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Job satisfaction and turnover intention among public sector nurses: Is workload and burnout the issue? Dwinijanti, Lenny; Adhikara, M. F. Arrozi; Kusumapradja, Rokiah
JEMA: Jurnal Ilmiah Bidang Akuntansi dan Manajemen Vol. 17 No. 1 (2020): JEMA: Jurnal Ilmiah Bidang Akuntansi dan Manajemen
Publisher : University of Islam Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31106/jema.v17i1.4951

Abstract

The growing rate of nurse turnover is unavoidable and inevitable. Nursing considered one of the most stressful occupations in the health industry. Unfortunately, there are limited studies published in Indonesia that explain this phenomenon among clinical nurses. This study aims to describe the nurse job satisfaction and turnover intention at public hospitals from workloads and burnout perspective. The design used in this study was quantitative with the survey approach. The data were collected by using simple random sampling from the hospital (cluster B) nurses with the total participant was 190 nurses. The result of this study shows that workload and burnout affect job satisfaction directly. The mediator role of job satisfaction in the effect of workload and burnout on turnover intention is significantly proved. Interestingly, this study failed to prove the effect of workload on turnover intention which means that although many nurses experienced a heavy workload, the majority of nurses in this study feel that the workloads are still reachable or even low due to their young aged. They tend to keep the job since it’s difficult to find any other opportunities. They will intend to leave their job only if they experienced a greater level of burnout and disenchantment.
Public accountant professional skepticism behavior in improving audit quality: A path analysis Adhikara, M. F. Arrozi; Widodo, Agung Mulyo
JEMA: Jurnal Ilmiah Bidang Akuntansi dan Manajemen Vol. 20 No. 2 (2023): JEMA: Jurnal Ilmiah Bidang Akuntansi dan Manajemen
Publisher : University of Islam Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31106/jema.v20i2.20616

Abstract

This study investigates the relationship between behavioral observation responses, namely accountability, due professional care, and professional skepticism, and their collective influence on audit quality within public accounting firms. By highlighting the mediating role of professional skepticism, our study offers a model that integrates cognitive dissonance theory with attribution theory, thereby advancing understanding in the field. Furthermore, this study employs a one-shot study approach with individual auditors as the unit of analysis. Data was collected through surveys administered to auditors working in public accounting firms registered with The Indonesian Institute of Certified Public Accountants in Jakarta. The sample comprised 123 auditors selected via Stratified Random Sampling. Path analysis using the AMOS program was employed for data analysis. The results indicate that when auditors feel a sense of accountability and exercise due professional care, they are more inclined to approach their work with heightened skepticism, positively influencing audit quality. This suggests that accountability and due professional care serve as catalysts for fostering a critical mindset among auditors. Consequently, the combined impact of these factors, along with professional skepticism, significantly contributes to enhancing audit quality, highlighting the interconnectedness of these elements in driving effective auditing practices.
Nurse Resilience in The Covid-19 Pandemic at Palang Merah Indonesia, Bogor Hospital Fachturohman, Mochamad Arfan; Adhikara, MF Arrozi; Wahidi, Kemala Rita
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.v5i1.502

Abstract

Introduction: The nurse's performance was successful in carrying out the task and achieving the stated goals. The performance can be declared excellent and successful if the desired goals can be appropriately performed. Method: The design of this study was a correlational quantitative analytic study with a cross-sectional study design. The analysis technique used structural equation modeling. The sampling technique used probability sampling, namely disproportionate stratified. Measurements in this study used a questionnaire distributed to 210 respondents and a questionnaire that returned several 210 sets of questionnaires. Results: The results showed that quality of work-life, role conflict and work stress were influence to nurse performance; quality of work-life was an influence to work stress; role conflict was an influence to job stress; job stress was an influence to nurse performance; quality of work-life was an influence to nurse performance, and role conflict was an influence to nurse performance. Recommendation: The research implication for management has to improve the nurses’ performance by increasing the quality of work-life and controlling role conflict and work stress so that performance results become better and support achievement.
Effect of Transformational Leadership and Work Stress on Organizational Citizenship Behavior with Organizational Commitment as an Intervening Variable Arrozi, Muhammad Fachruddin; Tirtayasa, Charli Otman; Nofiarni, Nofiarni
International Journal of Nursing and Health Services (IJNHS) Vol. 5 No. 6 (2022): International Journal of Nursing and Health Services (IJNHS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v5i6.683

