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Analysis Of The Influence Of Nurse Competence, Teamwork, And Supervision Techniques In Patient-Centered Care Implementation At RSUD Dradjat Prawiranegara Aulia Rahman Hakim, Ari; Rita Wahidi, Kemala; Silviana Mustikawati, Intan
Jurnal Health Sains Vol. 6 No. 9 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i9.2706

Abstract

Patient-focused care is a comprehensive, responsive, and integrated health service approach, with the aim of meeting the diverse needs of patients and their families. This approach emphasizes the importance of the role of health workers, especially nurses, in providing services that are not only oriented towards medical actions, but also towards patient preferences, values, and expectations. Purpose: This study aims to analyze the influence of nurse competence and teamwork on patient-focused care, with supervision techniques as a mediating variable, at Dr. Dradjat Prawiranegara Regional General Hospital, Serang Regency, Banten. Method: The type of research used is quantitative with a descriptive analytical design. Data collection was carried out through questionnaires. Data analysis includes descriptive analysis using the three box method approach, as well as inferential analysis using Structural Equation Modeling–Partial Least Square (SEM-PLS). Population and Sample: The study population was all nurses working in the inpatient ward of Dr. Dradjat Prawiranegara Regional General Hospital, Serang, with a sample size of 250 nurses. Results: The study shows that nurse competence and teamwork have a significant effect on supervision techniques. Furthermore, nurse competence, teamwork, and supervision techniques had both partial and simultaneous effects on the implementation of patient-centered care. The R-square test results also confirmed that these three independent variables simultaneously made a strong contribution to achieving patient-centered care in hospitals.
Pengaruh Motivasi Dan Pengetahuan Terhadap Kepatuhan Pemberian Antibiotik Profilaksis Dengan Sikap Sebagai Faktor Intervening Di Instalasi Bedah Sentral Rs X Di Jakarta Cahyarini, Cahyarini; Wahidi, Kemala Rita; Kusumapradja, Rokiah; Pathiussina, Rimba Trishuta
Journal of Economics and Business UBS Vol. 14 No. 5 (2025): Journal of Economics and Business UBS
Publisher : Cv. Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52644/262rd891

Abstract

Meningkatnya jumlah Infeksi Daerah Operasi (IDO) menyebabkan kerugian bagi pasien, termasuk morbiditas, mortalitas, dan lamanya rawat inap. RS X berupaya memberikan pelayanan terbaik dengan memberikan antibiotik profilaksis sebelum operasi, yang terbukti efektif dalam mengurangi kejadian IDO. Penelitian ini bertujuan untuk menganalisis pengaruh motivasi dan pengetahuan terhadap kepatuhan pemberian antibiotik profilaksis di instalasi bedah sentral RS X, dengan sikap sebagai faktor intervening. Metode yang digunakan adalah penelitian cross-sectional dengan sampel 54 dokter operator. Analisis dilakukan menggunakan SEM-PLS. Hasil menunjukkan bahwa motivasi dan pengetahuan tidak memiliki pengaruh signifikan secara langsung terhadap kepatuhan pemberian antibiotik profilaksis. Namun, sikap memiliki pengaruh signifikan terhadap kepatuhan tersebut. Selain itu, pengetahuan berpengaruh signifikan terhadap sikap dokter, sementara motivasi tidak. Sikap juga memediasi pengaruh motivasi dan pengetahuan terhadap kepatuhan, sehingga dapat memperkuat atau melemahkan pengaruh tersebut. Temuan ini menunjukkan pentingnya sikap dokter dalam meningkatkan kepatuhan pemberian antibiotik profilaksis untuk mencegah IDO dan meningkatkan kualitas pelayanan di RS X.
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.
The Influence of Knowledge, Motivation and Compliance of Nurses in Implementing Blood Transfusion SPO on Patient Safety in the Inpatition Installation of Persahabatan Hospital At Thaariq, Pertiwi; Wahidi, Kemala Rita; Mulyani, Erry Yudhya
Arus Jurnal Sains dan Teknologi Vol 1 No 1: Oktober (2023)
Publisher : Arden Jaya Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57250/ajst.v1i1.302

