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Kontribusi Tingkat Pengetahuan Dan Sistem Pengolahan Limbah Medis Terhadap Kejadian Infeksi Daerah Operasi (Studi Pada Perawat Di Bangsal Bedah RS Bhayangkara TK.III Indramayu) Edenita, Helga Irene; Handayani, Nining; Veranita, Mira
BEST Journal (Biology Education, Sains and Technology) Vol 9, No 1 (2026): Juni 2026
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v9i1.13002

Abstract

Abstrak: Infeksi Daerah Operasi (IDO) merupakan salah satu indikator utama keselamatan pasien yang masih menjadi tantangan di berbagai rumah sakit, khususnya di negara berkembang. Penelitian ini bertujuan untuk menganalisis kontribusi penerapan patient safety dan pengelolaan limbah medis, baik secara terpisah maupun simultan, terhadap penurunan kejadian IDO. Studi ini menggunakan pendekatan kuantitatif dengan analisis regresi logistik dan simulasi Monte Carlo pada 31 sampel pasien pascaoperasi. Hasil penelitian menunjukkan bahwa penerapan patient safety secara umum belum menunjukkan kontribusi signifikan terhadap penurunan IDO, namun analisis lanjutan terhadap enam sasaran keselamatan pasien (Six Goals of Patient Safety) mengidentifikasi tiga area krusial yang berkontribusi signifikan, yakni ketepatan prosedur pembedahan, pencegahan risiko infeksi layanan kesehatan, dan pencegahan cedera akibat insiden jatuh. Pengelolaan limbah medis menunjukkan kontribusi signifikan terhadap penurunan IDO, dengan fokus pada pemisahan limbah infeksius, penyimpanan tertutup, dan pemusnahan tepat waktu. Ketika kedua variabel patient safety dan pengelolaan limbah medis diintegrasikan, probabilitas penurunan kejadian IDO meningkat secara substansial, mencapai rentang 84–96%. Temuan ini menjadi dasar ilmiah bagi perumusan kebijakan rumah sakit yang menggabungkan pendekatan klinis dan lingkungan dalam satu sistem pertahanan berlapis terhadap infeksi
MODEL PENERAPAN ANGGARAN BERBASIS KINERJA DI RS TK. II. DR. R. HARDJANTO BALIKPAPAN Arviana, Nerissa; Handayani, Nining; Rinawati, Rinawati; Andriani, Rian
JURSIMA Vol 12 No 2 (2025): Volume 12 Nomor 2 2025
Publisher : INSTITUT TEKNOLOGI DAN BISNIS INDOBARU NASIONAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47024/js.v12i2.1192

Abstract

Performance-Based Budgeting (PBB) at Tk. II Hospital Dr. R. Hardjanto Balikpapan Performance-Based Budgeting (PBB) is an budgeting approach that links resource allocation with measurable performance outcomes, aiming to improve organizational efficiency, effectiveness, and accountability. This research aims to analyze how PBB is implemented at Tk. II Hospital Dr. R. Hardjanto Balikpapan (RST), identify challenges and opportunities, and determine the budgeting model applied to support the achievement of the hospital's strategic goals. This study uses a qualitative approach with a case study at RST. Data was collected through in-depth interviews with relevant parties and a review of documents related to budgeting and performance reports. The research findings indicate that the implementation of PBB at RST faces several challenges, including limited understanding of the PBB concept among staff, resistance to change, lack of an integrated performance measurement system, and sub-optimal management support. However, opportunities for improvement exist through increased socialization, continuous training, development of supporting information systems, and strengthened commitment from all relevant parties. The conclusion of this research is that PBB at RST is an evolutionary process carried out gradually. The understanding of PBB is still limited among leaders and staff, but it is practically underway. The budgeting model starts with a bottom-up budget planning process, remains fixed during the budget period, and evaluations are conducted periodically through internal and external audit systems.
PENGARUH MODEL PELATIHAN KADER DALAM MEMANFAATKAN ALAT ANTROPOMETRI UNTUK MENDETEKSI STUNTING DI PUSKESMAS DOREKAR Anisa Qadarsi Ananda Hamsah; Purwadhi, Purwadhi; Nining Handayani
Journal of Innovation Research and Knowledge Vol. 5 No. 7 (2025): Desember 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53625/jirk.v5i7.12005

