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Path-Goal Leadership Style and Its Relationship with Nurse Motivation and Performance: A Cross-Sectional Study Batewa, Erny; Ellina, Agusta Dian; Peristiowati, Yuly
International Journal of Health Concord Vol. 1 No. 2 (2025): International Journal of Health Concord
Publisher : Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/ihc.v12.11

Abstract

Background: Nursing services aim to provide optimal care through effective planning, organization, and employee management. Nurses play a key role in health services at hospitals, health centers, and other facilities. Objective: The study analyzed the relationship between the leadership of the head of the family and the work motivation and performance of nurses, based on the Path-goal theory, at the Regional General Hospital of Banggai Regency. Methods: This study employed an observational-analytic design with a cross-sectional approach, involving 146 inpatient nurses. A simple random sampling technique was used to recruit participants. Inclusion criteria included nurses working in inpatient units for at least 6 months and willing to participate, whereas nurses currently on leave, in training, or assigned to non-clinical administration were excluded. The independent variable was the head nurse's leadership style, while the dependent variables were nurse motivation and performance. Data collection and reporting followed the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guideline. Data were analyzed using the Spearman rho test with a significance level of α = 0.05 Result: The results showed that directive leadership was not associated with nurse motivation (p = 0.570) or performance (p = 0.257). However, supportive leadership significantly influenced motivation (p < 0.001) and performance (p = 0.049). Participative leadership also demonstrated a positive effect on motivation (p < 0.001) and performance (p = 0.035). Similarly, achievement-oriented leadership was associated with higher motivation (p < 0.001) and better performance (p = 0.031). Conclusion: In conclusion, directive leadership does not affect the motivation or performance of nurses at Banggai District Hospital. Conversely, supportive, participative, and achievement-oriented leadership significantly enhances both motivation and performance.
Effect of Mindfulness-Based Breathing Exercise Combined with Lavender Aromatherapy on Anxiety and Sleep Quality among Hemodialysis Patients: A Quasi-Experimental Study Yuwono, Trisno; Ellina, Agusta Dian; Prasetyo, Joko; Wahyuningsih, Atik Setiawan; Widyowati, Agustin
International Journal of Health Concord Vol. 1 No. 2 (2025): International Journal of Health Concord
Publisher : Lembaga Chakra Brahmanda Lentera (Chakra Brahmanda Lentera Institute) [CANDLE]

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/ihc.v12.12

Abstract

Background: Patients with chronic kidney failure report the sight of blood-filled dialysis tubes, the burden of routine therapy costs, fear of invasive measures, and the uncertainty of recovery triggers their anxiety. This anxiety also carries over into the home, causing difficulty sleeping at night and ongoing feelings of restlessness. Purpose. The Effect of the Combination of Mindfulness based on Breathing Exercise with Lavender Aromatherapy on Anxiety and Sleep Quality in Hemodialysis Patients Methods: This study employed a quasi-experimental pretest–posttest control-group design and was reported in accordance with the TREND guidelines for non-randomized intervention research. The target population comprised 90 hemodialysis patients at Bhayangkara Kediri Hospital, of whom 40 were selected using purposive sampling. The intervention consisted of a combination of mindfulness-based breathing exercises and lavender aromatherapy, with anxiety and sleep quality as outcome variables. Anxiety was measured using the Self-Rating Anxiety Scale (SAS), and sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI), both of which have demonstrated acceptable validity and reliability in prior research. Data analysis included descriptive statistics and the Wilcoxon signed-rank test to determine pre-post differences between intervention and control groups, with a significance level set at p < 0.05. Result: The general characteristics of respondents were comparable between the intervention and control groups with respect to age, sex, duration of hemodialysis, and comorbid conditions. Specific baseline characteristics related to anxiety levels and sleep disturbances were also similar across groups, indicating initial equivalence. The Wilcoxon signed-rank test showed a statistically significant improvement in anxiety (p < 0.001) and sleep quality (p < 0.001) following the intervention. These findings suggest that combining mindfulness-based breathing exercises with lavender aromatherapy may reduce anxiety and enhance sleep quality among hemodialysis patients. Conclusion: The combination of mindfulness-based breathing exercises with Lavender Aromatherapy reduces Anxiety and improves Sleep Quality in hemodialysis patients. This intervention is very easy to implement, so it can be used as a nursing intervention in the hemodialysis unit to advance nursing science.
The Precision Of The Giving Of The Drug Based On Service Identifikation Of Patien Compliance At “Darmayu” General Hospital Ponorogo Ellina, Agusta Dian; Suwarno, Suwarno; Fawzi, Alfian
Journal Of Nursing Practice Vol. 1 No. 2 (2018): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v1i2.27

