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All Journal International Journal of Nursing and Health Services (IJNHS) Journal of Nursing and Public Health (JNPH) Action Research Literate (ARL) Journal of Hospital Management Toplama
Tahjoo, Anastina
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Humanities Economics, Econometrics & Finance Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Nursing Public Health Social Sciences

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PENGARUH DUKUNGAN KELUARGA, KOMPETENSI SUMBER DAYA MANUSIA TERHADAP KUALITAS HIDUP PASIEN GAGAL GINJAL YANG MENJALANI HEMODIALISIS MELALUI KEPATUHAN PENGOBATAN Novita, Henny; Tahjoo, Anastina; Jus'at, Idrus
Journal of Hospital Management Vol 5, No 01 (2022): Journal of Hospital Management
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/.v5i01.5368

Abstract

Latar Belakang dan Tujuan Penyakit ginjal adalah kelainan yang mengenai organ ginjal, yang disebabkan oleh berbagai faktor. Penanganan penyakit ginjal kronis tahap akhir yang banyak dilakukan di Indonesia adalah hemodialisis. Masalah psikososial seperti kurangnya dukungan keluarga, menjadi masalah berat yang harus dihadapi pasien hemodialisis. Selain itu kepatuhan pengobatan juga harus diperhatikan karena tindakan hemodialisis dilakukan secara rutin 2x setiap minggunya dengan durasi 4-5 jam. Kompetensi SDM yang terlatih sangat diperhatikan karena harus sesuai dengan standart unit hemodialisis. Kualitas hidup pasien hemodialisis dapat dinilai untuk mengevaluasi keberhasilan terapi. Penelitian ini bertujuan untuk menganalisis pengaruh variabel yang mempengaruhi terhadap kepatuhan pengobatan dan kualitas hidup pasien gagal ginjal kronik yang menjalani hemodialisis di RS Anna. Metode Penelitian ini merupakan penelitian kuantitatif asosiatif. Metode sampling populasi menggunakan sampel jenuh, seluruh pasien gagal ginjal kronis yang menjalani hemodialisis di RS Anna sebanyak 56 pasien dengan teknik wawancara dan pengisian kuesioner. Analisis data menggunakan analisis jalur dengan SPSS. Hasil penelitian ada hubungan terhadap semua variabel, tetapi hubungan dukungan keluarga tidak secara langsung mempengaruhi kualitas hidup pasien hemodialisis. Kepatuhan pengobatan memediasi pengaruh dukungan keluarga terhadap kualitas hidup. Kesimpulan secara garis besar terdapat pengaruh dukungan keluarga dan kompetensi SDM terhadap kualitas hidup pasien gagal ginjal melalui kepatuhan pengobatan.
BEBAN KERJA DAN JOB DEMAND MEMPENGARUHI TURNOVER INTENTION MELALUI KOMITMEN ORGANISASIONAL TENAGA PENUNJANG MEDIS Mutia, Reza; Anindita, Rina; Tahjoo, Anastina
Journal of Hospital Management Vol 5, No 01 (2022): Journal of Hospital Management
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/johm.v5i01.5401

Abstract

Latar Belakang dan Tujuan Tingginya terjadi turnover pada tenaga penunjang medis di rumah sakit diperlukan perhatian yang lebih karena turnover dapat merugikan organisasi, baik dari segi biaya, sumber daya, maupun efektifitas tenaga penunjang medis itu sendiri. Untuk menganalisis pengaruh beban kerja dan jod demand terhadap turnover intention tenaga penunjang medis di rumah sakit swasta kelas B di Bekasi melalui komitmen organisasional. Metode Penelitian ini penulis merupakan kuantitatif asosiatif, metode sampling menggunakan total populasi, seluruh tenaga penunjang medis di RS  Swasta Kelas B di Bekasi sebanyak 117 orang dengan Teknik wawancara dan pengisian kuisioner. Analisis data menggunakan analisis jalur dengan SPSS. Hasil penelitian ada hubungan terhadap semua variabel, komitmen organisasional berpengaruh negatif terhadap turnover intention sedangkan beban kerja dan job demand berpengaruh positif antara terhadap turnover intention Kesimpulan secara garis besar terdapat pengaruh beban kerja dan job demand terhadap turnover intention tenaga penunjang medis di Rumah Sakit Swasta Kelas B di Bekasi melalui komitmen organisasional
Pengaruh Kepemimpinan Keselamatan Rumah Sakit Terhadap Prilaku Keselamatan Karyawan Dalam Merespon Krisis Pandemi Wabah COVID-19 Dengan Moderasi Perceived Risk dan Mediasi Belief Restoration di Rumah Sakit Jantung Dan Pembuluh Darah Harapan Kita Jakarta Satifa, Oriza; Rahmat Syah, Tantri Yanuar; Tahjoo, Anastina
Journal of Hospital Management Vol 6, No 01 (2023): Journal of Hospital Management
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/.v6i01.6148

