Article Per Year (5 Year)
p-Index From 2021 - 2026
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This Author published in this journals
All Journal Journal of Multidisciplinary Academic and Practice Studies Global Academy of Business Studies
Wayan Astawa
Universitas Ngurah Rai, Denpasar, Bali, Indonesia
Humanities Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Languange, Linguistic, Communication & Media Social Sciences Other

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Implementing Smoke-Free Hospital Policy in Bali: An Edward III Framework Analysis Ida Bagus Putu Adi Sentanu; Wayan Astawa; Cokorda Putra Indrayana
Journal of Multidisciplinary Academic and Practice Studies Vol. 4 No. 3 (2026): August
Publisher : Goodwood Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35912/jomaps.v4.n3.p151-163.2026

Abstract

Purpose: This study examines the implementation of Bali Provincial Regulation No. 10/2011 on Smoke-Free Areas at Prof. dr. I Goesti Ngoerah Gde Ngoerah Regional General Hospital in Denpasar through the lens of Edward III's policy implementation framework. Research Methodology: A qualitative descriptive design was used, drawing on purposive sampling of six key informants from hospital management, the occupational health and safety committee, nursing staff, support workers, and visitors. Data were gathered through in-depth interviews, direct observation, and document review, then analyzed through data reduction, display, and conclusion drawing, with triangulation across sources. Results: Bureaucratic structure and disposition performed comparatively well, supported by an established monitoring unit and generally favorable staff attitudes, while communication and resources lagged behind, marked by limited socialization reach, insufficient monitoring personnel, and the absence of a hospital-wide public address system. Conclusions: Structural and attitudinal foundations exist, but the hospital's ability to translate the regulation into consistent visitor compliance depends on intensifying communication and strengthening resource allocation. Limitations: The single-site design, small informant pool, and cross-sectional nature restrict generalizability and preclude tracking of change over time. Contributions: The study extends Edward III's framework to a Balinese healthcare setting, offers practical recommendations for hospital administrators, and adds an underrepresented regional case to the national literature on tobacco control implementation in Indonesia.
Evaluating Permenkes No. 72/2016 Pharmaceutical Service Effectiveness in an Indonesian Referral Hospital Nyoman Sumarna; Wayan Astawa; Nyoman Suargita
Global Academy of Business Studies Vol. 3 No. 2 (2026): October
Publisher : Goodwood Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35912/gabs.v3.n2.p87-99.2026

Abstract

Purpose: This study evaluates the effectiveness of Indonesia's Ministry of Health Regulation No. 72/2016 (Permenkes No. 72/2016) implementation at the Pharmacy Installation of RSUP Prof. Dr. I.G.N.G. Ngoerah, a national referral hospital in Bali, Indonesia, using Steers' organizational effectiveness framework encompassing goal achievement, adaptation, and integrity dimensions. Research Methodology: A qualitative descriptive study was conducted from January to May 2024. Data were collected through in-depth interviews with key informants including the Head of Pharmacy Installation, pharmacists, pharmacy staff, and patients or visitors, supplemented by direct observation and document analysis, and were examined using thematic analysis organized around the three effectiveness dimensions. Results: Goal achievement showed partial success through Unit Dose Dispensing system implementation, formulary maintenance, medication error minimization, and standard-compliant waiting times. Adaptation demonstrated digitalization through the Hospital Information System with e-prescribing, emergency procurement mechanisms, and enhanced pharmacist competencies. Integrity revealed adherence to standard operating procedures for High-Alert and LASA drugs alongside interprofessional collaboration, though largely formalistic in character. Conclusions: Implementation has progressed but optimization remains incomplete, with adaptation emerging as the most crucial element for sustainability. Limitations: Findings are drawn from a single tertiary referral hospital and a qualitative design that limits statistical generalization. Contributions: The study offers an organizational effectiveness lens for evaluating pharmaceutical policy implementation in resource-constrained referral hospitals.
Co-Authors Cokorda Putra Indrayana Ida Bagus Putu Adi Sentanu Nyoman Suargita Nyoman Sumarna