Abstract

Pelayanan transfusi darah merupakan prosedur medis yang penting dalam penanganan pasien dengan kondisi yang memerlukan suplai darah tambahan. Dalam implementasinya terdapat beberapa tantangan yang dapat mempengaruhi kualitas pelayanan transfusi darah di rawat inap, khususnya keselamatan pasien. Tujuan penelitian adalah menganalisis pengaruh secara parsial dan simultan pengetahuan, motivasi dan kepatuhan perawat terhadap keselamatan pasien di Instalasi Rawat Inap RS Persahabatan. Metode yang digunakan dalam penelitian ini adalah regresi linier berganda dan deskriptif dengan metode tiga kotak. Hasil penelitian ini menemukan bahwa pengetahuan, motivasi dan kepatuhan mampu mempengaruhi keselamatan pasien baik secara parsial maupun simultan. Variabel pengetahuan, motivasi dan kepatuhan mampu mempengaruhi keselamatan pasien sebesar 65,4%. Kesimpulan dari penelitian ini adalah pengetahuan merupakan variabel yang pencapaian indeksnya paling rendah dan berada pada kategori sedang, sehingga faktor ini dapat menjadi fokus rumah sakit untuk memperbaiki hal tersebut. Rumah sakit dapat fokus pada peningkatan pengetahuan perawat, misalnya melalui pelatihan rutin. Variabel kepatuhan merupakan variabel yang mempunyai pengaruh paling tinggi terhadap keselamatan pasien dan diharapkan perawat dapat melaksanakan transfusi darah sesuai Standar Operasional Prosedur (SOP) mulai dari persiapan dan pelaksanaan.
ANALISIS PENGARUH KOMPETENSI DAN PELATIHAN TERHADAP KINERJA DENGAN MOTIVASI KERJA SEBAGAI VARIABEL INTERVENING PADA PERAWAT INSTALASI RAWAT INAP RSUD TIPE B DI TEGAL Erfa, Roro Kusnabilla; Wahidi, Kemala Rita; Aida, Mus
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/johm.v6i01.5794

Abstract

This research is based on the dynamics of service quality problems in 2020-2021 reflecting problems regarding the performance of nurses in inpatient rooms in serving patients. The purpose of this study was to obtain evidence of the effect of competence and training on the performance of nurses in inpatient installations, with work motivation as an intervening variable. The research design used a cross sectional study, with a population of 135 inpatient installation nurses. The sampling technique used the probability sample and used a saturated sample so that the entire population was sampled using a simple random sampling technique. The results of the study prove that competence and training have a positive and significant direct effect on work motivation and performance, work motivation has a positive and significant direct effect on performance, and work motivation has a positive role in mediating the relationship between competence and training on nurse performance. Competence and training programs provided by the organization, will have an impact on increasing higher performance, if there are motives from nurses in the form of responsibility, expectations for progress, the work itself, achievement and recognition, the existence of organizational support related to the work context as the basis for driving their willingness to carry out the tasks assigned to him.
Peran Kepemimpinan Kepala Ruang Rawat terhadap Penerapan Budaya Keselamatan Pasien di Rumah Sakit Hexanini, Clara Pelita Sri; Wahidi, Kemala Rita; Anindita, Rina
Journal of Hospital Management Vol 4, No 01 (2021): Journal of Hospital Management
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/.v4i01.4462