Abstract

COVID-19 telah menciptakan krisis di seluruh dunia. Krisis pandemi wabah COVID-19 adalah ujian  terbesar bagi kepemimpinan dibidang kesehatan generasi  saat ini. Krisis pandemi wabah COVID-19 adalah tantangan yang luar biasa, dan banyak faktor berkontribusi pada tingkat keparahan dan dampaknya. Tapi yang bisa kita kendalikan dan upayakan adalah bagaimana kita berperilaku serta adanya pemimpin dengan kepemimpinannya yang siapsiaga merespon krisis pandemi tersebut. Dengan latar belakang krisis pandemi wabah COVID-19 dilakukan penelitian tentang pengaruh kepemimpinan keselamatan rumah sakit terhadap prilaku keselamatan karyawan dalam merespon krisis pandemi wabah COVID-19 serta peran dari mediasi believed restoration dan moderasi dari perceived risk, menggunakan metode survei dengan kuisioner. Pemilihan sampel menggunakan kuesioner melalui google form sebanyak 281 responden yaitu karyawan di Rumah Sakit Jantung dan Pembuluh Darah Harapan Kita Jakarta (RSJPDHK). Pada penelitian ini teknik analisis data yang digunakan adalah Structural Equation Model (SEM) dengan program AMOS 22. Hasil penelitian ini menunjukan bahwa kepemimpinan keselamatan RSJPDHK pada kondisi adanya krisis pandemi wabah COVID-19 (moderasi), secara positif dan signifikan mempengaruhi prilaku keselamatan karyawan (kepatuhan, partisipasi, dan adaptasi) dengan dimediasi belief restoration. Hasil penelitian ini memberikan implikasi kepada pimpinan rumah sakit untuk mengembangkan strategi manajemen berdasarkan kepemimpinan keselamatan dan memotivasi serta mempromosikan perilaku keselamatan karyawan dari empat aspek pembinaan, kepedulian, motivasi, dan kontrol keselamatan
Importance of Nurse Workload Management as the Main Factor Affecting a Patient Safety Culture Selamat; Indrawati, Ratna; Tahjoo, Anastina
International Journal of Nursing and Health Services (IJNHS) Vol. 5 No. 1 (2022): 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.v5i1.561

Abstract

Introduction: The implementation of patient safety goals is the compliance behavior of health workers in implementing the standards and targets set by the hospital concerning international patient safety goals to ensure safe services for every patient. The international patient safety goals adopted by the hospital accreditation committee (KARS) have 6 (six) goals. Objective: The purpose of the study was to obtain empirical evidence of the effect of knowledge and workload on the implementation of patient safety goals mediated by patient safety culture. Method: This type of research is a causative quantitative analytic study with a cross-sectional research design. The sample population of this study is 140 nurses with a saturated sampling technique. In this study, measurements are done on primary data in a questionnaire distributed by Google Form to 140 respondents, and all respondents filled out the Google Form. In this study, the analysis was carried out using path analysis. Results: The results showed that knowledge, workload, and patient safety culture simultaneously had a positive and significant effect on implementing patient safety goals. The research findings show that patient safety culture can mediate patient safety goals. The workload does not directly influence the performance of patient safety goals. Recommendations: for hospital management to be more attentive to nursing workload management, the main factor affected patient safety culture. For further research, data from other hospital stakeholders can be added
PENTINGNYA LOYALITAS PASIEN MELALUI PENGALAMAN DAN PENANGANAN KELUHAN DENGAN KEPERCAYAAN SEBAGAI MEDIATOR AFIDAHTIN, AAP; RUSWANTI, ENDANG; TAHJOO, ANASTINA
Journal of Nursing and Public Health Vol 12 No 2 (2024)
Publisher : UNIVED Press, Universitas Dehasen Bengkulu

