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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.  
The Role of Job Satisfaction in Mediating the Effects of the Work Environment, Salary, and Job Promotion on Employee Performance at RSU X Purwaningrum, Chornellia Martha; Imronudin; Soekiswati, Siti
Majapahit Journal of Islamic Finance and Management Vol. 6 No. 1 (2026): Islamic Finance and Management
Publisher : Universitas KH. Abdul Chalim Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31538/mjifm.v6i1.800

Abstract

Human resources are a key factor in the success of healthcare organizations, particularly hospitals, which are required to provide quality services on an ongoing basis. This study aims to analyze the influence of work environment, salary, and job promotion on employee performance through job satisfaction as an intervening variable at RSU X. This study uses a quantitative approach with a survey method. Data were collected through questionnaires distributed to RSU X employees and analyzed using Structural Equation Modeling with a Partial Least Squares approach (SEM-PLS) through SmartPLS 4.0 software. Model evaluation included testing the validity and reliability of constructs, testing the structural model, and testing direct and indirect hypotheses. The results showed that the work environment, salary, and job promotion had a positive and significant effect on employee job satisfaction. Job satisfaction was also proven to have a positive and significant effect on employee performance. In addition, job satisfaction was able to significantly mediate the effect of the work environment, salary, and job promotion on employee performance. The coefficient of determination (R²) value shows that the research model has strong explanatory power, and the predictive relevance (Q²) value indicates that the model has excellent predictive capability. These findings confirm that improving employee performance in hospitals can be achieved more effectively through efforts to improve the work environment, fair salary management, and a transparent promotion system that takes employee job satisfaction into account.
The Role of Job Satisfaction in Mediating the Effects of the Work Environment, Salary, and Job Promotion on Employee Performance at RSU X Purwaningrum, Chornellia Martha; Imronudin; Soekiswati, Siti
Majapahit Journal of Islamic Finance and Management Vol. 6 No. 1 (2026): Islamic Finance and Management
Publisher : Universitas KH. Abdul Chalim Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31538/mjifm.v6i1.800

Abstract

Human resources are a key factor in the success of healthcare organizations, particularly hospitals, which are required to provide quality services on an ongoing basis. This study aims to analyze the influence of work environment, salary, and job promotion on employee performance through job satisfaction as an intervening variable at RSU X. This study uses a quantitative approach with a survey method. Data were collected through questionnaires distributed to RSU X employees and analyzed using Structural Equation Modeling with a Partial Least Squares approach (SEM-PLS) through SmartPLS 4.0 software. Model evaluation included testing the validity and reliability of constructs, testing the structural model, and testing direct and indirect hypotheses. The results showed that the work environment, salary, and job promotion had a positive and significant effect on employee job satisfaction. Job satisfaction was also proven to have a positive and significant effect on employee performance. In addition, job satisfaction was able to significantly mediate the effect of the work environment, salary, and job promotion on employee performance. The coefficient of determination (R²) value shows that the research model has strong explanatory power, and the predictive relevance (Q²) value indicates that the model has excellent predictive capability. These findings confirm that improving employee performance in hospitals can be achieved more effectively through efforts to improve the work environment, fair salary management, and a transparent promotion system that takes employee job satisfaction into account.
Protection Policy for Breastfeeding Mothers: An Insight from Midwife Ethical Code and Breastfeeding Rights Budiono, Arief; Iriani, Dewi; Mustaffa, Aminuddin; Soekiswati, Siti; Al Mamun, Abdullah
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.
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 (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