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MODEL PENGEMBANGAN PELAYANAN RAWAT JALAN POLIKLINIK INTERNA RUMAH SAKIT LOTIM MEDICAL CENTER BERDASARKAN JUMLAH KEDATANGAN, TINGKAT PELAYANAN, DAN WAKTU PELAYANAN PASIEN Rahman, Alfian Raudani; Nofierni, Nofierni; Hilmy, M Reza
TOPLAMA Vol. 1 No. 1 (2023): TOPLAMA
Publisher : PT Altin Riset Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61397/tla.v1i1.37

Abstract

Rumah Sakit Lotim Medical Center merupakan Rumah Sakit Swasta yang teletak di Kabupaten Lombok Timur. Aspek kepuasan pelanggan dapat menjadi indikator kualitas produk barang atau jasa yang ditawarkan sehingga produsen dapat terus meningkatkan mutu produk dan layanannya agar kepuasan dapat tercapai. Salah satu aspek layanan di Rumah Sakit yang dapat meningkatkan kepuasan pelanggan adalah waktu tunggu pelayanan atau sistem antrian. Ketidakpastian dalam proses antrian atau waktu tunggu seringkali menjadi masalah di dalam pelayanan kesehatan. Sistem antrian yang digunakan oleh Poliklinik Interna Rumah Sakit Lotim Medical Center adalah Single Channel Single Phase, sedangkan disiplin antrian yang digunakan adalah First Come First Serve. Waktu tunggu layanan adalah 55.2 menit masih memenuhi standar waktu tunggu layanan yang ditentukan yaitu 60 menit. Kinerja sistem antrian kurang optimal karena utilitas atau kegunaan server melebihi kapasitas pada jam-jam serta hari-hari tertentu dan probabilitas tidak ada pasien dalam antrian cukup tinggi pada jam-jam dan hari-hari tertentu, sehingga implikasi manejerial yang ditawarkan adalah perbaikan sistem dengan cara mengatur distribusi kedatangan dan melakukan pembatasan jumlah pasien perhari.
Peranan Kepemimpinan Transformasional dalam Meningkatan Kinerja Pegawai pada Industri Rumah Sakit di Indonesia Samatha Amelia Putri; Nofierni Nofierni; Hasyim Hasyim
Jurnal Ilmu Kesehatan Masyarakat Vol 10 No 02 (2021): Jurnal Ilmu Kesehatan Masyarakat
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v10i02.806

Abstract

RS X merupakan rumah sakit milik universitas swasta, pada observasi pendahuluan muncul beberapa masalah terkait kinerja pegawai antara lain keterlambatan pegawai dari jam absensi serta turnover perawat yang cukup tinggi yang menyebabkan kurangnya produktivitas pegawai. Tujuan dari penelitian ini ialah menganalisis pengaruh kepemimpinan transformasional, kecerdasan emosional dan kompetensi secara parsial dan simultan terhadap kinerja pegawai pada bagian pelayanan medis di RS X. Jenis penelitian ini adalah kuantitatif asosiatif dengan pengujian hipotesis. Populasi penelitian adalah seluruh pegawai di RS X dengan sampel 97 orang pegawai medis. Metode analisis data yang digunakan dalam penelitian ini adalah analisis regresi linier berganda. Berdasarkan hasil analisis regresi diperoleh nilai koefisien regresi yang menunjukkan bahwa koefisien regresi gaya kepemimpinan transformasional (B=0,528) mempunyai nilai yang paling tinggi dibandingkan nilai koefisien regresi kecerdasan emosional (B=0,206) dan kompetensi (B=0.229). Hal ini berarti pengaruh seorang pemimpin yang dapat diandalkan, menginspirasi, memotivasi, komunikatif dan visioner akan berpengaruh tehadap peningkatan kinerja pegawai. Hasil analisis data serta pengujian hipotesis menyatakan secara simultan dan parsial terdapat pengaruh positif dan signifikan antara gaya kepemimpinan transformasional, kecerdasan emosional dan kompetensi terhadap kinerja pegawai pada bagian pelayanan medis di RS X.
USULAN PERBAIKAN KUALITAS KOMPONEN INNER RING BEARING TIPE BB1 – 0885D 6201 DENGAN METODE DMAIC DI PT SKF INDONESIA Amperajaya, M. Derajat; Hartanto, Antonius Ferdie; Nofierni, Nofierni; Rasjidin, Roesfiansjah
Jurnal Inovisi (Teknik Industri) Vol 19, No 1 (2025): Jurnal Inovisi Teknik Industri
Publisher : Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

