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All Journal International Journal of Public Health Science (IJPHS) Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing)
Roy G.A. Massie
Pusat Humaniora Kebijakan Kesehatan dan Pemberdayaan Masyarakat Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI
Health Professions Nursing

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Patient safety culture as a mediator between healthcare personnel's psychological empowerment and patient outcome Sutanto, Eldaa Prisca Refianti; Antonio, Ferdi; Massie, Roy G.A.
International Journal of Public Health Science (IJPHS) Vol 13, No 4: December 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i4.23436

Abstract

Preventing healthcare errors and reducing damage are becoming the basic concepts of patient safety development. Healthcare personnel need to be more careful and minimize complications that can occur during patient care. Psychological empowerment is important to support a safety culture and patient outcomes. This study investigates the relationship between psychological empowerment (PE) and patient outcome (PO) mediated by patient safety culture (PSC). A cross-sectional survey study was conducted in private hospitals accredited by Joint Commission International. A total of 150 healthcare personnel as participants who met the requirements were obtained by distributing the questionnaires in March 2023. Significant results in mediating patient safety culture have been analyzed using partial least square-structural equation modeling (SEM). The dimensionality of PE and PSC was assessed by a new method that is a disjoint two-stage approach. The role of PSC was found to fully mediate the positive relationship between psychological empowerment and patient outcome (=0.436, p-value 0.05). This study contributes to growing the value of developing a safety culture and the function of psychological empowerment in healthcare staff to enhance patient outcomes.
The nexus of nurse work-life balance on performance: a case in private hospital Adella, Adella; Antonio, Ferdi; Massie, Roy G.A.
International Journal of Public Health Science (IJPHS) Vol 13, No 2: June 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i2.23381

Abstract

The healthcare organization is highly competitive, in which excellent service becomes crucial. As part of the healthcare front-liners, nurses become the main provider of such services, especially in private hospitals. Therefore, it is essential to enhance nurse performance to ensure hospital success. This study investigated the relationship between work-life balance (WLB) on nurse performance (NP) mediated by work engagement (WE) and psychological well-being (PWB). This cross-sectional study recruited 132 eligible nurses in a internationally-accredited type B private hospital (>200 beds). The proposed model of this study is analyzed using partial least square-structural equation modeling (PLS-SEM). The association between all studied variables is significant. The relation between WLB on NP mediated by WE and PWB is significant (p-value 0.000, zero fall, CI 95%)-WLB on PWB (ß=0.743), WLB on WE (ß=0.466), PWB on WE (ß=0.379), WE on NP (ß=0.351) and PWB on NP (ß=0.579). This study indicates that nurse WLB should be an essential aspect to consider in enhancing NP. The hospital should also monitor and evaluate WE and PWB in improving NP.
Exploring Job Embeddedness and Its Impact on Nurse Retention through Self-Leadership: Evidence from Indonesia Waloni, Febryna Grace Maya; Antonio, Ferdi; Massie, Roy G.A.
Jurnal Keperawatan Soedirman Vol 20 No 3 (2025): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2025.20.3.13675

Abstract

Background: The global healthcare sector faces significant challenges in retaining skilled nurses due to various reasons leading to high turnover. These issues affect both public and private healthcare systems. Addressing these is crucial to ensure quality patient care and sustainable healthcare services, especially as the demand for skilled healthcare workers grows globally. This study examines the impact of job embeddedness and self-leadership on retention and turnover intentions among skilled nurses. Methods: This cross-sectional study involves 138 skilled nurses who met the criteria and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). Results: Job embeddedness significantly enhances nurse self-leadership (β = 0.671, p < 0.001) and intention to stay (β = 0.658, p < 0.001), promoting commitment but negatively impacts turnover intention (β = -0.312, p = 0.004), suggesting its effectiveness in reducing turnover. Nurse self-leadership did not directly relate to the intention to stay. The moderating effect of length of service on the relationship between self-leadership and intention to stay underscores the importance of customized retention strategies. Conclusion: Job embeddedness is essential for retaining skilled nurses, and healthcare facilities should create a supportive environment that encourages connection and belonging. Retention strategies such as self-leadership training can enhance nurse commitment and reduce turnover. These findings offer valuable insights for effective nurse retention strategies in the competitive healthcare landscape. Keywords: intention to stay; job embeddedness; nurse self-leadership; turnover intention
Co-Authors Adella, Adella Antonio, Ferdi Sutanto, Eldaa Prisca Refianti Waloni, Febryna Grace Maya