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Kosasih
Universitas Sangga Buana
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THE EFFECT OF ORGANIZATIONAL SUPPORT, INTERNAL COMMUNICATION AND ORGANIZATIONAL CULTURE ON EMPLOYEES' WORK DISCIPLINE AT HAWARI ESSA HOSPITAL, TEGAL DISTRICT Dimas Rifqi; Haddan D; Rukhiyat; Kosasih; Vip Paramarta; Farida Yuliaty
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 5 No. 4 (2025): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/morfai.v5i4.4200

Abstract

All hospital employees in providing services to patients are required to have high work discipline, but in reality, there are still often problems with the lack of work discipline of hospital employees, especially at Hawari Essa Hospital, Tegal Regency. Factors that are suspected to influence the work discipline of hospital employees are due to organizational support, internal communication and organizational culture. The purpose of this study is to determine the effect of organizational support, internal communication and organizational culture on the work discipline of employees at Hawari Essa Hospital, Tegal Regency. This research method is quantitative research with data analysis techniques namely descriptive analysis. The research instrument uses a Likert scale questionnaire. The sampling technique uses purposive sampling with a sample size technique using Slovin so that the number of samples is 101 respondents. The results of this study are based on the results of the partial t test, it is known that organizational support has a positive and significant influence on employee work discipline, internal communication has a positive and significant influence on employee work discipline and organizational culture has a positive and significant influence on employee work discipline. The results of the simultaneous F test state that organizational support, internal communication and organizational culture simultaneously have a positive and significant influence on employee work discipline. Based on the test results, it means that there is an influence of organizational support, internal communication, and organizational culture on the work discipline of employees at Hawari Essa Hospital, Tegal Regency.
ANALYSIS OF IMPROVING ORGANIZATIONAL COMPETITIVENESS THROUGH IMPLEMENTATION OF SIMRS SECURITY SYSTEM IN HOSPITALS: LITERATURE REVIEW Ranita Rizky Putri; Kosasih
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 5 No. 4 (2025): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/morfai.v5i4.4201

Abstract

This literature review aims to analyze the role of Hospital Management Information System (SIMRS) security in enhancing the organizational competitiveness of hospitals in Indonesia. SIMRS has become a crucial instrument in supporting efficiency, transparency, and the quality of healthcare services. However, the growing use of electronic medical records also presents serious challenges related to patient data security and privacy. This study reviews 10 national publications issued between 2017 and 2025, focusing on SIMRS security issues. The findings reveal that the main challenges lie in weak access control, insufficient encryption, limited audit logs, and the suboptimal implementation of basic security features such as auto logout. Moreover, patient privacy aspects such as consent mechanisms, role-based access, and the principle of data minimization are rarely applied. Managerial factors, including low awareness among healthcare staff and weak internal policies, further exacerbate security risks. Overall, the success of SIMRS implementation is determined not only by technological sophistication but also by regulatory compliance, managerial commitment, and ethical awareness among healthcare workers. Strengthening SIMRS security is considered a strategic investment to enhance patient trust, strengthen hospital reputation, and support organizational competitiveness in the digital era.
THE INFLUENCE OF SERVICE QUALITY AND MEDICAL FACILITIES ON PATIENT SATISFACTION AND ITS IMPLICATIONS FOR PATIENT LOYALTY AT PULANG PISAU REGIONAL HOSPITAL, CENTRAL KALIMANTAN Santi Sandra; Kosasih; Taufan Nugroho; Farida Yuliaty; Vip Paramarta; Fitriana
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 5 No. 5 (2025): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/morfai.v5i5.4352