Abstract

The research was distributed by drug services granting conditions up to this moment there are still many problems. As for the problem of the research is "whether the compliance of nurses in identifying influence on accuracy in the service of dispensing". Aim of this research is to know the level of compliance officers perform identification before providing the service of medicine, knowing compliance do identification relationship and analyze correctness of granting of service remedy with precision identification in "Darmayu" general hospital Ponorogo. In this study data collected through questionnaire method against 40 people the respondents admitted in "Darmayu" general hospital using the accidental method, Ponorogo for knowing the responses of respondents to each variable. Then conducted an analysis of the data obtained in the form of quantitative analysis. Quantitative analysis includes the test validity and reliability, as well as test the correlation of Phi. Of research results, data the respondents obtained shows that the level of accuracy of the perwat in the service of the drug still has not been fullest is demonstrated from 40 respondents, there were 22 stating the precision. Likewise, the level of compliance of nurses in conducting identification is still lacking, from 40 respondents, 14 respondents declared not obedient in doing identification. The results of the analysis of the compliance officers do get that the identification of the effect on the precision in the service of medicine. Hypothesis testing using the test correlation of Phi showed that independent variables examined is proven to significantly affect the dependent variable. Patient safety incidents can be prevented by the presence of the nurse in conducting compliance identification as well as precision in running the SOP. Sosiaisasi and high awareness of nurses on the importance of obedience and compliance in carrying out procedures will greatly affect the success of a service to patients at home sick.
Relationship Response Time Handling Stroke Patients With Anxiety of Patients Family in Emergency Room Lasaka, Hendratmo; Fawzi, Alfian; Rusmawati, Aprin; Ellina, Agusta Dian
Journal Of Nursing Practice Vol. 3 No. 1 (2019): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v3i1.69

Abstract

Background: Response time that is done to stroke patients when taken to hospital causes anxiety problem for the patient's family, this is due to family concerns about the health condition of family members who are waiting for the queue of action.Purpose: The purpose of this study is to know the relationship response time of stroke patients with anxiety in the patient's family in the Emergency Room.Method: This research design was a correlational analytic with cross sectional approach. The population were all families of stroke patients in the Emergency Room of Luwuk Regional Hospital averagely 35 patients per month, with accidental sampling technique obtained sampleas many as 33 respondents. The independent variable was Response time with the dependent variable Anxiety. Data collection using a questionnaire. Data analysis using Spearman Rank test on ? = 0.05.Result:The results showed that most respondents received response time in the right category, as many as 21 respondents (63.6%) and most respondents had an anxiety level in the moderate category, as many as 17 respondents (51.5%).analysis results Spearman Rank obtained p-value (0,000) <? (0.05) then H0 is rejected and H1 is accepted, which means there is a relationship between response time handling of stroke patients with anxiety in the patient's family in the Emergency RoomConclution: The role of nurses is crucial in raising anxiety level in both patients and their families while in the emergency room. Fast and appropriate services and no less important communication with the family is an important factor in providing certainty and educating in handling patients while in the emergency room so that families are not too worried about the situation that is happening.
Analysis of The Efficiency of Double E-Barcode Stickers on the Cost and Time of Sterilization at Soedono Hospital Sarbani, Sarbani; Wardhani, Ratna; Ellina, Agusta Dian; Ramadhaningtyas, Karina Nur
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21084

Abstract

ABSTRACT Surgical procedures and invasive procedures in hospitals require the availability of sterile medical instruments and materials in varying quantities and types. However, the trend of increasing healthcare-associated infections (HAIs) remains a major challenge in healthcare facilities. In order to improve the efficiency and quality of service, dr. Soedono Hospital, East Java Province developed the use of a double e-barcode sticker outer indicator as a new labeling system in the sterilization process of medical devices. This study aims to evaluate the influence of the labeling system on the cost and time aspects of sterilization. The research was carried out quantitatively with a comparative design, utilizing secondary data of 200 samples obtained from the sterilization process from 2023 to 2024. The sample consisted of surgical instruments and consumable medical materials sterilized using steam and plasma methods. Data analysis was carried out using Mann-Whitney non-parametric statistical tests to test the difference between the old method and the e-barcode method. The results showed that the application of the double outer indicator of e-barcode stickers did not have a significant impact on sterilization costs (p=0.138), but it was proven to significantly accelerate the sterilization process time (p=0.000). These findings conclude that although costs have not changed much, the time efficiency gained supports improved operational performance, reduced staff workload, and improved patient safety through better tracking and documentation.Keywords: E-Barcode, External Indicator, Sterilization, Cost, Time.
Kesiapan Implementasi Kelas Rawat Inap Standar di RSUD Sidoarjo Barat Kunaifi, Afif; Indasah, Indasah; Ellina, Agusta Dian; Abiddin, Andi Hayyun
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21339