Abstract

The stunting prevalence rate indicates the percentage of toddlers whose height is below the standard for their age, indicating chronic nutritional problems. Stunting is a complex health problem, which not only impacts children's physical growth, but also cognitive development and long-term productivity. Therefore, handling stunting requires a holistic approach and strong collaboration between the government, the community, and various related sectors. This study aims to determine the effect of simulation training models and conventional training models (lectures) in detecting stunting and to determine the most dominant effect between simulation training and conventional training (lectures) in detecting stunting at the Dorekar Community Health Center. This study used a quantitative approach with a quasi-experimental pre-test and post-test with a control group design. The results of this study indicate that there is an effect between the simulation training model and conventional training (lectures) on improving the ability of cadres in detecting stunting at the Dorekar Community Health Center (p = .001). The analysis of the difference test showed that the simulation model has a more significant effect than conventional training (lectures) on improving the ability of cadres in detecting stunting (p = .001). The conclusion is that there is an increase in the cadre's abilities after participating in training using simulation methods and conventional methods (lectures), and the simulation training model is more influential than the conventional training model (lectures) in improving the cadre's abilities.
PENGARUH HUMAN, ORGANIZATION DAN TECHNOLOGY TERHADAP NETBENEFIT SISTEM INFORMASI MANAJEMEN LOGISTIK VAKSIN SIMDIO DAN SMILE DI KABUPATEN DEMAK Siti Chanifah; Nining Handayani; Achmad Dheni Suwardhani
Journal of Innovation Research and Knowledge Vol. 5 No. 8 (2026): Januari 2026
Publisher : Bajang Institute

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

Abstract

The digital transformation of the vaccine logistics management information system is expected to improve the effectiveness and efficiency of immunization services. The Demak District Health Office uses two systems, SIMDIO and SMILE, which still face obstacles in their implementation. This study aims to analyze the influence of human, organization, and technology on the net benefit of both systems using the HOT-Fit approach. A quantitative study with an analytical survey design and cross-sectional approach was conducted in October–November 2025. There were 32 respondents from 26 community health centers and the Health Office, for a total sample of 27 units. Data analysis used descriptive statistics and multiple linear regression with SPSS. Partial tests showed that in SIMDIO, the human variable (sig. 0.938) and organization variable (sig. 0.964) and technology variable (sig. 0.002). In SMILE, the human variable (sig. 0.132) and organization variable (0.964) and technology variable (sig. <0.001). Simultaneous tests (F-tests) showed that the three independent variables simultaneously had a significant effect on the benefits of SIMDIO and SMILE (sig. <0.001). The results of the study showed that 1. The human and organizational aspects did not show a significant contribution, 2. The technology aspect was the dominant factor influencing the benefits of the system.
Technostress Management Strategy in the use of Electronic Medical Records Among Healthcare Workers at RSIA Zainab Pekanbaru Ayunda Nazli, Selsi; Purwadhi, Purwadhi; Handayani, Nining
Journal Research of Social Science, Economics, and Management Vol. 5 No. 6 (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.v5i6.1297

