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All Journal AKADEMIK: Jurnal Mahasiswa Ekonomi & Bisnis Jurnal Ekonomi, Manajemen, Akuntansi Global Management: International Journal of Management Science and Entrepreneurship
Ellya Niken Prastiwi
Universitas Esa Unggul
Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Social Sciences

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Effect of Clinical Leadership and Teamwork on Nurse Competency in HAIs Implementation Fitri Lismaini; Ellya Niken Prastiwi; Rokiah Kusumapradja
Global Management: International Journal of Management Science and Entrepreneurship Vol. 3 No. 2 (2026): May: Global Management: International Journal of Management Science and Entrepr
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/globalmanagement.v3i2.551

Abstract

Healthcare-Associated Infections (HAIs) remain a critical challenge in hospital patient safety. In Indonesia, HAIs prevalence reaches approximately 15.74%, significantly exceeding the global average of 8–9%. At Ciputra Hospital CitraRaya Tangerang, HAIs incidence reached 1.2% in 2024 and already approached 1% within the first three months of 2025. A preliminary survey of 10 nurses revealed deficiencies across all competency dimensions, including knowledge gaps (80%), skill deficiencies in hand hygiene and patient isolation (75%), lack of commitment in infection prevention (70%), communication and education issues (75%), risk management deficiencies (85%), and low participation in IPC programs (85%). This study aims to analyze the influence of clinical leadership and teamwork on nurse competency in HAIs implementation, with patient safety culture as an intervening variable. A quantitative cross-sectional design was employed using Structural Equation Modeling – Partial Least Squares (SEM-PLS) with 122 nurses as respondents. Results demonstrated that clinical leadership, teamwork, and patient safety culture simultaneously influence nurse competency in HAIs implementation (R² = 0.52, p = 0.000). Clinical leadership has a significant positive direct effect on nurse competency (path coefficient = 0.341, p = 0.000), while teamwork showed no significant direct effect (p = 0.137). Patient safety culture emerged as the strongest predictor (path coefficient = 0.526, p = 0.000). Both clinical leadership and teamwork significantly influenced patient safety culture (0.394 and 0.321 respectively), and patient safety culture significantly mediated both relationships toward nurse competency. Strengthening clinical leadership and fostering a strong patient safety culture are the most essential strategies for improving nurse competency in HAIs prevention.
Peran Mediasi Work Engagement Pada Pengaruh Work Resilience Dan Time Balance Terhadap Organizational Citizenship Behavior Di Rumah Sakit Misi Lebak Rangkasbitung Jesinda Iriani; Ellya Niken Prastiwi; Intan Silviana Mustikawati
EKOMA : Jurnal Ekonomi, Manajemen, Akuntansi Vol. 5 No. 4: Mei 2026
Publisher : CV. Ulil Albab Corp

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56799/ekoma.v5i4.16391

Abstract

Penilaian kerjasama antar perawat yang kurang optimal menandakan masih kurangnya organizational citizenship behavior di antara perawat. Penelitian ini bertujuan guna mengetahui pengaruh work resilience dan time balance terhadap organizational citizenship behavior melalui mediasi work engagement. Responden penelitian ialah 126 perawat rumah sakit yang dipilih berdasarkan kriteria inklusi. Metode analisis data menggunakan three box method dan SEM-PLS. Hasil penelitian menemukan bahwa work resilience, time balance, work engagement masing-masing berpengaruh terhadap organizational citizenship behavior. Work resilience dan time balance masing-masing berpengaruh terhadap work engagement. Work engagement memediasi pengaruh masing-masing work reslilence dan juga time balance terhadap organizational citizenship behavior. Rumah sakit perlu melakukan perbaikan sistem penghargaan dan kesejahteraan finansial melalui peninjauan ulang struktur gaji, pemberian bonus, serta tunjangan berbasis kinerja. Pihak manajemen rumah sakit harus lebih memperhatikan beban kerja yang diberikan kepada perawat agar tidak melebihi kapasitas mereka, baik secara fisik maupun mental. Rumah sakit juga disarankan untuk mengimplementasikan program pelatihan pengembangan motivasi kerja secara berkala untuk meningkatkan semangat dan keterlibatan kerja perawat. Strategi yang dapat dilakukan untuk meningkatkan organizational citizenship behavior meliputi pelaksanaan kegiatan tahunan seperti outbound dan team building, pembentukan budaya komunikasi terbuka antara manajemen dan staf, serta penyediaan fasilitas pendukung kenyamanan kerja.
Peran Electronic Word-Of-Mouth dalam Memediasi Pengaruh Brand Personality dan Patient Trust terhadap Revisit Intention pada Pasien Rawat Jalan Vina Devi Octaviany; Ellya Niken Prastiwi; Yanuar Ramadhan
AKADEMIK: Jurnal Mahasiswa Ekonomi & Bisnis Vol. 6 No. 3 (2026): AKADEMIK: Jurnal Mahasiswa Ekonomi & Bisnis
Publisher : Perhimpunan Sarjana Ekonomi dan Bisnis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37481/jmeb.v6i3.2280

