February - March 2022. The number of research samples is 95 nurses who work in the Covid-19 isolation room. The data were analyzed univariately to see a descriptive picture, bivariate using the product-moment test, and multivariate by using the multiple logistic regression test. The results of this study are; based on age the most in the age group 20-30 years (93.7%), gender, dominated by women (73.7%). Based on education, it was found nurses with a Diploma education (75.8%), work 1-2 years (50.5%). Based on marital status, predominately single (76%). In the bivariate analysis, there was a relationship between risk factors and the level of depression of nurses in the Covid-19 isolation room at Royal Prima Hospital Medan in 2022. In the multivariate analysis, working time (0.007), risk of exposure (0.003), workload (0.002), stigma (0.024) ), and social support (0.012). The conclusion of this study is that there is an influence of risk factors on the level of depression of nurses in the Covid-19 isolation room at Royal Prima Hospital Medan in 2022.

The Effect of Intrinsic Motivation on Nurse Job Satisfaction at Royal Prima Hospital Medan in 2022

Human resources, especially nurses, are the most dominant workforce in carrying out tasks in the management of hospital organizations, therefore, as the driving force for organizing hospital activities, nurse job satisfaction is very important to get attention from hospital leaders and management. The purpose of this study is to determine the effect of intrinsic motivation on nurse job satisfaction. This type of research is non-experimental quantitative research with a descriptive approach (cross-sectional survey) and associative analysis. The study was conducted at Royal Prima Marelan Hospital in March 2022. The population in this study was all nurses who worked at Royal Prima Marelan Hospital with a total of 151 nurses. The sampling technique used in this study was the Slovin Technique with a confidence level of 95%, and an error rate of 5%, obtained 139 samples. Chi-Square's analysis found that the variables of responsibility (p-value=0.023), award (p-value=0.002), achievement (p-value=0.006) had a value of < 0.05, thus Ho was rejected Ha accepted. Likewise, with multiple regression analysis, the intrinsic factor variable has a p-value of <0.05, and the most influential variable is the reward variable with an OR of 5,105. Conclusion partially and simultaneously the variable intrinsic factor of nurses affects job satisfaction The OR value obtained is 5,105 meaning that with the appreciation of employees, it has a 5.1.05 times chance of affecting the level of job satisfaction of nurses at Royal Prima Marelan Hospital.

Analysis the Influence of Extrinsic Motivation on Nurse Job Satisfaction at Royal Prima Hospital Medan

Someone who has high job satisfaction will show a positive attitude toward his work, while someone dissatisfied with his work will show a negative attitude towards his work. Extrinsic motivation is a driver of work that comes from outside the worker in the form of a condition that requires carrying out work optimally. This study aims to analyze the influence of extrinsic motivation on nurse job satisfaction. This type of research is quantitative non-experimental with a descriptive approach (cross-sectional survey) and associative analysis. The study was conducted at RSU Royal Prima Marelan, in March 2022. The population in this study was all nurses with 151 nurses. The sampling technique used in this study was the Slovin Technique, with a confidence level of 95%, and an error rate of 5%, obtained with 109 respondents, plus 30 respondents as a validity test, then the overall population in this study was 139 respondents. Pearson Chi-Square's value of the Supervision variable (X1), Wages (X2), and Work Environment (X3) has a p-value smaller than the 95% signification number (α =0.05), while the Status variable (X4), has a p-value greater than the 95% signification number (α = 0.05). The results of the multivariate analysis, that from independent variables, namely Supervision (X1), Wages (X2), and Work Environment (X3), which are suspected to affect job satisfaction, the most influential is the wage variable with a p-value of 0.001 < 0.05. The OR value obtained is 6,233, meaning that high wages have a 6,233 times chance of affecting the level of job satisfaction of nurses at Royal Prima Marelan Hospital.

The Effect Of Implementation Of Patient Identification Based On The Pall Accreditation Standards On Improving The Patient Safety Program At Royal Prima General Hospital In 2022

Patient safety is a variable to measure and evaluate the quality of nursingservices that have an impact on health services. One of the safety services inhospitals starts from the accuracy of patient identification. Patientidentification errors at the beginning of the service will continue to the nextservice error. The purpose of this study was to determine how the effect ofimplementing patient identification based on JCI accreditation standards onimproving the Patient Safety program at Royal Prima Hospital. This type ofresearch is a quantitative study with a cross-sectional design. Samplingtechnique The sampling technique in this study was to use the Slovinformula with a total sample of 124 patients. Data analysis in this study usedunivariate and bivariate analysis. The results of the study explained thatthere was an influence between the implementation of patient identificationbased on the Plenary accreditation standard to the improvement of thePatient Safety program at the Royal Prima Hospital Medan with ap value of<0.007. Through this research, it is hoped that the Royal Prima HospitalMedan can improve the quality of nursing services, especially in theimplementation of identification based on the Plenary AccreditationStandards.