Abstract

Digital transformation in the healthcare sector through the implementation of Electronic Medical Records (EMR) aims to improve service efficiency, yet it also generates technostress among healthcare workers. This study is based on the increasing psychological pressure and digital workload experienced by healthcare professionals at RSIA Zainab Pekanbaru. The objective of this study is to examine the planning, implementation, and evaluation of technostress management strategies in the use of EMR. The research method used in this study is qualitative case study design involving 10 informants, consisting of 4 doctors and 6 nurses, with thematic analysis supported by NVivo 15. The results indicate that the planning stage is still dominated by a technical, reactive, and top-down approach, leaving psychological needs of healthcare workers insufficiently addressed. In the implementation phase, the organization prioritizes operational efficiency over adaptive capacity and psychosocial support. Evaluation remains focused on system performance without considering user experience or cognitive workload. This study concludes that: 1.Planning should shift toward a human-centered approach by involving healthcare staff; 2. Implementation requires strengthening human aspects through capacity building and digital well-being policies; 3. Evaluation must be holistic, integrating digital well-being indicators and structured feedback mechanisms.
Analysis of the effect of hospital management information system implementation on clinical decision-making at PKU Muhammadiyah Purbalingga hospital Pratama, Sony Andik; Handayani, Nining; Efawati, Yen
Science Midwifery Vol 13 No 6 (2026): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i6.2242

Abstract

Hospital Management Information Systems (HMIS) play an important role in supporting clinical decision making by providing accurate, timely, and integrated information. However, challenges related to system quality, information quality, and workflow efficiency may hinder the optimal utilization of HMIS. This study aimed to analyze the effects of system quality, information quality, and workflow efficiency on clinical decision making at PKU Muhammadiyah Purbalingga Hospital. The research employed a quantitative method with a causal associative design, using a total sampling technique involving 60 respondents consisting of physicians, nurses, and midwives. Data were collected using structured questionnaires and analyzed through multiple linear regression with I BM SPSS Statistics version 26, accompanied by classical assumption tests. The results showed that all variables were categorized as good and that the regression model met all analytical assumptions. Partial test (t-test) results indicated that system quality, information quality, and workflow efficiency had a positive and significant effect on clinical decision making (p < 0.05), with information quality identified as the most dominant variable (β = 0.402). The F-test results showed Fcount = 25.324 > Ftable = 2.70 with p = 0.001, indicating that the independent variables simultaneously had a significant effect. In conclusion, HMIS system quality, HMIS information quality, and workflow efficiency significantly affect clinical decision making at PKU Muhammadiyah Purbalingga Hospital, with information quality as the strongest predictor.
Implementation of Principles Good Corporate Governance (GCG) Procurement of Goods and Services by the Regional Public Service Agency at The Jatisari Regional Public Hospital, Karawang Sunandar, Asep; Syaodih, Erliany; Handayani, Nining
Research of Service Administration Health and Sains Healthys Vol 7, No 1 (2026): Research of Service Administration Health and Sains Healthys (Maret)
Publisher : Lembaga Penelitian dan Pendidikan (LPP) Mandala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58258/rehat.v7i1.10306

Abstract

This study examines the implementation of Good Corporate Governance (GCG) principles in the procurement of goods and services at Jatisari Regional Public Hospital, Karawang, which operates as a Regional Public Service Agency (BLUD). A qualitative descriptive method with a phenomenological approach was employed to analyze the application of transparency, accountability, responsibility, independence, and fairness in procurement processes. Data were collected through in-depth interviews with hospital directors, procurement officers, and patients, supported by direct observation and document analysis. The findings indicate that Jatisari Regional Public Hospital has made positive progress in implementing GCG principles through the use of electronic procurement systems, public information disclosure, and compliance with regulatory standards. Nevertheless, several challenges remain, including incomplete digitalization, inconsistent reporting mechanisms, political and bureaucratic intervention affecting institutional independence, limited human resource capacity, and unequal distribution of facilities across service units. The study concludes that while GCG implementation demonstrates a positive trajectory, substantial improvements are required in system strengthening, human resource development, and the enhancement of information technology–based governance.
Hospital Image and Laboratory Service Quality on Customer Loyalty: Mediating Role of Customer Satisfaction Setianingsih, Emi; Purwadhi, Purwadhi; Handayani, Nining
Research of Service Administration Health and Sains Healthys Vol 7, No 1 (2026): Research of Service Administration Health and Sains Healthys (Maret)
Publisher : Lembaga Penelitian dan Pendidikan (LPP) Mandala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58258/rehat.v7i1.10435

