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ANALISIS TINGKAT PENGETAHUAN, SIKAP, MOTIVASI DAN KOMPLEKSITAS TUGAS DENGAN KEWASPADAAN STANDAR DI RUMAH SAKIT Hadi, Salman; Sastrawan, Sastrawan; Zuhro, Ramdhoni
JISIP: Jurnal Ilmu Sosial dan Pendidikan Vol 5, No 4 (2021): JISIP (Jurnal Ilmu Sosial dan Pendidikan)
Publisher : Lembaga Penelitian dan Pendidikan (LPP) Mandala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58258/jisip.v5i4.2325

Abstract

Pencegahan dan pengendalian infeksi di fasilitas kesehatan merupakan salah satu upaya untuk mencegah dan meminimalkan terjadinya infeksi pada pasien, petugas kesehatan, pengunjung, dan masyarakat di sekitar fasilitas pelayanan kesehatan. Salah satu upaya pencegahan dan pengendalian infeksi adalah dengan menerapkan kewaspadaan standar di rumah sakit dan fasilitas pelayanan kesehatan lainnya untuk mencegah penularan silang agen infeksi dari pasien ke pasien lain, serta ke petugas rumah sakit. Penelitian ini menggunakan pendekatan cross sectional. Dilaksanakan pada bulan Juli 2018 di dr. RSUD R. Soedjono - Selong, Kabupaten Lombok Timur, NTB. Jumlah responden sebanyak 83 orang. Variabel terikatnya adalah tingkat kepatuhan penerapan kewaspadaan standar. Variabel bebas adalah pengetahuan, sikap, motivasi dan kompleksitas tugas. Pengolahan data dilakukan dengan uji statistik dengan : 5%. Uji korelasi menunjukkan Tidak ada hubungan antara Pengetahuan, Sikap, dan kompleksitas tugas dengan tingkat kepatuhan petugas kesehatan dalam penerapan kewaspadaan standar, dan ada hubungan antara motivasi dengan tingkat kepatuhan petugas kesehatan dalam penerapan kewaspadaan standar (p value : 0,021). Arah korelasi motivasi terhadap tingkat kepatuhan adalah negatif, hal ini menunjukkan bahwa motivasi yang tinggi tidak menunjukkan tingkat kepatuhan yang tinggi.
Analisis Implementasi Program Posyandu Keluarga di Lombok Timur Sumbarwati, Nazaliya; Sastrawan, Sastrawan; Sismulyanto, Sismulyanto
Journal of Health Science and Prevention Vol. 9 No. 1 (2025): JHSP Vol 9 No 1 – 2025
Publisher : State Islamic University of Sunan Ampel

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29080/jhsp.v9i1.1351

Abstract

The Family Posyandu (PosGa) is a family-based health service innovation aimed at improving community health care access and quality, but faced significant challenges in rural areas. This study analyzed PosGa implementation in the Kalijaga Health Center area, East Lombok Regency, using a qualitative descriptive approach. Data were collected through 17 in-depth interviews, direct observation, and documentation. Findings revealed key challenges, including inadequate human resources, limited infrastructure, insufficient cadre training, and inconsistent incentives. Low participation from adolescents and the elderly, along with weak cross-sector coordination, further hindered effectiveness. Enhancing infrastructure, cadre capacity, and coordination, with a focus on inclusivity for all age groups, could strengthen PosGa as a comprehensive community health service.
Analysis of Factors Influencing The Drop Out of Family Planning Acceptors Widyastuti, Yuni; Menap, Menap; Sastrawan, Sastrawan; Pratiwi, Intan Gumilang
Jurnal Kesehatan Prima Vol. 18 No. 2 (2024): AUGUST
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v18i2.1706