Analysis of The Influence of Intrinsic and Extrinsic Motivation On Nurse Job Satisfaction At Rsu Royal Prima Medan In 2022

Paramedics, especially nurses, are the most dominant workforce in carrying out tasks in the management of hospital organizations. Therefore, it is very necessary to pay attention to the level of satisfaction and comfort of the nurses in working, in order to be able to do their work optimally. This study aims to analyze the influence of intrinsic and extrinsic motivation on nurse job satisfaction. This type of research is quantitative non-experimental with a descriptive approach (cross-sectional survey) and associative analysis. The research was conducted at RSU Royal Prima Medan, in March 2022. The population is 377 people, the technique of determining the number of samples using Structural Equation Modeling (SEM) with the approach used is purposive sampling, a criterion for the inclusion of nurses who want to be respondents. Data analysis uses univariate, bivariate (Chi-Square), and Multivariate (Multiple Linear Regression). The results of the partial analysis, the variables of Award (X1), Achievement (X2), Supervision (X3), Responsibility (X4), have an influence on the variable of job satisfaction with a p-value < 0.05. While the variables of Wages (X5), Work Environment (X6), Status (X7), with a p-value of > 0.05, have no influence on the variable of job satisfaction of implementing nurses at Royal Prima Hospital Medan. The results of the multivariate analysis, that from independent variables, namely Awards, Achievements, Supervision, Responsibilities, which are suspected to affect job satisfaction, the most influential is the responsibility variable with a p-value of 0.002 < 0.05. The OR value obtained is 8,522, meaning a high sense of responsibility, has an 8,522 times chance of affecting the level of job satisfaction of nurses at Royal Prima Hospital Medan.

Analysis Of Medical Health Equipment Treatment At Royal Prima Medan General Hospital

Medical devices are one of the factors that play an important role in providing health services to the community. Sustainable health services need to be supported by equipment that is always in a ready-to-use condition and can function properly. The level of public health needs to be improved through quality health services, one of which is through the provision of good, safe and suitable medical devices. So that medical equipment is always in good condition, safe, and suitable for use, it is necessary to carry out preventive maintenance including periodic maintenance and implementation of tests and calibrations. The purpose of this study was to analyze the Treatment of Medical Medical Devices at Royal Prima Hospital Medan. The results of this study indicate that the number of human resources in carrying out medical device maintenance at Royal Prima Hospital Medan is maximized, the exact amount of funds for the maintenance of medical devices at Royal Prima Hospital Medan is unknown, but each device already has its own budget in terms of treatment. and repairs, the placement of medical devices, especially in the ICU and IGD rooms, is in accordance with SOPs, it can be seen that their placement is regular and easy to reach by health workers such as doctors and nurses, the maintenance of medical devices is routinely carried out as well as once a week technicians always carry out maintenance on medical devices, supervision has also been carried out optimally by technicians if there are medical devices that are constrained in their operation.

Analysis Of Medical Services Distribution And Nurse Relationship In Policy Making On Nurse Performance At Royal Prima Hospital Medan 2021

Performance is an obligation that must be improved by every nurse, good performance can increase patient satisfaction at the hospital, the way that must be done by the hospital in improving performance is by distributing medical services in accordance with the provisions in the hospital. This study aims to analyze the distribution of medical services and the relationship of nurses in policy making on nurse performance. This study uses two approaches, namely qualitative and quantitative. The population in this study were nurses at the Royal Prima General Hospital in Medan, amounting to 386 nurses, the sample used in this study was 224 nurses. This study uses two statistical applications for processing research data, namely SPSS and LISLER. The results of his research from the two approaches in this study state that the variables of the principle of fairness, the principle of fairness, the principle of transparency, and the principle of consistency affect the performance of nurses, while the relationship between nurses in decision making does not affect the performance of nurses at the Royal Prima General Hospital Medan in 2021.