PT. SKF Indonesia merupakan perusahaan yang bergerak dalam industri pembuatan dan perakitan komponen permesinan yaitu bearing. Aspek kualitas merupakan salah satu jaminan yang harus diberikan dan dipenuhi oleh perusahaan kepada pelanggan. Kualitas adalah salah satu alasan utama pelanggan dalam memilih produk. Oleh karena itu, kehandalan bearing sangat diperlukan untuk mendukung kinerja antar komponen permesinan. Berdasarkan data yang di peroleh pada saat penelitian masih banyak ditemukannya produk cacat yang dihasilkan oleh PT. SKF Indonesia tentunya hal tersebut mengakibatkan kerugian bagi perusahaan diakarenakan tinggnya persentase Not Good (NG) sebesar Oleh karena itu, perusahaan perlu melakukan tindakan perbaikan untuk mengendalikan dan meminimalisir tingkat cacat. Dalam melakukan tindakan perbaikan maka digunakan metode DMAIC dan FMEA sebagai usulan perbaikan yang dapat membawa perusahaan berada pada tingkat produk cacat terendah. Tahapan yang dilakukan untuk memperbaiki permasalahan tersebut yaitu dengan menentukan sumber masalah terbesar, melakukan pengukuran, menganalisa permasalahan untuk memperoleh rencana penanggulangan sebagai dasar perbaikan yang dapat dilakukan.  
USULAN PERBAIKAN GUNA MENGURANGI CACAT PRODUK BADAN KOMPOR GAS MENGGUNAKAN METODE SIX SIGMA DI PT. XYZ Amperajaya, M. Derajat; Han, Dji Bui; Gumilang, Dicky; Nofierni, Nofierni
Jurnal Inovisi (Teknik Industri) Vol 18, No 2 (2024): Jurnal Inovisi Teknik Industri
Publisher : Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

PT. XYZ merupakan sebuah perusahaan manufaktur yang memproduksi produk metal berbahan dasar plat stainless steel, yaitu badan kompor gas 2 tungku. Dalam menghadapi persaingan dengan perusahaan lain, konsumen adalah penentu dalam persaingan. Sehingga sangat wajar apabila PT. XYZ harus selalu menjaga kualitas dari produk yang dihasilkan untuk menjaga kepercayaan dan harapan pelanggan. Hasil pengamatan menggunakan diagram Pareto didapat bahwa persentase jenis cacat yang ada yaitu cacat tekuk tidak sempurna dengan persentase 44.2%, penyok dengan persentase sebesar 29.4%, dan lubang miring dengan persentase 26.4%.  Hasil Fishbone diagram menunjukkan faktor penyebab cacat tekuk tidak sempurna disebabkan oleh 4 faktor yaitu, faktor manusia, metode, mesin, dan lingkungan. Berdasarkan analisis critical to quality yang didapat setelah analisis diagram sebab akibat dan brainstorming dengan melibatkan beberapa bagian antara lain, ketua regu produksi, supervisor produksi, Quality Assurance, ketua regu maintenance, dan kepala gudang, didapat skor tertinggi CTQ dengan nilai 20 adalah kekuatan tangan tidak stabil memegang plat saat proses perpindahan tekuk sisi kiri ke sisi bagian kanan dan pemakaian material tambahan agar gap antara dies atas dan dies bawah mencapai 50mm.FMEA (Failure Mode and Effect Analysis) didapat faktor kegagalan pada proses produksi badan kompor gas 2 tungku dengan nilai resiko kegagalan terbesar dalam Risk Priority Number (RPN) adalah 392 untuk cacat tekuk tidak sempurna. Dimana penyebab kegagalan disebabkan oleh pemakaian material tambahan untuk mendapatkan settingan gap 50mm
Work Ethic, Self-Efficacy and Quality of Work Life Improving Quality of Nurse Communication in Inpatient Patient Care Christever, Christever; Dewi, Sandra; Nofierni, Nofierni
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 1 (2025): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v8i1.822