Abstract

Introduction: In an effort to improve the quality and safety of patients, leaders / managers at the Hospital must be aware of and strive to build a patient safety culture. The application of effective communication is one of the important elements in building patient safety. The number of unexpected events is due to the implementation of effective communication that is not in accordance with the standard, resulting in the desired clinical message not reaching the expectations. The Head of Ward Nurse is a nursing manager who is directly related to health service activities at the Hospital. The Head of Ward Nurse as the lower manager is expected to be able to carry out all management functions so that the environment and working conditions will support nursing services in maintaining patient safety. This study uses quantitative research design with survey methods using questionnaires as instruments. Data analysis method uses Structural Equation Model (SEM). Respondents of this study were 180 nurses at the EMC Hospital in Tangerang. The results showed that the leadership role variable of the head of room had a positive effect on the application of the patient safety culture and the application of effective communication had a positive effect on the patient safety culture, and the leadership role of the room head had a positive effect on the implementation of patient safety culture.Keywords: Patient Safety Culture, Effective Communication, Leadership Role of Ward Nurse
Peran Kepemimpinan Kepala Ruangant erhadap Pencegahan Risiko Jatuh dalam Keselamatan Pasien di Rumah Sakit Indriaty, Julia; Kusumapradja, Rokiah; Wahidi, Kemala Rita
Journal of Hospital Management Vol 4, No 01 (2021): Journal of Hospital Management
Publisher : Lembaga Penerbitan Universitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/johm.v4i01.4461

Abstract

Background: The high number of patients falling for a year in a hospital is a serious problem in the hospital because the incidence of falling patients is one indicator of patient safety. The purpose of this study was to analyze the application of falling risk prevention management and training on the implementation of patient safety with the leadership role of the head of the room as an intervening variable. The research uses quantitative research methods with survey methods with questionnaires and Structural Equation Model (SEM) analysis methods, Amos version 23. Research samples of nurses who have received patient safety training are 178 nurses. From the results of testing the model has met the Goodness of fit criteria. The results of this study indicate that the risk reduction prevention management variable has a positive effect on patient safety, training has a positive effect on patient safety management. The implementation of falling risk management has a positive effect on the leadership role of the head of room, training has a positive effect on patient safety management, training has a positive effect on risk management the leadership role of the head of the room has a positive effect on patient safety. The direct coefficient of patient risk falls on patient safety is greater than the indirect coefficient shows there is an indirect effect of the patient's risk of falling on the implementation of patient safety through the leadership role of the head of the room. the direct coefficient of training on patient safety is greater than the indirect coefficient indicating there is an indirect effect of patient safety training on the implementation of patient safety through the leadership role of the head of the room. and the lack of optimal training obtained by the head of the room resulted in his leadership role not being optimally performed. The management of RSUD Cengkareng in this case was providing a budget, and giving the head of the room the opportunity to take part in training that could support the leadership of the head of the room.Keywords: Management of Risk Prevention of Falling, Training, Implementation of Patient Safety, Role of Leadership of Room Heads
Clinical Leadership Mediating Nurses’ Knowledge and Motivation in Patient Safety Goal Implementation Endang Triyani Kusuma Widyawati; Duta Liana; Kemala Rita Wahidi
ePaper Bisnis : International Journal of Entrepreneurship and Management Vol. 3 No. 1 (2026): ePaper Bisnis : International Journal of Entrepreneurship and Management
Publisher : Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/epaperbisnis.v3i1.684

