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Analysis Impact Of Nursing Kpis And Electronic Medical Records On Service Quality In A Type B Hospital Dwi Untari Fadillah Asih; Sholihul Absor; Mundakir
Global Journal of Health Administration Vol 1 No 2 (2025): Desember
Publisher : LP2IHKI UMSurabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/gjha.v1i2.29615

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Objective : This study aims to analyze the effect of nursing Key Performance Indicator (KPI) implementation and Electronic Medical Record (ERM) utilization on service quality improvement in a Type B Hospital in Surabaya.   Methods: This study employed a quantitative cross-sectional design involving 100 registered nurses selected through purposive sampling. Data were collected using a structured questionnaire consisting of 10 items for KPI implementation, 8 items for EMR utilization, and 12 items for service quality, measured using a 5-point Likert scale. Data were analyzed using multiple linear regression to examine the relationships between variables.   Resulth : There was a considerable favorable impact on service quality from implementing KPIs (β = 0.427; p < 0.001), and ERM utilization also had a significant influence (β = 0.365; p < 0.001).The results highlight the importance of digital documentation systems and organized performance assessment in improving the quality of healthcare services.   Conclusion : Healthcare services are made more efficient, accurate, and responsible by the combination of KPI and ERM.Based on the results of this research, healthcare facilities should enhance their performance management systems and maximize the use of health information technology in order to facilitate long-term quality improvement.
Training and Mentoring: Preparation of Digitization-Based Quality Indicators at Bunda General Hospital: Pelatihan dan Pendampingan: Penyusunan "Indikator Mutu" Berbasis Digitalisasi di Rumah Sakit Umum Bunda Pipit Festi Wiliyanarti; Neneng Dewi; Donny Permana; Linda Hapsari; Heru Suswojo; Anisa Nurida; Sholihul Absor; Yuanita Wulandari; Mundakir
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 2 No. 1 (2024): May 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v2i1.181

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A reliable internal quality assurance system is one of the keys to ensuring the hospital management process is in accordance with the vision and mission as well as improving quality and patient safety. The purpose of this community service was to conduct training and mentoring at Bunda General Hospital to develop digitization-based priority quality indicators. The community service methods that have been applied include mentoring and training to 40-unit leaders. The media used were leaflets, logbooks, and training manuals. This community service was carried out in December 2023. At the end of the activity, the results showed an increase in the knowledge of the head of the unit in compiling hospital quality indicators. The increase in knowledge and skills in preparing quality indicators before training has an average score of 45, after training knowledge and skills increase with an average score of 91. Training and assistance to unit heads at Bunda Hospital in compiling quality indicators is needed as a benchmark for unit performance to improve the quality of Bunda Hospital services. The quality of hospital services can be improved directly with intensive assistance in compiling performance indicators.
Pengaruh administrasi kesehatan dan keputusan manajerial dokter spesialis terhadap efisiensi rumah sakit Dwi Untari Fadillah Asih; Sholihul Absor; Mundakir Mundakir; Pipit Festi Wiliyanarti
Journal of Health Research Science Vol. 6 No. 1 (2026): Journal of Health Research Science
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34305/bw0vap80

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Latar Belakang:  Efisiensi operasional rumah sakit merupakan tantangan utama dalam peningkatan mutu pelayanan kesehatan. Penelitian ini bertujuan menganalisis pengaruh peran tenaga administrasi kesehatan dan keputusan manajerial dokter spesialis terhadap efisiensi operasional rumah sakit.Metode: Penelitian kuantitatif analitik dengan pendekatan cross-sectional dilakukan pada 120 responden yang dipilih secara simple random sampling dari 172 tenaga kesehatan dan administrasi rumah sakit umum. Data dikumpulkan menggunakan kuesioner yang valid dan reliabel, kemudian dianalisis dengan regresi linier berganda. Penelitian telah memperoleh persetujuan etik dan izin penelitian Nomor 10/Dep.Kep/III/2026.Hasil: Penelitian menunjukkan bahwa peran tenaga administrasi kesehatan berpengaruh terhadap efisiensi operasional rumah sakit (β=0,45; p<0,001). Keputusan manajerial dokter spesialis juga berpengaruh terhadap efisiensi operasional rumah sakit (β=0,38; p<0,001). Secara simultan, kedua variabel menjelaskan 62% variasi efisiensi operasional rumah sakit (R²=0,62).Kesimpulan: penguatan fungsi administrasi kesehatan dan peningkatan kapasitas manajerial dokter spesialis berkontribusi terhadap peningkatan efisiensi operasional rumah sakit.
Strategy to Improve Hospital Human Resource Performance Through Analysis of Patient Service Data in Private Hospitals in Gresik Iqbal Razif; Mundakir Mundakir; Annisa Nurida
International Journal of Public Health Vol. 3 No. 2 (2026): June: International Journal of Public Health
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijph.v3i2.638

