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All Journal International Journal Of Science, Technology & Management (IJSTM) Jurnal Riset Rumpun Ilmu Kedokteran (JURRIKE) Vitamedica: Jurnal Rumpun Kesehatan Umum Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran Vitamin: Jurnal Ilmu Kesehatan Umum International Journal of Economics, Commerce, and Management International Journal of Economics, Management and Accounting Digital Innovation : International Journal Of Management Global Management: International Journal of Management Science and Entrepreneurship
Intan Silviana Mustikawati
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Aerospace Engineering Agriculture, Biological Sciences & Forestry Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Earth & Planetary Sciences Economics, Econometrics & Finance Education Electrical & Electronics Engineering Energy Engineering Health Professions Industrial & Manufacturing Engineering Mechanical Engineering Medicine & Pharmacology Nursing Public Health Social Sciences Transportation Veterinary

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The Influence of Work Motivation, Leadership Style, and Organizational Citizenship Behavior on Nurses' Turnover Intention at Mitra Jambi Hospital Febrian Tan Jaya; Rokiah Kusumapradja; Intan Silviana Mustikawati
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 2 No. 4 (2024): October : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v2i4.740

Abstract

Background: Nurse turnover intention is a significant problem for hospitals, including RS Mitra Jambi, as it can affect operational stability and the quality of healthcare services. A decrease in the number of experienced nurses can negatively impact the effectiveness of hospital services. Therefore, it is important to understand the factors influencing turnover intention, such as work motivation, leadership style, and Organizational Citizenship Behavior (OCB) culture. Objective: This study aimed to analyze the effect of work motivation, leadership style, and OCB culture on nurse turnover intention at RS Mitra Jambi. Methods: This research uses a quantitative method with a survey approach. Data were collected through questionnaires distributed to nurses at RS Mitra Jambi. Data analysis was conducted using multiple linear regression to test the relationships between independent variables (work motivation, leadership style, OCB culture) and the dependent variable (turnover intention). Results: Work motivation, leadership style, and OCB culture simultaneously have a significant effect on turnover intention (p<0.05). Work motivation, leadership style, and a positive OCB culture have a significant negative effect on turnover intention (p<0.05). Conclusion: Work motivation, transformational leadership style, and OCB culture significantly influence nurse turnover intention at RS Mitra Jambi. The results of this study provide guidance for hospital management to develop strategies for enhancing work motivation, implementing transformational leadership styles, and strengthening OCB culture to improve nurse retention.
Analysis of the Effect of Family Support and Knowledge of Arv Therapy in Patients With HIV on Quality of Life With Adherence to Taking Arv Drugs as an Intervening Factor in the Outpatient Unit of RSUD Kabupaten Tangerang Tasya Sabrina Chairunisa; Intan Silviana Mustikawati; Kemala Rita
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 2 No. 4 (2024): Oktober : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v2i4.181

Abstract

Human Immunodeficiency Virus (HIV) remains one of the most serious health challenges in the world. Until now, people with HIV/AIDS have not been cured, but HIV infection and replication can still be prevented with medication. The treatment is known as antiretroviral therapy (ARV). Quality of life in HIV/AIDS patients is very important to note, because this infectious disease is chronic and progressive, so that it has an impact on various aspects of life, both physical, psychological, social, and spiritual. This study aims to identify factors that can affect the quality of life of HIV/AIDS patients through family support, knowledge of ARV therapy, and adherence to taking medication as intervening. Quantitative research method with cross sectional design. The sample technique in this study was purposive sampling. The minimum sample size was determined through Hair's formula and 140 samples were obtained. Data collection techniques with questionnaires and data analysis techniques using bivariate and multivariate analysis. The results showed that there was a significant positive influence between family support and knowledge of ARV therapy on quality of life through adherence to taking ARV drugs as an intervening variable. There is a significant positive influence between family support on quality of life. There is a significant positive influence between ARV therapy knowledge on quality of life. There is a significant positive influence between family support on adherence to taking ARV drugs. There is a significant positive influence between knowledge of ARV therapy on adherence to taking ARV drugs. There is a significant positive influence between adherence to taking ARV drugs on quality of life.
The Influence Of Clinical Leadership And Self-Efficacy On Patient Safety Culture With Work Engagement As An Intervening Variable In Inpatient Nurses At X Hospital Thea Tania; Intan Silviana Mustikawati; Ratna Indrawati
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 2 (2025): April : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i2.1454

