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Increasing Nurses' Commitment Through Managing Role Conflict, Role Unclarity and Job Stress in the Hospital Boby Krismanto Pello; Hasyim; Rokiah Kusumapradja
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 5 (2025): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

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Abstract

Background: Hospitals are organizations that provide health services. Objective: The objective of this study is to examine the impact of role conflict, role ambiguity, and work stress on the organizational commitment of nurses. Method: This study utilized a cross-sectional technique to investigate the correlation between the independent variables and the dependent variables. The population consists of all nurses employed at Eka Hospital Bekasi. The sampling technique employed was purposive random sampling, with a sample size of 88 respondents. Result. The findings indicate a favorable correlation between role conflict, role ambiguity, and work-related stress on organizational commitment at Hospital Bekasi. Recommendation: Further study needs to conduct the to conduct a cross-sectional study to assess the impact of job stress on nurses' quality of life and caring behaviors, and identify factors that contribute to excessive job stress among nurses.
The Influence of Returning Patient Processing Services, Effective Communication, Patient Experience, on Re-Visit Intentions of Insurance Participants At MKN Hospital Jakarta Oscar, Rinaldi; Kusumapradja, Rokiah; Pamungkas, Rian Adi
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 5 (2025): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

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Abstract

Background: Patient safety culture is an important principle that must be implemented in an effort to create a safe and healthy hospital environment. The large number of patient safety incidents, which have not been reported completely, accurately and clearly, will be a phenomenon that can be detrimental to patients and hospitals in terms of service costs. Objective: The study aimed to determine the relationship between patient safety culture, knowledge and effective communication of nurses on reporting patient safety incidents at Tiara Bekasi Hospital. Method: The research method in this study uses a cross-sectional approach. Sample recruitment in this study used total sampling of 101 nurses. Result: The results of this research analysis show that there is a significant relationship between patient safety culture and reporting of patient safety incidents. There is a significant relationship between knowledge and reporting of patient safety incidents. There is a significant relationship between effective communication and patient safety incident reporting. The results of the multivariate analysis in this study show that patient safety culture is the most dominant variable. Conclusion: The conclusions in this study show that it is important for nurses to have patient safety culture, knowledge and effective communication so that they are appropriate in reporting patient safety incidents
How Safety Knowledge and Work Environment Affect Workplace Accidents: Uncovering the Role of Safety Behaviors Marcia, Marcia; Kusumapradja, Rokiah; Silviana Mustikawati, Intan
Jurnal Health Sains Vol. 5 No. 9 (2024): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i9.1378

Abstract

Workplace accidents in hospitals can arise from human or environmental factors, highlighting the necessity of implementing Hospital Occupational Safety and Health (HOSH) measures. Preliminary study at X Hospital shows that work-related accidents persist, with the majority leading to physical injuries. This study aims to observe the impact of HOSH knowledge and the work environment on nurse workplace accidents, with safety behaviors serving as a mediating factor. The research utilizes a quantitative survey method with a cross-sectional design. A total of 123 nurses participated in the study. An analysis using Structural Equation Modeling (SEM) was conducted to assess the statistical impact. The findings indicate that improving Occupational Safety and Health (OSH) knowledge and enhancing the work environment can significantly reduce workplace accidents. The mediating role of safety behaviors further amplifies this effect. Both HOSH knowledge and the work environment have a positive significant impact on safety behaviors, while HOSH knowledge, the work environment, and safety behaviors each have a negative significant impact on workplace accidents
Job Demands And Job Resources as Antecedents of Work Engagement Among Inpatient Nurse in X Hospital Paramina, Quintina; Kusumapradja, Rokiah; Mustikawati, Intan Silviana
Jurnal Health Sains Vol. 5 No. 11 (2024): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v5i11.1380

