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All Journal Journal of Nutrition and Health Media Kesehatan Masyarakat Indonesia Jurnal Kesehatan Lingkungan indonesia Jurnal Kesehatan Masyarakat Jurnal Kebijakan Kesehatan Indonesia VISIKES LINK Jurnal Administrasi Kesehatan Indonesia Jurnal NERS Jurnal Keperawatan dan Kesehatan Masyarakat CENDEKIA UTAMA Jurnal Kesehatan Masyarakat (JKM) CENDEKIA UTAMA EKOMBIS REVIEW: Jurnal Ilmiah Ekonomi dan Bisnis Jurnal Manajemen Kesehatan Indonesia Jurnal Ilmiah Mahasiswa Dentino: Jurnal Kedokteran Gigi HIGEIA (Journal of Public Health Research and Development) Indonesian Journal of Early Childhood Education Studies Jurnal Penelitian Kesehatan Suara Forikes Jurnal Kesehatan Vokasional Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Kesehatan Komunitas Fokus Ekonomi Media Ilmu Kesehatan Journal of Public Health for Tropical and Coastal Region Journal of Maternal and Child Health Journal of Health Science and Prevention Media Keperawatan Indonesia Holistik Jurnal Kesehatan Jurnal Kepemimpinan dan Manajemen Keperawatan Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Kesehatan Global Unnes Journal of Public Health Public Health Perspective Journal Jurnal Riset Kesehatan Poltekkes Depkes Bandung Medical Technology and Public Health Journal Darmabakti Cendekia: Journal of Community Service and Engagements Contagion: Scientific Periodical Journal of Public Health and Coastal Health Jurnal Kesmas (Kesehatan Masyarakat) Khatulistiwa PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Ners Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Ekomaks : Jurnal Ilmu Ekonomi, Manajemen, dan Akuntansi G-Couns: Jurnal Bimbingan dan Konseling Jurnal Promotif Preventif International Islamic Medical Journal Jurnal Kesehatan Tambusai JOURNAL LA MEDIHEALTICO MAHESA : Malahayati Health Student Journal Journal of Community Development Cermin Dunia Kedokteran Media Publikasi Promosi Kesehatan Indonesia (MPPKI) International Journal of Science and Society (IJSOC) Indonesian Journal of Multidisciplinary Science Journal of Social Research Medical Sains : Jurnal Ilmiah Kefarmasian Quality : Jurnal Kesehatan Eduvest - Journal of Universal Studies Jurnal Pengabdian West Science Ranah Research : Journal of Multidisciplinary Research and Development IIJSE Jurnal Lentera Kesehatan Masyarakat (JLKM) Medical Sains : Jurnal Ilmiah Kefarmasian Holistik Jurnal Kesehatan Jurnal Ragam Pengabdian JHE (Journal of Health Education)
Septo Pawelas Arso
Departement Of Public Health, Faculty Of Public Health, Universitas Diponegoro
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Factors Influencing Nurse Turnover Intentions: A Comprehensive Review of Global Evidence on Organizational, Psychosocial, and Leadership Dimensions Fitiani, Melisa Anggar; Suryawati, Chriswardani; Arso, Septo Pawelas
Media Keperawatan Indonesia Vol 8, No 4 (2025)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.8.4.2025.320-329

Abstract

The stability of healthcare around the world is seriously threatened by nurse turnover intention, which is a primary predictor of actual turnover. The necessity to comprehend contributing elements is highlighted by the 47.7% new nurse turnover rate in Korea, which costs over USD 33,733 per nurse. This comprehensive review synthesizes quantitative, qualitative, and mixed-methods evidence to map factors that influence nurse turnover intention across hospital settings. Using a PRISMA-ScR approach, a literature search for "factors of nurse turnover" in Scopus produced 2,274 articles; 13 of these met inclusion criteria and were subjected to thematic analysis. Four primary areas were identified: leadership style (transformational, toxic, bullying), psychosocial aspects (work-life balance, job satisfaction, distress, and social support), and organizational factors (work environment, mentorship). Work-life balance and job satisfaction reduce risk by 30–40%, while a supportive work environment and adequate resources reduce turnover by 10–20%. While toxic or bullying leadership significantly raises turnover intention (β=0.51), transformational leadership enhances retention by 0.082 per unit. There are significant regional differences; for instance, 81.4% of Kenyan nurses plan to quit because their pay is less than $500 USD, which increases the probability of turnover three to five times. The use of cross-sectional research (76.9%) and the lack of worldwide representation are examples of gaps in the literature. To increase retention, holistic approaches that incorporate transformational leadership training, mental health assistance, healthy workplaces, and equitable pay are crucial.
Analysis of Factors Related to Outpatient Revisit at Waled Regional General Hospital, Cirebon Regency Nisa Soffiyani; Ayun Sriatmi; Septo Pawelas Arso
Journal of Social Research Vol. 5 No. 2 (2026): Journal of Social Research
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/josr.v5i2.3038