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Background: Hospitals are required to provide fast, accurate, and high-quality healthcare services to improve patient satisfaction and maintain organizational competitiveness. Human resource (HR) performance plays a crucial role because healthcare workers directly interact with patients during service delivery. Objective: This study aims to analyze the influence of service intensity and hospital revenue on patient volume as an indicator of HR performance in a private hospital in Gresik. Methods: A quantitative descriptive approach was used with secondary data from the hospital information system, including patient service records, physician services, transaction values, hospital revenue, and service units. Data were analyzed using descriptive statistics, correlation analysis, multiple linear regression, R², t-test, and F-test. Results: Service intensity showed a positive and significant effect on patient volume, with a correlation coefficient of 0.530 (p = 0.001) and regression coefficient of 0.460 (p = 0.041), indicating that higher service intensity increases patient volume. Hospital revenue showed a positive correlation with patient volume (r = 0.412; p = 0.011), but regression results indicated no significant effect (β = 0.394; p = 0.633). Simultaneously, both variables significantly influenced patient volume (F = 5.624; p = 0.009), with R² = 0.287. Conclusion: Service intensity is the dominant factor affecting patient volume and serves as an important indicator for HR performance improvement. Strengthening service quality, workforce allocation, and healthcare analytics is recommended to enhance hospital performance and patient outcomes.
Analisis Keterkaitan Motivasi Kerja dengan Kinerja Perawat di Instalasi Rawat Inap Rumah Sakit Sukma Wijaya Sampang Dwi Herlinda Lusi Harini; Mundakir Mundakir; Annisa Nurida; Rikhly Faradisy Mursyida
MAHESA : Malahayati Health Student Journal Vol 6, No 8 (2026): Volume 6 Nomor 8 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i8.23659