Abstract

Work engagement within hospitals may be impacted by job demands and job stress, underscoring the necessity to augment work resources as a protective measure. Initial investigations conducted at Hospital X have revealed a deficiency in work engagement, particularly in the absorption aspect. This study seeks to assess the effects of job demands and job resources on work engagement, with job stress serving as a mediating factor. Employing a quantitative survey methodology with a cross-sectional design, the study involved 104 inpatient nurses as participants. The method used is the Three Box Method and statistical analysis. The findings indicate that work engagement escalates with increased job resources, while higher job demands correlate with decreased work engagement. Furthermore, enhancing job resources has the potential to alleviate job stress, whereas elevated job demands are associated with heightened job stress levels. Notably, work engagement diminishes with escalating job stress. Through the mediation of job stress, job resources, and job demands, there is a discernible impact on work engagement.
Peningkatan Kualitas Farmasi Rawat Jalan Non-Bpjs Rs Atma Jaya Dengan Metode Lean Six Sigma Venera, Gaby; Nofierni, Nofierni; Kusumapradja, Rokiah; Jus'at, Idrus
Health Publica Vol 6, No 02 (2025): Health Publica Jurnal Kesehatan Masyarakat
Publisher : Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/hp.v6i02.9370

Abstract

Layanan farmasi rawat jalan berperan penting dalam memastikan kualitas layanan namun seringkali menghadapi tantangan seperti waktu tunggu yang lama dan alur kerja yang tidak efisien. Penelitian ini bertujuan untuk menganalisis efisiensi alur kerja rawat jalan di RS Atma Jaya dengan menggunakan pendekatan Lean Six Sigma dan mengidentifikasi waste pada proses pelayanan. Studi ini juga mengusulkan perbaikan alur kerja melalui Future Stream Mapping untuk meningkatkan efisiensi dan kualitas layanan. Penelitian menggunakan desain studi kasus dengan pendekatan DMAIC (Define, Measure, Analyze, Improve, Control). Data dikumpulkan melalui observasi, wawancara mendalam, kuesioner, dan telaah dokumen. Alur proses dianalisis menggunakan Value Stream Mapping (VSM) untuk mengidentifikasi Value Added Activities (VAA) dan Non-Value Added Activities (NVAA). Hasil penelitian menunjukkan bahwa total waktu proses (Total Process Time, TPT) untuk resep jadi adalah 18,62 menit, sementara untuk resep racikan mencapai 92,46 menit, dengan dominasi NVAA sebesar 69,93% pada resep jadi dan 66,89% pada resep racikan. Waste yang teridentifikasi meliputi waste waiting (17%), transportasi (13,2%), inventori (10,6%), over proses (12,3%), Motion (11,8%), overproduction (11,3%), defek (10,6%), dan potensi manusia (13,2%), dengan hasil akhir waste waiting adalah sumber utama inefisiensi. Usulan perbaikan melalui Future Stream Mapping diperkirakan mampu mengurangi TPT sebesar 38% untuk resep jadi dan 43% untuk resep racikan. Kesimpulan: Pendekatan Lean Six Sigma terbukti efektif dalam mengidentifikasi pemborosan dan merancang perbaikan alur pelayanan farmasi. Implementasi sistem e-prescription yang lebih terintegrasi dapat mengurangi NVAA, meningkatkan efisiensi, dan mendukung pelayanan yang lebih optimal. Penelitian ini diharapkan menjadi dasar bagi pengembangan sistem pelayanan farmasi yang lebih efisien dan berkualitas, sekaligus meningkatkan kepuasan pasien.Kata Kunci : Lean Six Sigma, Current Stream Mapping, Future Stream Mapping, pelayanan farmasi
The Ease of Form Completion Influences the Intention to Report Patient Safety Incidents Nuraeni, Neli; Kusumapradja, Rokiah; Mulyani, Erry Yudhya; Pamungkas, Rian Adi; Ruswanti, Endang
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i11.62485