Abstract

The monthly number of outpatients at RSIA Viola fluctuates; however, annual aggregate data reveals a downward trend in both new and returning patients. A hospital's sustainability depends on patient volume. Higher patient numbers generate revenue a critical factor for hospitals, particularly private ones that rely on patient volume for profitability. This study aims to analyze the impact of brand personality and patient trust on revisit intention, mediated by electronic word of mouth (e-WOM). A quantitative causal research design was employed to analyze cause-and-effect relationships, complemented by a descriptive analysis using the "three-box method." The study surveyed 160 outpatients selected based on specific criteria using purposive sampling. Data analysis was conducted using Partial Least Squares Structural Equation Modeling (PLS-SEM). The results indicate that brand personality, patient trust, and e-WOM each independently influence revisit intention. Brand personality has a significant effect on e-WOM, whereas patient trust does not. e-WOM was found to mediate the relationship between brand personality and revisit intention but did not mediate the relationship between patient trust and revisit intention. Recommendations for hospital management include collaborating with employees who have large social media followings to create positive reviews and content, boosting digital engagement through patient discussion groups, improving content quality and responsiveness on social media, and regularly monitoring the hospital's online reputation.
Peranan Altruism Sebagai Intervening Dalam Meningkatkan Reporting Culture Perawat Di RS X Ulfa Dwima Miraldza; Ellya Niken Prastiwi; Intan Silviana Mustikawati
EKOMA : Jurnal Ekonomi, Manajemen, Akuntansi Vol. 5 No. 6: September 2026
Publisher : CV. Ulil Albab Corp

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56799/ekoma.v5i6.19070

Abstract

Reporting culture masuk kategori cukup baik dengan total pencapaian 71%, namun masih terdapat 29% yang harus diperhatikan. Penelitian ini bertujuan menganalisis pengaruh work stress dan teamwork terhadap reporting culture di RS X Antariksa melalui altruism perawat sebagai variabel intervening. Penelitian ini adalah penelitian kuantitatif kausalitas dan dilakukan secara cross sectional. Teknik total sampling dipakai sebagai metode pengambilan sampel. Responden merupakan seluruh perawat yang berjumlah 250 orang. Data dikumpulkan melalui kuesioner dan dianalisis menggunakan SEM-PLS. Hasil penelitian menemukan work stress berpengaruh negatif dan signifikan terhadap reporting culture; teamwork berpengaruh positif dan signifikan terhadap reporting culture; altruism berpengaruh positif dan signifikan terhadap reporting culture; altruism memediasi pengaruh negatif dan signifikan dari work stress terhadap reporting culture; altruism memediasi pengaruh positif dan signifikan teamwork terhadap reporting culture. Kesimpulan penelitian ini yaitu work stress, teamwork, dan altruism berpengaruh terhadap reporting culture; serta altruism memediasi pengaruh work stress dan teamwork terhadap reporting culture. Manajemen rumah sakit perlu memprioritaskan pembenahan struktur dan iklim organisasi, penguatan adaptabilitas tim, serta penguatan perilaku prososial untuk meningkatkan budaya pelaporan.
Co-Authors Fitri Lismaini Intan Silviana Mustikawati Jesinda Iriani Rokiah Kusumapradja Ulfa Dwima Miraldza Vina Devi Octaviany Yanuar Ramadhan