Abstract

Population issues are still the main focus of both developed and developing countries including Indonesia. The government through the Population and Family Planning Sector continues to strive to reduce the Total fertility Rate by reducing the drop out rate of contraceptive use. Drop out is the non-participation of fertile age couples to become family planning acceptors. The purpose of this study was to determine the factors that influence the drop out of family planning acceptors in West Lombok Regency. Previous studies stated that the factors causing drop out were knowledge, attitudes and distance from health services. The difference between this study and previous researchers is the research method used, the location of the study and the time of the study, and to determine the most dominant factors causing drop out. The research design used Cross-Sectional, a population of 135,076 with a sample size of 100 fertility age couple obtained randomly using the proportional to size method, the research instrument used a questionnaire. Data analysis used the chi square test to determine the effect and the multivariate logistic regression test to see the most dominant effect. Results: Chi Square test of knowledge factor obtained p value 0.000 < from alpha (0.05), motivation factor obtained p value 0.0005 < from alpha (0.05), access factor obtained p value 0.961 > from alpha (0.05), insurance ownership obtained p value 0.001 < from alpha (0.05) and work obtained p value 0.000 < from alpha (0.05) Conclusion: there is an influence of knowledge, motivation, insurance ownership and respondent's work with the occurrence of drop out in family planning acceptors while respondent access has no influence on the occurrence of drop out in West Lombok Regency. While the most dominant factor is motivation with OR value 5.575, meaning KB acceptors who do not have strong motivation have a risk or tendency of 5 to 6 times dropping out as family planning acceptors.
Hubungan persepsi beban kerja, motivasi, dan iklim kerja dengan kinerja tenaga kesehatan Fauziah, Fauziah; Sastrawan, Sastrawan; Setiawan, Sabar
Holistik Jurnal Kesehatan Vol. 19 No. 11 (2026): Volume 19 Nomor 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i11.2078

Abstract

Background: Healthcare worker performance is a key factor in ensuring optimal quality healthcare services. Performance is influenced by various internal and external factors, including perceived workload, motivation, and work climate. Understanding the relationship between these three factors is necessary to support increased healthcare worker effectiveness in primary care facilities. Purpose: To determine the relationship between perceived workload, motivation, and work climate with healthcare worker performance. Method: This quantitative study employed a survey design. Data were collected through a questionnaire that had been tested for validity and reliability. Data were analyzed using Spearman Rank bivariate correlation and multiple regression with robust standard errors. The study sample was obtained purposively from healthcare workers at the Batukliang Utara District Community Health Center. Results: Bivariate analysis showed that work climate variables had a positive and significant correlation with performance, while perceived workload was not significant. Motivation had a strong and significant relationship with performance in both bivariate and multivariate tests. However, in multiple regression, work climate did not significantly affect performance. Conclusion: Motivation was the dominant factor influencing healthcare worker performance, followed by a supportive work climate. Perception of workload does not directly affect performance.   Keywords: Healthcare Workers; Motivation; Performance; Workload; Work Climate.   Pendahuluan: Kinerja tenaga kesehatan merupakan faktor kunci dalam memastikan mutu pelayanan kesehatan yang optimal. Kinerja dipengaruhi oleh berbagai faktor internal dan eksternal, di antaranya persepsi terhadap beban kerja, motivasi, dan iklim kerja. Pemahaman mengenai hubungan ketiga faktor tersebut diperlukan untuk mendukung peningkatan efektivitas tenaga kesehatan di fasilitas pelayanan dasar. Tujuan:  Untuk mengetahui hubungan antara persepsi beban kerja, motivasi, dan iklim kerja dengan kinerja tenaga kesehatan. Metode: Penelitian kuantitatif dengan desain survei. Data dikumpulkan melalui kuesioner yang telah diuji validitas dan reliabilitasnya. Analisis data menggunakan uji korelasi bivariat Spearman Rank serta regresi berganda dengan robust standard errors. Sampel penelitian diperoleh secara purposif dari tenaga kesehatan di Puskesmas Wilayah Kecamatan Batukliang Utara. Hasil: Analisis bivariat menunjukkan variabel iklim kerja memiliki korelasi positif dan signifikan dengan kinerja, sedangkan persepsi beban kerja tidak signifikan. Motivasi memiliki hubungan kuat dan signifikan terhadap kinerja baik pada uji bivariat maupun multivariat. Namun, pada regresi berganda, iklim kerja tidak berpengaruh signifikan terhadap kinerja. Simpulan: Motivasi merupakan faktor dominan yang memengaruhi kinerja tenaga kesehatan, diikuti dengan peran iklim kerja yang mendukung. Persepsi beban kerja tidak berpengaruh langsung terhadap kinerja.   Kata Kunci: Beban Kerja; Iklim Kerja; Kinerja; Motivasi; Tenaga Kesehatan.
Efektivitas Alat Digital dalam Meningkatkan Serah Terima Pasien dan Komunikasi Keselamatan:Sebuah Literatur Sistematis Rahmi, Irma Kurnia; Sastrawan, Sastrawan
MAHESA : Malahayati Health Student Journal Vol 6, No 2 (2026): Volume 6 Nomor 2 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i2.20494

