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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): Oktober : 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): 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.
Public Health Promotion and Education with Hypertension Awareness in West Jakarta Indonesia Erlina Puspitaloka Mahadewi; Intan Silviana Mustikawati; Ade Heryana; Arman Harahap
International Journal Of Community Service Vol. 1 No. 2 (2021): August 2021 (Indonesia - Malaysia)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijcs.v1i2.11

Abstract

The present study reports are the comprehensive study on the awareness of hypertension which is a dangerous disease with an increase in blood pressure above normal values. According to the study, hypertension is an increase in systolic blood pressure of about 140 mmHg or diastolic pressure of about 90 mmHg. Hypertension is a problem that needs to be watched out for, because there are no specific signs of hypertension and some people still feel healthy to carry out their usual activities. This is what makes hypertension a silent killer by data of Indonesia Ministry of Health, 2018, people will realize they have hypertension when the symptoms they feel are getting worse and go to health services. The purpose of this health promotion is to provide information and education to the public about hypertension and its prevention in Tegal Alur Village, Kali Deres District, West Jakarta. Health promotion activities are carried out online using the online via zoom meet application with lecture, question and answer and discussion methods. To determine the effectiveness of health promotion activities, such healthy living community movement or known as Germas, to the community members were given a questionnaire before (pre-test) and after the activity (post-test). Based on the post-test results, it was found that there was an increase in knowledge about hypertension. Plans and achievement targets for the follow-up to the implementation of this activity can be carried out in collaboration with all parties, namely the government, campuses and the wider surrounding community to create a community movement in creating behavior and awareness of hypertension prevention itself.
Improved Learning of the Healthy Living Community Movement During the Pandemic for Budi Cendekia Islamic School Students Erlina Puspitaloka Mahadewi; Mohamad Reza Hilmy; Intan Silviana Mustikawati; Suryari Purnama; Arman Harahap
International Journal Of Community Service Vol. 1 No. 2 (2021): August 2021 (Indonesia - Malaysia)
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijcs.v1i2.29

Abstract

Changes in disease patterns in Indonesia are often referred to as the epidemiological transition. In the 1990s the biggest cause of death and illness was infectious diseases. However, in the era of the last 10 years from 2010 to 2020 the biggest causes and causes of death and illness are non-communicable diseases. The increased risk of non-communicable diseases is due to the demographic transition. The Healthy Living Community Movement or commonly known as GERMAS is a movement initiated by the President of the Republic of Indonesia that prioritizes promotive and preventive efforts without compromising curative-rehabilitative efforts. This activity aims to raise public awareness, especially high school students, to be independent in doing GERMAS. Especially in disseminating information about the importance of implementing GERMAS during the Covid-19 pandemic. The activity is carried out using the seminar method, and was carried out by a team of 10 students, 1 lecturer and 1 health practitioner. The implementation time during this community service takes place which is 15 to 20 minutes for each topic with a presentation. After carrying out a series of activities, the committee provides an evaluation link that can be filled in by the participants. The results of the research show that the success rate is above 51% and shows that this community service will affect the target in carrying out GERMAS even though this activity is carried out virtually using the zoom meeting application. The activity in the next future needs to be improved again in the delivery of material and in answering the material in a language that is easily understood by high school students.
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.
The Influence of Work Environment and Career Development on Turnover Intention With Coaching as an Intervening Variable Dwi Agustina; Intan Silviana Mustikawati; Erry Yudhya Mulyani
Lentera Perawat Vol. 6 No. 1 (2025): January - March
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i1.419

Abstract

Work environment and career development are crucial factors influencing turnover intention among nurses. Coaching can act as an intervening variable that strengthens the relationship between these factors and turnover intention. This study aims to explore the influence of work environment and career development on turnover intention, with coaching as an intervening variable at Eka Hospital Bekasi. Methods: This research employed a quantitative method with a survey approach. Data were collected through questionnaires distributed to 110 nurses at Eka Hospital Bekasi. Data analysis was conducted using univariate, bivariate, and multivariate analyses to understand the relationships between variables. Results: The results showed that work environment and career development have a significant influence on turnover intention. Coaching has a positive impact on reducing turnover intention, although its effect is smaller compared to the direct influence of work environment and career development on turnover intention. Conclusion: Work environment and career development are important factors influencing turnover intention, with coaching serving as an intervening variable that can reduce nurses' intention to leave. However, more effective coaching implementation is needed to optimize its impact on turnover intention. Recommendation: Eka Hospital Bekasi should enhance the quality of its work environment and career development, and ensure the effective implementation of coaching to reduce turnover intention among nurses
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.