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All Journal International Journal of Nursing and Health Services (IJNHS) QISTINA: Jurnal Multidisiplin Indonesia
Kusumapradja, Rokiah
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Religion Economics, Econometrics & Finance Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Nursing Public Health Social Sciences

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Kondisi Fasilitas Sebagai Faktor Paling Dominan Terhadap Niat Menggunakan Rekam Medis Elektronik Serta Ketidaksignifikanan Peran Sikap Sebagai Mediator Harapan Kinerja di RSPPN Soedirman Kemhan Utianty, Premia; Hutapea, Fresley; Kusumapradja, Rokiah
QISTINA: Jurnal Multidisiplin Indonesia Vol 4, No 2 (2025): December 2025
Publisher : CV. Rayyan Dwi Bharata

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57235/qistina.v4i2.7281

Abstract

Penerapan Rekam Medis Elektronik (RME) di RSPPN Soedirman Kemhan yang dimulai pada akhir tahun 2023 masih menghadapi berbagai kendala sehingga belum berjalan optimal. Penelitian terkait faktor-faktor yang memengaruhi niat penggunaan RME, khususnya dengan melibatkan sikap sebagai variabel intervening, juga belum pernah dilakukan sebelumnya. Penelitian ini bertujuan menganalisis pengaruh harapan kinerja, harapan usaha, pengaruh sosial, dan kondisi fasilitas terhadap niat menggunakan RME dengan sikap sebagai variabel mediasi pada perawat di Instalasi Rawat Jalan RSPPN Soedirman Kemhan. Penelitian menggunakan desain kuantitatif dengan pendekatan survei. Sampel berjumlah 61 perawat yang telah bekerja minimal satu tahun. Analisis data dilakukan menggunakan metode Structural Equation Modeling–Partial Least Square (SEM-PLS). Hasil penelitian menunjukkan bahwa keempat variabel independen, yaitu harapan kinerja, harapan usaha, pengaruh sosial, dan kondisi fasilitas, terbukti berpengaruh signifikan terhadap niat menggunakan RME melalui sikap sebagai variabel intervening. Hal ini mengindikasikan bahwa niat tenaga kesehatan untuk menggunakan RME tidak hanya dipengaruhi manfaat, kemudahan, dukungan sosial, dan infrastruktur yang tersedia, tetapi juga ditentukan oleh sikap positif mereka terhadap sistem. Oleh karena itu, manajemen rumah sakit perlu memperkuat aspek teknis, sosial, dan psikologis agar sikap tenaga kesehatan semakin mendukung implementasi RME secara berkelanjutan.
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 Hutapea, Fresley Rian Adi Pamungkas Sirait, Anton MJ Utianty, Premia