Abstract

This study aims to explain the quality of service, medical facilities, patient satisfaction, and patient loyalty at Pulang Pisau Regional General Hospital, Central Kalimantan, and to analyze the direct and indirect influence of service quality and medical facilities on patient satisfaction and their implications for patient loyalty. This research employed a descriptive method to map the condition of each variable and a verificative method with a quantitative approach to test research hypotheses. The findings indicate that service quality and medical facilities are categorized as good and statistically have a positive and significant influence on patient satisfaction. Partially, service quality and medical facilities significantly improve patient satisfaction, while simultaneous testing shows a synergistic interaction of both variables in predicting satisfaction. The direct path analysis reveals that only medical facilities have a significant direct effect on loyalty, while service quality requires mediation. Furthermore, the mediation analysis shows that patient satisfaction facilitates the transmission of positive effects from both variables toward loyalty, making satisfaction a bridging variable that strengthens the relationship between service quality, medical facilities, and patient loyalty. These findings indicate that patient satisfaction functions as a crucial and fundamental mediator that consolidates the contributions of service quality and medical facilities in building sustainable patient loyalty.
THE INFLUENCE OF SIMRS IMPLEMENTATION AND WORK MOTIVATION ON WORK PRODUCTIVITY MEDIATED BY EMPLOYEE PERFORMANCE AT PULANG PISAU REGIONAL GENERAL HOSPITAL, CENTRAL KALIMANTAN Ruriyansi; Farida Yuliaty; Taufan Nugroho; Kosasih; Vip Paramarta; Fitriana
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 5 No. 5 (2025): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/morfai.v5i5.4353

Abstract

Hospital Management Information System (SIMRS) and to reinforce work motivation in order to enhance organizational productivity through employee performance at Pulang Pisau General Hospital. The primary objective is to examine the influence of SIMRS implementation and work motivation on work productivity, with employee performance serving as a mediating variable. Employing a descriptive and verificative method with a quantitative approach, data were collected through questionnaires and observations, and subsequently analyzed using path analysis. The results indicate that SIMRS implementation, work motivation, employee performance, and work productivity are generally categorized as satisfactory. Both individually and collectively, SIMRS implementation and work motivation exert a positive and significant effect on employee performance. Furthermore, employee performance demonstrates a positive and significant influence on work productivity. SIMRS implementation exerts a direct, positive, and significant effect on productivity, while the direct effect of work motivation on productivity, although positive, is statistically insignificant. However, both SIMRS implementation and work motivation exert significant indirect effects on productivity through employee performance. Overall, the findings underscore that enhancing work productivity within hospital organizations is highly contingent upon the effectiveness of well-managed information systems, the consistency of work motivation, and the professionalism of employee performance. The integration of these three factors establishes a conducive work environment that supports organizational achievement and advances the quality of healthcare services.
IMPLEMENTATION OF TELEMEDICINE AS AN EFFORT TO IMPROVE ACCESS AND QUALITY OF PUBLIC HEALTH SERVICES IN RURAL AREAS (STUDY AT JULOK PUBLIC HEALTH CENTER, EAST ACEH) Mona Fandani; Kosasih
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 5 No. 5 (2025): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/morfai.v5i5.4438

Abstract

The rapid growth of digital health technologies has enabled the adoption of telemedicine as an alternative solution to improve healthcare access and quality, particularly in rural communities with limited infrastructure. This study explores the implementation of telemedicine at Julok Community Health Center, East Aceh, using a qualitative descriptive-exploratory design. Eight key informants, including health workers and patients, were interviewed and observed. The data were analyzed thematically using Miles and Huberman's framework through coding, data reduction, display, and conclusion drawing. Results reveal that telemedicine significantly improves access and responsiveness of healthcare services but faces barriers such as unstable internet connectivity and limited patient digital literacy. Strengthening digital infrastructure, providing consistent training for medical staff, and enhancing community awareness are crucial to optimize telemedicine implementation.
The Influence of Followership Style and Work Environment on Employee Performance Mediated by Work Motivation and Work Life Balance Yuli Santika Magdalena; Kosasih Kosasih; Farida Yuliaty; Vip Paramarta; Rahardian Malik; Ayu Laili Rahmiyati
Jurnal Ners Vol. 9 No. 1 (2025): JANUARI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i1.29432