Abstract

Marketing strategy is important in marketing management. Hospitals need to develop effective strategies to increase outpatient service visits. This study aims to analyze the relationship between the Segmenting, Targeting, and Positioning (STP) strategy with outpatient revisits at Waled Hospital, Cirebon Regency. The design used was quantitative descriptive with a cross-sectional approach in 110 patients (Slovin, 10% error tolerance) who were selected by consecutive sampling. Primary data were collected using a Likert scale questionnaire that was tested for validity (p<0.05) and reliability (?>0.60). The analysis included univariate for perception and bivariate using Chi-Square test (?=0.05) and Spearman Rank test (?=0.05). The results of the respondent's characteristic test showed that it was not related to the outpatient revisit of Waled Hospital. The results showed positive perceptions of segmenting (easy access, services for all ages, easy flow) and positioning (quality is considered good, many polyclinics, affordable prices), while targeting was relatively weak (innovation and promotion are less attractive; routine treatment is low). Although the proportion of repeat visits was higher in the "good" category in each variable, the Spearman Rank test showed a significant relationship between segmenting (p=0.320), targeting (p=0.287), and positioning (p=0.491) and repeat visits. These findings indicate the need to focus attention on other components of healthcare and a follow-up evaluation of hospital marketing strategies to ensure alignment with patient needs and perceptions.
Model dan Gaya Kepemimpinan yang Berhubungan dengan Motivasi Kerja serta Dampaknya terhadap Kinerja Pelayanan Prima Perawat Rawat Inap : A Scoping Review Lucia Anniversary Simarmata; Ani Margawati; Septo Pawelas Arso
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55993

Abstract

Background Inpatient nurses play a key role in maintaining healthcare service quality. High job demands require effective leadership to sustain nurses’ work motivation and ensure excellent service delivery. Objective To examine the relationship between leadership styles, nurses’ work motivation, and excellent service performance in inpatient settings. Methods This study employed a scoping review based on PRISMA guidelines. Thirteen national and international articles published between 2021 - 2025 were analyzed using narrative synthesis. Results Transformational, democratic, participative, and supportive leadership styles were positively associated with nurses’ work motivation. Work motivation acted as a mediating factor strengthening the relationship between leadership and excellent service performance, reflected in increased empathy, proactive behavior, and adherence to service standards. Conclusion Effective leadership significantly enhances nurses’ work motivation and excellent service performance. Leadership approaches emphasizing support and participation are essential to improve nursing service quality. Keywords: leadership style, work motivation, nursing performance, excellent service
Faktor-Faktor Yang Mempengaruhi Kepuasan Pasien Pengguna BPJS Kesehatan: Scoping Review Irene Yunita Prihandini; Sri Winarni; Septo Pawelas Arso
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.56914

Abstract

Program Jaminan Kesehatan Nasional (JKN) melalui BPJS Kesehatan bertujuan meningkatkan akses masyarakat terhadap pelayanan kesehatan. Seiring meningkatnya jumlah peserta, kepuasan pasien menjadi indikator penting dalam menilai kualitas pelayanan kesehatan. Kepuasan pasien dipengaruhi oleh berbagai faktor yang berkaitan dengan pelayanan kesehatan, karakteristik pasien, dan sistem pelayanan BPJS. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang memengaruhi kepuasan pasien pengguna BPJS Kesehatan. Penelitian ini menggunakan desain scoping review dengan pendekatan Population, Concept, Context (PCC). Population adalah pasien pengguna BPJS Kesehatan, Concept adalah faktor-faktor yang memengaruhi kepuasan pasien (faktor pelayanan rumah sakit, faktor dari dalam diri pasien, dan faktor pelayanan BPJS), dan Context adalah pelayanan kesehatan di rumah sakit serta sistem pelayanan BPJS. Pencarian artikel dilakukan pada database PubMed, Scopus, Cochrane Library, dan Google Scholar menggunakan kata kunci terkait BPJS, patient satisfaction, dan health services. Proses seleksi artikel dilakukan menggunakan PRISMA-ScR. Hasil scoping review menunjukkan bahwa kepuasan pasien dipengaruhi oleh faktor pelayanan rumah sakit seperti kualitas pelayanan, sikap tenaga kesehatan, fasilitas, dan waktu tunggu. Faktor dari dalam diri pasien meliputi karakteristik sosiodemografi dan persepsi pasien, sedangkan faktor pelayanan BPJS berkaitan dengan sistem rujukan dan prosedur administrasi. Faktor pelayanan rumah sakit merupakan faktor yang paling dominan memengaruhi kepuasan pasien. Penelitian menyimpulkan bahwa kepuasan pasien pengguna BPJS Kesehatan dipengaruhi oleh faktor pelayanan rumah sakit, karakteristik pasien, dan sistem pelayanan BPJS, dengan faktor pelayanan rumah sakit sebagai faktor yang paling dominan.
Analisis Kualitas Pelayanan Rawat Inap Eksekutif Menggunakan Metode Servqual dan Importance Performance Analysis (IPA) di Rumah Sakit Budi Rahayu Pekalongan Anastasia Piramitha Angela Soesanto; Ayun Sriatmi; Septo Pawelas Arso
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.57206

