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All Journal International Journal Of Science, Technology & Management (IJSTM) International Journal of Community Service Lentera Perawat 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 Jurnal Ekonomi, Manajemen, Akuntansi Global Management: International Journal of Management Science and Entrepreneurship Jurnal Cinta Nusantara
Intan Silviana Mustikawati
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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.
Faktor-Faktor Pendorong Keterikatan Perawat Di Rumah Sakit Berkah Pandeglang Yeni Purwati; Natsir Nugroho; Intan Silviana Mustikawati
EKOMA : Jurnal Ekonomi, Manajemen, Akuntansi Vol. 5 No. 4: Mei 2026
Publisher : CV. Ulil Albab Corp

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56799/ekoma.v5i4.16060

Abstract

Penelitian ini dilandaskan hasil observasi awal yang menginformasikan bahwa kurang disiplinnya para karyawan yang ditandai dengan kelalaian dalam jam masuk kerja. Sementara itu, data rumah sakit menunjukkan keterlambatan yang masih di atas 40%, belum adanya komitmen dari atasan terkait pengangkatan pegawai tetap, belum adanya sistem reward dan punishment pada perawat yang capaian kinerjanya kurang baik, dan belum adanya pelatihan yang diberikan atau difasilitasi oleh rumah sakit. Tujuan penelitian ini adalah untuk menguji pengaruh komitmen organisasional dan motivasi terhadap keterikatan karyawan dengan jenjang karier sebagai variabel intervening terhadap perawat di RSUD Berkah Pandeglang tahun 2024. Jenis penelitian termasuk kuantitatif deskriptif verifikatif dengan causal explanatory. Populasi adalah perawat yang bekerja di RSUD Berkah Pandeglang yang berjumlah 69 orang. Sampel yang diambil dengan metode sensus yaitu tenaga perawat yang bekerja di RSUD Berkah Pandeglang yang berjumlah 69 orang.Teknik pengumpulan data menggunakan kuesioner, dan metode analisa menggunakan analisa three box method serta SEM-PLS. Hasil penelitian menunjukkan bahwa komitmen organisasional dan motivasi kerja memiliki pengaruh signifikan terhadap keterikatan karyawan di RSUD Berkah Pandeglang. Jenjang karier berperan penting dalam meningkatkan keterikatan karyawan. Selain itu, jenjang karier berfungsi sebagai mediator dalam hubungan antara komitmen organisasional dan motivasi kerja terhadap keterikatan karyawan.
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.
Co-Authors Aprilita Rina Yanti Arman Harahap Dwi Agustina Dwi Nurmawaty Dwi Sofiyanti 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 Natsir Nugroho Rian Adi Pamungkas Rizqi Kartika Wardani Ruth Novia Elnasanti Suryari Purnama Tasya Sabrina Chairunisa Thea Tania Tjipto Rini Varinder Singh Rana Yeni Purwati