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

Abstract

Pendahuluan: Penelitian ini berangkat dari hasil observasi awal yang menunjukkan adanya penurunan jumlah pasien umum, perusahaan dan asuransi di sebuah fasilitas kesehatan pada tahun 2023. Penurunan ini menjadi perhatian penting bagi manajemen karena dapat memengaruhi kinerja dan keberlanjutan layanan. Oleh karena itu, tujuan utama penelitian ini adalah untuk mengkaji secara empiris pengaruh pengalaman pasien dan penanganan keluhan terhadap loyalitas pasien, dengan kepercayaan sebagai variabel intervening yang memainkan peran penting dalam hubungan ini Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross-sectional study, yang memungkinkan pengumpulan data pada satu titik waktu untuk menganalisis hubungan antar variabel. Populasi penelitian adalah pasien rawat jalan pasien umum, perusahaan dan asuransi di fasilitas kesehatan tersebut, dengan teknik pengambilan sampel non-probabilitas. Jumlah sampel ditentukan berdasarkan penggandaan jumlah indikator dengan 5 kali jumlah observasi. Pengumpulan data dilakukan melalui penyebaran kuesioner yang dirancang untuk mengukur pengalaman pasien, penanganan keluhan, kepercayaan, dan loyalitas pasien. Data yang diperoleh dianalisis menggunakan metode three box method, yang memungkinkan peneliti untuk mengevaluasi hubungan antar variabel Hasil dan Pembahasan: Hasil penelitian ini menunjukkan bahwa pengalaman pasien dan penanganan keluhan memiliki pengaruh signifikan terhadap loyalitas pasien, dengan kepercayaan sebagai variabel intervening yang memperkuat hubungan tersebut. Selain itu, ditemukan bahwa pengalaman pasien dan penanganan keluhan secara langsung memengaruhi kepercayaan pasien, yang pada gilirannya meningkatkan loyalitas mereka. Kepercayaan terbukti menjadi variabel paling dominan dalam mempengaruhi loyalitas pasien, menunjukkan bahwa upaya untuk meningkatkan kepercayaan pasien dapat berkontribusi secara signifikan terhadap peningkatan loyalitas Kesimpulan: Pengalaman pasien dan penanganan keluhan berpengaruh terhadap loyalitas pasien dengan kepercayaan sebagai variabel intervening. Pengalaman pasien dan penanganan keluhan berpengaruh terhadap kepercayaan, pengalaman pasien, penanganan keluhan dan kepercayaan berpengaruh terhadap loyalitas pasien, dan kepercayaan merupakan variabel paling dominan yang mampu meningkatkan loyalitas pasien.
Competency, Motivation, and Supervision Technique Strong Predict to Completeness of Nursing Documentation Wongso, Erni Suryani; Tahjoo, Anastina; Nofierni, Nofierni
International Journal of Nursing and Health Services (IJNHS) Vol. 7 No. 5 (2024): 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.v7i5.800

Abstract

Background: The inconsistency in the results of previous research conducted regarding competency, motivation and completeness of nursing documents motivated the research was carry out. Objective: This study aimed to examine empirical evidence regarding the mediation of disclosure of supervision techniques on competence and motivation on the completeness of nursing documentation. Method: A quantitative study with the cross-sectional approach was conducted in this study. This study was conducted in the dr. Achmad Diponegoro hospital. Forty-five respondents were involved in this study which is selected using the purposively sampling. We applied the path analysis to examine the association between competency, motivation, and supervision technique with completeness of nursing documentation. Result: The research results show empirical evidence that simultaneously competence and motivation have a positive and significant effect on supervision techniques. Competence, motivation and supervision techniques have a positive and significant effect on the completeness of nursing documentation. However, supervision techniques were not successful in mediating the influence of competence and motivation on the completeness of nursing documentation because the direct influence was greater than the indirect influence. Implication: The implication of the research is that management must provide training and provide facilities so that health workers can improve their competence and hold activities or awards for health workers who have good performance in recording nursing documents so that their motivation increases
THE EFFECT OF MANAGEMENT COMMITMENT AND TEAM ORIENTATION ON COMPLIANCE IN FILLING ELECTRONIC MEDICAL RECORDS WITH COMPETENCE AS AN INTERVENING VARIABLE IN THE INPATIENT INSTALLATION OF HERMINA HOSPITAL DEPOK Rahman, Muhammad Arif; Anindita, Rina; Tahjoo, Anastina
TOPLAMA Vol. 2 No. 3 (2025): TOPLAMA
Publisher : PT Altin Riset Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61397/tla.v2i3.373

Abstract

This study aims to test the influence of management commitment and team orientation on compliance in filling electronic medical records with competence as an intervening variable in the implementation of Hermina Hospital, Depok. This research method is quantitative with a cross-sectional study design. The population is doctors at Hermina Hospital Depok who work in the inpatient department totals 133 people. The results of the sample calculation obtained 100 respondents. The data collection technique used a questionnaire, and the analysis method used SEM-PLS. The results of the study showed that management commitment, team orientation, and doctor competence had a simultaneous effect on compliance in filling electronic medical records at Hermina Hospital, Depok. Management commitment and team orientation had a significant effect on doctor competence, which in turn also had a direct effect on compliance in filling out medical records. In addition, doctor competence mediated the relationship between management commitment and team orientation on compliance. Improving doctor competence is the main key to ensuring compliance. The conclusion of this study confirms that to improve compliance in filling electronic medical records at Hermina Hospital, Depok, attention is needed to management commitment and team orientation. Improving doctor competence is the main key in ensuring compliance, with competence functioning as a mediator between management commitment and team orientation towards compliance.
Brand Association, Patient Experience, and Patient Involvement Improved Awareness of Re-visit to Hospital Supriyati, Titin; Tahjoo, Anastina; Pamungkas, Rian Adi
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 3 (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.v8i3.858