Abstract

This research is based on observation results which inform that there will be an increase in patient safety incidents in 2023 compared to 2022. The aim of this research is to empirically reveal the influence of clinical leadership and self-efficacy on patient safety culture with work engagement as an intervening variable. This type of research is quantitative with a cross sectional study design. The population used was 110 inpatient nurses. The sample calculation used the Slovin formula for an error rate of 5%, resulting in a sample size of 86 respondents. The data collection technique uses a questionnaire, and the analysis method uses three box method analysis and PLS-SEM with the help of the Smart-PLS program. The results of the analysis prove that clinical leadership and self-efficacy influence patient safety culture with work engagement as an intervening variable. Clinical leadership and self-efficacy have an influence on work engagement, clinical leadership, self-efficacy and work engagement have an influence on patient safety culture, and clinical leadership is the dominant variable capable of improving patient safety culture.
The Role of Benevolence Trust as Mediating Variable in Improving Patients' Decisions in Choosing Inpatient Services at Class C Hospital Entin Kartikasari; Rokiah Kusumapradja; Intan Silviana Mustikawati
Global Management: International Journal of Management Science and Entrepreneurship Vol. 2 No. 2 (2025): International Journal of Management Science and Entrepreneurship
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/globalmanagement.v2i2.219

Abstract

As one of the oldest hospitals in Bekasi Regency, KM I Hospital is required to remain trusted by patients in choosing health services including inpatient care. The decline in BOR (Bed Occupancy Rate) experienced by KM I Hospital in the last 1 year indicates that hospital marketing needs to be improved.  This study aims to analyze the effect of competitive advantage and informational reference groups on patient's decision in choosing inpatient services with benevolence trust as an intervening variable at KM I Hospital. The research method uses a quantitative explanatory research approach. Respondents were 185 patients at KM I Hospital who were willing to be hospitalized. The sample collection technique was purposive sampling. Data collection used a questionnaire, and the data analysis technique used SEM-PLS. Results show that Competitive Advantage and Informational Reference Group have a direct and indirect effect on patient’s decision to choose inpatient services through benevolence trust at KM I Hospital (p<0.05). These results theoretically support previous theories and research. Managerially, it is expected to provide input for KM I Hospital management to increase competitive advantage and strengthen informational reference groups. These efforts can increase benevolence trust and ultimately increase patient’s decision to choose inpatient services.
Hubungan antara Semangat Kerja dan Gaya Kepemimpinan dengan Motivasi Kerja Perawat di Unit Rawat Inap RSUP Dr. Sitanala Tangerang Tahun 2025 Dwi Sofiyanti; Dwi Nurmawaty; Intan Silviana Mustikawati; Mayumi Nitami
JURNAL RISET RUMPUN ILMU KEDOKTERAN Vol. 4 No. 3 (2025): Desember : Jurnal Riset Rumpun Ilmu Kedokteran
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrike.v4i3.6790

Abstract

Based on the preliminary study of work motivation measurement, it was found that out of 10 nurses in the inpatient unit of RSUP Dr. Sitanala, 7 of them had low work motivation due to the unfulfilled physiological needs and esteem needs. The objective of this study was to determine the factors associated with nurses’ work motivation in the inpatient unit of RSUP Dr. Sitanala Tangerang in 2025. This study employed a Cross-Sectional design with a total sample of 72 respondents. Data analysis was conducted using univariate and bivariate methods with the Chi-Square test. The results of the univariate analysis showed that most nurses had low work motivation, namely 47 respondents (65.3%), low work enthusiasm (51.4%), and unsupportive leadership style (56.9%). The bivariate analysis revealed that the relationship between work motivation and work enthusiasm showed PR = 0.907 (0.647–1.270), while the relationship between work motivation and leadership style showed PR = 1.613 (1.083–2.402). The conclusion of this study is that work enthusiasm has no significant association with work motivation, while leadership style has a significant relationship with work motivation.
Exclusive Breastfeeding Behavior Analysis at Hospital in Lampung Indonesia Erlina Puspitaloka Mahadewi; Intan Silviana Mustikawati; Mohamad Reza Hilmy; Ade Heryana
International Journal of Science, Technology & Management Vol. 2 No. 6 (2021): November 2021
Publisher : Publisher Cv. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46729/ijstm.v2i5.318

