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Nofierni, Nofierni
Esa Unggul University, Jakarta
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Peningkatan Kualitas Farmasi Rawat Jalan Non-Bpjs Rs Atma Jaya Dengan Metode Lean Six Sigma Venera, Gaby; Nofierni, Nofierni; Kusumapradja, Rokiah; Jus'at, Idrus
Health Publica Vol 6, No 02 (2025): Health Publica Jurnal Kesehatan Masyarakat
Publisher : Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/hp.v6i02.9370

Abstract

Layanan farmasi rawat jalan berperan penting dalam memastikan kualitas layanan namun seringkali menghadapi tantangan seperti waktu tunggu yang lama dan alur kerja yang tidak efisien. Penelitian ini bertujuan untuk menganalisis efisiensi alur kerja rawat jalan di RS Atma Jaya dengan menggunakan pendekatan Lean Six Sigma dan mengidentifikasi waste pada proses pelayanan. Studi ini juga mengusulkan perbaikan alur kerja melalui Future Stream Mapping untuk meningkatkan efisiensi dan kualitas layanan. Penelitian menggunakan desain studi kasus dengan pendekatan DMAIC (Define, Measure, Analyze, Improve, Control). Data dikumpulkan melalui observasi, wawancara mendalam, kuesioner, dan telaah dokumen. Alur proses dianalisis menggunakan Value Stream Mapping (VSM) untuk mengidentifikasi Value Added Activities (VAA) dan Non-Value Added Activities (NVAA). Hasil penelitian menunjukkan bahwa total waktu proses (Total Process Time, TPT) untuk resep jadi adalah 18,62 menit, sementara untuk resep racikan mencapai 92,46 menit, dengan dominasi NVAA sebesar 69,93% pada resep jadi dan 66,89% pada resep racikan. Waste yang teridentifikasi meliputi waste waiting (17%), transportasi (13,2%), inventori (10,6%), over proses (12,3%), Motion (11,8%), overproduction (11,3%), defek (10,6%), dan potensi manusia (13,2%), dengan hasil akhir waste waiting adalah sumber utama inefisiensi. Usulan perbaikan melalui Future Stream Mapping diperkirakan mampu mengurangi TPT sebesar 38% untuk resep jadi dan 43% untuk resep racikan. Kesimpulan: Pendekatan Lean Six Sigma terbukti efektif dalam mengidentifikasi pemborosan dan merancang perbaikan alur pelayanan farmasi. Implementasi sistem e-prescription yang lebih terintegrasi dapat mengurangi NVAA, meningkatkan efisiensi, dan mendukung pelayanan yang lebih optimal. Penelitian ini diharapkan menjadi dasar bagi pengembangan sistem pelayanan farmasi yang lebih efisien dan berkualitas, sekaligus meningkatkan kepuasan pasien.Kata Kunci : Lean Six Sigma, Current Stream Mapping, Future Stream Mapping, pelayanan farmasi
Empowering Patient-Centered Care After Surgery: How Clinical Competence And Leadership Shape Outcomes Through Nurse Engagement Gunadi, Moch. Ilfan; Pamungkas, Rian Adi; Nofierni, Nofierni
International Journal of Nursing and Health Services (IJNHS) Vol. 9 No. 1 (2026): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

