Journal of Public Health Education

Faktor-Faktor yang Mempengaruhi Kepuasan Pasien terhadap Pelayanan Kesehatan: Narrative Literature Review

Dewi Agustina — 2026-06-02

Introduction: Patient satisfaction is a critical indicator in evaluating healthcare service quality, reflecting the extent to which patient expectations are met by actual service experiences. Factors such as healthcare worker communication quality, facility adequacy, staff responsiveness, and empathy significantly influence patient perceptions.

Objectives: To comprehensively examine factors influencing patient satisfaction with healthcare services by integrating the SERVQUAL model and Disconfirmation Theory.

Methods: A narrative literature review was conducted searching Google Scholar, PubMed, Garuda, and SINTA databases. Articles published between 2020–2026 were screened; 12 articles met inclusion criteria and were analyzed using a thematic narrative approach.

Results: All five SERVQUAL dimensions (tangibles, reliability, responsiveness, assurance, empathy) consistently related to patient satisfaction levels. Responsiveness and empathy were identified as dominant factors. Disconfirmation Theory confirms that satisfaction is formed through the gap between patient expectations and actual service experiences.

Conclusion: Improving healthcare service quality (particularly responsiveness and empathy) is a key strategy for enhancing patient satisfaction. Integrating SERVQUAL and Disconfirmation Theory offers a more comprehensive analytical framework for understanding patient satisfaction.

Hirarc-Based Occupational Safety Risk Analysis in Sprinkler System Installation

Rizaldy Fathur Rachman — 2026-06-04

Introduction: Sprinkler system installation involves manual handling, electrical exposure, hot work, work at height, and interaction with moving equipment, which may result in preventable occupational injuries. Objective: This study aimed to assess occupational safety risks and formulate risk-control measures for sprinkler system installation work at the PT Adiwarna Anugerah Abadi project. Method: A descriptive qualitative study was conducted using the Hazard Identification, Risk Assessment, and Risk Control (HIRARC) approach. Data were collected through workplace observation, questionnaires, and interviews involving 25 supervisors and workers selected by total sampling in December 2025. Risk levels were determined using probability and severity scores and were categorized according to the project risk matrix. Results: The initial assessment identified 26 risks, consisting of 5 low risks, 17 moderate risks, and 4 high risks. High risks included fire during grinding, falls from height, falling objects striking workers, and contact with moving equipment. After implementing engineering, administrative, and personal protective equipment controls, residual risks decreased to 23 low risks and 3 moderate risks. Conclusion: HIRARC provided a structured basis for prioritizing controls in sprinkler installation work. Continuous supervision, compliance with personal protective equipment, permit-to-work implementation, and periodic residual risk review are required to maintain an acceptable level of occupational safety.

Hubungan K3 dan Lingkungan Kerja dengan Kinerja Karyawan PT Indospec Asia

Lazuardi Genta Pamungkas — 2026-07-03

Latar belakang: Keselamatan dan kesehatan kerja (K3) serta lingkungan kerja merupakan faktor penting yang dapat berkaitan dengan kinerja karyawan. Tujuan: Penelitian ini bertujuan menganalisis hubungan K3 dan lingkungan kerja dengan kinerja karyawan PT Indospec Asia tahun 2025. Metode: Penelitian kuantitatif ini menggunakan desain potong lintang. Populasi penelitian adalah 126 karyawan, dengan 56 responden yang dipilih menggunakan simple random sampling berdasarkan rumus Slovin dengan margin of error 10%. Data dikumpulkan menggunakan kuesioner dan dianalisis secara univariat serta bivariat menggunakan uji Chi-square. Besaran asosiasi disajikan sebagai odds ratio (OR) dan interval kepercayaan 95%. Hasil: Sebagian besar responden menilai K3 baik (67,9%), lingkungan kerja baik (69,6%), dan memiliki kinerja baik (69,6%). K3 berhubungan signifikan dengan kinerja karyawan (p=0,005; OR=5,54; 95%CI=1,60-19,13). Lingkungan kerja juga berhubungan signifikan dengan kinerja karyawan (p=0,002; OR=6,53; 95%CI=1,84-23,15). Kesimpulan: K3 dan lingkungan kerja berhubungan signifikan dengan kinerja karyawan. Penguatan penerapan K3 dan perbaikan lingkungan kerja perlu menjadi prioritas untuk mendukung kinerja karyawan.

Hubungan Pengetahuan dan Sikap dengan Kepatuhan Penggunaan Alat Pelindung Diri di Industri Alat Berat

Reni Aprilliasari — 2026-07-10

Background: Compliance with Personal Protective Equipment (PPE) use is a practical indicator of occupational safety behavior, particularly in companies with mechanical and material handling risks. Objective: This study aimed to examine the association between knowledge and attitude with PPE use compliance among employees of PT Tri Swardana Utama in 2025. Methods: This quantitative study used a descriptive analytic design with a cross-sectional approach. The population consisted of 40 employees, all included through total sampling. Primary data were collected using a structured questionnaire, while secondary data were obtained from company incident records. Data were analyzed using univariate analysis and Pearson Chi-square test with a significance level of p < 0.05. Results: Most respondents had good knowledge (65.0%), positive attitude (65.0%), and good PPE compliance (62.5%). Knowledge was significantly associated with PPE compliance (p = 0.010; POR = 6.00; 95% CI = 1.44-24.92), as was attitude (p = 0.001; POR = 10.50; 95% CI = 2.31-47.78). Conclusion: Knowledge and attitude were significantly associated with PPE use compliance. Routine safety education, behavioral reinforcement, and consistent supervision are needed to strengthen PPE compliance across work areas.

Pengetahuan Keselamatan Kerja dan Kecelakaan Kerja pada Pekerja Proyek

Roni Iryadi — 2026-07-15

Background: Occupational safety knowledge is an important individual factor in preventing unsafe actions among project workers. This study aimed to analyze the relationship between occupational safety knowledge and work accidents among project workers at PT Adiwarna Anugerah Abadi. Methods: This quantitative analytic observational study used a cross-sectional design. A total of 66 project workers were selected using simple random sampling. Data were collected using a structured questionnaire that had been tested for validity and reliability. Data were analyzed using univariate analysis and bivariate analysis. Fisher exact test was used because the contingency table contained a small expected frequency. Results: Most respondents had senior high school/vocational education (87.8%), work experience of more than five years (59.1%), and were aged 21-30 years (56.0%). The occupational safety knowledge and work accident instruments were valid and reliable, with Cronbach alpha values of 0.875 and 0.890. Workers with sufficient safety knowledge had a higher proportion of work accidents than workers with good knowledge (71.4% vs. 20.3%). Safety knowledge was significantly associated with work accidents (p=0.010; OR=9.79; 95% CI=1.69-56.79). Conclusion: Occupational safety knowledge was associated with work accidents among project workers. Periodic safety education, toolbox meetings, supervision, and reinforcement of safe work procedures are needed to maintain a safer work environment.