Abstract

The present study reports the comprehensive study on the exclusive breastfeeding around support factors for successful activityof breastfeeding. In the three years lately UNICEF and WHO data on exclusive breastfeeding can reduce infant morbidity and mortality by more than 80%. The coverage of infants who are exclusively breastfed is 65.35%, the highest percentage is in West Nusa Tenggara 80.35% and the lowest percentage is in Papua 18.32%. In Indonesia, there are 35.25% of 38% of children who are sick because they cannot receive exclusive breastfeeding. Exclusive breastfeeding is given when the baby is born until the age of 6 months. This study aims to determine knowledge, work and family support related to exclusive breastfeeding behavior in the work area of ??near with the RSIA PBH hospital in Lampung, Indonesia area in 2021. Using a cross sectional, a large sample of 120 respondents. Sampling in this study used a simple random sampling technique, and the chi-square test was carried out from January to August 2021. The results of the study were 95 respondents (79,16%) mothers who did not give exclusive breastfeeding and 25 respondents (20.84%) mothers who have exclusively breastfed their babies. There is a significant relationship between knowledge (P = 0.000 and PR = 1.588), occupation (P = 0.000 and PR = 1.995) and family support (P = 0.001 and PR = 1.514) with exclusive breastfeeding behavior in the patients inside hospital work area in 2021. The paper presents the characterization support from the company, hospital and the closest family for exclusive breastfeeding is also very important. Based on the results of the study, it is recommended that health workers make innovations and new programs to increase exclusive breastfeeding
Organizational Support and Justice Effects on Nurses’ Affective Commitment Mediated by Work Engagement Ira Enda Ariani; Intan Silviana Mustikawati; Tjipto Rini; Varinder Singh Rana
Digital Innovation : International Journal of Management Vol. 3 No. 1 (2026): January: Digital Innovation : International Journal of Management
Publisher : Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/digitalinnovation.v3i1.668

Abstract

Employee affective commitment is a critical factor for workforce retention and service quality in healthcare organizations, particularly among nurses who represent the largest professional group in hospitals. Kemayoran X Hospital has experienced persistently high nurse turnover rates, indicating potential deficiencies in affective commitment. This study aimed to examine the influence of perceived organizational support and organizational justice on nurses’ affective commitment, with work engagement serving as an intervening variable. A quantitative cross-sectional design was employed, involving 125 staff nurses at Kemayoran X Hospital selected through purposive sampling. Data were collected using structured self-administered questionnaires distributed via Google Forms and analyzed using Structural Equation Modeling–Partial Least Squares (SEM-PLS). The results demonstrated that perceived organizational support, organizational justice, and work engagement simultaneously exerted a significant effect on affective commitment. Furthermore, perceived organizational support and organizational justice showed significant positive effects on work engagement, which in turn significantly influenced affective commitment. Mediation analysis confirmed that work engagement partially mediated the relationships between perceived organizational support and affective commitment, as well as between organizational justice and affective commitment. These findings indicate that nurses who perceive fair treatment and strong organizational support are more likely to be engaged in their work and emotionally committed to their organization. In conclusion, strengthening organizational support systems, ensuring fairness in decision-making processes, and fostering work engagement are essential managerial strategies to enhance nurses’ affective commitment and reduce turnover in hospital settings.
Nurse Competence, Social Influence, and Usability on EMR Use with Perceived Ease as Mediator Rizqi Kartika Wardani; Rian Adi Pamungkas; Intan Silviana Mustikawati
International Journal of Economics, Commerce, and Management Vol. 3 No. 2 (2026): International Journal of Economics, Commerce, and Management
Publisher : Asosiasi Riset Ekonomi dan Akuntansi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijecm.v3i2.1208