Abstract

This study aims to analyze the influence of positive attitude (X1), social support (X2), and ease of form completion (X3) on Patient Safety Incident (PSI) reporting behavior (Y), with reporting intention (Z) as a mediating variable. Using a causal associative approach with a cross-sectional design, data were collected through questionnaires from 150 inpatient nurses selected via purposive sampling. Structural Equation Modeling (SEM) was employed to examine variable relationships. Key findings reveal: (1) positive attitude, social support, and ease of form completion significantly affect both reporting intention and PSI reporting behavior; (2) reporting intention partially mediates the relationship between the three independent variables and reporting behavior; (3) social support and ease of form completion exhibit the strongest direct effects on reporting behavior. The study highlights that strengthening patient safety culture requires integrating psychological (attitude), social (support), and technical (system usability) factors. Practical implications suggest hospital management should develop policies fostering positive attitudes through training, enhance social support via team collaboration, and streamline technology-based PSI reporting systems. These measures are expected to improve reporting transparency and accuracy, ultimately advancing patient safety service quality.
The Effect of Leadership Style and Intrinsic Motivation toward Organizational Commitment with Job Satisfaction as Intervening Variables at Petukangan Hospital Assyifa Azizah Fernendes; Rokiah Kusumapradja; Erry Yudhya Mulyani
Jurnal Cinta Nusantara Vol. 2 No. 1 (2024): Januari-Maret, Local Culture and Traditions
Publisher : CV. Bunda Ratu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63754/jcn.v2i1.27

Abstract

The hospital is a health facility where health efforts are carried out. The hospital has various units of trained and educated personnel in dealing with medical problems for the recovery and maintenance of patient health. In providing services, medical and non-medical personnel have a very big responsibility for patients and organizations. Employees’ low organizational commitment is serious for Petukangan Public Hospital. Hence, it becomes the main problem in this study. Based on the main problem, this research intends to analyze the effect of leadership style and intrinsic motivation toward organizational commitment through job satisfaction at Petukangan Public Hospital. The research method used was a descriptive quantitative approach. The types of data used were primary data and secondary data. The sample of this research was all medical and non-medical employees at Petukangan Public Hospital with a total of 129 respondents. Research data processing used statistical regression analysis with hypothesis testing and path analysis. The results of the research showed that each independent variable had a significant effect on the dependent variable. Based on the results of the analysis, it was found that leadership style had a significant effect of 0.095 or 9.5%, and the intrinsic motivation variable had a significant effect of 0.291 or 29.1%. The job satisfaction variable had a significant effect of 0.452 or 45.2%. Furthermore, the results of the analysis of the effect of intrinsic motivation through job satisfaction on organizational commitment have a significant effect with a sig value of 0.004. It was less than the sig value of 0.05. Meanwhile, the effect of leadership style through job satisfaction toward organizational commitment did not have a significant effect with a sig value obtained of 0.245 greater than the 0.05 sig value.
THE INFLUENCE OF ORGANIZATIONAL CLIMATE, EFFECTIVE COMMUNICATION, AND COMPENSATION ON NURSE PERFORMANCE AT RS. SENTRAL MEDIKA KARAWANG Ferry Victor; Muhammad Fachruddin Arrozi; Rokiah Kusumapradja
Jurnal Cinta Nusantara Vol. 2 No. 02 (2024): April-Juni, Sosial Studies, and Technology
Publisher : CV. Bunda Ratu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63754/jcn.v2i02.40

Abstract

Quality nursing care has a direct impact on hospital performance, one of which is influenced by the performance of nurses. Nurse performance is essentially the result of a nurse's work over a specific period based on predetermined and agreed-upon standards, targets, or criteria. This research uses a quantitative approach with a causal research design using Multiple Regression Analysis with the assistance of SPSS. The sample in this study consisted of 50 nursing staff working in all service units of RS Sentral Medika Karawang. The research instrument used a questionnaire and was measured using a Likert scale. Research Results: There is a significant influence of organizational climate, effective communication, and compensation on performance at RS Sentral Medika Karawang (f count > f table (216.013>2.794) and significance (p-value) 0.000<0.05). Implications and Suggestions: There is a need to create and improve the Good Hospital Good Governance system, interprofessional profession correlation or interprofessional collaboration system, and meritocracy system in compensation delivery to improve motivation and employee performance, thereby enhancing the quality and efficiency of RS Sentral Medika Karawang activities. Keywords: Organization Climate, Effective Communication, Compensation, Performance, Nurse
Determinants of Experiential Marketing on the Intention to Use Outpatient Services in Class C Hospital Lucki Lucki; MF. Arrozi Adhikara; Rokiah Kusumapradja
Management Dynamics: International Journal of Management and Digital Sciences Vol. 2 No. 4 (2025): International Journal of Management and Digital Sciences
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/managementdynamics.v2i4.486

