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Analysis of the Role of Transformational Leadership in Improving Employee Work Motivation and Performance and its Impact on Hospital Business Sustainability: JEL Classification: M12, M54, I11, I18, L25 Yurita, Irma; Soekiswati, Siti; Ichsan, Burhannudin
Journal La Bisecoman Vol. 6 No. 3 (2025): Journal La Bisecoman
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallabisecoman.v6i3.2442

Abstract

This study aims to analyze the influence of transformational leadership on work motivation, employee performance, and business sustainability at Pala Raya Hospital (RSIA Pala Raya) in Tegal Regency, and to examine the mediating role of work motivation and employee performance in this relationship. The background of this study is based on the decline in patient visits and hospital revenue, which raises the need for a sustainability strategy based on internal organizational strengthening. The research method used is a quantitative explanatory approach with a total sampling technique of 200 employee respondents, and data analysis was conducted using SEM-PLS through SmartPLS 4.0. The results show that transformational leadership has a significant and positive effect on work motivation and employee performance, and has an impact on the sustainability of the hospital's business. Work motivation has a stronger influence than performance on sustainability. The mediation test shows that work motivation is a significant mediator in the relationship between transformational leadership and business sustainability, while employee performance is not. The study also identified various obstacles in the implementation of transformational leadership, such as lack of training, bureaucratic culture, and a reward system that does not support innovation. These findings emphasize the importance of the role of inspirational and participatory leadership in building motivation and supporting hospital sustainability.
Legal Responsibility Of Medical Personnel In Carrying Out Medical Procedures Basuki, Muhammad Nur Aji; Yuspin, Wardah; Soekiswati, Siti
LEGAL BRIEF Vol. 13 No. 1 (2024): April: Law Science and Field
Publisher : IHSA Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/legal.v13i1.940

Abstract

Informed consent is a statement given by a patient to a doctor that he agrees to a medical procedure. Apart from that, informed consent itself is a form of communication between the patient and the doctor with the aim of providing information regarding surgical and/or treatment plans, surgical risks, surgical benefits, disease prognosis and etc. The aim of this study is to analyze the medical responsibility of medical personnel for medical procedures through informed consent. This research uses empirical juridical research. The results of this study explain the important role of informed consent in the practice of medical procedures in hospitals by medical personnel and the responsibility of medical personnels when there are allegations of malpractice committed due to negligence by medical personnel in carrying out their obligations to carry out medical procedures on patients
The Urgency of the Indonesian Doctors Association in Providing Recommendations for Doctors' Practice Licenses (Law No. 29 of 2004 and Law No. 17 of 2023 Liwandika, Galang; Rizka, Rizka; Soekiswati, Siti
LEGAL BRIEF Vol. 13 No. 2 (2024): June: Law Science and Field
Publisher : IHSA Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/legal.v13i2.976

Abstract

Medical practice is a series of activities carried out by doctors and dentists on patients as part of their medical practice. When practicing medicine, a doctor who practices medicine or provides medical services must meet the requirements set by the government. All doctors and dentists who practice medicine must have a Practice License. New doctors can practice if they already have STR and SIP. This research aims to analyze the urgency of IDI's role in providing recommendations for registration of medical practice permits and its legal aspects. This research uses normative research. The results of this research explain that there are differences in SIP registration for doctors, namely: In Law no. 29 of 2004 IDI has a role and authority in providing recommendations. Meanwhile, Law No. 17 of 2023 states that registration of a doctor's SIP no longer requires a doctor's recommendation but only an STR and place of practice. The elimination of IDI's authority as a professional organization for doctors means that IDI loses its role in supervising the development and improvement of the quality of doctors to ensure that doctors who have SIP are doctors who are competent in their field
Respiratory Rehabilitation in COVID-19 Patients with Breathlessness: Literature Review Hantoro, Agung Cuby; Soekiswati, Siti
Prosiding University Research Colloquium Proceeding of The 15th University Research Colloquium 2022: Mahasiswa (Student Paper Presentation) A
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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Abstract