Abstract

Digitalization in the healthcare sector is a strategic step to enhance efficiency, accuracy, and service quality. One of the key innovations gaining significant attention is the use of Electronic Medical Records (EMR). Purpose: This study aims to analyze nurse competence, social influence, and usability on actual use electronic medical record with perceived ease of use as intervening variable at Satya Negara Hospital. Methods: The research method used a quantitative approach with a cross-sectional design, involving 108 nurses as respondents selected through a saturated sampling technique. Data were collected using a questionnaire and analyzed using a Structural Equation Model (SEM) based on Partial Least Squares (PLS). Findings: The results indicate that nurse competence, social influence, and usability significantly affect the actual use of EMR. Additionally, perceived ease of use mediates these relationships, enhancing the adoption and utilization of EMR systems. Implications: The managerial implications of this study include the need to enhance nurse competency training, strengthen social support in the workplace, and improve the usability of the Electronic Medical Records (EMR) system to encourage more optimal use. This study also contributes to the development of literature on health information technology implementation by integrating human, social, and technical factors into the analytical model.
The Role of Patient Experience in Improving Revisit Intention Among General Outpatients in District Hospital Hans Yurian Effendy; Aprilita Rina Yanti; Intan Silviana Mustikawati
International Journal of Economics, Management and Accounting Vol. 3 No. 1 (2026): International Journal of Economics, Management and Accounting
Publisher : Asosiasi Riset Ekonomi dan Akuntansi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/ijema.v3i1.1202

Abstract

In response to the evolving landscape of public healthcare services, hospitals are expected not only to maintain operational efficiency but also to adapt to the shifting needs and expectations of patients as healthcare consumers. The presence of non-BPJS patients in regional public hospitals plays a strategic role not only contributing to revenue diversification but also reflecting service quality, institutional competitiveness, and shaping public perception. The declining trend in outpatient visits by general patients at RSUD Balaraja over the past three years highlights the need to understand the factors influencing consumer behavior in determining revisit intentions. This study examines the effect of co-creation and hospital image on the revisit intention of outpatient general patients at RSUD Balaraja, with patient experience as a mediating variable. The research employed a quantitative explanatory design involving 278 outpatient general patients selected through purposive sampling. Data were collected via structured questionnaires and analyzed using Structural Equation Modeling–Partial Least Squares (SEM-PLS). The results indicate that patient experience plays a significant mediating role in shaping revisit intention among general outpatients at RSUD Balaraja. These findings confirm that patient experience serves as a central factor in post-service evaluation processes, which ultimately drive patients’ intention to return. Therefore, hospitals need to enhance patient involvement in service processes (co-creation), improve public perception of institutional image (hospital image), and develop patient-centered service systems as a key strategy to increase revisit intention among general outpatients.
Infrastructure, clinical leadership, and organizational culture enhancing KRIS implementation readiness in hospitals Siti Zuhroh; Ellya Niken Prastiwi; Intan Silviana Mustikawati
Digital Innovation : International Journal of Management Vol. 3 No. 1 (2026): January: Digital Innovation : International Journal of Management
Publisher : Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/digitalinnovation.v3i1.631

Abstract

The implementation of the Standard Inpatient Class (KRIS) policy presents challenges for hospitals in ensuring equitable service delivery. Organizational readiness depends not only on adequate physical infrastructure but also on an adaptive organizational culture and strong clinical leadership to guide change. As a referral hospital, RS BM must ensure alignment across organizational components to meet KRIS standards sustainably. This study analyzes the influence of infrastructure quality and clinical leadership on organizational readiness for KRIS implementation, with organizational culture as an intervening variable. A quantitative cross-sectional design was used, involving 136 healthcare and medical personnel working in the inpatient units of RS Bhakti Mulia. Data were collected through structured questionnaires and analyzed using Structural Equation Modeling–Partial Least Square (SEM-PLS) to examine relationships among variables. Infrastructure quality and organizational culture significantly and positively affect organizational readiness. Clinical leadership, while not directly influencing readiness, has a significant positive effect on organizational culture. KRIS readiness at RS BM is shaped by infrastructure quality, clinical leadership, and organizational culture, with culture acting as the main mediator. The hospital shows strong readiness but still faces gaps in progress monitoring, inpatient room layout and privacy, leadership direction, and team participation. Strengthening monitoring mechanisms, improving room design according to KRIS standards, enhancing clinical leadership capacity, and fostering a collaborative organizational culture are essential to support comprehensive and sustainable KRIS implementation
Co-Authors Aprilita Rina Yanti Dwi Agustina Dwi Nurmawaty Dwi Sofiyanti Ellya Niken Prastiwi Entin Kartikasari Erry Yudhya Mulyani Febrian Tan Jaya Hans Yurian Effendy Heryana, Ade Ira Enda Ariani Kemala Rita Kusumapradja, Rokiah Mahadewi, Erlina Puspitaloka Mohamad Reza Hilmy Rian Adi Pamungkas Rizqi Kartika Wardani Siti Zuhroh Tasya Sabrina Chairunisa Thea Tania Tjipto Rini Varinder Singh Rana