Abstract

ABSTRACT Ineffective patient handovers represent a critical challenge in healthcare systems, contributing to patient safety risks and issues with care continuity. Communication failures during handoffs are major factors in preventable medical errors, such as medication mistakes, delayed diagnoses, and adverse clinical outcomes. The integration of digital tools, including Electronic Health Records (EHR), telemedicine platforms, and mobile applications, has been proposed as a solution to bridge these communication gaps. This systematic literature review aims to evaluate the effectiveness of digital tools in improving patient handover processes and enhancing communication for patient safety within healthcare environments. The study adheres to PRISMA guidelines for systematic reviews and includes literature published between 2013 and 2025. A comprehensive search of relevant databases, such as Scopus and MDPI, identified 41 documents, 20 of which met the inclusion criteria for analysis. These studies examine the impact of digital tools like EHR, AI-based systems, mobile apps, and telemedicine on clinical handovers. The findings demonstrate that digital tools significantly enhance communication efficiency, reduce medical errors, and improve care coordination. EHR systems, for instance, have been shown to increase the accuracy of handovers and reduce miscommunication. Additionally, mobile applications and telemedicine platforms have enabled real-time communication, leading to improved patient outcomes and fewer adverse events. Despite these benefits, challenges remain regarding implementation, including staff resistance, inadequate training, and integration with existing workflows. Digital tools have the potential to transform patient handover processes and improve patient safety. However, successful implementation requires careful consideration of organizational readiness, staff training, and the adaptation of tools to local contexts. Future research should address methodological gaps and explore the long-term impact of these tools on patient outcomes. Keywords: Digital Tools, Patient Handover, Patient Safety, Communication, Healthcare Technology.  ABSTRAK Serah terima pasien yang tidak efektif merupakan tantangan kritis dalam sistem perawatan kesehatan, yang berkontribusi pada risiko keselamatan pasien dan masalah kontinuitas perawatan. Kegagalan komunikasi selama serah terima merupakan faktor utama dalam kesalahan medis yang dapat dicegah, seperti kesalahan pemberian obat, keterlambatan diagnosis, dan hasil klinis yang merugikan. Integrasi alat digital, termasuk Rekam Medis Elektronik (EHR), platform telemedisin, dan aplikasi seluler, telah diusulkan sebagai solusi untuk menjembatani kesenjangan komunikasi ini. Tinjauan literatur sistematis ini bertujuan untuk mengevaluasi efektivitas alat digital dalam meningkatkan proses serah terima pasien dan meningkatkan komunikasi untuk keselamatan pasien dalam lingkungan perawatan kesehatan. Studi ini mengikuti pedoman PRISMA untuk tinjauan sistematis dan mencakup literatur yang diterbitkan antara tahun 2013 dan 2025. Pencarian komprehensif pada basis data yang relevan, seperti Scopus dan MDPI, mengidentifikasi 41 dokumen, 20 di antaranya memenuhi kriteria inklusi untuk analisis. Studi-studi ini meneliti dampak alat digital seperti EHR, sistem berbasis AI, aplikasi seluler, dan telemedisin pada proses serah terima pasien. Temuan menunjukkan bahwa alat digital secara signifikan meningkatkan efisiensi komunikasi, mengurangi kesalahan medis, dan meningkatkan koordinasi perawatan. Sistem EHR, misalnya, telah terbukti meningkatkan akurasi serah terima dan mengurangi miskomunikasi. Selain itu, aplikasi seluler dan platform telemedisin telah memungkinkan komunikasi secara real-time, yang mengarah pada peningkatan hasil pasien dan lebih sedikit kejadian buruk. Terlepas dari manfaat ini, tantangan tetap ada terkait implementasi, termasuk resistensi staf, pelatihan yang tidak memadai, dan integrasi dengan alur kerja yang ada. Alat digital berpotensi untuk mengubah proses serah terima pasien dan meningkatkan keselamatan pasien. Namun, implementasi yang sukses membutuhkan pertimbangan yang cermat terhadap kesiapan organisasi, pelatihan staf, dan adaptasi alat terhadap konteks lokal. Penelitian di masa mendatang harus mengatasi kesenjangan metodologis dan mengeksplorasi dampak jangka panjang alat-alat ini terhadap hasil pasien. Kata Kunci:  Alat Digital, Serah Terima Pasien, Keselamatan Pasien, Komunikasi, Teknologi Kesehatan.
The Impact of Employee Performance Appraisal Systems on Healthcare Service Quality: A Literature Review Artati, Ni Wayan Sri; Sulaiman, Lalu; Sastrawan, Sastrawan
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 1 (2026): EDITION MARCH 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i1.7281