COVID-19 attacks the respiratory system caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). In Indonesia, as many as 32% of patients infected with SARS-CoV2 require ICU care. Patients are more likely to experience shortness of breath and death. Rehabilitation efforts in physical medicine specialists and medical rehabilitation are very important in improving respiratory function. The purpose of this study was to identify and analyze respiratory rehabilitation efforts in COVID-19 patients with shortness of breath. This research is a literature review type using the PRISMA method. Data were collected by browsing the Pubmed, Science Direct, and Google Scholar databases. The search results obtained 2,982 articles, then 11 articles were carried out with a literature review. In 11 articles analyzed, it was found that respiratory rehabilitation in COVID-19 patients can be carried out by administering oxygen therapy including (Nasal Canula (NC), endotracheal intubation, and tracheostomy). Breathing exercises include (pursed lip breathing, slow deep breathing, prone position, and regular breathing in a forward leaning position). Airway clearance techniques include (huffing, control cough, incentive spirometry, postural drainage, and sputum clearance) and passive exercises in bed. In conclusion, there is no better rehabilitation program. The rehabilitation program should be given as early as possible to achieve maximum stability in a shorter time.
Correlation of Age and Paracetamol Administration with AEFI Reactions Post Moderna Vaccination at Puskesmas Mojosongo Boyolali Maslahah, Syah Fillia Nurul; Lestari, Nining; Fauziyah, Nida Faradisa; Soekiswati, Siti
Prosiding University Research Colloquium Proceeding of The 15th University Research Colloquium 2022: Mahasiswa (Student Paper Presentation) A
Publisher : Konsorsium Lembaga Penelitian dan Pengabdian kepada Masyarakat Perguruan Tinggi Muhammadiyah 'Aisyiyah (PTMA) Koordinator Wilayah Jawa Tengah - DIY

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

Abstract

Many moderna vaccine recipients complain about the presence of AEFI (Adverse Events Following Immunization). Based on CDC data, the frequency of AEFI is higher in the 18-64 year age group. Some studies explain that minor AEFI reactions are managed with paracetamol and subside about 1-2 days after administration of the vaccine. This study aims to determine the relationship between age and administration of paracetamol with AEFI reactions after moderna vaccination at Puskesmas Mojosongo Boyolali. This study used an analytic observational survey research with a cross sectional research design which was carried out with quantitative methods. The data source used is primary data with a g-form questionnaire. This research was conducted at Puskesmas Mojosongo Boyolali, Central Java. The sampling technique in this study was non-random sampling with purposive sampling. The number of respondents is 72 people. The results of the logistic regression test of the relationship between age and AEFI reaction obtained the value of Exp(B) or OR=1.118 (p=0.883). Logistic regression test of the relationship between the administration of paracetamol with the AEFI reaction obtained the value of Exp (B) or OR = 1.949 (p = 0.452). The results of multivariate analysis showed that the variables of age and administration of paracetamol did not have a significant relationship with the reaction of AEFI after moderna vaccination.
Tinjauan Hukum Digitalisasi Rekam Medis Terhadap Hak Privasi Medis Pasien Maulana Adjie Nugroho; Rizka Rizka; Siti Soekiswati
Jurnal Ilmu Hukum, Humaniora dan Politik Vol. 6 No. 1 (2025): (JIHHP) Jurnal Ilmu Hukum, Humaniora dan Politik
Publisher : Dinasti Review Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/jihhp.v6i1.6573

Abstract

Digitalisasi rekam medis mendorong efisiensi dan kesinambungan layanan, tetapi meningkatkan risiko atas hak privasi pasien. Penelitian ini menelaah kerangka hukum, bentuk perlindungan hukum, dan keterkaitan digitalisasi dengan privasi pasien di Indonesia. Penelitian ini dilakukan dengan pendekatan yuridis normatif melalui analisis peraturan perundang-undangan, peraturan teknis, standar internasional, dan literatur akademik terkait digitalisasi rekam medis dan perlindungan data. Hasil penelitian menunjukkan bahwa kerangka hukum digitalisasi rekam medis di Indonesia dibangun melalui sinergi Undang-Undang Kesehatan, Undang-Undang Informasi dan Transaksi Elektronik, Undang-Undang Perlindungan Data Pribadi, Peraturan Pemerintah Nomor 71 Tahun 2019, dan Permenkes Nomor 24 Tahun 2022, serta diperkuat oleh standar internasional seperti ISO 27001 dan HL7. Perlindungan hukum terhadap hak privasi pasien mencakup aspek represif maupun preventif. Secara represif, perlindungan diwujudkan melalui kewajiban kerahasiaan, mekanisme penegakan hukum, dan sanksi bagi pelanggaran. Secara preventif, perlindungan dilakukan dengan prinsip privacy by design, penunjukan pejabat perlindungan data, audit trail, penilaian dampak perlindungan data, kontrol akses berlapis, serta persetujuan granular dan dinamis. Hubungan antara digitalisasi dan perlindungan privasi bersifat dialektis. Dengan demikian, kerangka hukum yang ada cukup memadai, namun menuntut harmonisasi regulasi, penguatan kelembagaan, serta budaya kepatuhan agar inovasi digital berjalan selaras dengan perlindungan hak privasi pasien.
Adherence to The Surgical Safety Checklist And Patient Adverse Event: A Scoping Review Baskoro, Wisnu; Isa, Muzakar; Soekiswati, Siti
JURNAL KEPERAWATAN SUAKA INSAN (JKSI) Vol. 10 No. 2 (2025): Jurnal Keperawatan Suaka Insan (JKSI)
Publisher : STIKES Suaka Insan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51143/jksi.v10i2.1028

