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Organizational Resilience and Its Influence on Nurse Turnover Intention, Workplace Accidents, and Psychological Safety in Healthcare Systems Agustiningsih, Ida; Agustin, Ratna; Mundakir, Mundakir
Jurnal Keperawatan Muhammadiyah Vol 10 No 4 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i4.31517

Abstract

Background: Organizational resilience is increasingly recognized as a key capability for healthcare systems to manage workforce challenges and safety risks. However, its simultaneous influence on turnover intention, workplace accidents, and psychological safety remains underexplored. Objective: This study aimed to examine the influence of organizational resilience on turnover intention, workplace accidents, and psychological safety among healthcare workers in hospital settings. Methods: A cross-sectional analytical study was conducted among 258 healthcare workers, including nurses, doctors, medical support staff, and administrative personnel, using cluster sampling. Organizational resilience was measured using a modified Organizational Resilience Questionnaire focusing on planning and adaptive capacity domains. Turnover intention, workplace accidents, and psychological safety were assessed using validated instruments. Data were analyzed using descriptive statistics and Pearson correlation analysis. Results: The mean score of organizational resilience was 3.78 ± 0.54. Organizational resilience showed a significant negative correlation with turnover intention (r = -0.512, p < 0.001) and workplace accidents (r = -0.389, p < 0.001), indicating that higher resilience was associated with lower intention to leave and fewer occupational incidents. In contrast, organizational resilience demonstrated a positive correlation with psychological safety (r = 0.559, p < 0.001), reflecting a stronger perception of a safe work environment. Among the outcomes, psychological safety showed the strongest association, followed by turnover intention and workplace accidents. Conclusion: Organizational resilience plays a critical role in reducing turnover intention and workplace accidents while enhancing psychological safety, highlighting its importance in strengthening workforce sustainability and healthcare quality.
EDUBIMA BASED ON AUGMENTED REALITY: DEVELOPMENT OF DISASTER MITIGATION AND ENVIRONMENTAL MANAGEMENT LEARNING Ratna Agustin; Nugroho Ari Wibowo; Gangga Kristin Nurfiyatul Jannah; Miranda Meifa; Muhammad Adam Yulloh
Devote: Jurnal Pengabdian Masyarakat Global Vol. 4 No. 4 (2025): Devote: Jurnal Pengabdian Masyarakat Global, 2025
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/devote.v4i4.4990

Abstract

This community service program aims to improve disaster preparedness and environmental management skills among students and educators at Muhammadiyah Boarding School (MBS) An-Nur Sidoarjo through the development of EDUBIMA learning media based on Augmented Reality (AR). The background for this activity is the high vulnerability of the Sidoarjo region to disasters and the low level of disaster knowledge and preparedness in the pesantren environment. The implementation methods include the development of AR learning media, interactive education, disaster response simulations, and evaluation using pre-tests and post-tests. The results showed a significant increase in disaster mitigation knowledge, from a low category of 56% to a high category of 70% after the intervention. This activity concludes that the use of AR-based EDUBIMA is effective in increasing disaster literacy and encouraging better environmental management behavior in the pesantren environment.
Predictors of Quality of Life in Patients Undergoing Hemodialysis for Chronic Kidney Disease (CKD) in Surabaya, Indonesia Abdul Aziz Alimul Hidayat; Ratna Agustin; Sri Mudji Lestari
Journal of Public Health and Pharmacy Vol. 6 No. 1 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i1.6517

Abstract

Introduction: Hemodialysis is the primary therapy for patients with end-stage chronic kidney disease. While it provides essential medical benefits, the procedure also imposes significant physical, psychological, and social challenges, impacting patients’ quality of life. The quality of life of patients with Chronic Kidney Disease (CKD) is influenced by various factors, including individual characteristics such as age, nutritional status, duration of hemodialysis, occupation, gender, and level of education. Advanced age is often associated with a decline in physiological function and an increased risk of complications. Poor nutritional status or malnutrition is linked to higher morbidity and mortality rates. The length of time a patient undergoes hemodialysis may also affect their physical and psychological adaptation, either positively or negatively. This study aims to analyze the predictive factors influencing the quality of life among chronic kidney disease patients undergoing hemodialysis at a private hospital in Surabaya, Indonesia. Methods: This study employed a cross-sectional design involving 160 respondents selected through probability random sampling. Data were collected using the Kidney Disease Quality of Life-Short Form (KDQOL-SF) questionnaire and analyzed using multiple logistic regression to determine significant factors associated with quality of life. Results: The analysis revealed significant associations between age (p=0.001; OR=0.008), duration of hemodialysis (p=0.010; OR=25.916), and nutritional status (p=0.000; OR=0.003) with patients’ quality of life. Patients with poor nutritional status and prolonged hemodialysis duration were at a higher risk of experiencing a decline in quality of life. Conclusion: This study underscores the importance of routine nutritional assessments and targeted monitoring for elderly patients and those with long-term hemodialysis. These strategies are critical to optimizing the quality of life among hemodialysis patients.
Comorbid Diabetes Mellitus in Patients with Coronavirus Disease 2019: A Literature Review Suyatno Hadi Saputro; Ratna Agustin; Sri Wahyuni; Nur Mukarromah
Indonesian Academia Health Sciences Journal Vol 6 No 1 (2025): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v6i1.26579