Abstract

Kualitas pelayanan kesehatan berperan penting dalam menentukan kepuasan pasien dan keberlanjutan layanan rumah sakit. Evaluasi pelayanan rawat inap eksekutif diperlukan karena tingginya ekspektasi pasien serta tuntutan peningkatan mutu layanan. Penelitian ini bertujuan untuk menganalisis kualitas pelayanan rawat inap eksekutif di Rumah Sakit Budi Rahayu Pekalongan menggunakan metode SERVQUAL dan Importance Performance Analysis (IPA). Penelitian kuantitatif dengan desain cross sectional ini melibatkan 160 pasien sebagai responden melalui kuesioner pada dimensi kehandalan, daya tanggap, jaminan, empati dan bukti fisik. Hasil menunjukkan tingkat kepuasan pasien sebesar 98,84%, dengan tingkat kesesuaian tertinggi pada dimensi jaminan (100%), diikuti daya tanggap (99,41%), kehandalan (98,96%), empati (98,35%), dan bukti fisik (95,57%). Hasil IPA mengidentifikasi indikator prioritas perbaikan pada Kuadran I ada pada dimensi kecepatan administrasi, empati petugas, ketersediaan perawat standby 24 jam, dan fasilitas fisik di ruang rawat inap eksekutif. Upaya perbaikan perlu dilakukan secara sistematis melalui penguatan manajemen sumber daya manusia, optimalisasi proses administrasi berbasis digital, serta peningkatan komunikasi tenaga kesehatan berbasis patient-centered care. Selain itu, peningkatan kualitas dan keselamatan fasilitas melalui implementasi K3RS juga menjadi prioritas. Seluruh upaya tersebut perlu diintegrasikan dalam siklus peningkatan mutu berkelanjutan untuk meningkatkan kualitas pelayanan dan kepuasan pasien secara optimal.
Analisis Faktor Penyebab Klaim Pending BPJS Kesehatan Rawat Inap di Rumah Sakit : A Scoping Review Fitria Wijayanti; Chriswardani Suryawati; Septo Pawelas Arso
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.57429

Abstract

Latar Belakang: Klaim Pending BPJS Kesehatan merupakan salah satu permasalahan yang sering terjadi dalam proses pembiayaan pelayanan kesehatan di rumah sakit dan dapat berdampak pada aspek finansial serta mutu pelayanan. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi dan menganalisis faktor-faktor penyebab pending claim BPJS Kesehatan pada pasien rawat inap di rumah sakit. Metode: Penelitian ini menggunakan desain scoping review dengan sumber data dari Google Scholar, PubMed, Scopus, dan ScienceDirect. Seleksi artikel dilakukan berdasarkan kriteria inklusi dan eksklusi menggunakan pendekatan PRISMA, dan diperoleh 7 artikel yang relevan untuk dianalisis. Hasil: Hasil sintesis menunjukkan bahwa faktor administratif dan koding merupakan penyebab dominan klaim pending, terutama terkait ketidaklengkapan dokumen klaim dan ketidaktepatan pengkodean diagnosis serta tindakan medis. Selain itu, faktor klinis, teknis (sistem informasi), dan sumber daya manusia juga berkontribusi terhadap terjadinya pending claim. Kesimpulan: Pending claim BPJS Kesehatan merupakan permasalahan multidimensional yang memerlukan pendekatan komprehensif melalui peningkatan kualitas dokumentasi medis, akurasi koding, optimalisasi sistem informasi, dan penguatan kompetensi SDM.
Peran Patient-Centered Communication dan Komunikasi Terapeutik Terhadap Kepuasan Pasien di Rumah Sakit: Scoping Review Dessy Marlinda Primasari; Septo Pawelas Arso; Apoina Kartini
Jurnal Ners Vol. 10 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.58208