Abstract

ABSTRACT Every individual has the right to obtain an equal standard of physical and mental health. The state is obliged to create quality health services and address health disparities caused by poverty, stigma, and discrimination. This study aims to analyze the readiness of the implementation of Standard Inpatient Classes at Sidoarjo Barat Regional Hospital. The research method in this study is qualitative with a case study approach. This study was conducted in March-April 2025. The data collection technique was with in-depth interviews with 30 informants. The informants in this study were several management ranks, Installation Coordinators, Midwives, and Nurses at Sidoarjo Barat Regional Hospital. The results of the study indicate that the West Sidoarjo Regional Hospital has met the minimum standards for facilities and infrastructure according to the 12 KRIS criteria. Funding for the implementation of KRIS at the West Sidoarjo Regional Hospital comes from the APBD (20%) and BLUD (80%) with consideration of budget flexibility, but requires additional health workers, especially nurses, to support the readiness of the implementation of KRIS, and strategic planning is needed regarding the policies implemented so as not to reduce the quality of hospital services, because the decline in the quality of service can reduce the interest of patient visits. In addition, the KRIS policy from the central government is still unclear and raises many questions, and the lack of socialization is feared to cause patient confusion, potentially reducing patient trust and visits to the West Sidoarjo Regional Hospital. Keywords: KRIS, BPJS, Readiness, Hospital, Facilities and Infrastructure.  ABSTRAK Setiap individu memiliki hak untuk mendapatkan standar kesehatan fisik dan mental yang setara. Negara berkewajiban menciptakan layanan kesehatan berkualitas serta mengatasi kesenjangan kesehatan yang disebabkan oleh kemiskinan, stigma, dan diskriminasi. Penelitian ini bertujuan untuk menganalisis kesiapan implementasi Kelas Rawat Inap Standar di RSUD Sidoarjo Barat. Metode penelitian dalam penelitian ini adalah kualitatif dengan pendekatan studi kasus. Penelitian ini dilakukan pada bulan Maret-April 2025. Teknik pengumpulan data  dengan indepth interview bersama 30 informan. Informan dalam penelitian ini merupakan beberapa jajaran manajemen, Koordinator Instalasi, Bidan, dan Perawat di RSUD Sidoarjo Barat. Hasil penelitian menunjukkan bahwa RSUD Sidoarjo Barat telah memenuhi standar minimal sarana dan prasarana sesuai 12 kriteria KRIS, Pendanaan implementasi KRIS di RSUD Sidoarjo Barat bersumber dari APBD (20%) dan BLUD (80%) dengan pertimbangan fleksibilitas anggaran, namun membutuhkan penambahan tenaga kesehatan, khususnya perawat, guna mendukung kesiapan implementasi KRIS, serta diperlukan perencanaan strategis mengenai kebijakan yang diterapkan agar tidak menurunkan mutu pelayanan rumah sakit, karena dengan menurunnya mutu pelayanan dapat mengurangi minat kunjungan pasien.Selain itu, kebijakan KRIS dari pemerintah pusat masih belum jelas dan menimbulkan banyak pertanyaan, serta kurangnya sosialisasi dikhawatirkan menyebabkan kebingungan pasien, berpotensi menurunkan kepercayaan dan kunjungan pasien ke RSUD Sidoarjo Barat. Kata Kunci: KRIS, BPJS, Kesiapan, Rumah Sakit, Sarana Prasarana.
