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Pengaruh Dukungan Psikososial, KIE dan Fasilitas Layanan Kesehatan terhadap Keputusan Ibu Hamil dalam Memilih ANC dan Persalinan Fernando Pausoan Gultom, Doddy; Rita Wahidi, Kemala; Nofierni, Nofierni
Journal of Comprehensive Science Vol. 4 No. 3 (2025): Journal of Comprehensive Science (JCS)
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jcs.v4i3.3087

Abstract

This study aims to analyze the role of Social Media Marketing as a moderation variable on the influence of psychosocial support, health communication, information and education (KIE), and health facilities on pregnant women's decisions in choosing Antenatal Care (ANC) and childbirth services at Petukangan General Hospital. Psychosocial support, which includes emotional and social support from family and health workers, plays an important role in lowering anxiety and improving the comfort of pregnant women. In addition, an effective KIE is able to increase the understanding of mothers-to-be regarding the risks and available health care options. Health facilities at Petukangan Hospital, including medical equipment, hygiene, and comfort of the treatment room, are also important aspects that affect the preferences of pregnant women. This study found that Social Media Marketing has a significant role as a moderation variable. With the right utilization, social media can be an effective platform to disseminate information about the quality of hospital services and facilities, so that it can influence the decision of pregnant women. The results of the analysis showed that the combination of psychosocial support, good information and education, quality health facilities, and effective marketing through social media increased the tendency of pregnant women to choose Petukangan Hospital as the place of delivery. This study underscores the importance of the right social media marketing strategy in improving hospital competitiveness in the digital era. Recommendations are given for Petukangan Hospital to strengthen digital marketing strategies to maximize the positive influence on the decisions of potential patients, especially among pregnant women.
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
Marketing Strategy Implementation for Business Plan at Imported Beef Supply Startup Meat Tech Fetiana Pristianti; Tantri Yanuar Rahmat Syah; Unggul Kustiawan; Nofierni Nofierni
Jurnal Ilmiah Manajemen Kesatuan Vol. 13 No. 1 (2025): JIMKES Edisi Januari 2025
Publisher : LPPM Institut Bisnis dan Informatika Kesatuan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37641/jimkes.v13i1.3118

Abstract

The culinary industry in Indonesia, especially among the middle class in major cities such as Jakarta, Bogor, Depok, Tangerang, and Bekasi (Jabodetabek), is experiencing rapid growth. To continue attracting consumer interest, restaurants compete to introduce new and unique menus. This presents an opportunity for suppliers like PT Meat Tech, which specializes in providing high-quality imported beef, to innovate and meet market demand. A marketing plan is a strategic process in marketing that aims to achieve predetermined targets. In this process, the marketing strategy is a crucial element as it encompasses the company’s values and objectives. PT Meat Tech will focus on Marketing Goals and Objectives, Segmentation, Targeting, and Positioning (STP) Strategy, business-to-business (B2B) Marketing Mix, Sales Activities, Sales Budget Projections, and Revenue Stream Projections to enhance sales and achieve revenue targets. This study aims to assist PT Meat Tech in successfully marketing its beef products through differentiation strategies that support revenue growth. Data collection will involve a multifaceted approach, including semi-structured interviews with key stakeholders at Meat Tech, such as marketing managers, sales representatives, and other relevant personnel. The study results indicate that an effective marketing plan is influenced by several factors, including the business establishment purpose, pricing strategy, location, promotion, sales activities, and financial management. By addressing these factors, PT Meat Tech can optimize its marketing strategy and strengthen its market position.
HOW DOES THE MARKETING MIX AFFECT INTEREST IN SECTION CESAREA BIRTH DELIVERING AT X HOSPITAL Boby, Ratna Indrawati, Nofierni
Jurnal Cinta Nusantara (JCN) Vol. 1 No. 2 (2023): JURNAL CINTA NUSANTARA
Publisher : CV. Bunda Ratu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63754/jcn.v1i2.14

Abstract

This study aims to analyze the marketing environment of interest in giving birth by cesarean sect at X Hospital in Bekasi This study uses a quantitative approach to the influence of Marketing Mix; Product; Price; Place; and Promotion of Interest in Childbirth. In this study using explanatory research with a quantitative approach, and the subjects of the study were all patients at X Hospital in Bekasi as many as 340 patients who gave birth sectio cesarea. This study uses PLS-SEM, the results of the study obtained conclusions on the Effect of Marketing Mix of Childbirth Interest on Sectio Cesarea. Seeing the importance of a positive marketing mix, this study can provide information about things that X Hospital can use in order to improve services to patients and ensure price acceptance still occurs, With positive pricing conditions thus, there is an influence of the Marketing Mix on Childbirth Interest.
Transforming Leadership, Effective Communication, And Patient Safety Culture: The Role Of Trust Among Hospital X East Jakarta Nurses Heru Agusman; Duta Liana; Nofierni Nofierni
Jurnal Indonesia Sosial Teknologi Vol. 4 No. 11 (2023): Jurnal Indonesia Sosial Teknologi
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jist.v4i11.802