Abstract

Introduction: Experiential marketing has become a growing trend in promotional activities by emphasizing personalization and active customer involvement. Preliminary observations indicate a decline in outpatient visits among patients with general insurance and non-JKN coverage in 2023, which may be influenced by a decrease in their intention to use outpatient services. This condition highlights the need for hospitals to implement experiential marketing strategies to enhance patient interest and experience. Objective: This study aims to empirically examine the influence of patient experience and service perception on the intention to use outpatient services, with Strategic Experiential Modules (SEMs) as an intervening variable. Methods: This quantitative research employs a causal design involving outpatient service users as the population. A non-probability sampling technique was used, yielding 249 respondents. Data were collected using a questionnaire and analyzed using Structural Equation Modeling (SEM) with AMOS software. Results: The findings reveal that patient experience and service perception simultaneously have a significant positive influence on the intention to use outpatient services through SEMs. Service perception directly shows a significant positive effect on both SEMs and intention to use outpatient services, while SEMs also significantly enhance usage intention. Service perception emerges as the dominant variable in increasing SEMs and usage intention, whereas patient experience has the weakest effect. Conclusion: Patient experience and service perception collectively influence the intention to use outpatient services with SEMs as an intervening variable. Strengthening Customer Relationship Management is essential by improving human resources and optimizing service asset.
Professional Roles, Challenges, and Adaptive Resilience of Neurosurgical Teams in Delivering Service Excellence Within Resource-Limited Hospital Settings Sirait, Anton MJ; Pamungkas, Rian Adi; Kusumapradja, Rokiah
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 6 (2025): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v8i6.905