Abstract

Kinerja pegawai Rumah Sakit X belum maksimal mencapai target mereka. Penelitian ini bertujuan untuk melihat bagaimana gaya pengikut dan Lingkungan Kerja terhadap kinerja karyawan secara langsung dan tidak langsung melalui Motivasi Kerja dan Keseimbangan kehidupan Kerja. Paradigma penelitiannya adalah positivistik. Pendekatan penelitian ini adalah kuantitatif. Lokasi penelitian di RS X Jakarta. Waktu penelitian adalah tahun 2023. Teknik pengumpulan data melalui survei dengan instrumen kuesioner ordinal dalam hal ini Skala Likert 1-5. Populasinya adalah seluruh pegawai medis dan penunjang medis, sedangkan teknik pengambilan sampelnya adalah purposive sampling. Pengujian instrumen dilakukan melalui uji validitas dan reliabilitas. Teknik analisis data yang digunakan adalah analisis deskriptif, analisis SEM-PLS dan analisis jalur. Hasil penelitian menunjukkan bahwa Gaya Pengikut berpengaruh positif dan signifikan terhadap Motivasi Kerja dan Keseimbangan Kehidupan Kerja, namun tidak berpengaruh signifikan terhadap Kinerja Karyawan. Lingkungan kerja berpengaruh positif dan signifikan terhadap motivasi kerja dan keseimbangan kehidupan kerja, namun tidak berpengaruh signifikan terhadap kinerja karyawan. Keseimbangan Kehidupan Kerja dan Motivasi Kerja secara parsial berpengaruh positif dan signifikan terhadap Kinerja Karyawan. Motivasi Kerja berperan memediasi pengaruh Gaya Pengikut terhadap Kinerja Karyawan, serta pengaruh Lingkungan Kerja terhadap Kinerja Karyawan. Begitu pula dengan Keseimbangan Kehidupan Kerja yang memediasi pengaruh Follower Style terhadap Kinerja Karyawan, serta pengaruh Lingkungan Kerja terhadap Kinerja Karyawan.
Analisis Persediaan Obat dengan Menggunakan Metode Ven (Vital, Esensial, Non Esensial) dan Metode Eoq (Economic Order Quantity) dan Pengaruhnya Terhadap Ketersediaan Obat Ronaldo Panggabean; Kosasih Kosasih; Rulia Rulia
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.46603

Abstract

Penelitian ini bertujuan untuk mengetahui tentang analisis persediaan obat dengan menggunakan metode VEN (Vital, Esensial, Non Esensial) dan metode EOQ (Economic Order Quantity) dan pengaruhnya terhadap ketersediaan obat di Instalasi Farmasi Rumah Sakit Pertamina Bintang Amin. Metode penelitian yang digunakan dalam penelitian ini adalah metode deskriptif dan verifikatif dengan pendekatan kuantitatif dan menggunakan analisis regresi linier berganda. Teknik pengambilan sampel menggunakan nonprobabilitas atau sampel jenuh yaitu metode penentuan sampel dengan memilih seluruh anggota populasi sebagai responden. Responden berjumlah 7 orang sebagai petugas terkait persediaan obat di Instalasi Farmasi Rumah Sakit Pertamina Bintang Amin. Hasil analisis deskriptif berdasarkan skor rata-rata kuesioner pada metode VEN (Vital, Esensial, Non esensial) (X1) sebesar 4,16. Skor rata-rata kuesioner pada metode EOQ (Economic Order Quantity) (X2) sebesar 4,11. Skor rata-rata kuesioner pada ketersediaan obat (Y) sebesar 3,97. Terbukti hasil penelitian menunjukan bahwa metode VEN dan metode EOQ secara simultan berpengaruh positif dan signifikan terhadap ketersediaan obat. Besarnya persentase sumbangan pengaruh variabel independen metode VEN dan metode EOQ terhadap variabel dependen ketersediaan obat sebesar 97,7%. Sedangkan sisanya sebesar 2,3% dipengaruhi atau dijelaskan oleh variabel lain yang tidak dilakukan dalam model penelitian ini.
Regina Kepuasan Pegawai dan Motivasi Kerja dalam Peningkatan Kinerja Pegawai di Rumah Sakit yang Berdampak pada Kualitas Pelayanan Kesehatan: Systematic Literature Review Regina Tirza Maindoka; Vip Paramarta; Kosasih Kosasih; Farida Yuliaty
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47895

