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Journal : International Journal of Nursing and Health Services (IJNHS)

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
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
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