Abstract

Background. Organizational citizenship behavior (OCB) is defined as behavior that goes beyond formally defined roles and is not stated in the job description. Objective: The study aimed to examine the effect of Organizational Citizenship Behavior (OCB) that are influenced by the Transformational Leadership of the Head of the Inpatient Room, work stress, and nurse organizational commitment simultaneously. Method: This research uses a survey method with an explanatory causality approach. Data was collected by using a questionnaire and tested using Multiple Linear Regression Analysis. Result: Transformational leadership, job stress, and organizational commitment significantly affect organizational citizenship behavior simultaneously. Transformational leadership is the biggest factor. Organizational commitment can mediate the effect of Transformational Leadership and work stress on Organizational Citizenship Behavior. Transformational leadership significantly affects Organizational Commitment, Work Stress significantly affects Organizational Commitment, Organizational Commitment significantly affects Organizational Citizenship Behavior, and Transformational Leadership significantly affects Organizational Citizenship Behavior. Work stress significantly affects Organizational Citizenship Behavior. Implication: This study helps hospital management to promote a more effective work culture through Transformational Leadership training, Organizational Citizenship Behavior of Heads of Inpatient rooms, and a new method of selecting new nurses recruitment by HRD and long-term prosocial improvement for senior employees
Influence Of Work Environment And Social Support On Nurse Performance At Tzu Chi Hospital With Organizational Culture As An Intervening Variable Rina Wahyuni; Arrozi Adhikara; Kemala Rita
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 1 No. 3 (2024): Juli : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v1i3.331

Abstract

Human resources have an important position for an organization or company. Human resources play a dominant role in carrying out company operations and achieving predetermined goals. Therefore, organizations need to respect all aspects of employees in order to create quality human resources and superior performance. Superior performance can be achieved through a quality work environment, social support and organizational culture. The aim of this research is to analyze the simultaneous influence of the work environment and social support on the performance of nurses at Tzu Chi Hospital with work organizational culture as an intervening variable. The research method used is data analys. The population of this study was 142 nurses (full time) who had worked for more than 1 year at Tzu Chi Hospital. The sample in this study was all nurses (full time) who had worked for more than 1 year at Tzu Chi Hospital totaling 142 people. Research results: There is a significant influence between the work environment on organizational culture with an influence of 0.373 or 37.3%, there is a significant influence of social support on organizational culture with a large influence of 0.511 or 51.1%, there is a significant influence of the work environment on employee performance with an influence of 0.475 or 47.5%, there is no significant influence of social support and organizational culture on employee performance.
The Influence of Leadership Style and Remuneration System on Improving Individual Performance of Central General Hospital Employees Dr. Sitanala Tangerang with Work Culture as an Intervening Variable Deny Erfin; Arrozi Adhikara; Anastina Tahjoo
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 1 No. 3 (2024): Juli : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v1i3.341

Abstract

To produce employees who have good quality and have a professional attitude, it is necessary to carry out good management, in order to increase the company's economic resources. Previously reported by RSUP Dr. Sitanala has a leader with a leadership style where all provisions are based on the leadership's provisions, optimizing public stigma regarding leprosy-oriented services that have not reached the expected target, a lack of visits which has an impact on the remuneration system being less than optimal, performance indicator values ​​that have not reached the target, lack of Community satisfaction is still relatively high in the community satisfaction index survey. The aim of this research is to analyze the influence of leadership style and remuneration systems on improving employee performance at RSUP Dr. Sitanala Tangerang with work culture as an intervening variable. Research method the research design used was a survey with an explanatory causality approach. The population used is all employees who have the status of Civil Servants (PNS) at RSUP Dr. Sitanala, numbering 340 people. The sample in this study amounted to 183 people, the sampling technique used was accidental sampling. There is a direct and significant influence between leadership style and remuneration on work culture, there is an indirect influence of leadership style on employee performance, there is a direct influence of remuneration on employee performance, work culture directly has a significant influence on improving performance and the remuneration system has a direct influence towards improving performance without going through work culture. For hospitals, hospital leaders should always monitor each work unit both from an objective and subjective performance perspective as well as from the individual employee perspective so that they can find out directly what the obstacles, complaints and needs of individual employees are in carrying out teamwork in each work unit at once. can control the continuity of performance of each individual employee as a work culture within the team in the unit so that it is hoped that organizational goals will be achieved optimally. For other researchers: It is hoped that further research can further analyze other aspects and influences that can achieve organizational goals with a wider range of respondents. There are still many other aspects and influences that could possibly be used as research targets for development at the hospital in question.
PENGARUH KUALITAS KEHIDUPAN KERJA DAN ORIENTASI TIM TERHADAP SIKAP ALTRUISME DENGAN PERAN MEDIASI KOMITMEN ORGANISASIONAL Wardani, Isma Prasetya; Kusumapradja, Rokiah; Adhikara, Arrozi
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 3 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i3.37190