Abstract

Background: The quality of nurse communication is a form of nurse performance which plays an important role in increasing visits and trust in hospital services, especially nursing services. The high quality of nurse communication reflects good and quality hospital services. Objective: The aim of this research is to analyze the influence of work ethic, self-efficacy and quality of work life on the quality of communication of inpatient nurses at Puri Cinere Hospital. Method: The research uses quantitative methods with the type of explanatory causality research with a cross-sectional study approach. One hundred samples were recruited in this study using the simple random sampling. The regression analysis was used to analyzed the data and examine the association between independent variables with the dependent variable. Result: The results of the research show that work ethic, self-efficacy and quality of work life together have a significant effect on the quality of communication of inpatient nurses at Puri Cinere Hospital. Empirically, work ethic has no significant effect on the quality of communication of inpatient nurses at Puri Cinere Hospital. Self-efficacy has a significant effect on the quality of communication of inpatient nurses at Puri Cinere Hospital. The quality of work life has a significant effect on the quality of communication of inpatient nurses at Puri Cinere Hospital. Recommendation: The health care services ned to consider the work ethic and self-efficacy to improve the quality of communication among nurses. The quality of work life also needs to consider in order to improve the quality of communication. Furthr study may develop some intervensions to improve the communication skill among nurses in order to improve the quality of health care service
The Influence Of Clinical Skills and Supervision Techniques On the Implementation Of Patient Safety Standards With Caring Behavior as An Intervening Variable in Inpatient Nurses at Rsau Soemitro Dwi Yanti Elok Palupi; Kemala Rita; Nofierni Nofierni; Rokiah Kusumapradja
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 3 No. 2 (2025): April : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v3i2.1197

Abstract

The implementation of patient safety standards is a major challenge in healthcare services, particularly in hospitals such as RSAU Soemitro. Data indicates that there were 25 patient safety incidents in the Inpatient Installation in 2023, with falls being the most common case (9), followed by nosocomial infections, medication errors (4), and the absence of patient identification bracelets during surgery (7). This study aims to analyze the influence of clinical skills and supervisory techniques on the implementation of patient safety standards at RSAU Soemitro, with caring behavior as an intervening variable. This quantitative research employs a cross-sectional study design, using a sample of 110 nurses in the inpatient installation. Data collection was conducted using questionnaires, and data analysis was performed using SEM-PLS techniques. The results show that the implementation of patient safety standards is simultaneously influenced by clinical skills, supervisory techniques, and caring behavior. Caring behavior can be significantly influenced by both clinical skills and supervisory techniques. Additionally, the implementation of patient safety standards is influenced by clinical skills and supervisory techniques both directly and indirectly through caring behavior. Furthermore, caring behavior has been proven to be the most significant factor, contributing 53.1%. These findings suggest that hospital management should focus on interpersonal skills training to support better implementation of patient safety standards.
Analysis Of The Influence Of Perceived Usefulness, Subjective Norm And Perceived Ease Of Use On Usage Behavior Through Behavioral Intention On The Acceptance Of Rme In Rsud Mayjend H.M. Ryacudu North Lampung Febrian Pramana Putra; Agusdini Agusdini; Nofierni Nofierni
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 2 (2025): Juni : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i2.344

Abstract

In the era of digital transformation, the healthcare sector is required to adapt to technological developments, especially in terms of recording and managing patient medical data. Electronic Medical Records (RME) is a strategic solution that can improve efficiency, accuracy, and integration of health services. The implementation of RME in health facilities faces a number of challenges. Infrastructure readiness, limited human resources (HR), and resistance to change are factors that affect the adoption of this technology. to analyze the extent to which Perceived Usefulness, Subjective Norm and Perceived Ease of Use affect Usage Behaviour through Behavioural Intention as an intervening variable. this research method is quantitative explanatory research. The sample in this study were care givers (PPA) at the Mayjend H.M. Ryacudu Hospital, North Lampung, totaling 140 respondents. Data collection using questionnaires and descriptive analysis techniques using the SEM-PLS method. the results showed Perceived Usefulness, Subjective Norm and Perceived Ease of Use influence directly and indirectly on Usage Behaviour through Behavioural Intention as an intervening variable on the acceptance of RME at Mayjend H.M. Ryacudu Hospital. These results in theoretical implications support the theory and previous research. Managerially, it is expected to provide input for the management of RSUD Mayjend H.M. Ryacudu to understand the factors that influence the acceptance of RME by medical personnel, so that technology adoption strategies can be more effective, in improving and improving the quality of technology and systems that support the use of RME.
Sikap, Motivasi Dokter dan Kemudahan Penggunaan Sistem sebagai Determinan Kepatuhan Penggunaan Rekam Medis Elektronik Herlinawati Herlinawati; Nofierni Nofierni; Kemala Rita Wahidi
Jurnal Penelitian Kesehatan SUARA FORIKES 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf14nk304