Abstract

Abstract Communication in healthcare services is an important indicator in determining the quality of hospital services, particularly in improving patient satisfaction. This study aims to analyze the role of communication, both patient-centered communication (PCC) and therapeutic communication, on patient satisfaction in hospitals through a scoping review. The scoping review was conducted based on the PRISMA-ScR guidelines using the PCC framework, which includes population (patients receiving hospital services), concept (healthcare communication such as PCC, therapeutic communication, and interpersonal communication), and context (hospital services). Article searches were conducted through PubMed, Scopus, Cochrane Library, and Google Scholar databases using the keywords (“patient-centered communication” OR “therapeutic communication”) AND (“patient satisfaction”) AND (“hospital”). A total of 18 articles met the inclusion criteria and reported that effective communication has a significant relationship with increased patient satisfaction across various hospital service units, including inpatient, outpatient, and emergency departments. The most influential aspects of communication include empathy, clarity of information, patient involvement, and the ability of healthcare providers to build interpersonal relationships and trust. In addition, other factors such as response time, service quality, and cleanliness also contribute to patient satisfaction, although their influence is not as strong as communication. These findings indicate that improving the communication skills of healthcare providers is an important strategy to enhance service quality and patient satisfaction in hospitals. Keywords: patient-centered communication, therapeutic communication, patient satisfaction, hospital services, scoping review.
Co-Authors Ade Kurniasari Ade Yuny Afriyanty Adhinda Nur Prativi, Adhinda Nur Aditya Kusumawati, Aditya Aditya Nugraha Agitiya, Jeremia Yohana Agung Budi Prasetijo Agung Budi Prasetijo, Agung Budi Ahmad Saroni Aini Nur Santi Aini Soeyono Ainur Rahma Alifa Nasyahta Rosiana Amad Mochamad Amalia Alifah Amirul Mukminin Anastasia Piramitha Angela Soesanto ANGELINE DEWI SUHENDRO Anggia Nuaristia Dewi Ani Margawati Anneke Suparwati Antono Suryo Putro Antono Suryoputro Antono Suryoputro Apoina Kartini Apriliana Susilowati, Apriliana Arie Sulistiyoningrum Arie Sulistiyoningrum Arina Noor Eka Rachmawati Aris Puji Widodo Ariyani, Ima Asri Rossnita Dewi Astuti, Sri Widi Ayu Dyah Pramesti Ayun Sriatmi Ayun Sriatmi Bella Sarwestri Lestari, Bella Sarwestri Bernadette Teni Febriana Budiyono Budiyono Budiyono, Shabrina Putri Caesar al Ahmed Daminggo Cahya Tri Purnami Chandrika Fahira Quamila Chotijah Karimah Christanto, Yonathan Ardhana Christanto Christiana Nindya Timur Cika Hanjani Pratiwi Cintaniagitas, Najla Fadia Daru Lestyanto Dea Devita Dea Devita Dessy Marlinda Primasari Dewi Susilowati Diah Eka Novitasari Dian Febrina Hutauruk Dian Widyaningrum Diantika, Aulia Haerda Dwiantoro, Luky Dyah Ayu Prabandani, Dyah Ayu Edlin Shufi Adam Eka Yunila Fatmasari Eka Yunila Fatmasari Eka Yunila Fatmasari, Eka Yunila Eko Hidayanto Eko Prihati Elyarna Shania Wahyudi Endang Fatmawati Eri Virdasari Etik Nindiya Setiya Ningrum Fachrudin, Nur Millati Hanifah Fandhira, Novalia Larissa Farid Agushybana Farid Farid Agushybana Fauzia, Rista Afriani Feny Widiyastuty Feny Widiyastuty Fidyanti Shabrina Junjungsari Fila Mulia Citra