Effect of Service Quality on Patient Satisfaction with the Hospital's Image as a Moderator at Royal Prima Hospital Medan

Customer loyalty has become an interesting issue in the field of marketing. This customer loyalty arises because of the influence of the satisfaction felt by customers. Imaging is an important stage for hospitals because it can encourage customer loyalty. Customer service is a very important element to foster customer satisfaction which ultimately fosters loyalty to customers. This study aims to examine the influence of hospital image and service quality on customer loyalty through patient satisfaction. This research method is a descriptive quantitative conducted at RSU Royal Prima Medan in July 2022. The total population of outpatients and inpatients using hospital services in the last 3 months ± 35,456 people with an average per month of ± 11,818 patients. The minimum sample using the sem structural equation modeling (SEM) analysis technique was determined by 100 people. Sample determination technique using nonprobability sampling method purposive sampling approach. Data analysis using bivariate and multivariate with multiple regression analysis models and simulates hypothesis assessment using the F test and T-test. The calculated F value of 45,213 is greater than that of F table 3.07 with a sig of 0.002 < 0.05. The Service Quality Variable has a calculated t of 4.522 and a t table value of 1.977 then the calculated t value of > t tabel at α=5% (4,522>2,627) with a significant value of 0.002 is less than 0.05 (0.002<0.05), so the results of the H0 study were rejected and H1 was accepted. The conclusion of the Service Quality variable (X1) and the Image variable (X2) partially had a significant effect on Patient Loyalty (Y) at Royal Prima Hospital Medan. The result of the value of the coefficient of determination (Adjusted R Square) is 0.460. This shows that 46% of the Patient Loyalty variable (Y) can be explained by the service quality variable (X1) and the Image variable (X2), while the remaining 64% is a variation of other variables that are not described in this study, for example, discipline, leadership, and so on.

Effect of Service Quality on Patient Satisfaction with the Hospital's Image as a Moderator at Royal Prima Hospital Medan

Effect of Service Quality on Patient Satisfaction with the Hospital's Image as a Moderator at Royal Prima Hospital Medan

Implementation Of Hospital Management Information System (SIMRS) At Royal Prima Hospital

The health information system is part of the national health system (SKN), therefore the health system in Indonesia and health information are needed by hospitals. This concept is needed for the development of a hospital management information system (SIMRS), a puskesmas information system (SIP) and a clinicalinformation system (Handayani, 2020). The purpose of this study was to determine the analysis of theapplication of hospital management information systems (SIMRS) at RSU Royal Prima. The method in this research is qualitative. The population in this study amounted to 10 respondents. The results of the study show that SIMR is very influential on patient care, HR can use the SIMRS application and there is management support in theuse of SIMRS at Royal Prima Hospital Medan. Based on the results of research on the analysis of the application of hospital management information systems (SIMRS) at Royal Prima Hospital, it can be concluded that the quality of the system is still not good in the quality of the system in the field because the internet network problem is not good, the quality of system information has been very helpful for service, the quality of service is very good. , HR is different, new employees are the same as the old ones, if new employees haven't, so new employees should want to learn with old employees, and old employees are proficient in using SIMRS, management supports it because this is indeed a program from management, SIMRS Royal Prima Medan is there The advantages are in patient care and the quality of information systems, all service data at RSU Royal Prima Medan can be stored properly and nicely. It is hoped that the hospital will pay more attention to and improve the quality of the SIMRS internet network at RSU Royal Prima and provide training to all employees, especially for new employees on how to use SIMRS so that services at RSU Royal Prima Medan runsmoothly and well.

Operational Analysis Of Strategic Plan Based On The Perspective Of Balanced Scorecard Performance Of Hospital Employees At Royal Prima Hospital Medan

Performance appraisal using the Balanced Scorecard method measures a hospital’s performance comprehensively from both the financial and non-financial sectors. As a health service company must have a comprehensive, coherent, balanced and measurable performance appraisal system. This study aims to analyze, test, and measure the performance of the hospital by using The Balance Scorecard case study at Royal Prima Hospital Medan. According to the balanced scorecard, the research problem was how about the performance of Royal Prima Hospital Medan in the period of 2018-2020. The assessment was done from four perspectives: financial perspective, customer perspective, internal business perspective, and growth and learning perspective. The research used mixed methods, a research step by combining two types of research, qualitative and quantitative research. The data were gathered by conducting a documentary study on financial statements, medical records, and personnel records. Primary data were obtained from the interviews with the management and distributing questionnaires to customers and employees in the hospital. The results of the research showed that the performance of the financial perspective on economic ratios is not yet economical, while the efficient and effectiveness ratios are very good, the financial performance of Royal Prima Hospital Medan has been very effective and efficient from 2018 to 2020. The Hospital performance from the customer perspective in the period of 2018-2020 for the percentage of customer retention is still not good, customer acquisition is very good and customer satisfaction is quite good. The performance of internal business perspective in the period 2018-2020 was not good in which the percentage of BOR, BTO, and TOI were not in accordance with the standard of the Ministry of Health. The performance of the percentage of growth and learning at Royal Prima Hospital Medan perspective in the period of 2018 - 2020 shows a fairly good percentage.