Abstract

This study aimed to evaluate the impact of employee performance appraisal systems on healthcare service quality in hospitals. A systematic literature review was conducted by analyzing 12 peer-reviewed articles published between 2020 and 2025, selected from prominent academic databases such as PubMed, Scopus, and ScienceDirect. These articles were reviewed based on their relevance to the relationship between performance appraisals and healthcare quality. The review identified that well-structured performance appraisal systems significantly contribute to enhancing employee motivation, which directly influences the overall quality of healthcare services. Transparent, objective, and fair appraisal systems, when implemented effectively, help align employee goals with organizational objectives, leading to better patient care. However, the study also highlighted several challenges, including bureaucratic barriers, a lack of evaluator training, and cultural misalignment, which hinder the successful implementation of these systems in hospitals. Additionally, the review found that performance appraisals, when conducted periodically with constructive feedback, encourage continuous professional development and improve service delivery. The study concluded that for a performance appraisal system to be truly effective, it must be ongoing, incorporate clear communication, and be adaptable to the hospital’s organizational culture. Future research should focus on longitudinal studies to assess the long-term effects of performance appraisals on healthcare quality. Furthermore, combining qualitative and quantitative methods may provide a deeper understanding of the complex interactions between performance appraisals and employee performance in healthcare settings.
Hubungan komponen health belief model (HBM) dengan kepatuhan minum obat dan tingkat stress pada pasien hipertensi Fauziah, Fauziah; Sastrawan, Sastrawan; Setiawan, Sabar; Mardani, Raden Ahmad Dedy
Holistik Jurnal Kesehatan Vol. 19 No. 12 (2026): Volume 19 Nomor 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i12.2079