Abstract

Background: Number of patient visits decreased from 2019 to 2020 by 31.18%. This encourages hospitals to implement a patient-oriented marketing concept and a comprehensive understanding of consumer behavior. One of the factors for a hospital's success is attracting patients to return. Factors that influence Return Visit Intention are Brand Association, Patient Engagement and Patient Experience. Objective: The purpose of this study is to empirically reveal the influence of brand association and patient experience on the interest in returning to the An-Nisa Hospital polyclinic in Tangerang with patient engagement as an intervening variable. Method: This study is included in quantitative research, the population used is patients who have visited at least 2 times, the sample calculation uses the indicator formula x 5, so that a sample of 190 respondents is obtained with a sampling technique using purposive sampling. The analysis method used is the three box method and SEM analysis. Result: The results of the analysis conclude that brand association, patient experience, and patient engagement have a significant effect on return visit interest. In addition, the results obtained are that brand association and patient experience have a significant effect on patient engagement. Patient engagement has been shown to be an intervening variable between brand association and patient experience on revisit intention. Conclusion: This study demonstrates that brand association, patient experience, and patient engagement are crucial factors influencing the intention of patients to revisit the An-Nisa Hospital polyclinic in Tangerang. Recommendation: These efforts will help the hospital build stronger relationships with its patients, encouraging loyalty and repeat visits, ultimately addressing the decline in patient numbers
Pharmacoeconomic Analysis of Type 2 Diabetes Mellitus Patients with the Application of PGA (Use of Antimicrobials) at Hospital X in East Java Dewi, Nisvi; Indrawati, Ratna; Tahjoo, Anastina
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 3 (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.v8i3.865

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) leads to a reduced immune response and increased susceptibility to infections, necessitating the use of antibiotics. However, inappropriate and excessive use of antimicrobials in humans, animals, and plants can contribute to increased antimicrobial resistance. Objective: This research aims to provide an overview of the application of Antibiotic Management (PGA) in the use of reserve antibiotics for T2DM patients concerning pharmacoeconomics at X Hospital in East Java. Method: Method: The study employed an observational approach with an exploratory descriptive method. Data were collected retrospectively from a cohort of patients who received reserve class antibiotics. The effectiveness of these antibiotics was assessed based on clinical outcomes, including patient survival or death, using medical records from October 2021 to September 2022 and October 2022 to September 2023. Result: The result indicated that the application of PGA using reserve antibiotics in T2DM patients had a positive and significant impact on pharmacoeconomics. The Incremental Cost Effectiveness Ratio (ICER) for T2DM patients with infections who received reserve antibiotics decreased after PGA implementation. Conclusion: The study concludes that PGA application in T2DM patients with infections yielded positive results, including a reduction in ICER, indicating improved cost-effectiveness and clinical outcomes. Recommendation: Proper and controlled use of reserve antibiotics through PGA can help mitigate antimicrobial resistance, a critical global health issue
Analysis of the Effect of Leadership Style and Work Culture on Organizational Commitment with Work Motivation as an Intervening Variable in Nurses at Hermina Serpong Hospital Jannah, Ana Raudah Al; Mulyani, Erry Yudhya; Tahjoo, Anastina
Action Research Literate Vol. 7 No. 11 (2023): Action Research Literate
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/arl.v7i11.202

Abstract

Hospital is one form of organization engaged in health services. This health service is always demanded to always get better. Hermina Serpong Hospital is a type C private hospital in South Tangerang City that provides health services for patients and is committed to providing services in accordance with nursing standards by optimizing nurses' organizational commitment. This study aims to analyze the effect of leadership style and work culture on nurses' organizational commitment with work motivation as an intervening variable. Research with a quantitative approach and survey method using a questionnaire. The population is all nurses at Hermina Serpong Hospital. The sampling technique is using total sampling with a sample size of 99 respondents. The data analysis method uses path analysis structural equation model (Structural Equation Model). Research results: There is an influence of leadership style and work culture on nurses' organizational commitment with work variables as intervening variables. Managerial implications: The management of Hermina Sepong Hospital builds the spirit of the leadership style of the superiors and enhances a positive work culture so as to increase the work motivation of the nurses which will increase the nurses' commitment to work.
Co-Authors AFIDAHTIN, AAP Dewi, Nisvi Endang Ruswanti Erry Yudhya Mulyani Jannah, Ana Raudah Al Jus'at, Idrus Mutia, Reza Nofierni, Nofierni Novita, Henny Rahman, Muhammad Arif Ratna Indrawati, Ratna Rian Adi Pamungkas, Rian Adi Rina Anindita Satifa, Oriza Selamat Supriyati, Titin Tantri Yanuar Rahmat Syah Wongso, Erni Suryani