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Abstract

Introduction:This study aimed to analyze the impact of Clinical Leadership and Clinical Competence on the implementation of Patient-Centered Care (PCC) post-surgery, mediated by Work Engagement among nurses at RS Islam Jakarta Cempaka Putih. The optimal implementation of PCC remains a major challenge in improving post-surgical healthcare quality, particularly within the context of limited human resources and complex work dynamics. Problems such as low nurse engagement and variations in leadership and clinical skills affect the effectiveness of PCC delivery. Methods:This quantitative research employed a cross-sectional design at RS Islam Jakarta Cempaka Putih, involving 115 nurses selected through a saturated sampling method. Data were collected using a 4-point Likert scale questionnaire and analyzed with SEMPLS software. Ethical approval was granted by the institutional ethics committee, and informed consent was obtained from all participants. Results:The main outcome was the implementation of post-surgical PCC. Findings indicated that Clinical Leadership, Clinical Competence, and Work Engagement significantly influenced PCC implementation when analyzed simultaneously. Clinical Leadership and Clinical Competence had a positive and significant effect on Work Engagement. Furthermore, Clinical Competence and Work Engagement directly improved PCC implementation, while Clinical Leadership did not show a direct significant effect. Work Engagement acted as a key mediator linking Clinical Leadership and Clinical Competence with PCC implementation. Conclusion:This study highlights the critical role of Work Engagement in enhancing the influence of Clinical Leadership and Competence on PCC implementation. Strengthening leadership, developing clinical skills, and fostering engagement among nurses can improve post-surgical care. Future research should adopt longitudinal designs and explore additional factors to deepen understanding and advance healthcare leadership knowledge.
Safety Leadership and Work Environment Management in Building Patient Safety Culture through Work Motivation Dwi Meutia Julyta; Duta Liana; Nofierni Nofierni
Green Inflation: International Journal of Management and Strategic Business Leadership Vol. 3 No. 1 (2026): February : Green Inflation: International Journal of Management and Strategic B
Publisher : Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/greeninflation.v3i1.678

Abstract

This study investigates the effects of safety leadership and work environment on patient safety culture, with work motivation as an intervening variable among nurses at Hospital X in Jakarta. A quantitative approach using a cross-sectional design was employed, with data collected from 111 nurses through structured questionnaires. The data were analyzed using Structural Equation Modeling–Partial Least Squares (SEM-PLS). The results show that safety leadership and work environment have significant positive impacts on nurses’ work motivation. Additionally, work motivation directly influences patient safety culture. The study also finds that work motivation partially mediates the relationship between safety leadership and patient safety culture, as well as between work environment and patient safety culture. These findings suggest that both leadership practices and environmental conditions affect patient safety culture directly and indirectly by enhancing nurses’ motivation. The study highlights the importance of safety leadership and supportive work environments in promoting a sustainable patient safety culture through improved nurse motivation. From a practical perspective, hospital management should focus on fostering effective safety leadership practices and creating conducive work environments to enhance patient safety culture. This research contributes to the literature on patient safety and management by providing empirical evidence on the role of work motivation in strengthening safety culture in hospitals.
Co-Authors Agnes Nathania Yostin Agusdini Agusdini Aini Nadhifah Alkatiri, Fauzi Ahmad Amperajaya, Derajat 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 Erry Yudhya Mulyani Eva Khodijah Febrian Pramana Putra Fernando Pausoan Gultom, Doddy Gracesia kwannandar Gultom, Doddy Fernando Pausoan Gumilang, Dicky Gunadi, Moch. Ilfan Han, Dji Bui Hartanto, Antonius Ferdie Hasyim Hasyim Herlinawati Herlinawati Hilmy, M Reza Hilmy, Mohammad Reza Iis Istifaiyatuddianah Jus'at, Idrus Kemala Rita Kemala Rita Wahidi Kustiawan, Unggul Kusumapradja, Rokiah Laelani, Sofi Nur Eka April lestari, intan ayu M. Derajat Amperajaya M. Derajat Amperajaya Mashudani, Lizda Mohamad Reza Hilmy Monica Monica, Monica Muhammad Fachruddin Arrozi Adhikara Muliawan, Marjono Munawar Munawar Mus Aida NINGSIH, RYLLA Nurrohman Hardiansyah Pajriani, Nia Yunia Pamungkas, Rian Patmawati, Debby Rahman, Alfian Raudani Rasipin Rasipin RATNA INDRAWATI Rian Adi Pamungkas Ridwan, Saepul Rita Wahidi, Kemala Roesfiansjah Rasjidin Royyadi Chandra Samatha Amelia Putri sandra dewi Sandra Dewi Saptaningsih, Agusdini Banun Sugino Kesuma Karo Karo Samura Supriyantoro Supriyantoro Susanti Sugianto Syah , Tantri Yanuar Rahmat 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