Abstract

Sumber daya manusia sebagai hal yang penting bahkan tidak dapat dilepaskan dari sebuah organisasi, baik institusi maupun pelayanan di rumah sakit. Sumber daya manusia juga merupakan kunci yang menentukan perkembangan kualitas layanan yang dinilai dari kinerjanya. Tujuan dari penelitian ini adalah untuk mengidentifikasi, mengevaluasi, dan mensintesis secara sistematis temuan ilmiah terkait kepuasan kerja dan motivasi kerja dalam peningkatan kinerja pegawai di rumah sakit. Penelusuran pustaka dilakukan melalui beberapa basis data elektronik, termasuk Google Scholar dan pubmed untuk menjaring artikel yang diterbitkan dari tahun 2020 hingga April 2025. Semua tahap seleksi didokumentasikan menggunakan diagram alir PRISMA. Hasil dari penelitian ini yaitu Kepuasan pegawai dan motivasi kerja sangat penting dalam peningkatan kinerja pegawai di rumah sakit dengan melakukan meningkatkan produktivitas, menurunkan turn over, meningkatkan kreativitas, dan meningkatkan kualitas perawatan. Dengan demikian, kepuasan pegawai dan motivasi kerja sangat penting dalam peningkatan kinerja pegawai di rumah sakit. Kata Kunci: Kepuasan Pegawai, Kinerja Pegawai, Kualitas Pelayanana Kesehatan, Motivasi Kerja.
Strategi Peningkatan Mutu Pelayanan Kesehatan dan Kinerja Petugas Kesehatan yang Berdampak pada Kepuasan Pasien di Layanan Kesehatan: Systematic Literature Review Hendri Andrian; Vip Paramarta; Kosasih Kosasih; Farida Yuliaty
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.48273

Abstract

Abstrak Strategi mutu pelayanan kesehatan sangat penting karena mempengaruhi kepuasan pasien. Mutu pelayanan kesehatan dipengaruhi oleh kinerja pada layanan kesehatan. Sehingga perlunya peningkatan mutu dalam layanan kesehatan. Tujuan dari penelitian ini adalah untuk mengidentifikasi, mengevaluasi, dan mensintesis secara sistematis temuan ilmiah terkait mutu pelayanan kesehatan, kepuasan pasien dan motivasi kerja dalam peningkatan kinerja petugas kesehatan di layanan kesehatan. Penelusuran pustaka dilakukan melalui beberapa basis data elektronik, termasuk Google Scholar dan Pubmed untuk menjaring artikel yang diterbitkan dari tahun 2020 hingga Juni 2025. Proses seleksi artikel dilakukan dalam beberapa tahap identifikasi dan penyaringan berdasarkan judul dan abstrak, diikuti dengan penilaian kelayakan artikel teks lengkap berdasarkan kriteria inklusi dan eksklusi. Semua tahap seleksi didokumentasikan menggunakan diagram alir PRISMA. Untuk meningkatkan mutu pelayanan kesehatan dan kinerja petugas kesehatan dengan pemenuhan standar pelayanan, peningkatan kinerja unit pelayanan, dan pemanfaatan akreditasi secara optimal. Selain itu, peningkatan kinerja petugas kesehatan dapat dilakukan dengan memastikan ketersediaan sumber daya manusia yang berkualitas, termasuk petugas kesehatan yang kompeten. Kata Kunci: Kepuasan Pasien, Kinerja Petugas Kesehatan, Layanana Kesehatan, Mutu Pelayanan Kesehatan
Pengaruh Persepsi Manfaat, Persepsi Kemudahan Penggunaan Dan Sikap Pengguna Terhadap Penggunaan Aktual SIMRS Di Rumah Sakit Medika Utama Permata Balikpapan Ruth Haryanti; Kosasih Kosasih; Rulia Rulia; Vip Paramarta; Farida Yuliaty
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.50054