Permata Abadi Firman Firman Firsa Olivia Susan Fitiani, Melisa Anggar Fitria Wijayanti Gabrina Selvi Yanuarista Gani, Martinus Satya Gunarti, Gunarti Hanifah Iskhia Dilla Hanun, Hafida Zahara Hanwaring Puri, Citra Hapsari, Ika Sulistyaningrum Hartini Hartini Harwanto, Tri Hefi Dahlia Hela Ayu Ramadhan Husna, Eriana Mayasari Ika Sulistyaningrum Hapsari Indah Mutiara Puspita Sari Indana Aziza Putri Indrawati, Chaterina Ria Wahyu Indriani, Cynthia Rizky Irene Yunita Prihandini Irmawati, Refiola Irvine Nahla Anggraini Ismal Wahyu Isna Nurul Khomariah Iwan Yunianto J. Sugiarto Jafar Arifin, Jafar Jhovia Aloedya Pramana Jhovia Aloedya Pramana Joyo Minardo Karnoto . Kartika Yufi Aruming Melati Kawidian Putri Bayu Alam Khansa Maghfira Djatnika Kholidah, Miskiyatul Kholifatun Islami Khosyi, Vania Intana Lestari, Ayu Fina Lestari, Ayu Khusnia Lestari, Marselli Widya Lilis Setiyaningrum Lina Hanifah Linda Ayu Mustikasari Listia Ayuni Nur Afifah Lucia Anniversary Simarmata Luky Dwiantoro Lutfy Laksita Pranandari M. Abdurrahman Shidiq Made Weni Juliani Wismantari Madya Sulisno Madya Sulisno Maghfiroh, Ummi Lailatul Mahabara Yang Putra Martha Irene Kartasurya Mat Zudi Mateus Sakundarno Adi, Mateus Sakundarno Matius Sakundarno Adi Maudy Ritra Andini Maya Chrisdita Megawati Megawati Mei Tika Isdarini Meitrika Damayanti Melati, Ayu Sekar Mira Puspaningsih Mokhammad Aji Edo Susanto mufakhhir, Abdulaziez Muh, Fauzi Muhammad Farras Razin Perdana Muhammad Hasib Ardani Muhammad Hasib Ardani Murni Murni Mustikasari, Linda Ayu Nadia Dela Ayunda Nadzifah, Zalfa Naili Farida Nandini, S.KM., M.Kes, Nurhasmadiar Nisa Soffiyani Nisrina Aliftya Nissa Farzana Koesoemahardja Nopriwan Nopriwan Nugraha, Ega Nur Kurniawati Nurahmada, Dewi Nurdiyansyah, Andi Karisma Nurhasmadiar Nandini Nurhasmadiar Nandini Nurjazuli Nurjazuli Nurma Katrinnada Purwandari Nurul Balqis Shofiana Nurul Rizki Fitria Palawa Pangeran Hidayat Putra Paramita, Deskania Anggia Penggalih Mahardika Herlambang Prihati, Eko Prisma Armaya Priyadi Nugraha P Puri, Citra Hanwaring Putri Asmita Wigati Putri Asmita Wigati Putri, Farah Afanindya Jessedanta Putri, Maria Novencia Dwi Armita Rachel Karimah Raditya Noriski Rani Tiyas Budiyanti Rido Muid Riambodo Rika Rejeki Rina Yuliyanti Risa Rahayu Rista Afriani Fauzia Afriani Ristiyana, Lia Sarita Ritkha Aulia Fulansari Rizki Pamulat Sari Rohmah, Virda Inzatur Rosaningtyas, Wahyu Fajar Sabrilla Putri Gotama Salsabila Az Zahra Salsabilla Rushda Amrina Sari, Emy Novita Setyaningrum, Dian Setyarini, Reni Silavati, Yuni Adhita Sinta Indi Astuti Sintia Mashitoh Solikin Solikin Solikin Solikin Sri Gama Apriani Sri Winarni Sri Winarni Sri Winarni Sudiro Sudiro Sudiro Sudiro Sugeng Riyadi Sugeng Santoso Suryani Yuliyanti Susilaningrum, Rekawati Sutopo Patria Jati Suzanna Ratih Sari Syafira Risdanti Syafira Risdanti Syahidah, Putri Nadya Syahrul Hidayat Syifa Nur Fadhilah Syifa Sakinah Taufik Muhtarom Taufik Muhtarom Tio Dora Ultaria S. Tomi Konstantia Setiaji, Tomi Konstantia Tri Harwanto Tri Yuliastuti Untari Fajar Suryani Vienda Wirani Vinda Dwi Eriyanti WATI, DEWI KUSUMA Widyastuti, Rachma Dwi Wijaya Hermawan, Gandha Wildan Nur Aiman Wulan Kusumastuti Wulan Kusumastuti Wulan Kusumastuti Wulan Kusumastuti Wulan Kusumastuti Yanti, Ni Luh Devi Yohana Yohana Yonasari, Estie yuliana setyarini Yuliani Setyaningsih Yuliani, Kasih Yulis Muktafi&#039;ah Yulis Muktafiah Yuliyanti, Rina Yusfina Modesta Rua Zadrak Romeo Kermite Zahroh Shaluhiyah