Abstract

Diabetes Mellitus (DM) is one of the risk factors faced by COVID-19 patients. diabetics aged >60 years, uncontrolled blood sugar levels, and the presence of complications from diabetes with a poor COVID-19 prognosis. In China, the death percentage of diabetics who contracted COVID-19 was 7.3%. In Italy, 36% of deaths in COVID-19 patients are related to diabetes. This study aims to analyze a comprehensive summary of the article Comorbid Diabetes Mellitus in Coronavirus Disease (COVID-19) Patients. Using the literature review method. PubMed, Science Direct and Medica Hospitalia databases. Inclusion criteria: articles on comorbid diabetes mellitus in COVID-19 patients, causes and effects on comorbid diabetes in COVID-19 patients, years from the end of 2019 to 2021, using English and Indonesian, Journal Article and Research article types, availability abstract and full text, Medline journal category. keyword Diabetes Mellitus, COVID-19 obtained 10 articles. COVID-19 patients with diabetes mellitus exhibit a wide range of severity, many of which weigh. Factors whose severity is characterized by age ranging from 50 to 70 years, a history of hypertension, signs and symptoms that are often experienced by COVID-19 patients with diabetes are dyspnea and weakness, laboratory findings show an increase in neutrophils, C-protein reactive, erythrocyte sedimentation rate, procalcitonin, D-dimer, and decreased lymphocytes and albumin. The radiological findings showed a picture of bilateral pneumonia on CT-scan results. The severity and mortality rates vary widely, the severity ranges from 11.1% to 42.4%, and the mortality rate ranges from 15.4% to 42.9%. Comorbidities of diabetes mellitus can increase the severity of COVID-19 patients, there are factors that are related to age, hypertension, symptoms of dyspnea and weakness, inflammation, increased coagulation activity, bilateral pneumonia, high severity and mortality.
Predictors of Pulmonary Tuberculosis Prevention in Surabaya, Indonesia Abdul Aziz Alimul Hidayat; Ratna Agustin; Siwi Sabdasih
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 1 (2025)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i1.6515

Abstract

Background: Pulmonary tuberculosis (TB) continues to pose a critical public health challenge in Indonesia, characterized by high transmission rates, particularly within household settings. Despite extensive efforts to mitigate the spread of TB, persistent barriers such as low adherence to prevention and treatment protocols hinder progress. Identifying the factors that influence adherence is essential to optimizing the efficacy of intervention strategies. This study aims to investigate the key predictors influencing adherence to preventive measures for pulmonary TB transmission in Surabaya City. Methods: A quantitative research design employing a cross-sectional approach was utilized. Data were collected from 225 pulmonary TB patients attending community health centers in Surabaya City between September and December 2023. The variables examined included demographic characteristics, perceived benefits, barriers, susceptibility, severity, and self-efficacy. Statistical analysis was conducted using multiple logistic regression, with significance set at p<0.05. Results: Significant predictors of adherence included age (p=0.048; OR=0.413), gender (p=0.009; OR=0.328), socioeconomic status (p=0.033; OR=3.052), perceived benefits (p=0.009; OR=10.086), barriers (p=0.007; OR=0.704), and self-efficacy (p=0.005; OR=29.335). Patients aged above 45 years, those reporting higher perceived benefits, and those with greater self-efficacy demonstrated higher adherence to TB prevention measures. These findings underscore the importance of self-efficacy, perceived benefits, and socioeconomic factors as significant determinants of adherence. The study's contribution lies in its exploration of adherence predictors within a high-risk population, offering valuable insights to inform targeted public health interventions. Conclusion: Age, perceived benefits, barriers, and self-efficacy emerged as critical predictors of adherence to pulmonary TB prevention strategies in Surabaya City. Interventions aimed at strengthening self-efficacy and providing targeted educational programs for younger populations are recommended to enhance TB control efforts. Additionally, integrating these findings into broader public health frameworks, such as national TB control strategies, can amplify their impact and contribute to improved health outcomes.