Abstract

Introduction: Neurosurgical services in Class B hospitals present a high level of complexity due to limitations in technology, facilities, and human resources. This study aims to explore the subjective experiences of neurosurgical medical teams, comprising neurosurgeons, nurses, anesthetists, medical equipment technicians, and operating room managers, in interpreting their roles, confronting challenges, and developing adaptive strategies to support excellent healthcare services at a Class B hospital. Methods: Employing a qualitative phenomenological approach, data were collected through in-depth interviews and analyzed thematically following Colaizzi’s method. Results: The findings indicate that service excellence in neurosurgical care within a resource-limited hospital is maintained through the dynamic interaction between professional meaning-making, persistent multidimensional challenges, and adaptive resilience strategies. While individual and team-level adaptations effectively sustain daily performance, limited systemic support poses challenges to long-term sustainability. Conclusion: Overall, the study highlights that the success of excellent neurosurgical services in Class B hospitals depends more on personal resilience and team cohesion than on systemic support alone. Recommendation: It recommends systemic improvements in management, human resource policies, integrated communication systems, and sustainable psychosocial support to ensure the continuity of high-quality services amid structural limitations
Co-Authors A. Stefanus Andi Pranata Abdul Kadir Agusdini Banun Saptaningsih Ahmad Fauzi Aini Nadhifah Alice Cynthia Dewi Al’adli, Aqdam Fauqo Amalia, Siti Nur Anang Suryana Andri J. Girsang Andry Andry ANDRY, ANDRY Aprianes Wijaya Arrozi Arrozi Arrozi, Muhammad Fachrudin Artha Manurung, Derty Ully Assyifa Azizah Fernendes Athika Rodhya Boby Krismanto Pello Cahyana, Misan Cahyarini, Cahyarini Candra Saputra Chandra Megah CSP Wekadigunawan Daniel Novian Dharma Setia Budi Deasy Nurindah Sari Defi Cynthia Dewi Denny Khusen Desy Trisnawati Dewi Kuraesin Dewi Oktaviani, Dewi Dharmawan, Hery Dian Gema Rizkia Dian Gema Rizkia Duta Liana Dwi Purnomo Dwi Yanti Elok Palupi Dwinijanti, Lenny Edward Marpaung, Yohan Elvina. R. M Endang Ruswanti Entin Kartikasari Erry Yudhya Mulyani Fanya Fanya Febrian Tan Jaya Febriansyah Febriansyah Feri Dian Sanubari Ferry Victor Firmansye Ika Panggulu Fransisca Fransisca Fresley Hutapea Frizky Ramadhan Girsang, Andri J. Gracesia kwannandar H. Abdul Kadir Harahap, Sabasdin Hasyim Hasyim Ahmad Hasyim Hasyim Hasyim Hasyim hasyim, hasyim Henry Andrean Herlina Herlina Herwanto Herwanto Hilmy, M. Reza Hilmy, Mohammad Reza Idrus Jus'at Idrus Jus'at Idrus Jus’at Indawati, Laela Indriaty, Julia Intan Silviana Mustikawati Irdan Irma Kartiani Irwan Kusnanda Jenmi Silaen Johanes Johanes, Johanes Jus'at, Idrus Jusad, Idrus Jusat, Idrus JUS’AT, IDRUS Kartika Lilisantosa Karyanah, Yayah Kemala Rita Kharisma Berlian Sjukri Kurniasih Kurniasih Kurniasih Kurniasih Laelani, Sofi Nur Eka April Laurensia Brigitta Astinawati Lenny Dwinijanti Lia Winarti Lily Widjaya Lucki Lucki M Reza Hilm M. Reza Hilmy M. Tryanza Maulana Marcia Marcia, Marcia Meilyana Maria Isabela Kwary Melissa Melissa MF. Arrozi Adhikara Mintarsi Mintarsi Mintarsi, Mintarsi Misan Cahyana Mohamad Reza Hilmy Mohammad Munir Muhammad Arrozi Muhammad Fachruddin Arrozi Mulyanah Mulyanah Mulyanah, Mulyanah Mulyati Mulyati Mulyati Mulyati Munawar Mus Aida Mustikawati, Intan Silviana Natsir Nugroho Nofierni, Nofierni Noorsidi Aizuddin Bin Mat Noor Nora Aminayanti Nova Tri Handriyanto Nuraeni, Neli Nursiah Nursiah Nusrat, Mavika Tarika Oscar, Rinaldi Paramina, Quintina Pathiussina, Rimba Trishuta Purba, Elida Junita Putri Sari Sumarty Meliala R. M, Elvina. Rachmad Tyas Dwinata Rasipin Rasipin Rian Adi Pamungkas Rina Anindita Rina Mutiara Rina Mutiara Rizkaully Permatasari Fitrianingsih Rizkia, Dian Gema Roro Kusnabilla Erfa Roveny Roveny Ruga, Forestriano Bayu Putra Sabasdin Harahap Samerdanta Pusaka Samerdanta Pusaka sandra dewi Sandra dewi Sandra Dewi Sekar Asmara Jayaning Diah Setiawan, Eka Shella Vina Putri Silviana Mustikawati, Intan Sirait, Anton MJ Siswanto Sofia Tresia Sri kurnia wati Suriviana Suriviana Susanti Sugianto Susilawati Susilawati Tantri Yanuar Rahmat Syah Titta Gusni Salim Tjipto Rini Tobias Reinaldo Toti Tresia, Sofia Ulfa, Zuriyati Veimina Surya Venera, Gaby Victor Livinus Vitasya Nusantari Vivi Silvia Wahidi, Kemala Rita Wahyudyasa, Putu Tara Judica Wahyuni Dian Wahyuni Dian Purwati Wahyuni Dian Purwati Wardani, Isma Prasetya Wekadigunawan Wekadigunawan Wekadigunawan Widjaja, Lily Wijaya, Aprianes Yanuar Ramadhan Yuni Asmi Zuriyati Ulfa