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Fajriah, Asruria Sani
IIK Strada Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary Other

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Journal : Journal of Health Policy and Management

 1 
Determinants of Resistance to Changes in Hospital Program Implementation Rusmawati, Aprin; Wardani, Ratna; Fajriah, Asruria Sani
Journal of Health Policy and Management Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Organizational change is the embodiment of changing organizational environ­ments, structures, cultures, technologies, or people. Changes are planned to make the organization more effective and efficient, but there is still resistance from members of the organization. Negative reactions arise because changes provide pressure, stress, and uncertainty for employees. The goal in the study was to analyze employees' perceptions of commitment, readiness, and resistance during times of change to the implementation of the "MARMER" program.Subjects and Method: The study was conducted at Dr. Iskak Tulungagung Hospital. The selected hospital organization is a hospital that has a program preventing antimicrobial resistance through restriction efficiency (MARMER) for the control of antibiotic resistance. Research design uses quantitative research methods. The population in this study is all health workers at Dr. Iskak Tulungagung Hospital. Data collection through questionnaires. Multivariate data analysis using SEM with SmartPLS.Results: Commitment to change has a significant direct influence on the readiness for change (t-values= 9.95 > 1.96; Standard Coefficiency= 0.53). Commitment to change does not significantly affect change resistance (t-values = 1.22< 1.96; Standard Coefficiency= 0.13). Readiness for change has a negative effect on change resistance (t-values= -5.30 >1.96; Standard Coefficiency= -0.60). Commitment to change negatively and significantly affects resistance to change through readiness to change (t-values = -4.24 > 1.96; Standard Coefficiency= -0.36).Conclusion: Commitment directly affects the readiness of change. Commitment and readiness affect the resistance of change. Commitment has a significant effect on resistance through readiness for change.Keywords: MARMER, antibiotik, commitment, readiness, resistanceCorrespondence: Asruria Sani Fajriah, IIK Strada Indonesia, Jl. Manila 37, Sumberece, Kediri, East Java, Indonesia. Email: sanifajriah@gmail.comJournal of Health Policy and Management (2021), 06(03): 222-232https://doi.org/10.26911/thejhpm.2021.06.03.07
Co-Authors Acob, Joel Rey Ugsang Agusta Dian Ellina Ahmad Syauqi Mubarok Ahmad Syauqi Mubarok Akbar, Prima Soultoni Alfian Fauzi Alfian Muhajir Anasulfalah, Hakim Anggun Fitri Handayani Aprin Rusmawati Aris Widiyato Arjita, I Putu Dedy Artha Budi Susila Duarsa Astri Yunita Astri Yunita Ayu Anulus Azzahra, Fazra Fatima Bhisma Murti Byba Melda Suhita Candra Wahyuni Chusnatayaini, Arina Costa, Alipio da Dalla, Endawati Susisanti Ngguku Devi Putri Nursanti Devy Putri Nursanti Dewi Arradini Effendy, Mohammad As'ad Ellina , Agusta Dian Ellina, Agusta Dina Faisal Hidayatullah Fazrin, Intan Firdayanti Flora A. Mase Gufron Wahyudi Handayani, Rina Tri Hendra Dwi Kurniawan Hendra Dwi Kurniawan Isnani Nurhayati Iswahyuni, Sri Joko Tri Atmojo Joko Tri Atmojo Kadek Dwi Pramana Khorinisa, Depi Krisnanda Aditya Pradana Krisnanda Aditya Pradana Krissanti, Hanny Kumalasari, Eri Puji Kumalasari, Eri Puji Lende, Virginia Lilik Hanifah Lis Suwarni Livana Ph, Livana Maria Paula Marla Nahak Masya, Ayi Suhartin Nahak, Marla Ndaru Syukma Putra Ndaru Syukma Putra Nindita Arum Veibiani Nur Laili Qomariah Nur Laili Qomariah Nurhayati, Isnani Osnawati H Marsaoly Pangestuti, Dymalikhul Peristiwati, Yuli Pian, Grezella Sonya Indriani Puji Kumalasari, Eri Putri Eka Sejati Putri Eka Sejati Rahmi Pebrianti Rahmi Utami Ratna Wardani Rejo Rejo Rejo, Rejo Retnaningtyas, Erma Retno Dewi Prisusanti Retno Palupi Yonni Siwi Rina Tri Handayani Riski Candra Amalia Riza Tsalatsatul Mufida Sahu, Sri Kusumawati Santy Irene Putri Santy Irene Putri Sarsini, Wa Sejati, Putri Eka Septianingrum, Winda Sunariyah, Sunariyah Sunaryanti, Sri Sayekti Heni Sundari Supriyadi Hari Respati Susana Sri Wahyuni Susana Sri Wahyuni Susanti Pratamaningtyas Tri Yuniarti, Tri Udin, Nur Alam Widiyanto, Aris Wiliarisa Prita Purwanti WULANDARI Yabar, Welelmina Yuliatin, Sinta Yuly Peristiowati Yuly Peristiowati Yuniarti, Tri Zainur Rofiq