Abstract

Background: Hypertension is a silent killer because sufferers often do not experience any symptoms at all. Complications can occur if hypertension cannot be controlled or remains high for a long period of time. The Health Belief Model (HBM) is a model used to describe individuals' beliefs about healthy living behaviors, so that individuals will engage in healthy behaviors, which can be preventive behaviors or the use of health facilities. Purpose: To determine the relationship between components of the Health Belief Model (HBM) and medication adherence and stress levels in hypertensive patients. Method: This observational analytical study, using a cross-sectional design, was conducted at the North Batukliang District Community Health Center in hypertensive patients. A sample of 90 respondents was used. Data collection was conducted through interviews, surveys, and questionnaires. Multiple logistic regression was used as the data analysis technique. Results: Based on the results of statistical tests on the relationship between the health belief model (HBM) and medication adherence, the p-value was 0.000 (< 0.05), with an Odd Ratio (OR) = 9.425. Respondents in the high perception category were 9.425 times more likely to adhere to medication compared to those in the low perception category. The relationship between the health belief model (HBM) and stress levels yielded a p-value of 0.002 (<0.05) and an odds ratio (OR) of 4.286, indicating that respondents in the high perception category were 4.286 times more likely to experience stress than those in the low perception category. Conclusion: There is a relationship between medication adherence and stress levels with the health belief model (HBM) in hypertensive patients at the North Batukliang District Health Center. Suggestion: For future researchers, it is hoped that the research population will be larger and come from different places. Health workers should also play a role in encouraging the prevention of hypertension in healthy individuals and treatment at health centers for individuals who are already sick.   Keywords: Health Belief Model (HBM); Hypertension Patients; Medication Adherence; Stress.   Pendahuluan: Hipertensi merupakan penyakit pembunuh diam-diam karena penderita sering kali tidak merasakan gejalanya sama sekali. Komplikasi dapat terjadi jika penyakit hipertensi yang tidak mampu di kontrol atau tetap terus menerus tinggi berlangsung dalam jangka waktu yang lama. Health belief model (HBM) adalah suatu model yang digunakan untuk menggambarkan kepercayaan individu terhadap perilaku hidup sehat, sehingga individu akan melakukan perilaku sehat, perilaku sehat tersebut dapat berupa perilaku pencegahan maupun penggunaan fasilitas kesehatan. Tujuan: Untuk mengetahui hubungan komponen health belief model (HBM) dengan kepatuhan minum obat dan tingkat stress pada pasien hipertens. Metode: Penelitian analitik observasional dengan rancangan cross-sectional, dilakukan di Puskesmas Wilayah Kecamatan Batukliang Utara pada pasien hipertensi. Sampel yang digunakan sebanyak 90 responden. Pengumpulan data dilakukan dengan wawancara, survei, dan penyebaran kuesioner. Teknik analisis data yang digunakan regresi logistik berganda. Hasil: Berdasarkan uji statistik pada hubungan health belief model (HBM) dengan kepatuhan minum obat, diperoleh p-value: 0.000 (< 0.05), Odd Ratio (OR) = 9.425, responden kategori persepsi tinggi memiliki peluang 9.425 kali patuh minum obat dibandingkan kategori persepsi rendah. Dan hubungan health belief model (HBM) dengan tingkat stres diperoleh p-value: 0.002 (< 0.05), Odd Ratio (OR) = 4.286, responden kategori persepsi tinggi memiliki peluang 4.286 kali mengalami stress dibandingkan kategori persepsi rendah. Simpulan: Terdapat hubungan kepatuhan minum obat dan tingkat stres dengan health belief model (HBM) pada pasien hipertensi. Saran: Bagi peneliti selanjutnya, diharapkan populasi penelitian lebih besar dan berasal dari tempat yang berbeda. Dan untuk kader supaya ikut berperan serta mendorong pencegahan penyakit hipertensi pada individu yang sehat dan pengobatan ke puskesmas untuk individu yang telah sakit.   Kata Kunci: Health Belief Model (HBM); Kepatuhan Minum Obat; Pasien Hipertensi; Stres.
Analisis Implementasi Program Pencegahan Dan Pengendalian Infeksi (PPI) di RSUD Provinsi NTB: Deskriptif Kualitatif Metode Studi Kasus Makbul, Ilham; Sastrawan, Sastrawan; Karjono, Karjono
MAHESA : Malahayati Health Student Journal Vol 6, No 4 (2026): Volume 6 Nomor 4 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i4.21921