Abstract

Pemanfaatan teknologi informasi dalam dunia kesehatan semakin krusial seiring dengan meningkatnya kebutuhan akan layanan yang cepat, tepat, dan terintegrasi. Salah satu bentuk inovasi tersebut adalah penerapan Sistem Informasi Manajemen Rumah Sakit (SIMRS) yang bertujuan untuk mendukung operasional dan pelayanan medis. Penelitian ini bertujuan untuk menganalisis pengaruh persepsi manfaat, persepsi kemudahan penggunaan, dan sikap pengguna terhadap penggunaan aktual SIMRS di Rumah Sakit Medika Utama Permata Balikpapan. Latar belakang penelitian ini didasarkan pada pentingnya penerimaan teknologi informasi dalam mendukung efektivitas dan efisiensi layanan kesehatan di rumah sakit. Penelitian ini menggunakan pendekatan kuantitatif dengan metode survei. Pengumpulan data dilakukan melalui kuesioner yang dibagikan kepada 85 responden yang merupakan karyawan pengguna SIMRS. Teknik analisis data yang digunakan adalah regresi linier berganda untuk menguji hubungan antar variabel. Hasil penelitian menunjukkan bahwa persepsi manfaat, persepsi kemudahan penggunaan, dan sikap pengguna berpengaruh signifikan terhadap penggunaan aktual SIMRS. Temuan ini mendukung penerapan model Technology Acceptance Model (TAM) sebagai kerangka teoritik dalam menilai penerimaan system informasi di sektor pelayanan kesehatan. Implikasi dari penelitian ini menunjukkan bahwa peningkatan persepsi manfaat dan kemudahan penggunaan SIMRS, serta pembentukan sikap positif dari pengguna, dapat mendorong penggunaan system secara optimal di lingkungan rumah sakit. Kata kunci: SIMRS, Technology Acceptance Model, persepsi manfaat, persepsi kemudahan penggunaan, sikap pengguna, penggunaan aktual.
Co-Authors A Andini Radisya Pratiwi Afira Febriani Afira Febriani Surya Wijaya Agung Nugraha Akmal Fauzi Yudistira Anggilia Yuliani Susanti Aris Mudiansyah Mudiansyah Asep Effendi Ayu Laili Rahmiyati Ayu Laili Rahmiyati Ayu Laili Rahmiyati Azhar Affandi Bambang Agus W Bambang Widarsono Biller Panjaitan Byan M Pratama Chevie Wirawan Cicik Khildar Rizqi Citra Salsabilla Dahrul Effendi Debie K. R. Kalalo Deni Nurdyana Hadimin Denok Sunarsi Denok Sunarsi Denok Sunarsi Denok Sunarsi Devi Delvita Diana Damayanti Didin Saepudin Dimas Rifqi Djogo, Ony Dyah Kusuma Arnovita Edi Kurnawan Enung Susilawati Erlangga, Heri Etty Sofia Etty Sofia Mariati Asnar Etty Sofia Mariati Asnar Fajar Wahyudi Farida Yulianty Farida Yuliati Farida Yuliati Farida Yuliati Farida Yuliaty Farida Yuliaty Farida Yuliaty Firda Nur Laila Firda Nur Laila Firman Perkasa Yudha Fitri Rezeki Fitriana Fitriana Fitriana Fransiska Carmelia Subeno Grace Angela Philips Haddan D Haddan Dongoran Haiqal Faddel Muhammad Harto Necsen Linelejan Hayun Setiawan Hendri Andrian Hersusetiyati Hersusetiyati Heru Atmoko I Gusti Nyoman Trianantha Jaya Ida Ayu Laksmi Arnita Utari Ida Ayu Triana Imas Siti Masitoh Ine Aprianti Irawan Sugoro Ittang Somba Jeanny Kathleen Hartini Kahpi, Heri Sapari Komara, Erwan Mariati Mariati Marissa Grace Haque Marissa Grace Haque Megandhi Gusti Wardhana Mona Fandani Mutmainnah Mutmainnah Ni Desak Made Santi Diwyarthi Ni Wayan Eka Arimas Nina Risnawaty Norikazu Suzuki Nova Karlina Nur Widyana Fajrin Nurhaeni Sikki Nurjaya Nurjaya Raden Roro Vemmi Kesumadewi Rahadian Malik Rahardian Malik Ranita Rizky Putri Regina Tirza Maindoka Rendi Maulana Ricky Agusiady Ridwan Ridwan Ronaldo Panggabean Rony Edward Utama Rukhiyat Rukhiyat Sayidin Rukhiyat Syahidin Rukhiyat Syahidin Rulia Rulia Rulia Rulia Ruriyansi Ruth Haryanti Santi Rimadias Santi Sandra Shandhi Abdulrahman Sobarna Kartamihardja Solhanhudi Sri Dati Octaviani Sri Rochani Sri Rochani Mulyani Sumeidi Kadarisman Suwanto Suwanto Syamsul Bahri Taufan Nugroho Taufan Nugroho Taufik Zulfikar Taufik Zulfikar Tri Utami Turmudhi, Anis Verolla Ayu Pradita Vip Paramarta Vip Paramarta Vivi Avionica Widjadjanti Oetojo Widjadjanti Oetojo Widjajanti Utojo Widjajanti Utoyo Yessica Febriany Yuan Badrianto Yuli Santika Magdalena Yuliarti Pasau Zaenal Aripin