Abstract

The implementation of Patient Safety Goals remains a major challenge in hospital management, particularly in ensuring consistent compliance among nurses. This study aims to analyze the influence of nurses’ knowledge and motivation on the implementation of Patient Safety Goals, with clinical leadership positioned as a mediating variable. A quantitative cross-sectional design was employed in a general hospital in Jakarta, Indonesia. Data were collected from 119 nurses across inpatient, outpatient, emergency, and operating units using structured questionnaires. The data were analyzed using Structural Equation Modeling (SEM) with AMOS, supported by the Three-Box Method to assess the level of variable achievement. The results indicate that nurses’ knowledge and motivation have a significant direct effect on clinical leadership. Clinical leadership also demonstrates a significant positive effect on the implementation of Patient Safety Goals. Furthermore, clinical leadership plays a significant mediating role in the relationship between both nurses’ knowledge and motivation and the implementation of Patient Safety Goals. The model explains 76.67% of the variance in Patient Safety Goal implementation, highlighting the strategic role of clinical leadership in translating individual competencies into safe clinical practices. These findings contribute to healthcare management literature by reinforcing the importance of clinical leadership as an organizational mechanism that strengthens patient safety performance. From a managerial perspective, the study emphasizes that improving patient safety outcomes requires not only enhancing nurses’ knowledge and motivation, but also systematically developing clinical leadership competencies. Hospital management is encouraged to invest in leadership development programs, supportive supervision, and non-punitive incident reporting systems to ensure sustainable implementation of Patient Safety Goals.
Analysis of the Influence of Knowledge and Work Environment on Patient Safety Culture With Attitude as a Mediating Variable in RSUD Serpong Utara Mutiara Meilyn Pane; Anastina Tahjoo; Kemala Rita Wahidi
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 2 (2026): April: 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.v3i2.3053

Abstract

Patient safety culture is a critical component in healthcare organizations, reflecting the values, attitudes, competencies, and behavioral patterns that ensure safe patient care. This study aims to analyze the influence of knowledge and work environment on patient safety culture, with attitude serving as an intervening variable. A quantitative approach with an explanatory causal design was employed, involving 118 nurses as respondents selected through total population sampling. Data were collected using structured questionnaires and analyzed using Structural Equation Modeling with Partial Least Squares. The findings reveal that both knowledge and work environment have a significant direct effect on patient safety culture. Additionally, knowledge and work environment significantly influence attitudes, while attitudes themselves have a significant effect on patient safety culture. However, attitude does not mediate the relationship between knowledge and patient safety culture, but it does mediate the influence of the work environment on patient safety culture. These results indicate that improving nurses’ knowledge and creating a supportive work environment are essential strategies for strengthening patient safety culture. The study also highlights the importance of fostering positive attitudes through organizational support and conducive working conditions. The implications suggest that hospital management should focus on continuous training programs, enhancing workplace conditions, and developing systems that promote positive behavioral attitudes among healthcare workers to improve overall patient safety outcomes.
Determinants of Electronic Nursing Medical Record Implementation Success, Infrastructure Readiness, Digital Liteacy, and Perceived Usefulness Farida Farida; Munawar Munawar; Kemala Rita Wahidi
International Journal of Economics and Management Sciences Vol. 3 No. 2 (2026): May : International Journal of Economics and Management Sciences
Publisher : Asosiasi Riset Ekonomi dan Akuntansi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/ijems.v3i2.1216

Abstract

The implementation of Electronic Medical Records (EMR) is a key component of healthcare digital transformation, as mandated by the Minister of Health Regulation Number 24 of 2022. EMR is expected to enhance efficiency, accuracy, and the quality of nursing services. However, its implementation at M Hospital continues to face challenges, particularly in terms of infrastructure readiness and the digital literacy of nursing staff. This study aims to analyze the effects of infrastructure readiness and digital literacy on the implementation of nursing EMR, with perceived usefulness as an intervening variable. A quantitative cross-sectional design was employed, involving all nurses at M Hospital, with a total sample of 100 respondents using total sampling. Data were collected through structured questionnaires and analyzed using SEM-PLS. The results indicate that infrastructure readiness and digital literacy have both direct and indirect effects on EMR implementation through perceived usefulness (p < 0.05). Among the independent variables, infrastructure readiness demonstrates the strongest influence. These findings support existing theories and prior research. From a managerial perspective, the results highlight the importance of improving infrastructure to optimize EMR implementation. In conclusion, infrastructure readiness and digital literacy significantly influence the successful implementation of nursing EMR, with perceived usefulness acting as a key mediating factor.