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ABSTRACT This study aims to analyze the relationship between work motivation and nurse performance at the Inpatient Installation of Sukma Wijaya Hospital in Sampang in 2025. Nurse performance plays a crucial role in determining the quality of healthcare services provided to patients. Work motivation is an important factor that influences nurse performance, which is related to both internal (intrinsic) and external (extrinsic) factors. The research method used is a quantitative approach with a descriptive correlational design. The sample consists of 36 nurses working in the Inpatient Installation, selected using a census sampling technique. Data was collected using questionnaires measuring work motivation based on Herzberg's theory and nurse performance based on Locke's theory. Data analysis using Pearson's correlation test showed a significant relationship between work motivation and nurse performance (r = 0.747, p-value = 0.000). The results indicate that higher work motivation leads to better nurse performance. Work motivation contributes 55.80% to nurse performance, while the remaining 44.20% is influenced by other factors such as skills, abilities, and the work environment. This study recommends that hospitals pay attention to factors influencing work motivation and create policies that support nurses' welfare and career development to improve the quality of healthcare services. Keywords: Work Motivation, Nurse Performance, Hospital, Policies, Work Environment.  ABSTRAK Penelitian ini bertujuan untuk menganalisis keterkaitan antara motivasi kerja dan kinerja perawat di Instalasi Rawat Inap Rumah Sakit Sukma Wijaya Sampang pada tahun 2025. Kinerja perawat sangat berperan dalam menentukan kualitas pelayanan kesehatan yang diberikan kepada pasien. Motivasi kerja merupakan faktor penting yang mempengaruhi kinerja perawat, yang berhubungan dengan faktor internal (intrinsik) dan eksternal (ekstrinsik). Metode yang digunakan dalam penelitian ini adalah pendekatan kuantitatif dengan jenis penelitian deskriptif korelasional. Sampel penelitian ini terdiri dari 36 perawat yang bekerja di Instalasi Rawat Inap, yang diambil dengan teknik census sampling. Data dikumpulkan menggunakan kuesioner yang mengukur motivasi kerja berdasarkan teori Herzberg dan kinerja perawat berdasarkan teori Locke. Hasil analisis data menggunakan uji korelasi Pearson menunjukkan adanya hubungan yang signifikan antara motivasi kerja dengan kinerja perawat (r = 0,747, p-value = 0,000). Hasil tersebut menunjukkan bahwa semakin tinggi motivasi kerja, semakin tinggi pula kinerja perawat. Faktor motivasi kerja berkontribusi sebesar 55,80% terhadap kinerja perawat, sementara 44,20% lainnya dipengaruhi oleh faktor lain seperti kemampuan, keterampilan, dan dukungan lingkungan kerja. Penelitian ini menyarankan agar rumah sakit memperhatikan faktor-faktor yang mempengaruhi motivasi kerja dan menciptakan kebijakan yang mendukung kesejahteraan dan pengembangan karier perawat untuk meningkatkan kualitas pelayanan kesehatan. Kata Kunci: Motivasi Kerja, Kinerja Perawat, Rumah Sakit, Kebijakan, Lingkungan Kerja.
Analisis Pengaruh TNA dan Budaya Organisasi Terhadap Kualitas Layanan Rumah Sakit melalui Kompetensi Sumber Daya Manusia Slamet Riyadi; Mundakir Mundakir; Sholihul Absor
MAHESA : Malahayati Health Student Journal Vol 6, No 8 (2026): Volume 6 Nomor 8 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i8.24207

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ABSTRACT This study investigates the effects of information system–based Training Needs Analysis (TNA) and organizational culture on hospital service quality, with human resource (HR) competency development positioned as a mediating variable. An explanatory quantitative design was employed by distributing five-point Likert questionnaires to 110 employees at a regional public hospital, and the data were analyzed using PLS-SEM with SmartPLS. The findings show that organizational culture positively influences HR competence (β = 0.270; p 0.05) but does not directly affect service quality (β = 0.016; p 0.05). In contrast, HR competence has a strong positive effect on service quality (β = 0.640; p 0.001). System-based TNA significantly improves HR competence (β = 0.530; p 0.01) and service quality (β = 0.235; p 0.05). Mediation testing confirms that HR competence significantly mediates the effect of TNA on service quality (β = 0.339; p 0.001), whereas it does not mediate the relationship between organizational culture and service quality. Overall, strengthening system-based TNA alongside structured competency development is essential to improve hospital service quality, while cultural transformation remains necessary to better facilitate competency development. Keywords: Competency Development, Hospital Service Quality, Organizational   Culture, Training Needs Analysis.  ABSTRAK Penelitian ini menganalisis pengaruh Analisis Kebutuhan Pelatihan (TNA) berbasis sistem informasi dan budaya organisasi terhadap kualitas pelayanan rumah sakit, dengan pengembangan kompetensi sumber daya manusia (SDM) sebagai variabel mediator. Penelitian menggunakan desain kuantitatif eksplanatori melalui penyebaran kuesioner skala Likert lima poin kepada 110 karyawan rumah sakit umum daerah, serta dianalisis menggunakan SEM-PLS (SmartPLS). Hasil menunjukkan bahwa budaya organisasi berpengaruh positif terhadap kompetensi SDM (β = 0,270; p 0,05), namun tidak berpengaruh langsung terhadap kualitas pelayanan (β = 0,016; p 0,05). Sebaliknya, kompetensi SDM berpengaruh kuat dan signifikan terhadap kualitas pelayanan (β = 0,640; p 0,001). Penerapan TNA berbasis sistem berpengaruh signifikan terhadap kompetensi SDM (β = 0,530; p 0,01) dan kualitas pelayanan (β = 0,235; p 0,05). Uji mediasi mengonfirmasi bahwa kompetensi SDM secara signifikan memediasi pengaruh TNA terhadap kualitas pelayanan (β = 0,339; p 0,001), sedangkan kompetensi SDM tidak memediasi hubungan budaya organisasi dengan kualitas pelayanan. Secara keseluruhan, temuan ini menegaskan pentingnya penguatan TNA berbasis sistem yang diikuti pengembangan kompetensi yang terstruktur untuk meningkatkan kualitas pelayanan rumah sakit, sekaligus menekankan perlunya transformasi budaya agar lebih efektif dalam mendorong peningkatan kompetensi. Kata Kunci: Pengembangan Kompetensi, Kualitas Pelayanan Rumah Sakit,        Budaya Organisasi, Analisis Kebutuhan Pelatihan.
Data mining approach for stunting clusters in Jumput Rejo Amir Ali; Purwanto Purwanto; Mundakir Mundakir
Bulletin of Electrical Engineering and Informatics Vol 15, No 1: February 2026
Publisher : Institute of Advanced Engineering and Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/eei.v15i1.8035