Abstract

This study aimed to analyze the effects of hospital image and laboratory service quality on customer loyalty, considering the mediating role of customer satisfaction. The research was conducted at Restu Ibu Hospital Balikpapan using a quantitative approach with a causal design. A total of 163 respondents were selected through purposive sampling. Data were collected via questionnaires and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). Hospital image had a significant direct effect on customer loyalty (β = 0.325; p = 0.031), while laboratory service quality did not have a significant direct effect (β = 0.037; p = 0.683). Customer satisfaction had a significant effect on customer loyalty (β = 0.528; p < 0.001) and mediated the relationship between hospital image (β = 0.207; p = 0.001) and laboratory service quality (β = 0.246; p = 0.027) with customer loyalty. The model Goodness of Fit (GoF) value of 0.717 indicated an excellent model fit. These findings highlight the importance of strengthening institutional image and improving laboratory service quality as key strategies to enhance customer loyalty in the hospital setting.
Co-Authors A. Rohendi Acep Rohendi Achmad Dheni Suwardhani Aisyah Fitri, Nurul Amanah Amanah Angelica Riadi Alim Saputro Angelina Riadi Alim Saputro Anisa Qadarsi Ananda Hamsah Anom Bowo Laksono Apriani, Diah Arief Boediono Arini Estetia Putri Asep Sunandar Aurelia Demtari Tuah Ayunda Nazli, Selsi Bayu Wahyudi Budiarti, Tresna Clara Riski Amanda Dasrun Hidayat Dasti P, Saparingga Edenita, Helga Irene Efawati, Yen Elly Yanah Arwanih Ellyana, Ellyana Endang Komara Erliany Syaodih Erliany Syaodih Fani Pangabdian, Fani Fatimah, Jardinia Dian Feby Bantoyot Fitaloka, Neng Diana Fitra, Eldeast Jane Abdul Fitriana, Liskanita Nur Gartika Rahmasari, Gartika Habibah, Zahrotul Handayani, Ni Luh Hera Wahyuni Hidayat, Fanny Agustina Hudzaifah Al Fatih I Ketut Suatha I Wayan Batan Ignatius Wiseto P Agung Iis Iskandar, Iis Ita Djuwita Jujur, Utang Khariri Khariri Kusuma, Kevin Rizki Agung M Noor, Chairil Manggiasih Dwiayu Larasati Mardiyanto Mardiyanto Mega Putri Utami Melva Louisa Mery Tania Mochtar, Fransiska Nadya, Putie Neni Nuraeni, Neni Nerissa Arviana, Nerissa Noer Rizky Helga Widowati Nurrahma U, Asrina Nurwansyah, Atikah Nurwijayanti Pamungkas, Tegar Paramita Deniswara Poppy Putri Pratiwi Pratama, Sony Andik Pratama, Willy Danis Pratiwi, Putie Nadya Purwadhi Purwadhi Purwadhi Rahardjo, Franciska Rahmawati, Gartika Rebecca Noerjani Angka Reski Mulia Paramita Rian Andriani, Rian Rinawati Rinawati Rizki Adriansyah Rubini Rohendi, A Rosidawati Wiradirja, Imas Saparingga Dasti Putri Saraswati, Yuni Setianingsih, Emi Shafilla Yunilma Andriany Siti Chanifah Sukajie, Bambang Sutisnawati, Yayah Syafei, M. Yani Taufiq, Josefa Vanina Winata Thapjun, Aujchara Ungke Antonjaya Veranita, Mira Vorachat, Chonchanok Wahono Esti PrasetyoningtyaserB Wiryo, Purwadhi Sawal Yani Restiani Widjaja, Yani Restiani Yuliarni, Indah Ziraluo, Eprianto