Abstract

ABSTRACTNosocomial infections remain a significant challenge for hospitals worldwide due to their impact on increased morbidity, mortality, healthcare costs, and prolonged hospital stays. Consequently, infection prevention has become a critical standard in healthcare service delivery. This study aims to analyze the implementation of the Infection Prevention and Control (IPC) Program at the Provincial General Hospital of West Nusa Tenggara. A qualitative descriptive method with a case study approach was employed. Data were collected through in-depth interviews with seven healthcare workers and analyzed using the Miles and Huberman framework. The findings indicate that the success of IPC program implementation is influenced by five main categories: organizational structure, implementation processes, measurable outcomes, cultural and contextual factors, and adaptive capacity in addressing field-level challenges. These five elements are interrelated and require continuous intervention to sustain program effectiveness. In general, the implementation of the IPC program has led to improved staff compliance with protocols, a stronger understanding of IPC principles, and the establishment of reasonably effective audit and training systems. However, optimal results remain constrained by inconsistent adherence, inadequate infrastructure, logistical barriers, uneven dissemination of information, high workloads, and challenges related to workplace culture. These findings provide valuable input for hospital policymakers in designing context-based intervention strategies to strengthen infection control practices. Keywords: Analysis, Program Implementation, Infection Prevention and Control.  ABSTRAK Infeksi nosokomial merupakan tantangan signifikan bagi rumah sakit di seluruh dunia karena dampaknya terhadap peningkatan morbiditas, mortalitas, biaya pengobatan, dan lama waktu perawatan di rumah sakit. Oleh karena itu, pencegahan infeksi menjadi standar penting dalam pelayanan kesehatan. Tujuan dari penelitian untuk menganalisis implementasi Program Pencegahan dan Pengendalian Infeksi (PPI) di Rumah Sakit Umum Daerah Provinsi Nusa Tenggara Barat. Penelitian ini menggunakan metode deskriptif kualitatif dengan pendekatan studi kasus. Data diperoleh melalui wawancara mendalam dengan tujuh tenaga kesehatan dan dianalisis menggunakan kerangka Miles dan Huberman. Hasil penelitian menunjukkan bahwa keberhasilan implementasi program PPI dipengaruhi oleh lima kategori utama, yaitu: struktur organisasi, proses pelaksanaan, hasil terukur, faktor budaya dan kontekstual, serta kapasitas adaptif dalam merespons kendala di lapangan. Kelima elemen ini saling berkaitan dan memerlukan intervensi berkelanjutan guna menjaga efektivitas program. Secara umum, implementasi program PPI telah meningkatkan kepatuhan staf terhadap protokol, pemahaman yang kuat terhadap prinsip-prinsip PPI, serta berjalannya sistem audit dan pelatihan yang cukup efektif. Namun demikian, pencapaian hasil yang optimal masih terhambat oleh ketidakpatuhan yang tidak konsisten, keterbatasan sarana dan prasarana, hambatan logistik, penyebaran informasi yang tidak merata, beban kerja tinggi, serta tantangan budaya kerja. Temuan ini memberikan masukan berharga bagi pengambil kebijakan rumah sakit dalam merancang strategi intervensi berbasis konteks untuk memperkuat praktik pengendalian infeksi. Kata Kunci: Analisis, Implementasi Program, Pencegahan dan Pengendalian Infeksi.
Analisis Implementasi Total Quality Management (TQM) dalam Pelayanan Instalasi Gawat Darurat Rahmi, Irma Kurnia; Sastrawan, Sastrawan; Khalik, Lalu Abdul
MAHESA : Malahayati Health Student Journal Vol 6, No 4 (2026): Volume 6 Nomor 4 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i4.21656