Abstract

The majority of electronic medical records are available in hospitals, especially in urban areas, but non-compliance is still found in their use. This study aimed to analyze the effect of attitude, motivation of doctors and ease of use of the system on compliance with the use of electronic medical records at X Hospital, Jakarta. This research included explanatory causality research using a quantitative approach. The population in this study were all medical specialists practicing at the Outpatient Polyclinic, X Hospital, Jakarta. The sample size of the study was 71 medical specialists who were selected using a saturated sampling technique. Data was collected by filling out a questionnaire, then analyzed multivariately using structural equation modeling. The results of the analysis showed that the p-value for each factor was attitude = 0.000, motivation = 0.000, and ease of use of the system = 0.042. It was concluded that attitudes, motivation, and ease of use of the system had an effect on compliance with the use of medical records.Keywords: electronic medical record; medical specialist; attitude; motivation; ease of use; obedience ABSTRAK Rekam medis elektronik mayoritas sudah tersedia di rumah sakit, khususnya di daerah perkotaan, tetapi masih ditemukan adanya ketidakpatuhan dalam penggunaannya. Penelitian ini bertujuan untuk menganalisis pengaruh sikap, motivasi dokter dan kemudahan penggunaan sistem terhadap kepatuhan penggunaan rekam medis elektronik di Rumah Sakit X, Jakarta. Penelitian ini termasuk explanatory causality research menggunakan pendekatan kuantitatif. Populasi dalam penelitian ini adalah seluruh dokter spesialis yang berpraktek di Poliklinik Rawat Jalan, Rumah Sakit X, Jakarta. Ukuran sampel penelitian adalah 71 dokter spesialis yang dipilih dengan teknik sampling jenuh. Data dikumpulkan melalui pengisian kuesioner, lalu dianalisis secara multivariat menggunakan structural equation modeling. Hasil analisis menunjukkan bahwa nilai p untuk masing-masing faktor adalah sikap = 0,000, motivasi = 0,000, dan kemudahan penggunaan sistem = 0,042. Disimpulkan bahwa sikap, motivasi, dan kemudahan penggunaan sistem berpengaruh terhadap kepatuhan penggunaan rekam medis.Kata kunci: rekam medis elektronik; dokter spesialis; sikap; motivasi; kemudahan penggunaan; kepatuhan
The Influence of Relational Marketing and Brand Image on Customer Loyalty Mediated by Patient Experience Mashudani, Lizda; Dewi, Sandra; Nofierni, Nofierni
Eduvest - Journal of Universal Studies Vol. 5 No. 2 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i2.50869

Abstract

Background: Based on a preliminary survey, it was found that there are still problems in: patient loyalty, complaint handling, and suboptimal communication in the outpatient installation service of dr. Sitanala General Hospital Tangerang. Research Objective: aims to analyze the direct and indirect effects of relational marketing and brand image on customer loyalty with patient experience as an intervening variable. Research Method: This quantitative study uses an explanatory method with a cross-sectional design. Data were collected from 119 patients of the Outpatient Installation of dr. Sitanala General Hospital Tangerang, who had been treated at least twice. Data analysis used Structural Equation Modeling - Partial Least Squares (SEM-PLS). Research Results: Shows that the brand image variable is the variable that has the most positive and significant effect on customer loyalty in the outpatient installation of dr. Sitanala General Hospital Tangerang. While patient experience partially mediates (complements) the effect of relational marketing and brand image on customer loyalty. In a managerial context, this study can be a basis and reference for hospitals on the importance of creating and building a positive and strong brand image consistently and continuously in order to form a positive and strong patient perception in order to achieve customer loyalty. In addition, it is also necessary to make efforts to improve the quality of interactions with patients and strive to achieve a positive patient experience.
Design of Working Facilities Based on Posture Risk Assessment and Anthropometry Nofierni, Nofierni; Patmawati, Debby; Aunurrofiq, Fadli
JURNAL Al-AZHAR INDONESIA SERI SAINS DAN TEKNOLOGI Vol 10, No 2 (2025): Mei 2025
Publisher : Universitas Al Azhar Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36722/sst.v10i2.3610

