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Accountability as a Boundary condition: Moderating Balanced Scorecard Pathways to School Performance Abdul Aziz; Wahyudin Rajab; Andi Sari Bunga Untung; Novia Nuraini; Rosni Lubis
JUMPA : Jurnal Manajemen Pendidikan Vol 7, No 1 (2026)
Publisher : Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jumpa.v7i1.15145

Abstract

Private vocational schools must perform without full subsidy. This study examines how the four Balanced Scorecard perspectives shape the performance of a private health vocational school, and whether accountability conditions those relationships. It adopts an explanatory quantitative approach within an embedded single-case design. Data were drawn from 38 strategic respondents through a census of the institution's management and core teaching staff. Analysis used Consistent Partial Least Squares (PLSc) in SmartPLS 4.0, with moderation tested through a two-stage approach. The customer perspective emerged as the dominant predictor of organisational performance. The financial and internal-process perspectives contributed significantly but secondarily. The growth-and-learning perspective exerted no direct effect, confirming an investment-lag phenomenon in which human-resource investment does not convert into performance on its own. Accountability proved decisive as a moderator. It acted as a pure moderator that activated the otherwise dormant link between human-resource investment and performance, and as a quasi-moderator that strengthened the gains from customer satisfaction and internal-process quality. Accountability is therefore not a downstream reporting duty but an upstream mechanism that governs the return on institutional investment. The implications for educational management are specific and actionable. School leaders should never fund teacher training or academic facilities in isolation. Every professional-development decision must be bound to explicit post-training performance targets, mandatory knowledge dissemination, and transparent public reporting. Managed this way, accountability converts a school's intellectual capital into a durable competitive advantage rather than a recurring sunk cost. The study offers vocational education managers a clear, evidence-based directive for optimising institutional investment.
EFEKTIVITAS METODE BIRTHING BALL TERHADAP INTENSITAS NYERI PERSALINAN DI PUSKESMAS KEMAYORAN Rosni Lubis; Siska Handayani; Jehanara Jehanara
jitek Vol 13 No 2 (2026): Maret 2026
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v13i2.2406

Abstract

Labor pain remains a distressing experience that can negatively affect both mothers and babies. According to the Indonesian Ministry of Health (2019), around 15% of mothers in Indonesia experience labor complications accompanied by pain, while 22% report severe pain during childbirth. Excessive labor pain may lead to frustration, anxiety, and emotional distress. One non-pharmacological method considered safe, simple, and comfortable for pain management is the use of a birthing ball. This study aimed to determine the effectiveness of the birthing ball method in reducing labor pain intensity. The study used a quantitative approach with a quasi-experimental one-group pretest–posttest design without a control group. A total of 45 maternity mothers who met the inclusion criteria at the Kemayoran Health Center participated in the study and received a 30-minute birthing ball intervention. Labor pain intensity was measured using the Numerical Rating Scale (NRS). The statistical analysis showed a significant reduction in labor pain intensity after the intervention, with a p-value of <0.001 and a Z-score of -5.798b. These findings indicate that the birthing ball method is effective in reducing labor pain intensity. Therefore, healthcare workers are encouraged to optimize the use of birthing balls as a non-pharmacological pain management method during labor. Proper technique, along with responsive and empathetic support during childbirth, is important to maximize the benefits of this intervention.
Effect of Stunting on Cognitive Development of Children: A Systematic Literature Review Rosni Lubis; Delmaifanis Delmaifanis; Rosita Syarifah; Ani Kusumastuti; Herlyssa Herlyssa
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1455

Abstract

Stunting is a critical global health issue, with Indonesia ranking third in Southeast Asia for prevalence. This study examines the impact of stunting on cognitive development, its determinants, and interventions in Low- and Middle-Income Countries (LMICs). A systematic review was conducted across ProQuest, Ebsco, PubMed, and SpringerLink for English peer-reviewed articles (2009–2019). Using the PICOS framework, the review focused on stunted children (0–16 years) in LMICs. After screening 157 records and performing quality appraisals, 13 high-quality studies (scores >8/12) were selected for qualitative synthesis. Findings across Africa, Asia, and South America show stunting prevalence between 15.6% and 41.4%. Stunting typically manifests in the first three years due to chronic malnutrition and infectious diseases. Key risk factors include low socioeconomic status and parental education. Stunted children scored significantly lower in memory, spatial ability, and attention compared to non-stunted peers. While some children achieving catch-up growth showed improved results, those who recovered often still lagged behind children who were never stunted. Evidence confirms a strong correlation between stunting and impaired cognitive development. Despite global data, there remains a significant research gap regarding this specific correlation in Indonesia over the last decade.