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The target of reducing the stunting prevalence rate by 14% in 2024 which has been set by the government needs to be of concern to be implemented by the local health office. The purpose of the research is to cluster toddler anthropometry data with data mining algorithm. Optimize K-Means (KM) algorithm with elbow method use to cluster toddler anthropometry data (sex, height, weight, age, and health care center). A set of 580 children's anthropometric measurements were analyzed and categorized based on their similarity. Cluster 1 comprises 150 members and exhibits a narrower range of age and height values compared to the other clusters. Cluster 2, with 124 members, displays a broader range of age and height values compared to both Cluster 1 and Cluster 3. Cluster 3, consisting of 150 members, demonstrates age and height values that are higher than Cluster 1 but lower than Cluster 2 and Cluster 4. Finally, Cluster 4, encompassing 156 members, exhibits age and height values that are higher than those in the other clusters that many children are stunted based on standard anthropometric table for assessing children's nutritional status. The cluster optimization yielded four distinct clusters, which will serve as the input for identifying clusters during the data grouping process using the KM algorithm.
Exploring Determinants of Electronic Medical Record (EMR) Acceptance Using the Technology Acceptance Model (TAM) Thariq Malikul Mulki; Mundakir Mundakir; Pipit Festi Wiliyanarti; Ansarul Fahrudda
MAGNA MEDIKA Berkala Ilmiah Kedokteran dan Kesehatan Vol 13, No 1 (2026): FEBRUARY
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.13.1.2026.11-24

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Background: Digital transformation in the healthcare sector has accelerated the implementation of Electronic Medical Records (EMR). However, the level of EMR acceptance among healthcare professionals remains variable, indicating that technological readiness alone is insufficient to ensure successful adoption.Objective: To analyze the determinants of EMR adoption based on a synthesis of empirical evidence using the Technology Acceptance Model (TAM) frameworkMethods: A systematic literature review was conducted in accordance with the PRISMA guidelines. A total of 20 empirical studies published between 2020 and 2025 were selected through systematic identification, screening, eligibility assessment, and quality assessment. The reviewed studies examined key TAM variables, including perceived usefulness (PU) and perceived ease of use (PEOU), as well as external factors such as management support, training, information technology infrastructure readiness, social influence, and digital literacy.Results: The synthesis reveals that PU and PEOU are the most consistent and significant determinants of both the intention to use and actual use of EMR systems. PEOU (Perceived Examination of Use/System Usefulness) often serves as an initial determinant of PU (Perceived Use/User Usefulness), thereby indirectly reinforcing behavioral intent. Organizational factors generally do not directly influence intention but play an important role in shaping users' perceptions of the system's usefulness and ease of use. Social factors and digital literacy were found to be increasingly relevant in collaborative and technology-based healthcare environments.Conclusion: The successful EMR implementation depends not only on technical readiness but also on organizational strategies and user capacity-building interventions. During the digital adoption transition phase, prioritizing system usability and ongoing training is essential to increase acceptance. Further research is recommended to integrate TAM (Technology Acceptance Model) with other behavioral theories, such as UTAUT (Uniform Teaching and Understanding/Information Technology), to better understand the dynamics of EMR acceptance in the context of mandatory policies, particularly in Indonesia following the implementation of PMK No. 24 of 2022.
Health Diplomacy and Domestic Political Stability: A Qualitative Analysis of European Union Support for Public Health Programs in Indonesia Dwi Untari Fadillah Asih; Sholihul Absor; Mundakir Mundakir; Pipit Festi Wiliyanarti; Muhamad Bayhaqi
Malahayati Nursing Journal Vol 8, No 8 (2026): Volume 8 Nomor 8 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i8.25687