Abstract

The operators on assembly lines are complaining about pain in their muscle and joints when carrying out work. This study aimed to assess posture risk on assembly line with manual work, and propose appropriate design for work station facilities. The research was conducted  to operators in the n transformer assembly lines. The method used to evaluate the working posture effort and risk was the combined Nordic Body Map and  Rapid Upper Limb Assessment (RULA). Based on the RULA method, the operator's body position is at high risk with a score of seven (7), so immediate working corrections are needed. The current faulty design of work stations that are not in accordance with ergonomic principles causes work musculoskeletal disorder in wound core assembly line operators. Based on the lengthy analysis of the faulty operator postures in the wound core assembly, a new table and chair design was proposed. Keywords – Anthropometry, Ergonomics, Manual Work, Posture, Risk Assessment.
Co-Authors Afraimansyah, Afraimansyah Agnes Nathania Yostin Agnesia Agusdini Agusdini Agusdini Banun Saptaningsih Aini Nadhifah Alkatiri, Fauzi Ahmad Anandaputri, Elisabet Anastina Tahjoo Anastina Tahjoo Anastina Tahjoo Arham Irzan Arief Suwandi Arif Sebastian Arrozi, Muhammad Fachrudin Aunurrofiq, Fadli Christever, Christever Clarisa Clarisa Dewi Sandra Duta Liana Dwi Meutia Julyta Dwi Yanti Elok Palupi Ediansyah Ediansyah Erry Yudhya Mulyani Ester Lidia Paseki Eva Khodijah Febrian Pramana Putra Fernando Pausoan Gultom, Doddy Fetiana Pristianti Gracesia kwannandar Gultom, Doddy Fernando Pausoan Gumilang, Dicky Gunadi, Moch. Ilfan Han, Dji Bui Hartanto, Antonius Ferdie Hasyim Hasyim Herlinawati Herlinawati Heru Agusman Hilmy, M Reza Hilmy, Mohammad Reza Hilmy, Reza Iis Istifaiyatuddianah Jus'at, Idrus Kemala Rita Kustiawan, Unggul Kusumapradja, Rokiah Kusumapradja, Rokiah Laelani, Sofi Nur Eka April lestari, intan ayu M Derajat Amperajaya M. Natsir Nugroho M.Natsir Nugroho Maruli, Maruli Halomoan Panjaitan Mashudani, Lizda MF. Arrozi Adhikara Mohamad Reza Hilmy Monica Monica, Monica Muliawan, Marjono Munawar Mus Aida NINGSIH, RYLLA Nodya Melinda Noori Nurrohman Hardiansyah Pajriani, Nia Yunia Pamungkas, Rian Patmawati, Debby Rahman, Alfian Raudani Rasipin Rasipin Rian Adi Pamungkas Ridwan, Saepul Riny Tri Yuliandita Rita, Kemala Roesfiansjah Rasjidin Royyadi Chandra Rudyanto Rudyanto Samatha Amelia Putri sandra dewi Sandra Dewi Saptaningsih, Agusdini Banun Shanro Mayra Vega Sugino Kesuma Karo Karo Samura Supriyantoro Supriyantoro Susanti Sugianto Syina, Ibnu Tahjoo, Anastina Tantri Yanuar Rahmat Syah Tri Handoko Ulfa, Zuriyati Venera, Gaby Wahidi, Kemala Rita Wongso, Erni Suryani Yanuar Ramadhan Yaputra, Steven Kristianto Zuriyati Ulfa