Abstract

The importance of leadership and communication styles in upholding a safety culture in a health service. This research aims to analyse the influence of transformational leadership effective communication on patient safety culture with trust as mediation in nursing personnel in general hospital X. This study used a questionnaire involving 98 respondents with a cross-sectional quantitative research design using Structural Equation Modeling (SEM) with Smart Partial Least Square (PLS) software. The results of the study found that transformational leadership has a significant effect on patient safety culture, then effective communication has a significant effect on patient safety culture. Where the highest dimension of transformational leadership is inspirational motivation (89.9%), the highest dimension of effective communication is context (86.8%), the highest dimension in patient safety culture is a non-punitive response to error incidents (79.6%), while the highest dimension of trust is integrity (85.5%). The research concludes that transformational leadership and effective communication exert influence on trust-mediated patient safety culture
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

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

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.
Mediation Effects of Work Motivation: Self-Efficacy and Patient Safety Culture on Caring Behavior Zuriyati Ulfa; Agusdini Banun Saptaningsih; Nofierni Nofierni
Jurnal Ilmu Kesehatan Masyarakat Vol. 16 No. 2 (2025): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2025.16.2.269-289

Abstract

Caring behavior increases patient satisfaction, trust, and loyalty, a government indicator to enhance hospital healthcare services. Caring behavior also reduces patient falls by improving safety. However, at Karawang Regional General Hospital, concerns regarding inpatient service quality were reflected in a notable rise in reported issues over a one-year period. This study aims to analyzes how self-efficacy and patient safety culture affect caring behavior and how work motivation acting as an intervening variable. A cross-sectional design was used on 195 inpatient nurses as respondents using simple random sampling. Data were collected using a 31-item 4-point Likert scale questionnaire with 15 indicators. LISREL 8.80 was used to analyze data using Covariance-Based Structural Equation Modeling (CB-SEM). The results show that self-efficacy (β=0.11, t=2.21), patient safety culture (β=0.19, t=3.69), and work motivation (β=0.70, t=9.67) significantly and positively affect caring behavior. Furthermore, self-efficacy and patient safety culture also contribute to increased work motivation, with t-values of 7.48 and 6.98. These findings show that work motivation is the main factor in increasing caring behavior and mediates the relationship between self-efficacy and patient safety culture. Self-efficacy and patient safety culture also boost work motivation.
Pengembangan Model Optimalisasi Waktu Tunggu Pasien RSKD Duren Sawit Berbasis Lean Hospital Management Maruli, Maruli Halomoan Panjaitan; M. Natsir Nugroho; Nofierni, Nofierni
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.v5i4.16026

Abstract

Waktu tunggu pasien dari Instalasi Gawat Darurat (IGD) menuju rawat inap di RSKD Duren Sawit masih sering melebihi standar ≤6 jam, sehingga berdampak pada mutu pelayanan, keselamatan pasien, dan efisiensi operasional rumah sakit. Permasalahan ini tidak hanya disebabkan oleh satu unit pelayanan, tetapi merupakan akumulasi pemborosan proses (waste) sepanjang alur pasien dari IGD hingga rawat inap dan discharge. Penelitian ini bertujuan menganalisis alur pelayanan pasien dari IGD menuju rawat inap serta mengembangkan model efektivitas penurunan waktu tunggu berbasis Lean Hospital Management. Penelitian menggunakan pendekatan kualitatif dengan desain studi kasus. Data dikumpulkan melalui wawancara mendalam, observasi alur pelayanan lintas unit (IGD, admission, dan rawat inap), serta telaah dokumen operasional. Analisis dilakukan dengan memetakan value stream, mengidentifikasi aktivitas bernilai tambah (value added) dan tidak bernilai tambah (non-value added), serta mengkaji bottleneck dan bentuk pemborosan proses. Hasil penelitian menunjukkan bahwa waktu tunggu terbentuk secara kumulatif akibat variasi durasi registrasi dan triase, keterlambatan hasil laboratorium dan radiologi sebagai diagnostic bottleneck, variasi waktu respons DPJP, ketidaksinkronan informasi ketersediaan tempat tidur, serta proses discharge yang belum terintegrasi. Kondisi kapasitas rawat inap yang tinggi dengan rotasi tempat tidur yang lambat memperburuk boarding time pasien di IGD. Implikasi penelitian ini memperkaya penerapan Lean Healthcare pada pengelolaan patient flow dan memberikan dasar praktis bagi manajemen rumah sakit dalam mengendalikan waktu tunggu IGD secara sistemik.
The Influence of Attitude and Supervision on Medical Waste Management Compliance with Waste Management Facilities as a Mediation Variable at Cibinong Hospital Afraimansyah, Afraimansyah; Hilmy, Reza; Nofierni, Nofierni
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v11i4.64206

Abstract

Background: Non-optimal management of medical waste in hospitals has the potential to increase the risk of infections related to health services and environmental pollution. At Cibinong Hospital, non-compliance by officers in sorting, using personal protective equipment, and waste disposal is still found in accordance with standard operating procedures. Objective: This study aims to analyze the influence of attitude and supervision on compliance with medical waste management with waste management facilities as a mediating variable. Methods: The study used a quantitative approach with a cross-sectional design. The research population is health workers who are directly involved in the management of medical waste, with data collection using questionnaires that have been tested for validity and reliability. Data analysis was carried out using linear regression and path analysis to test the direct and indirect influence between variables. Results: The results showed that attitudes, supervision, and facilities simultaneously had a significant effect on compliance (p<0.001). Partially, attitude was the most dominant variable with a beta coefficient of 0.657. Waste management facilities have been proven to mediate the influence of attitudes and supervision on compliance. The research model was able to explain 58% of the variation in compliance. Conclusion: It was concluded that compliance was influenced by internal motivation and external reinforcement supported by the availability of facilities as the main enabling factor.
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