Abstract

ABSTRACT This study aims to analyze the implementation of Total Quality Management (TQM) in the Emergency Department (ED) of RSUD Nusa Tenggara Barat Provincial Hospital. A qualitative case study design was employed to explore how TQM principles are applied in the context of hospital service quality, particularly in high-pressure and dynamic emergency care settings. Analyzing the implementation of Total Quality Management (TQM) in the Emergency Installation services of the Regional General Hospital of West Nusa Tenggara Province. Data were collected through in-depth interviews, participant observation, and document review. Thematic analysis was conducted based onDonabedian’s model (structure, process, outcome) and key TQM principles such as continuous improvement, staff involvement, and data-driven management. Findings indicate that TQM implementation in the ED is not yet fullyoptimized. Major challenges include limited human resources, inadequate physical infrastructure, and an underdeveloped information system. However, several TQM elements have been partially adopted, including routine staff training, improved communication, and increased staff participation. These efforts have contributed positivelyto patient perceptions, particularly in terms of response time and staff professionalism. The implementation of TQM has contributed to improvements in ED service quality. Nonetheless, further systemic strategies are needed tostrengthen operational systems, integrate data management via SIMRS, enhance staff capacity, and foster a participatory quality culture. A comprehensive and sustainable approach is essential to fully internalize TQM principles across all service areas. Keyword: Total Quality Management, Emergency Department, Service Quality, Hospital, Thematic Approach.  ABSTRAK Penelitian ini tujuannya menganalisis implementasi Total Quality Management (TQM) dalam pelayanan Instalasi Gawat Darurat (IGD) RSUD Provinsi Nusa Tenggara Barat. Pendekatan kualitatif dengan desain studi kasus digunakan untuk menjelajahi sejauh mana prinsip-prinsip TQM diterapkan dalam konteks peningkatan mutu layanan rumah sakit, khususnya pada unit dengan karakteristik dinamis dan tekanan tinggi seperti IGD. Menganalisis implementasi Total Quality Management (TQM) dalam pelayanan Instalasi Gawat Darurat Rumah Sakit Umum Daerah Provinsi Nusa Tenggara Barat. Data diperoleh melewati wawancara mendalam, observasi partisipatif, dan telaah dokumen.Analisis dilakukan menggunakan pendekatan tematik dengan mengacu pada model Donabedian (struktur, proses,hasil), serta prinsip-prinsip utama TQM seperti perbaikan berkelanjutan, keterlibatan staf, dan manajemen berbasis data. Temuan menunjukkan bahwa implementasi TQM di IGD belum berjalan secara optimal. Hambatan utamameliputi keterbatasan sumber daya manusia, infrastruktur fisik yang belum memadai, serta sistem informasi yangbelum sepenuhnya terintegrasi. Meskipun demikian, beberapa prinsip TQM mulai diterapkan, antara lain pelatihanrutin, penguatan komunikasi, dan partisipasi staf. Praktik ini berdampak positif terhadap persepsi pasien, terutama dalam hal kecepatan respons dan profesionalisme tenaga medis. Penerapan TQM memberikan kontribusi terhadap peningkatan mutu layanan IGD. Namun, dibutuhkan strategi penguatan sistem, integrasi data berbasis SIMRS, pengembangan kapasitas sumber daya manusia, serta pembentukan budaya mutu yang partisipatif. Pendekatan yang sistemik dan berkelanjutan diperlukan agar prinsip TQM dapat terinternalisasi secara menyeluruh di seluruh lini layanan. Kata Kunci: Total Quality Management, Instalasi Gawat Darurat, Mutu Layanan, Rumah Sakit, Pendekatan Tematik.
Co-Authors Abdul Haris Abdul Khalik Achmad Mufid Achmad Mufid, Achmad Akhmad Fanani Alfi Sahrin Alipurman, Agusnawadi Aniharyati, Aniharyati Artati, Ni Wayan Sri Astuti, Rita Baiq Maryam Erawati, Eva Fauziah Fauziah Fitria Hidayati, Fitria Hadi Masyhurrosyidi, Hadi Hadi, Salman Hadi, Zulfi Wirman Hafsah Widiyanti Harmaen Harmaen Hendardi, Lalu Ofan Hermawati Hermawati Hermawati Hermawati, Hermawati Husein, Lalu Muhammad Sadam Karjono M, Karjono Khaidir, Yul Khofia, Nida'an Kurniawati, Serosa Andi Lalu Abdul Khalik Lalu Bahrudin Lalu Bahrudin Lalu Sulaiman Lalu, Sulaiman Linda Azizah Makbul, Ilham Maryam, Baiq Menap Muhamad Yunus Muhammad Luthfi Muslim Tasim Muslim Tasim Muslim, Al Nurhayati Nurhayati Nurlaili, Mustika NURWAHIDAH NURWAHIDAH Parindra, I Ketut Payanadi, Sarwan Pratiwi, Intan Gumilang Puspita, Zulvia Putu Gede Wawan Swandayana Raden Ahmad Dedy Mardani, Raden Ahmad Dedy Rahman, Maizar Rahmawati, Trisna Anesa Rahmi, Irma Kurnia Reny Marliandini Rini Hendari, Rini Rosamali, Akmal Sabar Setiawan Sabar Setiawan Saimi Saimi Saimi, Saimi Saimi, Saimi Setiawan, Sabar Sismulyanto Sulaeman, Lalu Sulaiman Lalu Sulaiman, Lalu Sulastri Sulastri Sulastri Sulwiyatul K Sani Sumbarwati, Nazaliya Syaiful . Tasim, Muslim Wulandari, R.A Yul Khaidir Yuni Widyastuti Zuhro, Ramdhoni