Abstract

Daftar Periksa Keselamatan Bedah (SSC) vital untuk keselamatan pasien, namun kepatuhannya bervariasi secara global. Tinjauan scoping ini menyintesis bukti mengenai kepatuhan SSC dan dampaknya terhadap kejadian tidak diinginkan pada pasien. Mengikuti pedoman PRISMA-ScR, 30 studi (2020–2025) dari Scopus, PubMed, dan Springer Nature Link dianalisis. Analisis tematik mengidentifikasi dimensi kunci termasuk komunikasi tim, hambatan implementasi, dan inovasi teknologi. Hasil secara konsisten menunjukkan bahwa kepatuhan tinggi yang ditandai dengan keterlibatan tim aktif dan bukan sekadar penyelesaian administratif secara signifikan mengurangi komplikasi bedah dan mortalitas. Sebaliknya, kepatuhan rendah sering kali disebabkan oleh ritualisasi dan hambatan hierarkis. Tinjauan ini menyimpulkan bahwa peningkatan keselamatan berkelanjutan memerlukan pergeseran dari formalitas daftar periksa menuju budaya keselamatan matang yang didorong oleh kepemimpinan, adaptasi kontekstual, dan pelatihan antarprofesi.   The Surgical Safety Checklist (SSC) is vital for patient safety, yet adherence varies globally. This scoping review synthesizes evidence on SSC compliance and its impact on adverse events. Following PRISMA-ScR guidelines, 30 studies (2020–2025) from Scopus, PubMed, and Springer Nature Link were analyzed. Thematic analysis identified key dimensions including team communication, barriers, and technological innovation. Results consistently show that high adherence defined by active team engagement rather than administrative completion significantly reduces surgical complications and mortality. Conversely, low compliance often stems from ritualization and hierarchical barriers. The review concludes that sustainable safety improvements require shifting from checklist formality to a mature safety culture driven by leadership, contextual adaptation, and interprofessional training.
OPTIMALISASI PENGGUNAAN C-ARM DAN NON C-ARM DALAM PENANGANAN FRAKTUR RADIUS DI RSU ISLAM BOYOLALI Utami, Shindy Yudha; Soekiswati, Siti; Romadhon, Yusuf Alam
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 10 No. 1 (2026): APRIL 2026
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v10i1.54517

Abstract

Penelitian ini bertujuan untuk mengevaluasi efisiensi dan efektivitas biaya penggunaan metode C-ARM dan Non C-ARM dalam penanganan fraktur radius di RSU Islam Boyolali. Penelitian ini menggunakan metode Activity-Based Costing (ABC) untuk menghitung biaya berdasarkan aktivitas yang terlibat dalam prosedur medis dan Cost Effectiveness Analysis (CEA) untuk membandingkan biaya dan hasil klinis dari kedua metode tersebut. Sampel yang digunakan periode 2023-2025 dengan 69 pasien non C-ARM dan 100 pasien C-ARM. Hasil penelitian menunjukkan bahwa penggunaan C-ARM memiliki biaya yang lebih tinggi dibandingkan dengan Non C-ARM, terutama pada biaya tindakan operasi dan radiologi, namun C-ARM menawarkan efisiensi waktu yang lebih baik serta hasil klinis yang lebih optimal. Hal ini membuat RSU Islam Boyolali perlu mempertimbangkan penggunaan C-ARM untuk kasus-kasus yang memerlukan akurasi tinggi meskipun dengan biaya yang lebih tinggi, sementara Non C-ARM dapat digunakan untuk kasus yang lebih sederhana dengan efisiensi biaya yang lebih baik. Penelitian ini memberikan kontribusi terhadap pengelolaan sumber daya rumah sakit melalui pendekatan yang lebih terperinci dalam analisis biaya dan efektivitas, sehingga mendukung pengambilan keputusan yang lebih baik dalam penetapan tarif dan pemilihan metode pengobatan yang optimal.  
Analisis Efektivitas Pengelolaan Limbah Padat Medis Dan Faktor Pendukungnya Di Rumah Sakit Tipe B Dan C Milik Pemerintah Dan Swasta Pradetyawan, Pradetyawan; Soekiswati, Siti; Romadhon, Yusuf Alam; Ichsan, Burhanudin
Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Vol 10, No 1 (2026): Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/marsi.v10i1.8178

