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All Journal Jurnal Ilmu dan Teknologi Kesehatan JUMPA : Jurnal Manajemen Pendidikan
Rosni Lubis
Politeknik Kesehatan Kemenkes Jakarta III
Computer Science & IT Decision Sciences, Operations Research & Management Education Health Professions Languange, Linguistic, Communication & Media Social Sciences

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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.
Co-Authors Abdul Aziz Andi Sari Bunga Untung Jehanara Jehanara Novia Nuraini Siska Handayani Wahyudin Rajab