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ABSTRACT Health diplomacy has become a crucial element in global governance, serving not only to improve national health capacities but also as an instrument of soft power for donor countries. Within this framework, the European Union (EU) actively engages in international health initiatives, positioning itself as both a normative power and a key global health actor. Indonesia, as a strategic partner in Southeast Asia, provides a compelling case to examine how external health diplomacy influences domestic political dynamics. This study aims to analyze the role of the European Union (EU) in health diplomacy in Indonesia and to assess its implications for domestic political stability. The research seeks to understand how EU-led health cooperation contributes to strengthening Indonesia’s health system and the legitimacy of its government in the public domain. Using a qualitative research design with a case study approach, this study examines policy documents, official EU communications, Indonesian Ministry of Health reports, and WHO publications. The analysis focuses on identifying the forms of EU support, the key actors involved, the mechanisms of implementation, and the political effects arising from such collaborations. The findings reveal that the EU’s health diplomacy in Indonesia encompasses financial assistance, technical cooperation, joint research programs, and vaccine distribution. These initiatives collectively enhance Indonesia’s health system capacity while reinforcing public trust and governmental legitimacy. Furthermore, health diplomacy operates as a soft power tool for the EU, strengthening its normative and humanitarian image in the global order. This study concludes that the EU’s health diplomacy plays a dual role: it contributes to domestic stability in Indonesia through capacity building and simultaneously projects the EU’s identity as a normative global actor. The research highlights the need for transparent, adaptive, and sustainable international health collaborations. It also encourages comparative analysis with other global actors such as China, the United States, and ASEAN to better understand variations in health diplomacy strategies and their political outcomes. Keywords: Health Diplomacy, European Union, Indonesia, Soft Power, Political Stability, Global Health Governance.
Resilience model based Roy Adaptation Model toward self-care among women living with HIV in Surabaya, Indonesia Yuanita Wulandari; Nursalam; Ninuk Dian Kurniawati; Mundakir; Farida Umama
Pediomaternal Nursing Journal Vol. 12 No. 2 (2026): VOLUME 12 NO 2 JULY 2026
Publisher : Universitas Airlangga