Abstract

Tujuan penelitian ini adalah untuk mengungkap secara empiris pengaruh kualitas kehidupan kerja, orientasi tim dan komitmen organisasional terhadap sikap altruisme, pengaruh kualitas kehidupan kerja terhadap komitmen organisasional, pengaruh orientasi tim terhadap komitmen organisasional, pengaruh kualitas kehidupan kerja terhadap sikap altruisme, pengaruh orientasi tim terhadap sikap altruisme, peran komitmen organisasional memediasi pengaruh kualitas kehidupan kerja terhadap sikap altruisme, dan peran komitmen organisasional memediasi pengaruh orientasi tim terhadap sikap altruisme. Jenis penelitian termasuk dalam penelitian kuantitatif dengan desain kausalitas. Populasi yang digunakan adalah perawat rawat inap dengan teknik sampling menggunakan purposive sampling. Teknik pengumpulan data menggunakan kuesioner dan metode analisis data dalam penelitian ini menggunakan analisis three box method, metode Structural Equation Model (SEM), dan analisis jalur menggunakan SPSS sebagai pembanding. Hasil penelitian menunjukan bahwa secara simultan dan parsial kualitas kehidupan kerja, orientasi tim dan komitmen organisasional berpengaruh terhadap sikap altruisme. Kualitas kehidupan kerja berpengaruh terhadap komitmen organisasional, sedangkan orientasi tim tidak berpengaruh terhadap komitmen organisasional. Komitmen organisasional tidak memediasi hubungan kualitas kehidupan kerja dan orientasi tim terhadap sikap altruisme. Orientasi tim merupakan variabel dominan dalam pengaruh terhadap sikap altruisme. Sehingga diketahui bahwa sikap altruisme sebagai faktor yang diperlukan dalam hasil kerja tim perawat dapat ditingkatkan melalui upaya peningkatan kualitas kehidupan kerja, orientasi tim dan komitmen organisasional.
Influence of Brand Image and Service Quality, and Word of Mouth for Selecting Fertility Clinic Wenny; Andry, Andry; Arrozi, Muhammad Fachruddin
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.v7i5.798

Abstract

Background: Several factors influence the patient's decision in choosing a hospital such as Brand Image, Service Quality and also from family/friends’ recommendations through Word of Mouth. Objective: The study aimed to analyze the impact of Brand Image and Service Quality on fertility clinic selection decisions with Word of Mouth as an intervening variable. Method: A cross-sectional study was applied in this study. We involved 99 respondents using the purposive sampling technique. The statistically analysis using the path analysis regression model. Result: This study found that Brand Image had no significant influence on the Word of Mouth and did not affect the Clinical Selection. Word of mouth did not significantly mediate the influence of the Brand Image on the Clinic Selection Decision. Conclusion: specific aspects of brand image and service quality such as success rates, patient care, and facilities. Recommendation: hospitals should improve all dimensions of service quality in order to improve the good patients experience. The future study could add some factors associated with intention to use the fertility clinic
Pengaruh Persepsi Manajemen Perubahan Terhadap Kinerja Dokter Dengan Gaya Kepemimpinan Transformasional Dan Resistensi Sebagai Variabel Intervening R. M, Elvina.; Adhikara, M.F Arrozi; Kusumapradja, Rokiah
GEMA EKONOMI Vol 12 No 3 (2023): GEMA EKONOMI
Publisher : Fakultas Ekonomi Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/https://doi.org/10.55129/.v12i4.2927

Abstract

Physician performance cannot be assessed in general because it concerns the patient's clinical outcomes to the services provided. Change management is a strategy used to maintain the position of RS in today's business world, if change management is not prepared and managed properly, it will cause resistance and affect performance, especially if without the support of leaders who have a transformational leadership style. The purpose of this study was to analyze the effect of change management on physician performance mediated by transformational and resistance leadership styles. This study is an explanatory research with a quantitative approach in the form of using hypothetical causality on 62 doctors who worked at least 1 year before change management occurred. The data analysis methods used are the Three Box Method and path analysis. In this study, it was found that the perception of change management has a negative and significant influence on doctor performance, the perception of change management does not have a significant effect on transformational leadership style, the perception of change management has a positive and significant effect on resistance, transformational leadership style has a positive and significant effect on doctor performance, resistance has a positive and significant effect on doctor performance, leadership style Transformational has a positive and significant effect on resistance and the perception of change management has a significant positive effect on clinician performance if mediated by transformational leadership style and resistance as intervening variables.
Analisis Efektivitas Biaya Seksio Sesarea Metode Eracs Dan Non-Eracs Pada Pasien Bpjs Kesehatan Selfie, Selfie; Arrozi, MF; Silviana Mustikawati, Intan
Journals of Ners Community Vol 14 No 2 (2023): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v13i2.2782