Co-Authors Aat Agustini Abiddin, Andi Hayyun Adhyaksa Indrajid Putra Adhyaksa Indrajid Putra Ady Purwoto Agus Setyono Agustin Widyowati Ahmad Kholid Fauzi Ahmad Syauqi Mubarok Alfian Fawzi Alfian Fawzi Angga Dian Vito Anggrainy, Dian Aprin Rusmawati Artha Budi Susila Duarsa Asri asri Asruria Sani Fajria Atik Setiawan Wahyuningsih Baersady, Miriam Batewa, Erny Bayu Nirwana Citrawatik Dwi Skripsia Devy Putri Nursanti Dewi Nurandika, Yunda Dewi, Prima Dini Martanti Dinik Martiani Dinik Martiani Duri, Vinca Rosa Swastika Dwi Skripsia, Citrawatik Eliyawati Eliyawati Endra Widiyanto Ervidiana, Luly Evi Kurniawati Fachry Abda El Rahman Fadilatul, Dewi Fajriah, Asruria Sani Fajriah, Asuria Sani Fajriyah, Asruria Sani Faku, Noventji Abriance Fatima, Husnul Gunawan Gunawan Gunawan Gusti Muhamad Syariyansyah Handayani, Rina Tri Heny Pramuta Sari Herlina Yuyun Saputri Hermanto Hijriani, Hera Hilda Anggraeni Laluyan Hilda Dea Revani Husnul Fatima Ibnu Sina, Ibnu Sina Ida Nashrun S, Muhammad Ika Retnani Indah Winarni Indasah Indasah istiqomah istiqomah Joko Prasetyo Joko Sutrisno Joko Sutrisno Joko Sutrisno Joko Tri Atmojo Joko Tri Atmojo K, Beko Kamaru lImron Musa Katmini Kholis, Anja Hesnia Krisnanda Aditya Pradana Krisnanda Aditya Pradana Krisnanda Aditya Pradana Kristina, Yuyun Kumalasari, Eri Puji Kunaifi, Afif kurnia, kurnia eka permana Laili, Zulva Rahma Lasaka, Hendratmo Lazarus Salyabo Lesmana, Iwan Setyo Limara Sartika Marunduh, Dian M. Asad Effendy M. Asad Effendy M. Yogi Riyantama Isjoni Meiningsih, Meiningsih Melany Pilatusalim Meylany Rosa Puspita Miftakhur Rohmah Muhammad Ida Nashrun S Muji Murtiningsih Musdalifah, Illailatul Nanda Rahmad Natalina Soares Almeida Neni Nuraeni Ni Luh Putu Ayu Wardhani Ni Wayan Manik Parwati Nia Sari Nita Dwi Astikasari Novian Mahayu Adiutama Nur Hasanah Fatimah Nurdina Nurdina Nurdina Nurdina Nurizzi Rifqi Ferdian Nurwijayanti Nurwijayanti Kusumaningrum P H Livana Panggalih, Dangan Prameswari, Diah Priyanti, Ratna Puji Purwanti, Tentry Fuji Puspita, Mariana Rahmadi, Syamsu Rahmania Ambarika Ramadhaningtyas, Karina Nur Ratna Wardani Ratna Wardani Ratna Wardhani Reni Yuli Astutik Retnaningtyas, Erma Retno Palupi Yonni Siwi Rewa, Yeni Rambu Rohani, Muhammad S, Eko Dian Saly, Salami Santy Irene Putri Sarbani, Sarbani Sari, Nia Sentot Imam Sentot Imam Suprapto setiyaningsih, yunnita Setyo Budi Susanto Setyo Wahyudi Sismulyanto SITI ROHMAWATI Sri Wulandari, Meidya Suci Anggraeni Sudewa, I Gusti Ngurah Wisnu Sulistiono, Priyo sultan Suprapto, Sentot Imam Suwarno Suwarno Trianike Nor Aini Vito, Angga Dian Wahyu Purnomo Jati Wahyuni, Eni Wardah Fauziah Wasita, Rangga Widiyanto, Aris Widiyanto, Endra Winarti Winarti Winoto, Wisnu Wisnawa, I Nyoman Dharma WULANDARI Wulandari Wulandari wuryani, Ary Dwi Yaya Mulyana Yeni Rambu Rewa Yenny Puspitasari Yetri Mastri Yani Seo Yetri Mastri Yani Seo Yohana Teodosia Setu Yuda Dwi Prasetyo Yuli Peristiowati, Yuli Yuly Peristiowati Yuly Peristiowati Yuly Peristiowati Yunda Dewi Nurandika Yunie Ernawati Yunita, Emi Yuwono, Trisno Zuhrotul Aini, Zuhrotul