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

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Introduction: Women living with HIV face clinical, psychological, and social challenges that can affect self-care. While demographic and disease-related factors have been widely studied, the roles of adaptation and resilience in self-care remain unclear. Objective: To develop and test a resilience model based on the Roy Adaptation Model to explain self-care among women living with HIV in Surabaya, Indonesia. Methods: A cross-sectional study was conducted among 111 women living with HIV recruited through purposive sampling from primary healthcare centers in Surabaya. Eligible participants were women aged ≥18 years receiving antiretroviral therapy for at least three months, able to complete an online questionnaire, and without diagnosed mental disorders or a history of substance abuse treatment. Data were collected using structured questionnaires measuring focal, contextual, and residual stimuli, coping mechanisms, adaptation modes, resilience, and self-care. SEM-PLS with 5,000 bootstrap resamples was used to evaluate the proposed model. Results: The measurement model showed satisfactory reliability and validity (CR = .564–.953; AVE > .50). Contextual (β = .170; P-value<.05) and residual stimuli (β = .492; P-value<.05) significantly influenced coping mechanisms, whereas focal stimuli did not. Coping mechanisms were associated with adaptation modes (β = .624; P-value<.05), which in turn were associated with resilience (β = .669; P-value<.05) and self-care (β = 0.758; P-value<.05). Self-care showed the highest predictive relevance (Q² = .425). Conclusion: Self-care among women living with HIV is closely associated with coping, adaptation, and resilience rather than clinical or demographic factors. Keywords: adaptation; HIV; resilience; self-care; women
Co-Authors Abdul Fauzi Absor, Shohilul Absor, Sholihul Achmad Subahtiyar Achmad Syamsudin Ade Susanty Agus Chairul Anab AH Yusuf Ah. Yusuf Ahmad Wahyudi Ahmad Wahyudi Alfian, Afan Ali, Amir Amalia, Nuke Amir Ali Anandhita, Aries Chandra Angga Ferwita Anis Rosyiatul Husna, Anis Rosyiatul Anisa Nurida Annisa Nurida Asri Asri Asri Aziz, M. Aminudin Barika Isti’anatil Hidayah Betty Ariani Cahyadi, Rachmad Chlara Yunita Prabawati Choliq, Idham Dede Nasrullah Dewi, Neneng Diny Wulansari Donny Firmansyah Donny Permana Dwi Herlinda Lusi Harini Dwi Nurcahyono Dwi Untari Fadillah Asih Dwi Untari Fadillah Asih Dwi Untari Fadillah Asih Emi Linawati Era Catur Prasetya Fahrudda, Ansarul Farida Umama Fathiya Lutfil Yumni Fausi, Muhammad Fauziana, Windyanisa Afifah Festi Wiliyanarti, Pipit Firman Firman Firman Firman Fitriani, Vika Ramadhana Fitriyani, Vika Ramadhana Hapsari, Linda Hartamto, Offia Melda Permata Ida Agustiningsih Idham Choliq Intan Fidyatul Fuaidah Iqbal Razif Ira Ratnasari Isnaini Fajariah I’in Masfiyah Jamil, Ahmad Mochtar Juhrotul Khulwah Junaedi Hasmi A Kurniawati, Ninuk Dian Linda Hapsari Lukman Hakim Luqman Nurhisam Masfiyah, I’in Mirrah Sammiyah Mohammad Jufriyanto Muhamad Bayhaqi Muhammad Anas Muhammad Luqman Fariz Munadi mursid, fadillah Muzzamil Muzzamil Nahara Eriayanti Neneng Dewi Nugroho Ari Wibowo Nur Fadlilah Nur Mukarromah Nurida, Anisa Nursalam, Nursalam Permana, Donny Pipit Festi Pipit Festi Wiliyanarti Pipit Festi Wiliyanarti Pipit Festi Wiliyanarti Pipit Festi Wiliyanarti Pipit Festi Wiliyanarti Pipit Festi Wiliyanarti Priyantini, Diah Purwanto Purwanto Purwanto Purwanto Rahmah Laila Rahman, Aditya Safarudin Ratna Agustin Reliani Reliani, Reliani Retno Sumara Rikhly Faradisy Mursyida ROHMAN, M.TAUFIQUR Septriana Puja Prameswari Sevira Gebby Pricillia Siswanto Agung Siswanto Agung Slamet Riyadi Slamet Riyadi Solikah, Amanat Sukadiono, Sukadiono Supatmi Supatmi Supriyono Supriyono Suswojo, Heru Syarifurrahman, Islam Thariq Malikul Mulki Uswatun Hasanah Uswatun Hasanah Vika , Ramadhana Fitriyani Vika Ramadhana Fitriyani Wilianarti, Pipit Festi Yuanita Wulandari Yuanita Wulandari Zuhrina Irma A’tiana