Analysis Of The Effect Of Employee Readiness On The Implementation Of Accreditation At Royal Prima Medan Rsu

Hospitals are required to carry out accreditation to improve the quality of health services, some employees feel accreditation is a workload and they are not ready to carry out the sustainability of hospital accreditation. The purpose of this study was to analyze the relationship between employee readiness and the sustainability of hospital accreditation. This research is an analytic study with a cross-sectional approach. The study was conducted at Royal Prima Hospital Medan. The study population was 230 people and a sample of 70 people. Sampling by stratified random sampling. Data analysis used univariate, bivariate with chi-square test, and multivariate with multiple logistic regression at the 95% confidence readiness to change, management support, and self-benefit with the continuation of hospital accreditation at the Royal Prima Hospital in Medan, p <0.05. While the unrelated variable is confidence, p> 0.05. The variable that has the greatest relationship with the sustainability of hospital accreditation is management support with the value Exp (B) / OR = 18.978. The management of Royal Prima Hospital needs to continue to support the improvement of the quality and professionalism of employees with continuing education and training to improve the quality and safety of patients at Royal Prima Hospital Medan.

Implementation Of Patient Safety Program In The Surgical Room By Nurses Based On The Rules Of The Royal Prima Medan Hospital In 2021

Currently, the issue of patient safety is getting serious attention from the government. Hospitals must fulfill the patient's right to security and safety while in hospital treatment. Patient safety is a serious global public health problem. Medical errors can be caused by both system and human factors. This research was conducted at the Royal Prima Hospital Medan with the issue of patient safety at the Central Surgical Installation (CSI). The formulation of the problem in this study is about the implementation of patient safety programs by nurses in the operating room based on the rules of the Royal Prima Hospital Medan in 2021. The type of research used is descriptive using a phenomenological approach which is a type of qualitative research. The population in this study were all nurses who worked in the Central Surgical Installation ward (CSI) of the Royal Prima Hospital Medan. The total sampling was 23 nurses with inclusion criteria, willing to be respondents and not on vacation/leave the service facilities at the hospital. The results showed that the implementation of the patient safety program in the operating room by nurses based on the rules of the Royal Prima Hospital Medan had been implemented and had a program prepared policies and patient safety guidelines as a reference in improving the quality of health services.

The Effect Of Risk Factors And Clinical Symptoms On Comorbid And Non-Comorbid Disease In Covid-19 Patients At Royal Prima General Hospital Medan

Covid-19 is a disease caused by infection with SARS-CoV-2 and causes a variety of clinical symptoms ranging from asymptomatic to critical symptoms, depending on various risk factors. The purpose of this research is to analyze the effect of risk factors (age, gender, occupation) and clinical symptoms (asymptomatic, mild, moderate, severe, critical) on comorbid and non-comorbid diseases in Covid-19 patients at General Hospital Royal Prima Medan. This Paper research used is quantitative research with secondary data collection in April-June 2021. The number of research samples was 308 comorbid patients and 308 non-comorbid patients. Data were analyzed univariately to see a descriptive picture, bivariate using chi-square test, and multivariate using binary logistic regression test. The results of this study are: based on age risk factors, the highest age group is 46-65 years (40.1%). The conclusions in this study are there is an influence of risk factors for age, gender, and mild, moderate, and severe clinical symptoms on comorbid and non-comorbid diseases in Covid-19 patients at Royal Prima Hospital Medan.

Comparisonal Of Treatment Length And Laboratory Examination Comorbid And Non-Combid Disease On Covid 19 Patients At Hospital Royal Prima

Covid-19 is an infectious disease caused by a new type of coronavirus with symptoms of acute respiratory distress such as fever, cough, and shortness of breath. The type of research is comparative research with secondary data collection of as many as 280 comorbid patients and 280 non-comorbid patients in the month of august 2021 – January 2022. Data were analyzed univariately, bivariate with test Mann Withney. The results of this study are: Based on the mean length of stay for comorbid patients was 12.22 higher than that of non-comorbid patients, which was 5.28. The results of the laboratory examination of leukocytes in comorbid patients were higher at 13.17 than in non-comorbid patients, namely 10.07. In contrast, platelets were smaller, namely 268.87 than non-comorbid patients, namely 278.91. Neutrophils in comorbid patients were 76.28 higher than non-comorbid patients, namely 61.13. The lymphocyte of comorbid patients was 13.28 smaller than that of non-comorbid patients, which was 25.93. The D-dimer of comorbid patients was not too much different, namely 1259.85 than that of non-comorbid patients, namely 557.16. The conclusion in this study is that there is a significant difference between length of stay and laboratory tests (leukocytes, platelets, neutrophils, lymphocytes, D-dimer) for comorbid and non-comorbid diseases in Covid-19 patients at Royal Prima Hospital Medan.