Abstract

Latar Belakang: Rumah sakit merupakan penghasil limbah medis terbesar yang berisiko tinggi terhadap kesehatan dan lingkungan jika tidak dikelola dengan tepat. Meskipun regulasi nasional telah menetapkan standar ketat, efektivitas pelaksanaannya masih bervariasi antara rumah sakit pemerintah dan swasta karena perbedaan kebijakan, sumber daya, dan tantangan operasional. Penelitian ini bertujuan menganalisis sistem, membandingkan efektivitas, serta mengidentifikasi faktor pendukung dan penghambat pengelolaan limbah padat medis di rumah sakit. Metode Penelitian: Penelitian kuantitatif dengan pendekatan analitik. Pengumpulan data dilakukan melalui observasi, kuesioner, dan telaah dokumen terkait pengelolaan limbah padat medis. Analisis data dilakukan secara deskriptif dan inferensial untuk menilai tingkat efektivitas pengelolaan limbah serta hubungan antarvariabel yang diteliti. Hasil Penelitian: Berdasarkan hasil analisis statistic menunjukkan pengetahuan responden tergolong baik dengan (median 7,75/9). Kepatuhan terhadap regulasi cenderung tinggi (median 32/35) dan efektivitas pengelolaan sangat baik (median 25/25). Terdapat korelasi positif bermakna antara pengetahuan dan kepatuhan dengan efektivitas pengelolaan limbah pada seluruh responden (p
Protection Policy for Breastfeeding Mothers: An Insight from Midwife Ethical Code and Breastfeeding Rights Arief Budiono; Dewi Iriani; Aminuddin Mustaffa; Siti Soekiswati; Abdullah Al Mamun
Jurnal Hukum Vol 42, No 1 (2026): Jurnal Hukum
Publisher : Unissula

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26532/jh.v42i1.46505

Abstract

Midwives are legally required to support postpartum women in exercising their right to breastfeed. In practice, many midwives provide formula milk, ignoring the mother's right to breastfeed and potentially harming both mother and baby. The purpose of this paper is to investigate the legal and ethical considerations surrounding midwives and mothers in relation to breastfeeding rights, emphasizing the need for transparency between midwives and mothers. This research uses empirical methods and a qualitative approach. The findings in this paper indicate that mothers are willing to provide informed consent, including information about any conditions that prevent breastfeeding immediately after delivery. Health Law Number 17 of 2023 mandates exclusive breastfeeding and imposes strict sanctions for those who prohibit breastfeeding without medical reasons. Despite this regulation, some midwives still provide formula milk with the verbal consent of postpartum mothers for medical reasons without adequate medical examination.
Co-Authors Abdullah Al Mamun Absori Agung Cuby Hantoro Aminuddin Mustaffa Anton Agus Setyawan Arief Budiman Arief Budiono Arif Pristianto Ayu Khoirotul Umaroh Azahra Khansa Muza Baskoro, Wisnu Basuki, Muhammad Nur Aji Burhannudin Ichsan Cahyaningrum, Rina Asih Budi Daru Kumoro Cipto Jati Dewi Iriani Dian Purworini Dilla, Natasya Salsa Dwi Rosela Komala Sari Dzikri, Dykall Naf’an Eka Cahya Ningsih Erna Herawati Fajri, Ainun Nuril Faturohit Rois Imron Santoso Fauziah, Nida Faradisa Flora Ramona Sigit Prakoeswa Galang Liwandika Hantoro, Agung Cuby Ichsan, Burhannuddin Ichsan, Burhanudin Ida Wulandari Iin Novita Nurhidayati Mahmuda Imron Marsyadi, Muhammad Afi Jayantika Sakina Ifnadera Kencana, Nabila Safhira Titan Laila Cahya Ratnasari Leny Widio Wati Lestari, Nining Liwandika, Galang Mahensa, Noval Gentha Maslahah, Syah Fillia Nurul Maulana Adjie Nugroho Muhammad Irfan Zahran Muhammad Nur Aji Basuki Muhammad Shoim Dasuki Muzakar Isa Nanda Hani Nur Pertiwi Nida Faradisa Fauziyah Nining Lestari Novyanti Setiyo Rini Pradetyawan, Pradetyawan Pradhana Satria Pinandhita Rafika Surya Putra Pratama Rahmad Dhani Rujito Ratih Pramuningtyas Retno Sintowati Rizka Sabrina Cantika Putri Sandrana Sahilah Ermawati Sany Ayu Kurniawati SEPTIANA SEPTIANA Silvia Rahma Maulida Sri Fatmiyati Sulistyani Sulistyani Sulistyani Sulistyani Surawijaya Bakhtiar Kaslam Syah Fillia Nurul Maslahah Tanjung Anitasari Indah Kusumaningrum Tri Agustina Umi Budi Rahayu Utami, Shindy Yudha Wardah Yuspin Wirayudha, Yan Yuni Prastyo Kurniati Yurita, Irma Yusuf Alam Romadhon Zavier Ferodova Al Fitroh Zemba Riski Maranti Zulia Setiyaningrum