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THE EFFECT OF WORKLOAD AND COMPENSATION ON INPATIENT NURSE TURNOVER INTENTION AT TYPE C HOSPITAL, WEST JAKARTA WITH JOB STRESS AS A MEDIATING VARIABLE Alexander Yosua Santoso; Bernard T. Widjaja; Wani Devita Gunardi
International Journal of Social Science, Educational, Economics, Agriculture Research and Technology (IJSET) Vol. 5 No. 5 (2026): APRIL
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.19450224

Abstract

Nurses are professionals who play a crucial role in hospital services, and high turnover intention can impact the quality of healthcare services. Increased workload due to changes in hospital status and suboptimal compensation are suspected to be factors influencing the emergence of job stress and turnover intention. This study used a cross-sectional quantitative approach with a survey method through a questionnaire to inpatient nurses. The data analysis technique used was Smart PLS. The variables studied included workload, compensation, job stress, and turnover intention . The results showed that workload did not have a significant effect on turnover intention directly. However, workload had a significant effect on job stress, and job stress had a positive effect on turnover intention . In addition, compensation had a negative and significant effect on turnover intention and on job stress. Mediation testing showed that job stress was able to mediate the effect of workload on turnover intention , but was unable to mediate the effect of compensation on turnover intention . The conclusion of this study is that job stress is a key variable in explaining the relationship between workload and turnover intention. Meanwhile, compensation has a direct effect on turnover intention without going through job stress. Therefore, hospital management needs to manage workload and work stress effectively and improve the compensation system to control nurse turnover intention .
Efficiency and Risk Analysis of Hospital Supply Chain and Strategy Development Using FMEA and Swot: A Case Study of Husada Hospital Julianto; Saparso; Wani Devita Gunardi
Journal Research of Social Science, Economics, and Management Vol. 5 No. 12 (2026): Journal Research of Social Science, Economics, and Management
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jrssem.v5i12.1583

Abstract

Efficient supply chain management (SCM) is essential for ensuring service continuity, cost efficiency, and patient safety in hospitals. This study aims to analyze the efficiency of the hospital supply chain, identify critical operational risks, and formulate strategic recommendations for improving logistics performance at Husada Hospital, Jakarta. A mixed-methods approach was employed by integrating quantitative inventory analysis with qualitative risk and strategic analyses. Quantitative assessment included demand patterns, lead time, inventory coverage, and inventory control indicators, while qualitative analysis involved process mapping, in-depth interviews, Failure Mode and Effects Analysis (FMEA), Internal Factor Evaluation (IFE), External Factor Evaluation (EFE), Internal–External (IE) Matrix, and SWOT analysis. The findings reveal that the existing supply chain is supported by a structured procurement and distribution workflow but remains highly dependent on manual planning, periodic reviews, and experiential decision-making. FMEA identified inventory planning, critical-item management, and supplier coordination as the highest-priority risk areas. The IFE score of 2.481 and EFE score of 2.427 positioned the organization within Cell V of the IE Matrix, indicating a hold-and-maintain strategic posture. Consequently, the recommended strategy emphasizes strengthening data-driven inventory planning, optimizing information systems, standardizing inventory parameters, improving vendor mapping and performance monitoring, establishing risk registries, and implementing risk-based approval mechanisms. These findings contribute to hospital supply chain management by demonstrating that sustainable logistics performance is achieved not through extensive structural changes but through systematic enhancement of planning accuracy, inventory control, risk mitigation, and strategic decision-making, thereby supporting operational resilience and improving healthcare service quality.
Pengaruh Penggunaan Rekam Medis Elektronik (Rme) Dan Stres Kerja Terhadap Turnover Intention (TI) Tenaga Perawat Dengan Kepuasan Kerja Sebagai Variabel Mediasi Flyndie Simon; Bernard Tirto Widjaja; Wani Devita Gunardi
Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Vol 9, No 4 (2025): 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.v9i4.6739

Abstract

Turnover intention is an enemy within an organization and difficult to be detected early. In 2019, the turnover rate for nurses reached its highest value compared to the previous four years. The era of digital transformation has the potential to provide opportunities for improving work processes, including in the healthcare world such as the form of electronic medical record systems. This study is a quantitative, cross-sectional study using a questionnaire distributed to 80 emergency department nurses in West Jakarta. Data was analyzed using SEM partial least squares (PLS) method. The results showed that the use of electronic medical records (EMR) and work stress had a significant effect on job satisfaction, work stress and job satisfaction had a significant effect on turnover intention, and the effect of work stress on turnover intention can also be mediated by job satisfaction. On the other hand, the use of EMR did not have a significant effect on turnover intention and the effect of EMR usage on turnover intention could not be mediated by job satisfaction. From this study, the effectiveness of implementing the EMR system in healthcare services can be examined in relation to work stress, job satisfaction, and turnover intention of working healthcare professionals, especially nurses in the emergency department.