Abstract

Penelitian ini bertujuan untuk mengetahui perbedaan efektivitas biaya operasi seksio sesarea antara metode Eracs dan Non-Eracs pada pasien BPJS Kesehatan di RS Krakatau Medika IHC Cilegon. Desain penelitian yang digunakan adalah potong lintang dengan metode analisisnya yang bersifat kuantitatif komparatif, dimana efektivitas biaya dilakukan analisis dengan metode Average Cost Effectiveness Ratios (ACER). Terdapat 2 kelompok sampel penelitian, yaitu kelompok pertama; 25 pasien yang dilakukan seksio sesarea metode Eracs dan kelompok kedua; 25 pasien yang dilakukan seksio sesarea metode Non-Eracs. Penelitian ini menunjukkan bahwa terdapat perbedaan rerata biaya operasi seksio sesarea antara metode ERACS dan Non-ERACS. Biaya operasi seksio sesarea lebih rendah pada kelompok dengan metode ERACS secara signifikan (p<0,05). Juga didapatkan bahwa operasi seksio sesarea metode ERACS lebih cost effective dibandingkan dengan metode Non-ERACS. Implikasi hasil penelitian terdiri dari implikasi teoritis dan implikasi praktis. Berdasarkan hasil analisis yang dilakukan bahwa operasi seksio sesarea metode ERACS lebih cost effective dibandingkan dengan metode Non- ERACS. Hal ini dapat digunakan sebagai pertimbangan dalam mengambil keputusan dan kebijakan yang sesuai dengan kendali mutu dan kendali biaya pada pasien dengan penjaminan BPJS Kesehatan, sehingga dapat disarankan pada pasien yang direncanakan persalinan secara operasi seksio sesarea agar dipilih metode ERACS.
Co-Authors Adityarini, Danuta Adrie Putra Agus Munandar Alfira Ulfa Anastina Tahjoo Andry Andry Andry Andry ANDRY, ANDRY Anugrah, Faisal Arham Irzan Chooky Novalino Christophera R Lucius CSP Wekadigunawan Danuta Adityarini Deny Erfin Dihin Septyanto Dwinijanti, Lenny Elvina. R. M Endah, Nur Jannah Endang Ruswanti Erish Harry Angkat Erry Yudhya Mulyani F, Dewi Diah Fachturohman, Mochamad Arfan Fahad Fahad Fatia Maulida Febriarukmini, Rumbita Feni Endah Trisnawati Ferry Ferdian Nugraha Guntur Desar Dwiputra Handayani, Sri Harahap, Riska Anjla Indah Nurpala, Siti Hardiyati Irianto, Sugeng Eko Jatmiko Jatmiko Jatmiko, Jatmiko Kemala Rita Kristanti M., Novera Kristanti M., Novera Kurnia Ramadhan KUSMAPRADJA, ROKIAH Kusumapradja, Rokiah Kusumapradja, Rokiah Lenny Dwinijanti Luciana Indah Permatasari Lucki Lucki Maslichah, Maslichah Mochammad Adam Eldi Mohamad Reza Hilmy Mulyanah Mulyanah Mulyanah, Mulyanah Musaida, Musaida Namira Azzahra Nofiarni, Nofiarni Nofierni, Nofierni Novadiana, Novadiana Nur Diana Nur Diana Permatasari, Luciana Indah R. Fresley Hutapea R. M, Elvina. Rahmawati, Wawah Reza Fadhilla Rian Adi Pamungkas Rina Anindita Rina Mutiara Rina Wahyuni Rini Handayani Rizaldi, Fredy Rosida Siboro Royhisar Martahan Simanungkalit Rumbita Febriarukmini sandra dewi Santowijaya, Alfadli Sapto Jumono Saputra, Sugiyono Selfie, Selfie Setyati, Ritta Setyati, Ritta Silviana Mustikawati, Intan Solly Aryza Sri Handayani Sudarwan, Sudarwan Sugiyanto - Sugiyanto, Sugiyanto Suharna, Jaka Supriyantoro Supriyantoro Suriadi Suriadi Susanthy, Adhita Taufiq Tirtayasa, Charli Otman Ummanah Ummanah, Ummanah Victor Livinus Victor Livinus, Victor Wahidi, Kemala Rita Wahyuni Dian Wahyuni, Yulia Wardani, Isma Prasetya WD Purwati Wekadigunawan, CSP Wenny Widodo, Agung Mulyo